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| }} | | }} |
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− | <big>'''Sutra Sthana Chapter 20. Dosha specific classification of diseases '''</big> | + | <big>'''Sutra Sthana Chapter 20. [[Dosha]] specific classification of diseases '''</big> |
| {{Infobox | | {{Infobox |
| |title = Maharoga Adhyaya | | |title = Maharoga Adhyaya |
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| <big>'''Abstract'''</big> | | <big>'''Abstract'''</big> |
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− | <div style="text-align:justify;">This chapter further extends description of classification of diseases according to criteria viz. endogenous-exogenous causes, basic nature, site of origin, clinical presentations. The specific causes of endogenous and exogenous diseases are described. The chapter further enlists diseases caused due to only one dosha with their sites of origin. This elaborates the concept distinct one-dosha categories of diseases. There are as many as eighty variants due to a vitiated vata only, forty due to pitta, and twenty due to kapha. Any effective diagnosis or treatment of these diseases would need a detailed study of the dosha, their locations and characteristics. This knowledge is provided to substantiate the importance of knowing disease before initiating the treatment in clinical medicine. The chapter recapitulates principles of knowledge of disease described in the tetrad. </div> | + | <div style="text-align:justify;">This chapter further extends description of classification of diseases according to criteria viz. endogenous-exogenous causes, basic nature, site of origin, clinical presentations. The specific causes of endogenous and exogenous diseases are described. The chapter further enlists diseases caused due to only one [[dosha]] with their sites of origin. This elaborates the concept distinct one-[[dosha]] categories of diseases. There are as many as eighty variants due to a vitiated [[vata]] only, forty due to [[pitta]], and twenty due to [[kapha]]. Any effective diagnosis or treatment of these diseases would need a detailed study of the [[dosha]], their locations and characteristics. This knowledge is provided to substantiate the importance of knowing disease before initiating the treatment in clinical medicine. The chapter recapitulates principles of knowledge of disease described in the tetrad. </div>[ |
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− | '''Keywords''': ''dosha'' specific diseases, site of ''dosha'', management principles of ''dosha''. | + | '''Keywords''': [[dosha]] specific diseases, site of [[dosha]], management principles of [[dosha]]. |
| </div> | | </div> |
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| == Introduction == | | == Introduction == |
| <div style="text-align:justify;"> | | <div style="text-align:justify;"> |
− | In this chapter, diseases are classified into four types - exogenous, ''vataja, pittaja'' and ''kaphaja''. Because single-''dosha'' endogenous disorders can be regarded as primary diseases, they have been treated as separate types here. Exogenous and endogenous diseases, and their places of origin within the body, have already been described earlier in the [[Sutra Sthana]] and have been reiterated again here. In the preceding chapters, it was mentioned that exogenous diseases follow endogenous ones, and vice-versa. Single-''dosha'' endogenous diseases play a secondary role in the genesis of exogenous diseases. | + | In this chapter, diseases are classified into four types - exogenous, [[vata]]ja, [[pitta]]ja and [[kapha]]ja. Because single-[[dosha]] endogenous disorders can be regarded as primary diseases, they have been treated as separate types here. Exogenous and endogenous diseases, and their places of origin within the body, have already been described earlier in the [[Sutra Sthana]] and have been reiterated again here. In the preceding chapters, it was mentioned that exogenous diseases follow endogenous ones, and vice-versa. Single-[[dosha]] endogenous diseases play a secondary role in the genesis of exogenous diseases. |
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− | As also mentioned earlier, there are innumerable diseases because of many etiopathological factors as well as variations in the involvement of ''doshas'' and ''dhatus''. Since vitiated ''doshas'' are directly or indirectly responsible for all diseases, it is important to understand their normal, or expected, functions and then the pathological consequences of their vitiated forms. By factoring in these fundamental factors, this chapter deals with providing complete scenarios of afflictions, and their recommended line of treatment. | + | As also mentioned earlier, there are innumerable diseases because of many etiopathological factors as well as variations in the involvement of [[dosha]] and [[dhatu]]. Since vitiated [[dosha]] are directly or indirectly responsible for all diseases, it is important to understand their normal, or expected, functions and then the pathological consequences of their vitiated forms. By factoring in these fundamental factors, this chapter deals with providing complete scenarios of afflictions, and their recommended line of treatment. |
− | Mind and body are the sites of manifestation of exogenous and endogenous diseases. Psychological disorders are considered to be exogenous in nature. An important point to note here (though this has been addressed in an earlier chapter) is that even if some of the ''vataja'' types of diseases are caused by other ''doshas'' besides ''vata'', it is the ''vata'' which is actually responsible for the transmission of vitiated ''doshas'' to a specific organ of the body. ''Kapha, pitta'' and the ''dhatus'', left to themselves, are immobile in nature. Wherever, they are carried by the ''vata'', they cause diseases, just as the wind causes rain in a particular area. Phases in the natural history, clinical course of a disease, and successive stages of prevention are described under Kriyakala. | + | Mind and body are the sites of manifestation of exogenous and endogenous diseases. Psychological disorders are considered to be exogenous in nature. An important point to note here (though this has been addressed in an earlier chapter) is that even if some of the [[vata]]ja types of diseases are caused by other [[dosha]] besides [[vata]], it is the [[vata]] which is actually responsible for the transmission of vitiated [[dosha]] to a specific organ of the body. [[Kapha]], [[pitta]]and the [[dhatu]], left to themselves, are immobile in nature. Wherever, they are carried by the [[vata]], they cause diseases, just as the wind causes rain in a particular area. Phases in the natural history, clinical course of a disease, and successive stages of prevention are described under Kriyakala. |
| </div> | | </div> |
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| <div style="text-align:justify;"> | | <div style="text-align:justify;"> |
− | There are four types of diseases viz. ''agantuja'' (exogenous), ''vataja, pittaja'' and ''shleshmaja/kapha''. All varieties of diseases may be grouped under one classification because pain is common to all. They are again of two types depending on their nature- exogenous and endogenous. They are again of two types - somatic and psychic-depending on the sites of their manifestation i.e. body and mind. Diseases are in fact innumerable (dhatus affected, signs and symptoms), distant causes (like improper diet and regimen), and permutation and combination of various fractions of ''doshas'' are innumerable. [3] | + | There are four types of diseases viz. ''agantuja'' (exogenous), [[vata]]ja, [[pitta]]ja and ''shleshmaja/[[kapha]]ja''. All varieties of diseases may be grouped under one classification because pain is common to all. They are again of two types depending on their nature- exogenous and endogenous. They are again of two types - somatic and psychic-depending on the sites of their manifestation i.e. body and mind. Diseases are in fact innumerable ([[dhatu]] affected, signs and symptoms), distant causes (like improper diet and regimen), and permutation and combination of various fractions of [[dosha]] are innumerable. [3] |
| </div> | | </div> |
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| </div></div> | | </div></div> |
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− | While exogenous diseases are caused by nails, teeth bites (of wild animals), fall, malevolent spells, curse, psychic afflictions including assault, piercing, bondage, raping, application of pressure, binding by rope, fire, weapon, thunderbolt, demoniac seizure, and natural calamities. Endogenous diseases are caused by the disturbance in the equilibrium of ''vata, pitta'' and ''kapha dosha''.[4] | + | While exogenous diseases are caused by nails, teeth bites (of wild animals), fall, malevolent spells, curse, psychic afflictions including assault, piercing, bondage, raping, application of pressure, binding by rope, fire, weapon, thunderbolt, demoniac seizure, and natural calamities. Endogenous diseases are caused by the disturbance in the equilibrium of [[vata]], [[pitta]] and [[kapha]] [[dosha]].[4] |
| | | |
| === Three major causes of diseases === | | === Three major causes of diseases === |
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| </div></div> | | </div></div> |
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− | Exogenous diseases begin with pain and then bring about disturbances in the equilibrium of ''doshas''. Endogenous diseases, on the other hand, begin with disturbances in the equilibrium of ''doshas'' and then cause pain. [7] | + | Exogenous diseases begin with pain and then bring about disturbances in the equilibrium of [[dosha]]. Endogenous diseases, on the other hand, begin with disturbances in the equilibrium of [[dosha]] and then cause pain. [7] |
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− | === Sites of three ''doshas'' === | + | === Sites of three [[doshas]] === |
| <div class="mw-collapsible mw-collapsed"> | | <div class="mw-collapsible mw-collapsed"> |
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| </div></div> | | </div></div> |
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− | The important sites of origin of these three ''doshas'' are as follows: | + | The important sites of origin of these three [[doshas]] are as follows: |
| <div style="text-align:justify;"> | | <div style="text-align:justify;"> |
− | Urinary bladder, rectum, waist, thighs, legs, bones and colon are the sites of ''vata'', with colon the most important of them. | + | Urinary bladder, rectum, waist, thighs, legs, bones and colon are the sites of [[vata]], with colon the most important of them. |
− | Sweat, ''rasa, lasika, rakta'' and small intestine are the sites of ''pitta'', with small intestine the most important of them. | + | Sweat, [[rasa]], lasika, [[rakta]] and small intestine are the sites of [[pitta]], with small intestine the most important of them. |
− | Chest, head, neck, joints, stomach and fat are the sites of ''shleshma'' or ''kapha'', with chest the most important of them. [8] | + | Chest, head, neck, joints, stomach and fat are the sites of ''shleshma'' or [[kapha]], with chest the most important of them. [8] |
| </div> | | </div> |
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| <div style="text-align:justify;"> | | <div style="text-align:justify;"> |
− | The entire body is the abode of all the three ''doshas'' , the normal or abnormal states of which are responsible for good or bad outcomes respectively. Examples of good outcomes include growth, strength, complexion, happiness, etc, while the bad outcomes, manifested due to abnormal states of ''doshas'', cause various types of diseases. | + | The entire body is the abode of all the three [[dosha]], the normal or abnormal states of which are responsible for good or bad outcomes respectively. Examples of good outcomes include growth, strength, complexion, happiness, etc, while the bad outcomes, manifested due to abnormal states of [[dosha]], cause various types of diseases. |
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− | Endogenous diseases again are of two types - diseases caused due to vitiation of two or more ''doshas'', and diseases that are caused by single-''dosha''. The previous chapter dealt with general diseases. This chapter focuses on the latter. There are 140 types of single-''dosha'' diseases, including 80 types caused by ''vata'', 40 by ''pitta'', and 20 by ''kapha''.[10] | + | Endogenous diseases again are of two types - diseases caused due to vitiation of two or more [[dosha]], and diseases that are caused by single-[[dosha]]. The previous chapter dealt with general diseases. This chapter focuses on the latter. There are 140 types of single-[[dosha]]diseases, including 80 types caused by [[vata]], 40 by [[pitta]], and 20 by [[kapha]].[10] |
| </div> | | </div> |
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− | === Eighty disorders caused due to ''vata dosha'' === | + | === Eighty disorders caused due to [[vata]] [[dosha]] === |
| <div class="mw-collapsible mw-collapsed"> | | <div class="mw-collapsible mw-collapsed"> |
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| </div></div> | | </div></div> |
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− | While there could be innumerable types of ''vataja nanatmaja vikaras'' (also known as ''vataja nanatmaja vyadhis'', the 80 known or prevalent types are as follows: | + | While there could be innumerable types of [[vata]]ja nanatmaja vikaras (also known as [[vata]]ja nanatmaja vyadhis'', the 80 known or prevalent types are as follows: |
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| #Nakhabheda (Cracking of nails) | | #Nakhabheda (Cracking of nails) |
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| (Anavasthita chittatva (Unstable mind)) | | (Anavasthita chittatva (Unstable mind)) |
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− | ==== Properties and pathogenic effects of ''vata'' dosha ==== | + | ==== Properties and pathogenic effects of [[vata]] [[dosha]] ==== |
| <div class="mw-collapsible mw-collapsed"> | | <div class="mw-collapsible mw-collapsed"> |
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| <div style="text-align:justify;"> | | <div style="text-align:justify;"> |
− | In all the ''vataja'' variety of diseases enumerated, even when the inherent properties of ''vata'' are manifested partially, these are diagnosed and treated as the disorders of ''vata''. For example, while roughness, coolness, lightness, non-sliminess, motion, shapelessness and instability are known to be the typical characteristics associated with ''vata'', there are various other manifestations of the ''dosha'' depending upon the organ it afflicts: | + | In all the [[vata]]ja variety of diseases enumerated, even when the inherent properties of [[vata]] are manifested partially, these are diagnosed and treated as the disorders of [[vata]]. For example, while roughness, coolness, lightness, non-sliminess, motion, shapelessness and instability are known to be the typical characteristics associated with [[vata]], there are various other manifestations of the [[dosha]] depending upon the organ it afflicts: |
| </div> | | </div> |
| #Stramsa – Looseness | | #Stramsa – Looseness |
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| #Khanja – Lameness etc. [11] | | #Khanja – Lameness etc. [11] |
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− | ==== Management principles of ''vata'' disorders ==== | + | ==== Management principles of [[vata]] disorders ==== |
| <div class="mw-collapsible mw-collapsed"> | | <div class="mw-collapsible mw-collapsed"> |
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| <div style="text-align:justify;"> | | <div style="text-align:justify;"> |
− | The vitiated ''vata'' should be managed by drugs with a sweet, sour or saline taste, and various unctuous and hot therapeutics procedures such as oleation, fomentation, inhalation, diet, massage, unction, effusion, non-unctuous and unctuous enema, etc. The administered drugs or procedures should have anti-''vataja'' properties and must be administered in appropriate dose and time. Amongst all the above mentioned procedures non-unctuous and unctuous enema are regarded as the most effective forms of treatment for the management of ''vataja vyadhi'' because enema enters the colon quickly and strikes at the very root of the vitiated ''vata''. Thus, when ''vata'' is overcome in the colon, the disorders of ''vata'' in other parts of the body are automatically alleviated like the tree when cut at the root results in the automatic destruction of the trunk, branches, sprouts, flowers, fruits, leaves etc.[13] | + | The vitiated [[vata]] should be managed by drugs with a sweet, sour or saline taste, and various unctuous and hot therapeutics procedures such as oleation, fomentation, inhalation, diet, massage, unction, effusion, non-unctuous and unctuous enema, etc. The administered drugs or procedures should have anti-[[vata]]ja properties and must be administered in appropriate dose and time. Amongst all the above mentioned procedures non-unctuous and unctuous enema are regarded as the most effective forms of treatment for the management of [[vata]]ja vyadhi'' because enema enters the colon quickly and strikes at the very root of the vitiated [[vata]]. Thus, when [[vata]] is overcome in the colon, the disorders of [[vata]] in other parts of the body are automatically alleviated like the tree when cut at the root results in the automatic destruction of the trunk, branches, sprouts, flowers, fruits, leaves etc.[13] |
| </div> | | </div> |
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| </div></div> | | </div></div> |
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− | Quite like the ''vata'' family of diseases, there are innumerable ''pittaja nanatmaja vyadhis'', but the 40 most prevalent ones are: | + | Quite like the [[vata]] family of diseases, there are innumerable [[pitta]]ja nanatmaja vyadhis, but the 40 most prevalent ones are: |
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| #Osha (Heating) | | #Osha (Heating) |
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| #Harita Haridra Netra Mootra Varcastva (Green-yellow discolouration of eyes, urine, stool) | | #Harita Haridra Netra Mootra Varcastva (Green-yellow discolouration of eyes, urine, stool) |
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− | ==== Properties and pathogenic effects of ''pitta'' dosha ==== | + | ==== Properties and pathogenic effects of [[pitta]] [[dosha]] ==== |
| <div class="mw-collapsible mw-collapsed"> | | <div class="mw-collapsible mw-collapsed"> |
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| </div></div> | | </div></div> |
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− | In all the ''pittaja'' variety of diseases enumerated, even a partial manifestation of the vitiated ''pitta'' would still warrant them to be diagnosed and treated as a disorder of the ''pitta''. For example, heat, sharpness, liquidity, slight unctuousness, all colours except white and red, fishy smell, pungent and sour taste and fluidity are the specific characters of ''pitta'', but the manifestations of ''pitta'' could be different depending upon the organs they afflict: | + | In all the [[pitta]]ja variety of diseases enumerated, even a partial manifestation of the vitiated [[pitta]] would still warrant them to be diagnosed and treated as a disorder of the [[pitta]]. For example, heat, sharpness, liquidity, slight unctuousness, all colours except white and red, fishy smell, pungent and sour taste and fluidity are the specific characters of [[pitta]], but the manifestations of [[pitta]] could be different depending upon the organs they afflict: |
| | | |
| #Daha-Burning sensation | | #Daha-Burning sensation |
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| #Varna (harita, haridra, peeta, neela, tamra) – Colours namely greenish, deep yellowish, yellowish, blue, coppery. [15] | | #Varna (harita, haridra, peeta, neela, tamra) – Colours namely greenish, deep yellowish, yellowish, blue, coppery. [15] |
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− | ==== Management principles of ''pitta'' disorders ==== | + | ==== Management principles of [[pitta]] disorders ==== |
| <div class="mw-collapsible mw-collapsed"> | | <div class="mw-collapsible mw-collapsed"> |
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| <div style="text-align:justify;"> | | <div style="text-align:justify;"> |
− | Abnormal ''pitta'' disorders should be managed by drugs having sweet, bitter, astringent, and cooling qualities. Any therapeutic modalities administered, such as oleation, purgation, fasting, affusion, massage, etc. should have anti-''pittaja'' properties and must be administered in appropriate dose and time. Of all the above mentioned procedures, purgation is regarded as the most effective mode of treatment for the management of ''pittaja vyadhi''. When ''pitta'' is overcome in the ''amashaya'' through administration of purgative substances, the disorders of ''pitta'' in other parts of the body are automatically pacified just like a fire chamber cools down when the fire is doused. [16] | + | Abnormal [[pitta]]disorders should be managed by drugs having sweet, bitter, astringent, and cooling qualities. Any therapeutic modalities administered, such as oleation, purgation, fasting, affusion, massage, etc. should have anti-[[pitta]]ja properties and must be administered in appropriate dose and time. Of all the above mentioned procedures, purgation is regarded as the most effective mode of treatment for the management of [[pitta]]ja vyadhi''. When [[pitta]] is overcome in the ''amashaya'' through administration of purgative substances, the disorders of [[pitta]] in other parts of the body are automatically pacified just like a fire chamber cools down when the fire is doused. [16] |
| </div> | | </div> |
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− | === Disorders of ''kapha dosha'' === | + | === Disorders of [[kapha]] [[dosha]] === |
| <div class="mw-collapsible mw-collapsed"> | | <div class="mw-collapsible mw-collapsed"> |
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| </div></div> | | </div></div> |
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− | The 20 prevalent ''kapha'' disorders or ''Shleshma nanatmaja vyadhi'' are: | + | The 20 prevalent [[kapha]]disorders or ''Shleshma nanatmaja vyadhi'' are: |
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| #Trupti (Contentment) | | #Trupti (Contentment) |
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| (Shveta Mootranetravarchastva (White discolouration of urine, eyes, stool)) [17] | | (Shveta Mootranetravarchastva (White discolouration of urine, eyes, stool)) [17] |
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− | ==== Properties and pathogenic effects of ''kapha'' dosha ==== | + | ==== Properties and pathogenic effects of [[kapha]] [[dosha]] ==== |
| <div class="mw-collapsible mw-collapsed"> | | <div class="mw-collapsible mw-collapsed"> |
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| <div style="text-align:justify;"> | | <div style="text-align:justify;"> |
− | In all, like in the case of ''vata'' and ''pitta'' disorders, all the ''kaphaja'' variety of diseases mentioned above would be diagnosed and treated as disorders of ''kapha'' even when exhibiting partial manifestations of the ''dosha''. For example, unctuousness, coldness, whiteness, heaviness, sweetness, steadiness, sliminess and viscosity are the specific characters of ''kapha''. ''Kapha'', having such characteristic properties, produces the following actions in the organs it afflicts: | + | In all, like in the case of [[vata]] and [[pitta]] disorders, all the [[kapha]]javariety of diseases mentioned above would be diagnosed and treated as disorders of [[kapha]] even when exhibiting partial manifestations of the [[dosha]]. For example, unctuousness, coldness, whiteness, heaviness, sweetness, steadiness, sliminess and viscosity are the specific characters of [[kapha]]. [[Kapha]], having such characteristic properties, produces the following actions in the organs it afflicts: |
| </div> | | </div> |
| #Shvaitya – Whiteness | | #Shvaitya – Whiteness |
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| #Chirakaritva – Chronic nature of disease | | #Chirakaritva – Chronic nature of disease |
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− | All the above are the actions of ''kapha dosha'' and the same may be diagnosed as ''kaphaja'' variety of diseases. [18] | + | All the above are the actions of [[kapha]] [[dosha]] and the same may be diagnosed as [[kapha]]ja variety of diseases. [18] |
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− | ==== Management of ''kapha'' disorders ==== | + | ==== Management of [[kapha]] disorders ==== |
| <div class="mw-collapsible mw-collapsed"> | | <div class="mw-collapsible mw-collapsed"> |
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| <div style="text-align:justify;"> | | <div style="text-align:justify;"> |
− | Abnormal ''kapha'' should be managed using drugs having pungent, bitter, astringent, sharp, hot and dry qualities, and by means of other therapeutic modalities such as fomentation, emesis, evacuation of ''doshas'' from head, exercise etc. that have anti-''kaphaja'' properties and these must be administered in appropriate dose and time. Amongst all the above mentioned procedures emesis is regarded the most effective form of treatment for the management of ''kaphaja'' diseases because immediately after entering the stomach, it strikes at the very root cause of the vitiation of ''kapha''. Thus, when ''kapha'' is overcome in the stomach, any ''kapha''-related affliction in any other part of the body gets pacified automatically quite like the drying up of crops of rice in the absence of moisture when the obstructing ridge of the field is broken.[19] | + | Abnormal [[kapha]] should be managed using drugs having pungent, bitter, astringent, sharp, hot and dry qualities, and by means of other therapeutic modalities such as fomentation, emesis, evacuation of [[dosha]] from head, exercise etc. that have anti-[[kapha]]ja'' properties and these must be administered in appropriate dose and time. Amongst all the above mentioned procedures emesis is regarded the most effective form of treatment for the management of [[kapha]]ja diseases because immediately after entering the stomach, it strikes at the very root cause of the vitiation of [[kapha]]. Thus, when [[kapha]] is overcome in the stomach, any [[kapha]]-related affliction in any other part of the body gets pacified automatically quite like the drying up of crops of rice in the absence of moisture when the obstructing ridge of the field is broken.[19] |
| </div> | | </div> |
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| <div style="text-align:justify;"> | | <div style="text-align:justify;"> |
− | In this chapter on major diseases, the enlightened sage has fully dealt with the following: classification of diseases, their nature, sites of manifestation, primary and secondary causative factors, interchangeability and specific identity of disease, sites of ''doshas'', enumeration of specific diseases due to ''doshas'', invariable signs and non changeable actions of ''dosha'' and specific treatment of each ''dosha''. [23-25] | + | In this chapter on major diseases, the enlightened sage has fully dealt with the following: classification of diseases, their nature, sites of manifestation, primary and secondary causative factors, interchangeability and specific identity of disease, sites of [[dosha]], enumeration of specific diseases due to [[dosha]], invariable signs and non changeable actions of [[dosha]] and specific treatment of each [[dosha]]. [23-25] |
| </div> | | </div> |
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| #Mind and body are the sites of manifestation of diseases and get afflicted with exogenous and endogenous diseases. | | #Mind and body are the sites of manifestation of diseases and get afflicted with exogenous and endogenous diseases. |
| #Mental diseases (as diseases related to passion, worries etc. psychological factors) are exogenous diseases. | | #Mental diseases (as diseases related to passion, worries etc. psychological factors) are exogenous diseases. |
− | #By permutation and combination, the three doshas and seven dhatus may form innumerable varieties of diseases, but only those diseases which most commonly manifest have been described in the texts. | + | #By permutation and combination, the three [[dosha]] and seven [[dhatu]] may form innumerable varieties of diseases, but only those diseases which most commonly manifest have been described in the texts. |
− | #Endogenous diseases of the general type (samanyaja) are caused by the combination of two or more doshas. | + | #Endogenous diseases of the general type (samanyaja) are caused by the combination of two or more [[dosha]]. |
− | #Endogenous diseases of the specific type (Nanatmaja=Na+Anatmaja=Atmaja) are on the other hand, caused by only one of the doshas | + | #Endogenous diseases of the specific type (Nanatmaja=Na+Anatmaja=Atmaja) are on the other hand, caused by only one of the [[dosha]] |
− | #Even if some of the vataja types of diseases are caused by other doshas besides vata, it is the vata which is actually responsible for the transmission of the vitiated doshas to a specific organ of the body as it has been said ‘kapha, pitta and dhatus, left to themselves are immobile in nature. Wherever, they are carried by the vata, they cause disease just as the wind causes rain in a particular area. | + | #Even if some of the [[vata]]ja types of diseases are caused by other [[dosha]]besides [[vata]], it is the [[vata]] which is actually responsible for the transmission of the vitiated [[dosha]] to a specific organ of the body as it has been said ‘[[kapha]], [[pitta]] and [[dhatu]], left to themselves are immobile in nature. Wherever, they are carried by the [[vata]], they cause disease just as the wind causes rain in a particular area. |
| #Phases in the natural history and clinical course of a disease to successive stages of prevention are described under kriyakala. | | #Phases in the natural history and clinical course of a disease to successive stages of prevention are described under kriyakala. |
− | #Each dosha has its specific site of action. Various disorders are caused due to involvement of one or more qualities of dosha. | + | #Each [[dosha]] has its specific site of action. Various disorders are caused due to involvement of one or more qualities of [[dosha]]. |
| </div> | | </div> |
| | | |
| == Vidhi Vimarsha (Applied Inferences) == | | == Vidhi Vimarsha (Applied Inferences) == |
| | | |
− | Following tables compare dosha specific disorders enlisted in various texts. | + | Following tables compare [[dosha]] specific disorders enlisted in various texts. |
| | | |
− | ===Specific disorders of Vata dosha=== | + | ===Specific disorders of [[Vata]] [[dosha]]=== |
| | | |
| {| class="wikitable" | | {| class="wikitable" |
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| Sharangdhara – Bahirayama (vata vyadhi in Charak), Antrayama(vata vyadhi in Charak), Jivhastambha, Krostukashirsha, Khalli, Kalayakhanja, Tuni, Pratituni, Padaharsha, Vishvachi, Apabahuka, Aptano, Vranayamo, Vatakantaka, Aptantraka, Angabheda, Angasosha, Pratiyasthila, Asthila, Angapida, Angavibhransho, Vidahraha, Baddhavitakta, Antrakujanam, Vatapravritti, Sphurana, Shiranam purnam, Karshya, Kshipramutrata, Swedanasho, Durbalatavam, Balakshaya, Atipravritti shukrasya, Karsya shukrasya, Nasho retasa, Kathinya, Virasasyata, Adhamanam, Pratyadhmanam, Sheetata, Romharsha, Bhirutvam, Toda, Kandu are different from Charak. | | Sharangdhara – Bahirayama (vata vyadhi in Charak), Antrayama(vata vyadhi in Charak), Jivhastambha, Krostukashirsha, Khalli, Kalayakhanja, Tuni, Pratituni, Padaharsha, Vishvachi, Apabahuka, Aptano, Vranayamo, Vatakantaka, Aptantraka, Angabheda, Angasosha, Pratiyasthila, Asthila, Angapida, Angavibhransho, Vidahraha, Baddhavitakta, Antrakujanam, Vatapravritti, Sphurana, Shiranam purnam, Karshya, Kshipramutrata, Swedanasho, Durbalatavam, Balakshaya, Atipravritti shukrasya, Karsya shukrasya, Nasho retasa, Kathinya, Virasasyata, Adhamanam, Pratyadhmanam, Sheetata, Romharsha, Bhirutvam, Toda, Kandu are different from Charak. |
| Sudanta Sen- Romaharsha, Sransha, Shramaka, Glapana, Tadanam, Pidanam, Nama, Unnama, Paripatana, Vikshopa, Sosha, Grahanam, Sushirata,Chedanam, Vesthanam, Adhamana, Vimathana, Kshoba, Pratoda, Vilapanam, Shula, Vishma parinati, Dristhi pramoha, Vispanda, Uddhathana (Opening up as a lid), Mahati svapa (excessive sleep), Vislesha, obstruction, and Trit. | | Sudanta Sen- Romaharsha, Sransha, Shramaka, Glapana, Tadanam, Pidanam, Nama, Unnama, Paripatana, Vikshopa, Sosha, Grahanam, Sushirata,Chedanam, Vesthanam, Adhamana, Vimathana, Kshoba, Pratoda, Vilapanam, Shula, Vishma parinati, Dristhi pramoha, Vispanda, Uddhathana (Opening up as a lid), Mahati svapa (excessive sleep), Vislesha, obstruction, and Trit. |
− | vata Vyadhi in Charak- Antrayam, Bahirayama or Dhanustambha, Hanustambha, Khalli. | + | [[vata]] Vyadhi in Charak- Antrayam, Bahirayama or Dhanustambha, Hanustambha, Khalli. |
− | vata Vyadhi (Bhava Prakasha)- Shirograha, Alpakrashata, Jivhastambha, Vachalta, Sparsha-agyatva, Apbahuka, Visvachi, Urdhavavata, Adhamana, Pratyadhmana, Tuni, Pratituni, Adhamana, Pratyadhmana, vata asthila, Pratya- asthila, Vahanivaishayama, Atopa, Muhumutratam, Mutranigraha, Malagarhata, Purishaprivritti, Kalaya khanja, Kroshtuka sirsha, Vatakantaka, Khalli, Vatapitta krita akshepa, Apatanaka, Dandapatanaka, Aptantraka, Abhighatakshepa, Dhanustambha, Antrayam, Bahirayama, Stambha, Vyatha, Toda, Bheda, Sphurana, Karshaya, Shaitaya, Lomaharsha, Angamarda, Angavibhransha, Shirasankocha, Angasosha, Bheerutva, Moha, Swedanasha, Bala hani, Shukraksheya, Rajonasha, and Garbhanasha are different from Charak. | + | [[vata]] Vyadhi (Bhava Prakasha)- Shirograha, Alpakrashata, Jivhastambha, Vachalta, Sparsha-agyatva, Apbahuka, Visvachi, Urdhavavata, Adhamana, Pratyadhmana, Tuni, Pratituni, Adhamana, Pratyadhmana, vata asthila, Pratya- asthila, Vahanivaishayama, Atopa, Muhumutratam, Mutranigraha, Malagarhata, Purishaprivritti, Kalaya khanja, Kroshtuka sirsha, Vatakantaka, Khalli, Vatapitta krita akshepa, Apatanaka, Dandapatanaka, Aptantraka, Abhighatakshepa, Dhanustambha, Antrayam, Bahirayama, Stambha, Vyatha, Toda, Bheda, Sphurana, Karshaya, Shaitaya, Lomaharsha, Angamarda, Angavibhransha, Shirasankocha, Angasosha, Bheerutva, Moha, Swedanasha, Bala hani, Shukraksheya, Rajonasha, and Garbhanasha are different from Charak. |
| Susruta (vata Vyadhi)<ref>Sushruta. Nidana Sthana, Cha.1 Vatavyadinidana Adhyaya. In: Jadavaji Trikamji Aacharya, Editors. Sushruta Samhita. 9th ed. Varanasi: Chaukhambha Orientalia;2007.p.255-276.</ref>- Kroshtuka sirsha, Vatakantaka, Pada daha, Apbahuka, Adhamana, Kalaya khanja, Manyastambha, Akshepaka, Apatanaka, Dandapatanaka, Aptantraka, Visvachi, Pada harsha, Hanugraha, Dhanustambha, Antrayam, Bhirayama, Pakshaghata, Ardita, Gradhrasi, Khanja-pangu, Badhirya, Karnashula, Mukminmin, Gadgad (Symptoms of jihvagata vata), Tuni, Pratuni, Adhamana, Pratyadhmana, vata asthila, Vatarakta. | | Susruta (vata Vyadhi)<ref>Sushruta. Nidana Sthana, Cha.1 Vatavyadinidana Adhyaya. In: Jadavaji Trikamji Aacharya, Editors. Sushruta Samhita. 9th ed. Varanasi: Chaukhambha Orientalia;2007.p.255-276.</ref>- Kroshtuka sirsha, Vatakantaka, Pada daha, Apbahuka, Adhamana, Kalaya khanja, Manyastambha, Akshepaka, Apatanaka, Dandapatanaka, Aptantraka, Visvachi, Pada harsha, Hanugraha, Dhanustambha, Antrayam, Bhirayama, Pakshaghata, Ardita, Gradhrasi, Khanja-pangu, Badhirya, Karnashula, Mukminmin, Gadgad (Symptoms of jihvagata vata), Tuni, Pratuni, Adhamana, Pratyadhmana, vata asthila, Vatarakta. |
| A.H<ref>Vagbhata. Nidana Sthana, Cha.15 Vatavyadinidana Adhyaya. In: Harishastri Paradkar Vaidya, Editors. Ashtanga Hridayam. 9th ed. Varanasi: Chaukhamba Orientalia;2005. p.530-535. </ref>. – Akshepaka, Apatanaka, Aptantraka, Visvachi , Antrayam, Bhirayama , Ardita, Siragraha, Pakshavadha, Sarvangaroga, Dandaka, Apbahuka, Jihvastambha, Khanja-Pangu, Vranayama, Hanusransha, Kalaya khanja, Urustambha, Kroshtuka sirsha, Vatakantaka, Gradhrasi, Khalli, Pada daha, Pada harsha. | | A.H<ref>Vagbhata. Nidana Sthana, Cha.15 Vatavyadinidana Adhyaya. In: Harishastri Paradkar Vaidya, Editors. Ashtanga Hridayam. 9th ed. Varanasi: Chaukhamba Orientalia;2005. p.530-535. </ref>. – Akshepaka, Apatanaka, Aptantraka, Visvachi , Antrayam, Bhirayama , Ardita, Siragraha, Pakshavadha, Sarvangaroga, Dandaka, Apbahuka, Jihvastambha, Khanja-Pangu, Vranayama, Hanusransha, Kalaya khanja, Urustambha, Kroshtuka sirsha, Vatakantaka, Gradhrasi, Khalli, Pada daha, Pada harsha. |
| </div> | | </div> |
| | | |
− | ===Specific disorders of Pitta dosha=== | + | ===Specific disorders of [[Pitta]] [[dosha]]=== |
| {| class="wikitable" | | {| class="wikitable" |
− | ! ''S.N.'' !! ''Charak [Cha.Sa.[[Sutra Sthana]] 20/14]'' !! ''Chakrapani [Chakrapani on Cha.Sa.[[Sutra Sthana]] 20/14] '' !! ''A.S [A.S Sutra Sthana 20/16]<ref name=Sangraha/> '' !! ''Sh<ref name=ref3/>'' !! '' Pittaja Vyadhi [B.P Madhyama Khanda 27/2-9]''<ref name=Bhavaprakash/> !! ''SudantaSen<ref name=ref4/>'' | + | ! ''S.N.'' !! ''Charak [Cha.Sa.[[Sutra Sthana]] 20/14]'' !! ''Chakrapani [Chakrapani on Cha.Sa.[[Sutra Sthana]] 20/14] '' !! ''A.S [A.S Sutra Sthana 20/16]<ref name=Sangraha/> '' !! ''Sh<ref name=ref3/>'' !! '' [[Pitta]]ja Vyadhi [B.P Madhyama Khanda 27/2-9]''<ref name=Bhavaprakash/> !! ''SudantaSen<ref name=ref4/>'' |
| |- | | |- |
| | rowspan="1" style="text-align: left;" | ''1'' | | | rowspan="1" style="text-align: left;" | ''1'' |
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| </div> | | </div> |
| | | |
− | ===Specific disorders of Kapha dosha=== | + | ===Specific disorders of [[Kapha]] [[dosha]]=== |
| {| class="wikitable" | | {| class="wikitable" |
| ! ''S.N.'' !! ''Charak [Cha.Sa.[[Sutra Sthana]] 20/17] '' !! ''Chakrapani[Chakrapani on Cha.Sa.[[Sutra Sthana]] 20/17] '' !! ''A.S [A.S Sutra Sthana 20/15] <ref name=Sangraha/>'' !! ''Sharangdhara3<ref name=ref3/>'' !! '' [B.P Madhyama khanda 28/2-5]''<ref name=Bhavaprakash/> !! ''SudantaSen<ref name=ref4/>'' | | ! ''S.N.'' !! ''Charak [Cha.Sa.[[Sutra Sthana]] 20/17] '' !! ''Chakrapani[Chakrapani on Cha.Sa.[[Sutra Sthana]] 20/17] '' !! ''A.S [A.S Sutra Sthana 20/15] <ref name=Sangraha/>'' !! ''Sharangdhara3<ref name=ref3/>'' !! '' [B.P Madhyama khanda 28/2-5]''<ref name=Bhavaprakash/> !! ''SudantaSen<ref name=ref4/>'' |
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| Sharangdhara- Mukhalepa, Shwetavalokana, Ushneksha,Tikta kamita, Shukrasya bahulayam, Bahumutrata, Mandabuddhi, Gharghar vakyata and Achetanya are different from Charak. | | Sharangdhara- Mukhalepa, Shwetavalokana, Ushneksha,Tikta kamita, Shukrasya bahulayam, Bahumutrata, Mandabuddhi, Gharghar vakyata and Achetanya are different from Charak. |
| Sudanta Sen- Kathinta, Sneha, Uplepa, Shaityam, Kandu, Sotha, cirakaritvam | | Sudanta Sen- Kathinta, Sneha, Uplepa, Shaityam, Kandu, Sotha, cirakaritvam |
− | Bhava prakasha (Kaphaja Vyadhi)- Kanthe ghurghurta, Katu ushana kamita, Buddhimandhyata are different from Charak | + | Bhava prakasha ([[Kapha]]ja Vyadhi)- Kanthe ghurghurta, Katu ushana kamita, Buddhimandhyata are different from Charak |
| </div> | | </div> |
| {| class="wikitable" | | {| class="wikitable" |