− | Yukti is the rational application of knowledge in the treatment of diseases.Successful treatment is done by yukti or rational application based on dose (matra) and time ([[kala]]).[Cha.Sa.[[Sutra Sthana]] 2/16] The yukti pramana is most important while selecting any drug for treatment. It is the planned investigations undertaken by the physician to reach an accurate diagnosis and appropriate treatment. The physician's skill is largely dependent on logical analysis and clinical knowledge, and success in treatment if not based on logical and rational principles is termed a success by chance.[Cha.Sa.[[Siddhi Sthana]] 2/29] It is included in the three types of treatment modalities. Under the heading of yuktivyapashraya, rational management using diet, lifestyle, and drug interventions is done. [Cha.Sa.[[Sutra Sthana]] 11/54] It involves pacifying ([[shamana]]), purifying ([[shodhana]]), psychological interventions (manas cheshta) which can be observed or demonstrable.[Cha.Sa.[[Vimana Sthana]] 8/87] Yuktivyapashraya chikitsa [using medications or interventions] includes psychotherapy [sattvavajayachikitsa], material therapy [dravyabhoota] and drug less therapy [adravyabhoota chikitsa] as well. While describing the indications and contra-indications for purification ([[shodhana]]) therapy, it is mentioned that a wise physician should not blindly follow the instructions mentioned in the chapter and make rational decisions based on one’s own intellect and discretion, considering the factors like habitat (desha) , time ([[kala]]), strength ([[bala]]), stage of vyadhi (avastha).[Cha.Sa,[[Siddhi Sthana]]2/25-26] One can even administer the contraindicated modalities in the patient for relieving the conditions. For instance, based on logic and condition of the patient, emesis can be prescribed in certain stages of vomiting, heart-disease and abdominal lump ([[gulma]]) and even therapeutic enema ([[basti]]karma) is advised for the treatment of skin disorders ([[kushtha]]).(Cha.Sa.[[Siddhi Sthana]] 2/27) The purification to be administered in any patient should also be based entirely upon yukti. Because the stage of disease is affected by multiple factors like [[dosha]] vitiation, administered medication (bheshaja), place and geographical condition (desha), time and climatic condition ([[kala]]), strength of individual ([[bala]]), dietary habits (aahara), habits ([[satmya]]), mental state ([[sattva]]), phenotype ([[prakriti]]), age (vaya) etc. [Cha.Sa.[[Sutra Sthana]] 16/19], [Cha.Sa.[[Sutra Sthana]] 15/5] This underlines the importance of individual-based treatment and the outlook of physician towards imparting the treatment strategy. Yukti is thus important in the management of all kinds of diseases according to the principles of [[Ayurveda]]. For instance, in the treatment of alcohol abuse/alcoholism (madatyaya), eight different components are mentioned under the umbrella term for yukti that are necessary for proper management.[Cha.Sa.[[Chikitsa Sthana]] 24/69] This principle can thus be applied to all other diseases. | + | Yukti is the rational application of knowledge in the treatment of diseases. Successful treatment is done by yukti or rational application based on dose (matra) and time ([[kala]]).[Cha.Sa.[[Sutra Sthana]] 2/16] The yukti pramana is most important while selecting any drug for treatment. It is the planned investigations undertaken by the physician to reach an accurate diagnosis and appropriate treatment. The physician's skill is largely dependent on logical analysis and clinical knowledge, and success in treatment if not based on logical and rational principles is termed a success by chance.[Cha.Sa.[[Siddhi Sthana]] 2/29] |
| + | It is included in the three types of treatment modalities. Under the heading of yuktivyapashraya, rational management using diet, lifestyle, and drug interventions is done. [Cha.Sa.[[Sutra Sthana]] 11/54] It involves pacifying ([[shamana]]), purifying ([[shodhana]]), psychological interventions (manas cheshta) which can be observed or demonstrable.[Cha.Sa.[[Vimana Sthana]] 8/87] Yuktivyapashraya chikitsa [using medications or interventions] includes psychotherapy [sattvavajayachikitsa], material therapy [dravyabhoota] and drug less therapy [adravyabhoota chikitsa] as well. While describing the indications and contra-indications for purification ([[shodhana]]) therapy, it is mentioned that a wise physician should not blindly follow the instructions mentioned in the chapter and make rational decisions based on one’s own intellect and discretion, considering the factors like habitat (desha) , time ([[kala]]), strength ([[bala]]), stage of vyadhi (avastha).[Cha.Sa,[[Siddhi Sthana]]2/25-26] |
| + | One can even administer the new modalities in the patient for relieving the conditions. For instance, based on logic and condition of the patient, emesis can be prescribed in certain stages of vomiting, heart-disease and abdominal lump ([[gulma]]) and even therapeutic enema ([[basti]]karma) is advised for the treatment of skin disorders ([[kushtha]]).(Cha.Sa.[[Siddhi Sthana]] 2/27) The purification to be administered in any patient should also be based entirely upon yukti. Because the stage of disease is affected by multiple factors like [[dosha]] vitiation, administered medication (bheshaja), place and geographical condition (desha), time and climatic condition ([[kala]]), strength of individual ([[bala]]), dietary habits (aahara), habits ([[satmya]]), mental state ([[sattva]]), phenotype ([[prakriti]]), age (vaya) etc. [Cha.Sa.[[Sutra Sthana]] 16/19], [Cha.Sa.[[Sutra Sthana]] 15/5] |