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=== Introduction ===
=== Introduction ===
[[Vyadhita Rupiya Vimana]] the seventh chapter dealt with knowledge of diseased person. This chapter guides an aspiring student who wishes to be a successful physician. It is important to know the scope, depth and reputation of the branch of health science to be studied which is obtained by shastra pariksha (review of literature). Secondly, the examination of the preceptor (acharya) who teaches the science of Ayurveda is important because it is he, who enlightens the students with the knowledge of the health science. The chapter further deals with means of learning of health sciences (shastra upaya), methodology of study (adhyayana vidhi) and teaching (adhyapana) along with when and how to begin academic session and Do’s and Dont’s by the student have been explained so that a student attains the depth of knowledge about the health science. It also details about medical ethics while in practice and guidelines for behaviour of doctor at a patient’s house.
Along with study (adhyayana) and teaching (adhyapana) it is the seminar and symposia of experts (tadvidya sambhasha) which is essential to improve the quality of knowledge. Types of seminar/ symposium, possible types of attendees, how to deal with them for most benefit and rules are mentioned. The description addresses essential information about discussion at a symposium. Those are: when to discuss? where to discuss? what to discuss? how to discuss? and what will be the final conclusion?
Along with study (adhyayana) and teaching (adhyapana) it is the seminar and symposia of experts (tadvidya sambhasha) which is essential to improve the quality of knowledge. Types of seminar/ symposium, possible types of attendees, how to deal with them for most benefit and rules are mentioned. The description addresses essential information about discussion at a symposium. Those are: when to discuss? where to discuss? what to discuss? how to discuss? and what will be the final conclusion?
The methodology of discussion to be done with the types of assembly. During unfriendly discussion (vigruhya) 44 terms such as vada etc. are worth knowing for the course of discussion among physician. These vada marga not only help in winning discussion but improves knowledge and enhances the thinking.
The methodology of discussion to be done with the types of assembly. During unfriendly discussion (vigruhya) 44 terms such as vada etc. are worth knowing for the course of discussion among physician. These vada marga not only help in winning discussion but improves knowledge and enhances the thinking.
Similarly, for the physician to improve his medical knowledge karana, (reasoning/doer) karana (knowledge of means), karyayoni (objective), karya (action), karyaphala (attainment of objective and happiness), anubandha (after effect), desha (habitat/patient), kala (year and phase of disease), pravritti (initiation of therapy) and upaya (proper management) are necessary.
Similarly, for the physician to improve his medical knowledge karana, (reasoning/doer) karana (knowledge of means), karyayoni (objective), karya (action), karyaphala (attainment of objective and happiness), anubandha (after effect), desha (habitat/patient), kala (year and phase of disease), pravritti (initiation of therapy) and upaya (proper management) are necessary.
Complete knowledge of patient’s condition is required before starting the treatment, which is done by tenfold examination. The specific investigations to be considered are Deṣha (place-habitat and patient’s body), prakṛiti and vikṛiti according to doṣha, sara (essence of body tissues), Compactness, structure and body mass, measurement of body parts, specific suitability of a person, sattva (mental status), power of digestion and assimilation, exercise endurance and age.
Complete knowledge of patient’s condition is required before starting the treatment, which is done by tenfold examination. The specific investigations to be considered are Deṣha (place-habitat and patient’s body), prakṛiti and vikṛiti according to doṣha, sara (essence of body tissues), Compactness, structure and body mass, measurement of body parts, specific suitability of a person, sattva (mental status), power of digestion and assimilation, exercise endurance and age.
Seven types of prakriti and their features are explained to understand normal state of body, whereas the pathological condition is termed as vikriti. These factors help the physician to classify the strength of the patient into three categories viz. superior (pravar), medium (madhya) and inferior (avar). It is on this basis that physician decides to give strong (tiksna), mild (mrudu) and moderate (madhya) medicaments. The appropriate time for purification therapies is explained with reasoning. Similarly, medicine should be given at appropriate time to the patient (kala) and when not to be given (akala). Lastly initiation of therapy (pravritti) and excellance of physician etc. chatuspada (upaya) have been explained.
Seven types of prakriti and their features are explained to understand normal state of body, whereas the pathological condition is termed as vikriti. These factors help the physician to classify the strength of the patient into three categories viz. superior (pravar), medium (madhya) and inferior (avar). It is on this basis that physician decides to give strong (tiksna), mild (mrudu) and moderate (madhya) medicaments. The appropriate time for purification therapies is explained with reasoning. Similarly, medicine should be given at appropriate time to the patient (kala) and when not to be given (akala). Lastly initiation of therapy (pravritti) and excellance of physician etc. chatuspada (upaya) have been explained.
All the above 10 examination helps to decide the actual and specific treatment like vamana, virechana, asthapana, anuvasana and shirovirechana. Therefore, in the concluding part of the chapter drugs useful for vamana and virechana have been enlisted. In case of asthapana as per the condition of patient and disease the drug classification can be innumerable therefore to prevent the ativistāra (prolonged deliberation/expansion). Drugs are classified on the basis of rasa into 6 groups for example madhura rasa drugs having madhura vipaka and madhur prabhava are classified into madhur skanda so is the case with other 5 rasa. The physician has been given freedom to permutate and combine drugs as per requirement in patient and its availability.
All the above 10 examination helps to decide the actual and specific treatment like vamana, virechana, asthapana, anuvasana and shirovirechana. Therefore, in the concluding part of the chapter drugs useful for vamana and virechana have been enlisted. In case of asthapana as per the condition of patient and disease the drug classification can be innumerable therefore to prevent the ativistāra (prolonged deliberation/expansion). Drugs are classified on the basis of rasa into 6 groups for example madhura rasa drugs having madhura vipaka and madhur prabhava are classified into madhur skanda so is the case with other 5 rasa. The physician has been given freedom to permutate and combine drugs as per requirement in patient and its availability.
The same asthapana gana (group of drugs for non-unctuous enema) can be fortified with specific sneha as per dosha and be administered as anuvāsana. Taila for vata, vasa and majja for kapha and ghrita for pitta. Lastly drugs useful in shirovirechana have been explained alongwith the part of the plant (flower, fruit, bark etc.) to be used.
The same asthapana gana (group of drugs for non-unctuous enema) can be fortified with specific sneha as per dosha and be administered as anuvāsana. Taila for vata, vasa and majja for kapha and ghrita for pitta. Lastly drugs useful in shirovirechana have been explained alongwith the part of the plant (flower, fruit, bark etc.) to be used.
For the purpose of accurate diagnosis and treatment one must have complete knowledge for which this chapter is designed.
For the purpose of accurate diagnosis and treatment one must have complete knowledge for which this chapter is designed.
The chapter:
=== The chapter ===
अथातोरोगभिषग्जितीयंविमानंव्याख्यास्यामः||१|| इतिहस्माहभगवानात्रेयः||२||
अथातोरोगभिषग्जितीयंविमानंव्याख्यास्यामः||१|| इतिहस्माहभगवानात्रेयः||२||
athātō rōgabhiṣagjitīyaṁ vimānaṁ vyākhyāsyāmaḥ||1|| iti ha smāha bhagavānātrēyaḥ||2||
athātō rōgabhiṣagjitīyaṁ vimānaṁ vyākhyāsyāmaḥ||1|| iti ha smāha bhagavānātrēyaḥ||2||