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→Four components of Healthcare
भिषग्द्रव्याण्युपस्थाता रोगी पादचतुष्टयम्|
भिषग्द्रव्याण्युपस्थाता रोगी पादचतुष्टयम्|
गुणवत् कारणं ज्ञेयं विकारव्युपशान्तये||३||
गुणवत् कारणं ज्ञेयं विकारव्युपशान्तये||३||
bhiṣagdravyāṇyupasthātā rōgī pādacatuṣṭayam|
bhiṣagdravyāṇyupasthātā rōgī pādacatuṣṭayam|
guṇavat kāraṇaṁ jñēyaṁ vikāravyupaśāntayē||3||
guṇavat kāraṇaṁ jñēyaṁ vikāravyupaśāntayē||3||
bhiShagdravyANyupasthAtA rogI pAdacatuShTayam|
bhiShagdravyANyupasthAtA rogI pAdacatuShTayam|
guNavat kAraNaM j~jeyaM vikAravyupashAntaye||3||
guNavat kAraNaM j~jeyaM vikAravyupashAntaye||3||
Physician, medicine, attendant (nursing staff) and the patient, these are four components which, all in their best of qualities are responsible for the complete cure of disease. [3]
Physician, medicine, attendant (nursing staff) and the patient, these are four components which, all in their best of qualities are responsible for the complete cure of disease. [3]
Definitions of disease, health, happiness and unhappiness:
==== Definitions of disease, health, happiness and unhappiness ====
विकारो धातुवैषम्यं, साम्यं प्रकृतिरुच्यते|
विकारो धातुवैषम्यं, साम्यं प्रकृतिरुच्यते|
सुखसञ्ज्ञकमारोग्यं, विकारो दुःखमेव च||४||
सुखसञ्ज्ञकमारोग्यं, विकारो दुःखमेव च||४||
vikārō dhātuvaiṣamyaṁ, sāmyaṁ prakr̥tirucyatē|
vikārō dhātuvaiṣamyaṁ, sāmyaṁ prakr̥tirucyatē|
sukhasañjñakamārōgyaṁ, vikārō duḥkhamēva ca||4||
sukhasañjñakamārōgyaṁ, vikārō duḥkhamēva ca||4||
vikAro dhAtuvaiShamyaM, sAmyaM prakRutirucyate|
vikAro dhAtuvaiShamyaM, sAmyaM prakRutirucyate|
sukhasa~jj~jakamArogyaM, vikAro duHkhameva ca||4||
sukhasa~jj~jakamArogyaM, vikAro duHkhameva ca||4||
Disequilibrium of dhātus is disease and their equilibrium is health. Health is termed as happiness, while disorder as unhappiness. [4]
Disequilibrium of dhātus is disease and their equilibrium is health. Health is termed as happiness, while disorder as unhappiness. [4]
Definition of chikitsa [therapeutics/management of disease]:
==== Definition of chikitsa [therapeutics/management of disease] ====
चतुर्णां भिषगादीनां शस्तानां धातुवैकृते|
चतुर्णां भिषगादीनां शस्तानां धातुवैकृते|
प्रवृत्तिर्धातुसाम्यार्था चिकित्सेत्यभिधीयते||५||
प्रवृत्तिर्धातुसाम्यार्था चिकित्सेत्यभिधीयते||५||
caturṇāṁ bhiṣagādīnāṁ śastānāṁ dhātuvaikr̥tē|
pravr̥ttirdhātusāmyārthā cikitsētyabhidhīyatē||5||
pravr̥ttirdhātusāmyārthā cikitsētyabhidhīyatē||5||
caturNAM bhiShagAdInAM shastAnAM dhAtuvaikRute|
caturNAM bhiShagAdInAM shastAnAM dhAtuvaikRute|
pravRuttirdhAtusAmyArthA cikitsetyabhidhIyate||5||
pravRuttirdhAtusAmyArthA cikitsetyabhidhIyate||5||
Employment of all the excellent four – physician etc. – in case of disorder of dhātu with the objective of (re-establishing) their equilibrium is called “Therapeutics”. [5]
Employment of all the excellent four – physician etc. – in case of disorder of dhātu with the objective of (re-establishing) their equilibrium is called “Therapeutics”. [5]
Qualities of the best vaidya [knowledgeable physician]:
==== Qualities of the best vaidya [knowledgeable physician] ====
श्रुते पर्यवदातत्वं बहुशो दृष्टकर्मता|
श्रुते पर्यवदातत्वं बहुशो दृष्टकर्मता|
दाक्ष्यं शौचमिति ज्ञेयं वैद्ये गुणचतुष्टयम्||६||
दाक्ष्यं शौचमिति ज्ञेयं वैद्ये गुणचतुष्टयम्||६||
śrutē paryavadātatvaṁ bahuśō dr̥ṣṭakarmatā|
dākṣyaṁ śaucamiti jñēyaṁ vaidyē guṇacatuṣṭayam||6||
dākṣyaṁ śaucamiti jñēyaṁ vaidyē guṇacatuṣṭayam||6||
shrute paryavadAtatvaM bahusho dRuShTakarmatA|
dAkShyaM shaucamiti j~jeyaM vaidye guNacatuShTayam||6||
dAkShyaM shaucamiti j~jeyaM vaidye guNacatuShTayam||6||
A vaidya should possess the qualities such as proficiency in theoretical knowledge [that is learnt], extensive practical experience, dexterity and purity (of body and mind). [6]
A vaidya should possess the qualities such as proficiency in theoretical knowledge [that is learnt], extensive practical experience, dexterity and purity (of body and mind). [6]
Qualities of dravya [medicine]:
==== Qualities of dravya [medicine] ====
बहुता तत्रयोग्यत्वमनेकविधकल्पना|
बहुता तत्रयोग्यत्वमनेकविधकल्पना|
सम्पच्चेति चतुष्कोऽयं द्रव्याणां गुण उच्यते||७||
सम्पच्चेति चतुष्कोऽयं द्रव्याणां गुण उच्यते||७||
bahutā tatrayōgyatvamanēkavidhakalpanā|
sampaccēti catuṣkō'yaṁ dravyāṇāṁ guṇa ucyatē||7||
sampaccēti catuṣkō'yaṁ dravyāṇāṁ guṇa ucyatē||7||
bahutA tatrayogyatvamanekavidhakalpanA|
bahutA tatrayogyatvamanekavidhakalpanA|
sampacceti catuShko~ayaM dravyANAM guNa ucyate||7||
sampacceti catuShko~ayaM dravyANAM guNa ucyate||7||
Abundance [in availability], efficacy [with good pharmacological properties], various pharmaceutical forms and intact qualities of drugs – these are four qualities of the ideal medicine. [7]
Abundance [in availability], efficacy [with good pharmacological properties], various pharmaceutical forms and intact qualities of drugs – these are four qualities of the ideal medicine. [7]
Qualities of best attendant [care taker/nursing staff]:
==== Qualities of best attendant [care taker/nursing staff] ====
उपचारज्ञता दाक्ष्यमनुरागश्च भर्तरि|
उपचारज्ञता दाक्ष्यमनुरागश्च भर्तरि|
शौचं चेति चतुष्कोऽयं गुणः परिचरे जने||८||
शौचं चेति चतुष्कोऽयं गुणः परिचरे जने||८||
upacārajñatā dākṣyamanurāgaśca bhartari|
upacārajñatā dākṣyamanurāgaśca bhartari|
śaucaṁ cēti catuṣkō'yaṁ guṇaḥ paricarē janē||8||
śaucaṁ cēti catuṣkō'yaṁ guṇaḥ paricarē janē||8||
upacAraj~jatA dAkShyamanurAgashca bhartari|
shaucaM ceti catuShko~ayaM guNaH paricare jane||8||
shaucaM ceti catuShko~ayaM guNaH paricare jane||8||
Knowledge of taking care of patient (nursing) as well as preparation, dispensing and administration of medicines and healthy recipes, dexterity, affectionate towards patient and purity of body and mind – these are four qualities of attendant. [8]
Knowledge of taking care of patient (nursing) as well as preparation, dispensing and administration of medicines and healthy recipes, dexterity, affectionate towards patient and purity of body and mind – these are four qualities of attendant. [8]
Qualities of best patient:
==== Qualities of best patient ====
स्मृतिर्निर्देशकारित्वमभीरुत्वमथापि च|
स्मृतिर्निर्देशकारित्वमभीरुत्वमथापि च|
ज्ञापकत्वं च रोगाणामातुरस्य गुणाः स्मृताः||९||
ज्ञापकत्वं च रोगाणामातुरस्य गुणाः स्मृताः||९||
smr̥tirnirdēśakāritvamabhīrutvamathāpi ca|
smr̥tirnirdēśakāritvamabhīrutvamathāpi ca|
jñāpakatvaṁ ca rōgāṇāmāturasya guṇāḥ smr̥tāḥ||9||
jñāpakatvaṁ ca rōgāṇāmāturasya guṇāḥ smr̥tāḥ||9||
smRutirnirdeshakAritvamabhIrutvamathApi ca|
j~jApakatvaM ca rogANAmAturasya guNAH smRutAH||9||
j~jApakatvaM ca rogANAmAturasya guNAH smRutAH||9||
Good memory [to remember treatment guidelines], obedience [to follow given instructions], fearlessness [courage to face adversities of disease] and ability to provide all information about the disease – these are the qualities of patient. [9]
Good memory [to remember treatment guidelines], obedience [to follow given instructions], fearlessness [courage to face adversities of disease] and ability to provide all information about the disease – these are the qualities of patient. [9]
Importance and role of physician:
==== Importance and role of physician ====
कारणं षोडशगुणं सिद्धौ पादचतुष्टयम्|
कारणं षोडशगुणं सिद्धौ पादचतुष्टयम्|
विज्ञाता शासिता योक्ता प्रधानं भिषगत्र तु||१०||
विज्ञाता शासिता योक्ता प्रधानं भिषगत्र तु||१०||
kāraṇaṁ ṣōḍaśaguṇaṁ siddhau pādacatuṣṭayam|
vijñātā śāsitā yōktā pradhānaṁ bhiṣagatra tu||10||
vijñātā śāsitā yōktā pradhānaṁ bhiṣagatra tu||10||
kAraNaM ShoDashaguNaM siddhau pAdacatuShTayam|
kAraNaM ShoDashaguNaM siddhau pAdacatuShTayam|