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[[Sutra Sthana]] Chapter 16:
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==([[Sutra Sthana]] Chapter 16, Chapter on the Duties of a Qualified Physician)==
Chikitsaprabhutiya Adhyaya
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(Chapter on the duties of a qualified physician)
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=== Abstract ===
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Abstract:
   
Chikitsaprabhrutiya is the last chapter of the Kalpana chatushka tetrad and describes the traits of a physician proficient in therapeutics, besides the consequences of appropriate as well as incorrect administration of therapeutic procedures, along with corrective interventions wherever applicable.. This chapter also describes various indications for therapeutic intervention and their benefits, and questions and answers related the applicability of svabhaavaparamvaada (i.e. theory of natural destruction of causative factors of disease).
 
Chikitsaprabhrutiya is the last chapter of the Kalpana chatushka tetrad and describes the traits of a physician proficient in therapeutics, besides the consequences of appropriate as well as incorrect administration of therapeutic procedures, along with corrective interventions wherever applicable.. This chapter also describes various indications for therapeutic intervention and their benefits, and questions and answers related the applicability of svabhaavaparamvaada (i.e. theory of natural destruction of causative factors of disease).
Keywords:- Chikitsaprabhruta (equipped physician), bahudosha (signs of aggravated dosha), samshodhana (purification therapy),  vishuddha koshtha (purified bowel), swabhavoparamavada (theory of natural destruction).
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Introduction:
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'''Keywords''':- Chikitsaprabhruta (equipped physician), bahudosha (signs of aggravated dosha), samshodhana (purification therapy),  vishuddha koshtha (purified bowel), swabhavoparamavada (theory of natural destruction).
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=== Introduction ===
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A continuation of the preceding upakalpaneeyadhyayah and elaboration on the remaining aspects of purification processes and their prerequisites which were not fully dealt there.  The word ‘prabhruta’ is derived from the verbal root ‘bhr’ which suggests the sense of supporting, nourishing and offering. Thus, chikitsaprabhruta is applied to mean that physician who is well equipped in terms of qualities and instruments and who can play proper supporting role in the management of diseases. The chapter emphasizes upon the need for a proficient and well equipped physician to ensure flawless treatment. The patient is also expected to be intelligent enough to be able to identify a good physician. The word virechana is used often for vamana and samshodhana as well. Clinical features of samyak yoga (appropriate application of a procedure), ayoga (underapplication) and atiyoga (overapplication) - and their management - have also been described. Diseases, their therapeutic response (so that they do not reoccur) and management of post-therapy cachexia have also been addressed in this chapter. Svabhavaparamavada is a phenomenon of natural destruction of health and disease.  There is a continuous process of degeneration and regeneration of body tissues. The process of regeneration is known to great extent but the cause of degeneration and death is not known.
 
A continuation of the preceding upakalpaneeyadhyayah and elaboration on the remaining aspects of purification processes and their prerequisites which were not fully dealt there.  The word ‘prabhruta’ is derived from the verbal root ‘bhr’ which suggests the sense of supporting, nourishing and offering. Thus, chikitsaprabhruta is applied to mean that physician who is well equipped in terms of qualities and instruments and who can play proper supporting role in the management of diseases. The chapter emphasizes upon the need for a proficient and well equipped physician to ensure flawless treatment. The patient is also expected to be intelligent enough to be able to identify a good physician. The word virechana is used often for vamana and samshodhana as well. Clinical features of samyak yoga (appropriate application of a procedure), ayoga (underapplication) and atiyoga (overapplication) - and their management - have also been described. Diseases, their therapeutic response (so that they do not reoccur) and management of post-therapy cachexia have also been addressed in this chapter. Svabhavaparamavada is a phenomenon of natural destruction of health and disease.  There is a continuous process of degeneration and regeneration of body tissues. The process of regeneration is known to great extent but the cause of degeneration and death is not known.
Adhyaya (The chapter):
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===Sanskrit text, transliteration and english translation===
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१६. चिकित्साप्राभृतीयोऽध्यायः
 
१६. चिकित्साप्राभृतीयोऽध्यायः
 
चिकित्साप्राभृतीयाध्यायोपक्रमः
 
चिकित्साप्राभृतीयाध्यायोपक्रमः