Changes

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 (''tikshna''), mild (''mridu'') 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 (''tikshna''), mild (''mridu'') 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 ten examinations help in deciding 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 ''ativistara'' (prolonged deliberation/expansion). Drugs are classified on the basis of ''rasa'' into six groups for example ''madhura rasa'' drugs having ''madhura vipaka'' and ''madhur prabhava'' are classified into ''madhur skanda'' so is the case with other five ''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 ''anuvasana''. ''Taila'' for ''vata, vasa'' and ''majja'' for ''kapha'' and ''ghrita'' for ''pitta''. Lastly drugs useful in ''shirovirechana'' have been explained along with 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.