Changes

Patient is the substratum of the act (karyadesha). Examination of the patient is conducted for the knowledge of life span or the degree of strength and morbidity.The variations in dosage and potency of prescribed drugs is according to the degree of morbidity and the degree of strength of patient, because if potent drug is administered suddenly by a physician having not been examined properly, it may kill the weak patient; the weak patients are not able to bear intensely potent drugs which are predominent in agni and vayu or cauterization, application of alkali and surgical operation. They may cause instantaneous death due to unbearable and over intense impulse of the drug. Keeping this fact in mind, the physician should treat the weak patient with drug which is not harmful, mild, delicate, and progressively strong in order, without complication and not creating any emergent condition, particularly ladies, because they have unstable, soft, bare and timid heart, they are mostly delicate, weak and dependent on others. On the other hand, the drugs having low potency and applied by one who has not been examined properly in strong patients having severe disorder becomes ineffective. Hence the patient should be examined in respect of constitution (prakruti), morbidty (vikruti), constitution of dhatu (sara), compactness (samhanana), measurement (pramana), suitability (satmya), psyche (sattva), power of intake and digestion of food (aharashakti), power of exercise (vyayamashakti) and age (vaya) for the knowledge of the degree of strength.[94]

Patient is the substratum of the act (karyadesha). Examination of the patient is conducted for the knowledge of life span or the degree of strength and morbidity.The variations in dosage and potency of prescribed drugs is according to the degree of morbidity and the degree of strength of patient, because if potent drug is administered suddenly by a physician having not been examined properly, it may kill the weak patient; the weak patients are not able to bear intensely potent drugs which are predominent in agni and vayu or cauterization, application of alkali and surgical operation. They may cause instantaneous death due to unbearable and over intense impulse of the drug. Keeping this fact in mind, the physician should treat the weak patient with drug which is not harmful, mild, delicate, and progressively strong in order, without complication and not creating any emergent condition, particularly ladies, because they have unstable, soft, bare and timid heart, they are mostly delicate, weak and dependent on others. On the other hand, the drugs having low potency and applied by one who has not been examined properly in strong patients having severe disorder becomes ineffective. Hence the patient should be examined in respect of constitution (prakruti), morbidty (vikruti), constitution of dhatu (sara), compactness (samhanana), measurement (pramana), suitability (satmya), psyche (sattva), power of intake and digestion of food (aharashakti), power of exercise (vyayamashakti) and age (vaya) for the knowledge of the degree of strength.[94]

==== Prakriti pariksha (Assessment of basic constitution of patient) ====

==== ''Prakriti pariksha'' (Assessment of basic constitution of patient) ====

तत्रप्रकृत्यादीन्भावाननुव्याख्यास्यामः| तद्यथा- शुक्रशोणितप्रकृतिं, कालगर्भाशयप्रकृतिं, आतुराहारविहारप्रकृतिं, महाभूतविकारप्रकृतिंचगर्भशरीरमपेक्षते| एतानियेनयेनदोषेणाधिकेनैकेनानेकेनवासमनुबध्यन्ते, तेनतेनदोषेणगर्भोऽनुबध्यते; ततःसासादोषप्रकृतिरुच्यतेमनुष्याणांगर्भादिप्रवृत्ता| तस्माच्छ्लेष्मलाःप्रकृत्याकेचित्, पित्तलाःकेचित्, वातलाःकेचित्, संसृष्टाःकेचित्, समधातवःकेचिद्भवन्ति| तेषांहिलक्षणानिव्याख्यास्यामः||९५||  

तत्रप्रकृत्यादीन्भावाननुव्याख्यास्यामः| तद्यथा- शुक्रशोणितप्रकृतिं, कालगर्भाशयप्रकृतिं, आतुराहारविहारप्रकृतिं, महाभूतविकारप्रकृतिंचगर्भशरीरमपेक्षते| एतानियेनयेनदोषेणाधिकेनैकेनानेकेनवासमनुबध्यन्ते, तेनतेनदोषेणगर्भोऽनुबध्यते; ततःसासादोषप्रकृतिरुच्यतेमनुष्याणांगर्भादिप्रवृत्ता| तस्माच्छ्लेष्मलाःप्रकृत्याकेचित्, पित्तलाःकेचित्, वातलाःकेचित्, संसृष्टाःकेचित्, समधातवःकेचिद्भवन्ति| तेषांहिलक्षणानिव्याख्यास्यामः||९५||  

tatra prakr̥tyādīn bhāvānanuvyākhyāsyāmaḥ | tadyathā- śukraśōṇitaprakr̥tiṁ, kālagarbhāśayaprakr̥tiṁ, āturāhāravihāraprakr̥tiṁ, mahābhūtavikāraprakr̥tiṁ ca garbhaśarīramapēkṣatē| ētāni hi yēna yēna dōṣēṇādhikēnaikēnānēkēna vā samanubadhyantē, tēna tēna dōṣēṇa garbhō'nubadhyatē; tataḥ sā sā dōṣaprakr̥tirucyatē manuṣyāṇāṁ garbhādipravr̥ttā| tasmācchlēṣmalāḥ prakr̥tyā kēcit, pittalāḥ kēcit, vātalāḥ kēcit, saṁsr̥ṣṭāḥ kēcit, samadhātavaḥ kēcidbhavanti| tēṣāṁ hi lakṣaṇāni vyākhyāsyāmaḥ||95||  

tatra prakr̥tyādīn bhāvānanuvyākhyāsyāmaḥ | tadyathā- śukraśōṇitaprakr̥tiṁ, kālagarbhāśayaprakr̥tiṁ, āturāhāravihāraprakr̥tiṁ, mahābhūtavikāraprakr̥tiṁ ca garbhaśarīramapēkṣatē| ētāni hi yēna yēna dōṣēṇādhikēnaikēnānēkēna vā samanubadhyantē, tēna tēna dōṣēṇa garbhō'nubadhyatē; tataḥ sā sā dōṣaprakr̥tirucyatē manuṣyāṇāṁ garbhādipravr̥ttā| tasmācchlēṣmalāḥ prakr̥tyā kēcit, pittalāḥ kēcit, vātalāḥ kēcit, saṁsr̥ṣṭāḥ kēcit, samadhātavaḥ kēcidbhavanti| tēṣāṁ hi lakṣaṇāni vyākhyāsyāmaḥ||95||  

tatra prakRutyAdIn bhAvAnanuvyAkhyAsyAmaH [1] |  

tatra prakRutyAdIn bhAvAnanuvyAkhyAsyAmaH [1] |  

tadyathA- shukrashoNitaprakRutiM, kAlagarbhAshayaprakRutiM, AturAhAravihAraprakRutiM,mahAbhUtavikAraprakRutiM ca garbhasharIramapekShate|  

tadyathA- shukrashoNitaprakRutiM, kAlagarbhAshayaprakRutiM, AturAhAravihAraprakRutiM,mahAbhUtavikAraprakRutiM ca garbhasharIramapekShate|  

teShAM hi lakShaNAni vyAkhyAsyAmaH||95||

teShAM hi lakShaNAni vyAkhyAsyAmaH||95||

Explanation regarding factors prakriti etc. are explained henceforth– the constitution (prakriti) associated with foetus (garbha) is determined by constitution of sperm and ovum, the time ( of conception) and status of health of uterus, diet and lifestyle of  mother (during pregnancy) and interaction of mahabhutas. Body humors (dosha), one or more than one which predominates in these factors gets attached to the foetus which is called physical or doshika constitution (dosha prakriti) of human beings which is emerged from the initial stage of foetus. Hence some persons are constitutionally having predominance of kapha(shleshma) some pittala, some vatala some having, combined dosha and some with balanced dhatus. Their characters are described here. [95]

Explanation regarding factors ''prakriti'' etc. are explained henceforth– the constitution (''prakriti'') associated with fetus (''garbha'') is determined by constitution of sperm and ovum, the time (of conception) and status of health of uterus, diet and lifestyle of  mother (during pregnancy) and interaction of ''mahabhutas''. Body humors (''dosha''), one or more than one which predominates in these factors gets attached to the fetus which is called physical or ''doshika'' constitution (''dosha prakriti'') of human beings which is emerged from the initial stage of fetus. Hence some persons are constitutionally having predominance of ''kapha''(''shleshma'') some ''pittala'', some ''vatala'' some having, combined ''dosha'' and some with balanced ''dhatus''. Their characters are described here. [95]

==== Characteristics of ''kapha prakriti'' ====

==== Characteristics of ''kapha prakriti'' ====