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→Tattva Vimarsha
=== ''Tattva Vimarsha'' ===
=== ''Tattva Vimarsha'' ===
#Vāyu/vata is responsible for life, strength and functioning of living organisms.
#Normal (non vitiated) vāyu/vata with unobstructed (free) movement and location at its natural site, is responsible for long healthy lifespan.
#Vāyu/vata is of five types namely prāna, udāna, samāna, vyāna and apāna and they mechanize the body optimally occupying their sites without any irregular movement.
#The location of prāna is vertex, thorax, trachea, tongue, mouth and nose and it performs functions of spitting, sneezing, eructation, respiration, deglutition etc.
#The site of udāna is umbilicus, thorax and trachea and is responsible for vocalization, drive, energy, strength, complexion etc.
#Samāna is located in channels of sweat, humors and water and lateral to the seat of agni (digestive enzymes (agni) and yield strength to the digestive fire.
#Vyāna has swift movement and spreads all over the body and is responsible for gait, flexion, extension, twinkling etc.
#Apāna is located in testicles, urinary bladder, penis, umbilicus, thighs, inguinal region and anus and performs ejaculation, micturition, defecation, expulsion of menstrual blood and fetus.
#When these five are located in respective sites optimally, they perform their functions and support life without any morbidity.
#Due to various vata provoking factors, vata is vitiated and it fills the empty channels and leads to various disorders at that particular site.
#The onset of vata disorders is generally sudden without any premonitory signs.
#The diagnosis of vata disorders is based upon the symptoms characteristic of the seat of affliction.
#In all vata disorders, the association of other dōsha like pitta etc. is to be considered.
#The provocation of vāta is either due to ‘dhātukṣaya’, means diminution of tissue elements and/ or due to ‘āvarana’ means obstruction to its pathway. The vāta, pitta and kapha always circulate through all the body channels.
#The vāta, owing to its quality of subtleness is really the impeller of the other two dosha.
#When the vāta is provoked, it propels the other two doshas and dislodges them about here and there, causing various diseases. Due to ‘āvarana’ (obstruction in its path), it further causes diminution of the body nutrient fluid and other body elements.
#In case of avarana (occlusion of vata), the clinical presentation includes the increased signs of dosha which is occluding vata.
#In pure vitiation of vata, without any association or obstruction by other dosha, snehana and swedan therapy are first principles of treatment.
#Mild cleansing with unctuous drugs shall be given to remove the residual morbidity.
#By excessive use of unctuous, sour, salty and hot articles of diet, the excretory matter gets accumulated, occluding the alimentary passage, obstructs the vāta, hence anulomana of vāta should be done.
#Specific line of treatment should be adopted in specific condition depending on site of affliction and the vitiated tissue involved.
#Ghee, oil, fat, marrow, affusion, massage, enema, unctuous sudation, staying at calm places (without strong wind), covering with blankets, meat soups, various milks, articles of diet of sweet, sour and salty taste and whatever is nourishing are beneficial for disorders due to vāta.
#Pitta and kapha dosha occlude vata dosha at their sites and result in disorders. The clinical features are dominated by the vitiated dosha. The functions of obstructed dosha are decreased in these conditions.
#The various types of vata dosha can mutually occlude each other’s pathways and result in disorders. There are increased signs of obstructing types of vata and decreased functions of obstructed type of vata dosha.
#The udāna should be regulated with therapies leading to its upward movement. The apāna should be regulated with therapies leading to its downwards movement. The samāna should be alleviated and the vyāna should be treated by all the three methods. Prāna should be maintained even more carefully than the other four types of vāta, because life depends on the proper maintenance of it in its habitat. Thus, the treatment is intended to regulate and establish types of vāta in their normal habitats, which have been occluded and misdirected.
#Life and vitality is particularly dependent on prāna, and strength on udāna; and occlusion of them, will result in loss of life and vitality.
#In a condition of occlusion of vāta by pitta, the treatment is done with medications curative of pitta and not antagonistic to vāta.
#In a condition of occlusion of vāta by kapha, medications curative of kapha and vāta anulomana should be given.
#Just as in the universe the courses of the air, the sun and the moon are difficult to comprehend, even so are the forces of vāta, pitta and kapha in the body. The first three are responsible for all functions in macro-cosm, whereas the latter three are for functions in micro-cosm.
#There are four conditions viz. decrease, increase, normality and occlusion of vāta and other dosha.
=== ''Vidhi Vimarsha'' ===
=== ''Vidhi Vimarsha'' ===