Changes

Description of ''krimija hridroga'' indicates a very serious condition. As mentioned earlier, infestation starts with one chamber of the heart and then spreads and consumes (''bhakshyanti'') tissues across the entire heart.The patient of ''krimija hridroga'' feels severe pain in the precordial region, as if heart is being pricked/pierced by needles or cut by weapons and is a very grave heart condition that may lead to immediate death. Therefore it is a severe condition and should be promptly diagnosed and managed. It may manifest as chest pain, arrhythmia, heart failure, acute myocardial infarction-like syndrome with normal coronary arteries, ventricular arrhythmia, and loss of right ventricular function leading to sudden death. (Verse 36-40).

Description of ''krimija hridroga'' indicates a very serious condition. As mentioned earlier, infestation starts with one chamber of the heart and then spreads and consumes (''bhakshyanti'') tissues across the entire heart.The patient of ''krimija hridroga'' feels severe pain in the precordial region, as if heart is being pricked/pierced by needles or cut by weapons and is a very grave heart condition that may lead to immediate death. Therefore it is a severe condition and should be promptly diagnosed and managed. It may manifest as chest pain, arrhythmia, heart failure, acute myocardial infarction-like syndrome with normal coronary arteries, ventricular arrhythmia, and loss of right ventricular function leading to sudden death. (Verse 36-40).

==== ''Samsarga'' and ''Sannipata'' ====

==== ''Samsarga'' and ''sannipata'' ====

Combination of two provoked ''doshas'' leading to a disease is known as ''samsarga'' and when all the three provoked ''doshas'' combine then it is known as ''sannipata''. In the combinations , some ''doshas'' may be in their normal state, while others may be slightly, moderately or excessively increased or in decrease state. Similarly they may be slightly, moderately or significantly decreased. In this way, on the basis of quantum of increase, decrease etc of the ''dosha'', they can be classified into 62 types (verses from 41 to 62) as follows:

Combination of two provoked ''doshas'' leading to a disease is known as ''samsarga'' and when all the three provoked ''doshas'' combine then it is known as ''sannipata''. In the combinations , some ''doshas'' may be in their normal state, while others may be slightly, moderately or excessively increased or in decrease state. Similarly they may be slightly, moderately or significantly decreased. In this way, on the basis of quantum of increase, decrease etc of the ''dosha'', they can be classified into 62 types (verses from 41 to 62) as follows:

'''''Āvarita madhumeha (type 1 Diabetes mellitus)''''': Two scenarios that cause  provocation of ''vata'' have been mentioned: decrease of ''dhatu'' (''dhatu kshaya'') and ''avarana''(cover)[Cha. Chi. 28/59]. The description of ''madhumeha'', provided earlier in this chapter, provides a good example of ''avarana''.That a provoked or vitiated ''vata'' causes ''madhumeha'' has also been reiterated in the [[Nidana Sthana]]. All the factors that cause decrease of body tissues lead to provocation of ''vāta''. But even though ''madhumeha'' is caused by a vitiated ''vata'', its etiological factors also cause an increase in ''kapha'' and ''pitta''. The comparison of ''nidana'' of ''madhumeha'' mentioned in these two different references is tabulated here:

'''''Āvarita madhumeha (type 1 Diabetes mellitus)''''': Two scenarios that cause  provocation of ''vata'' have been mentioned: decrease of ''dhatu'' (''dhatu kshaya'') and ''avarana''(cover)[Cha. Chi. 28/59]. The description of ''madhumeha'', provided earlier in this chapter, provides a good example of ''avarana''.That a provoked or vitiated ''vata'' causes ''madhumeha'' has also been reiterated in the [[Nidana Sthana]]. All the factors that cause decrease of body tissues lead to provocation of ''vāta''. But even though ''madhumeha'' is caused by a vitiated ''vata'', its etiological factors also cause an increase in ''kapha'' and ''pitta''. The comparison of ''nidana'' of ''madhumeha'' mentioned in these two different references is tabulated here:

{| class="wikitable"

{| class="wikitable"

! Causative Factors !! Causative factors of ''Dhatu kshayaja VaatikMadhumeha(Nidana Sthana)'' !! Causative factors of ''Aavaranjanya vatik Madhumeha ( Sutra Sthana)''  

! Causative Factors !! Causative factors of ''Dhatu kshayaja Vataja Madhumeha(Nidana Sthana)'' !! Causative factors of ''Aavaranjanya vataja Madhumeha ( Sutra Sthana)''  

|-

|-

| rowspan="1" style="text-align: left;" | Excessive use of ''Rasa'' (Taste)

| rowspan="1" style="text-align: left;" | Excessive use of ''Rasa'' (Taste)

Thus, this chapter is very important as it deals with the disorders of three vital parts of the body (''trimarma''). It also describes very important aspects of pathogenesis caused due to combinations of vitiated ''dosha'' viz. ''samsarga'' and ''sannipata''. The description of ''ojas'' is a unique concept of Ayurveda. The detailed descriptions along with etiological factors of each ''prameha pidika'' are very helpful in planning their prevention and cure.

Thus, this chapter is very important as it deals with the disorders of three vital parts of the body (''trimarma''). It also describes very important aspects of pathogenesis caused due to combinations of vitiated ''dosha'' viz. ''samsarga'' and ''sannipata''. The description of ''ojas'' is a unique concept of Ayurveda. The detailed descriptions along with etiological factors of each ''prameha pidika'' are very helpful in planning their prevention and cure.

</div>

</div>

=====Table 2: Types of Pidika in different classics:=====

=====Table 3: Types of Pidika in different classics:=====

{| class="wikitable"

{| class="wikitable"

! Sr. No. !! Types of ''Pidikā'' !! ''Charaka'' !! ''Sushruta'' !! ''Vagbhata'' !! ''Bhoj'' !! ''Kāshypa''

! Sr. No. !! Types of ''Pidikā'' !! ''Charaka'' !! ''Sushruta'' !! ''Vagbhata'' !! ''Bhoj'' !! ''Kāshypa''

(Verse 82-83)

(Verse 82-83)

=====Types of Vidradhi (Verse 101):=====

=====Table 4:Types of ''Vidradhi'' :=====

{| class="wikitable"  

{| class="wikitable"  

|-

|-

| rowspan="1" style="text-align: left;" | ''Basti''

| rowspan="1" style="text-align: left;" | ''Basti''

| rowspan="1" style="text-align: left;" | ''kr̥cchra pūti mūtra varcasatvaṁ''  (Painful micturition and defecation and putrid urine and faeces)

| rowspan="1" style="text-align: left;" | ''kr̥cchra pūti mūtra varcasatvaṁ''  (Painful micturition and defecation and putrid urine and faeces)

|-

|-  

|}

|} (Verse 101)

[[File:Dōṣāṇāṁ.png]]

[[File:Dōṣāṇāṁ.png]]