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yaM vaidyamAnI tvabudho virecayati mAnavam|  

yaM vaidyamAnI tvabudho virecayati mAnavam|  

so~atiyogAdayogAcca mAnavo duHkhamashnute||4||  

so~atiyogAdayogAcca mAnavo duHkhamashnute||4||  

 

A qualified physician is the one who is well acquainted with the principles of treatment, is learned and skilled in the practice of [https://en.wikipedia.org/wiki/Ayurveda Ayurveda], and is known for promptness of action. A patient obtaining treatment in the form of emesis or purgation from such a physician, becomes healthy and attains happiness. On the other hand, if the patient receives treatment from a pretentious & ignorant physician, he subjects himself to potential complications because of excessive or inadequate treatment. [3-4]

A qualified physician is the one who is well acquainted with the principles of treatment, is learned and skilled in the practice of [https://en.wikipedia.org/wiki/Ayurveda Ayurveda], and is known for promptness of action. A patient obtaining treatment in the form of emesis or purgation from such a physician, becomes healthy and attains happiness. On the other hand, if the patient receives treatment from a pretentious & ignorant physician, he subjects himself to potential complications because of excessive or inadequate treatment. [3-4]

 

==== Signs of proper purification ====

==== Signs of proper purification ====

buddhIndriyamanaHshuddhirmArutasyAnulomatA|  

buddhIndriyamanaHshuddhirmArutasyAnulomatA|  

samyagviriktali~ggAni kAyAgneshcAnuvartanam  ||6||  

samyagviriktali~ggAni kAyAgneshcAnuvartanam  ||6||  

 

Weakness, lightness, fatigue, attenuation of diseases, improved taste perception, restoration of the functioning of heart, improved complexion, proper appetite and thirst, timely passage of natural urges, feeling of cleanliness in intellect, sense organs and mind, proper movement of ''vata'', and proper digestion (including metabolic activities) are the signs and symptoms of correctly administered purification therapy. [5-6]

Weakness, lightness, fatigue, attenuation of diseases, improved taste perception, restoration of the functioning of heart, improved complexion, proper appetite and thirst, timely passage of natural urges, feeling of cleanliness in intellect, sense organs and mind, proper movement of ''vata'', and proper digestion (including metabolic activities) are the signs and symptoms of correctly administered purification therapy. [5-6]

 

==== Signs of inadequate purification ====

==== Signs of inadequate purification ====

ja~gghorusadanaM tandrA staimityaM pInasAgamaH|  

ja~gghorusadanaM tandrA staimityaM pInasAgamaH|  

lakShaNAnyaviriktAnAM mArutasya ca nigrahaH||8||  

lakShaNAnyaviriktAnAM mArutasya ca nigrahaH||8||  

 

Spitting or drooling, abnormal functioning of heart, precipitation (''utklesha'') of ''shleshma'' and ''pitta'', distension of  abdomen , anorexia, vomiting, debility, absence of lightness (heaviness or sluggishness), laxity in calf muscles and thighs, drowsiness , feeling as if covered with a wet hide (''staimitya''), onset of rhinitis and impediment to the function of ''vata'' are the signs and symptoms of inadequate purification. [7-8]

Spitting or drooling, abnormal functioning of heart, precipitation (''utklesha'') of ''shleshma'' and ''pitta'', distension of  abdomen , anorexia, vomiting, debility, absence of lightness (heaviness or sluggishness), laxity in calf muscles and thighs, drowsiness , feeling as if covered with a wet hide (''staimitya''), onset of rhinitis and impediment to the function of ''vata'' are the signs and symptoms of inadequate purification. [7-8]

 

==== Signs of excess purification therapy ====

==== Signs of excess purification therapy ====

   

   

niHshleShmapittamudakaM shoNitaM kRuShNameva vA|  

niHshleShmapittamudakaM shoNitaM kRuShNameva vA|  

tRuShyato mArutArtasya so~atiyogaH pramuhyataH||10||

tRuShyato mArutArtasya so~atiyogaH pramuhyataH||10||

 

Elimination of feces, ''pitta, kapha,'' and ''vata'' in succession, excessive discharge of blood that looks like fat and flesh (washed), supernatant  water or watery excretion of black colored blood without ''shleshma'' and ''pitta'', excessive thirst affliction with vitiated ''vata'' and fainting are the signs and symptoms of overpurgation. [9-10]

Elimination of feces, ''pitta, kapha,'' and ''vata'' in succession, excessive discharge of blood that looks like fat and flesh (washed), supernatant  water or watery excretion of black colored blood without ''shleshma'' and ''pitta'', excessive thirst affliction with vitiated ''vata'' and fainting are the signs and symptoms of overpurgation. [9-10]

 

वमनेऽतिकृते लिङ्गान्येतान्येव भवन्ति हि|  

वमनेऽतिकृते लिङ्गान्येतान्येव भवन्ति हि|  

ऊर्ध्वगा वातरोगाश्च वाग्ग्रहश्चाधिको भवेत्||११||  

ऊर्ध्वगा वातरोगाश्च वाग्ग्रहश्चाधिको भवेत्||११||  

cikitsAprAbhRutaM tasmAdupeyAccharaNaM naraH|   

cikitsAprAbhRutaM tasmAdupeyAccharaNaM naraH|   

yu~jjyAd ya enamatyantamAyuShA ca sukhena ca||12||

yu~jjyAd ya enamatyantamAyuShA ca sukhena ca||12||

 

In case of excessive administration of emesis, the symptoms are identical to that observed in the case of purgation. In addition, overemesis may result in diseases of ''vata'', affecting the upper part of the body and also causing impediment of speech. One should therefore approach such a qualified and well-versed physician for the administration of any purification therapy. [11-12]

In case of excessive administration of emesis, the symptoms are identical to that observed in the case of purgation. In addition, overemesis may result in diseases of ''vata'', affecting the upper part of the body and also causing impediment of speech. One should therefore approach such a qualified and well-versed physician for the administration of any purification therapy. [11-12]

 

==== Signs of excess aggravated ''dosha'' and indications of purification therapy ====

==== Signs of excess aggravated ''dosha'' and indications of purification therapy ====

jarAM kRucchreNa labhate ciraM jIvatyanAmayaH|  

jarAM kRucchreNa labhate ciraM jIvatyanAmayaH|  

tasmAt saMshodhanaM kAle yuktiyuktaM pibennaraH||19||

tasmAt saMshodhanaM kAle yuktiyuktaM pibennaraH||19||

 

Administration of therapies, leading to elimination of vitiated ''doshas'', results in the following effects: enhancement of digestion / metabolism, pacification of diseases, restoration of normal health, improvement in clarity of sense organs, mind, intellect and complexion, promotion of strength, plumpness, progeny and virility, delayed ageing, and longevity. Therefore, one should take recourse to a skillfully administered purificatory therapy at an appropriate time. [17-19]

Administration of therapies, leading to elimination of vitiated ''doshas'', results in the following effects: enhancement of digestion / metabolism, pacification of diseases, restoration of normal health, improvement in clarity of sense organs, mind, intellect and complexion, promotion of strength, plumpness, progeny and virility, delayed ageing, and longevity. Therefore, one should take recourse to a skillfully administered purificatory therapy at an appropriate time. [17-19]

 

==== Prevention of recurrence of disease ====

==== Prevention of recurrence of disease ====

abhya~ggotsAdanaiH snAnairnirUhaiH sAnuvAsanaiH|  

abhya~ggotsAdanaiH snAnairnirUhaiH sAnuvAsanaiH|  

tathA sa labhate sharma yujyate cAyuShA ciram||23||  

tathA sa labhate sharma yujyate cAyuShA ciram||23||  

 

For those weakened by purification therapy, restoration of one’s health could be done by prescribing a nourishing diet regimen that would include ''ghee'', relishing soup (including preparations with meat), and milk. The patient should also be advised massage, bath, and evacuative and unctuous enema. This process of purification followed by rejuvenation or restoration of one’s health bestows happiness and longevity to the patient. [22-23]

For those weakened by purification therapy, restoration of one’s health could be done by prescribing a nourishing diet regimen that would include ''ghee'', relishing soup (including preparations with meat), and milk. The patient should also be advised massage, bath, and evacuative and unctuous enema. This process of purification followed by rejuvenation or restoration of one’s health bestows happiness and longevity to the patient. [22-23]

 

==== Treatment of excess and inadequate purification therapy ====

==== Treatment of excess and inadequate purification therapy ====

For those suffering from symptoms of excessive administration or application of purification activities, ingestion of ''ghee'' and oil processed with sweet drugs or ''anuvasana'' type of enema is prescribed.  

For those suffering from symptoms of excessive administration or application of purification activities, ingestion of ''ghee'' and oil processed with sweet drugs or ''anuvasana'' type of enema is prescribed.  

 

In cases of inadequate administration or application, one should be given oleation therapy followed by evacuative therapy again, considering the dose, time, strength of the patient and factors responsible for inadequate cleansing earlier. Management of disorders arising out of improper oleation, fomentation and purification therapies as well as post- purification dietetic regimen program is described subsequently in [[Siddhi Sthana]] (i.e., the Siddhi section of this treatise). [24-26]

In cases of inadequate administration or application, one should be given oleation therapy followed by evacuative therapy again, considering the dose, time, strength of the patient and factors responsible for inadequate cleansing earlier. Management of disorders arising out of improper oleation, fomentation and purification therapies as well as post- purification dietetic regimen program is described subsequently in [[Siddhi Sthana]] (i.e., the Siddhi section of this treatise). [24-26]

 

==== ''Swabhavoparama vada'' (theory of natural destruction) ====

==== ''Swabhavoparama vada'' (theory of natural destruction) ====

jAyante  hetuvaiShamyAdviShamA dehadhAtavaH|  

jAyante  hetuvaiShamyAdviShamA dehadhAtavaH|  

hetusAmyAt samAsteShAM svabhAvoparamaH sadA||27||  

hetusAmyAt samAsteShAM svabhAvoparamaH sadA||27||  

 

Discordance of the causative factors results in disequilibrium of the tissue elements (''dhatus'') of the body. Conversely, concordance of tissue elements is restored by means of restoring the concordance of causative factors. However, the resolution / destruction of the existing always happens naturally in the course of time. [27]

Discordance of the causative factors results in disequilibrium of the tissue elements (''dhatus'') of the body. Conversely, concordance of tissue elements is restored by means of restoring the concordance of causative factors. However, the resolution / destruction of the existing always happens naturally in the course of time. [27]

 

प्रवृत्तिहेतुर्भावानां न निरोधेऽस्ति कारणम्|  

प्रवृत्तिहेतुर्भावानां न निरोधेऽस्ति कारणम्|  

केचित्तत्रापि  मन्यन्ते हेतुं हेतोरवर्तनम्||२८||

केचित्तत्रापि  मन्यन्ते हेतुं हेतोरवर्तनम्||२८||

bheShajairviShamAn dhAtUn kAn samIkurute bhiShak|  

bheShajairviShamAn dhAtUn kAn samIkurute bhiShak|  

kA vA cikitsA bhagavan! kimarthaM vA prayujyate||30||  

kA vA cikitsA bhagavan! kimarthaM vA prayujyate||30||  

 

The master having thus given his version Agnivesha inquired- if the natural resolution (of disorders) be in the very nature of things then what is the necessity of a qualified physician? Which discordant body elements are harmonized by the physician by means of therapy? After all what does the treatment amount to? And what is its objective? [29-30]

The master having thus given his version Agnivesha inquired- if the natural resolution (of disorders) be in the very nature of things then what is the necessity of a qualified physician? Which discordant body elements are harmonized by the physician by means of therapy? After all what does the treatment amount to? And what is its objective? [29-30]

 

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