| Caraka Saṃhitā Siddhi sthāna is designed to discuss the proper methods of application of panchakarma as well as complications of the same due to improper use and their successful management. In the previous chapter ‘Kalpana-Siddhi Adhyaya’, various aspects of administration of panchakarma were discussed. Pravṛtti (indications) and nivṛtti (contraindications) of pañnchakarma are essential to discuss without which successful administration cannot be assured. In the beginning of the chapter, persons unsuitable for both the shodhana and shamana chikitsā are mentioned. At the end of the chapter, achārya has stated that in spite of having all the instructions, a wise physician should use his own wisdom and reasoning in arriving at the correct judgment as in many cases contraindications turn into indications and vice versa according to the stage of disease and need of the patient. | | Caraka Saṃhitā Siddhi sthāna is designed to discuss the proper methods of application of panchakarma as well as complications of the same due to improper use and their successful management. In the previous chapter ‘Kalpana-Siddhi Adhyaya’, various aspects of administration of panchakarma were discussed. Pravṛtti (indications) and nivṛtti (contraindications) of pañnchakarma are essential to discuss without which successful administration cannot be assured. In the beginning of the chapter, persons unsuitable for both the shodhana and shamana chikitsā are mentioned. At the end of the chapter, achārya has stated that in spite of having all the instructions, a wise physician should use his own wisdom and reasoning in arriving at the correct judgment as in many cases contraindications turn into indications and vice versa according to the stage of disease and need of the patient. |
| Keywords: Āsthāpana-basti, Anuvāsana-basti, Panchakarma, Siddhi, Shirovirechana, Vamana, Virechana. | | Keywords: Āsthāpana-basti, Anuvāsana-basti, Panchakarma, Siddhi, Shirovirechana, Vamana, Virechana. |
| Dhātusāmya i.e. equilibrium of body tissues needs to be maintained for disease free state. It is achieved by the prevention and promotion of health as well as cure of diseases. The cure of diseases is done by two means i.e. shodhana-chikitsā (bio-purification therapy) and shamana-chikitsā (alleviation therapy). Shodhana-karma or chikitsā is generally considered as a synonym of panchakarma and is accepted as the best therapy for cure of diseases without recurrence. If we go into the depth, we find that there are minor differences between shodhana-chikitsā and panchakarma. Śodhana-chikitsā is of two types on the basis of external and internal purification where as panchakarma is only related to internal purification of the body. Another important aspect is that there may be a long list of shodhana-karmas but panchakarma are only five biopurificatory procedures. Vamana (medicine induced emesis), virechana (medicine induced purgation), asthāpana-basti (medicated enema having more quantity of decoction), anuvāsana-basti (enema with medicated oil, ghee etc. fatty substances) and shirovirechana (head-evacuation) are considered under the heading of ‘panchakarma’. These five procedures, eliminate the dosshas in more quantity and are more potent in purification of the body. Some scholars include raktamokṣaṇa (blood-letting) among panchakarma and are supposed to produce ‘Kāyā-kalpa’ i.e. dramatic changes in the body provided properly administered considering desha (habitat), kāla (season), dossha i.e. vāta, pitta and kapha, dūṣya (those which get vitiated), koṣṭha (nature of bowel), agni (digestive power), bala (body strength) and prakṛti (constitution of the body). Before administration of panchkarma, indications and contra-indications are essential to be considered to achieve the desired effects. Panchakarmīyā-Siddhi chapter is written to discuss the suitable and unsuitable persons or patients for each of the procedure of panchkarma which is very much crucial in getting the success. Instructions laid down in this chapter are as per general rule which are followed in most of the cases but exceptions are also found in the text considering the particular stage of disease. | | Dhātusāmya i.e. equilibrium of body tissues needs to be maintained for disease free state. It is achieved by the prevention and promotion of health as well as cure of diseases. The cure of diseases is done by two means i.e. shodhana-chikitsā (bio-purification therapy) and shamana-chikitsā (alleviation therapy). Shodhana-karma or chikitsā is generally considered as a synonym of panchakarma and is accepted as the best therapy for cure of diseases without recurrence. If we go into the depth, we find that there are minor differences between shodhana-chikitsā and panchakarma. Śodhana-chikitsā is of two types on the basis of external and internal purification where as panchakarma is only related to internal purification of the body. Another important aspect is that there may be a long list of shodhana-karmas but panchakarma are only five biopurificatory procedures. Vamana (medicine induced emesis), virechana (medicine induced purgation), asthāpana-basti (medicated enema having more quantity of decoction), anuvāsana-basti (enema with medicated oil, ghee etc. fatty substances) and shirovirechana (head-evacuation) are considered under the heading of ‘panchakarma’. These five procedures, eliminate the dosshas in more quantity and are more potent in purification of the body. Some scholars include raktamokṣaṇa (blood-letting) among panchakarma and are supposed to produce ‘Kāyā-kalpa’ i.e. dramatic changes in the body provided properly administered considering desha (habitat), kāla (season), dossha i.e. vāta, pitta and kapha, dūṣya (those which get vitiated), koṣṭha (nature of bowel), agni (digestive power), bala (body strength) and prakṛti (constitution of the body). Before administration of panchkarma, indications and contra-indications are essential to be considered to achieve the desired effects. Panchakarmīyā-Siddhi chapter is written to discuss the suitable and unsuitable persons or patients for each of the procedure of panchkarma which is very much crucial in getting the success. Instructions laid down in this chapter are as per general rule which are followed in most of the cases but exceptions are also found in the text considering the particular stage of disease. |