Changes

=== Reason of limitation of panchakarma in management ===

=== Reason of limitation of panchakarma in management ===

The reason why [[pancakarma]] therapies are ineffective in urusthambha is due to four reasons. The tri[[dosha]] which is getting vitiated due to visharupa ama (toxic metabolites in [[rasadhatu]]) become saama[[dosha]] on interaction with ama [[rasa dhatu]]. This saamadosha will be directed to lower limbs by fat. So the two reasons being the adherence (paicchilyam) produced by ama and obstruction by medas. Due to these causes, the [[dosha]] are unable to move out of uru. The third reason is asthi is site of vata which is inherently shita (cold leading to stiffness) predominant. [[Kapha]] has cold properties leading to obstruction and stiffness. The fourth reason is mudha-vatata ([[vata]] in [[asthi dhatu]] is devoid of movement) due to ama and avarana and hence movement of [[kapha]] outwards is not facilitated. Moreover [[kapha]] is immobile.  

The reason why [[panchakarma]] therapies are ineffective in urusthambha is due to four reasons. The tri[[dosha]] which is getting vitiated due to visharupa ama (toxic metabolites in [[rasa dhatu]]) become saama[[dosha]] on interaction with ama [[rasa dhatu]]. This saamadosha will be directed to lower limbs by fat. So the two reasons being the adherence (paicchilyam) produced by ama and obstruction by medas. Due to these causes, the [[dosha]] are unable to move out of uru. The third reason is [[asthi]] is site of [[vata]] which is inherently shita (cold leading to stiffness) predominant. [[Kapha]] has cold properties leading to obstruction and stiffness. The fourth reason is mudha-vatata ([[vata]] in [[asthi dhatu]] is devoid of movement) due to ama and avarana and hence movement of [[kapha]] outwards is not facilitated. Moreover [[kapha]] is immobile.  

Panchakarma therapy is prescribed only when [[dosha]] are in a state of getting expelled out from nearest external orifices. In urusthambha due to adhering nature of [[dosha]], obstruction by fat, decreased metabolic activity in [[asthi dhatu]] and also due to immobile [[kapha]]-[[vata]], srotashodhana (clearing channels), abhishyandana (flowing nature of doshas) or paaka (proper metabolic activity) do not take place. This shows the inadequacy to facilitate mobility and koshdha gati (movement of dosha towards GIT) of [[dosha]]. Hence panchakarma therapy is not advisable in this circumstance.

[[Panchakarma]] therapy is prescribed only when [[dosha]] are in a state of getting expelled out from nearest external orifices. In urusthambha due to adhering nature of [[dosha]], obstruction by fat, decreased metabolic activity in [[asthi dhatu]] and also due to immobile [[kapha]]-[[vata]], srotashodhana (clearing channels), abhishyandana (flowing nature of doshas) or paaka (proper metabolic activity) do not take place. This shows the inadequacy to facilitate mobility and koshtha gati (movement of dosha towards GIT) of [[dosha]]. Hence panchakarma therapy is not advisable in this circumstance.

=== Importance of rukshana ===

=== Importance of rukshana ===