Difference between revisions of "Indriya"
(31 intermediate revisions by 3 users not shown) | |||
Line 1: | Line 1: | ||
+ | {{CiteButton}} | ||
{{#seo: | {{#seo: | ||
|title=Indriya | |title=Indriya | ||
|titlemode=append | |titlemode=append | ||
− | |keywords=Indriya,Indriya in ayurveda,Indriya meaning,Categories of Indriya,Indriyopakramaniya Adhyaya,Indriya Sthana,eleven Indriya in human being | + | |keywords=Indriya, Indriya in ayurveda, Indriya meaning, Categories of Indriya, Indriyopakramaniya Adhyaya, Indriya Sthana, eleven Indriya in human being, sense organs, motor organs, process of knowledge, perception, prajnaparadha, seses, perception, mind |
|description=The word Indriya literally means organ, sense, force, vigor | |description=The word Indriya literally means organ, sense, force, vigor | ||
|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg | |image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg | ||
Line 8: | Line 9: | ||
|type=article | |type=article | ||
}} | }} | ||
− | < | + | <p style="text-align:justify;">The term “indriya” refers to the sensory faculties (jnanendriya) (SAT-B.192)<ref name=sat>Available from http://namstp.ayush.gov.in/#/sat</ref> and motor faculties (karmendriya) (SAT-B.186)<ref name=sat/> along with the internal system of perception of knowledge. Ayurveda describes the concept of indriya in a broader perspective than the structural presence of sense organs like eyes, ears, nose, skin, and tongue. Each sense has a capacity to connect with the consciousness and develop as a super sense in the presence of mind and soul. Intellect is also involved in the process of perception. This article describes the holistic concept of indriya and its contemporary utility in the preservation of health. |
− | The term “indriya” refers to the sensory faculties (jnanendriya) (SAT-B.192)<ref name=sat>Available from http://namstp.ayush.gov.in/#/sat</ref> and motor faculties (karmendriya) (SAT-B.186)<ref name=sat/> along with the internal system of perception of knowledge. Ayurveda describes the concept of indriya in a broader perspective than the structural presence of sense organs like eyes, ears, nose, skin, and tongue. Each sense has a capacity to connect with the consciousness and develop as a super sense in the presence of mind and soul. Intellect is also involved in the process of perception. This article describes the holistic concept of indriya and its contemporary utility in the preservation of health. | + | </p> |
− | </ | ||
{{Infobox | {{Infobox | ||
Line 19: | Line 19: | ||
|label2 = Authors | |label2 = Authors | ||
− | |data2 = Deole Y.S.<sup>1</sup>, Anagha S.<sup>1</sup>, Shilwant A.A.<sup>2</sup> | + | |data2 = [[Yogesh Deole|Deole Y.S.]]<sup>1</sup>, Anagha S.<sup>1</sup>, Shilwant A.A.<sup>2</sup> |
|label3 = Reviewed by | |label3 = Reviewed by | ||
− | |data3 = Basisht G.<sup>1</sup> | + | |data3 = [[Gopal Basisht|Basisht G.]]<sup>1</sup> |
|label4 = Affiliations | |label4 = Affiliations | ||
Line 28: | Line 28: | ||
|label5 = Correspondence email: | |label5 = Correspondence email: | ||
− | |data5 = carakasamhita@gmail.com | + | |data5 = dryogeshdeole@gmail.com, |
+ | carakasamhita@gmail.com | ||
+ | |||
+ | |label6 = Publisher | ||
+ | |data6 = [[Charak Samhita Research, Training and Development Centre]], I.T.R.A., Jamnagar, India | ||
− | | | + | |label7 = Date of first publication: |
− | | | + | |data7 = April 21, 2021 |
− | | | + | |
− | | | + | |label8 = DOI |
+ | |data8 = 10.47468/CSNE.2021.e01.s09.048 | ||
}} | }} | ||
− | |||
==Etymology, derivation, and synonyms == | ==Etymology, derivation, and synonyms == | ||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
Line 44: | Line 48: | ||
The word indriya is denoted by synonyms like hrushikam, vishayi, aksham, karanam, and grahanam. All these terms refer to the sensory and motor faculty along with their internal processing system.<ref>Jha Srujan. Shabdakalpadruma online application</ref> | The word indriya is denoted by synonyms like hrushikam, vishayi, aksham, karanam, and grahanam. All these terms refer to the sensory and motor faculty along with their internal processing system.<ref>Jha Srujan. Shabdakalpadruma online application</ref> | ||
</div> | </div> | ||
− | == Meanings in different contexts | + | |
+ | == Meanings in different contexts== | ||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
*The term indriya is also used to denote the semen virile ([[shukra]]). It also indicates any powerful act or bodily power.<ref>Monier-Williams, available from -Jha Srujan. Amarkosha online application</ref> | *The term indriya is also used to denote the semen virile ([[shukra]]). It also indicates any powerful act or bodily power.<ref>Monier-Williams, available from -Jha Srujan. Amarkosha online application</ref> | ||
*The presence of “indriya” is the criteria to determine the presence of consciousness (chetana) in a substance. [Cha. Sa. [[Sutra Sthana]] 1/48] | *The presence of “indriya” is the criteria to determine the presence of consciousness (chetana) in a substance. [Cha. Sa. [[Sutra Sthana]] 1/48] | ||
*The terms Indriya and [[Atma]] are used interchangeably in some contexts. [Cha. Sa. [[Sutra Sthana]] 8/18] | *The terms Indriya and [[Atma]] are used interchangeably in some contexts. [Cha. Sa. [[Sutra Sthana]] 8/18] | ||
− | *The term indriya mainly refers to the sensory faculties. [Cha. Sa. [[Sutra Sthana]] 8/14] | + | *The term indriya mainly refers to the sensory faculties. [Cha. Sa. [[Sutra Sthana]] 8/14] They are considered as the instruments (karana) for the knowledge in the form of direct perception (pratyaksha jnana). [Cha. Sa. [[Vimana Sthana]] 4/4] |
− | They are considered as the instruments (karana) for the knowledge in the form of direct perception (pratyaksha jnana). [Cha. Sa. [[Vimana Sthana]] 4/4] | ||
</div> | </div> | ||
Line 56: | Line 60: | ||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
Indriya are mainly classified into three categories: | Indriya are mainly classified into three categories: | ||
− | + | ||
− | + | ===Five sensory faculties (pancha jnanendriyani)=== | |
+ | |||
+ | These include | ||
*Auditory faculty (shrotrendriya) | *Auditory faculty (shrotrendriya) | ||
*Tactile faculty(sparshanendriya) | *Tactile faculty(sparshanendriya) | ||
Line 64: | Line 70: | ||
*Olfactory faculty(ghranendriya)[Cha.Sa.[[Sutra Sthana]] 8/8] | *Olfactory faculty(ghranendriya)[Cha.Sa.[[Sutra Sthana]] 8/8] | ||
− | + | ===Five motor faculties (pancha karmendriyani)=== | |
+ | |||
+ | These include | ||
*Upper limbs and faculties regulating activities accomplished by it (hasta) | *Upper limbs and faculties regulating activities accomplished by it (hasta) | ||
*Lower limbs and faculties regulating activities accomplished by it (pada) | *Lower limbs and faculties regulating activities accomplished by it (pada) | ||
Line 71: | Line 79: | ||
*Tongue with peripheral speech apparatus and associated faculties (vagindriya)[Cha. Sa. [[Sharira Sthana]] 1/25-26] | *Tongue with peripheral speech apparatus and associated faculties (vagindriya)[Cha. Sa. [[Sharira Sthana]] 1/25-26] | ||
− | + | ===Internal faculty (antah karana)=== | |
+ | |||
+ | Internal system of perception and cognition includes the inputs from the sensory faculties and their processing by the mind (manas), intellect (buddhi), and ego (ahamkara). | ||
Mind (manas) is known as supreme faculty (atindriya) or dual faculty (ubhayendriya) which is having control over both sensory as well as motor faculties. [A.S.Sharira Sthana 5/44] | Mind (manas) is known as supreme faculty (atindriya) or dual faculty (ubhayendriya) which is having control over both sensory as well as motor faculties. [A.S.Sharira Sthana 5/44] | ||
</div> | </div> | ||
− | + | ||
+ | ==Formation of indriya== | ||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | + | ===Panchchabhautika constitution=== | |
− | |||
Indriya are formed from the five greater elements ([[panchamahabhuta]]). So, each of them has an affinity towards a particular sense of perception in an object which is having a similar elemental constitution. [Su.Sa.Sharira Sthana 1/15] | Indriya are formed from the five greater elements ([[panchamahabhuta]]). So, each of them has an affinity towards a particular sense of perception in an object which is having a similar elemental constitution. [Su.Sa.Sharira Sthana 1/15] | ||
E.g.: visual faculty (chakshurindriya) have an affinity towards the visual aspect of an object. So, it receives the signals about colour, size, and shape of an object and transmit this information to the respective higher center (chakshurindriya budhi) | E.g.: visual faculty (chakshurindriya) have an affinity towards the visual aspect of an object. So, it receives the signals about colour, size, and shape of an object and transmit this information to the respective higher center (chakshurindriya budhi) | ||
Line 84: | Line 94: | ||
*In embryonic development, indriya formation happens during the third month. [Cha.Sa.[[Sharira Sthana]] 4/11] | *In embryonic development, indriya formation happens during the third month. [Cha.Sa.[[Sharira Sthana]] 4/11] | ||
</div> | </div> | ||
− | + | ==Special locations of Indriya== | |
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
In the human body, each sensory faculty (indriya) is located in a particular area with a predominance of the particular [[mahabhuta]]. | In the human body, each sensory faculty (indriya) is located in a particular area with a predominance of the particular [[mahabhuta]]. | ||
The only exception for this is tactile faculty (sparshanendriya) which is spread all over the body. | The only exception for this is tactile faculty (sparshanendriya) which is spread all over the body. | ||
− | + | ===Pentad of senses (Indriya pancha-panchaka)=== | |
− | |||
− | |||
{| class= "wikitable" |} | {| class= "wikitable" |} | ||
|- | |- | ||
Line 106: | Line 114: | ||
|} | |} | ||
</div> | </div> | ||
− | + | ==Difference between sense (indriya) and organ (indriya adhishtana)<ref>Aniket A. Shilwant, Indriya Shaarir. Life Sciences Medical Publisher, Mumbai. 1st Edition, 2018.</ref> == | |
+ | |||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
To know physiological process of sensation, it is important to know the difference between sense and sense organs. | To know physiological process of sensation, it is important to know the difference between sense and sense organs. | ||
− | + | ===Sense (indriya)=== | |
It is a subtle instrumental form responsible for the manifestation of consciousness in a living being in the presence of mind (mana) and soul (atma). It communicates messages of the external world to the internal world in the physical body. It denotes the presence of vital force (prana) within a living body. | It is a subtle instrumental form responsible for the manifestation of consciousness in a living being in the presence of mind (mana) and soul (atma). It communicates messages of the external world to the internal world in the physical body. It denotes the presence of vital force (prana) within a living body. | ||
− | + | ===Sense organ (indriya adhisthana)=== | |
It is a structural, materialistic entity with particular dimensions. It is the physical abode to express the sensation. | It is a structural, materialistic entity with particular dimensions. It is the physical abode to express the sensation. | ||
− | + | ===Difference between sense and sense organs=== | |
− | |||
{| class= "wikitable" |} | {| class= "wikitable" |} | ||
|- | |- | ||
Line 134: | Line 142: | ||
</div> | </div> | ||
− | + | ==Functioning of indriya== | |
+ | |||
+ | ===Process of perception of knowledge=== | ||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | |||
− | |||
As per ayurvedic perspectives, the process of cognition starts from within a person. The soul expresses will for the perception of knowledge through the mind. The mind then connects with the particular sense to fulfill the will. The sense searches and connects with the source to know about that particular object. The sense organ-specific intellect plays an important role in deciding good/bad, correct/incorrect things for the living being. Thus, the process of perception of knowledge is completed by coordination of sense organ, sense, intellect, mind, and soul. The knowledge gained by the soul is ‘self-knowledge’. It is stored in the memory and reminded whenever required. | As per ayurvedic perspectives, the process of cognition starts from within a person. The soul expresses will for the perception of knowledge through the mind. The mind then connects with the particular sense to fulfill the will. The sense searches and connects with the source to know about that particular object. The sense organ-specific intellect plays an important role in deciding good/bad, correct/incorrect things for the living being. Thus, the process of perception of knowledge is completed by coordination of sense organ, sense, intellect, mind, and soul. The knowledge gained by the soul is ‘self-knowledge’. It is stored in the memory and reminded whenever required. | ||
Line 144: | Line 152: | ||
The five senses and their subtlest physical presence in the body can be presented in view of contemporary medical knowledge as below: | The five senses and their subtlest physical presence in the body can be presented in view of contemporary medical knowledge as below: | ||
− | + | ===Sense organs and their physical centers in body=== | |
{| class= "wikitable" |} | {| class= "wikitable" |} | ||
Line 161: | Line 169: | ||
|} | |} | ||
− | + | ===Motor organs (karmendriya)=== | |
The motor organs are equally important to perform activities and communication. These organs play role in expressing inner feelings to outer world. The following table shows motor organs and their functions. | The motor organs are equally important to perform activities and communication. These organs play role in expressing inner feelings to outer world. The following table shows motor organs and their functions. | ||
− | + | ===Motor organs (karmendriya) and their functions=== | |
{| class= "wikitable" |} | {| class= "wikitable" |} | ||
Line 187: | Line 195: | ||
Receptors are specialized materialistic structural interfaces made up of proteins. They have the ability to receive and transduce the signals received. This ability to transform and convert any form of energy into electrical energy makes the receptor behave as ‘biological transducers’. These can get saturated due to a finite number of binding sites. They have a high affinity towards respective ligands within physiological limits and concentrations.<ref>Alberts B, Bray D, et.al , Essential Cell Biology,New York, NY, USA: Garland Science, 4th edition,2014, Pg. No. 534</ref> The impulse generated by receptors is further carried to higher centers situated in the brain and spinal cord to analyze and interpret the stimulus. This conduction of impulse on reaching the brain may either have or do not have a conscious perception of knowledge. | Receptors are specialized materialistic structural interfaces made up of proteins. They have the ability to receive and transduce the signals received. This ability to transform and convert any form of energy into electrical energy makes the receptor behave as ‘biological transducers’. These can get saturated due to a finite number of binding sites. They have a high affinity towards respective ligands within physiological limits and concentrations.<ref>Alberts B, Bray D, et.al , Essential Cell Biology,New York, NY, USA: Garland Science, 4th edition,2014, Pg. No. 534</ref> The impulse generated by receptors is further carried to higher centers situated in the brain and spinal cord to analyze and interpret the stimulus. This conduction of impulse on reaching the brain may either have or do not have a conscious perception of knowledge. | ||
− | Receptors are basically sensitized structures or cells, that carry a specialized set of functions such as – can induce cell growth, division, and death; regulate cell permeability; regulates cell-binding; cell signaling, immune responses, and many more activities. | + | Receptors are basically sensitized structures or cells, that carry a specialized set of functions such as – can induce cell growth, division, and death; regulate cell permeability; regulates cell-binding; cell signaling, immune responses, and many more activities. The receptors have properties of excitability, specificity, discrimination, and conductivity. |
− | |||
− | The receptors have properties of excitability, specificity, discrimination, and conductivity. | ||
− | The above observations and discussion indicate striking similarities between the mechanism of indriya and receptors.<ref>Aniket Anil Shilwant, Role of indriya in cognition as explained in Ayurveda with reference to receptors, International Journal of Ayurveda and Pharma Research, 2020, 8(6), 23-30. | + | The above observations and discussion indicate striking similarities between the mechanism of indriya and receptors.<ref>Aniket Anil Shilwant, Role of indriya in cognition as explained in Ayurveda with reference to receptors, International Journal of Ayurveda and Pharma Research, 2020, 8(6), 23-30.https://ijapr.in/index.php/ijapr/article/view/1513</ref> The processes of acquiring knowledge, memory, and various physiological reactions can be seen in terms of indriya and receptor theory. |
The existence, structural modifications, and functional responsibilities of receptors can be justified by deeper perspectives. The excitability of receptors is manifested due to the presence of a state of consciousness (chetana adhishtana bhutam). The specificity of receptors and discrimination ability is due to a similar elemental constitution (samana / tulya yonitva). The conductivity of impulses through receptors reflects balanced and efficient nervous as well as endocrinal control over all the structures (samayogvahi). Thus, the properties of receptors befit into the mechanisms of perception of knowledge described in Ayurveda. However, this correlation needs more research to establish its utility in the treatment of diseases. | The existence, structural modifications, and functional responsibilities of receptors can be justified by deeper perspectives. The excitability of receptors is manifested due to the presence of a state of consciousness (chetana adhishtana bhutam). The specificity of receptors and discrimination ability is due to a similar elemental constitution (samana / tulya yonitva). The conductivity of impulses through receptors reflects balanced and efficient nervous as well as endocrinal control over all the structures (samayogvahi). Thus, the properties of receptors befit into the mechanisms of perception of knowledge described in Ayurveda. However, this correlation needs more research to establish its utility in the treatment of diseases. | ||
</div> | </div> | ||
+ | |||
==Importance in examination of patients == | ==Importance in examination of patients == | ||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
Line 208: | Line 215: | ||
The vitiated [[dosha]] affecting indriya can result in two types of pathology. | The vitiated [[dosha]] affecting indriya can result in two types of pathology. | ||
− | a)Mild or temporary damage (upatapa) | + | a) Mild or temporary damage (upatapa) |
− | b)Complete and permanent damage (upaghata) [Cha. Sa. [[Sutra Sthana]] 28/20] | + | b) Complete and permanent damage (upaghata) [Cha. Sa. [[Sutra Sthana]] 28/20] |
</div> | </div> | ||
===Weakness of indriya (indriya daurbalya) === | ===Weakness of indriya (indriya daurbalya) === | ||
Line 216: | Line 223: | ||
The indriya become weak and less efficient due to abnormal increase of [[pitta]] [[dosha]] and decrease of [[vata]] and [[kapha]] dosha. [Cha. Sa. [[Sutra Sthana]] 17/60], [Su. Sa. Sutra Sthana 15 /13].The weakness may be either due to anatomical abnormality of the structural abode of these faculties or the functional abnormality in their controlling system. [Dalhana, Su. Sa. Sutra Sthana 15 /13]. | The indriya become weak and less efficient due to abnormal increase of [[pitta]] [[dosha]] and decrease of [[vata]] and [[kapha]] dosha. [Cha. Sa. [[Sutra Sthana]] 17/60], [Su. Sa. Sutra Sthana 15 /13].The weakness may be either due to anatomical abnormality of the structural abode of these faculties or the functional abnormality in their controlling system. [Dalhana, Su. Sa. Sutra Sthana 15 /13]. | ||
The important cause of this condition is the consumption of incompatible foods (viruddha ahara). [Su. Sa. Sutra Sthana 20/19]. | The important cause of this condition is the consumption of incompatible foods (viruddha ahara). [Su. Sa. Sutra Sthana 20/19]. | ||
− | Studies have shown that dietary intake of green leafy vegetables, glycaemic index, and omega-3 fatty acid, as well as overall dietary pattern, can influence the risk factors of visual impairment.<ref>Broadhead, G. K., Hong, T., Bahrami, B., Flood, V., Liew, G., & Chang, A. A. (2020). Diet and risk of visual impairment: a review of dietary factors and risk of common causes of visual impairment. Nutrition Reviews. https://doi.org/10.1093/nutrit/nuaa100</ref> Low intakes of fat and protein have been associated with hearing discomfort.<ref>Kim SY, Sim S, Kim HJ, Choi HG. Low-fat and low-protein diets are associated with hearing discomfort among the elderly of Korea. Br J Nutr. 2015;114(10):1711–7</ref> | + | Studies have shown that dietary intake of green leafy vegetables, glycaemic index, and omega-3 fatty acid, as well as overall dietary pattern, can influence the risk factors of visual impairment.<ref>Broadhead, G. K., Hong, T., Bahrami, B., Flood, V., Liew, G., & Chang, A. A. (2020). Diet and risk of visual impairment: a review of dietary factors and risk of common causes of visual impairment. Nutrition Reviews.https://doi.org/10.1093/nutrit/nuaa100</ref> Low intakes of fat and protein have been associated with hearing discomfort.<ref>Kim SY, Sim S, Kim HJ, Choi HG. Low-fat and low-protein diets are associated with hearing discomfort among the elderly of Korea. Br J Nutr. 2015;114(10):1711–7</ref> |
</div> | </div> | ||
===Complete functional loss of indriya === | ===Complete functional loss of indriya === | ||
Line 227: | Line 234: | ||
*When the poison (visha) gets accumulated in the large intestine (pakwashaya), it produces disorders in the functioning of sensory faculties. [Su. Sa. Kalpa Sthana 1/42] | *When the poison (visha) gets accumulated in the large intestine (pakwashaya), it produces disorders in the functioning of sensory faculties. [Su. Sa. Kalpa Sthana 1/42] | ||
*Excessive administration of nasal errhines (nasya) results in dysfunction of sensory faculties. [Su. Sa. Chikitsa Sthana 40/ 40] | *Excessive administration of nasal errhines (nasya) results in dysfunction of sensory faculties. [Su. Sa. Chikitsa Sthana 40/ 40] | ||
− | *In diseases due to excessive nourishment (santarpanottha vyadhi), due to aggravation of [[kapha]] [[dosha]], diminished functioning of sensory faculties is seen. [Cha. Sa. [[Sutra Sthana]] 23/17]It is advised to perform therapeutic emesis (vamana) in case of [[kapha]] predominant fever (jwara) for correcting the functions of sensory faculties. [ Su. Sa. Uttara Tantra 39/129] | + | *In diseases due to excessive nourishment (santarpanottha vyadhi), due to aggravation of [[kapha]] [[dosha]], diminished functioning of sensory faculties is seen. [Cha. Sa. [[Sutra Sthana]] 23/17] It is advised to perform therapeutic emesis (vamana) in case of [[kapha]] predominant fever (jwara) for correcting the functions of sensory faculties. [ Su. Sa. Uttara Tantra 39/129] |
− | |||
− | |||
+ | ==Improper indulgence in sensory and motor activities (asatmya indriyartha samyoga) == | ||
Improper, less or excess indulgence in sensory and motor activities is an important fundamental cause of any disease. [Cha. Sa. [[Sutra Sthana]] 8/15] The diseases related to indriya (aindriyaka vyadhi) are caused by non – utilization (ayoga), excessive utilization (atiyoga) and malpractice (mithya yoga) of sense or motor faculties. [ Cha. Sa. [[Sharira Sthana]] 1/128] | Improper, less or excess indulgence in sensory and motor activities is an important fundamental cause of any disease. [Cha. Sa. [[Sutra Sthana]] 8/15] The diseases related to indriya (aindriyaka vyadhi) are caused by non – utilization (ayoga), excessive utilization (atiyoga) and malpractice (mithya yoga) of sense or motor faculties. [ Cha. Sa. [[Sharira Sthana]] 1/128] | ||
</div> | </div> | ||
Line 243: | Line 249: | ||
== Preservation of health of indriya and management of disease == | == Preservation of health of indriya and management of disease == | ||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
− | + | ===Daily regimen=== | |
− | + | Various procedures are included in the daily regimen ([[dinacharya]]) to preserve the health of indriya and manage diseases if they occur. [Cha.Sa.[[Sutra Sthana]] 5,6] The main objective of observing code of conduct (sadvritta) includes control over sense organs. [Cha.Sa.[[Sutra Sthana]] 8/18] | |
− | Various procedures are included in the daily regimen ([[dinacharya]]) to preserve the health of indriya and manage diseases if they occur. [Cha.Sa. [[Sutra Sthana]] 5,6] The main objective of observing code of conduct (sadvritta) includes control over sense organs. [Cha.Sa. [[Sutra Sthana]] 8/18] | ||
The following table summarizes local procedures that help in this regard. | The following table summarizes local procedures that help in this regard. | ||
− | + | ===Procedures for prevention and management of diseases related to sense and motor organs=== | |
{| class= "wikitable" |} | {| class= "wikitable" |} | ||
|- | |- | ||
Line 271: | Line 276: | ||
|} | |} | ||
− | + | ===Diet and beverages=== | |
+ | Among dietary factors, the sweet taste (madhura rasa) is mentioned as the one which is pleasing and nourishing to all the sensory faculties. [Cha. Sa. [[Sutra Sthana]] 26/43], [Su. Sa. Sutra Sthana 42/10] Researches have shown pieces of evidence that sweet taste receptors are ubiquitous throughout the body, including in the gastrointestinal tract as well as the hypothalamus.<ref>Lee AA, Owyang C. Sugars, Sweet Taste Receptors, and Brain Responses. Nutrients. 2017;9(7):653. Published 2017 Jun 24. doi:10.3390/nu9070653</ref> | ||
− | + | The fermented preparations especially those prepared from sugarcane have the property to enhance the efficiency of sensory faculties. [Su. Sa. Sutra Sthana 42/10], [Su. Sa. Sutra Sthana 45/ 183] Various studies have established that self-generated alcohol directly activates the gustatory receptors and central neural substrates for sweet taste. Researchers have found the efficacy of ethanol to directly and immediately stimulate complex chemosensory circuits linked to motivationally relevant limbic and cortical areas.<ref>Brasser SM, Castro N, Feretic B. Alcohol sensory processing and its relevance for ingestion. Physiol Behav. 2015;148:65-70. doi:10.1016/j.physbeh.2014.09.004</ref>Evidence suggests that meat and seafood consumption could potentially protect against hearing loss.<ref>Peneau S, Jeandel C, Dejardin P, Andreeva VA, Hercberg S, Galan P, Kesse-Guyot E; SU.VI.MAX 2 Research Group . Intake of specific nutrients and foods and hearing level measured 13 years later. Br J Nutr. 2013;109(11):2079–88.</ref> | |
+ | ===Physical exercise=== | ||
+ | Walking for a comfortable distance in a particular manner(chamkramana)is also good for all sensory faculties.[Su. Sa. Chikitsa Sthana 24/80]. | ||
− | + | Recent researches also describe the functional roles of sense organs in the control of locomotion.<ref>Delcomyn F, Nelson ME, Cocatre-Zilgien JH. Sense Organs of Insect Legs and the Selection of Sensors for Agile Walking Robots. The International Journal of Robotics Research. 1996;15(2):113-127.</ref> A cross-sectional study (n = 22,804) revealed that high physical activity levels are associated with fewer visual impairments.<ref>Vancampfort D, Koyanagi A, Ward PB, Rosenbaum S, Schuch FB, Mugisha J, Richards J, Firth J, Stubbs B. Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries. Int J Behav Nutr Phys Act. 2017;14(1):6.</ref> High physical activity levels are also associated with better sensitivity to tastes.<ref>Fuchida S, Yamamoto T, Takiguchi T, Kandaudahewa G, Yuyama N, Hirata Y. Association between underweight and taste sensitivity in middle- to old-aged nursing home residents in Sri Lanka: a cross-sectional study. J Oral Rehabil. 2013;40(11):854–63</ref> | |
+ | </div> | ||
− | + | == Related chapters == | |
− | + | [[Indriyopakramaniya Adhyaya]], [[Indriya Sthana]], [[Manas]], [[Buddhi]], [[Atma]], [[Prajnaparadha]] | |
− | + | <big>'''[[Special:ContactMe|Send us your suggestions and feedback on this page.]]'''</big> | |
− | |||
− | |||
− | |||
− | |||
==References== | ==References== | ||
+ | |||
+ | <div id="BackToTop" class="noprint" style="background-color:#DDEFDD; position:fixed; | ||
+ | bottom:32px; left:2%; z-index:9999; padding:0; margin:0;"><span style="color:blue; | ||
+ | font-size:8pt; font-face:verdana,sans-serif; border:0.2em outset #ceebf7; | ||
+ | padding:0.1em; font-weight:bolder; -moz-border-radius:8px; "> | ||
+ | [[#top| Back to the Top ]]</span></div> |
Latest revision as of 19:37, 23 February 2024
The term “indriya” refers to the sensory faculties (jnanendriya) (SAT-B.192)[1] and motor faculties (karmendriya) (SAT-B.186)[1] along with the internal system of perception of knowledge. Ayurveda describes the concept of indriya in a broader perspective than the structural presence of sense organs like eyes, ears, nose, skin, and tongue. Each sense has a capacity to connect with the consciousness and develop as a super sense in the presence of mind and soul. Intellect is also involved in the process of perception. This article describes the holistic concept of indriya and its contemporary utility in the preservation of health.
Section/Chapter | Sharira / Indriya |
---|---|
Authors | Deole Y.S.1, Anagha S.1, Shilwant A.A.2 |
Reviewed by | Basisht G.1 |
Affiliations | 1Charak Samhita Research, Training and Development Centre, I.P.G.T.& R.A., Jamnagar 2 Department of Kriya Sharir, G.J.Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Anand, Gujarat, India |
Correspondence email: |
dryogeshdeole@gmail.com, carakasamhita@gmail.com |
Publisher | Charak Samhita Research, Training and Development Centre, I.T.R.A., Jamnagar, India |
Date of first publication: | April 21, 2021 |
DOI | 10.47468/CSNE.2021.e01.s09.048 |
Etymology, derivation, and synonyms
The Sanskrit word Indriya means – “ that which is related to, or originated from ‘indra’ or created by the supreme power”.[2] It means prana or vital life force. [Chakrapani on Cha.Sa.Indriya Sthana 1/1-2].
Indriya is the entity that works in the presence of mind and consciousness to perceive any knowledge or memories.[3]
The word indriya is denoted by synonyms like hrushikam, vishayi, aksham, karanam, and grahanam. All these terms refer to the sensory and motor faculty along with their internal processing system.[4]
Meanings in different contexts
- The term indriya is also used to denote the semen virile (shukra). It also indicates any powerful act or bodily power.[5]
- The presence of “indriya” is the criteria to determine the presence of consciousness (chetana) in a substance. [Cha. Sa. Sutra Sthana 1/48]
- The terms Indriya and Atma are used interchangeably in some contexts. [Cha. Sa. Sutra Sthana 8/18]
- The term indriya mainly refers to the sensory faculties. [Cha. Sa. Sutra Sthana 8/14] They are considered as the instruments (karana) for the knowledge in the form of direct perception (pratyaksha jnana). [Cha. Sa. Vimana Sthana 4/4]
Types or classification
Indriya are mainly classified into three categories:
Five sensory faculties (pancha jnanendriyani)
These include
- Auditory faculty (shrotrendriya)
- Tactile faculty(sparshanendriya)
- Visual faculty(chakshurindriya)
- Gustatory faculty(rasanendriya)
- Olfactory faculty(ghranendriya)[Cha.Sa.Sutra Sthana 8/8]
Five motor faculties (pancha karmendriyani)
These include
- Upper limbs and faculties regulating activities accomplished by it (hasta)
- Lower limbs and faculties regulating activities accomplished by it (pada)
- Rectum and associated faculties (guda)
- Primary and secondary sex organs with faculties controlling its activities (upastha)
- Tongue with peripheral speech apparatus and associated faculties (vagindriya)[Cha. Sa. Sharira Sthana 1/25-26]
Internal faculty (antah karana)
Internal system of perception and cognition includes the inputs from the sensory faculties and their processing by the mind (manas), intellect (buddhi), and ego (ahamkara).
Mind (manas) is known as supreme faculty (atindriya) or dual faculty (ubhayendriya) which is having control over both sensory as well as motor faculties. [A.S.Sharira Sthana 5/44]
Formation of indriya
Panchchabhautika constitution
Indriya are formed from the five greater elements (panchamahabhuta). So, each of them has an affinity towards a particular sense of perception in an object which is having a similar elemental constitution. [Su.Sa.Sharira Sthana 1/15] E.g.: visual faculty (chakshurindriya) have an affinity towards the visual aspect of an object. So, it receives the signals about colour, size, and shape of an object and transmit this information to the respective higher center (chakshurindriya budhi)
- In embryonic development, indriya formation happens during the third month. [Cha.Sa.Sharira Sthana 4/11]
Special locations of Indriya
In the human body, each sensory faculty (indriya) is located in a particular area with a predominance of the particular mahabhuta. The only exception for this is tactile faculty (sparshanendriya) which is spread all over the body.
Pentad of senses (Indriya pancha-panchaka)
Indriya(Sense) | Mahabhuta | Object of perception (indriya artha) | Organ (indriya adhishthana) | Cognition (indriya buddhi) |
---|---|---|---|---|
Shrotrendriya(Auditory sense) | Akasha | Shabda (Sound) | Ear | Sense of hearing |
Sparshanendriya(Tactile sense) | Vayu | Sparsha (touch) | Skin | Sense of tactile sensation, localization, discrimination |
Chakshurindriya(Visual sense) | Agni | Rupa (sight) | Eye | Sense of vision |
Rasanendriya(Gustatory sense) | Jala | Rasa (taste) | Tongue | Sense of gustation |
Ghranendriya(Olfactory sense) | Prithvi | Gandha (smell) | Nose | Sense of olfaction |
Difference between sense (indriya) and organ (indriya adhishtana)[6]
To know physiological process of sensation, it is important to know the difference between sense and sense organs.
Sense (indriya)
It is a subtle instrumental form responsible for the manifestation of consciousness in a living being in the presence of mind (mana) and soul (atma). It communicates messages of the external world to the internal world in the physical body. It denotes the presence of vital force (prana) within a living body.
Sense organ (indriya adhisthana)
It is a structural, materialistic entity with particular dimensions. It is the physical abode to express the sensation.
Difference between sense and sense organs
Sr. No | Sense (indriya) | Sense organ (indriya adhishtana) |
---|---|---|
1 | Subtle form | Gross form (sthula) |
2 | It can be limitless | Structural entity with fixed dimensions |
3 | Perceives direct knowledge perception | Work as physical instrument to express |
4 | Primary contact with the source of knowledge | Secondary contact with the source of knowledge |
Functioning of indriya
Process of perception of knowledge
As per ayurvedic perspectives, the process of cognition starts from within a person. The soul expresses will for the perception of knowledge through the mind. The mind then connects with the particular sense to fulfill the will. The sense searches and connects with the source to know about that particular object. The sense organ-specific intellect plays an important role in deciding good/bad, correct/incorrect things for the living being. Thus, the process of perception of knowledge is completed by coordination of sense organ, sense, intellect, mind, and soul. The knowledge gained by the soul is ‘self-knowledge’. It is stored in the memory and reminded whenever required.
The contemporary medical system emphasizes on stimulus and receptor theory. The external stimulus is received by the particular sense organ and conveyed to the brain. This is done through afferent neuronal pathways. The brain then reacts to that particular stimulus and expresses specific action through efferent neuronal pathways. However, this system seems to be partial in the absence of consciousness, which connects the sense to the sense object.
The five senses and their subtlest physical presence in the body can be presented in view of contemporary medical knowledge as below:
Sense organs and their physical centers in body
Sr. No | Five senses (Indriya) | Five sense material (Indriya dravya) | Five sense organs (Indriya adhishthana) | Five sense objects (Indriya artha) | Five sense perception (Indriya buddhi) |
---|---|---|---|---|---|
1 | Auditory sense (shrotrendriya) | Auditory receptors | Auditory area in brain(Area no. 21,22) | Organ of Cortii | Hearing |
2 | Tactile sense (sparshanendriya) | Tactile receptors | Somesthetic & Somesthetic Association area in brain(Area no. 1,2,3, 5&7) | Merkel’s disc, Meissner’s corpuscle, Free nerve endings | Tactile Sensation, Localization, Discrimination |
3 | Visual sense (chakshurendriya) | Photo -sensitive receptors | Primary Visual & Visual Association area in the brain (Area no. 17,18,19) | Rods & Cones | Vision |
4 | Gustatory sense (rasanendriya) | Gustatory receptors | Gustatory area in brain(Area no. 43) | Type III Gustatory cells with Papillae of Taste buds | Gustation |
5 | Olfactory sense (ghranendriya) | Olfactory receptors | Olfactory area in brain(Area no. 28) | Type I Olfactory cells | Olfaction |
Motor organs (karmendriya)
The motor organs are equally important to perform activities and communication. These organs play role in expressing inner feelings to outer world. The following table shows motor organs and their functions.
Motor organs (karmendriya) and their functions
Sr.No | Name of the motor organ | Body part or organ | Related controlling area in the brain | Activity |
---|---|---|---|---|
1 | Speech (vagendriya) | Tongue, receptors at Peripheral Speech apparatus (Larynx with Vocal cords) | Broca’s area (area no. 44, 45), central speech apparatus (sensory & motor areas for speech) | Phonation |
2 | Giving (pani/hasta) | Hands, receptors at Upper extremity | Primary & premotor area(area no. 4, 4s, 6a, 6b), Areas of spino cerebellum & motor cerebral cortex | Neuromuscular coordination to give, receive, grasp,hold |
3 | Moving (pada) | Legs, receptors at Lower extremity | Primary & premotor area(area no. 4, 4s, 6a, 6b), Areas of spino cerebellum& motor cerebral cortex | Neuromuscular coordination for locomotion |
4 | Excretion (payu) | Rectum & the anal canal, receptors | Defecation reflex, Sacral nerves parasympathetic system | Excretion |
5 | Reproduction (upastha) | Sex organs and genitalia, receptors | Association area, Hypothalamus, Limbic system, Centre of arousal in Hypothalamus,Limbic system | Satisfaction, pleasure, reproduction |
Similarity of receptor theory with indriya
Receptors are specialized materialistic structural interfaces made up of proteins. They have the ability to receive and transduce the signals received. This ability to transform and convert any form of energy into electrical energy makes the receptor behave as ‘biological transducers’. These can get saturated due to a finite number of binding sites. They have a high affinity towards respective ligands within physiological limits and concentrations.[7] The impulse generated by receptors is further carried to higher centers situated in the brain and spinal cord to analyze and interpret the stimulus. This conduction of impulse on reaching the brain may either have or do not have a conscious perception of knowledge.
Receptors are basically sensitized structures or cells, that carry a specialized set of functions such as – can induce cell growth, division, and death; regulate cell permeability; regulates cell-binding; cell signaling, immune responses, and many more activities. The receptors have properties of excitability, specificity, discrimination, and conductivity.
The above observations and discussion indicate striking similarities between the mechanism of indriya and receptors.[8] The processes of acquiring knowledge, memory, and various physiological reactions can be seen in terms of indriya and receptor theory. The existence, structural modifications, and functional responsibilities of receptors can be justified by deeper perspectives. The excitability of receptors is manifested due to the presence of a state of consciousness (chetana adhishtana bhutam). The specificity of receptors and discrimination ability is due to a similar elemental constitution (samana / tulya yonitva). The conductivity of impulses through receptors reflects balanced and efficient nervous as well as endocrinal control over all the structures (samayogvahi). Thus, the properties of receptors befit into the mechanisms of perception of knowledge described in Ayurveda. However, this correlation needs more research to establish its utility in the treatment of diseases.
Importance in examination of patients
Indriya are the means of direct observation. (pratyaksha jnana) [Cha. Sa. Vimana Sthana 4/4], [Cha. Sa. Vimana Sthana 8/39] They are the tools that provide information to the physician about the health condition of a person. Therefore, a physician shall develop his senses to access the knowledge about patient and diseases.
The physician should use his five senses for examining the patient, diagnosis of disease, and elicit the features of the morbidity in the patient. [Su. Sa. Sutra Sthana 10/5]
E.g.:- size, shape, colour, etc. of swelling, colour, and nature of discharge from a wound are directly observed through visual faculty (chakshrurindriya).
Different sounds produced in the body like heartbeats, bowel sounds, the sound produced from joints, etc. are assessed using auditory faculty (shrotrendriya). [Cha. Sa. Vimana Sthana 4/7]
Diagnosis of diseases of indriya
The vitiated dosha affecting indriya can result in two types of pathology.
a) Mild or temporary damage (upatapa)
b) Complete and permanent damage (upaghata) [Cha. Sa. Sutra Sthana 28/20]
Weakness of indriya (indriya daurbalya)
The indriya become weak and less efficient due to abnormal increase of pitta dosha and decrease of vata and kapha dosha. [Cha. Sa. Sutra Sthana 17/60], [Su. Sa. Sutra Sthana 15 /13].The weakness may be either due to anatomical abnormality of the structural abode of these faculties or the functional abnormality in their controlling system. [Dalhana, Su. Sa. Sutra Sthana 15 /13]. The important cause of this condition is the consumption of incompatible foods (viruddha ahara). [Su. Sa. Sutra Sthana 20/19]. Studies have shown that dietary intake of green leafy vegetables, glycaemic index, and omega-3 fatty acid, as well as overall dietary pattern, can influence the risk factors of visual impairment.[9] Low intakes of fat and protein have been associated with hearing discomfort.[10]
Complete functional loss of indriya
When abnormally increased vata dosha affects the sensory faculties, they have a total loss of function (indriya vadha).[Cha.Sa.Chikitsa Sthana 28/29], [Su. Sa. Nidana Sthana 1/24]
When the total loss of senses (indriya nasha) is associated with any disease condition, it indicates the bad prognosis of the disease. [Cha.Sa.Sutra Sthana 10/20]
- Loss of function of sensory faculties (indriya nasha) is mentioned as a diagnostic feature in severe jwara.[Cha.Sa.Chikitsa Sthana 3/51]
- When the poison (visha) gets accumulated in the large intestine (pakwashaya), it produces disorders in the functioning of sensory faculties. [Su. Sa. Kalpa Sthana 1/42]
- Excessive administration of nasal errhines (nasya) results in dysfunction of sensory faculties. [Su. Sa. Chikitsa Sthana 40/ 40]
- In diseases due to excessive nourishment (santarpanottha vyadhi), due to aggravation of kapha dosha, diminished functioning of sensory faculties is seen. [Cha. Sa. Sutra Sthana 23/17] It is advised to perform therapeutic emesis (vamana) in case of kapha predominant fever (jwara) for correcting the functions of sensory faculties. [ Su. Sa. Uttara Tantra 39/129]
Improper indulgence in sensory and motor activities (asatmya indriyartha samyoga)
Improper, less or excess indulgence in sensory and motor activities is an important fundamental cause of any disease. [Cha. Sa. Sutra Sthana 8/15] The diseases related to indriya (aindriyaka vyadhi) are caused by non – utilization (ayoga), excessive utilization (atiyoga) and malpractice (mithya yoga) of sense or motor faculties. [ Cha. Sa. Sharira Sthana 1/128]
Effect of aging on indriya
The power of sensory and motor faculties decreases with age. It is evident that after the age of forty years, the power starts decreasing gradually and it becomes more evident after the age of seventy years. [Su. Sa. Sutra Sthana 35/29]
Rasayana (rejuvenation) therapies shall be started well in advance at a younger age to prevent this loss due to aging.
In a research study, it is found that an increase in the threshold for odour detection, lower perceived odour intensity, and a decreased ability to identify food-related odours occur in old age.[11] Current research suggests that some nutritional deficiencies (e.g. zinc) are associated with taste disturbances in older individuals.[12]
Preservation of health of indriya and management of disease
Daily regimen
Various procedures are included in the daily regimen (dinacharya) to preserve the health of indriya and manage diseases if they occur. [Cha.Sa.Sutra Sthana 5,6] The main objective of observing code of conduct (sadvritta) includes control over sense organs. [Cha.Sa.Sutra Sthana 8/18]
The following table summarizes local procedures that help in this regard.
Sense organs | Local procedures |
---|---|
Eyes | Application of collyrium (anjana), local instillation of liquid medicines(ashchyotana), application of medicines in the form of paste on external surface of eye lid (bidalaka), irrigation with liquids (prakshalana),filling with medicated ghee preparations (tarpana), filling with specially extracted juice of medicinal plants (putapaka) |
Ear | Filling with oil (karna poorana), fumigation (karna dhoopana) |
Nose | Nasal errhines (nasya), Inhalation of medicated smoke (dhoomapana) |
Tongue | Filling of oral cavity with oil or medicated liquids (kavala and gandoosha) |
Skin, Hands, legs | Massage, exercise in proper quantity |
Speech | Observing moral code of conduct, restraining from improper verbal communication |
Rectum and anal canal | Non suppression of defecation urge, therapeutic enema (basti) |
Sex organs | Non suppression of urge of micturition, ejaculation, therapeutic enema (basti), therapeutic enema through urinary canal and vagina (uttara basti) |
Diet and beverages
Among dietary factors, the sweet taste (madhura rasa) is mentioned as the one which is pleasing and nourishing to all the sensory faculties. [Cha. Sa. Sutra Sthana 26/43], [Su. Sa. Sutra Sthana 42/10] Researches have shown pieces of evidence that sweet taste receptors are ubiquitous throughout the body, including in the gastrointestinal tract as well as the hypothalamus.[13]
The fermented preparations especially those prepared from sugarcane have the property to enhance the efficiency of sensory faculties. [Su. Sa. Sutra Sthana 42/10], [Su. Sa. Sutra Sthana 45/ 183] Various studies have established that self-generated alcohol directly activates the gustatory receptors and central neural substrates for sweet taste. Researchers have found the efficacy of ethanol to directly and immediately stimulate complex chemosensory circuits linked to motivationally relevant limbic and cortical areas.[14]Evidence suggests that meat and seafood consumption could potentially protect against hearing loss.[15]
Physical exercise
Walking for a comfortable distance in a particular manner(chamkramana)is also good for all sensory faculties.[Su. Sa. Chikitsa Sthana 24/80].
Recent researches also describe the functional roles of sense organs in the control of locomotion.[16] A cross-sectional study (n = 22,804) revealed that high physical activity levels are associated with fewer visual impairments.[17] High physical activity levels are also associated with better sensitivity to tastes.[18]
Related chapters
Indriyopakramaniya Adhyaya, Indriya Sthana, Manas, Buddhi, Atma, Prajnaparadha
Send us your suggestions and feedback on this page.
References
- ↑ 1.0 1.1 Available from http://namstp.ayush.gov.in/#/sat
- ↑ Jha Srujan. Amarkosha online application
- ↑ Samkhya Tatva Koumudi - 26
- ↑ Jha Srujan. Shabdakalpadruma online application
- ↑ Monier-Williams, available from -Jha Srujan. Amarkosha online application
- ↑ Aniket A. Shilwant, Indriya Shaarir. Life Sciences Medical Publisher, Mumbai. 1st Edition, 2018.
- ↑ Alberts B, Bray D, et.al , Essential Cell Biology,New York, NY, USA: Garland Science, 4th edition,2014, Pg. No. 534
- ↑ Aniket Anil Shilwant, Role of indriya in cognition as explained in Ayurveda with reference to receptors, International Journal of Ayurveda and Pharma Research, 2020, 8(6), 23-30.https://ijapr.in/index.php/ijapr/article/view/1513
- ↑ Broadhead, G. K., Hong, T., Bahrami, B., Flood, V., Liew, G., & Chang, A. A. (2020). Diet and risk of visual impairment: a review of dietary factors and risk of common causes of visual impairment. Nutrition Reviews.https://doi.org/10.1093/nutrit/nuaa100
- ↑ Kim SY, Sim S, Kim HJ, Choi HG. Low-fat and low-protein diets are associated with hearing discomfort among the elderly of Korea. Br J Nutr. 2015;114(10):1711–7
- ↑ Rolls BJ, Do chemosensory changes influence food intake in the elderly? Physiol Behav. 1999 Apr;66(2):193-7. doi: 10.1016/s0031-9384(98)00264-9. PMID: 10336143.
- ↑ Pisano M, Hilas O, Zinc and Taste Disturbances in Older Adults: A Review of the Literature. Consult Pharm. 2016 May;31(5):267-70. doi: 10.4140/TCP.n.2016.267. PMID: 27178656
- ↑ Lee AA, Owyang C. Sugars, Sweet Taste Receptors, and Brain Responses. Nutrients. 2017;9(7):653. Published 2017 Jun 24. doi:10.3390/nu9070653
- ↑ Brasser SM, Castro N, Feretic B. Alcohol sensory processing and its relevance for ingestion. Physiol Behav. 2015;148:65-70. doi:10.1016/j.physbeh.2014.09.004
- ↑ Peneau S, Jeandel C, Dejardin P, Andreeva VA, Hercberg S, Galan P, Kesse-Guyot E; SU.VI.MAX 2 Research Group . Intake of specific nutrients and foods and hearing level measured 13 years later. Br J Nutr. 2013;109(11):2079–88.
- ↑ Delcomyn F, Nelson ME, Cocatre-Zilgien JH. Sense Organs of Insect Legs and the Selection of Sensors for Agile Walking Robots. The International Journal of Robotics Research. 1996;15(2):113-127.
- ↑ Vancampfort D, Koyanagi A, Ward PB, Rosenbaum S, Schuch FB, Mugisha J, Richards J, Firth J, Stubbs B. Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries. Int J Behav Nutr Phys Act. 2017;14(1):6.
- ↑ Fuchida S, Yamamoto T, Takiguchi T, Kandaudahewa G, Yuyama N, Hirata Y. Association between underweight and taste sensitivity in middle- to old-aged nursing home residents in Sri Lanka: a cross-sectional study. J Oral Rehabil. 2013;40(11):854–63