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→Vidhi Vimarsha
=== ''Vidhi Vimarsha'' ===
=== ''Vidhi Vimarsha'' ===
A person who is following a regimen or conduct suitable to a location (desha-satmya), time (kala-satmya), and habit or lifestyle (oka-satmya), when he takes food according to aahara vidhi visheshayatana (as described in the first chapter of Charaka Vimana section[3]) - food having six rasaja, taken at proper time, proper place, in proper quantity, and that which is wholesome in nature, will have pure (or healthy) blood. Pure blood formed after proper digestion of food is full of nutritional values necessary for life. Formation of pure blood takes place due to extrinsic and intrinsic factors. Extrinsic factors are obtained from dietary sources. On the other hand, intrinsic factors are generated inside the body, such as Ranjaka pitta and majjagata substances (bone marrow). The importance of pure blood is described in Sushruta Sutra [4]15/7 and Charaka Chikitsa [5] 15/28.[3]
A person who is following a regimen or conduct suitable to a location (''desha-satmya''), time (''kala-satmya''), and habit or lifestyle (''oka-satmya''), when he takes food according to ''ahara vidhi visheshayatana'' (as described in the first chapter of Charaka [[Vimana Sthana]] [3]) - food having six ''rasaja'', taken at proper time, proper place, in proper quantity, and that which is wholesome in nature, will have pure (or healthy) blood. Pure blood formed after proper digestion of food is full of nutritional values necessary for life. Formation of pure blood takes place due to extrinsic and intrinsic factors. Extrinsic factors are obtained from dietary sources. On the other hand, intrinsic factors are generated inside the body, such as ''Ranjaka pitta'' and ''majjagata'' substances (bone marrow). The importance of pure blood is described in ''Sushruta Sutra'' [4]15/7 and ''Charaka Chikitsa'' [5] 15/28.[3]
Pure-blood is the basis of life as it nourishes dasha pranayatna (ten important “life areas” of the body: two temples, heart, head, bladder, throat, blood, semen, ojas and rectum [6], (Ch. Sha. 7/9) [7]. Rakta increases the physical strength, complexion, immunity, and vitality of life (Su.Su. 15/7) [8]. [4]
Pure-blood is the basis of life as it nourishes ''dasha pranayatna'' (ten important “life areas” of the body: two temples, heart, head, bladder, throat, blood, semen, ''ojas'' and rectum [6], (Ch. Sha. 7/9) [7]. ''Rakta'' increases the physical strength, complexion, immunity, and vitality of life (Su.Su. 15/7) [8]. [4]
Severe indigestion, eating leftover foods, and suppression of urge of vomiting can form vasoactive intestinal peptides and in turn lead to allergic diathesis. [5-10]
Severe indigestion, eating leftover foods, and suppression of urge of vomiting can form vasoactive intestinal peptides and in turn lead to allergic diathesis. [5-10]
The recommended therapies for the treatment of vitiated blood disorders – such as bloodletting - are not to be administered or applied in all diseases. Like in the case of any disease, treatment measures are to be selected according to the nature of the disease and condition of the patient. Bloodletting should be administered till the vitiated dosha are eliminated from blood. [18]
The recommended therapies for the treatment of vitiated blood disorders – such as bloodletting - are not to be administered or applied in all diseases. Like in the case of any disease, treatment measures are to be selected according to the nature of the disease and condition of the patient. Bloodletting should be administered till the vitiated ''dosha'' are eliminated from blood. [18]
Any line of treatment should be planned keeping in mind the basic principles of blood coagulation as described in Ayurvedic texts. [20-21]
Any line of treatment should be planned keeping in mind the basic principles of blood coagulation as described in Ayurvedic texts. [20-21]
After bloodletting is administered, the patient should be prescribed a nourishing diet and regimen that rejuvenates his blood, and thus, vitalizes his life. The diet shall not interfere with the coagulation process or vitiate his blood but should aid in the bodily processes to replenish blood.[23]
After bloodletting is administered, the patient should be prescribed a nourishing diet and regimen that rejuvenates his blood, and thus, vitalizes his life. The diet shall not interfere with the coagulation process or vitiate his blood but should aid in the bodily processes to replenish blood.[23]
Without going for blood investigations, a person with pure blood can be recognized by his physical appearance: glowing complexion, well-functioning sense organs, and a cheerful persona. Such a person has normal digestion, and natural urges are unobstructed. [24]
Without going for blood investigations, a person with pure blood can be recognized by his physical appearance: glowing complexion, well-functioning sense organs, and a cheerful persona. Such a person has normal digestion, and natural urges are unobstructed. [24]
Blood supply, neuronal metabolism of the cerebral cortex, especially reticular formation, and limbic system are affected by vitiated dosha to impair consciousness, from acute confusion to deep coma. [25-29]
Blood supply, neuronal metabolism of the cerebral cortex, especially reticular formation, and limbic system are affected by vitiated ''dosha'' to impair consciousness, from acute confusion to deep coma. [25-29]
In any drug addiction or narcosis, the dominant dosha should be diagnosed and managed accordingly. [34]
The absence of abnormal movements and postures differentiates murchha (syncope) from apasmara (epilepsy). If there are abnormal movements or postures while falling unconscious, syncope and pseudo-syncope should be ruled out. [35-41]
In any drug addiction or narcosis, the dominant ''dosha'' should be diagnosed and managed accordingly. [34]
The goal of any course of treatment of sanyasa is selecting the right formulation to help the patient regain consciousness. [42-53]
Various medicated ghrita are indicated for sanyasa since lipid matrix helps to cross the blood-brain barrier and act on the brain. [54-58]
The absence of abnormal movements and postures differentiates ''murchcha'' (syncope) from ''apasmara'' (epilepsy). If there are abnormal movements or postures while falling unconscious, syncope and pseudo-syncope should be ruled out. [35-41]
Metabolic acidosis and alkalosis should be considered to gain an understanding of raktaja vikara. Electrolyte imbalances should be evaluated for the keen diagnosis of mada, murchha, and sanyasa. [59-60]
The goal of any course of treatment of ''sanyasa'' is selecting the right formulation to help the patient regain consciousness. [42-53]
Various medicated ''ghrita'' are indicated for ''sanyasa'' since lipid matrix helps to cross the blood-brain barrier and act on the brain. [54-58]
Metabolic acidosis and alkalosis should be considered to gain an understanding of ''raktaja vikara''. Electrolyte imbalances should be evaluated for the keen diagnosis of ''mada, murchcha,'' and ''sanyasa''. [59-60]
=== References ===
=== References ===