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Changes
→Ideal therapy without adverse effects
nAsau vishuddhaH, shuddhastu shamayedyo na kopayet||23||
nAsau vishuddhaH, shuddhastu shamayedyo na kopayet||23||
A therapy that alleviates one disease condition but provokes another disease is not shuddha (or is an impure or incorrect therapy). The ideal therapy is that which pacifies a disease without provoking any other disease. [23]
A therapy that alleviates one disease condition but provokes another disease is not ''shuddha'' (or is an impure or incorrect therapy). The ideal therapy is that which pacifies a disease without provoking any other disease. [23]
===== Diagnostic aspect of etiological factors =====
एको हेतुरनेकस्य तथैकस्यैक एव हि |
एको हेतुरनेकस्य तथैकस्यैक एव हि |
व्याधेरेकस्य चानेको बहूनां बहवोऽपि च ||२४||
व्याधेरेकस्य चानेको बहूनां बहवोऽपि च ||२४||
ēkō hēturanēkasya tathaikasyaika ēva hi|
ēkō hēturanēkasya tathaikasyaika ēva hi|
vyādhērēkasya cānēkō bahūnāṁ bahavō'pi ca||24||
vyādhērēkasya cānēkō bahūnāṁ bahavō'pi ca||24||
eko heturanekasya tathaikasyaika eva hi|
eko heturanekasya tathaikasyaika eva hi|
vyAdherekasya cAneko bahUnAM bahavo~api ca||24||
One causative factor may cause one or many diseases. Many causative factors may result in a single disease or may cause several diseases. [24]
One causative factor may cause one or many diseases. Many causative factors may result in a single disease or may cause several diseases. [24]
ज्वरभ्रमप्रलापाद्या दृश्यन्ते रूक्षहेतुजाः |
ज्वरभ्रमप्रलापाद्या दृश्यन्ते रूक्षहेतुजाः |
रूक्षेणैकेन चाप्येको ज्वर एवोपजायते ||२५||
रूक्षेणैकेन चाप्येको ज्वर एवोपजायते ||२५||
jvarabhramapralāpādyā dr̥śyantē rūkṣahētujāḥ|
jvarabhramapralāpādyā dr̥śyantē rūkṣahētujāḥ|
rūkṣēṇaikēna cāpyēkō jvara ēvōpajāyatē||25||
rūkṣēṇaikēna cāpyēkō jvara ēvōpajāyatē||25||
rUkSheNaikena cApyeko jvara evopajAyate||25||
rUkSheNaikena cApyeko jvara evopajAyate||25||
It is seen that a single causative factor, , ruksha (dry) can cause many diseases such as jwara (fever), bhrama (vertigo) and pralapa (delirium) etc., while the same single factor (ruksha) may cause just one disease (, jwara) [25]
It is seen that a single causative factor, ruksha (dry) can cause many diseases such as ''jwara'' (fever), ''bhrama'' (vertigo) and ''pralapa'' (delirium) etc., while the same single factor (''ruksha'') may cause just one disease (''jwara'') [25]
हेतुभिर्बहुभिश्चैको ज्वरो रूक्षादिभिर्भवेत् |
हेतुभिर्बहुभिश्चैको ज्वरो रूक्षादिभिर्भवेत् |
रूक्षादिभिर्ज्वराद्याश्च व्याधयः सम्भवन्ति हि ||२६||
रूक्षादिभिर्ज्वराद्याश्च व्याधयः सम्भवन्ति हि ||२६||
hētubhirbahubhiścaikō jvarō rūkṣādibhirbhavēt|
hētubhirbahubhiścaikō jvarō rūkṣādibhirbhavēt|
rūkṣādibhirjvarādyāśca vyādhayaḥ sambhavanti hi||26||
rūkṣādibhirjvarādyāśca vyādhayaḥ sambhavanti hi||26||
rUkShAdibhirjvarAdyAshca vyAdhayaH sambhavanti hi||26||
rUkShAdibhirjvarAdyAshca vyAdhayaH sambhavanti hi||26||
Jwara alone may be caused by a combination of several causative factors including but not limited to ruksha. (dry) etc. and many causes like, ruksha (dry, rough) etc. may lead to several diseases. [26]
''Jwara'' alone may be caused by a combination of several causative factors including but not limited to ''ruksha''(dry) etc. and many causes like, ''ruksha'' (dry, rough) etc. may lead to several diseases. [26]
===== Diagnostic aspect of symptoms =====
लिङ्गं चैकमनेकस्य तथैवैकस्य लक्ष्यते |
लिङ्गं चैकमनेकस्य तथैवैकस्य लक्ष्यते |
बहून्येकस्य च व्याधेर्बहूनां स्युर्बहूनि च ||२७||
बहून्येकस्य च व्याधेर्बहूनां स्युर्बहूनि च ||२७||
liṅgaṁ caikamanēkasya tathaivaikasya lakṣyatē|
liṅgaṁ caikamanēkasya tathaivaikasya lakṣyatē|
bahūnyēkasya ca vyādhērbahūnāṁ syurbahūni ca||27||
bahūnyēkasya ca vyādhērbahūnāṁ syurbahūni ca||27||
Similarly, one symptom may be common to many diseases, one symptom may be related to only one disease, many symptoms may be associated with only one disease, and many symptoms may be common to many diseases. [27]
Similarly, one symptom may be common to many diseases, one symptom may be related to only one disease, many symptoms may be associated with only one disease, and many symptoms may be common to many diseases. [27]
विषमारम्भमूलानां लिङ्गमेकं ज्वरो मतः |
विषमारम्भमूलानां लिङ्गमेकं ज्वरो मतः |
ज्वरस्यैकस्य चाप्येकः सन्तापो लिङ्गमुच्यते ||२८||
ज्वरस्यैकस्य चाप्येकः सन्तापो लिङ्गमुच्यते ||२८||
viṣamārambhamūlānāṁ liṅgamēkaṁ jvarō mataḥ|
viṣamārambhamūlānāṁ liṅgamēkaṁ jvarō mataḥ|
jvarasyaikasya cāpyēkaḥ santāpō liṅgamucyatē||28||
jvarasyaikasya cāpyēkaḥ santāpō liṅgamucyatē||28||
jvarasyaikasya cApyekaH santApo li~ggamucyate||28||
jvarasyaikasya cApyekaH santApo li~ggamucyate||28||
One symptom i.e. jwara can be considered common to many diseases that have irregular onset, while santapa (elevated temperature) is considered a symptom of only one disease i.e. jwara.[28]
One symptom i.e. ''jwara'' can be considered common to many diseases that have irregular onset, while ''santapa'' (elevated temperature) is considered a symptom of only one disease i.e. ''jwara''.[28]
विषमारम्भमूलैश्च ज्वर एको निरुच्यते |
लिङ्गैरेतैर्ज्वरश्वासहिक्काद्याः सन्ति चामयाः ||२९||
लिङ्गैरेतैर्ज्वरश्वासहिक्काद्याः सन्ति चामयाः ||२९||
viṣamārambhamūlaiśca jvara ēkō nirucyatē|
viṣamārambhamūlaiśca jvara ēkō nirucyatē|
liṅgairētairjvaraśvāsahikkādyāḥ santi cāmayāḥ||29||
liṅgairētairjvaraśvāsahikkādyāḥ santi cāmayāḥ||29||
li~ggairetairjvarashvAsahikkAdyAH santi cAmayAH||29||
li~ggairetairjvarashvAsahikkAdyAH santi cAmayAH||29||
Irregular onset (and similar other symptoms) appear in the case of jwara, while similar symptoms also occur in shwasa (dyspnea), hikka (hiccups), and other similar diseases. [29]
Irregular onset (and similar other symptoms) appear in the case of ''jwara'', while similar symptoms also occur in ''shwasa'' (dyspnea), ''hikka'' (hiccups), and other similar diseases. [29]
===== Therapeutic considerations =====
एका शान्तिरनेकस्य तथैवैकस्य लक्ष्यते |
एका शान्तिरनेकस्य तथैवैकस्य लक्ष्यते |
व्याधेरेकस्य चानेका बहूनां बह्व्य एव च ||३०||
व्याधेरेकस्य चानेका बहूनां बह्व्य एव च ||३०||
ēkā śāntiranēkasya tathaivaikasya lakṣyatē|
ēkā śāntiranēkasya tathaivaikasya lakṣyatē|
vyādhērēkasya cānēkā bahūnāṁ bahvya ēva ca||30||
vyādhērēkasya cānēkā bahūnāṁ bahvya ēva ca||30||
A single therapy can subside many diseases as well as a single disease. Multiple therapies may be needed to subside many diseases, whereas one disease could require multiple therapies to cure. [30]
A single therapy can subside many diseases as well as a single disease. Multiple therapies may be needed to subside many diseases, whereas one disease could require multiple therapies to cure. [30]
शान्तिरामाशयोत्थानां व्याधीनां लङ्घनक्रिया |
शान्तिरामाशयोत्थानां व्याधीनां लङ्घनक्रिया |
ज्वरस्यैकस्य चाप्येका शान्तिर्लङ्घनमुच्यते ||३१||
ज्वरस्यैकस्य चाप्येका शान्तिर्लङ्घनमुच्यते ||३१||
śāntirāmāśayōtthānāṁ vyādhīnāṁ laṅghanakriyā|
śāntirāmāśayōtthānāṁ vyādhīnāṁ laṅghanakriyā|
jvarasyaikasya cāpyēkā śāntirlaṅghanamucyatē||31||
jvarasyaikasya cāpyēkā śāntirlaṅghanamucyatē||31||
shAntirAmAshayotthAnAM vyAdhInAM la~gghanakriyA|
shAntirAmAshayotthAnAM vyAdhInAM la~gghanakriyA|
jvarasyaikasya cApyekA shAntirla~gghanamucyate||31||
jvarasyaikasya cApyekA shAntirla~gghanamucyate||31||
The diseases originating from amashaya are cured by langhana (fasting), only whereas only a single disease entity jwara also can be treated by the single therapy of langhana (fasting). [31]
The diseases originating from ''amashaya'' are cured by ''langhana'' (fasting), only whereas only a single disease entity ''jwara'' also can be treated by the single therapy of ''langhana'' (fasting). [31]
तथा लघ्वशनाद्याश्च ज्वरस्यैकस्य शान्तयः |
तथा लघ्वशनाद्याश्च ज्वरस्यैकस्य शान्तयः |
एताश्चैव ज्वरश्वासहिक्कादीनां प्रशान्तयः ||३२||
एताश्चैव ज्वरश्वासहिक्कादीनां प्रशान्तयः ||३२||
tathā laghvaśanādyāśca jvarasyaikasya śāntayaḥ|
tathā laghvaśanādyāśca jvarasyaikasya śāntayaḥ|
ētāścaiva jvaraśvāsahikkādīnāṁ praśāntayaḥ||32||
ētāścaiva jvaraśvāsahikkādīnāṁ praśāntayaḥ||32||
tathA laghvashanAdyAshca jvarasyaikasya shAntayaH|
tathA laghvashanAdyAshca jvarasyaikasya shAntayaH|
etAshcaiva jvarashvAsahikkAdInAM prashAntayaH||32||
etAshcaiva jvarashvAsahikkAdInAM prashAntayaH||32||
For treating a single disease like jwara, multiple therapies like light diet, etc. are needed and the same multiple therapies like light diet etc. are needed to subside many diseases like jwara(fever), shwasa(dyspnea), hikka(hiccups) etc. [32]
For treating a single disease like ''jwara'', multiple therapies like light diet, etc. are needed and the same multiple therapies like light diet etc. are needed to subside many diseases like ''jwara''(fever), ''shwasa''(dyspnea), ''hikka''(hiccups) etc. [32]
===== Prognostic aspect in therapy =====
सुखसाध्यः सुखोपायः कालेनाल्पेन साध्यते |
सुखसाध्यः सुखोपायः कालेनाल्पेन साध्यते |
साध्यते कृच्छ्रसाध्यस्तु यत्नेन महता चिरात् ||३३||
साध्यते कृच्छ्रसाध्यस्तु यत्नेन महता चिरात् ||३३||
याति नाशेषतां व्याधिरसाध्यो याप्यसञ्ज्ञितः |
याति नाशेषतां व्याधिरसाध्यो याप्यसञ्ज्ञितः |
परोऽसाध्यः क्रियाः सर्वाः प्रत्याख्येयोऽतिवर्तते ||३४||
परोऽसाध्यः क्रियाः सर्वाः प्रत्याख्येयोऽतिवर्तते ||३४||
नासाध्यः साध्यतां याति साध्यो याति त्वसाध्यताम् |
नासाध्यः साध्यतां याति साध्यो याति त्वसाध्यताम् |
पादापचाराद्दैवाद्वा यान्ति भावान्तरं गदाः ||३५||
पादापचाराद्दैवाद्वा यान्ति भावान्तरं गदाः ||३५||
sukhasādhyaḥ sukhōpāyaḥ kālēnālpēna sādhyatē|
sukhasādhyaḥ sukhōpāyaḥ kālēnālpēna sādhyatē|
sādhyatē kr̥cchrasādhyastu yatnēna mahatā cirāt||33||
sādhyatē kr̥cchrasādhyastu yatnēna mahatā cirāt||33||
yāti nāśēṣatāṁ vyādhirasādhyō yāpyasañjñitaḥ|
yāti nāśēṣatāṁ vyādhirasādhyō yāpyasañjñitaḥ|
parō'sādhyaḥ kriyāḥ sarvāḥ pratyākhyēyō'tivartatē||34||
parō'sādhyaḥ kriyāḥ sarvāḥ pratyākhyēyō'tivartatē||34||
Easily curable diseases can be managed in a short time by simple measures. Diseases which are difficult to cure may require more effort and time to cure. The palliable variety of incurable diseases can never be cured, but can be alleviated. Incurable diseases, , are not amenable to any type of treatment.
Easily curable diseases can be managed in a short time by simple measures. Diseases which are difficult to cure may require more effort and time to cure. The palliable variety of incurable diseases can never be cured, but can be alleviated. Incurable diseases, , are not amenable to any type of treatment.
Conversely, incurable diseases never become curable, while the curable varieties may become incurable due to factors like incompetence of the four components of health management (the physician, the medicine, the attendant and the patient) and/or misfortune. The easily curable kinds may also become difficult to cure, if not incurable, while diseases that are difficult to cure may become palliable and palliable variety may become incurable. [33-35]
Conversely, incurable diseases never become curable, while the curable varieties may become incurable due to factors like incompetence of the four components of health management (the physician, the medicine, the attendant and the patient) and/or misfortune. The easily curable kinds may also become difficult to cure, if not incurable, while diseases that are difficult to cure may become palliable and palliable variety may become incurable. [33-35]
Examination of stages of disease:
===== Examination of stages of disease =====
वृद्धिस्थानक्षयावस्थां रोगाणामुपलक्षयेत् |
वृद्धिस्थानक्षयावस्थां रोगाणामुपलक्षयेत् |
सुसूक्ष्मामपि च प्राज्ञो देहाग्निबलचेतसाम् ||३६||
सुसूक्ष्मामपि च प्राज्ञो देहाग्निबलचेतसाम् ||३६||