Changes

<big>'''Abstract'''</big>

<big>'''Abstract'''</big>

<div style="text-align:justify;">Meaning of title of this chapter describes its subject about approaching the conditions arise during therapies. The assessment of correct and incorrect administration of therapeutic procedures, along with its treatment interventions are described in this chapter. It also enlists indications for therapeutic intervention and their benefits with details of post therapeutic dietary management. The applicability of svabhavoparamvada (i.e. theory of natural destruction of causative factors of disease) is discussed in this chapter, that emphasizes need of therapeutic interventions for fast recovery to health. </div>

<div style="text-align:justify;">This chapter describes the management of conditions arising during therapies. The assessment of correct and incorrect administration of therapeutic procedures, along with its treatment interventions are described. It also enlists indications for therapeutic intervention and their benefits with details of post therapeutic dietary management. The applicability of svabhavoparamvada (i.e. theory of natural destruction of causative factors of disease) is discussed, that emphasizes need of therapeutic interventions for fast recovery to health. </div>

'''Keywords''': ''Chikitsaprabhrita'' (equipped physician), ''bahudosha'' (signs of aggravated ''dosha''), ''samshodhana'' (purification therapy),  ''vishuddha koshtha'' (purified bowel), ''svabhavoparamavada'' (theory of natural destruction),[[Panchakarma]], patient care, assessment criteria of purification.

'''Keywords''': ''Chikitsaprabhrita'' (equipped physician), ''bahudosha'' (signs of aggravated ''dosha''), ''samshodhana'' (purification therapy),  ''vishuddha koshtha'' (purified bowel), ''svabhavoparamavada'' (theory of natural destruction),[[Panchakarma]], patient care, assessment criteria of purification.

=== Introduction ===

=== Introduction ===

<div style="text-align:justify;">

<div style="text-align:justify;">

A continuation of the preceding [[Upakalpaniya Adhyaya]] and elaboration on the remaining aspects of purification processes and their prerequisites which were not fully dealt there.The word ''prabhrita'' is derived from the verbal root ''bhr'' which suggests the sense of supporting, nourishing and offering. Thus, ''chikitsaprabhrita'' is applied to mean that physician who is well equipped in terms of qualities and instruments and who can play proper supporting role in the management of diseases. The chapter emphasizes upon the need for a proficient and well equipped physician to ensure flawless treatment. The patient is also expected to be intelligent enough to be able to identify a good physician. The word ''virechana'' is used often for ''vamana'' and ''samshodhana'' as well. Clinical features of ''samyak yoga'' (appropriate application of a procedure), ''ayoga'' (under application) and ''atiyoga'' (over application), and their management, have also been described. Diseases, their therapeutic response (so that they do not reoccur) and management of post-therapy cachexia have also been addressed in this chapter. ''Svabhavaparamavada'' is a phenomenon of natural destruction of health and disease.  There is a continuous process of degeneration and regeneration of body tissues. The process of regeneration is known to great extent but the cause of degeneration and death is not known.

In continuation of the preceding [[Upakalpaniya Adhyaya]] this chapter elaborates on the remaining aspects of purification processes and their prerequisites which were not fully dealt there.The word ''prabhrita'' is derived from the verbal root ''bhr'' which suggests the sense of supporting, nourishing and offering. The term, ''chikitsaprabhrita'' is applied to mean that physician who is well equipped in terms of qualities and instruments and who can play proper supporting role in the management of diseases. The chapter emphasizes upon the need for a proficient and well equipped physician to ensure flawless treatment. The patient is also expected to be intelligent enough to be able to identify a good physician. The word ''virechana'' is used often for ''vamana'' and ''samshodhana'' as well. Clinical features of ''samyak yoga'' (appropriate application of a procedure), ''ayoga'' (under application) and ''atiyoga'' (over application), and their management, have also been described. Diseases, their therapeutic response (so that they do not reoccur) and management of post-therapy cachexia have also been addressed in this chapter. ''Svabhavaparamavada'' is a phenomenon of natural destruction of health and disease.  There is a continuous process of degeneration and regeneration of body tissues. The process of regeneration is known to great extent but the cause of degeneration and death is not known.

</div>

</div>

Here also ends the fourth tetrad on the “Therapeutical Processes.”

Here also ends the fourth tetrad on the “Therapeutical Processes.”

=== ''Tattva Vimarsha'' ===

=== ''Tattva Vimarsha'' Founding Principles ===

<div style="text-align:justify;">

<div style="text-align:justify;">

*A skillful physician is critical to the successful administration of a [[Panchakarma]] therapy and a patient who can identify such a physician is of equal importance.

*A skillful physician is critical to the successful administration of a [[Panchakarma]] therapy and a patient who can identify such a physician is of equal importance.

*The proper administration of purification therapy is important to achive positive health benefits, uprooting the disease and preventing recurrence.  

*The proper administration of purification therapy is important to achieve positive health benefits, uprooting the disease and preventing recurrence.  

*Discordance of the causative factors results in disequilibrium of the tissue elements (''dhatus'') of the body. Conversely, concordance of tissue elements is restored by means of restoring the concordance of causative factors.  

*Discordance of the causative factors results in disequilibrium of the tissue elements (''dhatus'') of the body. Conversely, concordance of tissue elements is restored by means of restoring the concordance of causative factors.  

*The resolution / destruction of the existing always happen naturally in the course of time.  

*The resolution / destruction of the existing always happen naturally in the course of time.  

</div>

</div>

=== ''Vidhi Vimarsha'' ===

=== ''Vidhi Vimarsha'' Applied Inferences ===

<div style="text-align:justify;">

<div style="text-align:justify;">

*The physician should be especially skilled in ''vamana'' and ''virechana'' procedures.

*The physician should be especially skilled in ''vamana'' and ''virechana'' procedures.