Changes

== Differential diagnosis ==

== Differential diagnosis ==

<p style="text-align:justify;">Whenever one can find [[Vikriti|vikriti]] visham samveta lakshana sammuchaya (symptoms of the disease are not in accordance with the [[Dosha|doshas]] causing that disease) or when a patient is not responding as per conventional treatment of clinical pathogenesis (lakshan-samprapti-chikitsa), we need to think of the principle of ashayaapakarsha. It is a unique process, where symptoms can occur directly in the absence of that causative factor. In the diagnosis of ashayapakarsha, upashaya-anupashaya plays a vital role in the absence of causes of occurring symptoms.</p>

<p style="text-align:justify;">Whenever one can find [[Vikriti|vikriti]] visham samveta lakshana sammuchaya (symptoms of the [[Vyadhi|disease]] are not in accordance with the [[Dosha|doshas]] causing that [[Vyadhi|disease]]) or when a patient is not responding as per conventional treatment of clinical pathogenesis (lakshan-samprapti-chikitsa), we need to think of the principle of ashayaapakarsha. It is a unique process, where symptoms can occur directly in the absence of that causative factor. In the diagnosis of ashayapakarsha, upashaya-anupashaya plays a vital role in the absence of causes of occurring symptoms.</p>

== Difference between ashayapakarsha and avarana ==

== Difference between ashayapakarsha and avarana ==

<p style="text-align:justify;">In the process of [[Avarana|avarana]], [[Vata dosha|vata dosha]] is the primary unit with amurta nature (formless). Due to different etiological factors, other [[Dosha|dosha]], [[Dhatu|dhatu]], and malas aggravates. These increased dushyas cause obstruction in the route of [[Vayu mahabhuta|vayu]] leading to its aggravation (avaranajanya vata prakopa). This initially causes symptoms of obstructing [[Dosha|dosha]] or dushya , but later, the symptoms of vitiated [[Vata dosha|vata]] are observed. During its management, the removal of [[Avarana|avarana]] of [[Vata dosha|vata]] is the first and foremost thing. <br/>In ashayapakarsha, symptoms  are produced due to displacement of [[Dosha|dosha]] or dushya from their own abodes due to vitiated [[Vata dosha|vata dosha]]. During treatment also, [[Vata dosha|vata dosha]] management is important among all other [[Dosha|doshas]] and dushyas.</p>                           

<p style="text-align:justify;">In the process of [[Avarana|avarana]], [[Vata dosha|vata dosha]] is the primary unit with amurta nature (formless). Due to different etiological factors, other [[Dosha|dosha]], [[Dhatu|dhatu]], and malas aggravates. These increased [[Dushya|dushyas]] cause obstruction in the route of [[Vayu mahabhuta|vayu]] leading to its aggravation (avaranajanya vata prakopa). This initially causes symptoms of obstructing [[Dosha|dosha]] or [[Dushya|dushya]], but later, the symptoms of vitiated [[Vata dosha|vata]] are observed. During its management, the removal of [[Avarana|avarana]] of [[Vata dosha|vata]] is the first and foremost thing. <br/>In ashayapakarsha, symptoms  are produced due to displacement of [[Dosha|dosha]] or [[Dushya|dushya]] from their own abodes due to vitiated [[Vata dosha|vata dosha]]. During treatment also, [[Vata dosha|vata dosha]] management is important among all other [[Dosha|doshas]] and [[Dushya|dushyas]].</p>                           

== Importance of ashayapakarsha ==

== Importance of ashayapakarsha ==

<p style="text-align:justify;">It is one of the core concepts mentioned under sansargaja vikara (pathogensis due to two [[Dosha|doshas]]). It doesn't follow shatkriyakala in its sequential occurrence. Aashay vikshep (Normal Doshas are deflected from their abode) and movement of deflected [[Dosha|doshas]] or dushyas with Prerak (urging) [[Dosha|dosha]] are prerequisites in this phenomenon. Upashay -anupashy (whether given medicine is beneficial or non-beneficial for treating condition) is the important key for the diagnosis of ashayapakarsha. <br/>It is one of the important diagnostic tool in the management of exceptional pathologies. Often, symptoms of ashayapakarsha are localized in a specific area and not having a systemic presentation of the disease. In such  cases, it is an acute phenomenon. </p>

<p style="text-align:justify;">It is one of the core concepts mentioned under sansargaja vikara (pathogensis due to two [[Dosha|doshas]]). It doesn't follow [[Shatkriyakala|shatkriyakala]] in its sequential occurrence. Aashay vikshep (Normal [[Dosha|Doshas]] are deflected from their abode) and movement of deflected [[Dosha|doshas]] or [[Dushya|dushyas]] with Prerak (urging) [[Dosha|dosha]] are prerequisites in this phenomenon. [[Upashaya|Upashay]] -anupashy (whether given medicine is beneficial or non-beneficial for treating condition) is the important key for the diagnosis of ashayapakarsha. <br/>It is one of the important diagnostic tool in the management of exceptional pathologies. Often, symptoms of ashayapakarsha are localized in a specific area and not having a systemic presentation of the [[Vyadhi|disease]]. In such  cases, it is an acute phenomenon. </p>

== Principles of management ==

== Principles of management ==

<p style="text-align:justify;">Usually, the palliative therapy (shamana chikitsa) is applicable in ashayapakarsha pathogenesis. Proper history-taking is very important in the diagnosis of ashayapakarsha.  <br/>During management, [[Vata dosha|vata dosha]], which is dragging [[Pitta dosha|pitta]] from its abode is to be treated instead of [[Pitta dosha|pitta]]. If a physician is unaware of this phenomenon, by observing the aggravated symptoms of [[Pitta dosha|pitta dosha]], and by adopting a [[Pitta dosha|pitta]] pacifying management will result in the reduction of pitta. This may manifest new disease and cause harm to the patient’s life due to [[Pitta dosha|pitta]] kshaya. The predominant role of [[Vata dosha|vata dosha]] needs attention in treating these pathologies. <br/>Management of shakhashrita [[Kamala|kamala]] is focused on removing obstruction of [[Kapha dosha|kapha]] and vatanulomana (restoring [[Vata dosha|vata]] Direction) and bringing back the [[Pitta dosha|pitta]] to its own abode. Until then, hot (ushna), [[Katu|pungent (katu)]], [[Tikta|bitter (tikta)]] and [[Amla|sour (amla)]]  dravyas and food are used for the said purpose. Once the [[Pitta dosha|pitta]] restores its own abode, then the treatment of kostha shakhashrita [[Kamala|kamala]] is applied for further course. By observing the symptoms of aggravation of [[Pitta dosha|pitta]], if someone follows the [[Pitta dosha|pitta]] pacifying treatment, it will not give the proper results and cause harm to the patient. Hence, the wise physician must think about other aspects of pathogenesis like ashayapakarsha in such cases. </p>

<p style="text-align:justify;">Usually, the palliative therapy ([[Shamana|shamana]] chikitsa) is applicable in ashayapakarsha pathogenesis. Proper history-taking is very important in the diagnosis of ashayapakarsha.  <br/>During management, [[Vata dosha|vata dosha]], which is dragging [[Pitta dosha|pitta]] from its abode is to be treated instead of [[Pitta dosha|pitta]]. If a physician is unaware of this phenomenon, by observing the aggravated symptoms of [[Pitta dosha|pitta dosha]], and by adopting a [[Pitta dosha|pitta]] pacifying management will result in the reduction of [[Pitta dosha|pitta]]. This may manifest new [[Vyadhi|disease]] and cause harm to the patient’s [[Ayu|life]] due to [[Pitta dosha|pitta]] kshaya. The predominant role of [[Vata dosha|vata dosha]] needs attention in treating these pathologies. <br/>Management of shakhashrita [[Kamala|kamala]] is focused on removing obstruction of [[Kapha dosha|kapha]] and vatanulomana (restoring [[Vata dosha|vata]] Direction) and bringing back the [[Pitta dosha|pitta]] to its own abode. Until then, hot (ushna), [[Katu|pungent (katu)]], [[Tikta|bitter (tikta)]] and [[Amla|sour (amla)]]  dravyas and food are used for the said purpose. Once the [[Pitta dosha|pitta]] restores its own abode, then the treatment of kostha shakhashrita [[Kamala|kamala]] is applied for further course. By observing the symptoms of aggravation of [[Pitta dosha|pitta]], if someone follows the [[Pitta dosha|pitta]] pacifying treatment, it will not give the proper results and cause harm to the patient. Hence, the wise physician must think about other aspects of pathogenesis like ashayapakarsha in such cases. </p>

   

   

== Contemporary approach ==

== Contemporary approach ==