Changes

=== [[Shosha Nidana|Shosha]] (emaciation) ===

=== [[Shosha Nidana|Shosha]] (emaciation) ===

<p style="text-align:justify;">In the pathogenesis of shosha (emaciation) due to excess adventures (sahasaja shosha), [[Vata dosha|vata dosha]] gets aggravated. This aggravated [[Vata dosha|vata]] with [[Kapha dosha|kapha]] residing in the lungs further afflicts [[Pitta dosha|pitta dosha]]. This causes the vitiated [[Dosha|doshas]] to spread upwards, downwards, and obliquely. A portion of this afflicted [[Dosha|dosha]] system that gets lodged in joints causes yawning, [[Sharira|body]] ache, and fever; which gets into the [[Amashaya|amashaya]] to cause [[Vyadhi|diseases]] of lungs and anorexia; that which gets into the throat causes irritation of the throat and hoarseness of voice; that which gets into the channels carrying vital breath (bronchial channels) causes dyspnea and coryza; that which gets into the head produces distress in the head. Further, a manifestation of a wound at the lung level and irregular movement of [[Vayu mahabhuta|vayu]] causes a variety of [[Vyadhi|diseases]] depending upon the organs where [[Dosha|doshas]] are carried away by [[Vata dosha|vata dosha]]. [Cha. Sa. [[Nidana Sthana|Nidana Sthana]] 6/4]<ref name="ref9">Singh R.H., Sodhi J.S. Shosha Nidana Adhyaya,verse 4. In: Khandel S.K., Godatwar P., Deole Y.S., Basisht G., eds. Charak Samhita New Edition. 1st ed. Jamnagar, Ind: CSRTSDC; 2020. https://www.carakasamhitaonline.com/index.php?title=Shosha_Nidana&oldid=41167. Accessed January 2, 2023. </ref> In shosha due to suppression of natural urges (vegavarodhaja shosha), the same pathogenesis occurs. When a portion gets into specific parts of the [[Sharira|body]], it causes pain, diarrhea or drying up of feces, excessive pain in sides of the chest, pain in the shoulders, irritation in throat, lungs, headache, cough, dyspnea, fever, hoarseness of voice and coryza. Thereafter, having been afflicted with these wasting complications, the patient gradually gets afflicted with shosha. [Cha. Sa. [[Nidana Sthana|Nidana Sthana]] 6/7-8] <br/>Under the pathogenesis of kshayaja shosha, due to excessive sexual indulgence, shukra kshaya results in aggravation of [[Vata dosha|vata dosha]]. It further enters the related blood vessels and blood gets discharged from the seminal passage. Due to loss of semen and hemorrhage, joints loosen, the skin becomes rough or scaly, [[Sharira|body]] weakens further and [[Vayu mahabhuta|vayu]] gets vitiated. The vitiated [[Vayu mahabhuta|vayu]] spreads in the [[Sharira|body]] deficient of semen and blood. The [[Vata dosha|vata]] vitiates [[Kapha dosha|kapha]] and [[Pitta dosha|pitta]] and dries up the muscles and blood. Further, the vitiated [[Vayu mahabhuta|vayu]] expels [[Kapha dosha|kapha]] and [[Pitta dosha|pitta]] as symptoms of kasa, causing pain in the sides of the chest and shoulders, irritation of the throat. The vitiated [[Vata dosha|vata]] by aggravating [[Kapha dosha|kapha]] in the head region and replacing it with the vitiated [[Kapha dosha|kapha]] expelled from their natural locations, causes pain in joints, [[Sharira|body]] ache, anorexia and indigestion. Due to frequent cough, the lungs get damaged and hemoptysis ensues, debilitating the patient further and afflicting him with wasting complications. If untreated, the patient gradually gets afflicted with phthisis.<ref name="ref10">&nbsp;</ref> In the above pathogenesis of shosha, [[Vata dosha|vata]] drags other [[Dosha|doshas]] from their abodes and takes them out to different parts of the [[Sharira|body]] due to ashayapakarsha phenomenon.</p>

<p style="text-align:justify;">In the pathogenesis of shosha (emaciation) due to excess adventures (sahasaja shosha), [[Vata dosha|vata dosha]] gets aggravated. This aggravated [[Vata dosha|vata]] with [[Kapha dosha|kapha]] residing in the lungs further afflicts [[Pitta dosha|pitta dosha]]. This causes the vitiated [[Dosha|doshas]] to spread upwards, downwards, and obliquely. A portion of this afflicted [[Dosha|dosha]] system that gets lodged in joints causes yawning, [[Sharira|body]] ache, and fever; which gets into the [[Amashaya|amashaya]] to cause [[Vyadhi|diseases]] of lungs and anorexia; that which gets into the throat causes irritation of the throat and hoarseness of voice; that which gets into the channels carrying vital breath (bronchial channels) causes dyspnea and coryza; that which gets into the head produces distress in the head. Further, a manifestation of a wound at the lung level and irregular movement of [[Vayu mahabhuta|vayu]] causes a variety of [[Vyadhi|diseases]] depending upon the organs where [[Dosha|doshas]] are carried away by [[Vata dosha|vata dosha]]. [Cha. Sa. [[Nidana Sthana|Nidana Sthana]] 6/4]<ref name="ref9">Singh R.H., Sodhi J.S. Shosha Nidana Adhyaya,verse 4. In: Khandel S.K., Godatwar P., Deole Y.S., Basisht G., eds. Charak Samhita New Edition. 1st ed. Jamnagar, Ind: CSRTSDC; 2020. https://www.carakasamhitaonline.com/index.php?title=Shosha_Nidana&oldid=41167. Accessed January 2, 2023. </ref> In shosha due to suppression of natural urges (vegavarodhaja shosha), the same pathogenesis occurs. When a portion gets into specific parts of the [[Sharira|body]], it causes pain, diarrhea or drying up of feces, excessive pain in sides of the chest, pain in the shoulders, irritation in throat, lungs, headache, cough, dyspnea, fever, hoarseness of voice and coryza. Thereafter, having been afflicted with these wasting complications, the patient gradually gets afflicted with shosha. [Cha. Sa. [[Nidana Sthana|Nidana Sthana]] 6/7-8] <br/>Under the pathogenesis of kshayaja shosha, due to excessive sexual indulgence, shukra kshaya results in aggravation of [[Vata dosha|vata dosha]]. It further enters the related blood vessels and blood gets discharged from the seminal passage. Due to loss of semen and hemorrhage, joints loosen, the skin becomes rough or scaly, [[Sharira|body]] weakens further and [[Vayu mahabhuta|vayu]] gets vitiated. The vitiated [[Vayu mahabhuta|vayu]] spreads in the [[Sharira|body]] deficient of semen and blood. The [[Vata dosha|vata]] vitiates [[Kapha dosha|kapha]] and [[Pitta dosha|pitta]] and dries up the muscles and blood. Further, the vitiated [[Vayu mahabhuta|vayu]] expels [[Kapha dosha|kapha]] and [[Pitta dosha|pitta]] as symptoms of kasa, causing pain in the sides of the chest and shoulders, irritation of the throat. The vitiated [[Vata dosha|vata]] by aggravating [[Kapha dosha|kapha]] in the head region and replacing it with the vitiated [[Kapha dosha|kapha]] expelled from their natural locations, causes pain in joints, [[Sharira|body]] ache, anorexia and indigestion. Due to frequent cough, the lungs get damaged and hemoptysis ensues, debilitating the patient further and afflicting him with wasting complications. If untreated, the patient gradually gets afflicted with phthisis.<ref name="ref9"></ref> In the above pathogenesis of shosha, [[Vata dosha|vata]] drags other [[Dosha|doshas]] from their abodes and takes them out to different parts of the [[Sharira|body]] due to ashayapakarsha phenomenon.</p>

=== Shwasa (respiratory disorders or dyspnea) ===

=== Shwasa (respiratory disorders or dyspnea) ===