Changes

वृद्धिस्थानक्षयावस्थां रोगाणामुपलक्षयेत्  |  

वृद्धिस्थानक्षयावस्थां रोगाणामुपलक्षयेत्  |  

सुसूक्ष्मामपि च प्राज्ञो देहाग्निबलचेतसाम् ||३६||  

सुसूक्ष्मामपि च प्राज्ञो देहाग्निबलचेतसाम् ||३६||  

vr̥ddhisthānakṣayāvasthāṁ rōgāṇāmupalakṣayēt |  

vr̥ddhisthānakṣayāvasthāṁ rōgāṇāmupalakṣayēt |  

susūkṣmāmapi ca prājñō dēhāgnibalacētasām||36||  

susūkṣmāmapi ca prājñō dēhāgnibalacētasām||36||  

A wise physician should carefully observe the subtle changes in the state of diseases (aggravated, normal and diminished) while properly assessing the patient’s body strength, digestive power and mental ability. [36]

A wise physician should carefully observe the subtle changes in the state of diseases (aggravated, normal and diminished) while properly assessing the patient’s body strength, digestive power and mental ability. [36]

व्याध्यवस्थाविशेषान् हि ज्ञात्वा ज्ञात्वा विचक्षणः |  

व्याध्यवस्थाविशेषान् हि ज्ञात्वा ज्ञात्वा विचक्षणः |  

तस्यां तस्यामवस्थायां चतुःश्रेयः  प्रपद्यते ||३७||  

तस्यां तस्यामवस्थायां चतुःश्रेयः  प्रपद्यते ||३७||  

vyādhyavasthāviśēṣān hi jñātvā jñātvā vicakṣaṇaḥ|  

vyādhyavasthāviśēṣān hi jñātvā jñātvā vicakṣaṇaḥ|  

tasyāṁ tasyāmavasthāyāṁ catuḥśrēyaḥ prapadyatē||37||

tasyāṁ tasyāmavasthāyāṁ catuḥśrēyaḥ prapadyatē||37||

प्रायस्तिर्यग्गता दोषाः क्लेशयन्त्यातुरांश्चिरम् |  

प्रायस्तिर्यग्गता दोषाः क्लेशयन्त्यातुरांश्चिरम् |  

तेषु  न त्वरया कुर्याद्देहाग्निबलवित् क्रियाम् ||३८||  

तेषु  न त्वरया कुर्याद्देहाग्निबलवित् क्रियाम् ||३८||  

प्रयोगैः क्षपयेद्वा तान् सुखं वा कोष्ठमानयेत् |  

प्रयोगैः क्षपयेद्वा तान् सुखं वा कोष्ठमानयेत् |  

ज्ञात्वा कोष्ठप्रपन्नांस्तान् यथासन्नं  हरेद्बुधः ||३९||  

ज्ञात्वा कोष्ठप्रपन्नांस्तान् यथासन्नं  हरेद्बुधः ||३९||  

prāyastiryaggatā dōṣāḥ klēśayantyāturāṁściram|  

prāyastiryaggatā dōṣāḥ klēśayantyāturāṁściram|  

tēṣu  na tvarayā kuryāddēhāgnibalavit kriyām||38||  

tēṣu  na tvarayā kuryāddēhāgnibalavit kriyām||38||  

prayōgaiḥ kṣapayēdvā tān sukhaṁ vā kōṣṭhamānayēt|  

prayōgaiḥ kṣapayēdvā tān sukhaṁ vā kōṣṭhamānayēt|  

jñātvā kōṣṭhaprapannāṁstān yathāsannaṁ  harēdbudhaḥ||39||

jñātvā kōṣṭhaprapannāṁstān yathāsannaṁ  harēdbudhaḥ||39||

j~jAtvA koShThaprapannAMstAn yathAsannaM haredbudhaH||39||

j~jAtvA koShThaprapannAMstAn yathAsannaM haredbudhaH||39||

Generally, doshas that are spread over obliquely (in the transverse direction) afflict the patient for a longer time. In that condition, treatment should not be initiated in a hurry without proper assessment of body strength and digestive power.  

Generally, ''doshas'' that are spread over obliquely (in the transverse direction) afflict the patient for a longer time. In that condition, treatment should not be initiated in a hurry without proper assessment of body strength and digestive power.  

These doshas should be alleviated first by treatment, or they should be carefully be drawn to the koshtha (bowel). After knowing their status in koshtha, the wise physician should eliminate them through the nearest route. [38-39]  

These ''doshas'' should be alleviated first by treatment, or they should be carefully be drawn to the ''koshtha'' (bowel). After knowing their status in ''koshtha'', the wise physician should eliminate them through the nearest route. [38-39]  

 

ज्ञानार्थं यानि चोक्तानि व्याधिलिङ्गानि सङ्ग्रहे |  

ज्ञानार्थं यानि चोक्तानि व्याधिलिङ्गानि सङ्ग्रहे |  

व्याधयस्ते तदात्वे तु लिङ्गानीष्टानि नामयाः ||४०||

व्याधयस्ते तदात्वे तु लिङ्गानीष्टानि नामयाः ||४०||

jñānārthaṁ yāni cōktāni vyādhiliṅgāni saṅgrahē|  

jñānārthaṁ yāni cōktāni vyādhiliṅgāni saṅgrahē|  

vyādhayastē tadātvē tu liṅgānīṣṭāni nāmayāḥ||40||  

vyādhayastē tadātvē tu liṅgānīṣṭāni nāmayāḥ||40||  

vyAdhayaste tadAtve tu li~ggAnIShTAni nAmayAH||40||

vyAdhayaste tadAtve tu li~ggAnIShTAni nAmayAH||40||

In the Nidanasthana, a compendium of symptomatology has been provided as a reckoner for the Ayurveda practitioner to gain adequate knowledge of some of the major classes of diseases and diagnose them effectively. But these symptoms may independently develop into diseases and create emergency situations. [40]

In the [[Nidana Sthana]], a compendium of symptomatology has been provided as a reckoner for the Ayurveda practitioner to gain adequate knowledge of some of the major classes of diseases and diagnose them effectively. But these symptoms may independently develop into diseases and create emergency situations. [40]

 

विकारः प्रकृतिश्चैव द्वयं सर्वं समासतः |  

विकारः प्रकृतिश्चैव द्वयं सर्वं समासतः |  

तद्धेतुवशगं हेतोरभावान्नानुवर्तते ||४१||  

तद्धेतुवशगं हेतोरभावान्नानुवर्तते ||४१||  

Everything can be categorized into being in a normal or an abnormal state. Both of these categories depend upon causes. Nothing can happen without a cause. [41]

Everything can be categorized into being in a normal or an abnormal state. Both of these categories depend upon causes. Nothing can happen without a cause. [41]

Summary:

 

==== Summary ====

 

तत्र श्लोकाः- हेतवः पूर्वरूपाणि रूपाण्युपशयस्तथा |  

तत्र श्लोकाः- हेतवः पूर्वरूपाणि रूपाण्युपशयस्तथा |  

सम्प्राप्तिः पूर्वमुत्पत्तिः सूत्रमात्रं चिकित्सितात् ||४२||  

सम्प्राप्तिः पूर्वमुत्पत्तिः सूत्रमात्रं चिकित्सितात् ||४२||  

ज्वरादीनां विकाराणामष्टानां साध्यता न च |  

ज्वरादीनां विकाराणामष्टानां साध्यता न च |  

पृथगेकैकशश्चोक्ता हेतुलिङ्गोपशान्तयः ||४३||  

पृथगेकैकशश्चोक्ता हेतुलिङ्गोपशान्तयः ||४३||  

हेतुपर्यायनामानि व्याधीनां लक्षणस्य च |  

हेतुपर्यायनामानि व्याधीनां लक्षणस्य च |  

निदानस्थानमेतावत् सङ्ग्रहेणोपदिश्यते ||४४||  

निदानस्थानमेतावत् सङ्ग्रहेणोपदिश्यते ||४४||  

hētavaḥ pūrvarūpāṇi rūpāṇyupaśayastathā|  

hētavaḥ pūrvarūpāṇi rūpāṇyupaśayastathā|  

samprāptiḥ pūrvamutpattiḥ sūtramātraṁ cikitsitāt||42||  

samprāptiḥ pūrvamutpattiḥ sūtramātraṁ cikitsitāt||42||  

jvarādīnāṁ vikārāṇāmaṣṭānāṁ sādhyatā na ca|  

jvarādīnāṁ vikārāṇāmaṣṭānāṁ sādhyatā na ca|  

pr̥thagēkaikaśaścōktā hētuliṅgōpaśāntayaḥ||43||  

pr̥thagēkaikaśaścōktā hētuliṅgōpaśāntayaḥ||43||  

hētuparyāyanāmāni vyādhīnāṁ lakṣaṇasya ca|  

hētuparyāyanāmāni vyādhīnāṁ lakṣaṇasya ca|  

nidānasthānamētāvat saṅgrahēṇōpadiśyatē||44||

nidānasthānamētāvat saṅgrahēṇōpadiśyatē||44||

nidAnasthAnametAvat sa~ggraheNopadishyate||44||

nidAnasthAnametAvat sa~ggraheNopadishyate||44||

To sum up this chapter, etiological factors, premonitory symptoms, signs and symptoms, therapeutic relief, pathogenesis, historical origins and brief line of treatment of apasmara have been described in this section. Since this is the concluding chapter of the Nidanasthana, a summary to the entire section has also been provided here, stating that starting from jwara all eight diseases have been dealt with separately in eight chapters, each with etiological factors, symptomatology, prognosis and brief line of management.  

To sum up this chapter, etiological factors, premonitory symptoms, signs and symptoms, therapeutic relief, pathogenesis, historical origins and brief line of treatment of ''apasmara'' have been described in this section. Since this is the concluding chapter of the [[Nidana Sthana]], a summary to the entire section has also been provided here, stating that starting from ''jwara'' all eight diseases have been dealt with separately in eight chapters, each with etiological factors, symptomatology, prognosis and brief line of management.  

 

A compendium of diseases with etiological factors, their synonyms, symptoms of the diseases have been provided as an epilogue to the chapter. [42-44]

A compendium of diseases with etiological factors, their synonyms, symptoms of the diseases have been provided as an epilogue to the chapter. [42-44]

इत्यग्निवेशकृते तन्त्रे चरकप्रतिसंस्कृते निदानस्थाने अपस्मारनिदानं नामाष्टमोऽध्यायः |  

इत्यग्निवेशकृते तन्त्रे चरकप्रतिसंस्कृते निदानस्थाने अपस्मारनिदानं नामाष्टमोऽध्यायः |  

निदानस्थानं समाप्तम् ||८||  

निदानस्थानं समाप्तम् ||८||  

ityagnivēśakr̥tē tantrē carakapratisaṁskr̥tē nidānasthānē  

ityagnivēśakr̥tē tantrē carakapratisaṁskr̥tē nidānasthānē  

apasmāranidānaṁ nāmāṣṭamō'dhyāyaḥ||8||  

apasmāranidānaṁ nāmāṣṭamō'dhyāyaḥ||8||  

iti carakasaṁhitāyāṁ dvitīyaṁ nidānasthānaṁ samāptam|

iti carakasaṁhitāyāṁ dvitīyaṁ nidānasthānaṁ samāptam|

Thus, ends the eighth chapter on the ‘diagnosis of apasmara” of the section  

Thus, ends the eighth chapter on the ‘diagnosis of ''apasmara''” of the section “Diagnosis of diseases” ([[Nidana Sthana]]) of Agnivesha , as redacted by Charaka.

“Diagnosis of diseases” (Nidanasthana) of Agnivesha , as redacted by Charaka.

=== Tattva Vimarsha ===

=== Tattva Vimarsha ===