9,091
edits
Changes
Jump to navigation
Jump to search
Line 106:
Line 106: + + − + − + + + + Line 125:
Line 130: − + + + Line 139:
Line 146: − + + + Line 155:
Line 164: − + + + Line 163:
Line 174: − + + + Line 171:
Line 184: − + + + Line 179:
Line 194: − + + + Line 187:
Line 204: − + + + Line 224:
Line 243: − + + + Line 232:
Line 253: − + + + Line 247:
Line 270: − + + + Line 278:
Line 303: − shRutashItaM sasitopalamathavA sharapUrvapa~jcamUlena | + Line 299:
Line 324: − + + + Line 341:
Line 368: − + + + Line 349:
Line 378: − + + + Line 393:
Line 424: − Quench red hot stones in decoction of guduchi and use it after cooling it.+ + − + + + Line 419:
Line 453: − + + + Line 468:
Line 504: − + + + Line 512:
Line 550: − + + + Line 529:
Line 569: − + + + Line 539:
Line 581: − + + +
→Premonitory and cardinal symptoms and signs
प्राग्रूपं मुखशोषः, स्वलक्षणं सर्वदाऽम्बुकामित्वम् |
प्राग्रूपं मुखशोषः, स्वलक्षणं सर्वदाऽम्बुकामित्वम् |
तृष्णानां सर्वासां लिङ्गानां लाघवमपायः ||८||
तृष्णानां सर्वासां लिङ्गानां लाघवमपायः ||८||
prāgrūpaṁ mukhaśōṣaḥ, svalakṣaṇaṁ sarvadā'mbukāmitvam|
prāgrūpaṁ mukhaśōṣaḥ, svalakṣaṇaṁ sarvadā'mbukāmitvam|
trishnanāṁ sarvāsāṁ liṅgānāṁ lāghavamapāyaḥ||8||
trishnanāṁ sarvāsāṁ liṅgānāṁ lāghavamapāyaḥ||8||
prAgrUpaM mukhaśōṣaH, svalakShaNaM sarvadA~ambukAmitvam |
prAgrUpaM mukhaśōṣaH, svalakShaNaM sarvadA~ambukAmitvam |
tRuṣṇanAM sarvAsAM li~ggAnAM lAghavamapAyaH ||8||
tRuṣṇanAM sarvAsAM li~ggAnAM lAghavamapAyaH ||8||
The premonitory symptoms of morbid thirst are dryness of mouth along with constant craving for water as a cardinal symptom. All the clinical features of morbid thirst may occur in mild form or some of the features may be seen in premonitory stage of morbid thirst. (8)
General clinical signs and symptoms:
The premonitory symptoms of morbid thirst are dryness of mouth along with constant craving for water as a cardinal symptom. All the clinical features of morbid thirst may occur in mild form or some of the features may be seen in premonitory stage of morbid thirst. [8]
==== General clinical signs and symptoms ====
मुखशोषस्वरभेदभ्रमसन्तापप्रलापसंस्तम्भान् |
मुखशोषस्वरभेदभ्रमसन्तापप्रलापसंस्तम्भान् |
ताल्वोष्ठकण्ठजिह्वाकर्कशतां चित्तनाशं च ||९||
ताल्वोष्ठकण्ठजिह्वाकर्कशतां चित्तनाशं च ||९||
tRuShNodbhUtA kurute, pa~jcavidhAM li~ggataH shRuNu tAm ||10||
tRuShNodbhUtA kurute, pa~jcavidhAM li~ggataH shRuNu tAm ||10||
Dryness of mouth, hoarseness of voice, giddiness, burning sensation all over body, delirium, rigidity, dryness and roughness of palate, lip, throat and tongue, stupefaction, loss of concentration, protrusion of the tongue, anorexia, auditory impairment, burning sensation in vital organs and exhaustion are the symptoms of morbid thirst. Now listen carefully the symptoms of each of the five varieties of morbid thirst separately.(9-10)
Dryness of mouth, hoarseness of voice, giddiness, burning sensation all over body, delirium, rigidity, dryness and roughness of palate, lip, throat and tongue, stupefaction, loss of concentration, protrusion of the tongue, anorexia, auditory impairment, burning sensation in vital organs and exhaustion are the symptoms of morbid thirst. Now listen carefully the symptoms of each of the five varieties of morbid thirst separately.(9-10)
Vata dominant trishna:
==== Vata dominant trishna ====
अब्धातुं देहस्थं कुपितः पवनो यदा विशोषयति |
अब्धातुं देहस्थं कुपितः पवनो यदा विशोषयति |
तस्मिञ्शुष्के शुष्यत्यबलस्तृष्यत्यथ विशुष्यन् ||११||
तस्मिञ्शुष्के शुष्यत्यबलस्तृष्यत्यथ विशुष्यन् ||११||
nidrAnAshaH shiraso bhramastathA shuShkavirasamukhatA ca sroto~avarodha iti ca syAlli~ggaM VātatRuṣṇayAH ||12||
nidrAnAshaH shiraso bhramastathA shuShkavirasamukhatA ca sroto~avarodha iti ca syAlli~ggaM VātatRuṣṇayAH ||12||
Lack of sleep, giddiness, dry mouth, distaste, and occlusion of the channels are the symptoms of the vataja morbid thirst. (12)
Lack of sleep, giddiness, dry mouth, distaste, and occlusion of the channels are the symptoms of the vataja morbid thirst. (12)
Pitta dominant trishna:
==== Pitta dominant trishna ====
पित्तं मतमाग्नेयं कुपितं चेत्तापयत्यपां धातुम् |
पित्तं मतमाग्नेयं कुपितं चेत्तापयत्यपां धातुम् |
सन्तप्तः स हि जनयेत्तृष्णां दाहोल्बणां नॄणाम् ||१३||
सन्तप्तः स हि जनयेत्तृष्णां दाहोल्बणां नॄणाम् ||१३||
The pitta is regarded as the thermal elements in the body which on vitiation, heats the watery elements to cause morbid thirst and person suffers from excessive burning sensation.
The pitta is regarded as the thermal elements in the body which on vitiation, heats the watery elements to cause morbid thirst and person suffers from excessive burning sensation.
Bitter taste in the mouth, burning sensation in the head, cravings for cold things, fainting and yellowish discoloration of eyes, urine and feces, are the clinical features of pittaja morbid thirst.(13-14)
Bitter taste in the mouth, burning sensation in the head, cravings for cold things, fainting and yellowish discoloration of eyes, urine and feces, are the clinical features of pittaja morbid thirst.(13-14)
Trishna due to aam vitiation:
==== Trishna due to aam vitiation ====
तृष्णा याऽऽमप्रभवा साऽप्याग्नेयाऽऽमपित्तजनितत्वात् |
तृष्णा याऽऽमप्रभवा साऽप्याग्नेयाऽऽमपित्तजनितत्वात् |
लिङ्गं तस्याश्चारुचिराध्मानकफप्रसेकौ च ||१५||
लिङ्गं तस्याश्चारुचिराध्मानकफप्रसेकौ च ||१५||
li~ggaM tasyAshcArucirAdhmAnakaphaprasekau ca ||15||
li~ggaM tasyAshcArucirAdhmAnakaphaprasekau ca ||15||
Morbid thirst, which originates from incomplete transformation or metabolism of food, is also a pittaja type as it originates from ama and pitta (pitta obstructed due to vitiated ama). Its clinical features are anorexia, flatulence and excessive salivation. (15)
Morbid thirst, which originates from incomplete transformation or metabolism of food, is also a pittaja type as it originates from ama and pitta (pitta obstructed due to vitiated ama). Its clinical features are anorexia, flatulence and excessive salivation. (15)
Trishna due to depletion of body elements:
==== Trishna due to depletion of body elements ====
देहो रसजोऽम्बुभवो रसश्च तस्य क्षयाच्च तृष्येद्धि |
देहो रसजोऽम्बुभवो रसश्च तस्य क्षयाच्च तृष्येद्धि |
दीनस्वरः प्रताम्यन् संशुष्कहृदयगलतालुः ||१६||
दीनस्वरः प्रताम्यन् संशुष्कहृदयगलतालुः ||१६||
dInasvaraH pratAmyan saMshuShkahRudayagalatAluH ||16||
dInasvaraH pratAmyan saMshuShkahRudayagalatAluH ||16||
The body is composed of watery elements and the colloidal fluids of the body are in turn composed of the aqueous elements. The loss of these watery elements induces thirst, low voice (altered voice), fainting, dryness of throat and palate. (16)
The body is composed of watery elements and the colloidal fluids of the body are in turn composed of the aqueous elements. The loss of these watery elements induces thirst, low voice (altered voice), fainting, dryness of throat and palate. (16)
Trishna due to complications of other diseases:
==== Trishna due to complications of other diseases ====
भवति खलु योपसर्गात्तृष्णा सा शोषिणी कष्टा |
भवति खलु योपसर्गात्तृष्णा सा शोषिणी कष्टा |
ज्वरमेहक्षयशोषश्वासाद्युपसृष्टदेहानाम् ||१७||
ज्वरमेहक्षयशोषश्वासाद्युपसृष्टदेहानाम् ||१७||
jvaramehakShayaśōṣashvAsAdyupasRuShTadehAnAm ||17||
jvaramehakShayaśōṣashvAsAdyupasRuShTadehAnAm ||17||
Morbid thirst which occurs in a person as a complication of fever, urinary disorders in which abnormal and increased quantity of urine is passed, emaciation, consumption, dyspnea and similar other disorders, cause severe dehydration and such type of trishna is very difficult to treat.(17)
Morbid thirst which occurs in a person as a complication of fever, urinary disorders in which abnormal and increased quantity of urine is passed, emaciation, consumption, dyspnea and similar other disorders, cause severe dehydration and such type of trishna is very difficult to treat.(17)
Serious consequence of trishna:
==== Serious consequence of trishna ====
सर्वास्त्वतिप्रसक्ता रोगकृशानां वमिप्रसक्तानाम् |
सर्वास्त्वतिप्रसक्ता रोगकृशानां वमिप्रसक्तानाम् |
घोरोपद्रवयुक्तास्तृणा मरणाय विज्ञेयाः ||१८||
घोरोपद्रवयुक्तास्तृणा मरणाय विज्ञेयाः ||१८||
ghoropadravayuktAstRuNA maraNAya vij~jeyAH ||18||
ghoropadravayuktAstRuNA maraNAya vij~jeyAH ||18||
All varieties of diseases which are chronic in nature, which occur in the patients emaciated by diseases and afflicted with perpetual vomiting which occurs along with grave complications to be known as being indicative of approaching death. (18)
All varieties of diseases which are chronic in nature, which occur in the patients emaciated by diseases and afflicted with perpetual vomiting which occurs along with grave complications to be known as being indicative of approaching death. (18)
Role of vata and pitta in trishna:
==== Role of vata and pitta in trishna ====
नाग्निं विना हि तर्षः पवनाद्वा तौ हि शोषणे हेतू |
नाग्निं विना हि तर्षः पवनाद्वा तौ हि शोषणे हेतू |
अब्धातोरतिवृद्धावपां क्षये तृष्यते नरो हि ||१९||
अब्धातोरतिवृद्धावपां क्षये तृष्यते नरो हि ||१९||
tasmAnnoShNaklAnto bhajeta sahasA jalaM shItam ||23||
tasmAnnoShNaklAnto bhajeta sahasA jalaM shItam ||23||
The body heat of the person is obstructed in the peripheral region by a cold bath and it passes to the internal organs and produces thirst. Therefore, the person who is fatigued by excessive heat should not take cold water immediately. (23)
The body heat of the person is obstructed in the peripheral region by a cold bath and it passes to the internal organs and produces thirst. Therefore, the person who is fatigued by excessive heat should not take cold water immediately. (23)
Management of trishna:
==== Management of trishna ====
लिङ्गं सर्वास्वेतास्वनिलक्षयपित्तजं भवत्यथ तु |
लिङ्गं सर्वास्वेतास्वनिलक्षयपित्तजं भवत्यथ तु |
पृथगागमाच्चिकित्सितमतः प्रवक्ष्यामि तृष्णानाम् ||२४||
पृथगागमाच्चिकित्सितमतः प्रवक्ष्यामि तृष्णानाम् ||२४||
pRuthagAgamAccikitsitamataH pravakShyAmi tRuṣṇanAm ||24||
pRuthagAgamAccikitsitamataH pravakShyAmi tRuṣṇanAm ||24||
In all these types of the morbid thirst, symptoms arising from the vitiation of vata, pitta and loss of watery elements of the body are manifested. Now, I shall describe the treatment of morbid thirst of various types one by one according to the authoritative tradition. (24)
In all these types of the morbid thirst, symptoms arising from the vitiation of vata, pitta and loss of watery elements of the body are manifested. Now, I shall describe the treatment of morbid thirst of various types one by one according to the authoritative tradition. (24)
Properties of pure rain water and its benefits:
==== Properties of pure rain water and its benefits ====
अपां क्षयाद्धि तृष्णा संशोष्य नरं प्रणाशयेदाशु |
अपां क्षयाद्धि तृष्णा संशोष्य नरं प्रणाशयेदाशु |
तस्मादैन्द्रं तोयं समधु पिबेत्तद्गुणं वाऽन्यत् ||२५||
तस्मादैन्द्रं तोयं समधु पिबेत्तद्गुणं वाऽन्यत् ||२५||
Due to the loss of watery elements, man becomes dehydrated and dies soon due to thirst; the patients should therefore drink pure rain water mixed with honey, or any other water having similar properties that of rain water.
Due to the loss of watery elements, man becomes dehydrated and dies soon due to thirst; the patients should therefore drink pure rain water mixed with honey, or any other water having similar properties that of rain water.
The water, that has slight astringent, secondary taste, which is light to digest, cool, possess good smell and taste and devoid of channel blocking quality, should be considered equal to rain water in effect though it may be terrestrial.(25-26)
The water, that has slight astringent, secondary taste, which is light to digest, cool, possess good smell and taste and devoid of channel blocking quality, should be considered equal to rain water in effect though it may be terrestrial.(25-26)
Various diet recipes in management of trishna:
==== Various diet recipes in management of trishna ====
शृतशीतं ससितोपलमथवा शरपूर्वपञ्चमूलेन |
शृतशीतं ससितोपलमथवा शरपूर्वपञ्चमूलेन |
लाजासक्तुसिताह्वामधुयुतमैन्द्रेण वा मन्थम् ||२७||
लाजासक्तुसिताह्वामधुयुतमैन्द्रेण वा मन्थम् ||२७||
nārīpayaḥ saśarkaramuṣṭryā api nasyamikṣurasaḥ||33||
nārīpayaḥ saśarkaramuṣṭryā api nasyamikṣurasaḥ||33||
shRutashItaM sasitopalamathavA sharapUrvapa~jcamUlena |
lAjAsaktusitAhvAmadhuyutamaindreNa vA mantham ||27||
lAjAsaktusitAhvAmadhuyutamaindreNa vA mantham ||27||
vATyaM vA~a~amayavAnAM shItaM madhusharkarAyutaM dadyAt |
vATyaM vA~a~amayavAnAM shItaM madhusharkarAyutaM dadyAt |
The milk boiled with drugs of sweet groups of medicine, or life promoter group of medicine, cool and bitter group of medicine mixed with honey and sugar may be utilized as potion for inunction and affusion.
The milk boiled with drugs of sweet groups of medicine, or life promoter group of medicine, cool and bitter group of medicine mixed with honey and sugar may be utilized as potion for inunction and affusion.
Or, the ghee prepared out of this medicated milk is propitious as potion and inunction as well as nasal medication. Breast milk or camel’s milk with sugar or sugarcane juice is good as nasal medication. (27-33)
Or, the ghee prepared out of this medicated milk is propitious as potion and inunction as well as nasal medication. Breast milk or camel’s milk with sugar or sugarcane juice is good as nasal medication. (27-33)
Various therapeutics modalities:
==== Various therapeutics modalities ====
क्षीरेक्षुरसगुडोदकसितोपलाक्षौद्रसीधुमार्द्वीकैः |
क्षीरेक्षुरसगुडोदकसितोपलाक्षौद्रसीधुमार्द्वीकैः |
वृक्षाम्लमातुलुङ्गैर्गण्डूषास्तालुशोषघ्नाः ||३४||
वृक्षाम्लमातुलुङ्गैर्गण्डूषास्तालुशोषघ्नाः ||३४||
Paste prepared from moss, mud, and lotuses or with roasted paddy powder mixed with sour articles and ghee or application of wet cloth soaked in whey or sour wheat conjee or application of lotuses or of garlands of precious stones should be done. The contact of the breast and hands of resplendent and beloved women clad in wet silken garments and besmeared with cool and fragrant waters or sandal paste, proves beneficial.
Paste prepared from moss, mud, and lotuses or with roasted paddy powder mixed with sour articles and ghee or application of wet cloth soaked in whey or sour wheat conjee or application of lotuses or of garlands of precious stones should be done. The contact of the breast and hands of resplendent and beloved women clad in wet silken garments and besmeared with cool and fragrant waters or sandal paste, proves beneficial.
The thinking of or listening to the description of Himalayan caves, woods, streams, lakes, lotuses, breezes, moonlight, and other cool things as well as of lovely cool waters- these have an allaying effect on morbid thirst.(34-39)
The thinking of or listening to the description of Himalayan caves, woods, streams, lakes, lotuses, breezes, moonlight, and other cool things as well as of lovely cool waters- these have an allaying effect on morbid thirst.(34-39)
Guidelines for management of vata dominant trishna:
==== Guidelines for management of vata dominant trishna ====
वातघ्नमन्नपानं मृदु लघु शीतं च वाततृष्णायाम् |
वातघ्नमन्नपानं मृदु लघु शीतं च वाततृष्णायाम् |
क्षयकासनुच्छृतं क्षीरघृतमूर्ध्ववाततृष्णाघ्नम् ||४०||
क्षयकासनुच्छृतं क्षीरघृतमूर्ध्ववाततृष्णाघ्नम् ||४०||
kShayakAsanucchRutaM kShIraghRutamUrdhvaVātatRuṣṇaghnam ||40||
kShayakAsanucchRutaM kShIraghRutamUrdhvaVātatRuṣṇaghnam ||40||
If the morbid thirst is due to vata dominance, then soft, light to digest food and drink with cooling property, curative of vata are recommended. Also ghee which is churned directly from milk is indicated which has been mentioned for the treatment of kshayaja kasa (cough due to wasting) and is curative of thirst and dyspnea. (40)
If the morbid thirst is due to vata dominance, then soft, light to digest food and drink with cooling property, curative of vata are recommended. Also ghee which is churned directly from milk is indicated which has been mentioned for the treatment of kshayaja kasa (cough due to wasting) and is curative of thirst and dyspnea. (40)
Guidelines for management of pitta dominant trishna:
==== Guidelines for management of pitta dominant trishna ====
स्याज्जीवनीयसिद्धं क्षीरघृतं वातपित्तजे तर्ष |४१|
स्याज्जीवनीयसिद्धं क्षीरघृतं वातपित्तजे तर्ष |४१|
पैत्ते द्राक्षाचन्दनखर्जूरोशीरमधुयुतं तोयम् ||४१||
पैत्ते द्राक्षाचन्दनखर्जूरोशीरमधुयुतं तोयम् ||४१||
In pittaja morbid thirst, water mixed with grapes, sandalwood, dates, vetiveria zizanioidis, honey and cold water in which red shāli rice, dates, parushaka, blue water lily, grapes, honey and a baked lump of earth have been kept, may be given or water kept in earthen pot in which 64 tola of red shali rice, pounded with lodhra, liquorice, antimony and blue water lily are put and in which a baked clod of clay, water and honey have been integrated. This is a curative drink in morbid thirst.
In pittaja morbid thirst, water mixed with grapes, sandalwood, dates, vetiveria zizanioidis, honey and cold water in which red shāli rice, dates, parushaka, blue water lily, grapes, honey and a baked lump of earth have been kept, may be given or water kept in earthen pot in which 64 tola of red shali rice, pounded with lodhra, liquorice, antimony and blue water lily are put and in which a baked clod of clay, water and honey have been integrated. This is a curative drink in morbid thirst.
In the water prepared with sprouts of banyan, citrus medica, country willow, roots of sacrificial and thatch grass and liquorice and quench black earthen or black sand or pieces of new earthen vessel which have been heated upto red hot. Use supernatant part of this mixture and give it to the patient.
In the water prepared with sprouts of banyan, citrus medica, country willow, roots of sacrificial and thatch grass and liquorice and quench black earthen or black sand or pieces of new earthen vessel which have been heated upto red hot. Use supernatant part of this mixture and give it to the patient.
Quench red hot stones in decoction of guduchi and use it after cooling it.
The cold infusions prepared from kshiri and madhur, shita group of plants should be given after adding sugar and honey quenching of baked clay should be done as described earlier. It is useful in pittaja trishna. (41-46)
The cold infusions prepared from kshiri and madhur, shita group of plants should be given after adding sugar and honey quenching of baked clay should be done as described earlier. It is useful in pittaja trishna. (41-46)
Guidelines for management of amaja trishna:
==== Guidelines for management of amaja trishna ====
व्योषवचाभल्लातकतिक्तकषायास्तथाऽऽमतृष्णाघ्नाः |
व्योषवचाभल्लातकतिक्तकषायास्तथाऽऽमतृष्णाघ्नाः |
यच्चोक्तं कफजायां वम्यां तच्चैव कार्यं स्यात् ||४७||
यच्चोक्तं कफजायां वम्यां तच्चैव कार्यं स्यात् ||४७||
Rigidity, anorexia, indigestion, lethargy and regurgitation are suggestive of kaphaj type of thirst. In such condition, a dose of prepared curds, honey demulcent drink, salt and warm water should be used to induce vomiting.
Rigidity, anorexia, indigestion, lethargy and regurgitation are suggestive of kaphaj type of thirst. In such condition, a dose of prepared curds, honey demulcent drink, salt and warm water should be used to induce vomiting.
The physician may also give pomegranate or other sour fruits or the linctus mixed with astringent substances or he may give a potion containing turmeric and sugar.(47-49)
The physician may also give pomegranate or other sour fruits or the linctus mixed with astringent substances or he may give a potion containing turmeric and sugar.(47-49)
Guidelines for management of kshayaja trishna:
==== Guidelines for management of kshayaja trishna ====
क्षयकासेन तु तुल्या क्षयतृष्णा सा गरीयसी नॄणाम् |
क्षयकासेन तु तुल्या क्षयतृष्णा सा गरीयसी नॄणाम् |
क्षीणक्षतशोषहितैस्तस्मात्तां भेषजैः शमयेत् ||५०||
क्षीणक्षतशोषहितैस्तस्मात्तां भेषजैः शमयेत् ||५०||
The people who are extremely dehydrated and are weak can pacify their thirst immediately by milk or the cool and sweet meat juice of goat seasoned with ghee.
The people who are extremely dehydrated and are weak can pacify their thirst immediately by milk or the cool and sweet meat juice of goat seasoned with ghee.
The thirst resulting from eating unctuous food should be quenched with jaggery water; and the thirst in a person who has fainted should be remedied by medication mentioned in murchha (fainting).(50-56)
The thirst resulting from eating unctuous food should be quenched with jaggery water; and the thirst in a person who has fainted should be remedied by medication mentioned in murchha (fainting).(50-56)
Indications of cold and hot water:
==== Indications of cold and hot water ====
तृट्दाहमूर्च्छाभ्रमक्लममदात्ययास्रविषपित्ते |
तृट्दाहमूर्च्छाभ्रमक्लममदात्ययास्रविषपित्ते |
शस्तं स्वभावशीतं, शृतशीतं सन्निपातेऽम्भः ||५७||
शस्तं स्वभावशीतं, शृतशीतं सन्निपातेऽम्भः ||५७||
If the patient is suffering from the above mentioned diseases and has become miserably afflicted with thirst and craving for water and if he does not get water, he may soon die or be afflicted with chronic illness then such thirsty patient may drink coriander water mixed with honey and sugar, or other medicated water which is wholesome in this condition.
If the patient is suffering from the above mentioned diseases and has become miserably afflicted with thirst and craving for water and if he does not get water, he may soon die or be afflicted with chronic illness then such thirsty patient may drink coriander water mixed with honey and sugar, or other medicated water which is wholesome in this condition.
If the thirst is remedied, it is facile to subdue the complication arising from it; therefore thirst should be treated first in all diseases. (57-62)
If the thirst is remedied, it is facile to subdue the complication arising from it; therefore thirst should be treated first in all diseases. (57-62)
Summary:
==== Summary ====
तत्र श्लोकः-
तत्र श्लोकः-
हेतू यथाऽग्निपवनौ कुरुतः सोपद्रवां च पञ्चानाम् |
हेतू यथाऽग्निपवनौ कुरुतः सोपद्रवां च पञ्चानाम् |
ityagniveshakRute tantre carakapratisaMskRute~aprApte dRuDhabalasampUrite cikitsāsthAne tRuṣṇarogacikitsitaM nAma dvAviMsho~adhyAyaH ||22||
ityagniveshakRute tantre carakapratisaMskRute~aprApte dRuDhabalasampUrite cikitsāsthAne tRuṣṇarogacikitsitaM nAma dvAviMsho~adhyAyaH ||22||
Thus, in the section of therapeutics in the treatise complied by Agnivesh and revised by Caraka, the twenty second chapter entitled “trishna chikitsitam” not being available, annotated by Charaka and redacted by Dridhabala, is completed.[22]
Thus, in the section of therapeutics in the treatise complied by Agnivesh and revised by Caraka, the twenty second chapter entitled “trishna chikitsitam” not being available, annotated by Charaka and redacted by Dridhabala, is completed.[22]
Tattva:
=== ''Tattva Vimarsha'' ===
• Morbid thirst is caused by severe vitiation of pitta and vata dosha.
• Morbid thirst is caused by severe vitiation of pitta and vata dosha.
• Etiological factors for trishna are vitiated vata and pitta as both dosha have absorbent (shoshaka) property which damage the rasavaha and udakavaha srotas and manifest the symptom of constant craving for water.
• Etiological factors for trishna are vitiated vata and pitta as both dosha have absorbent (shoshaka) property which damage the rasavaha and udakavaha srotas and manifest the symptom of constant craving for water.
• The temperature of water plays key role in the management of trishna. Hot water, normal water and cold water shall be used after proper assessment of dosha dominant condition.
• The temperature of water plays key role in the management of trishna. Hot water, normal water and cold water shall be used after proper assessment of dosha dominant condition.
• Nourishment of all body elements (dhatu) depends on ahara rasa. Rasa is predominantly apya (dominated by water element) in nature. So, diminution of rasa dhatu ultimately leads to loss of water content in body and production of trishna.
• Nourishment of all body elements (dhatu) depends on ahara rasa. Rasa is predominantly apya (dominated by water element) in nature. So, diminution of rasa dhatu ultimately leads to loss of water content in body and production of trishna.
Vidhi vimarsha:
=== Vidhi Vimarsha ===
Differentiation between trishna and pipasa:
Differentiation between trishna and pipasa:
Trishna and pipasa are two commonly used terms. Trishna is pathological thirst while pipasa is physiological. Physiological thirst is relieved after adequate water intake, whereas, pathological thirst is not relieved even after repeated water intake. Both of them are due to vata and pitta dosha. In pipasa they are in balanced state while in trishna they are vitiated. Trishna is manifestation of decrease in saumya dhatu (body elements composed of predominantly water) in body rasa, rakta, lasika, kleda, medas, and urine. One common channel, udakavaha srotas regulates all the water content of the body. It is situated between palate, tongue and throat.
Trishna and pipasa are two commonly used terms. Trishna is pathological thirst while pipasa is physiological. Physiological thirst is relieved after adequate water intake, whereas, pathological thirst is not relieved even after repeated water intake. Both of them are due to vata and pitta dosha. In pipasa they are in balanced state while in trishna they are vitiated. Trishna is manifestation of decrease in saumya dhatu (body elements composed of predominantly water) in body rasa, rakta, lasika, kleda, medas, and urine. One common channel, udakavaha srotas regulates all the water content of the body. It is situated between palate, tongue and throat.