Changes

==== Complications of purification treatment ====

==== Complications of purification treatment ====

The 10 sets of ''vyapat'' are explained either as ''ayoga'' or ''atiyoga'', because ultimately drug can act broadly only in these contexts. Very intelligently ''acharya'' says, this can happen because of defect in ''preshya'' (attendant), ''bhaishajya'' (drug), ''vaidya'' (physician) and ''atura'' (patient). These are also the ''chatushpada'' mentioned in Ayurveda. (A.H.Su.1/27). In the above context, we can see the change in the order. The attendant comes in first, then drug, then the physician and then only the patient.  

The 10 sets of ''vyapat'' are explained either as ''ayoga'' or ''atiyoga'', because ultimately drug can act broadly only in these contexts. Very intelligently ''acharya'' says, this can happen because of defect in ''preshya'' (attendant), ''bhaishajya'' (drug), ''vaidya'' (physician) and ''atura'' (patient). These are also the ''chatushpada'' mentioned in [[Ayurveda]]. (A.H.Su.1/27). In the above context, we can see the change in the order. The attendant comes in first, then drug, then the physician and then only the patient.  

Probably the clinical observation of ''acharya'' might have lead him to this conclusion, but most of the time, it is the attendant who becomes responsible, because of ill-equipped expertise, then comes the drug. However, the position of ''rogi'' is the last one, because the ''vaidya'' must have the capability to correct even the ''rogi''. (Verse 29-30)

Probably the clinical observation of ''acharya'' might have lead him to this conclusion, but most of the time, it is the attendant who becomes responsible, because of ill-equipped expertise, then comes the drug. However, the position of ''rogi'' is the last one, because the ''vaidya'' must have the capability to correct even the ''rogi''. (Verse 29-30)

==== Significant concepts in the chapter ====

==== Significant concepts in the chapter ====

The ten ''vyapat adhmana, parikatika, parisraava, hrdayopasarana, anga graham, jeevaadaana, vibhramsha, sthambha, upadrava'' and ''klama'' are explained in a systematic manner. Each ''vyapat'' represent a cluster of signs and symptoms. However, every context begins with explaining the possible causative factors for the happening. On analyzing the various causes told for ''vyapat'', we can see the ''doshic'' status, the general quality of the ''sharira'' and the ''koshtha'', the status of ''agni'', the physiological state of the individual-all plays an important role. The treatments mentioned are also grouped. The physician may not see all the signs and symptoms for each as told in the text, but can infer from some of the presentation. It becomes the responsibility of the intelligent physician to select the appropriate ''karma'' for the treatment of the complication presented. The presentation of ''vyapat'' itself reveals the clinical skill of Charak to observe the minute presentation in the body. Each complication is self-explanatory as mentioned in the text. However, in the present day practice, how much a modern day Ayurveda physician encounters these complications is an issue to be discussed about. Whether the lack of quality of the ''shodhana'' performed, change in practical standards, problem at all four levels of the ''chatushpada'' could be the cause.(Verse 58-90)

The ten ''vyapat adhmana, parikatika, parisraava, hrdayopasarana, anga graham, jeevaadaana, vibhramsha, sthambha, upadrava'' and ''klama'' are explained in a systematic manner. Each ''vyapat'' represent a cluster of signs and symptoms. However, every context begins with explaining the possible causative factors for the happening. On analyzing the various causes told for ''vyapat'', we can see the ''doshic'' status, the general quality of the ''sharira'' and the ''koshtha'', the status of ''agni'', the physiological state of the individual-all plays an important role. The treatments mentioned are also grouped. The physician may not see all the signs and symptoms for each as told in the text, but can infer from some of the presentation. It becomes the responsibility of the intelligent physician to select the appropriate ''karma'' for the treatment of the complication presented. The presentation of ''vyapat'' itself reveals the clinical skill of Charak to observe the minute presentation in the body. Each complication is self-explanatory as mentioned in the text. However, in the present day practice, how much a modern day [[Ayurveda]] physician encounters these complications is an issue to be discussed about. Whether the lack of quality of the ''shodhana'' performed, change in practical standards, problem at all four levels of the ''chatushpada'' could be the cause.(Verse 58-90)

The chapter ends by reinforcing the idea of a knowledgeable physician who knows, where, when, how to apply ''shodhana'' therapy accurately and thus avoid complications.

The chapter ends by reinforcing the idea of a knowledgeable physician who knows, where, when, how to apply ''shodhana'' therapy accurately and thus avoid complications.