Ayurvedic Way of Diagnosis

Ayurvedic Way of Diagnosis

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‘Roga- Vinishchaya’ (Ayurvedic Way of Diagnosis):
(For reference of, Ayurvedic Physicians/Vaidhyas only)According to Ayurveda, diagnosis of a disease is based on three pillars.Vaidhya (An Ayurvedic physician) has to examine all these parameters before reach to a confirm diagnosis. These are, 1)   Prakriti, 2)   Adhishthana and 3)   Samuththaana

1) Prakriti:Purush prakriti:a)   Aakriti: Sama, Upachita, Apachitab)   Vaya: Baala (0-16yrs.), Yuva (17-30yrs.), Madhya (31-70yrs.), Vridhdha (above 70yrs.)c)   Varna: Sweta, Gaura, Krishna, etc. Prakrit & Vikrit Varna (Charak Samhita Ind. Ch. 1)d)   Satwa: Pravara, Madhyama, Alpae)   Satmya: Aaahar- Shakahar/ Maamsaahar/ Falaahar/(Oka-satmya)f)    Kshudha: Adhika/ Madhyama/ Samyaka/ Alpag)   Mala-pravriti:
Quantity – D/N; Quality- Drava, Alpa drava, Ghana, Ruksha, Snighdha and Pichchhila. (Samyaka- Asamyaka)h)   Mutra-pravriti: Quantity – D/N; Varna- Shwetabha, Pitaabha etc. (Samyaka- Asamyaka)i)    Nidra: Anidra/ Alpa nidra/ Nidradhikyata/ Bahu-swapna nidra/ Tandra/ Samyaka nidra (Physiological sleep)j)    Aartava Pravriti: Quantity, Quality & Associated Symptoms, i.e; Maasaat, Panch ratranubandhi, Na Daha, Na Arti, Na Bahu, Na Ati-alpa.Varna- Laksha rasopamam, Sasaasrika, Gunja-phala sadrish, Padmavat, Alakta sannibham.Vyadhi prakriti:a)   Vyadhi pratyatma lakshana:For example, Jwar- Santapa, Gulma- Granthi, Prameha- Aavilamutrata, Bahumutratab)   Saamata: Symptoms like… Srotorodha, Bala bhamsha, Gaurava, Anil mudhataa, Aalasya, Apakti, Nishthiva, Mal sangha, Aruchi, Klamaac)   Agni:Jatharagni: (Check on the base of digestion of food)Sama/ Vishama/ Tikshna/ MandaSymptoms of Jirna-anna:Udagaar shudhdhi, Utsaaha, Yathochita vegotsarga, Laghuta, Kshudha, PipaasaaDhatvaagni: (Check on the base of digestion of Dosh/ Dosh Paripakvata & the normal functions/ Prakrit Karma of the Dhatus)Dosh: Saam/ Niraam avashthaVata: Saam/ Niraam; Pitta: Saam/ Niraam; Kafa: Saam/ NiraamDhatu:Rasa: Prinana karma; Rakta: Jivana karma; Maamsa: Lepana karma; Meda: Snehana karma; Asthi: Dhaaran karma; Majja: Purana karma; Shukra: Garbhotpaadana.Mahaabhutaagni: (Check on the base of digestion of Malas/ Mala Paripakvata)Purish: Saam/ Niraam; Mutra: Saam/ Niraam; Sweda: Saam/ Niraamd)  Vyaadhi kaala: (Kaala Vishesha)Vyaadhi Vridhdhi –hras kaalaAhoraatra-anusaara-Dina-      Praatah (mornining); Madhyaah (afternoon); Saayam (evening)Raatri-    Night; Midnight; Late nightRhitu-anusaara-Hemanta (early winter); Shishhira (late winter); Vasanta (spring); Grishma (summer); Varsha (rainy season/ monsoon); Sharada (autumn)e)   Vyaadhi desha: Jaangal/ Aanup/ Saadhaaranf)    Vyaadhi bala: (Alpa lakshan pradhaan, Madhyam lakshan pradhaan, Purna lakshan pradhaan)Nidana purnata- alpa/ madhyam/ purnaPurva rupa purnata- alpa/ madhyam/ purnaRupa purnata- alpa/ madhyam/ purnaDosha- dushya prakriti:a)   Dosha Sthiti:Vata (Kriya sthiti)- Stransa, Vyaasa, Vyadha, Saad, Ruka, Toda etc.Pitta (Ushma sthiti)- Trishna, Daaha, Ushnataa, Paaka etc.Kafa (Rachanaa sthiti)- Guruta, Mukh pichchhilata etc.b)   Dushya Sthiti:Rasa- Angamarda, jwara, tandra etc.Rakta- Kushtha, visarpa etc.Maamsa- Adhimaamsa, arbuda etc.Meda- Granthi, vridhdhi etc.Asthi- Adhyasthi, adhidanta etc.Majjaa- Parva vedanaa, murchha, bhrama etc.Shukra- Klibata, aharshana etc.

2) Adhisthana:Dosh: Sarva deha vyapitwe api yo yasminnadhikyena vartate tattasya sthanam.Samanya Sthana-Vata- Pakwaadhaan; Pitta- Naabhi; Kafa- AamaashayVishesh Sthana-Vata- (Praana, Udaana, Vyaana, Samaana, Apaana)Pakwashaya, Kati, Sakthi, Shrotra, Asthi, Sparshanendriya.Pitta- (Paachaka, Ranjaka, Saadhaka, Aalochaka, Bhrajaka)Naabhi, Aamaashaya, Sweda, Lasika, Rudhira, Rasa, Netra, Tvachaa.Kafa/Shleshma- (Avalambak, Bodhak, Shleshaka, Tarpaka, Kledaka)Ura, Kantha, Shira, Kloma, Parva, Aamaashaya, Rasa, Meda, Grana, Jihwa.Dushya:Srotasa–> Srotomula–> Agni anubandhaPraanavaha–>   Hridaya, Mahaasrotasa–>  Jatharagni anubandhaUdakavaha–>  Taalu, Kloma–>  Jatharagni anubandhaAnnavaha–>  Aamaashaya, Vaam-paarshwa–>  Jatharagni anubandhaRasavaha–>  Hridaya, Dasha Dhamani–>  Dhatwagni anubandhaRaktavaha–>  Yakrit, Pleeha–>  Dhatwagni anubandhaMaamsavaha–>  Snaayu, Tvachaa–> Dhatwagni anubandhaMedovaha–>  Vrikka, Vapaavahana–>  Dhatwagni anubandhaAsthivaha–>   Meda, Janghaa–>  Dhatwagni anubandhaMajjavaha–>  Asthi, Sandhi–>  Dhatwagni anubandhaShukravaha–>  Vrishana, Shefa–>  Dhatwagni anubandhaPurishavaha–>Pakwaashaya, Sthula guda–>Mahabhutagni anubandhaMutravaha–>  Basti, Vankshan–>  Mahabhutagni anubandhaSwedavaha–>  Meda, Romakupa–>  Mahabhutagni anubandha

3) Samuththaana:Sampraapti vighatak tatva-1) Samkhya,2) Vikalpa,3) Praadhanya,4) Vyaadhi (Bala vishesha)-a)   Nidaana purnata, b)   Purvarupa purnata, c)   Rupa purnataA)   Alpa lakshana pradhaana, B)   Madhyama lakshana pradhaana, C)  Purna lakshana pradhaana5) Vyaadhi (Kaala vishesha)- Vyaadhi Vridhdhi hras kala- (Ahoratra anusaara, Rhitu anusaara)

Importance of Diagnosis in Ayurveda

Importance of Diagnosis in Ayurveda

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Importance of Diagnosis according to Ayurveda:

रोगमादौ परीक्षेत ततोनन्तरं औषधं ।ततः कर्म भिषक पश्चात ज्ञानपूर्वं समाचरेत ।।यस्तुरोगं अविज्ञाय कर्मान्यरभते  भिषक।अपि औषधविधानज्ञः तस्य सिद्धि यद्रच्छया  ।।यस्तु रोगविशेषज्ञः सर्वभैषज्यकोविदः।देशकालप्रमाणज्ञः तस्य सिद्धिरसंशयं ।।(Ref : Charak Samhita Ch.20/20,21,22)Means, A Physician should first of all diagnose the disease and then he should select proper medicine. Thereafter, he should administer the therapy applying the knowledge of science of medicine.The Physician who initiates treatment without proper diagnosis of the disease can accomplish the desired object only by chance, even he is well-acquainted with knowledge of medicine does not necessarily guarantee of his success.On the other hand, the physician who is well-versed in diagnosing diseases, who is proficient in the administration of medicines, who is proficient in the administration of medicines and who knows about the dosage of the therapy that varies from place to place and season to season, is sure to accomplish the desired object.

Diagnostic Methods in Ayurveda:Before go to the Ayurvedic treatment, one should confirm the diagnosis of his/her illness.It is divided in two parts as given below,1) Rog Pariksha ( Examination of a disease)2) Rogi Pariksha ( Examination of a patient)The Rog Pariksha (Examination of a disease) further subdivided into five categories.1)   Nidana (aetiology):The causative factors of a disease can called as Nidana/Aetiological factors2)   Purva-rupa (the premonitory symptoms):Symptoms which manifest themselves before the appearance of the disease3)   Rupa (the sympotoms of a disease):Symptoms when fully manifested are called as Rupa.4)   Upashaya/Anupshaya (factors which can aggravate/suppress the disease):Such medicines, diets and regimen as bring about happiness either by acting directly against the cause of a disease and/or disease itself or by producing such effects indirectly are called Upashaya and its opposite can called Anupashaya( the alleviating factors)5)   Samprapti ( pathogenesis):The pathogenesis or manifestation of a disease with the help of causative factors can call as Samprapti. It is further classified depending upon certain specific characteristics such as; the number of the types of a disease, the dominance factors, the varieties of a disease, the time of manifestation or aggravation of a disease etc.On the basis of these factors, the physician with piece of mind and unimpaired intellect should understand the disease properly.

The Rogi Pariksha (Examination of a patient) has subdivided in Tri-fold, Six-fold, Eight-fold or Ten-fold examinations by the views of different Maharshis (Spiritual Scientists).The Tri-fold examination of a patient has given by Maharshi Vagbhata (the author of text book of Ashtanghridayam). According to Vagbhata, the physician should examine the patient by Darshan(inspection), Sparshan(palpation) & by Prashna(history taking).The Six-fold examination of a patient has given by Maharshi Sushruta (author of text book of surgery /sushruta samhita) in which he described to examine the five causal body elements (Panch Mahabhoota) of a patient and asked for history taking.The Eight-fold examination of a patient has given by Yogratnakara, in which he asked to examining the patient by; Nadi( Pulse), Mutra( Urine), Malam( Stool), Jihwa( Tongue), Shabdam( Voice), Sparsham( Palpation), Dak (Eye) & Akriti( Physical constitution of body) to get on quick diagnosis of a OPD base patient.The Ten-fold examination of a patient has given by Maharshi Charak (author of text book of medicine/ charak samhita), in which he asked to check for Prakriti (Body type/ Body constitution), Vikriti (illness), Sara, Samhanan, Satva, Satmya, Aaharshakti (Food intake), Vyayam-shakti( Physical fitness ), Vaya (Age) & Pramana( The quantitative majors) for examining a patient.

Diet and daily routine regime as per Ayurveda

Diet Plan

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One should follow the ‘Ayurvedic Diet Plan‘ given below in his/her routine life-style for maintain good health and equilibrium of body tissues.

vegetables  Pointed gourd (Parwal)  Bitter gourd (Karela)  Momordica dioica (Kankoda)  Bottle gourd (Dudhi/ Lauki)  Snake gourd (Galaka)  Ridge gourd (Turiya)  Drumstick (Sargava)  Spinach leaves (Dhaniya)  Prickly Amaranth (Tandalaja)  Coriander leaves (Dhaniya)  Fenugreek leaves (Methi)  Garlic (Lahsun)  Soft Radish (Mooli)  Carrot (Gaajar)  Soft Cucumber (Kakadi) :Non-veg:  Non veg Meat of goat Meat of deer Chicken Meat of animals dwelling in arid climate :Grains/Cereals: Grains/Cereals Whole/Course wheat flour Whole barley flour Whole maize flour Semolina (whole) Bread (made from whole wheat) Rice (harvested in 60 days) Rice flakes Popcorn Popped Jowar Puffed Rice :Beans: Beans  Moong beans Khichadi (Indian Snacks made from Moong Dal and Rice) Moong Dal Moth beans Red Lentils (whole) Tuvar beans Chikpeas (brown) (All type of beans has to be fried in Cow’s Ghee) :Edible Oils, Ghee (clarified butter), Milk & other Dairy Products: Dairy products  Sesame Oil (black/white) Mustard Oil Coconut Oil Sunflower Oil Cow’s Ghee (clarified butter made from cow’s milk) Butter (Good Quality Butter) Cow Milk Goat Milk Fresh Buttermilk :Fruits: Fruits  Pomegranate Grapes Gooseberry Sugarcane juice Coconut water Dates Ripe Sweet Mangoes Sweet melon All the seasonal fruits (for healthy one) : Dry Fruits: Dry fruits  Figs Dry black grapes Cashew nuts Almonds :Salt/Honey: Salt and Honey  Rock Salt Honey : Drinking Water: Drinking water  Luke warm water :Spices: Spices  Fennel Black pepper Cardamom Cinnamom Clove Coriander Cumin seeds Aniseeds Fenugreek seeds Ginger powder/ slices/ whole Nutmeg Turmeric powder Red chilli powder/ whole : Daily Habits: Daily habits  Get up early in the morning Take light walk OR Do light exerciseOR Do aerobics  to warm up your body Take sufficient water (around half to one glass of water) after having lunch/dinner. Make concentration during having food Keep distance of at least 3 hours between meal & sleep and even between two meals (B’coz stomach needs sufficient time to digest the previous food, and make it separate in blood and waste) Be polite and calm. Keep faith in God. Do not take more stress. Make company with good friends. Always keep positive thinking. Always try to help others. Avoid Day Sleep (Wake up late in the morning hours and even sleep during afternoon hours except feeling tired or in hot climate). Avoid sleeping in late night. Remember: (Early to bed and early to rise, That is the way to be healthy and wise) One must avoid all the extra activities during having meal (do not talk or look around like watching television, reading newspapers etc.) Do not drink much water after having meal Do not sleep immediately after having meal Avoid anger, tension, worries, lust etc. Do not think negatively. Do not be selfish