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Prakriti: Health
Physical Body
Subtle Body
Dosha, Dhatu, Mala Sattva, Rajas, Tamas
Prakriti: Health
Prakriti: Health
Agni
Digests food
Prakriti: Health
Rogaha Sarvepi Mandegnou
Disease occurs due to Manda (weak) Agni.
As long as Agni is strong, there is no aggravation of the Doshas and
there is no disease. When Agni is weak, it doesn't digest food well.
Undigested, uncooked product is called Ama. The first symptom of
Ama is heaviness and discomfort. Ama gets absorbed from the
stomach and is circulated in the whole body by Vyana Vayu. If
Dhatu Agni is strong it burns Ama but if it is weak, Ama moves into
the following Dhatu chain, creating Ama in all Dhatu layers causing
many chronic problems. So, strong Agni is essential for health.
Vikriti: Disease
Rogastu Dosha Vaishamyam
Vikriti: Disease
Rogastu Dosha Vaishamyam
Dosha imbalance is disease.
Vikriti: Disease
Two Types of Dosha Imbalance
Each is Quantitative (Dravya), Qualitative
(Guna) or of Action (Karma)
1. Aggravation
For Example
Distension: Quantitative aggravation of Vata
Tremors: Qualitative aggravation, Mobile
Insomnia: Due to aggravation of action of Vata
2. Depletion
Vikriti: Disease
Principles of Disease
1.
2.
3.
4.
Vikriti: Disease
Vikaro Dhatu Vaishamyam
Dhatu Imbalance is Disease
Parinama
Kalabuddhiindryarthanam
Yogo Mithya na cha ati cha
Dvayashrayanam vyadhinam
trividho hetusangradah
Vikriti: Disease
Pradnya Aparadha
Mistaken Intellect; A Crime Against Wisdom
Buddhi
Attachment
Detachment
Desire
No desire
Anger
Calmness
Delusion
Destruction
Tranquility
Moksha (Liberation)
Vikriti: Disease
Asatmya Indriyartha Samyoga
Improper Use of the Senses
Vikriti: Disease
Parinama
The Effects of Time, Seasons, Life Cycles on the Body
For Example
Vikriti: Disease
In the disease process, the Doshas
aggravate and the Dhatus are
depleted (most of the time), so
many diseases show signs of Dosha
Vriddhi and Dhatu Kshaya.
Occasionally we see Vriddhi in the
Dhatus that is predominantly sitespecific.
Anger, irritability.
Bleeding, inflammation.
Excessive exercise
Excessive fasting (e.g. anorexia, bulimia)
Worry
Grief
Excess heat
Insomnia
Excess diarrhea
Excessive diuretics
Blockage
Weak Agni
Rasa
Rakta
Mamsa
Kshaya
Vriddhi
Nausea, excess salivation, lymphatic
Thirst, Palpitation, low blood pressure, Tachycardia (increased
congestion, lack of taste sensation, anorexia,
heartbeat), tightness in chest, pain in the chest, numbness in the
lethargy, swelling, anemia, candida, yeast
chest, fatigue, weakness, tiredness, aversion to loud noise, dry skin
infections, Leucorrhoea, cystic ovaries
The main function of Rasa is Dhatu nourishment. The main location is the heart, so many symptoms are related to
heart and chest.
Infections, inflammations, increased redness
Dizziness, fainting, weakness, breathlessness, darkness in front
in the body, Jaundice, enlarged liver and
eyes, hands and feet get cold, desire for sour taste, numbness,
spleen (increased RBCs), bleeding through
paresis, paralysis, thirst, burning, pale skin, death
nose, intestine, increased hemoglobin in
blood
Tumors, myomas, enlarged glands, muscle
Loss of muscles on the body, weakness, sunken cheeks, emaciation,
growth, polyps, tonsillitis, dizziness,
dry skin (Upadhatu of Mamsa), weak joints, wasting of body
insecurity, fear
Kshaya
Vriddhi
Meda
Asthi
Weak & brittle bones, hair loss, weak nails, teeth, gum and joints,
lack of stamina and fractures
Majja
Menorrhegia, Endometriosis
Shukra
Artava
Kshaya
Vriddhi
Mutra
Purisha
Sweda
Nidan Panchak
Before treatment, the disease must be diagnosed properly. Without
proper diagnose, you cant treat a disease. In Ayurveda it is done by
Nidan Panchak
Why is Nidan Important?
Nidan Panchak
Why is Nidan Important? (Contd)
The first step of treatment
Parivarjana: Avoiding the cause.
is
Nidan
Nidan Panchak
Poorvaroop: The Warning Signs of Disease
The prodromal, or warning signs. If these warning signs are paid attention to and
measures taken, further symptoms may be prevented and the disease process
halted.
Purvaroopas are important in disease diagnosis. Purvaroopas are experienced at the
beginning stage of localization.
Nidan may aggravate the Doshas, but depending on where they localize (Srotas), the
diseases vary. Aggravated Kapha (in stomach - rasa) may cause fever, but (in Asthi)
may cause swollen painful joints. So these signs indicate the site of the disease.
If you take measures at this stage, the disease process may be halted.
Nidan Panchak
Roop: The Cardinal Signs of Disease
These signs are described in the Ayurvedic texts.
Unless specific signs are present, the disease diagnosis is not complete.
Because of this, identifying the Roop of each disease is important.
For Example
Body aches may be a Purvaroop, but increased temperature is the Roop of
fever.
Nidan Panchak
Upashaya: The Solution
Anything that helps to eradicate the disease
is called Upashaya. It may a food, liquid,
herb, time of the day or particular geographic
area. Fasting, drinking warm water in fever is
Upashaya. Upashaya is useful especially in
diseases where the signs are common in two
diseases or in some cases if the signs are not
clear, Upashaya helps to diagnose the disease
correctly - e.g. swelling of the joints may be
due to Amavata or Sandhivata. Trikatu may
help in Amavata but not in Sandhivata.
Nidan Panchak
Samprapti: The Disease Process
Samprapti is a disease process. Unless the
involvement of particular Doshas, Dhatus, Srotas,
etc. is clearly understood, we will not know the
stage-by-stage development of the disease and it
will be difficult to diagnose the disease properly.
So, Samprapti is very important.
Nidan Panchak
Samprapti: Stages
Due to various causes, a particular Dosha begins to
accumulate in its original location. If these various causes
continues and due measures not taken, the accumulation will
rise to a stage called Aggravation. At this stage the Dosha
continues to rise and overflow and begins spreading. At this
stage, called Localization, it finds a weak Dhatu in which to
reside. Once it sets into this new location, it reacts with the
weak Dhatu and begins manifesting its qualities. This stage is
called Manifestation. After some time, it begins to
differentiate. This further stage is called Differentiation.
For
the
right
disease
diagnosis, the knowledge of
Nidan Panchak is essential.
Nidan Panchak
Sample Case: Fever
Nidan
Purvaroop
Roop
Upashaya
Samprapti
States of Disease
When there is Agni Mandya (weak Agni), Ama is produced.
States of Disease
General Signs of Saama Vyadhis
Lethargy
Heaviness
Tiredness
Lack of taste
Aversion to food
States of Disease
Vikriti: Types
Sharirik
Manasic
Agantu
Nija
Sukhasadhya
Kashtasadhya
Yapya
Asadhya
Samanyaja
Nanatmaja
Physical
Mental
Due To Injuries
Due To Internal Imbalance
Easily Cured
Cured With Difficulty
Non Curable, Symptoms Can Be Relieved
Non Curable
Two Or More Doshas Are Involved In Samprapti
Only One Dosha Involved In Disease Process
Kayachikitsa
Kaya
Body
Chikitsa
Preventing disease, removing the disease
producing cause or removing or destroying the
disease.
The process by which the imbalance of Vata-PittaKapha and Rajas-Tama is removed and balance
between the Dosha, Dhatus and Malas is achieved is
called Chikitsa.
1. Shodhana
External: Surgery , Agnikarma (Cauterization), Poultices
2. Shamana
3. Diet
4. Lifestyle
4. Mind-Body Connection
6.
Diet Modification
Rasayana Treatment
In chronic diseases, the Dhatus become weak which
might cause the recurrence of disease. In these
circumstances Rasayana treatment is given to
strengthen Dhatus and increase immunity. It is also
called as Apunrbhava Chikitsa.
e.g. In case of asthma, Vardhaman Pippali Rasayana is
given.
8.
Vajikarana Treatment
Is used to increase Shukra Dhatu and to improve the
quality of progeny. In some diseases the imbalance
affects, vitiates or reduces Ojas.
e.g. AIDs or various types of Cancers. In such cases Ojas is
increased by Sattvic diet.
Spring, fall season, dust or pollens, cold foods, prolonged stay in cold environment, sleeping
during the day
Purvaroopa
Roopa
Itchy and runny nose, redness of eyes, mucus and congestion, mild fever, cough
Due to Nidan, Kapha or Vata aggravates (Kapha: Heavy, Oily, sticky qualities) (Vata: Cold,
mobile qualities) and causes all the symptoms.
Samprapti
Chikitsa
Anaha: Constipation
Anaha is constipation: The absence of bowel
movements and/or sluggish or hard stools.
The number of bowel movements depends on
the constitution, type of diet and the general
activity of the person. Ideally, one should have
at least one bowel movement in day and the
stools should float on the water. If the stools
sink, are sticky, or have a foul smell, this
indicates the presence of Ama or toxins in the
colon.
Another meaning of Anaha is blockage of undigested food
in the Amashaya. Sticky, heavy Ama may physically block
the sphincter (the opening between the stomach and the
small intestine) and food cant pass in the small intestine.
Anaha: Constipation
Amanaha (due to Ama), Purishanaha (due to accumulation of feces).
Types
Nidan
Purvaroopa
Roopa
Samprapti
Eating Vata aggravating (cold, dry) foods, resisting urges, medicines, not exercising, eating
processed foods , eating less fiber, not drinking enough water , vata aggravating lifestyle,
weak peristalsis, obstruction in the intestine, excessive use of laxatives, coffee, soft drinks,
smoking, worry
Heaviness, pain in the abdomen, indigestion.
Constipation, distension, restlessness, gurgling sounds in the stomach, pain (mild to severe)
in the abdomen, back ache and stiffness, difficulty breathing, fainting, nausea, vomiting,
coating of tongue.
In Stomach: Due to Ama, food gets blocked in the stomach stays undigested produces gas,
and distension - causes severe pain.
In Colon: Due to Vata aggravation (dry quality) feces becomes hard block colon causes
more gas and distension severe pain in lower abdomen.
Anaha: Constipation
Chikitsa
Diet
Lifestyle
Shodhana: Snehana, Swedana, Anuvasan Basti, Niruha Basti (decoction of bala, fennel, and
cardamom with sesame oil and honey), Suppository (Guda-varti), Virechana
Herbs: Haritaki, Bibhitaki, Amalaki, Nishottar, Castor oil, Aloe, Ginger, asafetida, pippali,
black salt, flaxseed, psyllium husk, Hingwashtak Churna, Lavana Bhaskar Churna, Sukhasarak
Churna
Formulas: Trilax, Aloemin, Easylax
Warm, light foods, cooked foods, (Mung dal, rice); Add more (sesame) oil and spices in the
food; Limes, raisins, prunes; Warm water
Do not resist urges; Do Abhyanga; Exercise every day; Reduce Vata aggravating life (Flying
often, too much traveling, too much running around, cold environment); Eat at the right
times; Eat three meals; Drink plain water in the morning.
Tip: Ayurveda has advised to drink water from copper vessel. Ask the patient to fill up
copper vessel with fresh water at his bedside, and drink the same in the early morning, as
much as he can. This sets a gastrointestinal colic reflex, which in turn helps the bowels to
clean. This will have no immediate effects, but after 3 to 4 weeks the bowels should start
functioning properly.
Nidan
Overeating; eating before previous food is digested; eating ignoring indigestion; eating heavy, dense, gas producing food;
eating uncooked or half cooked food; eating excessively sweet, sour and salty food; sleeping after meals; drinking lot of
water during meal; resisting the urges; worry, anxiety, fear.
Purvaroopa
Roopa
Chikitsa
Chikitsa
Depending
on Certain
Conditions
Diet
Lifestyle
Vataja Agnimandya
Basti; Use of various salts (rock salt, sea salt, black salt, etc). Salts retain water in the body e.g. Lavanbhaskar Churna, Hingwashtak
Churna. Salt-treated ghee is also useful.
Pittaja Agnimandya
Virechana; Panchatikta ghee, Neem, Guduchi, Musta, Vacha
Kaphaja Agnimandya
Vamana; Heating herbs with pungent, sour, salty taste are used. e.g. Ginger, black pepper, ajwan, cloves, chitrak, pippali; Digestine,
B-lite
Light foods, rice, mung, ginger, garlic, pomegranate, limes, salt, cumin seeds, coriander seeds, buttermilk
Regular exercise kindles Agni, lightens body, burns fat; Eat only when feels hungry; Eat in moderation; Drink warm water.