Introduction:
Charakaachaarya has mentioned that Physician who understand various conditions of Dosha i.e. Kshaya, Vriddhi, Samatva and Aavaran`a will never get failure in treatment. Physician should treat the patient after considering Des`ha, Saatmya, Bala and Rutu.
Dosha Chaya
Saamaanya Chikitsaa: S`hamana
Vis`hesha Chikitsaa:
o Kapha Chaya: Kaphaghna
o Vaata Chaya: Vaataghna
o Pitta Chaya: Pittaghna
(Treat respective Dosha Vriddhi according to guidelines mentioned in Dosha Prakopa.)
Dosha Prakopa:
Saamaanya Chikitsaa:
o Bahu Dosha: S`hodhana
o Madhyama Dosha: Langhana, Paachana
o Alpa Dosha: S`hamana
Vis`hesha Chikitsaa:
Vaata Prakopa:
Chikitsaa Karma: Snehana (Aabhyantara & Baahya), Svedana, Mridu Sams`hdhana, Parisheka, Basti (Snigdha & Ushn`a), Abhyanga, Mardana, Anuvaasana Basti (Maamsarasa Siddha Taila, Deepana & Paachana Dravya Siddha Tila Taila, Priyaala Taila, Atasee Taila, Goghrita etc.)
Aahaara: Paisht`ika Madya, Gaud`ika Madya, Madhura, Amla, Lavan`a Rasapradhaana Aahaara, Ushn`a Aahaara
Vihaara: Vesht`ana, Traasana
Pitta Prakopa:
Chikitsaa Karma: Ghrita Paana, Virechana (Madhura & S`heeta Dravya), Lepa (Karpoora, Chandana, Ushira)
Vihaara: Gandha Sevana (Sugandhi, S`heeta & Hridya), S`heeta Vaata Sevana,
Aahaara: Madhura, Tikta, Kashaaya Rasapradhaana Aahaara & Aushadha, Dugdha, Ghrita
Kapha Prakopa:
Chikitsaa Karma: Teekshn`a Vamana, Teekshn`a Rechana, Dhooma, Gan`d`usha
Aahaara: Rooksha, Alpa, Teekshn`a, Ushn`a, Kat`u, Tikta, Kashaaya Aahaara, Puraan`a Madya, Yoosha, Madhu
Vihaara: Jaagaran`a, Vyaayaama, Chintaa, Rati Preeti, Upavaasa, Rooksha Vimardana (Rooksha)
Dosha Kshaya:
Saamaanya Chikitsaa: Doshavardhaka Aahaara Vihaara
Vis`hesha Chikitsaa:
o Kapha Kshaya: Kaphavardhaka Aahaara Vihaara
o Pitta Kshaya: Pittavardhaka Aahaara Vihaara
o Vaata Kshaya: Vaatavardhaka Aahaara Vihaara
Aavrita Vaata Chikitsaa
General Guidelines for treatment of Aavrita Vaata:
o Physician should give first preference to treatment of Balavaana Dosha. In case of Anubandha of Pitta & Kapha, physician should treat Pitta first because it is more Aas`hukaaree than Kapha.
o Physician should consider seat, type and function of Vaata, Aavaran`a and then use treatment modalities like Abhyanga, Snehapaana, Basti etc.
o Physician should give importance to the treatment of Aavaran`a of Praan`a and Udaana because life and strength of patient is depend upon Praan`a andUdaana Vaayu.
Saamaanya Chikitsaa:
o Abhyanga, Snehapaana, Basti, Yaapana Basti, Anuvaasana Basti
o Vyatyaasaata Ushn`a and Anushn`a Chikitsaa
o Anabhishyandi, Snigdha, Sroto S`huddhikara, Kapha Pitta Avirodhi, Vaataanulomaka, Sransana (considering patients strength); Rasaayana (S`hilaajit, Dugdha, Guggula, Chyavanapraas`ha, Braahma Rasaayana etc.)
Udaana: Vamana
Apaana: Anulomana
Samaana: S`hamana
Vyaana: Vamana, Anulomana, S`hamana
Praan`a: Physician should give more importance to treatment of Praan`a Vaayu as compare to other types of Vaata.
Vis`hesha Chikitsaa:
o Annaavrita Vaata: Vamana, Paachana, Deepana, Laghu Aahaara
o Apaanaavrita Udaana: Deepana, Graahi, Vaataanulomaka, Pakvaas`haya Vis`hodhaka, Vamana.
o Apaanaavrita Vyaana:
- Deepana, Graahi, Vaataanulomaka, Pakvaas`haya Vis`hodhaka
- S`hukra Atipravritti: S`hukrastambhakai
- Mootra Atipravritti: Mootrasangraahi
- Pureesha Atipravritti: Pureeshasabgraahi
- Kaphaavrita Apaana: Similar to Kaphaavrit Vaata
- Kaphaavrita Praan`a: Similar to Kaphaavrit Vaata
- Kaphavrita Samaana: Similar to Kaphaavrit Vaata
- Kaphavrita Udaana: Similar to Kaphaavrit Vaata
- Kaphavrita Vaata:
Kaphaghna and Vaata Anulomaka
Aahaara: Yava, Jaangala Maamsa
Teekshn`a Svedana, Nirooha Basti, Vamana, Virechana
Puraan`a Ghrita, Teela Taila, Sarshapa Taila
- Kaphaavrita Vyaana: Similar to Kaphaavrit Vaata
- Maamsaavrita Vaata: Svedana, Abhyanga, Maamsa Rasa, Dugdha, Ghrita
- Mootraavrita Vaata: Mootrala Dravya, Svedana, Uttara Basti
- Pittaavrita Vaata:
Pittaghna and Vaata Avirodhi
S`heeta Ushn`a Vyatyaasaat Chikitsaa
Jeevaneeya Ghrita
Aahaara: Jaangala Maamsa, Yava, S`haalee, Siddha Dugdha
Yaapana Basti, Kseera Basti, Virechana, Avasechana by Ghrita or Siddha Dugdha or Jala
- Pittaavrita Apaana: Similar to Pittaavrita Vaata
- Pittaavrita Praan`a: Similar to Pittaavrita Vaata
- Pittaavrita Samaana: Similar to Pittaavrita Vaata
- Pittaavrita Udaana: Similar to Pittaavrita Vaata
- Pittaavrita Vyaana: Similar to Pittaavrita Vaata
- Praan`aavrita Samaana: Vamana, Virechana, Nasya, Basti, Yaapana Basti
- Praan`aavrita Udaana: Snehapaana, Nasya, Aas`hvaasana
- Pureeshaavrita Vaata: Eran`d`a Taila, Snehana, Similar to Udaavarta
- Raktaavrita Vaata: Similar to Vaatarakta
- Samaanaavrita Apaana: Deepana, Ghritapaana
- Samaanaavrita Vyaana: Vyaayaama, Laghu Aahaara
- S`hukragata Vaata:
Harshan`a + Balavardhaka Aahaara + S`hukravardhaka Aahaara.
S`hukraavarodha: Virechana: Peyaa, Vilepee etc. Sansarjana Krama : Jaat`haraagni Deepana: S`hukravardhaka Chikitsaa.
- Udaanaavrita Apaana: Basti, Anulomaka Aahaara
- Udaanaavrita Praan`a: S`heeta Jala Sechana, Aas`hvaasana
- Udaanaavrita Vyaana: Laghu and Pathyakara Aahaara
- Vyaanaavrita Apaana: Snigdha Anulomana
- Vyaanaavrita Praan`a: Sasneha Virechana
Gatatva Chikitsaa
Gatatva, generally is a state of Vaata where it is lodged in specific site or Dhaatu. Thus management of Gatatva includes treatment of Vaata also according to organ or Dhaatu.
Asthigata Vaata: Baahya Snehana, Aabhyantara Snehapaana, Mahaasneha
Asthisthita Dosha: As per Dosha Dushya
Bastisthita Dosha: As per Dosha Dushya
Gudagata Vaata: Similar Chikitsaa: Udaavarta
Gudasthit Dosha: As per Dosha Dushya
Kosht`hagata Vaata: Mala Paachanaartha : Kshaara, Paachana, Deepana & Amla Padaartha.
Majjaagata Vaata: Baahya Snehana & Aabhyantara Snehapaana
Maamsagata Vaata: Virechana + Nirooha Basti + Vaataghna Chikitsaa
Med`hragata Dosha: As per Dosha Dushya
Medogata Vaata: Virechana + Nirooha Basti + Vaataghna Chikitsaa
Medosthita Dosha: As per Dosha Dushya
Paadasthita Dosha: As per Dosha Dushya
Pakvaashayagata Vaata: Similar Chikitsaa : Udaavarta
Raktagata Vaata: Virechana + Raktamokshan`a
Saama Dosha: Aama Paachana, Deepana
S`hukragata Vaata:
o Harshan`a + Balavardhaka Aahaara + S`hukravardhaka Aahaara.
o S`hukraavarodha : Virechana: Peyaa, Vilepee etc. Sansarjana Krama : Jaat`haraagni Deepana: S`hukravardhaka Chikitsaa.
Tvaggata Vaata: Abhyanga, Svedana, Avagaaha
Sannipaata Chikitsaa
Sannipaata is state of vitiated all three Dosha. Based on comparative elevation of each Dosha, they are classified into following subtypes. Treatment should aim at balance of Tridosha. It is achieved by increasing Ksheen`a Dosha and alleviating Vriddha Dosha.
- Vaatakaphaksheena Pittavriddha: VaataKaphavardhaka+ Pittaghna
- Vaatakaphavriddha Pittaksheen`a: VaataKaphaghna+ Pittavardhaka
- Vaatakaphavriddha Pittasama: VaataKaphaghna+ Naati Pittala
- Vaataksheen`a Pittakaphavriddha: Vaatavardhaka+ PittaKaphaghna
- Vaataksheena Kaphavriddha Pittasama: Vaatavardhaka+ Kaphaghna+Naati Pittala
- Vaatapittakshaya Kaphavriddha: VaataPittavardhaka + Kaphaghna
- Vaatapittavriddha Kaphasheen`a: VaataPittaghna + Kaphavardhaka
- Vaatasama Pittaksheen`a Kaphavriddha: Naati Vaatakara + Pittavardhaka + Kaphaghna
- Vaatasama Pittavriddha Kaphaksheena: Naati Vaatakara + Pittaghna + Kaphavardhaka
- Vaatasheen`a Pittavriddha Kaphasama: Vaatavardhaka + Pittaghna + Naati Kaphakara
- Vaatavriddha Pittakaphasheen`a: Vaataghna + PittaKaphavardhaka
- Vaatavriddha Pittaksheen`a Kaphasama: Vaataghna + Pittavardhaka + Naati Kaphakara
- Vaatavriddha Pittasama Kaphaksheen`a: Vaataghna + Naati Pittakara + Kaphakara