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 VaataAavaran`a and then use treatment modalities like AbhyangaSnehapaanaBasti 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

 

 

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