Vatavyadhi Chikitsa: Difference between revisions
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The etiological factors can be divided into two: | The etiological factors can be divided into two: | ||
#which cause direct | #which cause direct [[vata]] vitiation and | ||
#which cause indirect | #which cause indirect [[vata]] vitiation. | ||
Day sleep (''divaswapna'') do not directly lead to vitiation of | Day sleep (''divaswapna'') do not directly lead to vitiation of [[vata]]. However, it leads to formation of ''ama'' and cause [[vata]] vitiation indirectly by obstructing [[vata]]. ''Vegasandharana'' (suppression of natural urges) and ''marmabhighata'' (trauma to vital organs) etc. are examples of direct vitiation. The pathogenesis is also bi-fold. The initial pathology is aggravation of [[vata]] and diminution of [[dhatu]] and vice versa. One augments the other. This ultimately causes emptiness in channels and rarity in tissues which gives more space for movements of [[vata]]. The second pathology is by increase in [[dhatu]] leading to excessive filling in channels to cause their clogging and blocking [[vata]]. (verse 15-19) | ||
==== Premonitory signs and symptoms ==== | ==== Premonitory signs and symptoms ==== | ||
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==== Clinical features ==== | ==== Clinical features ==== | ||
The clinical presentations vary according to the specificity of | The clinical presentations vary according to the specificity of [[hetu]] (cause) and ''sthana'' (location). The treatment options also vary accordingly. For example if [[vata]] prakopa takes place due to ''ruksha vriddhi'' in ''pakvashaya'' it may lead to habitual constipation in which ''snigdha, ushna'' and ''tikshna aushadha'' like ''mishraka sneha'' may be a good treatment option. | ||
If the same | If the same [[vata]] gets vitiated in ''amashaya'' due to ''snigdha vriddhi'', it leads to gastro-esophageal reflux disease (GERD), ''ruksha ushna'' and ''tikshna'' like ''gomutra bhavita shaddharana'' is the ideal treatment option. ''Anuvasana'' is the ideal therapy in[[vata]] vitiated in ''pakwashaya'', whereas [[vamana]] is the best therapy in [[vata]] vitiated in ''amashaya''. (verse 20-24) | ||
==== Three modes of pathogenesis of | ==== Three modes of pathogenesis of [[vata]] diseases ==== | ||
The three characteristics of | The three characteristics of [[vata]] vitiation viz. ''svatantra dushti'' (vitiation due to independent specific causes), gata [[vata]] (increased movement of [[vata]]) and ''avarana'' (obstruction to movement of [[vata]]). imply three possible modes of pathogenesis in [[vata]] diseases. These can be further analyzed as follows; due to the following three important properties of [[vata]], it is regarded entirely different from other [[dosha]][Cha. Sa. [[Sutra Sthana]] 12/3] | ||
#''Asamghāta'' (Incorporeal) | #''Asamghāta'' (Incorporeal) | ||
#''Anavasthita'' (Unstable) | #''Anavasthita'' (Unstable) | ||