Kriyakaala vivechana in prameha
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Understanding prameha through kriyakala.
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Kriyakaala vivechana in prameha
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- 2. Kriyakala vivechana in prameha By Dr Amritha. E. Pady Dept of PG studies in Kayachikitsa SKAMC Bangalore. 2 GUIDE-DR. MURALIDHARA MD (AYU) HOD AND PROFESSOR DEPT. OF PG STUDIES IN KAYACHIKITSA, SKAMCH&RC, VIJAYANAGAR, BANGALORE
- 3. Contents • Introduction • Shadkriyakala • Prameha • Kriyakala vivechana in Prameha • Understanding Sanchaya Prakopa Prasara in prameha • Sthanasamsraya Vyaktha bheda in prameha • Discussion • Conclusion 3
- 4. Change happens one step at a time 4
- 5. 5 Life of a plant
- 6. Life of a star 6
- 7. Every day events & things 7
- 8. Destructive events like Tsunami 8
- 9. What about diseases? Did our acharyas define clear stages for disease manifestation? Is there any system & process to recognize and reverse the conditions? 9
- 10. • Ayurveda emphasizing on being healthy gives the detailed description about the initiation of the diseases step by step. • If one pays special attention to the changes happening inside and out side of the body, any one can be healthy and its easy to get healed early stages. • Acharya Sushruta explains the initiation of disease by classifying into six stages which are known as kriyakalas or shadkriyakalas. 10
- 11. क्रिया + काल = क्रियाकाल Kriya = karma,pravruthi.(action) Kala = time. चिकित्सा अवसर िालः Time for appropriate action (chikitsa) 11
- 12. Kriyakala Gives us the knowledge of diagnosis prognosis and the level of intervention. Time of treatment or interception in the process of disease manifestation. To prevent the establishment of disease. 12
- 14. • cÉrÉÉå वृक्रि: xuÉkÉqlrÉåuÉ mÉë²åwÉÉå वृक्रिWåûiÉÑwÉÑ||A.¾Òû.xÉÑ.(12/22 ) • SÉåwÉxrÉ वृक्रि: cÉrÉ:||AÉ.U|| • xÉqWûÌiÉ ÂmÉ वृक्रि¶ÉrÉ:||xÉÑ xÉÑ 21/18 QûsWûhÉ|| • The stage represents the inceptive phase of the disease, when dosha is stated to have accumulated in its own place. • Aversion towards vrudhi hetu. 14 Sanchaya
- 16. •गौरविालस्यं •पीतावभासता िन्दोष्िताPitta dosha • Çस्तब्धपूर्थिोष्ठVata dosha 16 Sanchaya lakshanas Kapha dosha
- 17. • MüÉåmÉxiÉÑlqÉaÉïaÉÉÍqÉiÉ||A.¾Òû.xÉÑ.12/22|| • xuÉxjÉÉlÉÇirÉYiuÉÉSÉåwÉxrÉrÉiÉçmÉÑlÉqÉaÉÉïliÉUaÉqÉlÉqÉç xÉ MüÉåmÉCirÉÑcrÉiÉå||Arunadatta|| • क्रवलयनरूपा वृक्रििः प्रकोपिः।(सु.सू.२११८डल्ह) • Doshas which had previously accumulated in sanchayavastha become excited to move to other locations. 17 Prakopa
- 19. Prakopa lakshana •अन्नद्वेष हृदयोत््लेदा्िKapha dosha •अम्लीिा वपपासा पररदाहPitta dosha •िोष्ठतोदसंिरर्Vata dosha 19
- 20. • किण्वोदिवपष्टसिवाय इवोदि्तानां प्रसरो भवतत ॥(सु.सू.२१२८) •यथा महानुदकसंचयोऽक्रिवृि: सेिुमवदयाापरेणोदकेन व्यक्रमश्र: सवाि:प्रधावक्रि ॥ ( सु.सू.२१२८) 20 Prasara
- 21. • Dosha sanchaya take place in very high quantity so that it increases from its own site and start spreading all over the body with single dosha or with a combination of Dwidosha tridosha or altogether with rakta. • How fermentation of surabeeja occurs likewise in this stage Prakupita doshas gets spreaded to other sites. • Vayu is the main Prasarana hetu. 21
- 22. • अरोिि अववपाि अङ्गसाद्छददथ्लेष्िार्ोKaphadosha • ओष िोष पररदाह धूिायनातन वपिस्यPittadosha • वायोववथिागथगिन आटोपौ,Vatadosha 22 Prasara lakshana
- 23. स्र्ान संश्रतयर्ः क्रु धदाः भाववव्याचधप्रबोदिि्। दोषाः िु वथस्न्त यस्ललङ्गं पूवथरूपं तदुच्यते।(िा.तन.१.िधु) • स्र्ानसंश्रयः दोषदूष्यस्य संश्रयः।(सु.सू.२१३३ िक्रपािर्) • The excited dosha having moved to other parts of body become localized and it marks the beginning of manifestation of specific diseases pertaining to those structures. • In this stage Dosha-dushya sammoorchana happens. 23 Sthanasamsraya
- 24. • कुक्रपिानां क्रह दोषाणां शरीरे पररधावनाि्। यत्र सङ्ग: खवैगुण्याि् व्याक्रधस्ित्रोपजयिे॥ (सु सु २४/१८)डल्हण। The prakupita doshas will spread all over the body, where there is a kha vaigunya dosha will accumulate there and produce disease. 24
- 25. व्याधे प्रव्य्तं रूपं व्यस््त।(सु.सू.२१३४.डलह) • अत ऊधवं व्याधेदथशनं वक्ष्याि: • प्रव्य्तं -mÉëMüwÉåïhÉurÉ£Çü Vyadhi upalabdi from their pravyaktha lakshanam. For eg: • xÉÇiÉÉmÉsɤÉhÉÇ euÉU • xÉUhÉ sɤÉhÉÇ AÌiÉxÉÉU|| •प्रभूि आक्रवल मूत्रि –प्रमेह •पूरण लक्षणमुदरक्रमक्रि 25 Vyakta
- 26. •अि ऊर्धवामेिेषां अवदीणाानां व्रणाभावमापन्नानां षष्ठ: क्रियाकालिः , ज्वराक्रिसार प्रभृिीनां च दीर्ाकालानुबन्धिः ॥ (सु.सू. २१/३५) ित्राप्रक्रिक्रियामाणे असार्धयिामुपयाक्रन्ि॥(सु.सू.२१३५) •वािाक्रदलक्षणंभेदाक्रिन्नत्वं भेद: (QûsWûhÉ) 26
- 27. • Attains Vranabhava • Deerkhakaalanubandha • Chronic stage. • If we left untreated it goes to asadhya stage. • Classification of diseases depends on dosha predominance • When the disease reaches this stage, they may act as predisposing causes for other diseases. 27
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- 29. Prameha Pra = Excess Mihyathe = Pass urine NIRUKTI 29
- 30. •क्रत्रदोषकोपक्रनक्रमत्ता क्रवंशक्रि: प्रमेहा भवक्रन्ि क्रवकारश्चापरेऽपररसंख्येया:। (च.क्रन.४/३) • Due to vitiation of all the three doshas causing prameha. • Depending on the dominance of one or the other dosha Prameha is classified. 30
- 31. 31
- 34. Mechanism in body during Sanchaya 34 AÉqÉLuÉ AɳÉUxÉÉå गौरविालस्यं
- 39. Due to nidana dosha vishesha क्षक्षप्रं ्लेष्ि प्रिोप Causes शरीर शैचर्लयता Prakupita kapha- क्षक्षप्रिेव शरीरे ववसृंततं अततस्नेहान्िेदान्जनयतत 39
- 41. Understanding of sanchaya prakopa prasara in prameha 41
- 42. Physiological changes in body during Ritu Ritu Vata Pitta kapha Greeshma Chaya - Prashama Varsha Prakopa Chaya - Sharath Prashama Prakopa - Hemantha - Prashama - Shishira - - Chaya Vasantha - - Prakopa 42
- 43. Avasthika Sanchaya Kaala vata Pitta Kapha • Balyavatha • Dina pradthama • Rathri prathama • Bhukta aadi Predominance • Madhyamavastha • Dina madhyama • Rathri madhyama • Bhukta madhyama Predominance • Vrudhavastha • Dina antima • Rathri antima • Bhukta antima Predominance 43
- 44. • This particular stage of sanchaya prakopa over a period of time will trigger the kha vaigunyatha of particular srothas and manifest disease. 44 Sanchaya prakopa lakshnas In Prakrutha avastha End up in prashamavastha In vikruthavastha due to mithyahara vihara goes to prasaravatha
- 46. Prakupita Dosha - dushya sammoorchana • Here प्रिु वपत िि does sammoorchana with अबद्धिेद, शरीर्लेद, िांस शरीर्लेदं पुनदूथषयन् िूत्रत्वेन पररर्ाियतत • Disturbance in dhatuparinaama prakriya • िेद्िापररप्वं • ्लेदिांसयोरततप्रिार्ामभवृद्धत्वात् • Dooshita shareerakleda turns to mootra Lodges in बस्स्त • िूत्रवहार्ां ि स्रोतसां वङ्क्षर्बस्स्तप्रभवार्ां doshas lodges in बस्ति 46
- 47. • जक्रिलीभावं के शेषु माधुर्यमास्र्स्र् करपादर्ो: सुप्तदाहौ मुखतालुकण्ठशोषं पपपासं आलस्र्ं मलंकाये कायक्रछिद्रेषुपदेहं पररदाहं सुप्ततां चाङेषु षि्पदक्रपपीक्रलकाक्रभश्च शरीरमूत्राक्रभसरणं मूत्रे च मूत्रदोषान् पिस्रं शरीरगन्धं पिद्रं तन्द्रं च सियकालपमपत॥(च.पि.(४/४७) • स्िेदोऽङ्गगन्ध:ÍzÉÍjÉsÉÉ…¡ûiÉÉ च शय्यासनस्वप्नसुखे रक्रिश्च। ह्रुन्नेत्रक्रजह्वश्रवणोपदेहो र्नाङ्गिा के शिखापतिृपि:॥ शीिक्रप्रयत्वं गलिालुशोष माधुयामास्ये करपाददाह:। भक्रवष्यिो मेहगदस्यरूपंमूत्रेऽक्रभधावक्रन्ि क्रपपीक्रलकाश्च॥(च्.क्रच.६/१४) 47 Sthanasamsraya lakshana
- 49. •ित्राक्रवलप्रभूिमूत्रलक्षणा: सवा एव प्रमेहा भवक्रन्ि॥(सु.क्रन.६/६) •ित्राक्रवलत्वं मूत्रस्य प्रमेहदूष्याणांदूष्यस्यावयवक्रमश्रीभवाि्। िेषामेव च दूष्यणांद्रवैरेकीभूित्वान्मूत्रप्रभूित्वं।(डल्हण) 49 Vyakta lakshana Aavila mootrata Prabhoota mootrata
- 50. •Depending on the dosha dushya sammorchana there will be variations in sparsha,ganda, varna, rasa and aavilatha of mootra. •Based on the dosha predominance and utkarsha apakarsha of rasaadi dhatu dushti, there will be getting the vyaktha lakshana through mootra. 50
- 52. • Stage of differentiation of the subtype of prameha. • Manifest vishesha lakshana of prameha. • Manifestation of prameha upadravas. • Prameha is classified depends upon the nidana, dosha- dushya vishesha and mootra avilatha. 52
- 53. •Combination of one or more gunaas of kapha dosha gives the special feature to mootra in 10 types of kaphaja meha. 53
- 54. Kaphaja prameha vishesha lakshana 54
- 58. सान्द्रप्रसादमेह यस्य संहन्यते िूत्रि् किस्न्ित् किस्न्ित् प्रसीदतत 58
- 63. शनैिेह िन्दं िन्दवेगि ् क्रृ च्रिूत्र ् शनै: 63
- 68. In Avarana िििेदोतनरुद्धिागथत्वात् - Srothorodha वातप्रिोप Ojas attracted towards basthi 68 Due to increased rookshatwa of vata
- 70. Discussion 70
- 71. • The concept of shatkriyakala is applicable in all disorders or disease condition. • Proper diagnosis of particular stage help us to plan the treatment. 71
- 72. • For the understanding of kriyakala one should require good intelligence, good clinical skill and good textual knowledge. • The practical application and analysis of kriyakala is highly essential to frame disease control and prevention strategy. 72
- 73. Conclusion 73
- 74. 74
- 75. • It is easy to pluck a plant when it is still a sapling, but it is impossible when it becomes a tree. • If some attention is paid towards the simplest of clinical symptoms several disease can be handled successfully by doing xÉqÉrÉÉlÉÑMÔüsÉ ÍcÉÌMüixÉ(timely action). 75
- 76. • In case of Prameha the management will be very easy, only when the disease is handled during the Sthanasamsraya stage or little earlier. • No creature in this earth is immortal. It is impossible to prevent death but it is possible to prevent diseases so one should try for that which is preventable. 76
- 77. 77