5. INTRODUCTION
The word Roga marga is devided into two
UÉåaÉ + qÉÉaÉï = UÉåaÉqÉÉaÉï
ROGA
ÂeÉÌiÉ CÌiÉ UÉåaÉ: |
Which causes pain is called as roga.
UÉåaÉxiÉÑ SÉåwÉuÉæwÉqrÉqÉç xÉÉqrÉqÉç
mÉë¢ÑüÌiÉÂcrÉiÉå ||
-A.¾Òû.xÉÑ 1/19
Roga is the disequilibrium of the doshas while the health
is equilibrium of dosha.
Charaka explains that the abnormality is the
derangement of equilibrium of dhatu and their
equilibrium is normal health. Health is known as a
happiness while disorder is unhappiness.
6. MARGA
Marga means pathway
The pathway of disease is considered to be as
Rogamarga.
Marga – Srotoparyaya – Sroto, Sira, Damani,
Rasayani,Nadi, and Marga.
Cause of Roga and Aroga.
MüÉsÉÉjÉï MüqÉïhÉççÉqÉç rÉÉåaÉÉå WûÏlÉ ÍqÉjrÉÉ
AÌiÉ qÉɧÉMü: |
xÉqrÉYrÉÉåaÉ¶É ÌuÉ¥ÉårÉÉå
UÉåaÉÉUÉåarÉMüÉUhÉqÉç ||
- A.H.Su. 1/19
Heena, Mithya, and Ati Yoga of Kaala, Artha and Karma
are the chief cause of Disease. Where as their samyak
yoga is the chief cause of health.
14. DISCUSSION
Both Charaka and Vagbhata considered disease like
Visarpa, Vidradhi, Arsha, Gulma, Svayathu in both
Bahyagatha and Abhyantra roga marga.
Charaka and Vagbhata considered rakta under Bahya
rogamarga i.e Shaka raktadya twak. but
Acco to shushuta: rakta under the koshtagata.
15. SIGNIFICANCE OF ROGA MARGA
Disease caused by single dosha afflicting one of the
rogamargas is a sign of good prognosis(sukhasaadya).
Diseases occurring in marmasthisandhis is a sign of
bad prognosis.(kruchrasaadya)
When doshas are seated in the deeper dhatus like
meda etc..involving the dhatus and marmasthi
sandhis it is an indication of palliability (yaapya).
If a disease is manifested by involving all the margas
it clearly indicates the incurability(prathyakhyeya)
Eg:
If vata is accumulated in amasaya the svedana is done
initially with rooksha dravyas,if kapha is accumulated
in pakvasaya the snigdhasweda is done initially
followed by rookshasweda.
16. The knowledge of roga margas helps to understand
the dosha gati,thereby in understanding the disease
process and its diagnosis.
It facilitates the knowledge about the prognosis of
disease in the respective rogamargas.
There are some disease like Arsha which occurs in
two rogamarga like Bhahya and Abbhyantra depends
on doshagathi and vyadhimarga further chikitsa is
planed .
• Example: Arsha in Bahya marga – Sashtrakrata
chikitsa
Arsha in Abhyamantra marga – Asashtra
krata chikitsa
17. When treating the sthanika doshas care is taken not to
disturb the agantu doshas.thisa is possible only with
the knowledge of roga marga.
It is useful in the diagnosis and treatment of disease
conditions like vishamajwara,since it is considered as a
dhatu janya vikara.
The knowledge of vyadhya marga and doshagathi helps
not only diagnosis and also have an vital role in
treatment also.
Eg: Doshas in kosthagatha – Vaman & Virachana
Doshas in Shakagatha – Raktamokshana
24. Saakha –koshta gati
The movement of doshas back to koshta from
saakha is facilitated by
iÉjÉÉ iÉåprÉÈ
xÉëÉåiÉÉåqÉÑZÉÌuÉzÉÉåkÉlÉÉiÉç |
uÉ×krÉÉÍpÉwrÉlSlÉÉimÉÉMüÉiÉç
MüÉå¸qÉç uÉÉrÉÉå¶É ÌlÉaÉëWûÉiÉçç ||
-(A.WØû.xÉÔ.13/18)
iɧÉxjÉÉ¶É ÌuÉsÉqoÉiÉå MüSÉÍcÉiÉç lÉ
xÉqÉÏËUiÉÉÈ |
lÉÉSåzÉMüÉsÉå MÑümrÉÎliÉ pÉÔrÉÉå
WåûiÉÑmÉëiÉÏͤÉhÉÈ ||
uÉ×SèkrÉÉ ÌuÉwrÉlSlÉÉiÉ mÉÉMüÉiÉç
xÉëÉåiÉÉåqÉÑZÉÎuÉzÉÉåkÉlÉÉiÉçç |
25. AASAYAAPAKARSHA GATI:
Madhava nidana has described one more type of
gati called as Aashayaapakarsha gati..(ie..driving
out)
rÉSÉ xuÉqÉÉlÉÎxjÉiÉqÉç CuÉ SÉåwÉÇ
xuÉÉzÉrÉÉiÉç AÉM×ü
26. CLINICAL SIGNIFICANCE:
The knowledge of this movement of doshas is in the
formulation of treatment protocols. If the aagantu
dosha is weaker compared to the sthanika dosha,the
treatment should be oriented in the line of the
sthanikadosha samana.if the external dosha is stronger
and have antagonistic qualities with respect to the
sthanika dosha,the protocol should be developed after
thr analysis of strength of dosha of sthana and agantu
:the stronger dosha should be treated first.
¤ÉÏhÉÉ uÉkÉïÌrÉiÉurÉÉÈ uÉ×®ÉÈ ¾ûÉxÉÌrÉiÉurÉÉÈ
xÉqÉÉÈ mÉÉsÉÌrÉiÉurÉÉÈ |
-xÉÑ.ÍcÉ.33