1.
Description
of ‘Vyapad’ is the best to understand the reverse pathogenesis when desired
action is not performed by body as a response to drugs induced.
2.
Five fold
description mentioned above, is sufficient to understand action of final
triggering Nidan or cause that finally be responsible for the mechanism of
Dosha-dooshya-sammoorchhana or pathogenesis viz Jivadan as a result of Teekshna drug in
alpa-dosha along with Mridukoshthi.
3.
Pre
existing Dosha-dooshya condition as well as body response may be inferred As
per the presentation of signs and symptoms either acute, subacute or chronic
e..g. Parikartika or Jivadan.
4.
A physician
should be able to make hypothesis / identify the said pre-existing Dosha-sthiti
as per the basic dash-vidh-parixa etc, and illustrated concept of ‘Vyapad’ must
be helpful to understand that.
5.
This will
not only meaningful to assess the severity of clinical presentation but also in
identifying/locating the final triggering ‘Nidan’ that is to be restricted as
per principal of Nidan-parivarjanam’.
6.
Said
concept may be utilized in the prediction/future illness, exact prognosis of
the disease (along with the concept of ‘Indriyasthan’) as well as emergency
management.
7.
As per my
understanding that without the basic approach of said concept of ‘Vyapad’,
it will be difficult to handle the emergencies in Ayurveda. It should not be a
false statement If we say that said concepts are the basics principles of
emergency-medicine.
8.
This should
be noted that during the said description Acharya Charak has not mentioned the
name of any disease where ‘Shodhan’ to be administered.
9.
He fully
targated the area of ‘Koshtha’/‘Agni’ as
per the importance of Agni in Ayurveda during said description that’s why
improper Panchakarma procedures have been categorized as ‘Nidan’ of various
ailments.
10. Illustrated concept emphasizes that how pre-existing silent/asymptomatic
doshaja conditions are triggered and lead to final clinical presentation either
acute or sub acute in healthy as well as
well diagnosed complicated patients as per Desh, Kaal, Koshtha,Agni, Aushadhi etc.
11. It should also be noticed that Acharya has not
mentioned so intense emergency management in any other disease except the
concept of ‘Vyapad’ where all possible best measures have been applied to save
the life of patient.
12.
Presentation
of signs and symptoms as per the involvement of Srotas, Koshtha, Shakha etc may be understood
as per the specific responsible
Nidan etc.
Compiled by
Dr. Surendra A. Soni
M.D.,PhD (KC)
Associate Professor
Head of the Department
Head of the Department
Dept. of Kaya-chikitsa
Govt. Ayurveda College
Vadodara Gujarat, India.
Email: surendraasoni@gmail.com
Mobile No. +91 9408441150
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