An effort to differentiate 'VISHWACHI' & 'AVABAHUK'.

An effort to differentiate 'Vishwachi' & 'Avabahuk'.

. No.	Vibhedakatva	Vishwachi	Avabahuk
1.	Vyadhitva	Not mentioned in Charak Samhita. Mentioned in Su.Ni.1 Vatavyadhi nidan adhyaya.	Not mentioned by Charak but Bahushosha, Trik-grah & Manyastambha mentioned in Ch.Su.Sthan- 20/11.
2.	Etymology & Cardinal feature	Viswa- means entire/whole all pervading. Anc-directed towards or wander about. C.F.- Pain from Back of the Arm to the tip of the fingers with loss of function of Arm.	Ava – means ‘viyoga’ or ‘Vikratou’ which means dysfunction or separation. Bahu – arm  C.F.- Unable to up lift shoulder-joints.
3.	Nidana	There are no separate nidanas described for Viswachi & Avabahuk.
4.	Purvarupa	अव्यक्तं लक्षणं तेषां पूर्वरूपमिति स्मृतम्||
5.	Rupa	तलप्रत्यङ्गुलीनां तु कण्डरा बाहुपृष्ठतः | बाह्वोः कर्मक्षयकरी विश्वाचीति हि सा स्मृता || [Su.Ni.1/75]	अंसदेशस्थितो वायुः शोषयित्वांऽसबन्धनम् | सिराश्चाकुञ्च्य तत्रस्थो जनयत्यवबाहुकम् || [Su.Ni 1/82]
6.	Anatomical distribution	Upper trunk {C5-C6 Roots}, Suprascapular nerve, Axillary nerve, Musculocutaneous nerve, median nerve, ulnar nerve.	Glenohumeral joint capsule, Rotator Cuff (Supraspinatus tendon, Infraspinatus ttendon,Subscapularis tendon) Teres minor tendon, Subacromial subdeltoid bursa, Coracoacromial ligament, Coracoid process, Synovial sheath.
7.	Dosha	Vata Pradhan Tridosha Associated Dosha- Kapha or Pitta or both	Vata Kapha Pradhan Tridosha
8.	Dushya	Rasa, Rakta, Mamsa, Asthi & Majja Kandra Of Bahu & Prustha	Rasa, Rakta, Mamsa, Meda, Asthi, Sira, Kandra
9.	Srotas	Rasavah, Raktavah, Mamsavah, Asthi-majjavah	Rasavaha, Raktavaha, Mamsavaha, Medovaha, Asthivaha
10	Rogamarga	Marma Asthi Sandhi	Marma Asthi Sandhi
11.	Adhishthan	Sharir, Manas	Sharir, Manas
12.	Vyaktisthan	Greeva, Baahu, Talapratyanguli	Ansha Pradesh
13.	Udbhav-sthan	Pakvashaya	Amapakvashaya
14.	Agni	Manda or Visham	Manda or Visham
15.	Sam/niram	Sama / Nirama	Sama [Jatharagni & Dhatwagnimandya]
16.	Vyadhi-prakar	Chirkari {Dhatu kshaya janit} Ashukari {Traumatic}	Chirkari {Dhatu kshaya janit} Ashukari{Traumatic}
17.	Srotodushtu-prakar	Vimarg gamana, Sanga	Sanga
18.	Bheda(types)	1.Vataja 2.Vatakaphaja. (Dalhan on Su.Ni.-1/75)	1.Dhatukshayaja 2. Kaphavritta vataja. (Dalhan on Su.Ni.-1/82)
19.	Sadhyasadhyata	Sadhya	Sadhya
20.	Samprapti	Dhatu-kshayaja & Kaphanubandha	Dhatu-kshayaja & Avaranaja.
21.	Chikitasa-siddhant	गृध्रसीविश्वाचीक्रोष्टुकशिरःखञ्जपङ्गुलवातकण्टकपाददाहपादहर्षावबाहुकबाधिर्यधमनीगतवातरोगेषु यथोक्तं यथोद्देशं च सिराव्यधं कुर्यात् || [Su.Chi.40]   बाहुशीर्षगते नस्यं पानं चौत्तरभक्तिकम्|| [Cha.Chi.28] &  As per Vata-vyadhi.	Dhatukshayaja/pure vatik Avabahuk- वाताभिभूते...नासारोगास्यशोषावबाहुक…च वातपित्तहर द्रव्य सिद्धेन स्नेहेनेति ।।[Su. Chi. 40/22] पादहर्षावबाहुक.................यथोक्तं यथोद्देशं च सिराव्यधं कुर्यात्, अन्यत्रावबाहुकात्; वातव्याधिचिकित्सितं चावेक्षेत ।। Su. Chi. 5/23]  Here Siravedha is contraindicated. Dalhan- धातुक्षयनिमित्तवातकोपजनितोऽवबाहुकः, अतोऽन्यात्रावबाहुका दिति वाक्येन सिराव्यधो निषिध्यते। Kaphavritta vataja avabahuk- Here Rukshopakram is advised. Here Dalhan quoting Acharya gayi गयी तु, अन्यत्रावबाहुकाद् वातव्याधिचिकित्सितमवेक्षेतेति सम्बध्नाति; तथाहि वातव्याधिचिकित्सिते यत् स्नेहस्वेदादिकं तदवबाहुके कफस्थानसम्भवत्वेन कफावृतवातजे विरुद्धं, तत्र हि स्वेदनस्यादिकं विधेयं रूक्षमेवः, न तु "सिराव्यधं कुर्यादन्यत्रावबाहुकात्" इति सम्बन्धः, यतोंऽसशोषेऽवबाहुके च सिरामोक्षस्य सिराव्यधविधाने चोक्तत्वात्। Here abhyanga and swedan are advised as poorvakarma of Siravedha if anyone wishes to do.... गृध्रस्यादिषु वातव्याधिचिकित्सिते कृते पश्चाच्छोणितावरणं निश्चित्य सिराव्यधो विधेय इति।।२३।। अंसशोषावबाहुकयोर्मध्ये सिराव्यधः।[Su.Sha.8/17] In Avabahuk Siravedha should be performed between Bahu. अवबाहौ हितं नस्यं स्नेहश्चोत्तरभक्तिकः|| [As.Hr.Chi.]
22.	Pathyapathya	Pathya – Sarpi ,Taila, Vasa, Majja, Abhyanga, Swedana, Mardan, Madhur, Amla, Lavana, Snigdha as per Doshaja. dominance. Apathya – Ruksha, Shita, Ushna, Tikshna, Dhavan, Plavan, Dukha Shayya , Bhaar vahana etc. as per Doshaja. dominance.

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Presented by

Dr.Vaishali Lalwani

BAMS

MD 2nd year scholar 

PG Dept. of Kayachikitsa

Government Akhandanad Ayurved College, Bhadra, Ahmedabad, Gujarat, India.

Email: vaishalilalwani93137@gmail.com

Guided by 

Prof. Surendra A. Soni

MD,PhD [Kayachikitsa]

H.O.D.

P.G. Dept. of Kayachikitsa

Government Akhandanad Ayurved College, Bhadra, Ahmedabad, Gujarat, India

email: kayachikitsagau@gmail.com