Beruflich Dokumente
Kultur Dokumente
a. kepaka
(convulsions),
rdita
(facial
palsy/paralysis) etc. are vtaja
b. Oa
(burning),
coa
(sucked
dry
by
heat/inflammation) are pittaj
c. Gurgtrat (heaviness) is kaphaja.
There are a total of 80 nntmaja vta vydhi, 40
nntmaja pittaja vydhi, 20 nantmaja kaphaja vydhi.
Of all these, vta being the driving force, being
unpredictable and being very u (fast), the vydhi that it
creates are of a more serious and harsh nature than
nntmaja pittaja or kaphaja vydhi. Depending upon the
various dya (dhtu/organs) locations they form up 80
different vydhi that need special mention and
individually different cikits.
Mahbhta involvement:
Vayvka dhtubhya vyo A.S.Su.20.
Gua:
Tatra ruko laghu ta khara skmascalo anila
A.H.Su.1
Other gua: Drua (harsh/severe/cruel), bahu-ighra,
rajo-bahula, an-avasthitatva (constantly moving).
Vtagueu sarvam raukam pradhnam
Ruka gua most dominant gua
Yogavha param vyu sayogd ubhayrthakt
Dhakt tejas yukta takt somasasrayt
Ca.cikits.3
Yogavhi
Vta rajoguabahula
Rajo gua dominant
Karma:
Vyustantra
(doctrine/system)
yantra
(instrument/machine) dhar (manifestation)
prnodna-samna-vyna-apntm
pravartaka cesnm uccvacnm
niyant praeta ca manasa
sarvendriym udyojaka
sarvendriyarthnm abhivoh
sarva arra dhtu vyhakar
sandhnakara arrasya
pravartako vaca prakti spara abdayo
rotra sparanayormlam harotshayoryoni
samirao agne
doa saoa
kept bahirmalnm
Pra:
Sthnam prasya ro urakaha jihvsya nsik
Ca.Ci.28
Pro atra mrdhaga
Ura kaha caro buddhi hdayendriya citta dhuk
hvana
kavathdgra
niwsnna
praveakt
A.H.Su.12
Here hvana and kavath although outward directed
are aimed at keeping the swasana and anna marga clear
and helping proper movement of pra and so fall under
the action of prna (& not udna).
Grahaa of wsa, food, water, sensations
Hdaya-site of mnas indriya-buddhi therefore in the
process of jna-grahaa
Udna:
Udno
nma
Su.Nidna.1
yastrdhwamupaiti
pavanottama
Samna :
Samno agni sampastha kohe carati sarvata
Anna ghti pacati vivecayati mucati A.H.Su.12
Swedasrotmbu vhni samdhiita
Antaragnesca prwastha samno
Ca.Ci.28
agnibalaprad
Vyna:
Vyno hdisthita ktsna-deha-cri mahajav
Gati apakepaa-utkepaa unmea-nimeadik
Prya sarv kriy tasmin pratibaddh arrim
A.H.Su.12
Transfer of prna and nutrition to all dhtu
All different movements of various organs and structures
in the body
Apna:
Apno apnaga roni basti mehra ru gocara
ukrrtava akun mtra garbha nikramaakriy...
A.H.Su.12
The supporter or provider of all other vta types.
The word apna also means guda/anus.
Hetu:
Ruka sta alpa laghu anna vyvya ati prajgarai
Viamd upacrsca doa asga sravad api
Langhana plavan ati-adhwa vyymt ativiceitai
Dhtun sa-ksayt cint-oka-rogti karat
Dukha-ayysant krodht divswapnt bhaydapi
Vega-sadhrad md abhightd abhojant
Marmghtd gaja-otra-awa ghra ynavatansant
Caraka cikits 28.
From the above list it is obvious that the hetu can be
categorised into 2 main categories:
1. hetu responsible for dhtu kaya
2. hetu responsible for marga avarodha.
Vyo dhtukayt kopo margasyvaranen v Ca.Ci.
28
Prvarpa:
aa for vta vydhi.
tmarpam tu yad vyaktam apyo laghut puna
Ca.ci.28
According to any vydhi the signs/symptoms that are
obvious and clear are called rpa or lakaa. When they
are expressed very weakly they are called prvarpa. As
the nature of vta is aniyamita or anischita
(uncontrollable/unpredictable), the lakaa or rpa are
exhibited when the vta vydhi is in vega avasth and
diminish when in avegvasth. So one sees diminished or
weak exhibition of symptoms is prva rpa.
Since these diminish in avegvasth and increase in
vegvasth having vega and avega avasth is a
smanya lakaa of vta vydhi.
evam vividhni rpi karti kpito anila hetusthna viescha bhaved roga vieakta Ca.Ci.28
Cikits:
Vtasya upakrama sneha sweda saodhana mdu
Swdu amla lavaoni bhojyani, abhyanga mardanam
Veanam trsanam seko madyam paiikagaudikam
Snigdho bastayo bastiniyama sukhalat
Dpanai pcanai siddha-snehasca-aneka-yonaya
Vien medhya piita-rasa tailnuvsanam A.H.Sutra
13.
Vgbhaa in Anga Hdaya gives the various cikitsa for
vta and one sees that there are cikits types that seem
to be quite opposite in nature. Eg.
veana-trsana vs. sukhalat
saodhana vs. anuvsanam
Cikits
for
dhtu
kaya
janya
vta
vydhi
(nirupastambhita vyu):
Snehan cikits most important; snehan by various
ways abhyantara, bhya abhyanga, snehapna,
irobasti/dhra/picu, anuvsan basti
Any sneha in this dhu kaya condition does not act
directly on the vta. It acts on the site of khavaigunya. There is an increased ruka (dry), parua
(harsh, stiff) and khara (rough) gua leading to vyu
praa in rikta sthna. Snehan causes snigdhat,
slkat and mdut in the dhtu. Obviously the vta
that has come to reside in the rikta srotas leaves the
place and becomes anuloma.
Depending on the vydhi sneha can be selected
from the 4 sneha ghta, taila, vas, majj.
Generally,
Taila (Sesame oil by default) is best for vta
excellent vtaghna. Its sroto-gmitva may need to be
increased for its percolating to the gambhira dhtu.
For this, taila siddhi with related herbs once or
multiple times as per requirement.
Diet of dugdha, mmsa rasa, yua, khichadi with
ghta etc to be given.
Then swedan to be given using ndi bpa and other
means.
Snehan swedan helps restore the various dhtu to
their original condition; reducing their dryness and
restoring sahanan and bala (strength); improves
bala, agni, prna and overall the dhra shakti.
Anuvsan basti with bal taila, nraya taila, dugdha /
siddha kra basti, mmsa rasa basti etc fruitful.
Vyyama (exercise)
Kohagata vta
Tatra kohrite due nigraho mutra varcarso
Bradhna hdroga gulma ara prwaula ca mrute
Koha would mean area of grahani.
Tvra udarala, dhmna, mala-mtra saga
Hdroga, gulma, ara, prwa la as upadrava
Cikits:
Anuloman with erand sneha and uthi fa
Anuvsan
Snehan swedan or udara pradea
Hingu lepa on udara
ankhavai, landi vai
Mmsa/medogata vta
Gurvanga tudyate atyartha daa-mui hatam yath
Sa-ruk wasitam atyartham mmsa-medo gate anile
Sarvnga gaurav, feeling of being hit by sticks or being
boxed
All movements painful
Sarvnga marda
Similar lakaa in msa and medo gata vta
weakness, heaviness more in medogata; pain more in
mmsagata
Cikits:
Swedan, vtnuloman
Gdhras
Sphikprvkai-pho rujnu jagh padam kramt
Gdhras stambha ruk todai ghti spandate muhu
Vtd vta-kaphd tandr gaurava arocaknvit
Ca.Ci.28
Patient walks with more pressure on one foot like a
gdhra (vulture)
Vta prakopa sthna saraya in sphika, kai that
advances to lower back, thighs, pinik and
eventually till the foot
Shooting pain along with stambha (stiffness) and toda
(needle like piercing pain) and spandan (pulsating
pain/sensation)
Eventually kriy alpat, kriy hni
Viwci:
Tala pratyanguln y kaar bhu-phat
Bhyo karmakayakari viwci ceti socyate Mdhava
Prakpita vyu finding sthna saraya in asa (scapula)
and then via the kaar on the posterior side of the
shoulder creates pain right upto the fingers. All
movements of the entire upper limb are affected. Similar
to gdhras of lower limb. Treatment similar to gdhrasi
Pakghta:
Hatva eka mruta pakam dakiam vmameva v
Kuryt ce nivtti hi rujam vk stambha eva ca
Ghitv v arrrdha ir snyu viocya ca
Pda sakocayati eka hastam v toda ulanut
Ekga roga tad vidyt sarvnga sarva dehaja
Ca. Ci. 28
Dui of prna vyu
Affects activity of indriya eg. speech
Karmendriya hni on one side
Prakpita vyu sacra in any half of the body causing
oa of sir, snyu on that side
Makes sandhibandha ithila
etc
Cikits:
Snehana sweda sayukta pakghte virecanam
Ca. Ci.28
Prna downward directed (opposite of udna)
Virecana downward directed
Sir, kaara are upadhtu of rakta related to
pitta virecana
Since virecana is quite forceful and can cause vta
prakopa itself, sneha-virecana with errand taila,
gandharva haritaki etc.
Bhya snehana, savhana, swedan with bal,
naryaa, mah-nrayaa, dhanwantarm kumbu;
swedan with nirgundi patra or erand-mla or
daamla kwth
Rakta mokaa can also be useful
Sandhigata vta:
Vtapra dti spara otha sandhigate anile
Prasraa kucanayo pravtti ca savedan
Ca.Ci.28
It can be of both types upastambhita and dhtu
kaya janya.
ula and otha are prominently seen lakaa of
sandhigata vta.
Movements of joints are with noise
If chronic it destroys the sandhi
Kriy alpat, kriy hn
Whatever movements are possible are with pain
Usually seen to start with larger sandhi like jnu
(knee)
Margvarodh janya:
Usually no abhyantar snehan bhya with viagarha
taila, sahacaradi taila, unthi-vaca-lemon grass siddha
taila
Swedana
Meds like rsndi guggulu, triphala guggulu, kaior
guggulu, yogaraj guggulu, bhallatak
sava,
maharsndi kwth
Ahra that is laghu, anabhiyandi with dpana,
pcana a dravya like lana (spices)
Lepa with daanga lepa, mixture of alum, daruharidra,
rakta-candana, haridra, guggulu
Raktamokaa if pain severe esp. in avarodhatmak
saprpti