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Vikriti Pariksha – Examination Of Illness


By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Vikriti means an abnormality. It’s an irregular change going down in fundamental bodily and psychological structure of the physique i.e Prakriti. Vikriti additionally means illness. It’s a time period which explains pathological manifestations within the physique and thoughts.
Learn – Prakriti – Ayurveda Physique Sorts, Significance In Remedy And Treatments

Predominance of dosha will not be all the time irregular – Prakriti is made up of doshas. When a selected mixture of doshas which make up physique structure are at elevated ranges, they present indicators of enhance and this isn’t pathological. It’s because an individual having predominance of a dosha(s) will clearly present their indicators and they’re regular. The predominance of a number of doshas itself is known as prakriti. A specific dosha despite being elevated compared to the opposite doshas in a state of prakriti wouldn’t trigger illnesses as a result of it’s merely a rise in that dosha as per the legislation of dominance of 1’s structure. We can’t name it an imbalance. Although it’s a relative imbalance of doshas it’s a wholesome stability and contributes in the direction of upkeep of well being.

Instance 1 – In Vata structure individual vata is predominant. This isn’t thought-about a pathological enhance of vata. It additionally doesn’t trigger illnesses. Vata is simply predominant compared to pitta and kapha and is regular to that individual. Pitta and kapha are much less predominant compared to vata.

Instance 2 – In pitta-kapha structure both pitta or kapha or each are predominant compared to vata. Vata is much less predominant compared to pitta and kapha. It’s regular and never pathological.

The opposite constitutions too shall be thought-about and understood in an analogous means.

Information of vikriti is crucial for a doctor for treating the illnesses in a complete means. It’s because when vikriti occurs, imbalances happen within the physique elements and trigger illness. Examination of vikriti consists of understanding the illness.
Learn – Dosha Prakriti Concept And Trendy Genetics

Examination of Vikriti

Illness shall be examined by understanding the beneath talked about elements in relation to the pathology of that illness –

Hetu

Hetu means etiological elements of a illness. Publicity to etiological elements is crucial for the onset of the illness course of within the physique. They’ll first trigger imbalance of doshas. These vitiated doshas in flip will contaminate the tissues of the physique, thus resulting in the formation of illnesses. The character, amount and energy of etiological elements decide the character, amount and energy of the illness. Additionally assist the docs to advise sufferers to maintain away the causative elements.
Learn – Nidana: Which means, Phrase Derivation, Definition

Dosha

The illnesses are triggered on account of imbalances within the doshas. These imbalances could also be in particular person doshas or relative to different doshas. Imbalance in a dosha will clearly trigger its relative imbalance with the opposite two doshas. The qualitative and quantitative imbalance of doshas needs to be understood. This imbalance could also be both within the type of pathological enhance or lower. Thus the deformity of illness course of shall be examined by way of understanding the concerned doshas within the pathogenesis of that illness.
Learn – Tridosha Concept in Ayurveda

Dushya

Dushya means the elements of the physique which are likely to get contaminated by the vitiated doshas. The tissues in wholesome state are the physique’s first line of protection. The amount and variety of tissues contaminated by the vitiated doshas determines the character and prognosis of the illness. The extent of injury of the tissues additionally displays decreasing of energy and immunity of a person. The standing of tissues needs to be thought-about whereas analyzing the illness.
Learn – Dhatu – 7 Physique Tissues As Defined In Ayurveda

Prakriti

The structure of the affected person is known as prakriti. The structure of each individual is made up of dosha(s) and the identical doshas when imbalanced causes illnesses. The people who find themselves made up of a selected dosha / doshas structure can be vulnerable to get illnesses attributable to the identical doshas compared to the opposite doshas. By realizing the structure of an individual it’s straightforward to deduce the type of illnesses that they’d endure from. Instance – A vata structure individual is extra vulnerable to develop vata issues if vata aggravating etiological elements are consumed regularly. Vata persons are extra prone to get degenerative issues. Pitta persons are extra prone to endure from inflammatory issues.

Examination of a illness from a prakriti perspective is essential as a result of it helps the doctor to know if the illness i.e. vikriti has been developed within the individual of the identical prakriti or totally different prakriti. This additionally determines the kind of therapy to be undertaken and likewise the prognosis of the illness. Instance – An overweight individual coming for therapy of weight problems and weight discount could not essentially be of kapha structure (kapha structure persons are extra vulnerable to endure from obese circumstances, weight problems and its issues). She or he could inform that they had been born skinny and grew up with the identical physique body and out of the blue have gained huge weight within the final couple of years. This exhibits that it’s a case of obese or weight problems manifesting in a vata structure individual. Weight problems in a vata individual and weight problems in a kapha individual will want totally different therapy approaches and each needs to be seen as totally different pathological entities.
Learn – Efficient Weight problems Remedy, Treatments, Ayurveda Ideas

The illness producing fundamental causative elements can also be referred to as prakriti. In different phrases these elements which have the character of manufacturing explicit illness are referred to as prakriti of these issues or elements.

Desha

Whereas analyzing the illness, the desha i.e. the land by which the affected person lives must also be thought-about. It’s because explicit illnesses are predominantly manifested particularly locations. Vata illnesses are predominant in desert-like lands. Kapha illnesses in marshy and wetlands. By realizing the place the place the affected person resides we are able to infer the illnesses they’re vulnerable to get.

The doctor must also take into accounts in regards to the beneath talked about points concerning the place –
– place of origin, upbringing and at present residing place
– the variety of geographical locations the affected person has been in latest time
– the locations he frequents and many others

All these have an effect on our well being and illness. Some individuals dwell glad and wholesome within the place of their origin and a few individuals uncover their well being and happiness after they change their place of dwelling. Identical rule applies to illnesses and struggling too.
Learn – Examination of Desha: Habitat / Human Physique

Kala

Kala means time issue. It consists of many points of time like 12 months, month, week, day, hour, minute and second. It additionally consists of varied seasons. Time issue needs to be thought-about whereas analyzing vikriti i.e. deformity / illness. Like land, the time issue too has an impression on illness and well being. Aggravation of each dosha takes place at totally different components of the day, 12 months and season. The vitiation of dosha at explicit factors in relation to the time issue helps the doctor to know the illness and its manifestation and likewise to plan the therapy protocols accordingly.
Learn – Kala – The Time Issue

Bala Bheda

Bala means energy, tolerance and likewise consists of immunity. State of well being and manifestation of illnesses rely on the energy of the individual. Folks having much less energy and immunity are extra inclined for illnesses. Equally, the frequency of manifestation of illnesses in an individual lowers the energy and immunity.

Bala is of three varieties –

– Uttama bala – good energy – has good tolerance in the direction of the illness
– Madhyama bala – reasonable energy – has reasonable tolerance in the direction of illness
– Alpa / avara bala – much less energy – has intolerance or much less tolerance in the direction of illness
Learn – Bala Samprapti: Understanding pathogenesis Based mostly On Causes And Signs

Lakshana

Linga or lakshana means indicators and signs. Any illness is identified by the indicators and signs it presents. The illness needs to be examined for its indicators and signs. The quantity and energy of indicators and signs provides the doctor a exact data of the character and energy of the illness and likewise its prognosis.

If the indicators and signs of the illness are weak, the illness can also be weak and so is its pathogenesis and will be handled simply. Equally if the indicators and signs of any illness are strongly manifested, the illness is tough to deal with or incurable.

If many or all indicators and signs of the illness are manifested the illness is tough to treatment. Equally if the illness is manifested with fewer indicators and signs, the illness will be cured simply.
Learn – Roopa – Signs: Definition, Sorts, Advantages of its data

Want of analyzing the above stated elements associated to the examination of illness

The above stated elements must be examined whereas analyzing the illness as a result of the energy and nature of the illness can by no means be understood with out realizing in depth about these elements which replicate the illness to its fullest. Subsequently it is extremely important to know these elements i.e. etiological elements, dosha, tissues, structure, land, time issue, sorts of energy and signs in relation to the illness to know the illness correctly. Subsequently the examination of the illnesses shall be accomplished from the angle of those elements.
Learn – Vyadhi (Illness) Definition, Which means And Rationalization

Relationship between the etiological elements and different elements talked about above and the energy of the illness

Balavan Vyadhi / Robust illness – the energy of the illness is alleged to be at its fullest (extreme illness) when –
– doshas, tissues, structure, land, time issue and energy are related and
– etiological elements and signs are stronger and lots of

Madhya bala vyadhi – the energy of the illness is alleged to be reasonable when –

– some among the many doshas, tissues, structure, land, time issue and energy are related and a few are dissimilar to one another and
– the etiological elements and signs are of reasonable energy and amount

Alpa bala vyadhi / weak illness – the energy of the illness is alleged to be weak when –

– doshas, tissues, structure, land, time issue and energy should not related to one another and
– etiological elements and signs are weaker and lesser

Click on to Seek the advice of Dr Raghuram Y.S. MD (Ayu) 

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