Traditional Medicine in Asia
Traditional Medicine in Asia
Traditional Medicine in Asia
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� Rasayana Tantra (Geriatrics);<br />
� Vajikarana (Reproductive health and<br />
aphrodisiacs);<br />
� Kayachikitsa (Internal medic<strong>in</strong>e);<br />
� Shalya Tantra (Surgery);<br />
� Shalakya Tantra (Diseases of eye, ear,<br />
nose and throat);<br />
� Bhootavidya (Psychiatry);<br />
� Agada Tantra (Toxicology);<br />
� Kaumarabhritya (Paediatrics, obstetrics<br />
and gynaecology).<br />
Approach to the Diagnosis and<br />
Pr<strong>in</strong>ciples of Treatment<br />
Ayurveda stands for extensive and elaborate<br />
cl<strong>in</strong>ical exam<strong>in</strong>ation to understand the<br />
nature of the disease process. It identifies<br />
the patient and the disease separately.<br />
Thus, the Ayurvedic cl<strong>in</strong>ical method is<br />
broadly divided <strong>in</strong>to two parts: 14<br />
i) Exam<strong>in</strong>ation of the patient, and ii)<br />
Exam<strong>in</strong>ation of the disease. The patient is<br />
not exam<strong>in</strong>ed as a diseased entity but also<br />
as an <strong>in</strong>dividual human be<strong>in</strong>g with all its<br />
usual attributes, <strong>in</strong>clud<strong>in</strong>g his constitution<br />
and lifestyle. The 10-fold exam<strong>in</strong>ation of<br />
the patient evaluates: 15<br />
� Psychosomatic constitution;<br />
� Disease susceptibility;<br />
� Quality of tissues;<br />
� Body build;<br />
� Anthropometry;<br />
� Adaptability;<br />
� Mental Health;<br />
� Digestive power;<br />
� Exercise endurance;<br />
� Age.<br />
The exam<strong>in</strong>ation of disease is carried out<br />
by general exam<strong>in</strong>ation, through<br />
<strong>in</strong>terrogation and physical exam<strong>in</strong>ation. 16<br />
The eight-fold exam<strong>in</strong>ation covers. 17<br />
� Pulse;<br />
� Ur<strong>in</strong>e;<br />
� Stool;<br />
� Tongue;<br />
� Voice and Speech;<br />
� Sk<strong>in</strong>;<br />
� Eyes;<br />
� Overall appearance.<br />
Ayurveda<br />
This eight-fold exam<strong>in</strong>ation provides a<br />
comprehensive general survey of the body<br />
and its functions.<br />
Dushya (dhatu and mala), environment,<br />
vitality, time, digestion and metabolism,<br />
body constitution, age, psyche,<br />
acceptability, diet – all these should be<br />
m<strong>in</strong>utely analysed and taken <strong>in</strong>to<br />
consideration before decid<strong>in</strong>g the actual<br />
l<strong>in</strong>e of treatment. If the pr<strong>in</strong>ciples are<br />
applied to all the disease conditions,<br />
perhaps a better management can be<br />
evolved. To elim<strong>in</strong>ate and correct the doshic<br />
disturbances, <strong>in</strong>ternal medic<strong>in</strong>e, external<br />
medic<strong>in</strong>e and surgical treatment have been<br />
mentioned. 18 Under curative treatment,<br />
Dipan (which also <strong>in</strong>cludes appetizer) and<br />
Pachan (helpful <strong>in</strong> digestion and metabolism)<br />
drugs are <strong>in</strong>dicated for dissolv<strong>in</strong>g the<br />
vitiated doshas by correct<strong>in</strong>g the disturbed<br />
metabolism, provided the <strong>in</strong>tensity of the<br />
disease is of a mild to moderate nature. If<br />
the pathological lesion is of a more severer<br />
type than that which stimulates Agni to<br />
improve hunger or appetite, these alone<br />
may not serve the purpose and the <strong>in</strong>ternal<br />
purification measure or Panchakarma<br />
therapy should be applied. To deal with<br />
psychosomatic problems, div<strong>in</strong>e therapy,<br />
objectively planned therapy and psychotherapy<br />
have been described. 19<br />
In Daivavyapashraya Chikitsa (Div<strong>in</strong>e<br />
Therapy), Daiv refers to div<strong>in</strong>ity and/or to<br />
the events of one’s past life. It is believed<br />
that many diseases are caused due to<br />
actions or Karmas of an <strong>in</strong>dividual past life<br />
which can be treated by appropriate and<br />
auspicious Karmas <strong>in</strong> this life. This<br />
approach to therapy is called Daivavya-<br />
7