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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

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