Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
As a norm of the creation, all of us would have seen or skilled from what occurs round us that ‘destruction is way simpler and faster’ however to reassemble and reconstruct the destroyed issues takes a hell lot of time, greater than the unique development. It is because the remnants of the destruction must be cleared out earlier than the precise means of reassembling begins.
Similar is the case with the human physique and thoughts. Doshas simply get aggravated. They unfold shortly. They assault and injury the tissues even quicker. The illness can also be shortly manifested following the amalgamation of robust doshas and weak and vulnerable tissues which can not defend themselves towards ‘dosha assault’. However the reverse engineering – known as the remedy course of or its impact, ‘the treatment’ – is tough.
The doctor must do plenty of train and make investments all his data and follow into effecting this reverse engineering right into a profitable treatment of the illness.
Firstly, he must deal with ama with ama pachana. He has to stability agni with agni Deepana. He has to loosen the doshas which have stubbornly lodged within the tissues and refuse to return out via snehana and swedana. As soon as the liquified doshas move from the tissues in the direction of the kostha – abdomen / gut – he shall expel them by administration of superb shodhana measures – vamana in case of kapha and virechana in case of pitta. He then must put the affected person on graduated dietetic protocol by way of administering Samsarjana Krama, in order to carry again the agni weakened attributable to shodhana, again to normalcy. Then, he must administer Rasayana remedy to see that the restoration is nice and secure and the possibilities of recurrence of the illness would reduce and in addition to reinforce the immunity of the individual. He ought to preserve having observe ups of the affected person till he makes it certain that the individual is again to his regular. We are able to see that this isn’t achieved simply. It differs from individual to individual, illness to illness.
However the well being seeker will simply be in search of reduction from his illnesses. The expectations can be cosmos excessive. There could also be many questions. ‘Why is it taking so lengthy for my drawback to get addressed?’. ‘Why is the remedy not responding shortly?’. ‘Physician, what number of extra days will it take for me to grow to be one hundred percent okay?’. And plenty of extra. This additionally builds up the strain on the doctor. That is the place he must be brave and assured. Assurance, reassurance and educating the affected person is essential.
From the doctor’s perspective, he too ought to know what Acharya Vagbhata superbly says on this perspective – ‘aggravation of doshas and their unfold within the physique is quick, their lower is sluggish’. Allow us to see what the grasp has to say, his reference and analogy – on this path.
Reference – Ashtanga Hrdaya SutraSthana, Chapter 12, Verses 29 ½ to 30 ½ (A.Hr.Su.12/29b-30a)
Flood Analogy to clarify why reversing pathogenesis or dosha aggravation is tough and sluggish
व्याप्नोति सहसा देहमापादतलमस्तकम्॥२९॥
निवर्तते तु कुपितो मलाऽल्पाल्पं जलौधवत्।
Acharya Vagbhata offers a ‘flood analogy’ to know why reversing pathogenesis of a illness or broken attributable to aggravated doshas is tough and a sluggish course of, compared to the short aggravation and unfold of doshas within the physique and consequent manifestation of illness.
He says – ‘When floods happen, they spell catastrophe. The water shortly rushes into the cities breaking all boundaries and inflicting fast and excessive destruction of fabric and life. This harmful pathway is simple and occurs shortly. However to get better the identical metropolis from the after-effects can’t be shortly achieved. It is because the reversal course of i.e. evacuating town of the water load may be very sluggish and tough. It wants immense work and devoted groups to work for a lot of days to get better town and put it again to life. Nonetheless, the whole lot can’t be claimed and changed. No matter is misplaced, is misplaced perpetually. It’s virtually like rebuilding a ruined metropolis. It might by no means be the identical. It might get a brand new makeover after just a few years. The tragedy and injury could also be forgotten. However the metropolis is rarely the identical’.
Placing this analogy within the line of dosha aggravation, the flooding of town is correlated to flooding of doshas-in-rampage and aggressive temper reaching each nook of the physique, which is town right here. The doshas would impression extreme destruction of town of our physique. This pathway is simple and fast. However reversing the occasions and reestablishing peace, normalcy and well being within the physique is sluggish and tough, as defined above.
Acharya says, in his phrases, ‘the vitiated doshas shortly unfold all through the physique from foot to go and trigger many ailments, however the lower of doshas and restoration of normalcy takes place very slowly and takes plenty of time to get reversed, similar to the floods’.
So, a doctor who is aware of this and understands this is not going to hurry up in treating a given affected person or situation. He’ll delicately deal with the reverse engineering till the citadel is recovered from its damages.
