Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
From the essential level of understanding, doshas have three sorts of states.
Sama – is a state wherein they’re in a state of stability. That is additionally a state of being wholesome.
Vriddhi – is a state of doshas the place they’ve elevated to irregular proportions and have a tendency to trigger ailments.
Kshaya – is a state of doshas whereby they’re decreased. They don’t have the energy to trigger ailments however would manifest with deficit signs.
It’s the second state of doshas which we focus on on this article.
Levels of formation of a illness as brought on by doshas
The doshas after their preliminary enhance, if they don’t seem to be addressed, would progress by way of six completely different states of pathogenesis – the kriya kalas.
After present process a rise in their very own seats within the state of sanchaya or chaya, the doshas which aren’t managed will get elevated. This state of aggravation of doshas is named prakopa or kopa. This too takes place within the seats of the doshas itself.
If the doshas usually are not managed on this stage, they have a tendency to unfold throughout the entire physique, in a state known as prasara. Whereas in prasara, the doshas will seek for weak and inclined tissues whereby they will get lodgment.
As soon as discovered, the doshas would invade the tissues, get localized therein and harm the tissues. This state is named sthanasamshraya. The amalgamation of aggravated doshas and dhatus / dushyas on this stage is named dosha-dushya sammurchana. Right here, the sooner signs of a but to be manifested illness i.e. purvarupas – premonitory signs are shaped.
Within the subsequent stage i.e. vyakta Avastha – the amalgamation of doshas and dushyas full and the indicators and signs of the illness – rupas – clearly manifest. The illness is recognized and named on this stage and therefore is named as Rupa Avastha or Vyakta Avastha.
Additional on, if the doshas usually are not managed, they additional harm the tissues and the illness progresses to the Bheda Avastha i.e. stage of problems, which makes the prognosis tough.
From this we be taught that the doshas are the prime causes for a illness course of to start, progress and find yourself with formation of a illness or its problems.
Acharya Vagbhata states that the doshas themselves are the principle causes of all of the ailments and explains the identical with the assistance of analogies.
Ref – Ashtana Hrdaya Sutra Sthana – Chapter 12, Verses 32-34b ½ (A.Hr.Su.12/32-34 ½)
Analogy to clarify the doshas as major causes for all of the ailments
दोषा एव हि सर्वेषां रोगाणामेककारणम्।
यथा पक्षी परिपतन् सर्वतः सर्वमप्यहः॥३२॥
छायामत्येति नात्मीया यथा वा कृत्स्नमप्यदः।
विकारजातं विविधं त्रीन् गुणान्नातिवर्तते॥३३॥
तथा स्वधातुवैषम्यनिमित्तमपि सर्वदा।
विकारजात त्रीन्दोषान्
Acharya Vagbhata, within the above stated verse says that ‘the doshas alone are at all times the only causative elements for all of the ailments’.
This means that no illness varieties with out the involvement of the doshas. Doshas, thus, are thought of as obligatory elements for the causation of all ailments.
Analogies
Analogy 1 – A hen retains flying in every single place all through the day. It can not escape from its personal shadow.
Analogy 2 – All of the completely different species which have been created within the type of vikaras (i.e. results or derivatives, from the causes like Mahat – cosmic intelligence and so on. i.e. Earth, wind and so on.) can’t be separated from their predecessors or causative components, three gunas i.e. sattva, rajas and tamas. Nothing within the creation is unique of the trigunas. This implies to say that all the pieces is created from trigunas.
Equally, regardless of the ailments getting manifested resulting from swa dhatu vaishamya i.e. disturbance of their very own tissues, they are going to by no means manifest with out the involvement of the three doshas, as a rule.
To sum up,
A hen and its shadow can’t be separated. The shadow in poor health observe wherever the hen flies.
Equally, all vikaras i.e. all the pieces which is created on this planet from the primordial components is created from the trigunas, with out exception. So, these species can by no means be separated from the trigunas.
With the assistance of the above two analogies, we’ve to know that although the ailments manifest resulting from disturbance in their very own tissues, they will by no means manifest with out the involvement of the three doshas. Firstly, the tridoshas would get disturbed and vitiated. Later they unfold and get localized within the tissues or organs and harm them. Following these occasions solely any illness is shaped. That is additionally as a rule and with none exceptions.
