Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Acharya Sushruta emphasizes on consideration of three main elements in figuring out the dose and motion of Shamana Aushadhas i.e. palliative medicines. He stresses that the remedy will probably be extremely efficient and profitable if these medicines are administered after contemplating all these three elements in each affected person.
He says that administration of all medicines and herbs needs to be completed after contemplating the under talked about three elements. They’re –
The elements to be thought of are –
1. Vyadhi bala – power of the illness,
2. Agni bala – power of the digestive hearth and
3. Purusha / Atura bala – power of the physique of the affected person
These guidelines are defined with particular reference to ‘shamana aushadhas’ i.e. palliative medicines however the understanding may be prolonged to incorporate administering varied different medicines and medication kinds, together with shodhana aushadhas – purificatory medicines additionally.
Consideration of Vyadhi Bala, Agni Bala and Purusha Bala in figuring out the dose of Shodhana Aushadhas – purificatory medicines
एवं संशोधनमतिपातयति।
Sushruta additionally emphasizes that the identical elements shall be thought of even in administration of shodhana aushadhas – purificatory medicines i.e. power of vyadhi, agni and bala needs to be thought of.
If shodhana medicines are administered in extra of power of the illness, digestive hearth and physique of the affected person, they might cleanse the physique (evacuate) excessively and in flip bother the affected person immensely.
Ref – Sushruta Sutra Sthana, Chapter 39, verse 10 (Su.Su.39/10)
The explanations for contemplating these elements haven’t been specified within the textual content, however I’ve put forth the reason on the idea of inference.
Dose of shodhana medication vs power of illness
The dose of the shodhana aushadha shouldn’t be in extra of the power of the illness. If extreme shodhana medication is run in case of weak or average power ailments, it can certainly break the chain of pathogenesis however can even expel doshas and malas in extra. Additional on, it can additionally trigger tissue injury and trigger excessive weak spot other than producing ati Shuddhi lakshanas – signs of extreme purification.
Dose of shodhana medication vs power of digestive hearth
The dose of the shodhana medication, similar to shamana medication needs to be in sync with the power of agni and shouldn’t be in extra of it. Shodhana ought to by no means be administered within the presence of low or average agni and whether it is administered in extra, it’s too harmful. When there’s low agni, there will probably be extreme ama within the physique, the tissues too could have weak power. Shodhana medication given in extra will attempt to expel the sama doshas. It will destroy the tissues and the physique additionally.
Dose of shodhana medication vs power of the physique of the affected person
If shodhana medication is run to an individual having weak physique power, the particular person won’t tolerate the cleaning impact or motion of shodhana medication. The drugs will injury the tissues and the physique and can also trigger dying.
रोगे शोधनसाध्ये तु यो भवेद्दोषदुर्बलः ॥
तस्मै दद्याद्भिषक प्राज्ञो दोषप्रच्यावनं मृदु॥११॥
चले दोषे मृदौ कोष्टे नेक्षेतात्र बलं नृणाम्॥
अव्याधिदुर्बलस्यापि शोधनं हि तदा भवेत्॥१२॥
स्वयं प्रवृत्तदोषस्य मृदुकोष्टस्य शोधनम् ॥
भवेदल्पबलस्यापि प्रयुक्तं व्याधिनाशनम् ॥१३॥
To get rid of barely elevated doshas in a easy approach, the Shodhana medicines needs to be administered in delicate / much less doses and the identical rule shall be adopted solely in instances of ailments curable with purificatory therapies. Alternatively, shodhana medication shouldn’t be administered if the illness or ailments shouldn’t be match for shodhana.
Even within the sufferers who’ve turn out to be weak because of the affect of robust and morbid doshas, the identical rule is relevant i.e. shodhana medicines needs to be administered in delicate doses even to them
The power of the particular person shouldn’t be thought of when –
– Chale doshe – the doshas should not regular i.e. they’re in circulation and
– Mrdau Koshte – the bowel motion is gentle
The reason being that shodhana aushadha is useful even in these individuals who should not debilitated by ailments.
The purificatory medicine when administered would remedy the ailments when –
– the doshas are going out of the physique on their very own and
– in these having gentle bowel actions
Shodhana or Purgative medicines would remedy the illness even when the particular person has poor power.
