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वाय्वादिषु यथोक्तानां दोषाणां तु विशेषवित्| प्रतीकारस्य सौकर्ये विद्याल्लाघवलक्षणम्||११|| Cha vi 3</blockquote>Meaning: Contaminated desha (land), kala (season), vata (air), jala (water) are causes of Janapadodhwansa. Among these causative factors, there is a hierarchy that shows increasing level of unavoidability and difficulty in management. Thus, Jalam (water) is difficult  avoid than Vata (air), Desha is even more difficult to avoid that JAlam (water) and Kala (time/season/weather) is the most difficult thing to avoid above all these factors. Therefore vayu, jala, desha and kala are worse to handle in an ascending order. Those which are comparatively easier to handle or manage are considered as better ones in this order. Hence Desha is one of the difficult to manage causative factor as compared to air and water when it comes to epidemics management.  
 
वाय्वादिषु यथोक्तानां दोषाणां तु विशेषवित्| प्रतीकारस्य सौकर्ये विद्याल्लाघवलक्षणम्||११|| Cha vi 3</blockquote>Meaning: Contaminated desha (land), kala (season), vata (air), jala (water) are causes of Janapadodhwansa. Among these causative factors, there is a hierarchy that shows increasing level of unavoidability and difficulty in management. Thus, Jalam (water) is difficult  avoid than Vata (air), Desha is even more difficult to avoid that JAlam (water) and Kala (time/season/weather) is the most difficult thing to avoid above all these factors. Therefore vayu, jala, desha and kala are worse to handle in an ascending order. Those which are comparatively easier to handle or manage are considered as better ones in this order. Hence Desha is one of the difficult to manage causative factor as compared to air and water when it comes to epidemics management.  
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== The specific Desha has specific type of climate and dietic culture which becomes as specific cause of specific disease as ==
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== The specific Desha, climate, dietic culture and specific diseases ==
 
There are few examples in Classical Ayurveda texts where, acharyas describe how people residing in a particular desha have certain tendencies in their diet patterns  and how this makes them more prone to suffer from particular diseases that develop due to excess consumption of certain rasas. Example of desha of Eastern sides is given. Acharyas mention that people residing in eastern regions have excess consumption of ksharas (strong alkali dominant). Ksharas are said to be very harsh and penetrating in nature as well as aggravating Pitta and vitiating rakta dhatu. Thus soft tissues and organs like eyes , heart, reproductive tissues are predominantly affected. As a result they suffer from blindness, impotency, baldness, grey hair and heart disease in lage numbers as compared to people residing in other deshas. This could be the observation of acharyas in the period when the texts were written. Similarly one more such example is mentioned wherein excess salt intake by people residing in deshas like Balhika, Saurastrika, Saindhava and Sauviraka is mentioned. Excess lavana rasa is diet thus make these people more prone to develop health conditions like fatigue, lassitude and weakness.<ref>Charaka Samhita (Vimanasthanam Adhyaya 1 Sutra 17-8)</ref><ref name=":0" /> Therefore Desha is considered as one of the important criteria in [[10 fold clinical examination in Ayurveda (दशविधपरीक्षा)|10 fold clinical examination]] in Ayurveda diagnosis. Because it helps physician understand the possible cause and plan treatment effectively.  
 
There are few examples in Classical Ayurveda texts where, acharyas describe how people residing in a particular desha have certain tendencies in their diet patterns  and how this makes them more prone to suffer from particular diseases that develop due to excess consumption of certain rasas. Example of desha of Eastern sides is given. Acharyas mention that people residing in eastern regions have excess consumption of ksharas (strong alkali dominant). Ksharas are said to be very harsh and penetrating in nature as well as aggravating Pitta and vitiating rakta dhatu. Thus soft tissues and organs like eyes , heart, reproductive tissues are predominantly affected. As a result they suffer from blindness, impotency, baldness, grey hair and heart disease in lage numbers as compared to people residing in other deshas. This could be the observation of acharyas in the period when the texts were written. Similarly one more such example is mentioned wherein excess salt intake by people residing in deshas like Balhika, Saurastrika, Saindhava and Sauviraka is mentioned. Excess lavana rasa is diet thus make these people more prone to develop health conditions like fatigue, lassitude and weakness.<ref>Charaka Samhita (Vimanasthanam Adhyaya 1 Sutra 17-8)</ref><ref name=":0" /> Therefore Desha is considered as one of the important criteria in [[10 fold clinical examination in Ayurveda (दशविधपरीक्षा)|10 fold clinical examination]] in Ayurveda diagnosis. Because it helps physician understand the possible cause and plan treatment effectively.  
  
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