Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Acharya Sushruta says that ‘Aprasanna Indriyatvam’ is a instrument for diagnosing the abnormalities and imbalances of doshas utilizing anumana i.e. inference or inferential information as a instrument.
Phrase which means
– Aprasanna – disagreeable
– Indriya – sense organs
– Aprasanna Indriyatvam – a sense of unpleasantness within the sense organs
Reference – Sushruta Samhita Sutra Sthana, ‘Dosha dhatu mala kshaya vriddhi vijnaniya adhyaya’, Chapter 15, verse 39 (Su.Su.15/39)
On this article we’ll attempt to know extra about Aprasanna Indriyatvam.
Aprasanna Indriyatvam
दोषादीनां त्वसमतामनुमानेन लक्षयेत् ।
अप्रसन्नेन्द्रियं वीक्ष्य पुरूषं कुशलो भिषक् ॥३९॥
Acharya Sushruta says, ‘A clever doctor ought to perceive the delicate abnormalities and imbalances occurring in dosha and so forth (dhatus, mala and so forth) by means of Anumana i.e. inference or inferential information. To achieve this information, he ought to use ‘aprasanna indriyatvam’ defined by the affected person as a instrument’.
The clever doctor
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Keenly observes ‘Aprasanna Indriyatvam’ – unpleasantness of the senses and thoughts within the affected person and
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Makes use of his inferential information i.e. Anumana Pramana / Anumiti Jnana
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To know the delicate abnormalities occurring in dosha and so forth (dhatu, mala and so forth) within the affected person
Why is knowing ‘Aprasanna Indriyatvam’ essential for a doctor?
Some sufferers have no idea what is occurring with them. Many have no idea tips on how to clarify their well being situation and what abnormalities they’re experiencing of their physique and thoughts.
However, the presentation of minor or reasonable disturbances and imbalances of the doshas within the physique are so minute and delicate that it’s obscure or diagnose the illness and its nature.
Many individuals simply say that ‘I’m not feeling effectively’. Some might say, ‘I’m feeling very low right now’. Others might say, ‘I’m not certain what is occurring with me, I simply know I need assist’.
Many physicians would have come throughout individuals presenting their drawback on this method. This state of ‘not feeling effectively’ is aprasanna indriyatvam. Right here, the doctor wouldn’t get a number of data to diagnose the illness or write medicines for a similar. On the identical time, this can’t be ignored. Right here is the place the instrument of ‘anumana’ comes into play.
The doctor ought to have a affected person listening to and whereas the affected person is narrating one thing she or he is not sure of, in relation to their well being imbalances, ought to make calculations of their thoughts in order to tips on how to take care of it. Although the affected person himself is just not clear of what’s occurring, she or he might have medical recommendation on the finish or an intensive analysis, particularly when this occurs fairly often.
Why does aprasanna indriyatvam occur?
Prasanna indriyatvam is without doubt one of the indicators of fine well being, which implies pleasantness of the senses. Acharya Sushruta explains the identical whereas describing the options of a wholesome particular person later in the identical chapter. (Su.Su.15/42).
Pleasantness of thoughts alone is not going to be a surety or marker of comprehensiveness of well being. It must be part of ‘many balances’. It ought to be accompanied with equilibrium of doshas, dhatus, malas, agni and likewise pleasantness of thoughts and soul.
Physique and thoughts are interdependent phenomena. If one is troubled, the opposite too is troubled. So, ‘aprasanna indriyatvam’ isn’t just an indicator of imbalances or disturbances on the stage of indriyas, it might mirror abnormalities and imbalances of the doshas, dhatus, mala, agni, manas and so forth entities additionally.
However we will inform that there are markers for every part. Ayurveda treatises have already defined the signs of improve, lower and aggravation of all doshas, dhatus and malas, the indicators of agni disturbances, the signs of thoughts imbalances, the signs of affliction of srotas and every part. This is able to anyway make our job straightforward in diagnosing the disturbances of those entities and likewise promptly tackle them. We even have the outline of indicators and signs of illnesses.
Why does a doctor want to watch aprasanna indriyatvam and use anumana to diagnose or perceive the abnormalities and imbalances of doshas and so forth?
That is due to the subtleties of pathogenesis.
Aprasanna indriyatvam could also be manifested and expressed by the affected person within the under talked about situations –
– The affected person is un-expressive or much less expressive
– The samprapti i.e. pathogenesis of the illness is just not effectively established
– The samprapti is weak sufficient to create a robust illness or robust signs
– The disturbances within the physique and thoughts are very delicate and gross which makes it tough for the affected person to know
– The affected person is just not in a situation of telling what precisely is occurring or can not perceive what is occurring with him
– The affected person explains the situation in half processed or unprocessed method whereby there’s clouding of the situation
– The disturbances could also be in sanchaya – accumulation, prakopa – aggravation or prasara – spreading nature that are tough to precise on the a part of the affected person
– The illness could also be in premonitory – purvarupa stage whereby it’s tough to clarify by affected person or to know by the doctor
– The affected person is robust sufficient, bodily and mentally and is discovering a disturbing symptom to be a easy one
– These persons are predominantly disturbed by thoughts
make anumana on the premise of aprasanna indriyatvam?
The doctor wants a great information of fundamentals of Ayurveda and well being to do that. It is because, the one proof to research a given case and are available to a doable conclusion is ‘aprasanna indriyatvam’. That could be resulting from delicate disturbances on the stage of physique, thoughts, senses or all.
Instance, an anxious affected person is predominantly vata. He might be cranky in entrance of the doctor when it comes to bodily and psychological behaviour. He might be confused and fiddling with one thing round. It could not essentially be a psychological situation, the particular person could also be sane and but cranky. He’s conscious however confused. He says ‘I’m not certain physician, please determine it out your self’. The sport begins right here.
Likewise, a depressed particular person could also be predominantly troubled by kapha disturbances or tamasic predominance. He is not going to communicate and is a silent affected person. Anumana takes the doctor deep into the kapha and tamasic fields whereby he can play his recreation.
Aprasanna idriyatvam is a clue which the ‘Sherlock Holmes’ doctor ought to use to crack an unexplained thriller.
All guidelines of examination of the affected person by means of Anumana are relevant right here and virtually each facet which could be examined by means of inference shall be introduced into play to analyse, perceive and tackle aprasanna indriyatvam, as a result of we would not have enough proof to crack the thriller and anumana is the important thing instrument. However earlier than that, it is rather essential to watch and perceive the ‘aprasanna indriyatvam’ and its nature and the particular person presenting himself or herself on this state.