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 much simpler and faster’ however to reassemble and reconstruct the destroyed issues takes a hell lot of time, greater than the unique building. It’s 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 harm the tissues even sooner. The illness can also be shortly manifested following the amalgamation of robust doshas and weak and vulnerable tissues which can’t defend themselves towards ‘dosha assault’. However the reverse engineering – known as the therapy course of or its impact, ‘the treatment’ – is troublesome.
The doctor must do plenty of train and make investments all his information and observe 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 steadiness agni with agni Deepana. He has to loosen the doshas which have stubbornly lodged within the tissues and refuse to come back out by the use of 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 preferrred 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 means of administering Samsarjana Krama, in order to carry again the agni weakened as a result of shodhana, again to normalcy. Then, he must administer Rasayana remedy to see that the restoration is sweet and steady and the probabilities of recurrence of the illness would reduce and likewise to boost the immunity of the particular person. He ought to maintain having observe ups of the affected person till he makes it positive that the particular person is again to his regular. We will 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 shall be cosmos excessive. There could also be many questions. ‘Why is it taking so lengthy for my drawback to get addressed?’. ‘Why is the therapy not responding shortly?’. ‘Physician, what number of extra days will it take for me to turn out to be 100% okay?’. And lots 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 route.
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 troublesome and sluggish
व्याप्नोति सहसा देहमापादतलमस्तकम्॥२९॥
निवर्तते तु कुपितो मलाऽल्पाल्पं जलौधवत्।
Acharya Vagbhata provides a ‘flood analogy’ to grasp why reversing pathogenesis of a illness or broken brought on by aggravated doshas is troublesome and a sluggish course of, compared to the fast 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 obstacles and inflicting fast and excessive destruction of fabric and life. This harmful pathway is straightforward and occurs shortly. However to recuperate the identical metropolis from the after-effects can’t be shortly achieved. It’s because the reversal course of i.e. evacuating the town of the water load may be very sluggish and troublesome. It wants immense work and devoted groups to work for a lot of days to recuperate the town and put it again to life. Nonetheless, all the things can’t be claimed and changed. No matter is misplaced, is misplaced eternally. It’s virtually like rebuilding a ruined metropolis. It could by no means be the identical. It could get a brand new makeover after a number of years. The tragedy and harm could also be forgotten. However the metropolis isn’t the identical’.
Placing this analogy within the line of dosha aggravation, the flooding of the town is correlated to flooding of doshas-in-rampage and aggressive temper reaching each nook of the physique, which is the town right here. The doshas would affect extreme destruction of the town of our physique. This pathway is straightforward and fast. However reversing the occasions and reestablishing peace, normalcy and well being within the physique is sluggish and troublesome, as defined above.
Acharya says, in his phrases, ‘the vitiated doshas shortly unfold all through the physique from foot to move 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.