Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Anukta = unsaid
Dosha Linga = signs of doshas
Anukta Dosha Linga means – unsaid signs of doshas
Context
Acharya Sushruta states that one (doctor or surgeon) ought to attempt to determine the unsaid signs of doshas additionally in a given illness and deal with the illness accordingly.
Ref – Sushruta Sutra Chapter 35, Verse 19
What’s anukta dosha linga?
नास्ति रोगो विना दोषैर्यस्मात्तस्माद्विचक्षणः ।
अनुक्तमपि दोषाणं लिङ्गैर्व्याधिमुपाचरेत् ॥१९॥ (Su.Su.35/19)
All of the illnesses that we endure from are attributable to aggravated doshas. No illness will ever manifest with out the involvement of doshas. Subsequently, an clever doctor / surgeon should determine the doshas regardless of them not being talked about and deal with these illnesses promptly.
So, right here the Acharya states a rule between doshas and illnesses and makes it clear that no illness is manifested with out the involvement of aggravated dosha or doshas. This additionally implies that the signs and indicators present in a given illness are attributable to the aggravated dosha or doshas concerned within the pathogenesis and manifestation of a illness. Such ‘dosha lakshanas’ i.e. dosha particular signs are clearly talked about within the texts in associated contexts or chapters of explicit illnesses. The classification of illnesses like vataja, pittaja and so on. can be completed primarily based on the predominant dosha concerned within the causation of that illness. The signs given within the context are these of the associated dosha. Instance – If the illness is Vataja Jwara i.e. fever attributable to aggravated vata, the indicators and signs of the identical are attributable to vata. So, the therapy ought to be in response to vata i.e. to mitigate or expel vata with appropriate measures, because the case could also be.
Coming to the opposite rule,
Any illness is shaped solely after the amalgamation of predominantly aggravated dosha and a selected dhatu focused by that dosha (weak and inclined dhatu). That is known as Dosha Dushya Sammurchana. When the amalgamation has began, there may be not a lot tissue injury. However the response between dosha and dhatu / dushya causes some early signs of the illness. These signs are known as purvarupas – premonitory signs of a illness. Alternatively, the signs of a longtime or manifested illness which seem after the amalgamation of the dosha and dushya has accomplished are known as as rupas – the indicators and signs of a illness. These seem after vital tissue injury has been attributable to the invading dosha. When not handled even on this situation, issues of illness seem which determines the prognosis of the illness, which is normally unhealthy at this stage. All these signs are defined contextually in every chapter. They offer us a transparent image of the dosha or doshas concerned within the pathogenesis and assist us to plan the road of therapy accordingly.
Earlier than Purvarupa, the doshas are in delicate type of aggravation as in Sanchaya – whereby dosha accumulation is happening in its personal seats, Purvarupa – whereby dosha aggravation is happening in its personal seats and Prasara – the aggravated doshas depart their seats and unfold out within the physique. Indicators and signs of dosha aggravation throughout these levels too have been specified within the texts.
Seeing this, there may be quite a lot of data within the Ayurveda texts which assist us to determine this dosha-roga relationship and deal with both the illness inflicting dosha, or the illness itself or each.
Each illness could also be Nija – these attributable to doshas, Agantu – these attributable to exterior components like harm and so on and Manasika – psychological issues have a dosha hyperlink, all through the pathogenesis.
Will there nonetheless be any ‘unsaid’ dosha signs?
Since Acharya has talked about it within the talked about verse, there ought to be.
Acharya has talked about the phrase ‘anukta dosha linga’ to inform that ‘the shastra has its limitations’ and all signs can’t be enlisted. Some signs must be understood on the idea of inference (anumana or anumiti jnana) and on one’s data of doshas and the sample, nature and depth of signs attributable to them, both individually or in mixtures of two or three, regardless of they not being talked about or detailed.
With evolution might come up newer illnesses, with newer signs, which should not have textual reference. Their dosha relationship must be established by the physicians of that era, relying on the dosha data that they’ve tapped from the traditional texts. The character of such newer signs ought to be understood from the doshic lens and handled accordingly. This means the Bhavishya Jnana i.e. futuristic visualization of our historical seers and acharyas. It’s because they’re aptas and they’re going to have data of the previous, current and future.