No.
|
Vibheda-Bindu
(Differencial Point)
|
Gata-vata
|
Aavritta-vata
|
i.
|
Vyadhitva
|
It has been mentioned under the heading
of Vata-vyadhi. It is specific type of pathology caused by
Vata-dosha, hence no independent entitled as disease or Vyadhi. It does
considered as Vatavyadhi.
|
It has been mentioned under the heading
of Vataa-vyadhi. It is specific type of pathology caused by
Vata-dosha associated with Kapha & Pitta etc, hence no independent
entitled as disease or Vyadhi. It does considered as Vatavyadhi.
|
ii.
|
NidanPanchak
|
As per
Vata-vyadhi.
|
As per
Vata-vyadhi.
|
iii.
|
Nidan
|
Usually as per Vata-vyadhi and mainly
‘Dhatukshayatmak’.
|
Chiefly as per ‘Aavarak’ and associated
Vata-prakopa Nidanas.
|
iv.
|
A. Anya Dosha-chintan
(Consideration of Other Dosha)
|
Usually no or very less consideration of
Kapha & Pitta.
|
Being ‘Aavarak’ & ‘Aavritta’
phenomenon in pathology, Aavarak is usually
other than Vata-dosha, like Pitta & Kapha or dooshyas & usually these
are exaggerated/vitiated leading to obstruction in channels for the movement
of the Vata-dosha.
|
B. Vata-prakopa
|
Independent due to Dhatu-kshaya.
(Swatantra)
|
Not Independent due to ‘Margavarodha’ by
vitiated Kapha/pitta or other Dooshyas.
(Paratantra)
|
C. Dooshya
|
Usually Dooshya gets kshaya (decrease
qualitatively as well as quantitatively) condition hence leading to reactive
Vata-prakopa as per principle देहे स्रोतांसि रिक्तानि पूरयित्वाऽनिलो बली ॥१८॥
It may be in Koshtha, Shakha or
Marmasthisandhi or Indriya; all together. It must me noted that Dooshyas are
not so much exaggerated/ vitiated here
that could obstruct the path of Vata-dosha.
|
Kapha/Pitta or Dooshyas are so
much exaggerated/ vitiated here that they do obstruct the path of
Vata-dosha. Above vitiation is also due to associated Vata-prakopa. Vitiated
Vatadosha first vitiates Kapha/Pitta or Dooshyas & then after Vatadosha
itself gets obstructed by vitiated Dosha/Dooshyas etc. as per the principle...
कुपितस्तौ समुद्धूय तत्र तत्र क्षिपन् गदान् ॥६०॥ करोत्यावृतमार्गत्वाद्रसादींश्चोपशोषयेत् ।
|
D. Clinical Presentation
|
Usually Signs & Symptoms are as per
the site or Kshaya of specific Dooshya Viz.
Koshthashrita Vata
Sarvangashrita Vata
Aamashayagat Vata etc.
(Here vitiated vatadosha causing the
disturbance in physiology at specific site, depriving the function of other
physiological entities and causing the localized or generalized pathology, hence it has been mentioned
separately to establish the importance of Vata-dosha.)
Or
Rasagata Vata
Raktagata Vata etc.
(these are best examples to understand
the capability of vatadosha. These phenomenon might be similar to various
mentioned clinical disease entities but to elicit the main role of the
vatadosha in the body, these are mentioned under the heading of Vatavyadhi.
|
Usually Signs & Symptoms are
mentioned as generalized, not limited to specific area regarding the Kapha
& Pitta as Aavarak.
लिङ्गं पित्तावृते दाहस्तृष्णा शूलं भ्रमस्तमः१ ॥६१॥ कट्वम्ललवणोष्णैश्च विदाहः शीतकामिता ।
In context to other Dooshyas,
simultaneous vitiation of individual Dooshya has been mentioned that is an
indication that Dooshyas are not decreased qualitatively as well as
quantitatively initially, later it may possible as disease progresses..
रक्तावृते सदाहार्तिस्त्वङ्मांसान्तरजो भृशम् ॥६३॥ भवेत् सरागः श्वयथुर्जायन्ते मण्डलानि च ।
|
E. Dosha-prakopa
|
Usually As per Prakriti-sam-samaveta
pattern.
|
Primarily Vikriti-visham-samaveta
pattern.
|
v.
|
SROTAS
|
Mainly Mahasrotas including all srotasas because Vatadosha is capable to
involve any type of the srotas in the body.
Gatavata phenomenon usually involve one
srotas as per the description by Charak but may involve more than one if
multiple potent Nidanas have been indulged.
|
Mainly Mahasrotas including all srotasas because Vatadosha is capable
to involve any type of the srotas in the body.
Aavrittavata phenomenon usually involve
multiple srotas as per the description by Charak because of ‘Aavaran’
phenomenon where ‘Aavarak’ & ‘Aavritta’ are involved essentially.
|
vi.
|
ROGAMARGA
|
Kooshtha, Shakha, Marmasthisandhi,
Indriya etc
|
Kooshtha, Shakha, Marmasthisandhi.
|
vii.
|
ADHISHTHAN
|
Sattva & Sharira
|
Sattva & Sharira
|
viii.
|
AGNI
|
Manda or Visham
|
Sama, Manda, Visham, Teekshna
|
ix.
|
SAM/NIRAM
|
Mainly Niram
|
Both Saam & Niram possible
|
x.
|
AASHAY
|
All mainly Pakwashaya
|
All, mainly as per Aavarak.
|
xi.
|
SROTO-DUSHTI
|
Mainly Sanga because of Kshaya
condition.
|
Mainly Vimargagami Vriddha/prakupita Kapha
& Pitta & other Dooshyas obstruct the path of Vatadosha.
|
xii.
|
VYADHI-PRAKAR
|
Aashukari/chirakari
|
Aashukari/chirakari
|
xiii.
|
SADHYASADHYATA
|
Usually Kashtasaadhya and Asaadhya after
one year.
(Ch. Chi.- 28/235)
|
Not mentioned anything specifically for Aavritavata but may be taken as Sadhya, kashtasadhya & Yapya or Asadhya after one year on the basis of other instructions.
|
xiv.
|
SAMPRAPTI
|
‘Vayurkopo Dhatukshayaat’
|
‘Maargasyaavaranena ch’
|
xv.
|
POORVA-ROOPA
|
It has been mentioned that अव्यक्तं लक्षणं तेषां पूर्वरूपमिति स्मृतम् ॥१९॥
But as per the Dosha-dhatu & malas involvement, preliminary signs
& Symptoms of Kshaya of individual entity can be observed. Though these
are not the poorvaroopa of vatavyadhi but the presence of these may lead to
vatavyadhi in the future.
|
Similarly, Signs & Symptoms of Vitiated Kapha / Pitta or other
Dooshyas, responsible as ‘Aavarak’,
can be observed in the body.
Though these are not the poorvaroopa of vatavyadhi but the presence of
these may lead to Aavaran-janit-vatavyadhi in the future.
|
xvi.
|
UPADRAVA
|
Not mentioned generally for Vatavyadhis.
|
हृद्रोगो विद्रधिः प्लीहा गुल्मोऽतीसार एव च ॥२३६॥ भवन्त्युपद्रवास्तेषामावृतानामुपेक्षणात् ।
|
xvii.
|
VYADHI- DHATUGATATVA
|
Clearly mentioned
|
Primarily individual Dhatwaavritta
Vata-dosha phenomenon described but dhatugatatva or reverse dhatugatatva is
possible as per Dhatwagni principle mentioned in Ch. Chi. 15.
|
xviii.
|
Upashaya
|
As per Vatavyadhi
|
As
per Aavarak primarily, followed by
Vatavyadhi.
|
| | |
|
iix.
|
CHIKITSA SIDDHANTA
|
Individual line of treatment mentioned for all 14 types of ‘Gatavata’
conditions.
|
Individual line of treatment mentioned for all 11 types of ‘Aavrittavata’
conditions.
Anyoanya vata aavaran etc are not taken in consideration her
|
xx.
|
PATHYAPATHY
|
Not mentioned specifically for ‘Gatavata’.
|
Specifically mentioned for
‘Aavritta-vata’.
|
|
