No.
|
Vibheda-Bindu
(Differencial Point)
|
‘Anyoanyavritta-vata’
|
‘Doshaavritta-vata-bheda’
|
i.
|
Vyadhitva
|
It has been mentioned under the heading
of Vata-vyadhi in Ch. Chi. 28. It is specific type of pathology caused by
affection of types of Vata-dosha by another type, hence no independent entitled as disease or
Vyadhi. It does considered as Vatavyadhi.
|
It has been mentioned under the heading
of Vataa-vyadhi in Ch. Chi. 28. It is specific type of pathology caused by
affection of types of Vata-dosha
associated with Kapha & Pitta etc, hence no independent entitled as
disease or Vyadhi. It does considered as Vatavyadhi.
|
ii.
|
Nidan Panchak
|
As per
Vata-vyadhi.
|
As per
Vata-vyadhi but consideration of Pitta & Kapha as Aavarak is
essential.
|
iii.
|
Nidan
|
Usually as per Vata-vyadhi and mainly
‘Dhatukshayatmak’ mentioned in Ch.Chi.-28.
|
Chiefly as per ‘Aavarak’ associated
Vata-aavarak-dosha-prakopa Nidanas.
|
iv.
|
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 usually these
are exaggerated/vitiated leading to obstruction in channels for the movement
of the specific type of Vata-dosha.
|
Vata-prakopa
|
Independent due to Dhatu-kshaya.
(Swatantra)
|
Not Independent due to ‘Margavarodha’ of
specific type of Vatadosha by vitiated Kapha/pitta.
(Paratantra)
|
Dooshya
|
We should assume that Usually Dooshya
gets kshaya (decrease qualitatively as well as quantitatively) condition
hence leading to reactive Vata-prakopa including its all 5 types as per
principle
‘dehe srotansi riktani poorayita anilo
bali’.
(Ch. Chi.-28/18)
It may be in Koshtha, Shakha or
Marmasthisandhi or Indriya; all together. It must me noted that Acharya
didn’t mention the exaggeration/ vitiation of dooshyas here but we should
understand that severity of the symptomatology is indicative of severe involvements of dooshyas that may be said ‘unukta’(or not
disclosed)
|
Kapha/Pitta or Dooshyas are so
much exaggerated/ vitiated here that they do obstruct the path of all 5 types of Vata-dosha. Above vitiation
is also due to associated Vata-prakopa. Vitiated Vatadosha first vitiates
Kapha/Pitta then after specific type of Vatadosha itself gets
obstructed by vitiated Pitta &
Kapha as per the principle
‘Kupitah(Vata) tou samuddhooya tatra
tatraakshipan gadaan !
Karoti aavrittamaargatvaad rasaadeen ch
upashoshayeta !!
(Ch. Chi.-28/60)
|
Clinical Presentation
|
Usually Signs & Symptoms are very
severe or terminal especially where Prana/udan vayu get involved as per
principle..
Visheshat jivitam pran-udane sanshritam
balam !
Syat tayoh peedanat hanirayushashch
balasya cha !!
(Ch. Chi.-234-35)
|
Usually Signs & Symptoms are
severe but milder in comparison to
Anyoanyavritta vatadosha, especially
where Prana/udan vayu get involved as per principle..
Visheshat jivitam pran-udane sanshritam
balam !
Syat tayoh peedanat hanirayushashch
balasya cha !!
(Ch. Chi.-234-35)
Usually Signs & Symptoms are not
mentioned as generalized, kept limited to specific area or disruption of
action of specific type of vatadosha caused by Kapha & Pitta as Aavarak.
In context to other Dooshyas,
simultaneous vitiation of individual Dooshya has not been mentioned that we
are to understand as per description mentioned in previous chapters.
|
Dosha-prakopa
|
Usually As per Vikriti-sam-samaveta
pattern.
|
Primarily Prakriti-sham-samaveta pattern
because of generalized Pitta or Kapha prakopa in the path of specific type of
vatadosha.
|
v.
|
SROTAS
|
Vata-pitta-kapha dehe sarva-sroto-anusarinah
!
Avyahat-gatiryasya sthanasthah prakritou
sthitah !
Vayuh syat so-adhikam jeeved veetarogah
samaah shatam !
Pranodan-samanakhya vyanaapanaih sa
panchadhaa !
Deham tantrayate samyak sthaneshu
avyahatshcharan !!
All 5 types of vata have their specific
actions, areas or sites etc these are indicative of specific types of
srotasas concerned to their actions as well as areas or sites, mentioned very
well in description of each vayu.
|
Mainly Mahasrotas including all srotasas because Vatadosha is capable
to involve any type of the srotas in the body.
Aavritta-vata-bheda 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
|
Not mentioned anything but as per
symptomatology mentioned, we can assume that it must be very Manda or Visham.
|
Sama, Manda, Visham, Teekshna
|
ix.
|
SAM/NIRAM
|
Not mentioned anything but it may be
Saam or Niram
|
Both Saam & Niram possible
|
x.
|
AASHAY
|
All mainly Pakwashaya
|
All, especially as per Aavarak dosha.
|
xi.
|
SROTO-DUSHTI
|
Mainly Sanga because of Kshaya
condition.
|
Mainly Vimargagami Vriddha/prakupita
Kapha & Pitta that obstruct the path of
specific type of Vatadosha.
|
xii.
|
VYADHI-PRAKAR
|
Aashukari.
|
Aashukari/chirakari
|
xiii.
|
SADHYASADHYATA
|
Usually Asadhya (Pranodan) or
Kashtasaadhya and Asaadhya after one year.
(Ch. Chi.- 28/235)
|
Usually Kashtasaadhya and Asaadhya after
one year.
(Ch. Chi.- 28/235)
|
xiv.
|
SAMPRAPTI
|
We can understand that ‘Vayurkopo Dhatukshayaat’ phenomenon is main
initiative of Samprapti & later on in case of ‘Pranodan’ involvement,
Sattva-sankshobha & Ojodushti are definitely there.
|
‘Maargasyaavaranena ch’
As per the site of specific vatadosha
and aavarak dosha either Pitta & Kapha.
Yadyasya vayornirdishtam sthanam tatra
itarou sthitou !
Doshou bahuvidhaan vyadheen darshyetaam
yatha nijaan !!
(Ch. Chi- 28/231-32)
|
xv.
|
POORVA-ROOPA
|
It has been mentioned that ‘Avyakta
lakshanam teshaam poorvaroopamiti smritam’ !
(Ch. Chi.- 28/19)
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.
Above shloka is perfectly applicable in the involvement of Pran-udan
vatadosha.
|
Similarly, Signs & Symptoms of Vitiated Kapha / Pitta, 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 but the severity
of symptomatology suggests that ‘Anyo-anyavaran’ phenomenon is itself a
condition of complication of various types of Gambhir-marmashrita vyadhi, may
be a vataja, pittaja, kaphaja, shonitaja, dwandwaja or Sannipataja.
|
Hridrogo vidradhih pleeha gulmo atisar ev cha !
Bhavanti upadravah teshaam aavrittanaam upekshanaat !!
(Ch. Chi.- 28/236)
|
xvii.
|
VYADHI- DHATUGATATVA
|
Not
mentioned directly but as per the severe symptomatology, we can assume
that mostly these are because of majjadhatudushti and onward involving Sattva
and Ojas.
|
Primarily individual Doshavritta
specific Vata-dosha phenomenon described but dhatugatatva or reverse
dhatugatatva is possible as per principle of Dhatvagni etc mentioned in Ch. Chi. 15.
|
xviii.
|
Upashaya
|
As per Vatavyadhi
|
As per
Aavarak primarily, followed by specific types of Vatadosha.
|
xix.
|
|
|
|
xx.
|
CHIKITSA SIDDHANTA
|
Individual line of treatment mentioned for all 12 types of
‘Anyo-anyavaran-vata-dosha’ conditions.
स्थानान्यवेक्ष्य
वातानां वृद्धिं हानिं च कर्मणाम् ॥२१७॥
द्वादशावरणान्यन्यान्यभिलक्ष्य
भिषग्जितम् ।
कुर्यादभ्यञ्जनस्नेहपानबस्त्यादि१
सर्वशः ॥२१८॥
क्रममुष्णमनुष्णं
वा व्यत्यासादवचारयेत् ।
उदानं
योजयेदूर्ध्वमपानं चानुलोमयेत् ॥२१९॥
समानं शमयेच्चैव
त्रिधा व्यानं तु योजयेत् ।
प्राणो
रक्ष्यश्चतुर्भ्योऽपि स्थाने ह्यस्य स्थितिर्ध्रुवा ॥२२०॥
स्वं स्थानं
गमयेदेवं वृतानेतान् विमार्गगान् ।
Swam sthanam gamayedevam vrittan etan vimargaan !!
(Ch. Chi.- 28/217-21)
|
Individual line of treatment mentioned for all 11 types of ‘Aavrittavata’
conditions.
Below the general line of treatment instructed.
भिषग्जितमतः
सम्यगुपलक्ष्य समाचरेत् ॥२३८॥
अनभिष्यन्दिभिः
स्निग्धैः स्रोतसां शुद्धिकारकैः ।
कफपित्ताविरुद्धं
यद्यच्च वातानुलोमनम् ॥२३९॥
सर्वस्थानावृतेऽप्याशु
तत् कार्यं मारुते हितम् ।
यापना बस्तयः
प्रायो मधुराः सानुवासनाः ॥२४०॥
प्रसमीक्ष्य
बलाधिक्यं मृदु वा स्रंसनं हितम् ।
रसायनानां
सर्वेषामुपयोगः प्रशस्यते ॥२४१॥
शैलस्य
जतुनोऽत्यर्थं पयसा गुग्गुलोस्तथा ।
लेहं वा भार्गवप्रोक्तमभ्यसेत्
क्षीरभुङ्नरः ॥२४२॥
अभयामलकीयोक्तमेकादशसिताशतम्१
।
अपानेनावृते सर्वं
दीपनं ग्राहि भेषजम् ॥२४३॥
वातानुलोमनं यच्च
पक्वाशयविशोधनम् ।
इति सङ्क्षेपतः
प्रोक्तमावृतानां चिकित्सितम् ॥२४४॥
प्राणादीनां भिषक्
कुर्याद्वितर्क्य स्वयमेव तत् ।
पित्तावृते तु
पित्तघ्नैर्मारुतस्याविरोधिभिः ॥
कफावृते
कफघ्नैस्तु मारुतस्यानुलोमनैः ॥२४५॥
|
xxi.
|
PATHYAPATHY
|
Not mentioned specifically.
|
Specifically mentioned for
‘Aavritta-vata’.
|
|
