Indriya Sthana

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The document discusses Charaka Samhita and its section Indriya Sthana which deals with prognosis based on the functioning of senses and organs.

Charaka Samhita is one of the most ancient treatises of Ayurveda that deals with medical management of diseases as well as philosophy, way of life and afterlife. It is divided into 8 sections and contains 120 chapters.

Indriya Sthana is the 5th section of Charaka Samhita. It contains 12 chapters and is designed to help physicians decide prognosis based on the functioning of senses and organs.

CHARAKA SAMHITA

INDRIYASTHANA

Dr. Amit Mane


P.G Dept of Rasashastra.
07/15/09 CHARAKA INDRIYA STHANA 1
CHARAKA SAMHITA

• The most ancient and widely used


treatise of Ayurveda.
• Deals mainly with the medical
management of diseases.
• But also covers a wide range of
subjects.
• Also deals with philosophy and way
of life and after life.
07/15/09 CHARAKA INDRIYA STHANA 2
CONT…

• Divided into 8 Sthanas, and contains


120 chapters
• Each sthana contains detailed
description of various aspects of
healing
• Indriya Sthana is the 5th Sthana
• Contains 12 chapters and 379 Verses
07/15/09 CHARAKA INDRIYA STHANA 3
INDRIYA STHANA
• Peculiar feature of Charaka Samhita
• Designed to help the physician to
decide the prognosis
• Treatment is to be commenced only
after inferring about prognosis
• Helps protect the attending physician
from potential defamation
• Thus, it is a very useful tool even
today
07/15/09 CHARAKA INDRIYA STHANA 4
CONT…
• Describes prognosis based on:
– Varna
– Swara
– Gandha
– Rasa
– Sparsha
– Swapna
– Chaya
– Prabha

07/15/09 CHARAKA INDRIYA STHANA 5


INDRIYA…??
• Defined as the sign of life in the body
• 11 in number
• 5 sense organs
• 5 functional organs
• Mind which has both functions
• All functions of the body depend on
them
• Based on the functioning of these
sense organs the life expectancy can
be inferred
07/15/09 CHARAKA INDRIYA STHANA 6
ARISHTA
• Sign or symptom that indicates
imminent death is called Arishta
• Death is almost certain on
occurrence of Arishta.
• Simile used:
– Some flowers without fruit and vice
versa; but Arishta always followed by
death and death always preceded by
Arishta
07/15/09 CHARAKA INDRIYA STHANA 7
CHAPTERS IN INDRIYA
STHANA
• Varna-swariyendriya adhyaya
• Pushpita kendriya adhyaya
• Parimarshaniyendriya adhyaya
• Indriyanikendriya adhyaya
• Poorvarupiyendriya adhyaya
• Katamanisharirendriya adhyaya

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CONT…..
• Pannrupiyendriya adhyaya
• Avakshirasiyendriya adhyaya
• Yasyashavnimittiyendriya adhyaya
• Sadyomaraniyendriya adhyaya
• Anujyotiyendriya adhyaya
• Gomayachurniyendriya adhyaya

07/15/09 CHARAKA INDRIYA STHANA 9


Ch.1 VARNASWRIYENDRIYA
ADHYAYA
• General considerations regarding
prognosis
• Definition of prakriti
• Definition of vikriti
– Lakshan nimitta
– Lakshya nimitta
– Nimittanurupa
• Prognosis based on colour
• Prognosis based on voice of the
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Ch.2 PUSHPITAKENDRIYA
• Prognosis based on smell
• Prognosis based on taste of the body
– This is based on inference
– By observing the behavior of insects
around the patients body
• States the difficulty faced by
inexperienced physician in
identifying Arishta

07/15/09 CHARAKA INDRIYA STHANA 11


Ch.3 PARIMARSHANIYA
INDRIYA
• Prognosis based on palpation
• Observe any deviation from normal
touch
• Specific sites mentioned
– Manya
– Danta
– Pakshma
– Kesha / Roma
– Anguli
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Ch.4 INDRIYANIK INDRIYA
• Prognosis based on observing the
functioning of the sense organs
• There may not be any physical
abnormality with the organ, but their
functioning is hampered
• Description of signs related to netra,
karna, twacha, jivha
• Hyper functioning of sense organs is
also suggestive of looming death
07/15/09 CHARAKA INDRIYA STHANA 13
Ch.5 PURVARUPIYENDRIYA
• Prognosis based on prodromal factors
• Descriptions of purvarupa of different
diseases like
– Jwara,
– Yakshma,
– kushta,
– Prameha,
– Raktapitta,
– Gulma
• Prognosis based on dreams
• Types of Swapna ---- 7
07/15/09 CHARAKA INDRIYA STHANA 14
Ch.6
KATIMANISHAREENDRIYA
• Agnivesha questions Atreya Muni
about patients in whom treatment
always fails

• Atreya answers by giving detailed


descriptions about stages of different
disease

07/15/09 CHARAKA INDRIYA STHANA 15


Ch.7 PANNARUPIYA INDRIYA
• Prognosis based on Shadows (Prati
chaya)
• Prognosis based on Aura (Chaya)
• 5 types of Chaya (Aura)
– Nabhasi Nirmal
– Vayaveeya Ruksha
– Aagneyi Vishuddha Rakta Varna
– Ambhasi Vimala, Susnigdha
– Parthivi Sthira
07/15/09 CHARAKA INDRIYA STHANA 16
Ch.8 AVAKSHIRA INDRIYA
• Prognosis based on
 Shadows
 Eyebrows
 Hair
 Nose
 Teeth
 Tongue
 Breath

07/15/09 CHARAKA INDRIYA STHANA 17


Ch.9 YASYASHAVANIMITTA
INDRIYA
• Prognosis related to :
– Ashta maha gadas
– Shukra
– Purisha
– Anaha
– Shankhaka
• Not all Arishtas present in every
patient
• Hence mandatory for physician to
know all and accurately identify the
signs exhibited
07/15/09 CHARAKA INDRIYA STHANA 18
Ch.10
SADYOMARANENDRIYA

• Describes Arishtas in patients who


are going to pass away in a few
hours

• Prognosis related to hridaya and


vayu

07/15/09 CHARAKA INDRIYA STHANA 19


Ch.11 ANUJYOTIYENDRIYA
• Arishtas leading to death within 1
year, 6 months, 1 month
• Related to Shukra, Mutra, Purisha
• Ralated to pancha mahabhootas
• Even presence of Chatushpada,
having good qualities cannot cure
the disease
• Patients who lose interest in water,
food, medicine do not survive
07/15/09 CHARAKA INDRIYA STHANA 20
Ch.12 GOMAYACHURNIYA
INDRIYA
• Presence of fine cow dung like
powder on the scalp of patient
• When formulation prepared following
all the prescribed guidelines fails to
act
• Prognosis based on messenger
• Prognosis based on inauspicious
omens
– On way
07/15/09 CHARAKA INDRIYA STHANA 21
– In patients house
REVIEW OF
MAIN PROGNOSTIC POINTS

• The following are always present


before death

– Tapa (raise in temperature)


– Dysfunction of sense organs
– Loss of memory
– Change in behaviour
– Changes / loss of Prakriti
– Manifestation of Vikriti
07/15/09 CHARAKA INDRIYA STHANA 22
MEDICO LEGAL GUIDELINES

• Physician should:

– Observe signs and symptoms carefully


– Evaluate prognosis
– Not inform patient or relative
– Unless requested
– Not inform if it may cause complications

07/15/09 CHARAKA INDRIYA STHANA 23


SIGNS OF GOOD
PROGNOSIS

• Signs opposite to those described in


the 12 chapters observed in the
patient
• Presence of ideal messenger
• Availability of auspicious dravyas
• Purity, cleanliness of patients house
and surroundings
07/15/09 CHARAKA INDRIYA STHANA 24
IMPORTANCE OF
UNDERSTANDING INDRIYA
STHANA
• Acharya opines:
– Every physician should continuously
read the indriya sthana
– Understand the contents completely
– Assess the condition of patients based
on these guidelines before commencing
treatment
– This leads to successful treatment
– Fame to the physician
07/15/09 CHARAKA INDRIYA STHANA 25
CONCLUSION
• Placement of indriya sthana before
chikitsa
• Detailed description of arishta
lakshanas
• To generalize, these include:
– Either hyper or hypo functioning of
various organs and systems of the body
– Deviation from normal structure and
function
– Observing omens,
07/15/09 messengers
CHARAKA INDRIYA STHANA and 26
RELEVANCE??
• Is significant even today
• Added tool in the armory of physician
• May help protect the physician from
loss of name if used properly
• Thoroughly understand normal
physiology and anatomy
• Develop keen observation
• Identify abnormality, arishtas
07/15/09 CHARAKA INDRIYA STHANA 27
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