The document discusses the Indriya Sthana, the 5th chapter of the ancient Ayurvedic text Charaka Samhita. It describes how the Indriya Sthana focuses on using a patient's senses, functions, dreams and other factors to determine prognosis. The chapter contains 12 sections that cover prognostics based on attributes like color, smell, touch, sense functions, dreams and more. Understanding the Indriya Sthana helps physicians safely assess a patient's condition and decide on treatment while avoiding legal issues.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
The document discusses the Indriya Sthana, the 5th chapter of the ancient Ayurvedic text Charaka Samhita. It describes how the Indriya Sthana focuses on using a patient's senses, functions, dreams and other factors to determine prognosis. The chapter contains 12 sections that cover prognostics based on attributes like color, smell, touch, sense functions, dreams and more. Understanding the Indriya Sthana helps physicians safely assess a patient's condition and decide on treatment while avoiding legal issues.
The document discusses the Indriya Sthana, the 5th chapter of the ancient Ayurvedic text Charaka Samhita. It describes how the Indriya Sthana focuses on using a patient's senses, functions, dreams and other factors to determine prognosis. The chapter contains 12 sections that cover prognostics based on attributes like color, smell, touch, sense functions, dreams and more. Understanding the Indriya Sthana helps physicians safely assess a patient's condition and decide on treatment while avoiding legal issues.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
The document discusses the Indriya Sthana, the 5th chapter of the ancient Ayurvedic text Charaka Samhita. It describes how the Indriya Sthana focuses on using a patient's senses, functions, dreams and other factors to determine prognosis. The chapter contains 12 sections that cover prognostics based on attributes like color, smell, touch, sense functions, dreams and more. Understanding the Indriya Sthana helps physicians safely assess a patient's condition and decide on treatment while avoiding legal issues.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
Download as ppt, pdf, or txt
You are on page 1of 28
At a glance
Powered by AI
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.
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
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 07/15/09 CHARAKA INDRIYA STHANA 10 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 07/15/09 CHARAKA INDRIYA STHANA 12 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 07/15/09 CHARAKA INDRIYA STHANA 28