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Panchamahabhutas According to Ayurveda all objects in the universe including human bodyare composed of five basic elements (Panchamahabhutas) namely, earth,water, fire, air and vacuum(ether). There is a balanced condensation of these elements in different proportions to suit the needs andrequirements of di fferent structures and functions of the body matrix andits parts.

The growth and development of the body matrix depends on its nutrition,i.e.; on food. The food, in turn, is composed of the above five elements,which replenish or nourish the like elements of the body after the actionof bio-fire (Agni). The tissues of the body are the structural whereashumours are physiological entities, derived from different combinationsand permutations of Panchamahabhutas.

Health and SicknessHealth or sickness depends on the presence or absence of a balancedstate of the total body matrix including the balance between its differentconstituents. Both the intrinsic and extrinsic factors can cause disturbancein the natural equilibrium giving rise to disease. This loss of equilibriumcan happen by dietary indiscrimination, undesirable habits and non-observance of rules of healthy living.

Seasonal abnormalities, improper exercise or erratic application of senseorgans and incompatible actions of the body and mind can also resultin creating disturbance of the existing normal balance.

The treatment consists of restoring the balance of disturbed body-mindmatrix through regulating diet, correcting life-routine and behaviour,administration of drugs and resorting to preventive Panchkarma andRasayana therapy.

DiagnosisIn Ayuveda diagnosis is always done of the patient as a whole. The physician

takes a careful note of the patients internal physiological characteristics andmental disposition. He also studies such other factors as the affected bodilytissues, humours, the site at which the disease is located, patients resistanceand vitality, his daily routine, dietary habits, the gravity of clinical conditions,condition of digestion and details of personal, social, economic andenvironmental situation of the patient.

The diagnosis also involves the following examinations

General physical examinationPulse examinationUrine examinationExamination of the faeces

Examination of tongue and eyesExamination of skin and ear including tactile and auditory functions

TreatmentThe basic therapeutic approach is, ` that alone is the right treatment whichmakes for health and he alone is the best doctor who frees one fromdisease `. This sums up the principal objectives of Ayurveda, i.e. maintenanceand promotion of health, prevention of disease and cure of sickness.

Treatment of the disease consists in avoiding causative factors responsible for disequilibrium of the body matrix or of any of its constituent parts through theuse of Panchkarma procedures, medicines, suitable diet, activity and regimenfor restoring the balance and strengthening the body mechanisms to prevent or

minimize future occurrence of the disease.

Normally treatment measures involve use of medicines, specific diet andprescribed activity routine. Use of these three measures is done in two ways.In one approach of treatment the three measures antagonize the disease bycounteracting the etiological factors and various manifestations of the disease.

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In the second approach the same three measures of medicine, diet and activityare targeted to exert effects similar to the etiological factors and manifestationsof the disease process. These two types of therapeutic approaches arerespectively known as Vipreeta and Vipreetarthkari treatments.For successful administration of a treatment four things are essential. Theseare

The physicianThe medicamentsThe nursing personnelThe patient

The physician comes first in order of importance. He must possess technicalskill, scientific knowledge, purity and human understanding. The physicianshould use his knowledge with humility, wisdom and in the service of humanity. Next in importance comes food and drugs. These are supposed tobe of high quality, wide application, grown and prepared following approvedprocedures and should be available adequately.

The third component of every successful treatment is the role of nursingpersonnel who should have good knowledge of nursing, must know the skillsof their art and be affectionate, sympathetic, intelligent, neat & clean and

resourceful. The fourth component is the patient himself who should becooperative and obedient to follow instructions of the physician, able to describeailments and ready to provide all that may be needed for treatment.

Preventive Treatment & the concepts of Aetio-Pathogenesis Ayurveda has developed a very vivid analytical description of the stages andevents that take place since the causative factors commence to operate till thefinal manifestation of disease. This gives this system an additional advantageof knowing that possible onset of disease much before the latent symptomsbecome apparent.

This very much enhances the preventive role of this system of medicine bymaking it possible to take proper and effective steps in advance, to arrest

further progress in pathogenesis or to take suitable therapeutic measures tocurb the disease in its earliest stage of onset.

Types of Treatment The treatment of disease can broadly be classified as

1. Shodhana therapy (Purification Treatment)2. Shamana therapy (Palliative Treatment)3. Pathya Vyavastha (Prescription of diet and activity)4. Nidan Parivarjan (Avoidance of diseas e causing and aggravating factors)5. Satvavajaya(Psychotherapy)6. Rasayana therapy(use of immunom odulators and rejuvenation medicines)

1. Shodhana treatment aims at removal of the causative factors of somatic andpsychosomatic diseases. The process involves internal and external purification.The usual practices involved are Panchkarma (medically induced Emesis,Purgation, Oil Enema, Decoction enema and Nasal administration of medicines),Pre-panchkarma procedures (external and internal oleation and inducedsweating). Panchkarma treatment focuses on metabolic management. It providesneeded purificatory effect, besides conferring therapeutic benefits. This treatmentis especially helpful in neurological disorders, musculo-skeletal diseaseconditions, certain vascular or neuro-vascular states, respiratory diseases,metabolic and degenerative disorders.

2. Shamana therapy involves suppres sion of vitiated humours (doshas ). Theprocess by which disturbed humour subsides or returns to normal withoutcreating imbalance of other humours is known as shamana. This treatment isachieved by use of appetisers, digestives, exercise and exposure to sun, freshair etc. In this form of treatment, palliatives and sedatives are used.

3. Pathya Vyavastha comprises indications and contraindications in respect of diet, activity, habits and emotional status. This is done with a view to enhance

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Health It Food The Body Health One

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