Introduction: In Ayurveda Dheemeans intelligence, Ability to correct judgement, Discriminative power etc Dhritimeans–Self-control, patience, will power. Smriti means recalling the past experience or retention of memory. Aim: Present study was intended to assess the causative factor of dheedhriti smriti vibhransha.Methods: A Nidanatmaka study was conducted at NIA Jaipur in which 500 subjects of both sex and age above 18 years were included after informed consent and the data were collected to assess the causative factors of dheedhriti smriti vibhransha.Results:Virudha Ahara,vidahi usana tiksna ahara, puti paryusit bhojan,dusta ,ashuchi , ruksha ahara katu amla lavana rasa,chinta, shoka, moha,kama, krodha,lobha,irshya bhavare important nidana of manas rogain the current Nidanatmaka survey. Discussion: In this study it was concluded that therenidana, the foremost component ofNidanaPanchaka, not only gives the knowledge of causative factors of a disease but also helps in treatment by avoiding them.Acharya Shushrut mentioned that Nidana Parivarjana (avoidance of causative factors) is the basis of Cikitsa.Since, the prevention of occurrence of disease is simple rather than treating the patient after developing disease.
In Ayurveda, it is said that our body as well as diseases are made of foods that we intake. Food has the main impact on our body. Our body is the end product of food that we intake. The wholesome foods build us likewise the unwholesome food impacts that lead to adverse effects in our body. Hence, treatment of the diseases also needs to be planned accordingly. For the same reason, Ahara must have been described as ‘Maha Bhaisajya’ in Kashyap Samhita. Dairy products specially curd, cheese and paneer are becoming part of life as these are easily accessible now. They have become an essential ingredient of junk foods like pizza, burger, pasta etc. People are taking them frequently without any rules and regulations. Some people are compelled to take them due to their busy schedule as they are the packed, ready to eat and easily available food. This type of food impairs Agni (digestive power) of the body, produces Ama and ultimately results into production of Medoroga. Objectives: Since the impact of dairy products on our body is not clearly defined in Ayurveda. So this article attempts to study the role of dairy products mainly curd, cheese & paneer in pathogenesis of Medoroga. Material & Methods: Charak samhita, Sushruta samhita, Kashyap samhita, modern medical textbooks, journals and online data bases were reviewed thoroughly for the study material. The matter was collected and analyzed critically to clear the concept. Results: Curd, cheese and paneer are not recommended to consume regularly because they are heavy to digest and vitiates Vata, Pitta, Kapha and Rakta. Conclusion: The study concludes that regular and unscheduled consumption of dairy products specially curd, cheese and paneer leads to Medoroga.
Lifestyle disorders are the diseases linked with one’s lifestyle. Nowadays, lifestyle disorders are becoming more widespread and affecting a majority of the population and posing a huge public health threat around the world. According to the World Health Organization (WHO), lifestyle disorder is a subgroup of non-communicable diseases (NCDs) and accounts for around 71 percent of all deaths worldwide. Lifestyle disorders are caused mostly by poor diet and lack of physical activity. Distracting the people from physical exercise and their attraction towards sedentary lifestyle can lead to a variety of health problems including chronic non-communicable diseases with life-threatening issues. Hypertension, diabetes, PCOS, cancer, arthritis, obesity, insomnia, depression are the diseases which can be taken under lifestyle disorders. Ayurveda, science of life, aims in fundamental goal of maintaining health of healthy people and treatment of disease in sick one’s. To sustain a healthy and joyful life (Hitaayu & Sukhaayu), Ayurveda has a number of different principles and regimens including Ahara and Vihar (dietary habits and daily routine), Dinacharya (daily regimen), Ratricharya (night regimen), Ritucharya (seasonal regimen), Panchkarma (five detoxification and bio-purification therapies), Rasayana (rejuvenation), Sadvritta paalan (ideal habits) and Aachara Rasayana (code of conduct). Hence, lifestyle disorders can be well managed through Ayurveda by adopting its different principles and regimens.
The way in which the Dosha gets vitiated and the course it follows for the manifestation of a disease is called Samprapti along the line of ‘Dosha eva hi sarvesham rogatnamaka karana.’ Sandhivata is non mortal but severely debilitating disease-causing limitation in day to day activities in old age leading to social and emotional burden for the person. The clinical presentation of Sandhivata closely mimics with Osteoarthritis (OA), the second most common rheumatologic problem. The disease is more common in women than men with prevalence rate of 22% to 39% in India. Aim: The study mainly aims to explore the concept of Samprapti w.s.r to. Sandhivata (OA). Methods: Ayurveda classics along with the commentaries were carefully studied to compile information about Samprapti of Sandhivata. Modern textbooks, journals, database, websites were also studied thoroughly to explore the concept. Discussion: Nidana aggravates Vata and this Prakupita Vata gets accumulated in Rikta srota and gives rise to various generalized and localized diseases. Samprapti (pathogenesis) of Sandhivata goes like – indulgence in Vata prakopaka aahara vihara results in Vata prakopa leading to Vishamta in Agni, due to which there occurs Dhatukshaya and Dushti of Asthivaha srotas. Further, Sthana sanshraya takes place in Sandhi resulting in Sandhigata vata. There are two variations in the Samprapti of Sandhivata: 1. Dhatukshayajanya: This mainly occurs in old age people. 2. Aavaranjanya: In obese, usually Sandhivata occurs in the weight bearing joints like knee joint, hip joint, lumbar spine etc. Conclusion: If physician understands the Samprapti in a proper way, he will never fail in the management of disease as Samprapti Vighatana is considered as Chikitsa in Ayurveda. Keeping this point in mind patients suffering from Sandhivata can be given a better life by Ayurveda if and only when the Samprapti of the disease is clearly understood.
Ayurveda is a health science that offers a long and healthy life as it aims to prevent oneself from diseases and promote health along with treatment of diseases. Illness can be due to variety of reasons (Hetu) and its effect is manifested in the form of symptoms (Linga) in which medication/ treatment (Aushadh) is important for healing. That is why the concept of trisutra (i.e., Hetu, Linga and Aushadha) have been described in Ayurveda. Hetu, similar to the word Nidana, means causative factor of a disease. It is the first and most important factor that initiates pathology and is important in diagnosis as well as treatment of the disease. Keeping this in mind, Acharya Charak must have said that a physician should first diagnose the disease well. Chakrapanidutta, a Charak-Samhita commentator, says that effective treatment depends on the right information of Hetu and disease process. The word ‘Nidana’ in Ayurveda is used mainly in two concepts, namely Vyadhijanak nidana and Vyadhibodhak nidana. Vyadhijanak nidana are the etiological features of the disease whereas Vyadhibodhak nidana are ways of diagnosis. Knowledge of Nidana in both senses is essential for a good physician to be successful. A physician who begins treatment without a proper diagnosis of disease can achieve something only by accidentally. Diagnosis will never finish without specifying all the features related to the disease. This article is humble attempt by the author to enlighten the concept of Nidana and its importance in clinical practice
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