We are an Ayurveda Physician and its our accountability as a Physician to empower all our patients with the power of knowledge on their respective illness. Until and unless a patient knows well regarding his / her illness, how then the patient can take a decision with regard to the treatment process and the medicines ? So its a practice which is a must and followed with complete sincerity since past so many years at our Hospital - Asmi Ayurveda Consultancy & Herbals to make our patients aware with regard to their illnesses. We always advise all our patients with the pros and cons of the treatment options with full honesty so they can take a right decision with regard to their healing process.
We treat our Patients as we shall like ourself to be cared for. This should cover not only the technical aspects of health care but also the quality and nature of interpersonal interactions.
An Ayurveda Physician makes the Diagnosis by taking into consideration all the following aspects and it is this reason why Science of Ayurveda gives much logical and permanent Relief from most of the Chronic Ailments.
Indian medicine names three main causes of disease – 'overuse', 'disuse' or 'misuse’ of faculties; 'errors in judgement'; and influence of seasonal changes. According to Ayurveda , each individual is a separate entity with respect to the degrees of various body constituents. Each one may have individual variations in manifestations of same disease. So, for the correct diagnosis of the condition with respect to the particular individual, it is essential to have an idea about the nature of individual. He should be examined so as to obtain kowledge regarding the span of life, strength and integrity of morbidity. This helps to arrive at a proper diagnosis in terms of the intensity of derangement in functional factors. Though it is very difficult to measure this nature in all aspects, here are some important criteria based on which an individual can be assessed by the degree of his strength. This is a ten fold criterion and each one indicates the power of the body in different aspects.
1. Prakrithitha Pareeksha (Examination based on basic constitution)
The Prakrithi of an individual refers to the genetically determined physical and mental make up. This is determined in relation to the tridoshas and thrigunas. The prakrithi represents the range of normalcy of proportion of the three doshas, vata, pitha and kapha and the three gunas i.e. sathwa, raja and tama, in the psycho physical constitution of an individual. It is this range of proportion of thridoshas which determines the overall physique, physiology and psyche of a man.
2. Vikrithitha Pareeksha (Examination based on morbidity)
According to Charakacharya, the strength of vikara (morbidity) should be judged by the assessing the strength of hethu (causative factors), Dosha, Dooshya, Prakrithi, Desa and Kala. These are factors, which can contribute to the degree of strength of the disease. From the severity or mildness of signs and symptoms, we can measure the strength of doshas and dooshyas. From the knowledge of extend or severity / mildness of nidana, we can assess the hethu bala also. The main aim of vikrithi pareeksha is to assess whether the disease is Balavan, Madhya balavan or Alpa balavan, with respect to the patient.
3. Saratha Pareeksha (Examination based on the Dhatu Sequence)
Sara is a unique decisive factor for the assessment of health in specific levels. We know that the dhatus are the essential principles concerned with various functions of the body. Individual Dhatu has certain role in the formation of certain groups of structures and functions. hence by the examination of these structures and functions, one may assess the strength of dhatu involved. There are eight saras described in ayurveda. By the analysis of degree of presence of these factors, assessment of the tissue level strength is possible. Potent features indicate the qualitative and quantitative strength of dhatu while fragile features tell about the weak dhatu.
4. Samhanatha Pareeksha (Based on compactness of body parts)
Samhanana refers to the nature of body build and is of three degrees. Pravara (excellent), Madhyama (medium) and Avara (poor). Persons who have well developed bones and joints, clear cut and well nourished muscles are said to belong to the first class; those with opposite qualities to be the third class and those in between to the second class of physique. By darsana and sparsana, one can assess the samhanana of the body parts. This identification is also helpful in deciding the strength of the person.
5. Pramana Pareeksha (Examination based on body measurement)
Pramana refers to the measurement of the body as a whole and also of its each part. General measurement of various parts of the body is given in our classics. There are certain proportion in all these measurements. One should assess and compare these measurements in order to judge whether they have any abnormalities. If all the proportions are perfect and if they are almost near to the basic reference, the body is pravara. The degree just below that is madhyama and the degree below is avara.
6. Sathwa Pareeksha (Examination based on the quality of mind)
Persons who possess majority of sathwa guna characteristics are called 'sathwikas' or sathwa sara. A Sathwika person is the best among men, is bale to face any hardship-physical or mental-without much difficulty, does not succumb to diseases, and if happened to become sick, is able to resist it and get cured quickly. These people are called pravara sathwas (excellent mental temperament). Persons who possess more of Rajo Guna moderately succumbs to diseases, suffer very much, and do not respond well to drugs. Being unsteady in all activities, these people get in to more troubles. Such people are called Madhya sathwas (medium mental temperament). Persons who possess more of tamo guna are the lowest in mental activity. They succumb to diseases very quickly, suffer for long, neglect proper treatment and become victims of it sooner or later.
7. Sathmya Pareeksha (Examination based on Food Habbits)
While examining a patient, it is important to collect the data regarding his food and regime to which he is accustomed to. Generally they are wholesome and beneficial to him. Sathmya means the various foods, habits and customs;persons are used to cover long periods of time by continuous use and not getting harmed from them. According to ayurvedic concepts, Sarvarasa sthmya is excellent. Ekarasa sathmya is Avara. Persons using less than sarvarasa and more then ekarasa can be considered as madhyama rasa sathmyas.
8. Ahara Sakthi Pareeksha (Examination based on Digestive power)
This comprises the assessment of power of ingestion (abhyavaharana) and digestion (jarana), which inturn forms the assessment of Agni. From the capacity to digest food, physician can infer the nature of agni. In Kaphanubandha koshta, the status of agni is manda (less). In pithanubandha koshta, that is teekshna (high and sharp) and in vatanubandha koshta, vishama (unsteady). The nature of Agni is very important as far as health is concerned. Basic reason for all the diseases is indigestion and dismetabolism.
9. Vyayama Sakthi (Examination based on exercise power)
Vyayamasakthi inturn forms the assessment criteria for sareera bala. From the occupational history of a head load worker, one can assess his strength. By the clinical methods of assessment of power of muscles, the strength of his muscles can be evaluated. By watching the easiness or difficulty in accomplishing the activity, physician gets an idea regarding the degree of debility or strength of the patient.
10. vaya Pareeksha (Examination based on the Age)
Knowledge of the age is very important to assess the strength of the body as it tells about the nutrition of the body in general. Up to the sixteenth year, since the dhatu has not attained full maturity, all their components are incomplete, poor in strength, not having all their characteristic features, in capable of hard work and of poor resistance to diseases. Body parts are very soft, tender, mind and mental power not fully developed. Kapha is a predominant dosha during this time. During the middle period, man attains his full capacities both physically and mentally. Pitha is the predominant dosha during this period. During the jeern stage, dhatus become thin and weak, some parts become worn out and fall off, their color and texture undergo changes. generally the body becomes vulnerable to various degenrative conditions. Vatha is the predominant dosha in this stage. Also in many diseases, it can be observed that the prevalent group comes in certain particular age limits.