Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
We all know the affiliation between the morbid doshas and manifestation of ailments. Ayurveda says that no illness can manifest with out the involvement of the doshas – vata, pitta and kapha (and in addition rakta in response to Acharya Sushruta, who considers rakta or blood as fourth dosha).
The aggravated doshas assault the weak tissues, get lodged therein, trigger tissue harm and produce many ailments.
However an vital query about this dosha-vyadhi relationship arises within the 24th chapter of Sushruta Samhita Sutra Sthana.
Is the affiliation between the doshas and ailments a everlasting one or a brief one? Is it a separable one or an inseparable one?
Acharya provides a exact reply for this debatable question on the finish of the dialogue.
On this article we will contact upon this context and attempt to discover solutions for this query.
Are doshas and ailments related completely or briefly?
1. The context or preamble for this query
कुपितानां हि दोषाणां शरीरे परिधावताम् ॥
यत्र सङ्गः खगैगुण्याद्व्चधिस्तत्रोपजायते॥१०॥
The aggravated doshas maintain circulating everywhere in the physique. Whereas circulating, as a result of kha vaigunya – abnormality of the channels (within the tissues), these doshas get obstructed. In consequence, in addition they get stagnated therein, on the level or space of obstruction. The ailments get manifested at that place of dosha aggravation or the place aggravated doshas are obstructed and stagnated.
This a part of dialogue turns into a preamble for the query to come up.
2. Query associated to the connection between doshas and vyadhi (illness)
भृयोऽत्र जुज्ञास्यं, किं वातादीनां ज्वरादीनां च नित्यः संश्लेषः परिच्छेदो वा?इति ; यदि नित्यह् संश्लेषः स्यात्तार्हि नित्यातुराः सर्व एव प्रणिनः स्युः; अथाप्यन्य्हथ वातदीनां ज्वरादीनं मूलानीति तन्न। अत्रोच्यते-दोषान् प्रत्याख्याय ज्वरादयो नभवन्ति;अब च न नित्यः संबन्धः;यथाहि विद्युद्वाताशनिर्षाण्याकाशं प्रत्याख्याय न, भवन्ति, सत्यप्याकाशे कदाचित्र भवन्ति, अथ च निमित्ततस्तत एवोत्पत्तिरितिः तरङ्गबुद्वुदायश्चोदकविशेषा एव, वातादीनां ज्वरादीनां च नाप्येवं संश्लेषो न परिच्छेदः शाच्छेद :, अथ च निमित्तत एवोत्पत्तिरिति ॥११॥
On this context, an incredible debatable level is concerning the relationship between the doshas (vata, pitta, kapha, rakta) and ailments like jwara and so on. Is that this relationship a samshlesha – everlasting, ongoing and inseparable one or is it a parichcheda – momentary and separable relationship?
Case 1 – Nitya, Samshlesha – The doshas and illness all the time holds a everlasting and inseparable relationship
If we take the speculation that the doshas and ailments have a everlasting relationship all the time, then all of the residing beings on the planet ought to change into sick and diseased on the similar time and always.
However that is not possible. All residing beings usually are not all the time diseased and all residing beings on the planet don’t fall sick on the similar time. So, the connection isn’t a everlasting one and needs to be in any other case.
Case 2 – Anitya, Vishlesha, Parichcheda – The doshas and illness all the time holds a brief and separable relationship
If the connection between the doshas and the ailments is taken into account to be all the time a brief one and in addition a separable one, the signs of vata and so on doshas and jwara and so on ailments can’t be manifested in a single / similar place, as a result of presence of those doshas and ailments at completely different locations. It’s because, logically the options (signs) of one thing current at some place won’t seem elsewhere (at another place). Due to this fact, on this case, the vata and so on doshas won’t be the foundation causes of jwara and so on ailments.
Contradicting the opinions above, Acharya says that ‘ailments like jwara and so on won’t happen with out the involvement of the doshas’. On the similar time, the connection between the doshas and ailments can be not a everlasting, inseparable and fixed one.
Analogy – ‘Lightening, wind, thunderbolt and rain can not happen with out the sky i.e. they all the time happen within the sky. However, regardless of the sky being current in any respect the instances, the lightning, wind and so on don’t occur always. However the identical lightning, wind and so on would manifest in the identical sky when there may be presence of present causes (for them to manifest) and appropriate time for his or her manifestation (and don’t happen always). Equally, the water bubbles and the water waves additionally don’t get manifested elsewhere, they manifest within the water solely. We are able to see that the water bubbles and waves too, like lightning and so on defined above, don’t happen always within the water. They manifest solely within the water at appropriate instances and in presence of appropriate causes.’
The identical logic must be utilized to know the connection between the doshas and ailments additionally. The connection between doshas and the ailments is neither of everlasting affiliation nor of everlasting dissociation. The ailments get manifested solely by these doshas which bear aggravation as a result of causes / etiological elements equivalent to improper meals and actions, within the time of their prevalence i.e. when the pathogenesis has been accomplished.
