Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Acharya Sushruta mentions 4 necessary elements, which when working collectively, can be chargeable for institution and upkeep of excellent well being. The identical elements when not operational collectively or don’t complement one another can result in sick well being and ailments.
On this article we will contact briefly about these 4 important elements which decide well being or ill-health relying on their chemistry of operation.
Reference – Sushruta Uttara Tantra, Chapter 66, Verse 14 (Su.Ut.66/14)
4 important elements chargeable for good well being
भिषक्कर्ताऽथकरणंरसादोषास्तुकारणम्।।
कार्यमारोग्यमेवैकमनारोग्यमतोऽन्यथा।।१४।।
The beneath talked about 4 would result in institution and upkeep of excellent well being after they operate collectively –
1. Bhishak – the doctor – he’s thought of as Karta – the performer of therapy, crucial element within the enterprise of well being and wellness.
2. Rasas – the tastes or medicine / herbs which have tastes – these are thought of as karana – the means or instruments for therapy.
3. Doshas – vata, pitta, kapha and rakta – these are thought of as kaarana – the causes of the ailments, with out which no illness manifests.
4. Arogya – is a state of not having any illness i.e. state of well being – it’s thought of as karya – capabilities or motion or results of therapy which has been administered to deal with the ailments or imbalance of doshas.
However, if these 4 elements don’t function collectively, they may result in ill-health, miseries or ailments.
So, these elements, relying on how they function comparatively, decide well being or illness and are biphasic in nature.
Abstract
Acharyas have defined the function of coordinated strategy of chikitsa chatushpada – 4 limbs of therapy in the direction of institution of complete well being, which embrace – bhishak – the doctor, dravya – the drugs, upasthatha – the caretaker / nursing workers and rogi – the affected person.
These 4 elements defined by Grasp Sushruta are fairly totally different from this. These elements embrace the bhishak and rasas which symbolize dravya or aushadha, however the different two elements are doshas and Arogya.
Acharya Sushruta additionally has related these elements with kartru and so on ideas. Chikitsa – efficiently carried out therapy which incorporates institution of steadiness of doshas and dhatus within the physique by means of numerous measures i.e. Arogya or complete well being, which is a Karya. That is the motive of a medical science, Ayurveda right here.
| Issue contributing in the direction of complete well being | Position in healthcare |
| Bhishak – doctor | Karta – doer or performer |
| Rasas – tastes | Karana – instruments or technique of therapy |
| Doshas | Kaarana – causes of ailments |
| Arogya – well being | Karya – results of therapy |
These ought to function hand-in-hand for the karya i.e. results of therapy i.e. dhatu samya – institution of well being to be achieved.
There’s a connection between every they usually type a closed-circuit community within the therapy plan-up.
However, when these elements don’t work in coordination, particularly the primary three, the karya is not going to be Arogya, in truth it is going to find yourself with roga – illness.
Bhishak – A nicely realized doctor with good expertise would develop into profitable in treating ailments and establishing well being. If the doctor isn’t nicely outfitted with theoretical and sensible expertise, she or he will be unable to plan or execute a therapy plan-up to finish the illness course of or to convey again the equilibrium of doshas and dhatus. An inexperienced doctor would trigger extra hurt than assist to the sufferers. The bhishak is karta and is the primary gamechanger within the strategy of therapy of ailments.
Rasas – Every style has a balancing and aggravating impact on totally different doshas and therefore could favour or antagonize the pathogenesis of ailments. All medicines or herbs utilized in therapy of ailments are composed of a number of of the rasas. Medicines act on the premise of their rasas. The karta i.e. doctor ought to know to make use of the suitable rasas in the suitable circumstances. Flawed rasas administered within the type of medicines or meals, in fallacious circumstances by an inexperienced bhishak will certainly trigger hurt and may trigger ailments or problems.
Doshas – No illness is precipitated with out the involvement of imbalanced doshas, primarily the elevated or aggravated doshas. An skilled karta administering correct karanas i.e. rasas within the type of meals and medicines would hold the kaaranas in a state of steadiness, in wholesome people. The identical would treatment the ailments in ailing people. The motion can be precisely reverse when an inexperienced bhishak administers improper rasas. This could ultimately result in causation or worsening of ailments or trigger problems. Roga i.e. illness is because of dosha vaishamya i.e. imbalance of doshas and their equilibrium results in arogata i.e. institution of complete well being, which by itself is the karya.
Arogya – That is the impact or results of how the above stated three elements would function in coordination in the direction of institution of dhatu samya i.e. equilibrium of physique elements. A well-equipped doctor who’s skilled would administer the suitable rasas to steadiness the doshas and would result in institution of Arogya – well being, which is a beneficial karya. An inexperienced doctor would administer the fallacious rasas which might trigger imbalance of doshas which might result in manifestation of ailments or problems, which is an unfavourable karya.
Briefly, the karya can be beneficial within the path of multinational of well being and equilibrium of physique elements if karta, karana and kaarana will work in utmost coordination within the pathway of attaining that karya.
