Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Acharya Sushruta says that ‘Aprasanna Indriyatvam’ is a instrument for diagnosing the abnormalities and imbalances of doshas utilizing anumana i.e. inference or inferential information as a instrument.
Phrase that means
– Aprasanna – disagreeable
– Indriya – sense organs
– Aprasanna Indriyatvam – a sense of unpleasantness within the sense organs
Reference – Sushruta Samhita Sutra Sthana, ‘Dosha dhatu mala kshaya vriddhi vijnaniya adhyaya’, Chapter 15, verse 39 (Su.Su.15/39)
On this article we’ll attempt to know extra about Aprasanna Indriyatvam.
Aprasanna Indriyatvam
दोषादीनां त्वसमतामनुमानेन लक्षयेत् ।
अप्रसन्नेन्द्रियं वीक्ष्य पुरूषं कुशलो भिषक् ॥३९॥
Acharya Sushruta says, ‘A smart doctor ought to perceive the refined abnormalities and imbalances occurring in dosha and so forth (dhatus, mala and so forth) by way of Anumana i.e. inference or inferential information. To realize this information, he ought to use ‘aprasanna indriyatvam’ defined by the affected person as a instrument’.
The clever doctor
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Keenly observes ‘Aprasanna Indriyatvam’ – unpleasantness of the senses and thoughts within the affected person and
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Makes use of his inferential information i.e. Anumana Pramana / Anumiti Jnana
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To grasp the refined abnormalities occurring in dosha and so forth (dhatu, mala and so forth) within the affected person
Why is knowing ‘Aprasanna Indriyatvam’ essential for a doctor?
Some sufferers have no idea what is going on with them. Many have no idea easy methods to clarify their well being situation and what abnormalities they’re experiencing of their physique and thoughts.
However, the presentation of minor or average disturbances and imbalances of the doshas within the physique are so minute and refined that it’s obscure or diagnose the illness and its nature.
Many individuals simply say that ‘I’m not feeling nicely’. Some might say, ‘I’m feeling very low right this moment’. Others might say, ‘I’m not certain what is going on with me, I simply know I need assist’.
Many physicians would have come throughout folks presenting their downside on this manner. This state of ‘not feeling nicely’ is aprasanna indriyatvam. Right here, the doctor wouldn’t get a number of info to diagnose the illness or write medicines for a similar. On the similar time, this can’t be ignored. Right here is the place the instrument of ‘anumana’ comes into play.
The doctor ought to have a affected person listening to and whereas the affected person is narrating one thing she or he is uncertain of, in relation to their well being imbalances, ought to make calculations of their thoughts in order to easy methods to cope with it. Although the affected person himself will not be clear of what’s occurring, she or he might have medical recommendation on the finish or an intensive analysis, particularly when this occurs fairly often.
Why does aprasanna indriyatvam occur?
Prasanna indriyatvam is without doubt one of the indicators of excellent well being, which implies pleasantness of the senses. Acharya Sushruta explains the identical whereas describing the options of a wholesome individual later in the identical chapter. (Su.Su.15/42).
Pleasantness of thoughts alone is not going to be a surety or marker of comprehensiveness of well being. It must be part of ‘many balances’. It needs to be accompanied with equilibrium of doshas, dhatus, malas, agni and likewise pleasantness of thoughts and soul.
Physique and thoughts are interdependent phenomena. If one is bothered, the opposite too is bothered. So, ‘aprasanna indriyatvam’ isn’t just an indicator of imbalances or disturbances on the degree of indriyas, it will mirror abnormalities and imbalances of the doshas, dhatus, mala, agni, manas and so forth entities additionally.
However we will inform that there are markers for all the pieces. Ayurveda treatises have already defined the signs of enhance, lower and aggravation of all doshas, dhatus and malas, the indicators of agni disturbances, the signs of thoughts imbalances, the signs of affliction of srotas and all the pieces. This may anyway make our job straightforward in diagnosing the disturbances of those entities and likewise promptly tackle them. We even have the outline of indicators and signs of ailments.
Why does a doctor want to look at aprasanna indriyatvam and use anumana to diagnose or perceive the abnormalities and imbalances of doshas and so forth?
That is due to the subtleties of pathogenesis.
Aprasanna indriyatvam could also be manifested and expressed by the affected person within the under talked about situations –
– The affected person is un-expressive or much less expressive
– The samprapti i.e. pathogenesis of the illness will not be nicely established
– The samprapti is weak sufficient to create a robust illness or sturdy signs
– The disturbances within the physique and thoughts are very refined and gross which makes it troublesome for the affected person to grasp
– The affected person will not be in a situation of telling what precisely is going on or can not perceive what is going on with him
– The affected person explains the situation in half processed or unprocessed manner whereby there may be clouding of the situation
– The disturbances could also be in sanchaya – accumulation, prakopa – aggravation or prasara – spreading nature that are troublesome to precise on the a part of the affected person
– The illness could also be in premonitory – purvarupa stage whereby it’s troublesome to elucidate by affected person or to grasp by the doctor
– The affected person is powerful sufficient, bodily and mentally and is discovering a disturbing symptom to be a easy one
– These individuals are predominantly disturbed by thoughts
The best way to make anumana on the idea of aprasanna indriyatvam?
The doctor wants information of fundamentals of Ayurveda and well being to do that. It’s because, the one proof to analyze a given case and are available to a potential conclusion is ‘aprasanna indriyatvam’. That could be attributable to refined disturbances on the degree of physique, thoughts, senses or all.
Instance, an anxious affected person is predominantly vata. He can be cranky in entrance of the doctor when it comes to bodily and psychological behaviour. He can be confused and fiddling with one thing round. It might not essentially be a psychological situation, the individual could also be sane and but cranky. He’s conscious however confused. He says ‘I’m not certain physician, please determine it out your self’. The sport begins right here.
Likewise, a depressed individual could also be predominantly bothered by kapha disturbances or tamasic predominance. He is not going to communicate and is a silent affected person. Anumana takes the doctor deep into the kapha and tamasic fields whereby he can play his recreation.
Aprasanna idriyatvam is a clue which the ‘Sherlock Holmes’ doctor ought to use to crack an unexplained thriller.
All guidelines of examination of the affected person by way of Anumana are relevant right here and nearly each facet which will be examined by way of inference shall be introduced into play to analyse, perceive and tackle aprasanna indriyatvam, as a result of we wouldn’t have adequate proof to crack the thriller and anumana is the important thing instrument. However earlier than that, it is rather essential to look at and perceive the ‘aprasanna indriyatvam’ and its nature and the individual presenting himself or herself on this state.
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