[Pravritti (consistent efforts)] Pravritti is the effort taken for the accomplishment of objective. This is also known as kriya, karma (action), yatna(effort), karyasamarambha (commencement).
[Upaya (means of successful management)] Upaya is excellence of the first three factors, karana etc., and their proper management leaving aside the karya, karyaphala and anubandha. Procedure leads to performance of an action and thus it is said as upaya. After the action is performed there is no function of procedure nor is it at the time of performance, after action is the result and thereafter consequence.
[Importance of ten fold examinations] These ten entities should be examined first and thereafter one should proceed for action. Hence the physician desirous of taking up action should beforehand examine the entire situation by proper methods and then initiate the action(treatment)
[Questions for discussion] There, if some other physician or person asks this physician –“how many types of examination should be adopted by the physician desirous of applying therapeutic emesis, purgation, non-unctuous and unctuous enema and nasal errhines? How many types of entities are to be examined? What are the entities to be examined? How are they to be examined? What is the object of examination? In which condition are emesis etc. purificatory procedures to be applied or contra-indicated? What is to be done in combination of the situations for both application and contra- indication? What drugs are useful for emesis etc.?