Charak Samhita

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अनुबन्धस्तुखल्वायुः, तस्यलक्षणं- प्राणैःसहसंयोगः ||९१||

sanskrit

[Consequence of therapeutic management] After effect (anubandha) is life and it is characterized by union with prana(vitality).

english translation

anubandhastukhalvAyuH, tasyalakSaNaM- prANaiHsahasaMyogaH ||91||

hk transliteration by Sanscript

देशस्तुभूमिरातुरश्च ||९२||

sanskrit

[Field of action and its assessment] The place of living and patients’ body constitutes the field of action (karya desha).

english translation

dezastubhUmirAturazca ||92||

hk transliteration by Sanscript

तत्रभूमिपरीक्षाआतुरपरिज्ञानहेतोर्वास्यादौषधपरिज्ञानहेतोर्वा| तत्रतावदियमातुरपरिज्ञानहेतोः| तद्यथा- अयंकस्मिन्भूमिदेशेजातःसंवृद्धोव्याधितोवा; तस्मिंश्चभूमिदेशेमनुष्याणामिदमाहारजातम्, इदंविहारजातम्, इदमाचारजातम्, एतावच्चबलम्, एवंविधंसत्त्वम्, एवंविधंसात्म्यम्, एवंविधोदोषः, भक्तिरियम्, इमेव्याधयः, हितमिदम्, अहितमिदमितिप्रायोग्रहणेन| औषधपरिज्ञानहेतोस्तुकल्पेषुभूमिपरीक्षावक्ष्यते ||९३||

sanskrit

Assessment of place of living is done with a view considering the patient and medicine. Regarding patient the things to be considered are – in which area patient is born, grown or diseased; in that particular area, the people mostly have such diet, such lifestyle, such behavior and conduct, such strength, such mind setup, this particular things are naturally accustomed, these are the wrong habits/ or the domination of dosha, liking, area associated disorders, these are the wholesome entities and unwholesome entities for the people. The knowledge regarding place of living examination about drugs will be described in Kalpa Sthana section.

english translation

tatrabhUmiparIkSAAturaparijJAnahetorvAsyAdauSadhaparijJAnahetorvA| tatratAvadiyamAturaparijJAnahetoH| tadyathA- ayaMkasminbhUmidezejAtaHsaMvRddhovyAdhitovA; tasmiMzcabhUmidezemanuSyANAmidamAhArajAtam, idaMvihArajAtam, idamAcArajAtam, etAvaccabalam, evaMvidhaMsattvam, evaMvidhaMsAtmyam, evaMvidhodoSaH, bhaktiriyam, imevyAdhayaH, hitamidam, ahitamidamitiprAyograhaNena| auSadhaparijJAnahetostukalpeSubhUmiparIkSAvakSyate ||93||

hk transliteration by Sanscript

आतुरस्तुखलुकार्यदेशः| तस्यपरीक्षाआयुषःप्रमाणज्ञानहेतोर्वास्याद्, बलदोषप्रमाणज्ञानहेतोर्वा| तत्रतावदियंबलदोषप्रमाणज्ञानहेतोः; दोषप्रमाणानुरूपोहिभेषजप्रमाणविकल्पोबलप्रमाणविशेषापेक्षोभवति| सहसाह्यतिबलमौषधमपरीक्षकप्रयुक्तमल्पबलमातुरमतिपातयेत्; नह्यतिबलान्याग्नेयवायवीयान्यौषधान्यग्निक्षारशस्त्रकर्माणिवाशक्यन्तेऽल्पबलैःसोढुम्; असह्यातितीक्ष्णवेगत्वाद्धितानिसद्यःप्राणहराणिस्युः| एतच्चैवकारणमपेक्षमाणाहीनबलमातुरमविषादकरैर्मृदुसुकुमारप्रायैरुत्तरोत्तरगुरुभिरविभ्रमैरनात्ययिकैश्चोपचरन्त्यौषधैः; विशेषतश्चनारीः, ताह्यनवस्थितमृदुविवृतविक्लवहृदयाःप्रायःसुकुमार्योऽबलाःपरसंस्तभ्याश्च| तथाबलवतिबलवद्व्याधिपरिगतेस्वल्पबलमौषधमपरीक्षकप्रयुक्तमसाधकमेवभवति| तस्मादातुरंपरीक्षेतप्रकृतितश्च, विकृतितश्च, सारतश्च, संहननतश्च, प्रमाणतश्च, सात्म्यतश्च, सत्त्वतश्च, आहारशक्तितश्च, व्यायामशक्तितश्च, वयस्तश्चेति, बलप्रमाणविशेषग्रहणहेतोः ||९४||

sanskrit

[Examination of patient] Patient is the substratum of the act (karyadesha). Examination of the patient is conducted for the knowledge of life span or the degree of strength and morbidity. The variations in dosage and potency of prescribed drugs is according to the degree of morbidity and the degree of strength of patient, because if potent drug is administered suddenly by a physician having not been examined properly, it may kill the weak patient; the weak patients are not able to bear intensely potent drugs which are predominant in agni and vayu or cauterization, application of alkali and surgical operation. They may cause instantaneous death due to unbearable and over intense impulse of the drug. Keeping this fact in mind, the physician should treat the weak patient with drug which is not harmful, mild, delicate, and progressively strong in order, without complication and not creating any emergent condition, particularly ladies, because they have unstable, soft, bare and timid heart, they are mostly delicate, weak and dependent on others. On the other hand, the drugs having low potency and applied by one who has not been examined properly in strong patients having severe disorder becomes ineffective. Hence the patient should be examined in respect of constitution (prakriti), morbidty (vikriti), constitution of dhatu (sara), compactness (samhanana), measurement (pramana), suitability (satmya), psyche (sattva), power of intake and digestion of food (aharashakti), power of exercise (vyayamashakti) and age (vaya) for the knowledge of the degree of strength.

english translation

AturastukhalukAryadezaH| tasyaparIkSAAyuSaHpramANajJAnahetorvAsyAd, baladoSapramANajJAnahetorvA| tatratAvadiyaMbaladoSapramANajJAnahetoH; doSapramANAnurUpohibheSajapramANavikalpobalapramANavizeSApekSobhavati| sahasAhyatibalamauSadhamaparIkSakaprayuktamalpabalamAturamatipAtayet; nahyatibalAnyAgneyavAyavIyAnyauSadhAnyagnikSArazastrakarmANivAzakyante'lpabalaiHsoDhum; asahyAtitIkSNavegatvAddhitAnisadyaHprANaharANisyuH| etaccaivakAraNamapekSamANAhInabalamAturamaviSAdakarairmRdusukumAraprAyairuttarottaragurubhiravibhramairanAtyayikaizcopacarantyauSadhaiH; vizeSatazcanArIH, tAhyanavasthitamRduvivRtaviklavahRdayAHprAyaHsukumAryo'balAHparasaMstabhyAzca| tathAbalavatibalavadvyAdhiparigatesvalpabalamauSadhamaparIkSakaprayuktamasAdhakamevabhavati| tasmAdAturaMparIkSetaprakRtitazca, vikRtitazca, sAratazca, saMhananatazca, pramANatazca, sAtmyatazca, sattvatazca, AhArazaktitazca, vyAyAmazaktitazca, vayastazceti, balapramANavizeSagrahaNahetoH ||94||

hk transliteration by Sanscript

तत्रप्रकृत्यादीन्भावाननुव्याख्यास्यामः| तद्यथा- शुक्रशोणितप्रकृतिं, कालगर्भाशयप्रकृतिं, आतुराहारविहारप्रकृतिं, महाभूतविकारप्रकृतिंचगर्भशरीरमपेक्षते| एतानियेनयेनदोषेणाधिकेनैकेनानेकेनवासमनुबध्यन्ते, तेनतेनदोषेणगर्भोऽनुबध्यते; ततःसासादोषप्रकृतिरुच्यतेमनुष्याणांगर्भादिप्रवृत्ता| तस्माच्छ्लेष्मलाःप्रकृत्याकेचित्, पित्तलाःकेचित्, वातलाःकेचित्, संसृष्टाःकेचित्, समधातवःकेचिद्भवन्ति| तेषांहिलक्षणानिव्याख्यास्यामः ||९५||

sanskrit

[Prakriti pariksha (Assessment of basic constitution of patient)] Explanation regarding factors prakriti etc. are explained henceforth– the constitution (prakriti) associated with fetus (garbha) is determined by constitution of sperm and ovum, the time (of conception) and status of health of uterus, diet and lifestyle of mother (during pregnancy) and interaction of mahabhuta. Body humors (dosha), one or more than one which predominates in these factors gets attached to the fetus which is called physical or doshika constitution (dosha prakriti) of human beings which is emerged from the initial stage of fetus. Hence some persons are constitutionally having predominance of kapha(shleshma) some pittala, some vatala some having, combined dosha and some with balanced dhatu. Their characters are described here.

english translation

tatraprakRtyAdInbhAvAnanuvyAkhyAsyAmaH| tadyathA- zukrazoNitaprakRtiM, kAlagarbhAzayaprakRtiM, AturAhAravihAraprakRtiM, mahAbhUtavikAraprakRtiMcagarbhazarIramapekSate| etAniyenayenadoSeNAdhikenaikenAnekenavAsamanubadhyante, tenatenadoSeNagarbho'nubadhyate; tataHsAsAdoSaprakRtirucyatemanuSyANAMgarbhAdipravRttA| tasmAcchleSmalAHprakRtyAkecit, pittalAHkecit, vAtalAHkecit, saMsRSTAHkecit, samadhAtavaHkecidbhavanti| teSAMhilakSaNAnivyAkhyAsyAmaH ||95||

hk transliteration by Sanscript