1. Welco
me
1

2. Concept of chikitsa
Presenter
Dr. ATHIKA JAN
I yr. P.G. Scholar
Dept of P.G. Studies in Ayurveda Siddhanta
GAMC, Mysore
Under the guidance of
Dr. SHAKUNTHALA G.N, M.D. (Ayu)
Professor & Head of the Department
Dept of P.G. Studies in Ayurveda Siddhanta
GAMC, Mysore.
2

3. CONTENTS
 Introduction
 Review of literature
Derivation
Definitions
Synonyms
Types
Uttama chikitsa
Chikitsa
chatushpaada
 Discussion
 Conclusion
 Bibliography
3

4. INTRODUCTION
Health is the supreme foundation of virtue, wealth,
enjoyment and salvation. Diseases are the destroyer
of health and life itself. This is a great impediment to
the progress of humanity.
Ayurveda - a biological science is based on the
three principles of life which may be termed as
Trisutra viz. etiology, symptomatology and the
knowledge of therapeutics as a means to well being
par excellence to healthy and diseased. Thus the
concept of chikitsa (principle of life)is considered as
a complete holistic approach to the elimination of the
root cause of each and every disease.
4

5. Review of literature
DERIVATION
ÌMüiÉç UÉåaÉÉmÉlÉrÉlÉå
(zÉoSxiÉÉåqÉqÉWûÉÌlÉÍkÉ)
To adopt measures for the removal of the factors of the
disease.
ÂMçü mÉëÌiÉÌ¢ürÉÉ (AqÉUMüÉåzÉ)
UÉåaÉ ÌlÉSÉlÉ mÉëÌiÉMüÉU.(uÉæ±Mü
zÉoSÍxÉlkÉÑ)
The term UÉåaÉÉmÉlÉrÉlÉ and ÂMçü mÉëÌiÉÌ
¢ürÉÉ convey nearly the same meanings like measures
adopted for the removal of the disease. The term
UÉåaÉ ÌlÉSÉlÉ mÉëÌiÉMüÉU emphasises on the 5

6. SYNONYMS
ÍcÉÌMüÎixÉiÉÇ urÉÉÍkÉWûUÇ mÉjrÉÇ
xÉÉkÉlÉÇ AÉæwÉkÉÇ mÉëÉrÉͶɨÉÇ
mÉëzÉqÉlÉÇ mÉëM×üÌiÉxjÉÉmÉlÉÇ ÌWûiÉqÉç|
(cÉ ÍcÉ 1)
urÉÉÍkÉWûU- urÉÉÍkÉÇ WûUÌiÉ |
mÉjrÉ- mÉjrÉÇ mÉjÉÉålÉmÉåiÉÇ rÉiÉç |
mÉljÉɶÉç urÉÉÍkÉÌlÉ:xÉÉUMüÉå
qÉÉaÉïxiÉxqÉÉSè mÉëcrÉÑiÉqÉç LiÉålÉ
ÌWûiÉxÉåuÉlÉÇ AÌWûiÉmÉËUWûÉUÃmÉÇ
mÉëÍxÉ®qÉç || (eÉå‹Oû)
6

7. AÉæwÉkÉ- mÉëÉrÉ: AÉæwÉkÉÇ xÉqÉÉ´ÉrÉÉiÉç
|| (eÉå‹Oû)
mÉëÉrÉÍ¶É¨É -
mÉÉmÉTüsÉSÒ:ZÉmÉëÉaÉpÉÉuÉWåûiÉÑiuÉxÉÉ
SØzrÉÉiÉç | mÉëÉrÉͶɨÉuÉiÉç
pÉåwÉeÉxrÉÉkÉqÉïMüÉrÉïurÉÉÍkÉWûUiuÉålÉ |
(eÉå‹O cÉ ÍcÉ 1-1-3)
mÉëzÉqÉlÉ -
ESÏrÉqÉÉlÉlÉÉlÉÉÌuÉkÉurÉÉÍkÉmÉëzÉqÉlÉÉiÉç
mÉëzÉqÉlÉqÉç | (eÉ‹Oû)
7
mÉëM×üÌiÉxjÉÉmÉlÉ - mÉëM×üiÉÉæ xjÉÉmÉlÉÇ

8. DEFINITIONS
rÉÉÍpÉ: Ì¢ürÉÉÍpÉeÉÉïrÉliÉå zÉUÏUå
kÉÉiÉuÉÉ: xÉqÉÉ: |
xÉÉ ÍcÉÌMüixÉÉ ÌuÉMüÉUÉhÉÉÇ MüqÉï iÉiÉç
ÍpÉwÉeÉÉÇ xqÉÚiÉqÉç || (cÉ xÉÔ 16/34)
The measures employed to bring about equilibrium of
dhatus, constitute treatment of diseases or chikitsa.
This in fact, is the duty of the physician.
rÉÉ Ì¢ürÉÉ urÉÉÍkÉWûUÉÍhÉ xÉÉ
ÍcÉÌMüixÉÉ ÌlÉaɱiÉå | (pÉÉ mÉë mÉÔ 11)
The procedure that destroys the pathogenesis is called8

9. cÉiÉÑhÉÉïÇ ÍpÉwÉaÉÉSÏlÉÉÇ
zÉxiÉÉlÉÉÇ kÉÉiÉÑuÉæM×üiÉå|
mÉëuÉ×̨ÉkÉÉïiÉÑxÉÉqrÉÉjÉÉïÇ
ÍcÉÌMüixÉåirÉÍpÉSÏrÉiÉå || (cÉ xÉÔ 9/5)
All the effort of the four i.e. physician,
medicament, attendant and the patient, possessing
requisite qualities for the revival of the
equilibrium of dhatus in the event of their
equilibrium being disturbed is known as
therapeutics.
9

10. TYPES
EKA VIDHA CHIKITSA
xÉl¤ÉåmÉiÉ: Ì¢ürÉÉrÉÉåaÉÉå ÌlÉSÉlÉxrÉ
mÉËUuÉeÉïlÉqÉç ||(xÉÑ E 1/25)
DWIVIDHA CHIKITSA
zÉÏiÉålÉ EwhÉM×üiÉÉlÉç UÉåaÉÉiÉç zÉqÉrÉÎliÉ
ÍpÉwÉÎauÉS: |
rÉå iÉÑ zÉÏiÉM×üiÉÉ UÉåaÉÉxiÉåwÉÉqÉÑwhÉÇ
ÍpÉwÉÎaeÉiÉqÉç || (cÉ ÌuÉ 4/41)
EmÉ¢üqrÉxrÉ Ì²iuÉÉή ̲kÉæuÉÉåmÉ¢üqÉÉå qÉiÉ: | 10
LMü xÉliÉmÉïhÉxiÉ§É Ì²iÉÏrɶÉÉmÉiÉmÉïhÉ: |

11. ̲ÌuÉkÉqÉÉæwÉkÉqÉç-FeÉïxMüUÇ UÉåaÉblÉÇ
cÉ | iÉ§É FeÉïxMüUÇ Ì²ÌuÉkÉÇ- UxÉÉrÉlÉÇ
uÉÉeÉÏMüUhÉÇ cÉ ||
(A xÉ xÉÔ 12/3)
UÉåaÉblÉqÉÌmÉ Ì²ÌuÉkÉqÉç-UÉåaÉxrÉ
mÉëzÉqÉlÉÇ AmÉÑlÉpÉïuÉMüUÇ cÉ ||
(A xÉ xÉÔ 12/3)
pÉåwÉeÉÇ Ì²ÌuÉkÉÇ cÉ rÉiÉç|
xuÉxjÉxrÉÉåeÉïxMüUÇ ÌMüÇÍcÉiÉç
ÌMüÎlcÉSÉiÉïxrÉ UÉåaÉlÉÑiÉç |
(cÉ ÍcÉ 1-1-3)
LiÉŠæuÉ pÉåwÉeÉÇ A…¡ûpÉåSÉSÌmÉ 11
̲ÌuÉkÉqÉç |

12. TRIVIDHA CHIKITSA:
̧ÉÌuÉkÉqÉÉæwÉkÉÇ CÌiÉ SæuÉurÉÉmÉÉ´ÉrÉÇ
rÉÑÌ£üurÉÉmÉÉ´ÉrÉÇ xÉiuÉÉuÉeÉrɶÉåÌiÉ | (cÉ xÉÔ
10/54)
iÉ§É SæuÉurÉÉmÉÉ´ÉqÉç-
qÉl§ÉÉæwÉÍkÉqÉÍhÉqÉÇaÉsÉ oÉÍsÉ EmÉWûÉU
WûÉåqÉ ÌlÉrÉqÉ mÉëÉrÉÍ¶É¨É EmÉuÉÉxÉ
xuÉxirÉrÉlÉmÉëÍhÉmÉÉiÉaÉqÉlÉÉÌS:,
rÉÑÌ£üurÉÉmÉÉ´ÉrÉqÉç-
mÉÑlÉUÉWûÉUÉæwÉkÉSìurÉÉhÉÉÇ rÉÉåeÉlÉÉ;
xɨuÉÉuÉeÉrÉ:- mÉÑlÉUÌWûiÉåprÉÉå AjÉåïprÉÉå
qÉlÉÉåÌlÉaÉëWû: |
zÉUÏU SÉåwÉ mÉëMüÉåmÉå iÉÑ ZÉsÉÑ zÉUÏUqÉåuÉÉÍ
12
´ÉirÉ mÉëÉrÉ: ̧ÉÌuÉkÉqÉç AÉæwÉkÉÍqÉcNûÎliÉ| AliÉ:

13. AÉxÉÑUÏ qÉÉlÉÑwÉÏ SæuÉÏ ÍcÉÌMüixÉÉ Ì§ÉÌuÉkÉÉ
qÉiÉÉ |
zÉx§Éæ: MüwÉÉrÉæ: sÉÉåWûɱæ: ¢üqÉåhÉÉÇirÉÉ
xÉÑmÉÔÎeÉiÉÉ|(pÉæ U)
mÉÑlÉUÌmÉ Ì§ÉÌuÉkÉÇ AmÉMüwÉïhÉÇ
mÉëM×üÌiÉÌuÉbÉÉiÉlÉÇ ÌlÉSÉlÉirÉÉaÉ¶É |
(A xÉ xÉÔ 12/6)
13
AmÉiÉmÉïhÉqÉÌmÉ Ì§ÉÌuÉkÉÇ- sɆ¡ûlÉÇ

14. CHATURVIDHA CHIKITSA:
SÉåwÉÉ: ¤ÉÏhÉÉ: oÉ×ÇWûÌrÉiÉurÉÉ: |
MÑüÌmÉiÉÉ mÉëzÉqÉÌrÉiÉurÉÉ: uÉë×®É
ÌlÉWïûËUiÉurÉÉ: xÉqÉÉ: mÉËUmÉÉsrÉÉ: ||
(xÉÑ ÍcÉ.33/1)
xÉÇzÉÉåkÉlÉxÉÇzÉqÉlÉÉWûÉUÉcÉÉUÉ:xÉqr
ÉaÉç mÉërÉÑ£üÉ ÌlÉaÉëWûWåûiÉuÉ:| (xÉÑ
xÉÔ 1/20)
PANCHAVIDHA CHIKITSA:
rÉSÏUrÉåSè oÉÌWûSÉåïwÉÉlÉç mÉÇcÉkÉÉ
zÉÉåkÉlÉÇ cÉ iÉiÉç |
ÌlÉÃWûÉå uÉqÉlÉÇ MüÉrÉÍzÉUÉåUåMüÉå 14

15. SHADVIDHA CHIKITSA:
sÉû†¡ûlÉÇ oÉ×ÇWûhÉÇ MüÉsÉå äÉhÉÇ
xlÉåWûlÉÇ iÉjÉÉ |
xuÉåSlÉÇ xiÉÇpÉlÉÇ eÉÉlÉÏiÉå rÉ: xÉ uÉæ
ÍpÉwÉMçü ||
(cÉ.xÉÔ.22/4)
SAPTAVIDHA CHIKITSA:
lÉ zÉÉåkÉrÉÌiÉ rɬÉåwÉÉlÉç
xÉqÉɳÉÉåSÏUrÉirÉÌmÉ |
xÉqÉÏMüUÉåÌiÉ ÌuÉwÉqÉÉlÉç zÉqÉlÉÇ iÉŠ
xÉmiÉkÉÉ || 15

16. DASHAVIDHA CHIKITSA :
cÉiÉÑwmÉëMüÉUÉ xÉÇzÉÑή:
ÌmÉmÉÉxÉÉ qÉÉÂiÉÉiÉmÉÉæ |
mÉÉcÉlÉÉÌlÉ EmÉuÉÉxɶÉ
urÉÉrÉÉqɶÉåÌiÉ sÉÇbÉlÉqÉç ||(cÉ xÉÔ
22/18)
UPASHAYATMAKA CHIKITSA: 18 TYPES
WåûiÉÑurÉÉÍkÉÌuÉmÉrÉïxiÉÌuÉmÉrÉïxi
ÉÉjÉïMüÉËUhÉÉqÉç |
AÉæwÉkÉɳÉÌuÉWûÉUÉhÉÉÇ 16

17. WåûiÉÑ ÌuÉmÉUÏiÉ ÍcÉÌMüixÉÉ
urÉÉÍkÉÌuÉmÉUÏiÉ ÍcÉÌMüixÉÉ
WåûiÉÑ urÉÉÍkÉ EpÉrÉ ÌuÉmÉUÏiÉ ÍcÉÌMüixÉÉ
WåûiÉÑ ÌuÉmÉUÏiÉÉjÉïMüÉËU ÍcÉÌMüixÉÉ
urÉÉÍkÉÌuÉmÉUÏiÉÉjÉïMüÉËU ÍcÉÌMüixÉÉ
WåûiÉÑurÉÉÍkÉÌuÉmÉUÏiÉÉjÉïMüÉËU
ÍcÉÌMüixÉÉ
SHALYATANTRIYA CHIKITSA BHEDA
iÉŠ zÉx§ÉMüqÉï A¹ÌuÉkÉÇ, iɱjÉÉ-Nåû±Ç
pÉå±Ç sÉåZrÉÇ uÉå±Ç LwrÉÇ AÉWûrÉïÇ
ÌuÉxÉëÉurÉÇ xÉÏurÉÇ CÌiÉ || (xÉÑ xÉÔ 5)
VRANACHIKITSA-60 TYPES 17

18. UTTAMA CHIKITSA
rÉÉ ÌWû ESÏhÉïÇ zÉqÉrÉÌiÉ lÉÉlrÉÇ
urÉÉÍkÉÇ MüUÉåÌiÉ cÉ |
xÉÉ Ì¢ürÉÉ, lÉ iÉÑ rÉÉ urÉÉÍkÉÇ MüUÉåÌiÉ
cÉ || (xÉÑ xÉÔ 35/23)
That which cures the existing disease and does not
giverise other disease is best chikitsa. That which cures
a disease and inturn givesrise other is not a good
chikitsa.
mÉërÉÉåaÉ: zÉqÉrÉåSè urÉÉÍkÉÇ rÉÉå
AlrÉqÉÑSÏUrÉåiÉç |
lÉÉxÉÉæ ÌuÉzÉÑ®: zÉÑ®xiÉÑ zÉqÉrÉå±Éå
lÉ MüÉåmÉrÉåiÉç || (cÉ ÌlÉ 8/23) 18

19. CHIKITSA CHATUSHPADA
ÍpÉwÉaÉç SìurÉÉhrÉÑmÉxjÉÉiÉÉ UÉåaÉÏ
mÉÉScÉiÉѹrÉqÉç |
aÉÑhÉuÉiÉç MüÉUhÉÇ ¥ÉårÉÇ
ÌuÉMüÉUurÉÑmÉzÉÉliÉrÉå || (cÉ xÉÔ 9/3)
The four pillars of therapeutics the physician, the
medicament, the attendants and the patient, all are
responsible for the cure of disease provided they have
the requisite qualities. Acharya Gangadhara has
interpreted the word ÌuÉMüÉUurÉÑmÉzÉÉliÉrÉå 19

20. cÉiÉÑhÉÉïÇ ÍpÉwÉaÉÉSÏlÉÉÇ zÉxiÉÉlÉÉÇ
kÉÉiÉÑuÉæM×üiÉå|
mÉëuÉ×̨ÉkÉÉïiÉÑxÉÉqrÉÉjÉÉïÇ
ÍcÉÌMüixÉåirÉÍpÉSÏrÉiÉå || (cÉ xÉÔ 9/5)
The point to be noted is the word “Pravrutti”
which clearly indicates that only merits has
nothing to do without proper action. Efforts have
to be put forward to achieve desired results.
Chikitsa is the resultant or outcome of the efforts
and proper employment of the Chatushpaada.
20

21. DISCUSSION
The holistic approach of Ayurveda is towards ‘Arogya’.
The two aims of this science told is,
mÉërÉÉåeÉlÉÇ cÉÉxrÉ xuÉxjÉxrÉ
xuÉÉxjrÉU¤ÉhÉÇ AÉiÉÑUxrÉ
ÌuÉMüÉUmÉëzÉqÉlÉÇ cÉ || (cÉ xÉÔ 30/26)
Therefore health can be maintained in healthy person by
following rasayana, vajikarana therapy, which does
swasthya urajaskara and disease can be prevented by
chikitsa i.e.it works as “Aaturasya roganut”.
21

22. It is said that-
E£üÇ ÌWû ÌuÉMüÉUÉå kÉÉiÉÑuÉæwÉqrÉÇ
xÉÉqrÉÇ mÉëM×üÌiÉÂcrÉiÉå | mÉërÉÉåeÉlÉÇ
kÉÉiÉÑxÉÉqrÉqÉç || (cÉ¢ümÉÉÍhÉ)
So while saying Tantra prayojana it is said,
CirÉÑ£Çü MüÉUhÉÇ MüÉrÉïÇ
kÉÉiÉÑxÉÉqrÉÍqÉWûÉåcrÉiÉå |
kÉÉiÉÑxÉÉqrÉÌ¢ürÉ cÉÉå£üÉ iÉl§ÉxrÉÉxrÉ
mÉërÉÉåeÉlÉqÉç || (cÉ xÉÔ 1/53)
The aim of Ayurveda is to maintain the health of the
healthy individual and to cure the diseased one. Thus
22
to achieve this, the knowledge of chikitsa is very

23. A schematic representation of classification of
chikitsa
Daiva vyapashraya Yukti vypashraya Satvaavavajaya
Mantra Achara Dhee
Aushadhi Ahara Dhruthi
Mani Samshamana Smruthi
Mangala Samshodhana Dhairya
Upahara
Homa Panchakarma
Prayaschitta Antha Parimarjana
Swastivachana Bahi Parimarjana
Shastra Pranidhana
23

24. BRANCHES OF TREATMENT IN AYURVEDA
Like western medicine, Ayurveda is also divided into several
important branches of treatment dealing with various human aspects.
Each branch follows various methods for regenerating the equilibrium
of body, mind and soul.
1. Kaya Chikitsa
2. Salya Chikitsa(Salya Tantra)
3. Salakya Chikitsa (Shalakya Tantra)
4. Bala Chikitsa (Kaumara Bhrithya)
5. Visha Chikitsa (Agada Tantra)
6. Graha Chikitsa
7.Rasayana Chikitsa
8. Vajeekarana Chikitsa
24

25. Some of the concepts of treatment according to
context are,
PRATIMAARGAHARANA CHIKITSA
ÌuÉUåcÉlÉÇ FkuÉïpÉÉaÉÇ AkÉÉåaÉÇ
uÉqÉlÉålÉ cÉ || (cÉ ÍcÉ 4/56)
This technique is specially mentioned in the context of
raktapitta in charaka samhita. When bleeding occurs
from upper channels in the body then virechana is
indicated while that from the lower channels shall be
treated with vamana. Acharya Chakrapani quotes that
this rule is disease-specific and not a general rule.
25

26. VYADHIS PRATIKARA CHIKITSA
It is the specific line of treatment which is intended to
cure the specific disease.
Ex : Jwara chikitsa
Paandu chikitsa
Shwasa/ hikka chkitsa
26

27. SAMPRAPTI VIGHATANAMEVA CHIKITSA
xÉuÉïxrÉÉqÉÌmÉ ÍcÉÌMüixÉÉrÉÉÇ
xÉÇmÉëÉÎmiÉÌuÉlÉÉzÉlÉqÉåuÉ mÉëkÉÉlÉÇ
mÉëÌrÉeÉlÉqÉç|| (A xÉ ÌlÉ 2/3)
It is believed that the treatment which is aimed at
separating the constituents of samprapti is ultimate.
Indukara quotes this approach in the context of jwara
nidana.
27

28. DOSHOPAKRAMA
Vatasyopakrama
uÉÉiÉxrÉÉåmÉ¢üqÉ: xlÉåWû: xuÉåS: xÉÇzÉÉåkÉlÉÇ
qÉ×SÒ: |
xuÉɲqsÉ sÉuÉhÉÉåwhÉÉÌlÉ pÉÉåerÉÉlÉç AprÉ….
qÉSïlÉqÉç || (A WØû xÉÔ 13)
Pittasyopakrama
ÌmɨÉxrÉ xÉÌmÉïwÉ: mÉÉlÉÇ xuÉÉSÒ zÉÏiÉæ:
ÌuÉUåcÉlÉqÉç |
xuÉÉSÒ ÌiÉ£ü MüwÉÉrÉÉÍhÉ pÉÉåerÉÉlÉç AÉæwÉkÉÉÌlÉ
cÉ || (A WØû xÉÔ 13)
28
Kaphasyopakrama

29. CHIKITSA FOR DHATUPRADOSHAJA ROGAS
UxÉeÉÉlÉÉÇ ÌuÉMüÉUÉhÉÇ xÉuÉïÇ sÉÇbÉlÉqÉÉæwÉkÉqÉç | (cÉ xÉÔ
28/25)
MÑürÉÉïiÉç zÉÉåÍhÉiÉ UÉåaÉåwÉÑ U£üÌmɨÉWûUÏÇ Ì¢ürÉÉ |
ÌuÉUMÇü EmÉuÉÉxÉÇ cÉ xÉëÉuÉhÉÇ zÉÉåÍhÉiÉxrÉ cÉ || (cÉ xÉÔ
24/18)
qÉÉÇxÉeÉÉlÉÉÇ iÉÑ xÉÇzÉÑή: zÉx§É ¤ÉÉUÉÎalÉMüqÉï cÉ ||
aÉÑ cÉ AiÉmÉïhÉÇ cÉå¹Ç xjÉÔsÉÉlÉÉÇ MüzÉïlÉÇ mÉëÌiÉ |
M×üzÉÉlÉÉÇ oÉ×ÇWûhÉÉjÉïÇ cÉ sÉbÉÑ xÉÇiÉmÉïhÉÇ cÉ rÉiÉç || (cÉ
xÉÔ21/20)
AxjrÉÉ´ÉrÉÉhÉÉÇ urÉÉkÉÏlÉÉÇ mÉÇcÉMüqÉÉïÍhÉ pÉåwÉeÉqÉç |
oÉxiÉrÉ: ¤ÉÏUxÉÌmÉïÌwÉ ÌiÉ£üMüÉåmÉÌWûiÉÉÌlÉ cÉ || (cÉ xÉÔ 28/27)
29

30. EFFECT OF THERAPY ON DISEASE
LMüÉ zÉÉÎliÉUlÉåMüxrÉ iÉjÉæuÉæMüxrÉ
sɤrÉiÉå |
urÉÉkÉåUåMüxrÉ cÉÉlÉåMüÉ oÉWÕûlÉÉÇ
oÉÀûrÉ LuÉ cÉ || (cÉ ÌlÉ 8/30)
One single therapy may cure many diseases.
There may be one single therapy only for one disease.
There may be many therapies for one disease.
There may be many therapies for many diseases.
30

31. THE PRINCIPLES OF TREATMENT ESTABLISHING THE
ROLE OF THERAPEUTICS
CSÇ cÉ lÉ: mÉëirɤÉÇ- rÉSlÉÉiÉÑUåhÉ
pÉåwÉeÉålÉÉiÉÑUÇ ÍcÉÌMüixÉÉqÉ:
¤ÉÉqÉÇ A¤ÉÉqÉåhÉ, ¢×üzÉÇ cÉ
SÒoÉïsÉqÉÉmrÉÉrÉqÉÉ:
xjÉÔsÉÇ qÉåSÎxuÉlÉÇ AmÉiÉmÉïrÉÉqÉ:, zÉÏiÉålÉ
EwhÉÉÍpÉpÉÔiÉÇ EmÉcÉÉUrÉÉqÉ:
zÉÏiÉÉÍpÉpÉÔiÉÇ EwhÉålÉ, lrÉÔlÉÉÇ kÉÉiÉÔlÉç
mÉÔUrÉÉqÉ:, urÉÌiÉËU£üÉlÉç ¾ûÉxÉrÉÉqÉ:,
urÉÉkÉÏlÉç qÉÔsÉÌuÉmÉrÉïrÉåhÉ EmÉcÉUliÉ:,
xÉqrÉMçü mÉëM×üiÉÉæ xjÉÉmÉrÉÉqÉ:, iÉåwÉÉÇ31

32. To cure the depleted patient by impletion.
To cure the emaciated and weak patient by
nourishing
To cure the obesity by reducing therapy
To cure the heat-afflicted by cooling remedy
To cure the cold-affected by hot measures
To cure the deplished dosha, dhatu, mala with
replenishment.
To cure the increased dosha, dhatu, mala with
depletion measures.
Thus the physiological state can be brought back
by treating the diseases with aetiological antidotes.
32

33. THE ROLE OF PATHYA &
SWASTHAVRITTA IN THERAPEUTICS
mÉjrÉå xÉÌiÉ aÉSÉiÉïxrÉ
ÌMüqÉÉæwÉkÉÌlÉwÉåuÉhÉæ: |
mÉjrÉå AxÉÌiÉ aÉSÉiÉïxrÉ
ÌMüqÉÉæwÉkÉÌlÉwÉåuÉhÉæ: ||
(uÉæ±eÉÏuÉlÉ )
If a diseased individual observes pathya (diets
and regimen) regularly , the treatment is not of
much importance. If pathya is not observed,
then what is the use of the treatment. Diet and
regimen are so important that there seldom
arises the necessity of therapeutics. The person 33
without pathya becomes so miserable that the

34. lÉUÉå ÌWûiÉÉWûÉU ÌuÉWûÉU xÉåÌuÉ
xÉqÉϤrÉMüÉUÏ ÌuÉwÉrÉåwuÉxÉ£ü: |
SÉiÉÉ xÉqÉ: xÉirÉmÉU: ¤ÉqÉÉuÉÉlÉç
AÉmiÉÉåmÉxÉåuÉÏ cÉ pÉuÉirÉUÉåaÉ: ||
(cÉ zÉÉ 2/46)
One who resorts to wholesome diet and
regimen, who enters into action after proper
observation, who is unattached to the pleasure
drawn from the satisfaction of sensory objects,
who donates charity, impartiality, truthfulness
34

35. PRINCIPLES OF TREATMENT IN EPIDEMICS
cÉiÉÑwÉÑ AÌmÉ SÒ¹åwÉÑ
MüÉsÉÉliÉåwÉÑ rÉSÉ lÉUÉ: ....||
(cÉ ÌuÉ 3/12)
One does not suffer from the disease even while all
the four factors such as vayu, jala, desha & kala are
vitiated if the person is administered with
medicaments properly. And those who are not having
identical actions during the previous life and those
who are not destined to die during the epidemics, for
35
their cure, five elimination therapies are the best.

36. TREATMENT OF PSYCHIC DISTURBANCES
iÉ§É oÉÑήqÉiÉÉ
qÉÉlÉxÉurÉÉÍkÉÌuÉmÉUÏiÉålÉÉÌmÉ
xÉiÉÉ oÉÑ®rÉÉ
ÌWûiÉÉÌWûiÉqÉuÉå¤rÉÉu¤rÉ
kÉqÉÉïiÉïMüÉqÉÉlÉÉqÉÌWûiÉlÉÉÇ
EmÉxÉåuÉlÉå mÉërÉÌiÉiÉurÉÇ...|| (cÉ
xÉÔ 11/46)
The person with psychic disturbance
should be treated by frequent and cautious
36
discretion of good and bad to accomplish

37. ROLE OF SADHYASADYATA IN MANAGEMENT
OF DISEASES
xÉÉkrÉÉxÉÉkrÉ ÌuÉpÉÉaÉ¥ÉÉå ¥ÉÉlÉmÉÔuÉïÇ
ÍcÉÌMüixÉMü: |
MüÉsÉå cÉÉUpÉiÉå rɨÉiÉç xÉÉkÉrÉÌiÉ kÉëÑuÉqÉç ||
AjÉÉï ÌuÉ±É rÉzÉÉå WûÉÌlÉÇ EmÉ¢üÉåzÉÇ
AxÉÇaÉëWûqÉç |
mÉëÉmlÉÑrÉÉiÉç ÌlÉrÉiÉÇ uÉæ±Éå rÉÉå AxÉÉkrÉÇ
xÉqÉÑmÉÉcÉUåiÉç ||(cÉ xÉÔ 10/7-8)
A physician who can distinguish between curable
and incurable diseases and initiates treatment in time
with the full knowledge (about the various aspects of
therapeutics) can certainly accomplish his object (of
curing the disease). Here, necessity is assured to the
timely application of therapeutics (MüÉsÉå). Even 37 in

38. Acharya Sushruta supports it thus,
AmÉëÉmiÉå uÉÉ Ì¢ürÉÉMüÉsÉå mÉëÉmiÉå
uÉÉ lÉ M×üiÉÉ Ì¢ürÉÉ |
Ì¢ürÉÉWûÏlÉÉÅÌiÉËU£üÉ uÉÉ xÉÉkrÉåwÉÑ
AÌmÉ lÉ ÍxÉ®rÉÌiÉ ||
(xÉÑ xÉÔ
35)
Even sadhya rogas will not be cured if the treatment
adopted is in aprapta samaya, after prapta samaya, in
heena matra or atimatra.
38

39. It is important to understand the basic difference
between Ayurveda and Western allopathic medicine.
Western allopathic medicine currently tends to focus
on symptomatology and disease and primarily uses
drugs and surgery to rid the body from pathogens or
diseased tissue. Many lives have been saved by this
approach. However, drugs, because of their toxicity,
often weaken the body.
Ayurveda does not focus on disease. Rather,
Ayurveda maintains that all life must be supported by
energy in balance. When there is minimal stress and the
flow of energy within a person is balanced, the body's
natural defence systems will be strong and can more
easily defend against disease.
39

40. TREATMENT
Definition
Any specific procedure used for the cure or the
amelioration of a disease or pathological condition.
(Taber’s medical dictionary)
Administration or application of remedies to a
patient or for a disease or injury; medicinal or
surgical management.
A method of combating, ameliorating or
preventing a disease or injury.
Synonyms: Cure, healing, care, therapy, medicine,
medication, remedy, handling, behaviour, dealing,
management, conduct, usage.
40

41. TYPES
Palliative treatment is directed to relieve pain and
distress.
Prophylactic treatment is for the prevention of a disease.
Causal treatment -focuses on the cause of a disorder.
Conservative treatment – withholding of treatments and
management of diseases by observation.
Empiric treatment- treatment based on observation and
experience rather than having scientific basis.
Rational treatment –treatment based on scientific
principles.
41

42. POINT TO BE REMEMBERED WHILE CHIKITSA
ÍpÉwÉaÉÉSÉæ mÉUϤÉåiÉ
ÂahÉxrÉÉrÉÑ: mÉërɦÉiÉ: |
xÉÌiÉ cÉÉrÉÑÌwÉ ÌuÉxiÉÏhÉåï ÍcÉÌMüixÉÉ
xÉTüsÉÉ pÉuÉåiÉç ||
(pÉÉ
mÉÔ 54)
Before the commencement of any chikitsa it is
necessary to assess Ayu of an individual.
42

43. IMPORTANCE OF CHIKITSA
YuÉÍcÉSjÉï: YuÉÍcÉlqÉæ§ÉÏ
YuÉÍcÉ®qÉï: YuÉÍcÉSè rÉzÉ: |
MüqÉÉïprÉÉxÉ: YuÉÍcÉŠåÌiÉ ÍcÉÌMüixÉÉ
lÉÉÎxiÉ ÌlÉwTüsÉÉ||
(A xÉ E 50)
The profession of treatment is never without any
benefits. Sometimes it is done as a virtuous acts;
sometimes it leads to friendship, sometimes
yields wealth and in some occasions gives good
43
name and sometimes gives experience.

44. CONCLUSION
Ayurveda is a science of life with sole aim of its
treatment to provide health to the mankind.
Treatment in Ayurveda is unique in its approach
to health and disease.
Instead of suppressing the main symptoms, the
root cause is eliminated and thus gives permanent
relief.
Ayurveda describes the basic and applied aspects
of life process, health and disease cured in terms of
its own principle and approaches. Thus in this
context Ayurveda is the therapy of choice.
44

45.
BIBLIOGRAPHY
Charaka Samhita.
Sushruta Samhita.
Ashtangahrudaya
Ashtangasangraha
Bhavaptakasha
Sharangadhara Samhita- Dr. Brahmananda tripati
Introduction to kayachikitsa- Dr. C. Dwarakanath
Nidanachikitsa Hastamalaka- Dr. R. H. Singh
Madhavachikitsa sutramala -Dr. J. L. N. Shastri
Comprehensive kayachikitsa and principles of
Ayurveda- Dr. Mahesh Udupa. H 45

46. Than
k you 46