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 sensible doctor ought to perceive the delicate abnormalities and imbalances occurring in dosha and so on (dhatus, mala and so on) by Anumana i.e. inference or inferential information. To realize this data, 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 know the delicate abnormalities occurring in dosha and so on (dhatu, mala and so on) within the affected person
Why is knowing ‘Aprasanna Indriyatvam’ vital for a doctor?
Some sufferers have no idea what is occurring with them. Many have no idea how one can clarify their well being situation and what abnormalities they’re experiencing of their physique and thoughts.
Alternatively, the presentation of minor or reasonable disturbances and imbalances of the doshas within the physique are so minute and delicate that it’s obscure or diagnose the illness and its nature.
Many individuals simply say that ‘I’m not feeling properly’. Some might say, ‘I’m feeling very low in the present day’. Others might say, ‘I’m not certain what is occurring with me, I simply know I would like assist’.
Many physicians would have come throughout individuals presenting their downside on this method. This state of ‘not feeling properly’ is aprasanna indriyatvam. Right here, the doctor wouldn’t get a whole lot 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 not sure of, in relation to their well being imbalances, ought to make calculations of their thoughts in order to how one can take care of it. Although the affected person himself will not be clear of what’s taking place, 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 likely one of the indicators of excellent well being, which suggests pleasantness of the senses. Acharya Sushruta explains the identical whereas describing the options of a wholesome particular person 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 ought to be accompanied with equilibrium of doshas, dhatus, malas, agni and in addition pleasantness of thoughts and soul.
Physique and thoughts are interdependent phenomena. If one is , the opposite too is . So, ‘aprasanna indriyatvam’ is not only an indicator of imbalances or disturbances on the degree of indriyas, it might mirror abnormalities and imbalances of the doshas, dhatus, mala, agni, manas and so on entities additionally.
However we will inform that there are markers for the whole lot. Ayurveda treatises have already defined the signs of improve, 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 the whole lot. This might anyway make our job simple in diagnosing the disturbances of those entities and in addition promptly handle them. We even have the outline of indicators and signs of illnesses.
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 on?
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 properly established
– The samprapti is weak sufficient to create a robust illness or robust signs
– The disturbances within the physique and thoughts are very delicate and gross which makes it tough for the affected person to know
– The affected person will not be in a situation of telling what precisely is occurring or can’t perceive what is occurring with him
– The affected person explains the situation in half processed or unprocessed method whereby there may be clouding of the situation
– The disturbances could also be in sanchaya – accumulation, prakopa – aggravation or prasara – spreading nature that are tough to specific on the a part of the affected person
– The illness could also be in premonitory – purvarupa stage whereby it’s tough to clarify by affected person or to know 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
Easy methods to make anumana on the idea of aprasanna indriyatvam?
The doctor wants an excellent 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’. Which may be attributable to delicate disturbances on the degree of physique, thoughts, senses or all.
Instance, an anxious affected person is predominantly vata. He will likely be cranky in entrance of the doctor by way of bodily and psychological behaviour. He will likely be confused and twiddling with one thing round. It could not essentially be a psychological situation, the particular person 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 particular person could also be predominantly 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 Anumana are relevant right here and virtually each facet which may be examined by inference shall be introduced into play to analyse, perceive and handle aprasanna indriyatvam, as a result of we do not need adequate proof to crack the thriller and anumana is the important thing instrument. However earlier than that, it is extremely vital to look at and perceive the ‘aprasanna indriyatvam’ and its nature and the particular person presenting himself or herself on this state.
