Charaka Samhita- Chikitsa Sthana, I-XV Chapter (Vol-III)

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We feel extremely happy to bring you "Charaka Samhita" the text with English translation. The book is unique of its kind as if is conceived as per the needs of B.A.M.S. Graduates, beginners of Ayurveda as well as allied subject seekers. We have attempted to bring before you the best treatise of Ayurveda of Agnivesha in very simple and easy English along with relevant explanations from commentaries wherever necessary.

We are thankful to our dearest students community for over whelming response for our earlier "Text book of Swasthavritta" and hope to receive the similar encouragement for this endeavor also.

Dr. Shashirekha H. K., Born in Hassan, Kamataka. She was completed Graduation (2006) and Post Graduation in Ayrveda Samhita (2010) from Rajiv Gandhi University of Health Science, Bangalore, Kamataka and Ph.D. in Ayurveda (Samhita) from Tilak Maharashtra Vidyapeeta, Pune Maharashtra. M.A. (Sanskrit) from Kamataka State Open University Mysore, Kamataka, M. Sc. (Psychology) from Madurai Kamaraj University, Madurai, Tamil Nadu and M. Sc. (Yoga) from Periyar University (PRIDE), salem, Tamil Nadu. She published more than 15 papers in various Peer Reviewed International Journal. Currently she is working as Associate Professor in the Department of Samhita- Siddhanta at Sri. Dharmasthala Manjunatheshwara College of Ayurveda and Hospital Hassan, Kamataka. She is acclaimed teacher for graduate and post graduate scholars.

Dr. Bargale Sushaot Sukumar, Born in Sangli, Maharsahtra. He has completed Graduation (2006) and Post Graduation in Swasthavritta (2010) and Pursuing Ph. D. in Ayurveda (Swasthavritta) from Rajiv Gandhi University of Health Science, Bangalore, Karnataka. He has completed M. Se, (Yoga) from Periyar University (PRIDE), Salem, Tamil Nadu and M. Sc. (psychology) from Madurai Kamaraj University, Madurai, Tamil Nadu. Currently he is working as Assistant Professor in the Department of Swasthavtitta and Yoga at Sri. Dharmasthala Manjunatheshwara College of Ayurveda and Hospital Hassan, Karnataka. He has published many articles in National and International Peer reviewed journals and presented more than 8 papers in various International and National conferences.

The section Chikitsa Sthana contains 4904 Sutra and 30 chapters, the detail description of various diseases and their principles of treatment along with description of Rasayana and Vajikarana are available. Charaka Samhita being primarily a treatise of Kaya Chikitsa(medicine),most of the chapters in the Chikitsa Sthana deal with Kaya Chikitsa while 23rd chapter on the Visha Chikitsa (management of poisoning) deals with AgadaTantra (toxicology) and 25th chapter relates to Shalya (surgical disorders). In Ayurveda, Manasika Roga (psychiatry) is dealt with under the heading of BhutaVidya and two chapters 9th deal with Unmada Chikitsa and 10th deal with Apasmara Chikitsa focus on this aspect of medicine. Finally, the 30th chapter describes miscellaneous matters including the Stri Roga (gynecological disorders), Shukra Roga (male infertility) and Bala Roga (pediatrics) thus fulfills Astanga Ayurveda.

Swasthasya Swastha Rakshana Aturasya Vihara Prashamana- The main aim of Ayurveda is presentation and treatment of the diseases. Chikitsa in Sanskrit means treatment and this section is about therapeutics in Ayurveda the first two chapters Rasayana and Vajikarana deal with the preservation and promotion of physical, mental and sexual health of healthy person and the remaining chapters deal with therapeutics for the cure of diseases.

Charaka Chikitsa Sthana deal with complete management and maintenance of health, thus fulfills most of the connotation of Astanga Ayurveda. In therapeutic chapters a general pattern is adopted to describe the managementeach chapter provides a brief Nidana, Purvarupa, Rupa, Samprapti, Classification, Sadhya Asadhyata of the disease explaining the Chikitsa Sutra and Chikitsa. The first principle of treatment (Chikitsa Sutra) of that particular disease is given in terms of Langhana or Brumhana, Snehana or Rukshana, Swedana or Stambhana and concerned measures of Shodhana followed by their judicious use in particular state and stage of the disease. It is followed by description of single or compound preparations along with their ingredients, method of preparation, Dosage, mode of administration and indications. The drugs are mentioned in the form of fresh juice and paste, powder, tablet, decoctions, Avaleha, Asava, Arishta, Ghrita and Taila.

Eight groups of major diseases were described in Nidana Sthana, each representing specific methodology related with diagnostic aspect. Management of those eight diseases is explained in detail from the third to the tenth chapter in Chikitsa Sthana.

The Chikitsa Sthana included total thirty chapters, which included basic important prime factors involved in the disease, few related disease merged in these thirty chapter. Thus many disease presentation were elaboration in Chikitsa Sthana.

Rasayana Adhyaya (Ist chapter) - The first chapter is on Rasayana Adhyaya (rejuvenation therapy), further divided into four Pada (sections). The chapter describes a number of drugs and preparations by means of which one can prevent and retard aging and live a longer, happier life. Rasayana drugs promote physical and mental health and provide general immunity to prevent diseases as well as strength to the tissues to be able to fight diseases effectively.

Vajikarana Adhyaya- (2nd chapter) - The second chapter, on Vajikarana, also comprises of four Pada (sub-chapters) and deals with enhancing sexual health in healthy persons, consequently leading to healthy progeny.

Jwara Chikitsa Adhyaya (3rd chapter) - In Jwara Chikitsa chapter focused on the disease fever, the disease sequence followed as like Nidana Sthanaof Charaka Samhita. The Jwara gets manifested because of the involvement of Rasa Dhatu, Agni, Ama and mainly Pitta Dosha. Jwara Chikitsa includes therapeutic measures for acute and chronic fever, continuous, intermittent, malarial and seasonal fevers, mild, moderate and severe fevers, fever with or without Ama, fevers occurring from one, two or three combination of Dosha, fever occurring in Dhatu and so on. All the aspects affecting treatment and prognosis of various types of fever are also described.

Rakta Pitta Chikitsa Adhyaya (4th chapter) - The fourth chapter deals with the Raktapitta Chikitsa (management of bleeding disorders) which is of two types i.e. bleeding from the Urdhwa (upper) and Adho (lower) channels.

Gulma Chikitsa Adhaya (5th chapter) - In Gulma Chikitsa describes explained about different Sthana of Gulma, Nidana Panchaka and Its management. This also explained about Raktaja Gulma. Gulma id explained under two headings, local and generalized.

Prameha Chikitsa Adhyaya (6th chapter) - In Prameha Chikitsa (urinary diseases) are described according to the presenting symptoms of excessive urine or scanty urine with difficulty/pain. Sixth chapter deals with the treatment of urinary problems with presenting sign of excessive urine under the heading of Prameha Chikitsa which is of twenty types and includes Madhumeha (diabetes mellitus).

Kustha Chikitsa Adhyaya (7th chapter) - In Kustha Chikitsa (Management of skin diseases). Chronic skin disorders are described under this heading. These disorders are further divided into two groups, eleven types of Kshudra Kustha (minor skin diseases) and seven types of Maha Kustha (major skin disorders).

Rajayakshma Chikitsa (8th chapter) - In Rajayakshma Chikitsa (Tuberculosis) is an unique chapter when explained types of Rajayakshma, causes of the disease. Here mainly Tridosha, Sapta Dhatu and all Srotas are involved in the disease manifestation the prognosis and its management were explained in this chapter.

Unmada Chikitsa Adhyaya (9th chapter) - In this chapter describes causes, types clinical and management of Nija and Agantuja Unmada. The specific about the Agantuja (Bhutaja Unmada) along with its types were elaborated in detail.

Apasmara Chikitsa Adhyaya (10th chapter) - In this chapter deals causes, types, clinical features and management of Apasmara (epilepsy). Description about causes clinical features and management of Atatvabhinivesha also mentioned.

Kshata Kshina Chikitsa Adhyaya (11th chapter)- The eleventh chapter describes Kshata Kshina occurs by indulgence in activities beyond individual get strength or cruel activities such as bull fighting leading to ulcer in chest, bleeding, cachexia and its management. Here mainly the disease symptoms gets manifested by the involvement of depletion of Dhatu.

Shvayathu Chikitsa Adhyaya (12th chapter) - In the 12th chapter Shvayathu describes about three groups of diseases with Utsedha (swelling), Shvayathu (edema) and Shotha (inflammation) localized and generalized area.

Udara Chikitsa Adhyaya (13th chapter) - In Udara Roga the conditions leading to generalized enlargement of abdomen because of Vatadi Dosha, enlargement of internal organ like spleen, liver etc. this chapter also about collection of fluid (ascites).

Arsha Chikitsa Adhyaya (14th chapter) -In the Arsha Chikitsa describes the various types of Arsha (hemorrhoids) along with their treatment.Chaturvidha Chikitsa- Shasta, Kshara, Agni and Aushada Prayoga.

Grahani Dosha Chikitsa Adhyaya (15th chapter) - In the Grahani Dosha (Agni Dosha) and its management is explained. Various stages and processes of digestion, metabolism leading to the formation of Dhatu and Mala are described types of Agni, its normal function and its prognosis as well as management, significance in disease manifestation were explained as an illustration the chapter explained Grahani Roga types and its management of Grahani chapter also explained the management of Mandagni and Atyagni (Bhasmaka Roga).

Pandu Chikitsa Adhyaya (16th chapter) - In Pandu Chikitsa described about two diseases caused mainly by involvement of Rakta - Pandu Roga (anemia) and Kamala (jaundice).

Hikka Chikitsa Adhyaya (17th chapter) - In Hikka Shwasa Chikitsa described about five types of disorders having presentation of Shwasa (dyspnea) along with five types of Hikka (hiccough) and its management.

Kasa Chikitsa Adhyaya (18th chapter) - In Kasa Chikitsa described about Nidana, Purvarupa, Samprapti and management of Kasa (cough).

Atisara Chikitsa Adhyaya (19th chapter) -In Atisara Chikitsa described about Nidana,

Samprapti, Lakshana and its management of Atisara (diarrheal disorders).

Chardi Chikitsa Adhyaya (20th chapter) - In Chardi Chikitsa described about types, Nidana, Samprapti and management of Chardi (vomiting).

**Contents and Sample Pages**