guna vikalpa in ayurveda
TRANSCRIPT
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ApplicationofGunavikalpa-
Hittingthebullseye
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Contents
IntroductionOrigin of gunas
Guna and its types
Gunas in Ayurveda and Darshana
How to analyze guna
Applications of guna vikalpaLimitations
Conclusion
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Vitiationof
doshasDisease
DravyaPacification
ofdosha
SpecificGunas
Introduction
Guna Vikalpa?
Amsha Amsha Kalpana of gunas in a particular disease or adravya.
Better understanding
Forming treatment protocol
RX
Base of effective clinical practice
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Causeforthevridhiandkshayaofdoshaswhenweadminister
drugs
Theunderlyingprinciple-SamanyaVisheshaSidhanta
-PanchabhutaSidhanta
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Guna its types and enumeration
"xqur i l MUh ah:" (Ch.Sootram)
Gunas are present in the dravya in a samavaya sambandhawhich are devoid of action and are the cause for the karma.
41 gunas mentioned by charaka
Paradi gunas visualising and understanding roga,
mentioned as chikitsasidhi upayas
Gurvadi gunas visualizing and understanding sharira
mentioned as sharira gunas
Vishesha gunas- gunas of mahabhutas
Atma gunas gunas of the self
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Gunas in Ayurveda and Darshana
Placed within the six padarthas.
Difference in-- Order of significanceConcept of guna
Order of significance of guna
Darshana Dravya Guna Karma Samanya Vishesha Samavaya
Ayurveda Samanya Vishesha Guna Dravya Karma Samavaya
Concept of guna in Darshana and Ayurveda
Sneha- chS mhQ pu Wi (iM)
Sneha- rxr YsSl z: (UxuzwM)
GuruA mil Axqur MUh (iM)
Gururxr oWh z: (UxuzwM)
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Importance of GunaAll the substances can be attributed by their gunas which are inferred through
their specific karmas.
Sharira
Doshas are nothing but a group of gunas having a specified set
of functions
Dravya
Rasadi panchaka has its basis in the concept of guna
Rasa & vipaka- composed of their specific gunas
ex- madhura rasasnigdha guru shita
Veerya - are nothing but the potent gunas
Generally
To answer the question WHY and HOW.?
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Assesing gunasNot just the physical changes but understand the deeper
physiological significance.
Ruksha guna is not just merely the roughness of the skin
Rukshatva has a greater significance when understood as
Lack of nourishment
Increase of agni and vayu
Cause for degenerative changes in the body
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Applications of Guna vikalpahow to analyze?
The status of the doshas in every disease and dravyas
should be assessed in terms of gunas.
Guna vikalpa can be assessed under the following fourcriteria of clinical practice
Nidana
Samprapti
Deciding the apt treatment
Determining the prognosis
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Guna vikalpa how to analyze?
Nidana
In certain diseases acharya specifies the individual gunas of the
dosha that has vitiated
Shakhasrita kaamala
Kaamala is a pitta predominant disease but Shakhaasrita
kaamala has a specific nidana
Nidana ruksha shita guru madhura ahara
Trtmt snigdha ushna katu amla lavana
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Guna vikalpa how to analyze?
Samprapti
Acharya mentions the specific gunas involved in the samprapti
of certain diseases.
Example vatarakta
(Ch.Chi27)
Suksma ,chala guna of vayu has undergone an increase
Drugs and therapies for vatarakta should be primarily having
sthoola and sthira gunas.
Eg vasti with madhuparnyadi thaila, sukumara thaila
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Guna vikalpa how to analyze?
Samprapti
Example kampavaata
No elaborateTextual references
Analysis of guna vikalpa becomes important
Examining the disease by yukti, the major symptom of the
disease is tremor
Analysing the gunas of vaata-we can find that the laghu and chala gunas as increased
Here sthira and guru gunas will be the most appropriate
treatment. Eg. Maasha thaila
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Guna vikalpa how to analyze?
We can also use guna vikalpa fordifferential diagnosis.
Helps in determining the most apt drug in cases which are similar
in their aetio pathogenesis
Considering the example ofpandu and rakta pitta
Pandu is caused due to the increase ofsnigdha, sara, drava
guna of pitta
In Rakta pitta the ushna, tikshna and drava guna of pitta andrakta have undergone an increase
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Guna vikalpa how to analyze?
Determination of treatment
The apt treatment of the diseases can be brought about only
through guna vikalpa
Eg. Amla pitta
Pitta in vidhagdha avastha with amla rasa
Tmt- tikta and shita drugs.
Eg. Avipatti for virechana
Guduchyadi gana as shamana
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Guna vikalpa how to analyze?
Selection of different thailas in vatavyadhi
Dhanvantara thaila
conditions of kshata and abhighata where there is an increase
of ushna and tikshna gunas.
Pinda thaila
condition associated with daha raga paaka.
Maasha thaila
condition of laghutva and sankocha.
Kottamchukkadi
condition of increase in the shita guna of vayu.
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Kampavata
AbhighatajaVatavyadhi
Shitakupita
vatavyadhi
Kottamchukkadi
Maasha thaila
Dhanvantharam
Matching through guna vikalpa
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Guna vikalpa how to analyze?
Properties of treatment procedures
Kaya seka
conditions with increase ofruksha shita gunas indicating
snigdha and ushna management.
Shaashtika shaali pinda sweda
conditions with increase oflaghu ushna gunas, where sweda is
needed with a brimhana effect.
Dhanyamla dhara
Conditions with increase ofguru snigdha gunas where
swedana is required without creating brimhana.
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Guna vikalpa how to analyze?
Eg. of Ghrita administration
Paithika condition ghrita lehana ( sthira manda shita )
Vatika condition - ghrita paana (snigdha ushna )
Eg Tamaka shvasa
There are two types of presentations-
Shita upashayavidaryadi , drakshadi
Ushna upashaya dashamulakatutraya, elakanadi
Eg Administration of Atapa
Prabhata suryataapa (snigdha pradhana) ruksha conditions
Aparahna suryataapa (ruksha pradhana) snigdha conditions
G ?
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Guna vikalpa how to analyze?
Determination of prognosis
The sadhyasadhyata of various diseases have been described
under the line of guna vikalpa itself
Eg Amavisha
Here it becomes asadhya due to the virudhopakramatva
Gunas of ama and visha are entirely opposite
So no treatment is possible
Li i i f ik l
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Limitations of guna vikalpa
Only possible in prakriti sama samavaya and not possible invikriti vishama samavaya
Vikriti vishama samavaya means where the cause and the
effect are of dissimilar in their gunas.Eg. Sthoulya
Caused by the increase of soumya gunas like snigdha guru
Shows the symptoms of agnideepti and vaatavardhana
Assessment is difficult in cases of chronicity due to complexity of
samprapti.
Go for vyadhipratyanika chikitsa
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Conclusion
Guna vikalpa is the most important clinical tool for diagnosisand deciding the most suitable treatment
Proper assessment of the Roga Rogi and Aushadha
through guna vikalpa will increase the effectiveness and
potency of the treatment.
It is being forgotten these days and given less priority.
More importance is being given to vyadhi pratyanikachikitsa.
It is a clinical skill that has to be developed by intense
clinical practice.
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Thank you(AS. SU.23/ 7-11)