guna vikalpa in ayurveda

7/29/2019 guna vikalpa in ayurveda

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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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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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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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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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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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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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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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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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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)

guna vikalpa in ayurveda

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