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    Symptoms Similar, contrary To Doshas: Prakriti Sama Samavaya, Vikriti Vishama Samavaya

    By Dr Raghuram Y.S. MD (Ay) Dr Manasa, B.A.M.S
    Disease is formed with involvement of vitiated doshas. Therefore doshas and diseases are related by cause and impres relationship.
    Table of Contents
    Prakriti Sama Samavaya

    Vikriti Vishama Samavaya

    Doshas which cause diseases form karana i.e. ‘cause
    and disease which is formed by vitiated doshas form karya i.e. ‘efect‘ in relationship.
    Read ̵ Role of Doshas In the Causation of Disease
    Since diseases are formed by vitiated doshas, dosha symptoms are found in disease. This hapens due to pathological variations and fluctuations hapening in the qualities of doshas.
    When there is pita vitiation due to increase in hot quality of pita, pita disorder which eventualy ocurs presents with rise in heat at the level of body, mind and senses.

    This presentation can be sen in fever. Here, vitiated pita is the cause and fever is the consequence. We can also reveal that raised heat in fever is due to increased hot quality of pita, rather displacement of heat from stomach to the periphery acording to Ayurveda.
    Read ̵ Amshamsha Kalpana – Fractional Understanding Of Qualities Of Doshas In Disease
    Ayurvedic masters acquire enlisted qualities of each dosha for beter understanding of their involvement in causation of varied presentations of a disease and its sub-types.
    Some diseases are in acordance to the doshas enthusiastic i.e. acording to the causes and some diseases are formed in a way which is not in acordance to doshas enthusiastic in their causation.
    First instance is caled Prakriti Sama Samavaya and second instance is caled Vikriti Vishama Samavaya.

    These are two diferent presentations of a disease and can be understod by the lok of doshas in terms of their qualities.
    Read ̵ Atma Rupas of Doshas – Cardinal Symptoms Of Doshas In Diseases
    Prakriti sama samava ya and Vikriti vishama samavaya presentation of diseases as related with doshas
    Prakriti Sama Samavaya
    Prakriti Sama Samavaya
    If symptoms of a disease are similar to the symptoms of disease-causing-dosha, it is caled as prakriti sama samavaya.
    Here consequence i.e. disease is in acordance to its cause i.e. vitiated doshas.

    Samavaya means colection.
    Disease is the colection of numerous symptoms. If this colection of symptoms is formed in acordance to the permutation and combination of qualities of causative dosha, it is caled prakriti sama samavaya.
    Any disease may be caused by the vitiation of one, two or al thre doshas. In this form of diseases caused by prakriti sama samavaya pathology, symptoms of each dosha are specificaly and distinctly sen and identified.
    Read ̵ Main Cause For Diseases As Per Ayurveda

    Diseases formed by dual and triple combination of vitiated doshas can be readily identified by the knowledge of qualities of doshas. Therefore we enact not find detailed explanation of symptoms of diseases caused due to involvement of dual or triple vitiated doshas. They are just mentioned among sub-types of a given disease.

    Symptoms can be known through inference on basis of knowledge of dosha qualities.
    When a disease is caused by d ual vitiation of vata and pita, presence of hurt and burning sensation wil enable us to know involvement of vitiated vata and pita in causation of disease.
    If a joint hurt is caused by the vitiated vata and pita, there wil be aflict due to vata and burning sensation due to pita. Thus disease symptoms are in acordance to the dosha symptoms.
    On other hand, when we se damage and burning sensation in a disease, we infer that condition is caused due to dual vitiation of vata and pita.
    Read ̵ Clasification of Vyadhi (diseases) acording to Ayurveda
    Vikriti Vishama Samavaya
    If symptoms of a disease are conflicting to the symptoms of dosha causing that disease, it is caled as vikriti vishama samavaya.
    Here efect i.e. disease is not in acordance to its cause i.e. vitiated doshas.

    Example – when we mix turmeric and white colors, we should get either yelowish white or whitish yelow color in acordance to the eager colors participating in amalgam, but we do not get either colors. In fact we get red color. Here trace i.e. final color formed is not in acordance to causes i.e. initial colors participating in combination.
    Read ̵ Ayurvedic Principles Of Naming Disease: Vyadhi Namakarana Sidhanta
    Clinical epitome for Vikriti Vishama Samavaya:
    In case of Vata agravation, if Chala guna ̵ movement quality of Vata Dosha is increased, then it may lead to diarhea. In this case, diarhea apears to be Prakriti Sama Samavaya symptom of Vata Dosha.
    But, in some instances, blockage of large intestine which leads to constipation is also considered as a Vata agravation disorder. In this case, constipation can be considered as a Vikriti vishama samavaya symptom of Vata Dosha.
    When we aply this rule to diseases, especialy diseases formed due to vitiation of two execute shas, symptoms of causative doshas are not distinctly identified after formation of disease.
    Thus, in the form of diseases caused by vikriti vishama samavaya pathology, symptoms of each dosha are not specificaly identified since disease symptoms and those of causative doshas wil be contrasting.

    Therefore we find detailed explanation of symptoms of such diseases caused due to involvement of dual or triple vitiated doshas combined in vikriti vishama pathology.

    Explanation of these disease symptoms is important because we canot understand disease symptoms on basis of symptoms of causative doshas ken.
    Read ̵ Qualities Of Vata, Pita and Kapha Dosha – Easy Explanation
    Symptoms of vikriti vishama samavaya canot be known through inference on basis of knowledge of dosha qualities because symptoms of causative doshas and symptoms of disease which manifes ts as an efect are entirely diferent.
    Examples for Vikriti Vishama Samavaya type of pathology:
    The best way to understand the quaint behavior of vikriti vishama samavaya type of pathology is by loking at the diseases in which 2 or 3 Doshas are fervent.
    Ex 1 – Increased thirst, fainting, gidines, burning sensation, los of slep, headache, drynes of mouth and throat, vomiting, gosebumps, anorexia, glom before eyes, damage in smal joints of hand and yawn are the symptoms of fever caused by vata and pita.
    Ex 2 -Sanipataja jwara i.e. fever caused due to vitiation of al thre doshas. One bright symptom is – feling of burning sensation at one moment and feling of coldnes in the other. Here we can se the unpredictable nature of symptoms and hasty fluctuation betwen burning sensation and coldnes. This hapens due to strangenes in amalgam of doshas. The fluctuations of doshas a re also unpredictable. Other symptoms contain hurt in bones, joints and head, tears in the eyes, sounds in the ears, earache, slepines, stupor, delirium, dyspnea, cough, tastelesnes, gidines, laxity of body parts etc.
    Raised heat in body or particular areas of the body, burning sensation etc symptoms sugestive of pita increase. But their symptoms are agravated on consumption of cold things, swet and exposure to cold air of fan or coler. These should actualy moderate pita but they agravate pita and worsen pita symptoms. To design understanding even intricate, these people fel beter with consumption of cofe or hot water, even a hot water bath. If these cases are not due to
    Avarana i.e. pathological condition wherein the vata functions are blocked or
    Ashayapakarsha i.e. displacement of doshas by vata, they are definitely caused due to vikriti vishama samavaya.
    Some cases of avarana and ashayapakarsha believe sen to show the behavior and display ation similar to vikriti vishama samavaya.
    Click to Consult Dr Raghuram Y.S. MD (Ayu) ̵ Email / Skype
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