Issue : 01 DOI : 10.5281/zenodo.8147277
INTERNATIONAL
JOURNAL
OF
DIAGNOSTICS
AND
RESEARCH
Volume : 01
Copyright @ : - Dr. Santosh Chavan Inter. J.Digno. and Research IJDRMSID0009
Page 17
Corresponding author : Dr.Santosh Chavan
Article Info : Published on : 02 /01/2024
Abstract
Texts have described different types of chikitsa. General indications for Arhataa of Shodhan and specific
indications for specific Shodhan are also described while describing the general principles of the line of
treatment. Texts gives due importance to Shodhan Chikitsa while describing treatment of nearly every
disease in detail except [some exceptional diseases such as Urustambha where Shodhan is contradicted,
Amavastha, Shakhashrita Dosha are some other situations where we cannot go for Shodhan directly. It is
contraindicated when Rugnabala is Heena otherwise excluding these conditions description of treatment of
any disease begins with the Shodhan Chikitsa Sutra. One or more than one type of Shodhan Chikitsa in
every disease as per their indication is described. After Shodhan, texts go into the details of Shamana
chikitsa. In every disease while prescribing Shodhan Chikitsa Bahudoshaavastha and samyak Rugnabala
are the basic criteria’s. There are many criteria’s described to decide the Rugnabal and it is practiced
accordingly.Basic general signs and symptoms and a few guidelines to conclude Bahudoshaavastha are
described in Charaksamhita as “Bahudoshalingani”.
Keywords : Shodhan chikitsa, Shaman Chikitsa, Bahudosha Lingani,Tamakshwas, Broncial asthma
P
Publisher
ROGANIDAN VIKRUTIVIGYAN PG ASSOCIATION
FOR PATHOLOGY AND RADIODIGNOSIS
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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH
The Conceptual & Clinical Exploration of Bahudosha Avastha in Tamakshwas
Dr.Santosh Chavhan
1
, Dr. Shrinivas Sontakke
2
1
Professor & HOD, Dept. of Rognidan & Vikrutividnyan, D Y Patil Deemed to be University,
Nerul, Navi Mumbai.
2
PG Scholar, Dept. of Rognidan & Vikrutividnyan, D Y Patil Deemed to be University, Nerul,
Navi Mumbai.
Cite this article as : - Dr.Santosh Chavan (2024) ; The Conceptual & Clinical Exploration of Bahudosha Avastha in Tamakshwas ;
Inter.J.Dignostics and Research 1(2),17-22, https:/doi.org/10.5281/zenodo.10451470
Introduction :
Shodhan Chikitsa is unique feature of Ayurveda. It is
superior to Shaman Chikitsa as it minimizes the
chances of recurrence of the disease. While
indicating one or more shodhan in any disease,
Bahudoshaavastha in that specific disease is not
described. Practically in day to day practice before
deciding the line of treatment initially either Shodhan
or Shamana is to be adopted, no criteria is established
or used. Actually our treatment format should consist
of this. Every patient of any disease is bound to be
initially assessed for Bahudoshaavastha on some
specific format or criteria’s and the decision or line of
treatment Shodhan or Shamana should be primarily
taken. Visualizing this factual situation about textual
description for the basis to conclude
Bahudoshaavastha, it is our responsibility to explore
the area. We should explore “Bahudoshalingani” we
should search for other criteria’s and compile.
We should elaborate basically as well as from
specific disease point of view.
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Page 18
Aims & Objectives-
1. To Compile Criteria’s of Bahu dosha
avastha.
2. To detail, explore and elaborate “Bahu
dosha Lingani” described in Charaksamhita
and other compiled criteria’s of Bahu dosha
avastha.
3. To suggest a general format for conclusion
of Bahu dosha avastha in any disease.
4. To suggest specific format for conclusion of
Bahu dosha avastha in Tamakshwas
Methodology :
1) Inclusion Criteria >
1. Age - 5 to 60 yrs.
2. Sex - Both Male & Female.
3. Patients having history of short duration i.e.
maximum 5 years.
4. Patients diagnosed as Tamakshwas on the
basis of Granthokta Nidanpanchak
2) Exclusion Criteria >
1. Patients having history of more than 5 years
of onset.
2. Patients having complications such as
Bronchiectasis , Pleural Effusion,
superimposed infection, Malignancy.
Plan of Work :
a) Thorough literature review of Tamak
shwasa, shodhan chikitsa and Bahudosha
lingani is done in details and compiled in
systematic manner.
b) Total 30 patients are included in the study
who had fulfilled the criteria of diagnosis of
tamak shwasa.
c) The detailed history of Tamak shwasa
patients was reviewed and throughout
clinical examination is carried out.
Accordingly the case record form was
prepared and the criteria of bahudosha
avastha were prepared; which are later
subjected to the tamak shwasa patients.
d) Conceptual exploration of Bahudosha lingani
is done in terms of gradation of Bahudosha
Lingani along with their Doshik score.
e) The following is the Prepared Specific
Format of Criteria of
Assessment for Bahudosha avastha in
Tamakshwasa
Nidanpanchak
of
Tamakshwasa
Bahudosha Lingani
Gradation
Doshik
Score of
Bahudosha
Lingani
Dosha
Dushya
Strotas(Dustha)
Grade 0
1–5 Bahudosha
Linga
Vatika –
1, 2, 3
Paittika -
1, 2, 3
Kaphaja -
1, 2, 3
Grade 1
6–10 Bahudosha
Linga
Grade 2
11–15 Bahudosha
Linga
Grade 3
16–20 Bahudosha
Linga
Observations and Results:
Bahudosh linga wise distribution of patient’s data:
The Majority of Bahudosha Linga observed as 100%
in the patients of Tamakshwasa are Aruchi, Arati,
Dourbalya, Shleshma pitta utklesha,Klaibya and
Jadata. Frequency calculation table is as below:
Table No. 1
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Volume : 01
Copyright @ : - Dr. Santosh Chavan Inter. J.Digno. and Research IJDRMSID0009
Page 19
Bahudosh lingani
No of
patient
%Patients
Avipaka
20
66.66
Aruchi
30
100
Sthoulya
20
66.66
Pandu
16
53.33
Gaurav
17
56.33
Klama
12
40
Pidaka
17
73.33
Kotha
08
26.66
Kandu
11
36.66
Arati
18
60
Alasya
30
100
Shrama
19
63.33
Dourbalya
16
53.33
Dourgandha
30
60
Shleshma pitta
utklesha
18
60
Nidra nasha
30
100
Atinidra
12
40
Tandra
21
70
Klaibya
0
00
Jadata
30
100
Swapna darshan
30
100
Bala varna Rhasa
16
53.33
Statistical Analysis: Hypothesis Testing-
Objective: To verify the presence of various
Bahudosh lingani criteria in Tamakshwas patients
across the sample population.
Null Hypothesis: H0: Bahudosh Lingani criteria are
not distributed normally across the sample population
of Tamakshwas patients.
Alternative Hypothesis: H1: Bahudosh Lingani
criteria are distributed normally across the sample
population of Tamakshwas patients.
Significance Threshold: P<0.05
Statistical Test: The objective of this analysis is to
test the mean distribution of the sample set of patients
for various Bahudosh Lingani criteria. Since the
variables being studied are ordinal and time-based
values have not been recorded, we would be using the
One-sample t test to verify whether our sample mean
differs significantly from the hypothesized value.
Results: Table No.2
One-
Sample
Test
T
df
P-value
Mean
Difference
Avipaka
-3.808
29
.001
-.333
Aruchi
-8.011
29
.00009
-.791
Sthoulya
-4.097
29
.0005
-.367
Pandu
-5.037
29
.0003
-.467
Gaurav
-4.709
29
.0005
-.433
Klama
-6.595
29
.0001
-.600
Pidaka
-4.709
29
.0005
-.433
Kota
-3.247
29
.003
-.267
Kandu
-7.077
29
.00012
-.633
Arti
-4.397
29
.0001
-.400
Alasya
-9.287
29
.0081
-.821
Shrama
-4.097
29
.0005
-.367
Dourbalya
-5.037
29
.0005
-.467
Dourgandha
-7.289
29
.0081
-.611
Sleshma pitta
utklesha
-4.397
29
.0005
-.400
Nidra nasha
-2.827
29
.01
-.323
Atinidra
-6.595
29
.0001
-.600
Tandra
-3.525
29
.001
-.300
Klaibya
-6.091
29
.00072
-.582
Jadata
-3.182
29
.002
-.234
Swapna
darshan
-9.005
29
.0006
-.821
Bala varna
hrasa
-5.037
29
.0005
-.467
Issue : 02
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3% Count
0%
Grade 0 Grade 1 Grade 2 Grade 3
37%
6
0
%
For all the 22 variables of Bahudosh Lingani, it can
be observed that the P- values are below the
significance threshold. Thus, it can be concluded
that all the Bahudosh Lingani variables show
significantly normal distribution in the sample
population of patients with Tamakshwas. Thus,
these 22 variables represent the Bahudosha
awastha in patients with Tamakshwas.
Percentage (%) Gradation of Bahudosha
Lingani:
Based on the presence of Bahudosh Linga Avastha
variables for the patients from the sample set, the
total score for each patient was calculated.
Following the score-based gradation, the Grade for
each patient was scored, and the % Count of
patients for a specific grade was calculated.
Result:
Discussion :
In Ayurveda, treatment of diseases begins with the
Samanya Chikitsa sutra which gives due
importance to shodhan. According to Ayurveda if
Shodhan is done properly then shaman chikitsa
work better and effectively. When there is due
importance to Shodhan then it is necessary to give
proper and scientific Shodhan Chikitsa to get the
better and effective result in disease. It is important
to select proper shodhan therapy with the help of
Bahudosha avastha criteria. In ancient classics, to
decide Bahudosha avastha, some Bahudosha
Lingani are explained. Yet it is need of the day to
elaborate concept of Bahudosha avastha which
should be clinically applied.
Bahudosha lingani described by Charak is not a
group of signs and symptoms related to each other.
Near about every Linga is different e.g. Pandu,
Shlesh ma pitta utklesha, pidaka, kotha etc. Every
single Linga described as Bahudosha lingani may
be taken independently irrespective of the disease
and may be applied to conclude Bahudosha avastha
and observations should be interpreted.
We may go ahead with the severity and duration of
Pratyatma linga only as a criteria to decide
Bahudosha avastha of that’s specific disease.
Observations should be discussed it may be
misleading or deficient that should be observed and
put forth. These are some of the suggestions for the
further works.
There may be different approaches of all these types
of work would definitely explore the subject more
and more and would definitely take us towards the
more accurate group of criteria’s to be applied to
decide the Bahudosha avastha which is of
fundamentals and prime importance to decide about
the application of Shodhan Chikitsa which is
unique and basic line of treatment described in
Ayurveda. We hope our modest beginning in this
directions would be a stimulus for further studies in
the subject.
Grade
Count
% Count
Grade 0
0
0
Grade 1
1
3.33
Grade 2
18
60.00
Grade 3
11
36.67
Total
30
100
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Conclusion-:
A close perusal of the observations the following
conclusions can be drawn.
1. All twenty two (22) Bahudosha Lingani
shows significant association with
Tamakshwas vyadhi to decide Bahudosha
avastha.
2. It is not necessary that to have the presence of
all Bahudosha lingani in the patient for
judgment of Bahudosha avastha. Sometimes
presence of one, two or more than two
Bahudosha lingani indicates Bahudosha
avastha also.
3. Depending on the severity of Bala of single
Bahudosha linga, specific Shodhan Chikitsa
is to be adopted.
4. The Bala (strength), severity, chronicity of the
bahudosha lingani is to be undertaken into
consideration to decide Bahudosha avastha.
5. The assessment of Bahudosha avastha in
Tamakshwas and other diseases would be
useful in clinical practice to get better effect
of Shodhan chikitsa.
6. For the decision of Bahudosha avastha, the
Gradation of Bahudosha lingani,
Nidanpanchak of the disease and Doshik
Score is to be considered.
7. The Age, Bala and kostha of the patient,
Season, Kala, Vyadhi gaurava or Vyadhi
laghava is to be considered for shodhan or
shaman chikitsa.
8. The Bahudosha lingani are to be useful to
judge Bahudosha avastha in any disease.
9. Along with Bahudosha Lingani, specific
diagnostic or prognostic parameters of
modern science is to use to decide Bahudosha
avastha.
10. If proper shodhan is given according to
criteria prepared, there would not be
recurrence of disease.
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xxxx-xxxx
DOI : 10.5281/zenodo.10451470
Dr. Santosh Chavan Inter. J.Digno. and Research
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