Determination of causative factors of disease in Ayurveda and alot more Part 2
What exactly happens when we say these causative factors increase doshas? When we say one is having a lot of cooling things, what exactly is happening to his body? Why are we learning what is happening to his body?
Shita guna is entering into body and same gunas are increased in the body by doing this.
Like increases like, so by exploring what is increasing in the body we can observe
How will it affect in the body if these doshas are increased? This is not the same as disease. If we are talking about paralysis – vata is vitiated.
Prakruti, again, is something that is the natural condition of body in normalcy. Beyond that, when prakruti is set at conception will be there for the lifetime and will not change at all. The causative factors however will increase different doshas in body. If food and lifestyle is kapha of the parents conceiving a child that will be vata, that will increase the kapha in the vikruti of the child. When we find out prakruti, that is the most difficult thing, because the prakruti of the person is despite what is happening right now in their life. How were you as child? This helps us to generalize a prakruti, but for example if you are pitta prakruti and will have a tendency towards pitta disorder, this doesn’t mean that you won’t have vata or kapha disorder.
If you change your diet and lifestyle in your body, the dosha can increase beyond a state of increase that the body can deal with and then disease developes. Any vitiated dosha CAN lead to disease formation. Unless you have vitiated dosha, you can’t have disease.
2 factors for disease
- Dosha vitiation beyond prakopavastha
- Always there is a necessity for a weak spot in the body – any kind of dhatu or mala that doesn’t have its own strength, or is depleted or weak. That organ becomes more susceptible for lodging those vitiated doshas in the body in that area. This is why the digestion is the most important with following proper food comprehension such as no sprouts because they will create tissues that will be weak (excessively moist) or by eating foods that won’t digest when mixed together creating tissues that are not properly formed due to improperly digested building materials.
How do doshas responding to causative factors give us an idea of when the dosha is increasing or decreasing? They also help us to understand the different stages that can lead to disease formation.
Vikruti is something beyond Prakruti, but not necessarily a full blown disease. To convert to a disease must go through stages. As we study different symptoms (vata for example shows some pain or discomfort – not the disease, but a stage prior to disease).
First different stages of doshas, then certain symptoms/signs are given out – vikruti jenaka (vikruti leading to disease).
Before we start understanding about stages, we must understand the certain symptoms of each vitiated dosha. It may be present in disease or before disease.
Ex. Body ache – not a disease, but can lead to a disease. Vata jawara – specific vata related fever. So understanding symptoms can help you understand disease. Not necessarily a precursor to disease, but good to know it could lead to that.
Every dosha has certain symptoms associated with it, that are seen only when doshas are aggravated. Then what the stages are and how they can lead to disease formation.
Samavasta – normalcy stage
Sanchaya (also called Chaya) – Accumulation of Doshas – 1st stage before prakopa – if you follow certain measures to alleviate that dosha, will come back to Prashama. Not normalcy stage, but rather first stage of accumulation. Whenever we get certain symptoms, we want to act at that point so it doesn’t go beyond that stage. If we ignore these symptoms, gets worse. Ex. Increase in cold, if you treat with shunthi and warm water, can bring back into alignment.
Hot water, black pepper, ginger tea to counteract kapha increase. But watch that you don’t increase Pitta at the same time. If at the same time you start drinking cold things or kapha increasing diet, after a few days you will notice coughing, cold, fever and other kapha disorders. Fever is not just a pitta disorder – there are also vata and kapha fevers due to aama increase. If someone is pitta prakruti and is generally following pitta pacifying food intake but is experiencing kapha accumulation, you don’t want to follow a Western Ayurveda coconut oil rub or other kapha increasing choices. Go beyond what the prakruti says to respond to what is going on in the moment (hence the reson for not using those dosha oils and staying to using sesame oil as the texts state as the default oil due to its balance of gunas). Don’t keep with same old pitta diet in the winter. That is ridiculous. Give the dosha that is accumulating the proper treatment. Superficial knowledge will harm you and others.
Prakopavasta– crucial stage before disease formation (far away from prakopa, but when it happens it can be very fast). It can go towards disease formation or back to normalcy. Ex. Staying up late at night, then next morning get up, then before eating take nap and help treat symptom to move into prashama.
Prashama – coming back to normalcy
Symptoms of Vata Prakop – dryness, constipation, cold hands and extremities, pain, etc. a particular guna of vata will always show when in prakopa – dryness increases more. Treat the gunas.
- Vyas – dilation of a particular organ, an expansion of the organ because vayu is holding it. Ex. heart is always held by vayu, but if disordered, a particular part of the heart may expand or dilate – cardium magelli (increased heart size). If ignore this state could lead to disease formation.
- Sransa/Bhransha: leaves its place – a particular organ leaves its space and goes away from its own place. Ex. Prolapsed of organ (like uterus) or a hemorrhoid. Because of vayu, organ has slipped from place and leaves body. Hernia, eyeball, etc. Mano bhransha (out of your mind). Guta bhransha – anal prolapse. Ligaments are something that hold organs in particular place, but if in vata prakopa, the ligaments are disturbed or weak and the organ can slip. Hysterectomy actually creates aakasha in the body, but mastectomy not so much (more external).
Arteries and vessels when disconnected at a certain point surgically causes vayu to stop at that point and causes vata prakopa
- Svap – numbness
- Sankocha – something that reduces the size of the organ. The function is still proper but the size of the organ is reduced. Not because of dehydration but specifically a cause of vayu.
- Shosha – atrophy. Can be caused by dehydration. Functions are disturbed or malfunctioning. Even disuse atrophy can be caused by shosha.
- Stambha – stiffness (also a pillar but in this reference means stiffness). When vayu is in prakopavasta, it has potential to disturb snayu/muscles. Leads to improper use of muscles and therefore stiffness.
- Sanga – stagnation of certain things in body. Withholds proper flow. Mutra sanga – urine flow not proper. Mala sanga – flow of fecal matter not proper/constipation. If kleda is stagnant in body, also considered sanga.
- Spandana – a proper movement of vayu – heart is always beating, that is spandana. But in this case, it means irregular movement of organ. Specifically related to organs – irregular heartbeats. Even muscular twitching. Pathological movement of organs. Before this pathogenesis there can be something that caused the disturbance of vayu, but the first thing that we should think about with these symptoms is vayu. Other irregular spandana – obstruction in vessels causing blood flow irregularity could be sanga and spandana. Amarchay /stomach spandana.
- Angabhanga – bhanga means break – angabhanga means body ache. When the whole body is aching. Astibhanga means the fracture of bones. Pain, both generalized and local.
- Kampa – Tremors – when chala guna is increased along with vishama guna you get tremors (mobility in excess and irregular)– shaky hands
- Harshan – goosebumps – horripilation – some kind of disease related to vata you will also have goosebumps because of vitiation of vayu.
- Tarshana – thirst in excess. Thirst can also be due to pitta. Big shock to the body or big fear can lead to thirst, always offer water.
- Ruka – bhedana or pain – there are different kinds of pain. Pain in hyperacidity is different than pain of flatulence. If you don’t understand your body, you can’t explain your pain. If you try to understand the kind of pain you have you can figure out the disease better. Amavata – rheumatoid arthritis. People describe the pain as being just like a scorpion’s bite. Different forms of pain are related to vata. Hyperacidity is called a pitta condition but not just pitta, it is mainly due to too much aap – a particular area where digestion takes place, so disturbs prana, samana and udana vayu – hence the pain of it. If there is pain, there is vata present, but we must know how the vayu is being disturbed – a pitta disturbing the vayu. Whenever there is pain, there
- Toda – piercing pain – specific localized pain
- Bheda – cutting pain
- Chheda – breaking pain – broken a bone kind of pain
- Vyadha – like being beaten with a stick
- Pidan – squeezing pain – rope burn pain
- Sada – if vayu is not performing properly, when disturbed and in prakopavasta, it hurts the muscles and organs. That causes weakness all over the body – that weakness in organs and muscles is sada. Tiredness, fatigue of the muscles, overexertion.
- Kashayarasata – astringent taste in mouth – always associated with vitiated vayu. Sweet taste in the mouth associated with kapha, sour taste associated with pitta.
- Varnabadala – Change in the color of skin – darkening of skin. When a lot of vata prakopa in the body, the body can become black, not hyperpigmentation, but overall darkness. Always darkening, never lightening (lightening would be due to more kapha)
When vata is disturbed it can disturb so many other things. 80 diseases are associated with vata. A whole chapter in Charaka Samhita is related to this.
All pain is associated with vata. Depending on the severity of vata imbalance, the pain is more severe. Not that much vitiated vata will lead to dull pain. Depends on which organ is involved too. Menstrual pain due to Atharva srotas + referred pain to abdominal muscular wall. If vata disturbance is at site of bones, more severe than when located at muscle wall.
- Daha – Burning sensation – herpes for example, fever is burning on skin if pitta is involved.
- Raga – coloration of skin turns red. Reddening of the skin. Pitta is always inside rakta, so when pitta is increased will show through complexion. (When skin is yellow, will indicate jaundice) walking in sun for long time = heat + pitta increase
- Ushna – heat of particular organ or overall body heat is increased. Different kinds of skin conditions where pitta is involved – and heat is only raised in that area. Eg. Pimples – heat raised in that area of body but not overall. If extreme shita/cold is applied could also aggravate vata which could make worse. A mild shita on pimples could help. Deha ushma = body heat
- Paka – digestion – heat of pitta will try to digest dhatus – the burning out of dhatus. Dhatu Paka – dhatu digestion
- Sweda-kleda – excessive kleda and sweat production. At the same time with very spicy food, will have sweat on the forehead – body tries to pacify excessive heat with sweda. Excessive kapha will be relieved with heat. When pitta is increased the heat will produce more kleda in body that remains stagnant and can lead to over urination or urine production. Pitta is something that creates more kleda if there is more heat in the body. Imagine a fruit that you are heating up is oozing out water content. That water content in muscles etc. gets stagnant in body and we call it kleda.
- Sruti – flow – because of heat, water contained in body starts flowing. If you have burns on skin you get blisters – if blisters are opened there is water in it. That is sruti – the increase of water flow from the body. Heat can either dry OR create excessive aap mahabhuta. Heat will first push out water content, what’s left is prithvi. If heated again, there will be dryness. So first stage is oozing water content. Not increasing the actual content, but increasing the flow away from the dhatus.
- Kotha – decomposition, necrosis, gangrene. Pitta has capacity to cause gangrene, loss of tissue. The muscle or bone part can become dead. Decomposition starts, maggots form, part loses liveliness and becomes dead. That is when it needs to be amputated.
- Murchha – giddiness. When we are standing and everything is stationary, but it seems to be moving. This is the next stage of bhrama (which was early stage of giddiness). It is similar to when we are spinning and come to end.
When pitta is disturbed specifically in G.I. tract – first reaction of body is to throw it out – vomiting. We feel better then because we get it out. That particular kind of vomiting is pungent sour and bitter. Hyperacidity and then after that stage, everything tries to come out and that’s pitta vamana. Like lemonade.