Diploma Ayurvedic Lifestyle and Nutrition Consultant Course Module

Diploma Ayurvedic Lifestyle and Nutrition Consultant Course Module 5, 6 & 7 (summary) 30 th November – 4 th December 2019 2

ROGI PARIKSHA Main focus: A) Pre-diagnosis (only for experienced practitioner) B) Trivida pariksha (3 -fold method) C) Ashta vida pariksha (8 -fold method)

ROGI PARIKSHA A) Pre-diagnosis (only for experienced practitioner): i. Pratyaksha (Direct observation) ii. Anumana (Inference) iii. Sabda (Authoritative statement)

Trivida Pariksha – three-fold method ROGI PARIKSHA B) Trivida pariksha (3 -fold method) i. Darshan – visual observation ii. Prashana – interrogation iii. Sparshana – touch

ROGI PARIKSHA C) Ashta vida pariksha (8 -fold method) i. Nadi Pariksha – pulse examination ii. Mutra Pariksha – urine examination iii. Mala Pariksha – stool examination iv. Jihva Pariksha – examination of the tongue v. Shabda Pariksha – examination of sounds vi. Sparsha Pariksha – examination of sensation vii. Druck Pariksha – visual examination / eyes viii. Akruthi Pariksha – examination of the physical constitution

ROGI PARIKSHA B) Trivida Pariksha (three-fold method) + C) Ashta vida Pariksha (eight-fold method of examination)

ROGI PARIKSHA • Triveda pariksha and Ashta vida pariksha are inseparable • Thus our main focus is ashta vida pariksha

THE EXAMINATION OF DISEASE ROGA PARIKSHA

ROGA PARIKSHA • Roga pariksha is the examination of the disease

“Ruja thi Roga” Whatever causes pain or discomfort whether physical or psychological is called disease

Nidana panchaka (five therapeutics) How do we examine the Roga (disease)? • Nidana panchaka (or pancha nidana) explains how to examine the disease

Nidana panchaka (five therapeutics) What is nidana panchaka? • Nidana = factors • Panchaka = five • Nidana panchaka means the pathway for the formation of the disease N. B. ‘Nidana’ by itself means causative factor, whereas ‘nidana panchaka’ is the pathway for disease (or 5 therapeutics)

Nidana panchaka (five therapeutics) 1. Nidana (Etiology or cause of a disease) 2. Purva-Rupa (Premonitory and prodromal signs and symptoms) 3. Rupa (Actual signs and symptoms) 4. Upasaya (Therapuetic trials) 5. Samprapti (Pathogenesis)

1. Nidana (causative factors) • Prajnaparadha (unconscious living / crime against wisdom) • Asatmyendriyartha Samyoga (inappropriate use of five senses) • Kala Parinama (inevitable effect of time – age and seasons) • Karma or Samskara (cause and effect through the cycle of consciousness) • Krmi (germs and parasites)

1. Nidana (causative factors) • Nidana is critical to treating disorder • As a Lifestyle and Nutrition Consultant, the main emphasis in balancing the patient is dealing with the causative factor in diet and lifestyle

2. Purva rupa (pre-signs and symptoms) • Some inconvenience occurs in the body or mind which doesn’t constitute an identified disorder • It appears as premonitory signs or warning • Eg. knee / shoulder pain prior to developing into arthritis

3. Rupa (actual signs and symptoms) • Patient appears with identified disorder with a a name and associated symptoms • Eg. patient with arthritis with symptoms

4. Upeshaya (therapeutic trial) This can be applied at 3 different stages: • Nidana (eliminating what you think caused the problem • Purva rupa • Rupa

5. Samprapti (pathogenesis) • ‘Samprapti’ = mission accomplished (the complete establishment of the disease)

Ojas (immunity) What is immunity? • Ojas is called Vyadhi-ksamitva • Vyadhi = disease • Ksamitva = decline This can mean: 1. To arrest the progress of the disease 2. Prevent the occurrence or 3. Re-occurrence of the disease

Ojas (immunity) Why is immunity important? • Prevention of all disorders relies on the strength of a person’s immunity

Ojas (immunity) How to strengthen the immune system? • • • diet environment mode of living community consciousness

CONDUCTING CONSULTATIONS

Conducting a consultation 1. 2. 3. 4. 5. Identifying the dosha imbalance Identify the nidana for the dosha imbalance Which dhatu is involved (tissue)? Which channels are obstructed? Chikitsa – remove the obstruction by: a. Eliminating the nidana (from diet and lifestyle) b. Correcting the agni using remedies c. Strengthening the ojas using remedies

CHIKITSA

Chikitsa “Tath kriya viyadi narshini” “Any action can arrest the progress of the disorder”

Chikitsa consists of: 1. Swathsa Parayana = prevention of disorders (90%) 2. Athura Parayana = cure of disorders (10%)

Chikithsa (treatment system in Ayurveda) Shamana (pacifying) External Shastra (surgery) Ksharakarma (cauterize with alkali) Agni karma (cauterize with fire) Lepa (poultices) Shodhana (purifying) Internal External Internal Agnidipana Sneha Pana Amapachana Abhyanga Kshuth Shirodhara Thrut Swedana (steam Vyayama bath and pinda- Atapa Avagahana maruta Vajikarana (aphrodisiac) Rasayana (rejuvenating) Male , female infertility Impotency and libido Vamana (ematic) Virechana (purgation) Nasya (nasal Swastha parayana Maintain & prevention of health Ahara (dietary advice & nutrition)) 1. Sathmya (pathyawholesome) 2. Asathmya (apathyaunwholesome) Vihara (lifestyle advice & counselling) Kayika – uthkshepana, apakshepana vachikayoga, mantra, sthotra, music irrigation) Vasti (enema) Raktamokshna (blood letting) Oushadha (medicines) Upashaya (therapeutic trials) Anupashaya (same qualities alleviate the disorder)