Pancha Nidana Adhyayan: An Overview
Pancha Nidana Adhyayan: An Overview
Pancha Nidana Adhyayan: An Overview
AN OVERVIEW
Dr Pratik Sharma
Assistant Professor
Dept Of Roga Nidana Avum Vikriti
Vigyana
Vaidya Yagya Dutt Sharma AM
❑ निदािं पूर्रू
व पाणि रुपाण्युपशयस्तथा ।
सम्प्रानिश्चेनत वर्ज्ञािं रोगािां पञ्चधा स्मृतम ् ॥ (अ.ह्र् नि- १/२)
1. Nidana
2. Purvarupa
3. Rupa
4. Upasaya
5. Samprapti
These 5 step methods are the means by which the disease is examined.
NIDANA
पञ्चवर्धमप्येतद व्यानध उत्पवि ज्ञानि हे तुभूतं
निदािोच्यते ॥ (मा. नि. १/४)
1. Hetu
2. Nirmitta
3. Ayatana
4. Karaka
5. Karta
6. Karana
7. Pratyaya
8. Samutthana
9. Mula
10. Yoni
BHEDA (Classification)
❑ Four types of hetu-(M.Ni.1/5)
1. Sannikrsta hetu- bhuktam dosha prakopa, Jvara Rukshadisevan
2. Viprakrsta hetu- Hemante nichita sleshma vasante kapha roga krit,
Rudrakopa
3. Vyabhichari hetu- Durbalatvavyadhi karan Asamartha, Abaliyansa
4. Pradhanika hetu- Vishadi
1. Ksaya
2. Vrdhi
3. Sthana
1. Kostha
2. Sakha
3. Marmasthi sandhisu
BHEDA (Classification) Cont..
Two types ofhetu
1. Utpadaka hetu- hemanta ritu Kapha & Madhur Rasa
2. Vyanjaka hetu- Kaphasya Vyanjaka vasante Suryasantap
2. Vyadhi hetu-
Are those which are responsible for development of specific disease by specific
etiology. For eg – regular consumption of mrd manifest mrdbhakshanajanaya pandu
roga.
Eg – intake of kullatha in excess manifest amlapitta vikara.
Consumption of masa in excess manifestsleshmapitta vikara.
3. Ubhaya hetu-
specific factors which aggravates vata and rakta and simulataneously manifest
vatarakta vyadhi. Here causative factors aggravates dosas and simulataneously
manifest disease.
Two types of hetus
❑ Utpadaka hetu-
✓Are those which favours acculumation of respective dosas in
respective season due to changes in season . For eg in hement rtu due
to madhuradi sunstances acculumation of kapha observed.
❑ Vyanjaka hetu-
✓Are those which stimulate the development of disease. For eg
accumulated kapha in Hemant manifest disrders of kapha in vasanta
due to effect of sun.
Bahya and abhyantarahetu
❑ Bahya hetu –
✓ diseases manifest due to consumption of mithya ahara vihara and kala.
✓ Vatadi dosa prakopa hetus are included under bahya hetu-
❑ Abhyantra hetu –
✓ Internal factors which disturbs the dosas and dusyas are called abhyantra hetu.
Prakruta and vaikrutahetu
❑ Prakruta hetu –
✓Are those which manifest naturally due to variation in seasons and
accordingly aggravation of dosas results.
Eg – kapha prakopa in vasant rtu
pitta prakopa in sarad rtu
vata prakopa in varsa rtu
❑ Vaikruta hetu-
✓Are those which manifest due to abnormal seasons
Eg- vasant rtu – pitta and vayu prakopa
varsa rtu- kapha pitta prakopa
sarad rtu – kapha vata prakopa
❑Understanding of normal and abnormal aggravation of dosas as per
influence of rtu is essential to understand the prognosis of disease.
Anubandhya and anubandhahetu
ASHAYAPAKARSHANA-
❑Means normal equilibrium condition of dosas moves from their
own place by influence of vata and produces diseases.
Purvarupa
(Premonitory/Prodromal symptoms)
❑ Synonyms-
✓अग्रज
✓उत्पत्स्यित ॥
❑ Synonyms- रादभु त
ूव लक्षिं पुिनलवङ्गम ् । तत्र नलङ्गमाकृ नतलवक्षिं नचन्हं
संस्थािं व्यञ्जिं रुपनमत्यिथावन्तरम ् ॥ (च. नि. १/९)
1. Linga
2. Akriti
3. Lakshana
4. Cinha
5. Samsthana
6. Vyanjana
7. Rupa
Definition
❑ प्रार्दुभूितलक्षणं पु िनलिङ्गम् ।(च.नि १/९)
✓ Complete manifestation of symptoms is called linga.
✓It is fully manifestated stage of disease with prominent clinical
features is called linga.
✓It is the stage in which complete appearance of specific symptoms of
disease is seen. This stage indicate the vatadi dosas and stages of
disease i.e ama stage or pakva stage or advanced stage of disease .
However this stage doesn’t include nidana , upasaya and samprapti.
❑Jwara – deha manas santapa- cardinal sign and symptom of jvara is increased
body temperature and mental unpleasureness.
❑Gulma – sparsha paripinditatvad – palpable round mass is called gulma. Vata
which is formless, remain located in the present ailment in a compact form and
appear like a solid object is called gulma.
❑ Gridhasi- kati te pada sanchari vednana “sphika purva kati prishtouru janu
jangha padam kramat”
18 types of Upashaya-
1. Hetu viparita aushada
2. Hetu viparita anna
3. Hetu viparita vihara
4. Vyadhi viparita Aushada
5. Vyadhi viparita Vihara
6. Vyadhi viparita Anna
7. Hetu Vyadhi viparita Aushada
8. Hetu Vyadhi viparita vihara
9. Hetu Vyadhi viparita Anna
10. Hetu viparitarthakari aushada
11. Hetu viparitarthakari Vihara
12.Hetu viparitarthakari Anna
13.Vyadhi viparitarthakari Aushada
14. Vyadhi viparitarthakari Vihara
15.Vyadhi viparitarthkari Anna
16. Hetu Vyadhi viparitarthakari Aushada
17. Hetu Vyadhi viparitarthakari Vihara
18. Hetu Vyadhi viparitarthakari Anna
उपयोग औषि अि निहार
उभय त्तर्परीत Usage of Dasamula Kwath in Usage of Hot substances Indulging in activities like
Vataja Sotha (Ushna) & Jwaraghna Yavagu Awakening at night etc.
against sheet Janya Vataj which increases Ruksha
Jwara Guna in case of Tandra
which manifest due to
intake of Snigdha Padartha
followed by day sleep.
उपयोग औषि अि निहार
उभयवर्परीताथवकारी Usage of Agru dravya Lepa in Usage of Madhya-Pana in Swimming therapy advised in
Agni-Plushta Dagdha (Burn) Madatyaya Urustambha originate due to
Visha prayog in poisoning excess vyayama
संप्राप्ति
❑ यथार्दुष्टेि र्दोषेण यथा चािुनिसपि ता ।
नििविनिरामयस्यासौ संप्राप्तिजािनतरागनत: ॥ (अ. ह्र्. नि.१)
✓Process of understanding the development of disease by vitiated doshas which are
constantly circulating inside the body , it is also known as synonyms – Jati ,Agati
❑अ(त)त्रकै व्याििजन्ममात्रमन्त्यकारणव्यापारजन्यं स्प्राप्प्िमाहुु ु ||
Ch.Ni 1/11
✓Factors which finally determines the manifestation of the disease is called
samprapti.
SYNONYMS
❑ संप्राप्तिजाि नतरागनतररत्यिथाि न्तरं व्यािे ॥ (च. नि. १/११)
1. Samprapti
2. Jati
3. Agati
4. Nivrtti
5. Nispati
Samprapti Bheda
• सा संख्याप्रािान्यनिनिनिकल्पबलकालनिशेषैनभिद्यते ॥(च.नि. १/१२)
➢ Samkhya
➢ Pradhanya
➢ Vidhi***
➢ Vikalpa
➢ Bala
➢ Kaala
*** Vidhi Samprapti is not mentioned by Acharya Vagbhatt
Samkhya Samprapti
❑KALA - This indicates the time of aggravation of the doshas in relation to season
various time of the day , Night & intake of the food.
✓i.e., kaphaj jwara in Vasant rutu – kaphaja jwara aggravates in fore noon an early
night, kaphaj jwara aggravates after intake of food.
✓ Aggravating & Relieving factors of the disease may be understood by this.
Utility Of Nidana Panchaka
The qualified Physician with his own Pure Mind and Wisdom
should examine the disease with Hetu, Purvarupa, Lakshana,
Upashaya, and Samprapti in order to diagnose the disease to
the best of his knowledge and henceforth proceed with
treatment.
Utility Of Nidana Panchaka
All the diseases are caused due to Kupita Dosha initiated by the
Nidana. Similarly the Dosha Prakopa is also caused due to to various
factors which primarily includes the Non beneficial substances
classified as Asatmaindriyaartha Samyog, Pragyaparadh and
Parinaam.
Samprapti ghatak
❑ Samprapti is what? Story of a disease……
❑Narraration goes from intake of etiological factors to the
manifestation of a disease.
❑As in a story there needs to be certain characters also participate in
causation of disease.
❑These characters form ghataka or Component for manifestation of
disease.
❑These components which participate as a group in formation of
disease are called samprapthi ghatak.
Samprapti ghataka are-
❑ Dosha
❑ Dushya
❑ Agni
❑ Ama
❑ Srotas
❑ Sroto dusthi prakara – atipravritti, sira granthi, sanga, vimargagamana
❑ Udbhava stahana – site of origin of disease
❑ Sanchara sthana- places where doshas or disease will spread
❑ Vyakata sthana – places where symptoms appear
❑ Doshagati- movement of the dosas.
❑ Rogamarga – site of pathogenesis
❑ Roga avastha stage of disease manifestation.
❑ Sadhyaasadhyata – prognosis of the disease.
Question bank
10 marks
1. Explain nidana panchaka in detail with importance.
2. Explain nidana in detail with def, synonyms, and classification.
3. Explain explain roopa in detail with definition , synonyms, etc
5 marks
A. Nidana panchaka
B. Roopa
C. Purvaroopa as charutha shatkriyakala
D. Types of samprapti/ Nidana
E. Samprapti short note.
F. Upashaya with examples /Classification of Upashaya.