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But in spite of all these, the man did not lose the battle with the disease. His attitude to live a
better quality and quantity of life and to conquer the disease led to the advent of medical system;
medicines and various modalities of treatment and preventive approaches. The medical system is
still battling out to provide a better quality and quantity of life to mankind.
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Ayurveda is privileged to have taken the first step towards writing down medical treatises which
includes extensive coverage of comprehensive information regarding preventive and curative
modalities of treatments and medications towards appreciable body-mind cure.
All the other medical sciences are built, developed and evolved on the foundation of health
concepts laid by Ayurveda.
The root word Kit is used in the meaning of removal or eradication. Thus kit means separation
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Chikitsa: Treatment Types, Ayurvedic classification - Easy Ayurveda
of the disease or eradication of the disease from the body, or to control the disease or destroy the
disease and disease process.
Yaa kriyaa vyaadhi haarinee saa chikitsaa nigadhyate (Ref – Bhava Prakasha parishishta)
Any activity or approach which alleviates or destroys a disease is called Chikitsa. This means to
tell that the ‘disease destroying approaches’ are called Chikitsa.
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Pathya – that which is beneficial for patha or srotas (channels of transportation in the body)
Saadhana – That which helps in making or keeping the body healthy
Praasyaschitta – That which destroys sins or diseases caused due to sins
Prashamana – That which pacifies the diseases
Prakruti sthapana – That which establishes dhatu samya or equilibrium of body tissues
Hita – That which destroys the pains of the body and nourishes the body
Kriya – Activities or measures leading to destruction of diseases
Upaya – Methods of destroying disease or disease process
Karma – Activities done to destroy a disease process
Cheshta – Same as Karma
Pravrutti – Same as Karma
Karana – Same as bheshaja
Pratikarma – Antagonistic to disease or disease process
Upakrama – Methods and sub-methods of dealing diseases
Bhishagjita – Four limbs of treatment i.e. Physician, patient, medicine and care-takers (nursing
staff) are called Chikitsa Chatushpada or Bhisagjita. The integrated approach of all these 4
factors towards eradication of a disease or disease process will yield perfect results of treatment.
Upachara – Handling the patient according to their mindset
Nigraha – That which controls all the diseases
Vaidhya karma – Duty of a physician is called Chikitsa
Bhishak Karma – Same as Vaidhya Karma
Ullaghanam – That which provides freedom from diseases
Definition of Chikitsa –
Yaa kriyaa vyadhi haarinee saa chikitsaa nigadhyate
Dosha dhaatu malaanaam vaa saamyakrut sa eva rogahrut (Ref – Bhava Prakasha Poorva khanda
11)
Any activity or approach which alleviates or destroys a disease, which brings about an
equilibrium in the physical doshas (Vata, Pitta, Kapha), mental doshas (rajas and tamas) and
Sapta dhatus (7 tissues of the body) by destroying the aswasthyakara vaishamya (or pathological
deviation in the form of abnormal decrease or increase) is called Chikitsa. This means to tell that
the ‘disease destroying approaches’ are called Chikitsa.
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Note –
The Sapta Dhatus or 7 tissues are as mentioned below:
Rasa(Circulatory Fluid)
Rakta(Blood cells)
Mamsa(Flesh/Muscles)
Meda(Fat or adipose tissue)
Asthi(Bone)
Majja(Bone Marrow)
Shukra(Semen/Sperms/Reproductory tissue)
Note –
Chikitsa Chatushpada or 4 limbs of treatment are:
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On the contrary, any chikitsa which subsides or pacifies a particular disease but produces another
disease in the process is not to be a good treatment.
Even in the presence of ayu, the diseased will not recover and get going if treatment is not done
at proper time. Just like an elephant trapped in a wet whirl of mud cannot escape without help,
the patient too cannot recover without the administration of treatment.
Even in the presence of the ayu, if suitable treatment is not done on time, the disease will
worsen and the patient will die, just like a lamp will be put off even in the presence of oil and
wick if not protected from the strong wind.
If the diseases are not treated properly, their prognosis gets to become worse. The curable
diseases will progress to maintainable diseases and these diseases with due course of time will
progress to incurable diseases in due course of time. When the diseases get to become incurable,
they will cause death of the patients.
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Even in those people in whom the quality and quantity of ayu is indecisive (unpredictable) or
can’t be determined, the treatment has to be done until the patient is breathing his life because
many times the patients survive in spite of the Arishta lakshanas (signs and symptoms of
impending death) being present by the virtue of God’s grace (daiva yoga).
Types of Chikitsa –
The main aim of Chikitsa or treatment is to eradicate the disease or prevent it. For the
convenience of understanding, many classifications of Chikitsa have been mentioned.
Types of treatment are many because the diseases are also many. Let us see the types of Chikitsa
mentioned in Ayurvedic texts.
Nidana Parivarjana –
The causative factors leading to the disease and the disease which gets manifested have cause
and effect relationship. Diseases are not manifested without the process being initiated by the
Nidanas or causative factors.
So the best and easiest form of treatment is to keep away or avoid those causative factors which
are responsible for the causation of that particular disease in question.
Pathya Sevana –
Pathya means ‘that which is good and beneficial for the Patha or Srotas’ (the channel and duct
systems of the body which are responsible for transportation of nutrition and other essentials in
the body and also to throw away the unnecessary and unwanted things from the body).
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Many foods and lifestyle practices which are unwholesome and non-beneficial or harmful for the
Patha or srotas are called Apathya. Keeping away from the Apathyas and making it a habit of
consuming Pathyas is the best way of avoiding the diseases.
Even if the disease has manifested and is in the initial stages of manifestation,with feeble signs
and symptoms, ‘following Pathya’ will help in quick recovery from the disease.
In these conditions Pathya itself works as chikitsa. In chronic diseases, Pathya becomes a
mandatory co-prescription to the main line of treatment or medicines. Without following pathya
it is difficult to conquer the diseases and procure health.
Note –
Nidana parivarjana and Pathya sevana are not taken as two; in fact they are taken as different
examples of Ekavidha chikitsa.
Ushna upachara means hot comforts. Hot is opposite to cold. When the disease has been
manifested due to cold, predominance of cold or causes which induce cold, then the treatment
should be antagonistic. Thus hot comforts and food should be administered in Sheeta janya
vyadhis (diseases manifested due to excess cold).
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therapies, and lightening therapies). This treatment is preferred in those who are suffering from
diseases having their origin in over nutrition or saturation.
It is also used to deplete fat stores and emaciate bulky, fatty and stout people. Thus Apatarpana
is an ideal treatment for Sthoulya (obesity, over-weight).
To tolerate this treatment, the patient needs to be stronger. Thus, Shodhana treatment is given for
people who have more bala (strength) and mamsa (muscle and tissue bulk which denotes good
strength). It should be thought of only in the presence of ‘Bahu dosha’ excessive morbidity.
Thus, Shamana chikitsa is administered in the patients who have less bala (strength) and mamsa
(muscle bulk). It is also thought of in the presence of heena (less) or madhyama (moderate)
quantity of morbidity.
Even healthy people who desire good health and longevity will need some medicines which
fortify their health and prevent the diseases. Thus preventive medicines fall into the list of
Swasthasya Urjaskara. It is again of 2 types, Rasayana (rejuvenators, anti-ageing, immune
modulators) and Vajikarana (aphrodisiacs)
Artasya Roganut means that which helps in eradicating a disease or disease process. Medicines
and treatments used in treating the diseases and removing them from their roots and all the
disease modifying medicines will be included in this category.
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This again is of 2 types, Roga prashamana (those which destroy the diseases) and Apunarbhava
Chikitsa (those which prevent recurrence of a disease)
As discussed above, Rasayana falls into the category of Swasthasya urjaskara type of treatment
i.e. they promote health in an already healthy individual and are predominantly preventive in
nature.
But Rasayanas are also disease-modifying medicines and help in curing the diseases. They help
in enhancing the ayu (life span), buddhi (intellect) and bala (strength and immunity) of the
person.
Vajikaranas are a group of medicines (non-medicines, activities also) which are beneficial for
enhancement of the quality and quantity of all the semen. They also enhance sexual vigour. They
are the best medicines to cure infertility and impotence.
As discussed above, Vajikarana falls into the category of Swasthasya urjaskara type of treatment
i.e. they promote health in an already healthy individual and are predominantly preventive in
nature.
But Vajikaranas are also disease-modifying medicines and help in curing the diseases. They help
in enhancing the pourusha shakti (sexual potency) praharsha (sexual exhilaration and vigour),
shukravardhana (enhancement of quality and quantity of semen) and Santana utpatti (begetting
healthy kids).
Thus Roga prashamana chikitsa is predominantly curative in nature. The diseases cured by Roga
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Apunarbhava means those medicines and treatments which help in preventing the recurrences of
the diseases. These medicines and treatments not only cure the diseases but also avoid their
recurrence.
As already discussed, apunarbhava is included under Artasya roganut type of treatment i.e. they
destroy the disease and disease process from the roots.
Rather, different methods (upaya) are used in treating the patients. Some of the upayas used in
the treatment are as below mentioned –
Bhaya darshana – causing fear in the mind of the patient
Vismarana – making to forget
Kshobhana – causing irritation or provoking
Harshana – causing joy or happiness
Vadha – beating
Bandhana – tying etc
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treatment in which the medicines, lifestyle, and diet are skilfully planned and administered. This
is done after a thorough diagnosis and after having analyzed the constitution of the person in
question and after having learnt about every minute detail of his or her morbidity.
Satvavajaya – Satva means mind, avajaya means to win or conquering. Thus, Satvavajaya
treatment is to gain control over the mind of the patient and helping them to keep their mind and
senses detached from the unwholesome subjects (including stress, anxiety etc). This can be
correlated to the modern day psychiatry or mind medicine. This also includes patient
counselling.
Bahih parimarjana – Bahi means outside, parimarjana means to cleanse or purify or heal, thus
bahih parimarjana means to cleanse or purify or heal from outside. In this, the medicines are
applied outside the body (at the site of pathology), these medicines heal from outside after
coming into contact with the body.
Example, Abhyanga (herbal oil massage), Swedana (fomentation or application of heat), Dhara
(stream pouring of liquid medicines), Lepa (application of medicinal pastes) etc
Maanushi Chikitsa – Manusha means man or human. Treatments done using medicines like
powder, decoction, infusion, tablets etc is called Maanushi chikitsa since it looks more humanly.
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Daivi Chikitsa – Daiva means God or divine. Treatments done administering Rasayanas
(rejuvenators, anti-ageing, immune modulators etc) and Vajikarana (aphrodisiacs) are called
Daivi chikitsa.
Audbhida Chikitsa – Audbida means to sprout. In this the herbs are used as medicines.
They are basically of 4 types: Vanaspati (plants not bearing flowers), Vaanaspatya (plants
bearing both flowers and fruits), Veerudha (plants like creepers and climbers which climb and
wind over the other plants and supports) and Aushadha (plants which die after yielding fruits).
Jangama chikitsa – In this the animal products are used as medicines. Example, ghee, honey etc.
Abhyantara Apakarshana – In this, the morbid doshas inside the body are removed or extracted
by administration of evacuation or cleansing treatments like Vamana (therapeutic emesis),
Virechana (therapeutic purgation) etc.
Nidana Tyaga – Nidana means the causative factors of the disease. Tyaga means to keep away or
sacrificing. Thus Nidana Tyaga means to keep away from the causes of a disease or avoid the
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Example, Foods and medicines having qualities like Laghu (light), Ruksha (dry) Ushna (hot) etc
antagonistic to Guru (heavy), Snigdha (oily), Sheeta (cold) etc qualities causing the disease are
administered.
Vyadhi Vipareeta Chikitsa – In this the medicines which pacify or alleviate or destroy the
particular disease in question are administered.
Example, Patha (Cissampelos pareira), Kutaja (Holarrhena antidysenterica) etc medicines are
used to stop the loose stools in Atisara (diarrhoea) etc. Thus disease specific medicines are
administered in this type of treatment.
Ubhayarthakari Chikitsa – In this, the medicines, food and activities antagonistic to both cause
and disease are administered.
Example in Vataja Shotha (swelling caused due to vitiated vata), Dashamula kwatha (decoction
prepared from 10 roots) is used which acts in a byway i.e. it pacifies Vata (causative dosha) and
also relieves shotha (disease).
In these people strong medicines and strong treatments like evacuation and cleansing (shodhana
chikitsa) can be harmful. Langhana enhances the digestive fire (agni) and Vayu, which in turn
will subside or pacify the aggravated doshas in the body.
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When the patient has Madhyama bala (moderate strength) and Madhyama dosha (moderate
quantity of doshas or morbidity) both, Langhana and Pachana are administered.
Doshavasechana means eliminating the morbid doshas out of the body. This is also called as
shodhana or samshodhana.
When the doshas are in high quantity (bahu dosha) and the patient also has good strength to
tolerate the strength of the treatment (bahu bala), Doshavasechana should be done, by
administering cleansing measures such as Vamana (therapeutic emesis), Virechana (therapeutic
purgation) etc
Audbhida Chikitsa – Audbida means to sprout. In this the herbs are used as medicines. They are
basically of 4 types:
Vanaspati (plants not bearing flowers),
Vaanaspatya (plants bearing both flowers and fruits),
Veerudha (plants like creepers and climbers which climb and wind over the other plants and
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supports) and
Aushadha (plants which die after yielding fruits)
Samshamana –
Samshamana means pacification or palliative treatment wherein the doshas (morbidity) are
handled at their place or location without worrying about their evacuation.
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Aachara means lifestyle practices and activities done over a period of time.
They are again of 4 types:
Kaayika aachara (physical activities) – can be administered in the form of:
Prakshepana – flexion
Utkshepana – extension
Avakshepana – abduction and adduction etc
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They are:
Vamana – therapeutic emesis (medicine induced vomiting), mainly used to expel morbid kapha
or to effectively tackle kapha predominant diseases
Virechana – therapeutic purgation (medicine induced purgation), mainly used to expel morbid
pitta or to effectively tackle pitta predominant diseases
Niruha Vasti (Asthapana Vasti or Kashaya Vasti) – enemas given with herbal decoctions
(kashaya), mainly used to gain control over morbid Vata or to effectively tackle vata
predominant diseases
Nasya or Shirovirechana – nasal medication in which herbal juices decoctions, powders, fumes
etc are instilled into the nasal passages, mainly used to tackle the diseases occurring above the
level of the collar bone, i.e. the diseases of head, eyes, ears and nose.
Rakta-mokshana – rakta means blood, mokshana means letting, thus raktamokshana means
blood-letting. This is mainly used to expel the morbidity occurring in the blood and to treat
effectively the diseases manifested due to vitiation of blood (blood-borne diseases).
Langhana – means producing lightness. Anything which produces Laghutva or lightness in the
body is called Langhana.
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Brimhana – means to promote bulk or enhance the mamsa (muscle) etc tissues in terms of
quantity. Anything which increases the bulk of the body by quantitative enhancement of Mamsa
etc tissues is called Brimhana.
Rukshana – means producing dryness. Anything which brings about dryness and roughness in
the body is called Rukshana.
Snehana – means to produce unctuousness or oiliness in the body. Anything which produces
oiliness, wetness (fluidity) and softness (smoothness) in the body is called Snehana.
Snehana can be administered in 2 types – Bahya snehana (external application of sneha in the
form of Abhyanga – massage, Dhara – stream pouring of herbal oils, Sthanik Vasti – local oil
pooling etc) and Abhyantara Snehana (intake of medicated oils, ghee or both).
Swedana – means fomentation or steaming or sudation. This is a treatment used to induce sweat.
Anything which destroys stambhana (stiffness of body parts), sheeta (coldness) and gaurava
(heaviness) and induces sweating is called Swedana.
Stambhana – means to stop. Anything which stops the things in movement (especially liquids) is
called stambhana. This treatment is used in conditions like diarrhoea, excessive bleeding etc
conditions.
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Paachana – medicines which digest ama or metabolic toxins (immature essence of nutrition in
circulation, which by the virtue of its sticky nature clogs the channels of the body, thus depleting
nutrition and essentials to the body tissues and organs)
Deepana – Treatments and medicines used to kindle the internal fire (jataragni and dhatwagni),
i.e. the gut and tissue fires so as to make them competent enough to digest the food properly and
also convert and process them into components which can be readily utilised by various tissues
to conduct normal body functions.
Kshudha – Fasting (forced starvation) or eating in negligible quantity will boost the metabolic
process in the body because by not consuming food we would have given a break and rest to the
digestion apparatus, which in turn helps in kindling the interior fire (agni).
Trushna – Not drinking water or drinking small and negligible amounts of water (forced thirst) is
called Trishna nigraha. This too works on similar lines of Kshudha nigraha or forced starvation.
Vyaayama – Exercise
Aatapa – Exposure to heat of the sun
Vayu – Exposure to wind
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They are:
Nidana – Causative factors of a disease
Purvarupa – Premonitory stage, Premonitory signs and symptoms of an impending disease
Rupa – Signs and symptoms of a manifested disease
Upashaya-Anupashaya – Disease can also be examined on the basis of aggravating and relieving
factors of a disease. When it becomes difficult to diagnose a disease or its nature, it is wise to do
a trial and error method and diagnose the disease. This is called Upashaya (knowing the disease
through relieving factors) and Anupashaya (Knowing the disease by the factors which do not
pacify a disease, in fact can aggravate a disease).
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Hetu-Vyadhi Viparita – Antagonistic to both, the cause of the disease and the disease, has 3
components i.e.
Aushadha – medicine,
Ahara – diet and
Vihara – activities
Hetu Viparitarthakari – Similar to the cause of the disease, has 3 components i.e.
Aushadha – medicine,
Ahara – diet and
Vihara – activities
Hetu-Vyadhi Viparitarthakari – Similar (agonist) to both, the cause of the disease and the
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Now we will try to undersand the above said with suitable examples. To make the understanding
easy, we shall take each component of the 6 types as individual chikitsa and sum up the 18 types
as explained below –
Hetu Viparita Aushadha (Medicines antagonistic to the cause of the disease) – Example, in
fevers caused by excessive cold and vitiated Kapha (sheeta-kaphaja jwara), administering Ushna
Aushadhas (medicines with hot potency which are antagonistic to the cold quality and kapha,
which is also cold in nature)
Hetu Viparita Ahara or anna (food antagonistic to the cause of the disease) – Example, in
Shramaja jwara (fever caused due to excessive physical exhaustion) or Vataja Jwara (fever
caused by vitiated vata), administering Mamsa rasa (meat soup) and odana (rice) or rice with
meat soup which are antagonistic to shrama and vata, the causes of fever in this context
Hetu Viparita Vihara (activities and lifestyle practices antagonistic to the cause of the disease) –
Example, advising ratri jagarana (awakening throughout the night) in case of kapha vitiation
caused due to excessive diva shayana or diva swapna (day sleeping), is antagonizing to the
cause.
Excessive day sleep will cause abnormal increase of Kapha. Awakening throughout the night
will increase Vata which is antagonistic to kapha. The increased Vata will decrease the kapha
(vata and kapha have antagonizing qualities).
Vyadhi Viparita Anna or Ahara (food or diet antagonistic to the disease) – Example,
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administration of Masura (red lentils) to stop loose stools (stambhana) in atisara (diarrhoea)
Vyadhi Viparita Vihara (activities or lifestyle practices which are antagonistic to the disease) –
Example, Pravahana (straining) in Udavarta (disease caused due to upward movement of Vayu
or vitiatied vata)
Hetu-Vyadhi Viparita Aushadha (medicines antagonistic to both the cause of the disease and the
disease itself) – Example, administration of Dashamula kwatha (decoction prepared using 10
roots) in Vataja Shotha (swelling caused by vitiated Vata), here Dashamula Kwatha is best in
alleviating Vata (antagonistic to vata which is a cause of the disease shotha) and also in
alleviating shotha or swelling (antagonistic to disease shotha).
Hetu-Vyadhi Viparita Anna or Ahara (food and diet antagonistic to both the cause of the disease
and the disease itself) – Example, administering Peya or thin gruel in fever caused by vata which
has been vitiated by sheeta (cold foods and comforts), here the gruel being a food is helpful in
alleviating the cause i.e. vata aggravated due to cold and also cures jwara (disease).
Hetu Vyadhi Viparita Vihaara (activities and lifestyle practices antagonistic to both the cause of
the disease and the disease itself) – Example, advising Ratri Jagarana (awakening throughout the
night) as a remedy in Tandra (drowsiness) caused due to excessive consumption of snigdha ahara
(oily foods) and diwaswapna (excessive day sleep).
Ratri Jagarana being dry in nature (as it causes an increase of Vata which is phenomenaly dry in
nature, thus increasing the dryness in the body) is antagonistic to the cause (i.e. snigdha ahara
and divaswapna) and also to the disease (tandra).
Hetu Viparitarthakari Aushadha (medicines similar to the nature of the causative factor of the
disease) – Example, administration of ushna upanaha (hot poultices) over the vrana (wounds or
ulcers) caused by vitiated pitta, here hot poultice is similar in nature to pitta (cause of the
disease) because pitta too is hot in nature.
The upanaha should have aggravated pitta (by further vitiation of pitta) but though similar in
nature, ushna upanaha doesn’t aggravate pitta but pacifies it.
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Hetu Viparitarthakari Anna or ahara (food or diet similar to the nature of the causative factor of
the disease) – Example, administration of vidahi anna (foods which cause burning sensation or
corrosive foods) in Pittaja Vrana (ulcers or wounds caused by vitiated Pitta), Vidahi anna should
actually aggravate Pitta and worsen the condition, but in spite of being similar to the nature of
pitta (both vidahi anna and pitta are hot in nature), vidahi anna pacifies pitta when administered
in pittaja vrana.
Hetu Viparitarthakari Vihara (activities and lifestyle practices similar to the nature of the
causative factor of the disease) – Example, implementing Bhaya darshana (creating fear) in
Vataja Unmada (insanity caused due to vitiated Vata), actually fear is antagonistic to the nature
of Vata and as a rule it should have vitiated Vata, which here is a causative factor for Unmada,
but bhaya darshana pacifies the causative factor of unmada i.e. vata.
Vyadhi Viparitarthakari Aushadha (medicines similar to the nature of the disease) – Example,
administration of Madanaphala (which is an emetic) in Chardi disease (vomiting), actually
madanaphala being an emetic is antagonistic to the disease (vomiting) and should further
aggravate the vomiting, but what happens is the contrary. Madanaphala alleviates vomiting.
Vyadhi Viparitarthakari Anna or Ahara (food or diet similar to the nature of the disease) –
Example, administration of milk (food) to cause virechana (purgation) in atisara (diarrhoea), here
being antagonistic to the disease (atisara), milk (cause) should have worsened the disease but
actually it alleviates atisara.
Vyadhi Viparitarthakari Vihara (activities or lifestyle practices which are similar to the nature of
the disease) – Example, Pravahana (straining) for inducing vomiting in Chardi disease
(vomiting), in this pravahana is antagonistic to the disease (chardi) but instead of aggravating the
disease (chardi), pravahana (vihara) pacifies it.
Hetu Vyadhi Viparitarthakari Aushadha (medicines which are similar in nature both to the
causative factor of the disease and the disease itself) – Example, administration of paste of agaru
etc medicines (which are hot in nature) in fire burns and administration of visha (poison) in
vishajanya visha (poisonous effect caused by another poison), in both these instances the
treatments being similar to the nature of cause (fire and poison) and disease (burns and
poisoning) will not aggravate the diseases.
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Chikitsa: Treatment Types, Ayurvedic classification - Easy Ayurveda
Hetu Vyadhi Viparitarthakari Anna or ahara (food or diet which is similar both to the nature of
the cause of the disease and the disease itself) – Example, administration of Madhya (alcohol) in
Madatyaya (alcoholic intoxication – disease) caused due to excessive consumption of Madhya
(alcohol – cause of the disease madatyaya), here, Madhya being similar in quality to the cause
(alcohol) and the disease (intoxication) will be a remedy instead of aggravating the disease.
Hetu Vyadhi Viparitarthakari Vihara (activities and lifestyle practices similar in nature to both
the cause of the disease and the disease itself) – Example, advising swimming as a remedy in
Sammudha-vata or urustambha (disease characterised with stiffness of thigh) caused by vyayama
(excessive exercise), here swimming being of similar nature to the cause (vyayama) and disease
(urustambha) should actually aggravate the condition, but on the contrary will alleviate the
disease.
When the above said work in favour of the disease (upashaya) are considered as chikitsa
(treatment), in that case the medicine or food or activity which has alleviated the disease or had
worked antagonistic to the cause, disease or both (in spite of being antagonistic or similar in
nature to the cause, disease or both) shall be continued.
When the above said doesn’t work in favour of the disease and aggravates the dosha or disease,
they are considered to be anupashaya (aggravating factors) and should be discontinued.
Upashaya (pacification of dosha and or disease) and anupashaya (aggravation of dosha and or
disease) are basically therapeutic tests done to diagnose a disease when the other tools of
diagnosis have failed to find out the disease or the signs and symptoms of the disease are latent.
Following the diagnosis, if the ahara, anna and vihara alleviate the dosha or disease or both, they
shall be continued. In this perspective, the therapeutic tools act like chikitsa and will also be
called as satmya (compatible things). If the test tools of diagnosis aggravate the disease, then
they are stopped.
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Chikitsa: Treatment Types, Ayurvedic classification - Easy Ayurveda
According to Sushruta, 8 types of shastra karmas (surgical remedies) are as below said –
Chedana (Excision) – In this the pathological parts are cut and separated. Example, chedana is
done in arshas (piles), bhagandara (fistula), charmakeela (polyps) etc conditions
Bhedana (incision) – In this the diseased part is incised, Example, bhedana is done in vidradhi
(abscess) etc
Lekhana (scraping) – In this, the diseased part is scraped with the help of instruments, example,
lekhana is done in rohini (diphtheria), kilasa (leukoderma) etc conditions
Vedhana (puncturing) – In this, the diseased part is punctured, Example, vedhana is done while
conducting sira vedha treatment (vein puncture, a type of bloodletting treatment)
Eshana (probing) – In this, the diseased part is probed using probing instruments, Example,
tracking the pathway of nadivrana (sinus tracts)
Aaharana (extraction) – In this, the foreign body is extracted, Example, aaharana is done in
forcible extraction of mudha garbha (impacted foetus)
Visraavana (drainage) – In this, the morbid material is drained out, Example, drainage of
contaminated pus, blood etc
Seevana (suturing / stitching) – In this, the torn structures are sewed or sutured, Example,
suturing the wounds etc
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Chikitsa: Treatment Types, Ayurvedic classification - Easy Ayurveda
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Chikitsa: Treatment Types, Ayurvedic classification - Easy Ayurveda
so that the wound margin easily separate causing early dehiscence and wound healing delayed.
To avoid long time wound healing, daaruna karma is done)
Kshaara karma – application of alkalis (cauterization)
Agni karma – application of fire (cauterization)
Krushna karma – inducing black colour (hypo-pigmentation area made normal like surrounding
tissue)
Pandu karma – inducing white colour (hyper-pigmentation area made normal like surrounding
tissue)
Pratisaarana – tablets made up of rough powder of medicinal herbs is rubbed on soft shiny skin
(after wound healing) so as to make the skin surface rough, just like the normal skin
Roma samjanana – treatments and medicines (measures) enabling growth of hairs
Loma apaharana – treatments and medicines (measures) enabling removal of unnecessary hairs
Vasti karma – medicinal enemas
Uttara vasti karma – enemas given through urinary and genital passages
Bandha – bandages
Patra daana – covering the wounds with leaves
Krimighna – disinfectants
Brimhana – bulk promoting and strengthening treatments
Vishagna – anti-toxins, treatments and medicines which nullify or neutralize the effect of poisons
and toxins
Shiro virechana – nasal instillation of medicines
Nasya – nasal instillation of medication
Kavala dharana – rinsing of mouth with medicinal liquids
Dhooma – fumigation
Madhu sarpi – administration of honey and ghee
Yantra – instrumentation
Aahara – dietetic regimen
Rakshaa vidhana – sterilization (the surgical ward, instruments etc should be sterilized by
fumigating with guggulu (Commiphora mukul) etc herbs and Mantra uccharana (uttering or
reciting holy hymns) to kill the small pathogenic organisms)
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Chikitsa: Treatment Types, Ayurvedic classification - Easy Ayurveda
Based on this the classification of the treatment also will be innumerable and infinite. With this
concept in mind, Ayurveda teachers give us a liberty of planning and implementing the treatment
on situational intelligence and wisdom (yukti), without being totally dependent on the types of
chikitsa which are mentioned and explained in the texts.
Situational planning of treatment is the key. This shows that the above classifications of the
treatment is a gross idea and not complete.
The Ayurvedic teachers further tell that the classification of chikitsa is only for an average
learner and has been provided as a ready reckoner, but the intelligent learner (doctor) will get an
idea from this classification and expand his vision in understanding the unsaid part of the
classification of treatment and will skilfully invent judicious treatment as and when required.
The earliest and the best description of Chikitsa vis-à-vis Treatment and its classification are
found in the Ayurvedic treatises.
As the saying goes ‘old is gold’ it truly fits in relation to Ayurveda. There is no doubt that this
holistic medical science has been widely accepted for its exemplary results and for providing it
in a natural way.
Believe in Ayurvedic treatment and experience it. You will never complain for feeling ‘healthier
than ever’.
Q: Does taking Nutritional medicines at the time of diseased condition aggravates the
disease.
ie after cleansing process only Nutritional medicines has to be given
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Chikitsa: Treatment Types, Ayurvedic classification - Easy Ayurveda
Answer:
In Ayurveda, when there is a disease, only if the patient is very weak even to tolerate the
medicines, only then nutritional medicines are given. Till the patient recovers from the disease,
primary target of medicine is to cure the disease without harming the health of the patient.
If the patient’s digestion strength is low and if we are supplying nutrition rich medicines, they
may further lower the digestion strength in some cases. So, target the disease first, while keeping
patient’s strength to tolerate the medicines / treatment in mind.
Click to consult Dr Raghuram Y.S. MD (Ayu) – Email / skype
Disclaimer: All the information in this article and the whole website is only for the
purpose of education. They are not intended to diagnose, prevent, treat or cure any
disease. Always consult your doctor for any health issues. Self medication is
dangerous. The health claims indicated are not approved by FDA.
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