Preventive health care is the Fourth chapter of Astanga Hridaya, known as Roganutpadaniya Adhyaya. It explains the process of adapting the body to its natural symptoms to reduce the accumulation of toxic materials and the onset of the disease process.
Meaning of the name of the chapter: Roganutpadaneeya = Roga + Anutpadaneeya.
Roga means disease
Utpadana means production. Anutpadana means preventing production.
Then, Roga Anutpadaneeya means – prevention of the disease’s onset.
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This chapter is about the prevention of the disease.
अधारणीय वेग / Adharaniya Vega / Urges that should not be suppressed.
Adharaneeya Vega means Natural urges that must not be denied.
One should not suppress or deny these 13 natural urges / 13 Adharaneeya vega
- Adhovata – flatus (fart)
- Vit – faeces
- Mutra – urine
- Kshavatu – sneeze
- Trut – thirst
- Kshudha – hunger
- Nidra – sleep
- Kasa – cough
- Shramashvasa – breathing on exertion
- Jrumbha – Yawning
- Ashru – tears, weeping
- Chardi – vomiting
- Retas – semen
These natural urges must not be suppressed by force.
अधोवातरोध Adhovata avarodha – adverse effects of suppressing flatus. : Fart
adhovaatrodh Adhovata Avarodha means negative effects of reducing flatus
Adverse effects if you dont fart / pass Gas / Flatulence
In the absence of the desire for flatus (farting) and on an ongoing basis, one is more prone to
Abdominal bloating and tumors,
Udavarta – gaseous distension of the abdomen
Ruk – abdominal pain Klama – fatigue, exhaustion without doing anything to cause blockage of constipation, flatus and difficulties in urination, loss of vision.
Insufficiency of digestion conditions that affect the upper part of the stomach and the heart
The reason is that the Vata is blocked in the intestine, preventing it from causing vomiting. In the rectum and intestines the natural movement that occurs in Vata can be upwards. Due to suppression of the flatus, Vata is inclined upwards and creates all the issues. Most of the problems that are explained are caused by Vata imbalance.
Purisha Vega Dharana / Bad effects of suppressing the urge to defecate – Shakrut Nirodhaja Roga
Pindikodveshta – Twisting pain in muscles in the calf. Pratishyaya – running nose
Shiroruja – headache
Urdhvavayu – an upward motion that originates from Vata, Parikarta – Itching sensation in Anal region Hridayasya Uparodhana – stiffness type feeling in the chest region. Mukhena Vit pravrutti – foul breath, feces vomiting.
The negative effects of the suppression of urine: Mutravegadharana
Angabhanga – body pain,
Ashmari : Urinary calculi (Reanal Stone)
The pain in the penis and bladder region.
The diseases mentioned in faeces and flatus may be present in this condition.
Treatment for suppressed flatus, urine, and feces
To treat the diseases arising from suppression of flatus, feces, and urine, the following should be given.
Varti – Rectal and urethral suppositories
Abhyanga – Oil massage Avagaha – tub bath, sitz bath
Svedana – sweating therapy, sudation therapy
Bastikarma – rectal enema
Annapaanam ca vidbhedhi – all food that helps to induce purgation should be administered.
Treatment of Mutravegadharana / Treatment of ailments caused by inhibition of the urge to urinate
In conditions caused by urinary obstruction, Drinking ghee before lunch is a good idea. Ghee consumption in the highest dosage at the time of digestion and meal between midday and night is also recommended.
This method of drinking large doses of Ghee is known as Avapidaka Sneha.
Udgaravega dharana / Suppression of Belching
Belching suppression can trigger :
Aruchi – Anorexia and lack of desire to eat.
Kampa Tremors Vibandha – constipation
Hrudayo Raso – a stiffening sensation in the chest area Adhmana – gaseous distension, bloating abdomen Kasa – cold, cough
Hidhma – – hiccup
The treatment of udgaravegadharana is similar to the treatment to reduce hiccups.
Suppression of Sneezing
This can cause
Shiro Arti – headache
Indriya Daurbalya – weakening of the sensual organs Manyasthamba – Neck stiffness
Ardita – Facial palsy
Treatment of Sneezing suppression :
Teekshna Dhooma is a powerful herb smoking
Anjana – Collyrium
Navana – Snuffing
Arkavilokana – observing Sun direct for just a couple of seconds
Massage, Oleation, and sudation treatments are also listed as treatments. These treatments are used to cause sneezing and also to normalize Vata movement.
Trishna Vega Dharana / The suppression of thirst
Adverse effects if you don’t drink water
The suppression of thirst will cause
Shosha – Emaciation
Angasada – debility, weakness
Badhirya – deafness
Sammoha is a loss of awareness, a delusion called Bhrama Hrut Gada – cardiac disorder
Treatment of Trishna Vega Dharana
Any procedure that is cool in nature, such as drinking cold water, taking cold bathing, etc., is highly recommended.
Kshudha Vega Dharana / suppression of hunger
Adverse effects if you dont eat when you’re hungry
Angabhanga – bodyache, myalgia
Aruchi – Anorexia and lack of desire to eat. Glani – depression
Karshya – emaciation, weight loss
Colic, abdominal pain
Bhrama – delusion
Treatment of Kshudha Vega Dharana :
Light meals that contain oily substances (such as Ghee) that are warm or hot in nature. (Light, Oily & Hot)
Notice: Fasting results in lower digestion power and increased Vata. If you consume a huge meal following a long fast and then, it can reduce the power of digestion. Therefore, a light food intake is recommended.
Ghee, an oily substance, helps soothe the gastric mucosa. Warm or hot food can help keep Agni (digestion strength).
Nidra Vega Dharana / Sleep suppression
What are the adverse effects if you don’t sleep on time :
Sleep suppression can be a cause of insomnia.
Moha – delusion
Murdha Akshi Gourava – heaviness of eyes and head Alasya Laziness and insanity
Jrumbhika – yawning
Angabhanga – bodyache, myalgia
Treatment of Nidra Vega Dharana :
Sleep and massage.
Kasa Vega Dharana / Suppression of cough
In the event that cough is suppressed, this can cause an increase in.
what are the adverse effects if you try to stop coughing forcefully
It could also cause Shvasa Asthma, COPD wheezing, breathing difficulties, and asthma.
Aruchi – – Anorexia inability to engage in eating
Hrudamaya – cardiac disorder Shosha – Emaciation Hidhma – hiccup
Treatment of Kasa Vega Dharana :
Any treatment that alleviates cough (Regular treatment for cough) is recommended to be given.
Suppression of breathing during exertion
Avoiding breathing too hard after long work could cause Gulma – Abdominal tumors. Bloating
Hrudroga- Cardiac disorder
Sammoha is a loss of awareness or illusion
Treatment of Suppression of breathing during exertion
Vishrama – rest
Vata Balance treatment.
Jhrumbha Vega Dharana / Suppression of yawning
The suppression of your yawning can cause similar symptoms as suppressing coughing.
This is why Vata balance-related activities or treatments are recommended.
AshruVega Dharana / Suppression of tears
Adverse effects if you stop crying forcefully
The suppression of tears can cause
Peenasa – a running nose, rhinitis
Akshi Roga – eye disorders
Hridrik – heart problems that cause the pain Manyasthamba – neck rigidity Aruchi – anorexia inability to engage in eating food Bhrama – illusion
Gulma – – Abdominal tumor & bloating
Treatment: sleeping, drinking, and sweet conversations with your family and friends.
Chardi Vega Dharana / Suppression of vomiting
Side effects if you stop the urge of vomiting forcefully
The suppression of vomiting can cause,
Visarpa Herpes is a skin disease that is spreading. Kotha allergic skin itching
Kushta – skin diseases
Akshi Roga – eye disorders Kandu – Itching sensation
Pandu • Anemia the initial stages of liver disease
Jvara – fever
Kasa – cold, cough
Shwasa Shwasa Asthma, COPD, wheezing and breathing difficulties Hrullasa nausea, vomiting sensation
Vyanga – Pigmented patches on the face
Shvayathu – oedema, inflammation
Treatment of The Suppression of Vomiting / Chardi Vega Dharana
Gandusha – gargling
Dhumapana – smoke made of herbs
Rooksha Aahara Vamana by eating dry foods and causing vomiting Vyayama – exercises
Asra Sruti – Bloodletting (in the case of skin disease)
Virechana is a purgation method of treatment called Panchakarma.
Note: Suppression of vomiting can cause Pitta imbalance.
This is why most treatments above are intended to reduce or balance Pitta.
Shukra Vega Dharana / Suppression of Semen Ejaculation
Adverse effects of stopping ejaculation forcefully
Ejaculation suppression causes Sravana Oozing of Semen
Guhya Vedana – pain in the groin region. Shvayathu – edema, inflammation Jvara – fever Hrid Vyatha, a cardiac issue, and distress
Mutrasanga Obstruction of urinary flow and difficulties Angabhanga Myalgia, body ache
Vruddhi – Hernia
Asthmari – Stone Formation
Shandata – Impotency
Treatment of Suppression of Semen Ejaculation / Shukra Vega Dharana
Tamrachuda, chicken,
Sura – alcohol, beer
Shali rice
Basti and abhyanga : massage to the lower abdomen. Avagaha – Immersion bath using oil
Bastishuddhi – cleaning of the urinary bladder by Ksheera’s enema.
Dinacharya दिनचर्या अध्याय : Daily Routine According to Ayurveda : Ashtanga Hridayam Chapter 2
Who is not eligible for treatment? / which patient should not be treated?
People who experience severe thirst and pain and those who are accustomed to suppressing urges due to the Vata and other Doshas often become contaminated due to unsuitable activity, and the treatment won’t be effective.
Ksheena – Who is extremely dehydrated and vomits feces, a condition that is getting out of hand.
The root cause of all diseases according to ayurveda
All illnesses are due to
Vegodeerana – the initiation of the urges by forcefully knowingly without its manifestation naturally.
Vegadhaarana – Repression of naturally-triggered urges.
For the common ailments that result from these causes, specific treatments have been researched to date, affecting the nature of Vata that is the most affected. Thus, the symptoms that arise from the suppression of natural urges may be treated through diet and treatments that open the channels of Vata and aid in restoring Vata’s natural direction.
धारणीय वेगा: – Urges that Should Supressed : Dharaneeya Vega
The temptations that need to be controlled with force are
Lobha – greed
Irshya – envy
Dvesha – hate Matsarya – jealous
Raga – unlawful, excessive attraction
Shodhana Panchakarma – purification procedure – the timing
You must take care to eliminate Doshas and waste at the right time.
In the event of accumulating these toxic substances, it could result in their aggravation, and eventually, could result death.
Effectiveness of Panchakarma treatment (Shodhana Therapy)
The Doshas balanced through Medicines, Langhana (fasting and so on) along with Pachana (digestion stimulating) therapies can be worse again.
But, Doshas eliminated through Shodhna (Panchakarma) treatment are not likely to be aggravated again.
Following a proper Panchakarma process at the right time, the rejuvenation treatment (Rasayana therapy) is recommended using appropriate Aphrodisiacs, tonics, and tonics.
Treatment for people who undergo the Panchakarma treatment but are tired
Bruhmana Ahara – is a nutritious food item like Shashtika Shali rice, which will mature in sixty days Godhuma – wheat
Mudga – green gram Mamsa – meat Ghrita – ghee. Medicines with Hrudya (cardiac tonic) and Deepana (digestive and carminative) properties can be combined with food and consumed.
Abhyanga – oil massage
Udvartana – massage with powder Snana – herbal bath Niruha Basti -decoction enema treatment Snehabasti – oil / ghee enema treatment\
All of these aid in restoring the health of the weak.
With these steps, you can achieve health, happiness, ability to think, clarity of sight and strong sense organs, sexual vigor, and long-term health.
आगन्तुज रोगा: – Traumatic diseases caused by external factors: Agantuja Roga
The diseases caused by Bhuta (evil spirits bacteria, parasites, insects, and microbes of this kind) and visa (poisons)
air (hurricane and storm) and agni (fire and electricity) radiation, fire, etc.) Kshata (injury or wounds, etc.),
Bhanga (fracture of bone), and so on. Also, those caused by raga (desire, lust), dvesha (hatred), Bhaya (fear), etc. They are all known as Agantu illnesses that result from external triggers.
Sarvaroga samanya cikitsa – general treatment for all diseases: Pragnaparada
General treatment for all diseases : Sarvaroga samanya cikitsa :
The prevention of the improper use of the mind, body, and speech through willful violation of rules, control of your senses recollecting prior experiences, and acting in a proper manner (Learn from past experiences and act accordingly.)
An understanding of the environment, season, and self
The observance of the rules of behavior and the observance of rituals Peaceful processes, as described in Atharva Veda,
In the worship of celestial powers, Grahashanti (astronomical palliative techniques)
Avoiding Bhuta (evil microbes, spirits)
Treatment that is consistent with the above principles is the general guidelines for treating any kind of illness.
When to do Panchakarma treatment : शोधन समय / Shodhana time
The accumulation of Doshas caused by winter need to be eliminated in Vasanta (spring) – Vamana karma
This resulting from Summer (Greeshma) must be thrown out in Abhrakala to Varsha Ritu – the rainy season – Basti Karma
The effects of the rainy season are to be gotten rid of, that is a result of rainy season should be elimination Ghnatyaya (Sharad – the autumn season) – Virechana Karma.
In this way, people won’t become victimized by diseases caused due to the seasons.
The secret of good health according to Ayurveda : आरोग्य हेतव
He, who indulges every day in healthy food and activities, who can distinguish the positive and negative aspects of all things and acts wisely, who does not cling excessively to objects of the mind, and who cultivates the habit of compassion, of seeing everyone as equal, of sincerity, of pardoning, and of being in the company of good people and only then, is free of any disease.
This chapter is Roganutpadaniya adhyaya, the fourth chapter in Astangahrdaya Samhita Sutrasthana.
Ritucharya adhyaya ऋतुचर्या Seasonal Regimen : Ashtanga Hridayam Chapter 3
