It can happen in many cases that the good physician my sometimes may get misguided and any sometimes think that a certain case is very serious by merely seeing his symptoms. Vice versa condition can also happen. Hence a very careful examination is needed to reaches to a certain conclusion. Maharishi charak insist that a wise physician should investigate the following ten point sequences in order to avoid the mistakes that are very harmful to the patient. These ten points are:
Now we will understand each investigation elaborately
The physician is the cause. He is the one who performs the examination and then treats up the patient. He performs various methods to maintain the constituency of the body in harmony and homeostasis. The physician should possess the following thing. Clear apprehension of the scriptures, experience gained by actual observation of the treatment, cleverness and skill, purity, both externally and internally, dexterity of hand gained by practice, equipment with all the necessary appliances off treatment, possession of all the organs of knowledge and action.
Karnam is the instrument of the medicine. Medicine serves as an appliance in the hands of the physician, while endeavoring to bring about harmony of dhatu. It is distinguished from all those which have been included in the upayah. This is of two types:
Karyayoni is the reason for the action or in simple words it is the disease for which we are working. This process is being indicated in the process of normalizing doshas in the body by which abnormality has occurred. Its examination includes the observation of symptoms that are presented during advent of disease. Theses observations are also required to know the curability, mildness and virulence of a disease.
Karyam refers to the homeostasis in the doshas. It is indicated when there is there is elevation in some imbalance in the body known as vikaar in ayurveda. Its examination involves following observation:
It is the result of attainment of happiness as the persons doshas are in equilibrium. It signifies cheerfulness of mind, intellect, senses and body.
Anubandh is life. Its indication is a continuity of vital breathes or the prana Vayu in general sense. A physician has to access about the result of the treatment, by which the patient has a good chance for leading a healthy and happy life.
Desh or the place of action. It is a very broad term which can be referred to as country, habitat and even the Body of the person. Amongst these, the examination of the country is for acquiring knowledge of the habits of the patient as also for ascertainment of herbs that grows in the area. It is essential to know that in which region patient is born, brought up or has acquired the disease. It is also very essential to know about the environment in which the herb is grown as it acquires the same properties as that of the soil and the environment of that area. Patient is himself is considered as the desh or the filed on which some problem has occurred. His examination has for its object the ascertainment of the unexhausted period of his life or ascertainment of the measure of his strength and of the faults.
Kala is known as time. It is of two types.
Amongst these, the year is divided into two or three or six or twelve parts. It has 365 days and each day consists of six periods of four hours.
Kala can also be considered as the day after the onset of the disease.
The origination of treatment is called Pravritti. It’s characterized by a combined effort of a physician, attendant (nurse) and the medicine in giving relief to a patient.
The well-fittedness and adaptation of the physician and all the rest is called as upayah (methods). Its characteristics consist in the administration of medicine, duly furnished with such causes of success as place, time, measure, assimilability and operation or virtue, as also the wealth of those attributes which have been already indicated of the physician and the rest.