This presentation deals with Nidanarthakara roga its classification ,concept of Vyadhi sankara

1. NIDANARTHAKARA ROGA(VYADHI) &
VYADHI SANKARA
Dr Akshay Shetty
Associate Professor
SSRAMC & H
Inchal

2. Contents
Objectives
Definition of Nidanarthakara roga
Classification of Nidanarthakara roga
Examples of Nidanarthakara roga
Concept of Vyadhi Sankara with relevant examples
Summay
References

3. Objectives
By the end of the presentation the students
must be able to-
1. Define Nidanarthakara roga
2. Classify Nidanarthakara roga
3. State Examples of Nidanarthakara roga
4. Explain Concept of Vyadhi Sankara with
relevant examples

4. निदािार्थकरो रोगो रोगस्याप्युपलभ्यते ||१६||
Ca.Ni 8
The term Nidanarthakara roga refers to one disease will become
the aetiology factor for another disease.

5. ते पूर्वं क
े र्वला रोगााः पश्चाद्धेत्वर्थकाररणाः |
उभयार्थकरा दृष्टास्तर्ैर्वैकार्थकाररणाः [१] ||२०||
Ca.Ni 8
•Ekarathakari
•Ubhayarthakari

6. • Ekarthakari Roga- this refers to the manifestation of secondary disease with
disappearance of Primary disease.
ते ज्वरादयो रक्तनपत्ताद् युत्पादात् पूर्वं क
े र्वलााः सन्तो रोगा एर्व रुजाकततथत्वेि स्वयमेर्व
प्रधािा इनत;
Jwara leads to Raktapitta later jwara subsides

7. • Ubayarthakari Roga - this refers to the manifestation of secondary disease
with persistence of Primary disease
• स उभयार्थकारी; यदा कासं समारभ्यानप स्वयमिुर्वतथते, तदा प्रनतयायाः स्वयं च
रुजाकततथत्वेि रोगार्थकराः, कासजिकत्वेि हेत्वर्थकरश्च भर्वनत;
• Pratishyaya leads kasa but still pratishyaya will continue to bother

8. ज्वरसन्तापाद्रक्तनपत्तमुदीयथते |
रक्तनपत्ताज्ज्वरस्ताभ्यां शोषश्चाप्युपजायते ||१७||
For example, elevated temperature in jwara can
cause raktapitta and raktapitta can cause jwara. Both the
diseases (i.e jwara and raktapitta) may lead to shosha (depletion
of dhatus)

9. प्लीहानभर्वतद्ध्या जठरं जठराच्छोर् एर्व च |
अशोभ्यो जठरं दुाःखं गुल्मश्चाप्युपजायते ||१८||
Pleeha (enlargement of spleen) causes jathara (abdominal
diseases including ascitis), which leads to shotha (generalized
edema). Arsha (hemorrhoids) causes jathara (abdominal diseases
including ascitis) that leads to gulma (abdominal lumps).

10. प्रनतयायाद्भर्वेत् कासाः कासात् सञ्जायते क्षयाः |
क्षयो रोगस्य हेतुत्वे शोषस्याप्युपलभ्यते ||१९||
Pratishyaya (rhinitis) leads to kasa (cough) which further leads
to kshaya (depletion of dhatu), consequently resulting
in sosha (emaciation

11. VYADHI SANKARA
व्यानधसङ्करा व्यानधमेलकााः| Chakrapani on Ca.Ni 8/22
Vyadhi sankara means Group of Diseases
एर्वं क
त च्छ
र तमा िॄणां दृयन्ते व्यानधसङ्करााः|
Combinations of diseases in human beings are usually very difficult to treat, owing to the
complexity of the line of treatment, and their serving as causative factors of each other.

12. Causes for Vyadhi Sankara
प्रयोगापररशुद्धत्वात्तर्ा चान्योन्यसम्भर्वात्||२२||
• Prayoga Parishudhatvat
• Anyonyasambhavat

13. Prayoga Parishudhatvat
प्रयोगापररशुद्धत्वं यर्ा-
आमातीसारे स्तम्भिं क
त तं दोषं संस्तभ्य शूलािाहाध्मािानद जियनत|
Chakrapani on Ca.Ni 8/22
Improper administration of treatment
In a patient of Amatisara if one administer Sthambana chikitsa it leads to
other diseases like Shoola ,Anaha and Adhmana.

14. Anyonyasambhavat
अन्योन्यसम्भर्वानदनत; परस्परकारणरूपत्वानदत्यर्थाः| प्रनतयायो नह स्वरूपेणैर्व
कासस्य कारणं, स च राजयक्ष्मण इत्यानद||२२||
Chakrapani on Ca.Ni 8/22
Occurrence of Secondary disease due to presence of primary disease

15. Hetu Sankara
Hetu –Aetiology
Sankara- Group
एको हेतुरिेकस्य तर्ैकस्यैक एर्व नह |
व्याधेरेकस्य चािेको बहूिां बहर्वोऽनप च ||२४||
• One causative factor may cause one or many diseases. Many causative
factors may result in a single disease or may cause several diseases

16. ज्वरभ्रमप्रलापाद्या दृयन्ते रूक्षहेतुजााः|
रूक्षेणैक
े ि चाप्येको ज्वर एर्वोपजायते||२५||
हेतुनभबथहुनभश्चैको ज्वरो रूक्षानदनभभथर्वेत्|
रूक्षानदनभज्वथराद्याश्च व्याधयाः सम्भर्वन्तन्त नह||२६||

17. • It is seen that a single causative factor, ruksha (dry) can cause many
diseases such as jwara (fever), bhrama (vertigo)
and pralapa (delirium) etc., while the same single factor (ruksha) may
cause just one disease (jwara)
• Jwara alone may be caused by a combination of several causative
factors including but not limited to ruksha(dry) etc. and many causes
like, ruksha (dry, rough & lavana) etc. may lead to several diseases
• Multiple etiological factors such ruksha laghu lavana etc are
responsible for occurrence of disease like Jwara,raktapitta and Gulma

18. Linga Sankara
Linga-Symptoms
Sankara-Group
नलङ्ग
ं चैकमिेकस्य तर्ैर्वैकस्य लक्ष्यते |
बहून्येकस्य च व्याधेबथहूिां स्युबथहूनि च ||२७||
• Similarly, one symptom may be common to many diseases, one
symptom may be related to only one disease, many symptoms may
be associated with only one disease, and many symptoms may be
common to many diseases

19. नर्वषमारम्भमूलािां नलङ्गमेक
ं ज्वरो मताः |
ज्वरस्यैकस्य चाप्येकाः सन्तापो नलङ्गमुच्यते ||२८||
• One symptom i.e. jwara can be considered common to many
diseases that have irregular onset, while santapa (elevated
temperature) is considered a symptom of only one disease
i.e. jwara

20. नर्वषमारम्भमूलैश्च ज्वर एको निरुच्यते |
नलङ्ग
ै रेतैज्वथरश्वासनहक्काद्यााः सन्तन्त चामयााः ||२९||
• Irregular onset (and similar other symptoms) appear in the case
of jwara, while similar symptoms also occur
in shwasa (dyspnea), hikka (hiccups), and other similar diseases.

21. Summary
1.Define Nidanarthakara roga
Classify Nidanarthakara roga
State Examples of Nidanarthakara roga
Explain Concept of Vyadhi Sankara with relevant examples

22. References
Charaka Samhita

23. THANK YOU