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cikitsachatushpadam
Anchu prem
3rd prof BAMS
Govt ayurveda college
kannur
Kerala.
भिषक्द्रव्याण्युपस्थाता रोगी पादचतुष्टयम ् |
गुणवत् कारणं ज्ञेयं ववकारान्युपशान्ते ||
(च .सू. 9/)
भिषक्
द्रव्यं
उपस्थाता
रोगी
Bhishak Dravya
Upasthatha Rogi
If these four are in harmonious
state, treatment is successful.
•The success of cikitsa depends upon these
factors.
•Each of these four padas possesses four
specific qualities.
•Among the four factors, vaidya is of atmost
importance since he is the person who
navigates the remaining 3 factors.
QUALITIES OF PHYSICIAN
श्रुते पययवदातत्वं बहुशो दृष्टकमयता |
दाक्ष्यं शौचभमतत ज्ञेयं वैद्ये गुणचतुष्टयम ् ||
(च .सू . 9/6)
Prime factor in the treatment.
He should possess,
•excellence in medical knowledge.
• extensive practical experience
•skill
•purity
Caraka also mentioned about physician as
pranabhisara, royal physician and Dr-pt relationship.
दक्षस्तीथायत्तशास्राथो दृष्टकमाय शुचचभियषक् ||
(अ.हृ.सू. 1/28)
An expert
Academically qualified
Experienced
Hygienic
IMPORTANCE OF PHYSICIAN
कारणं षोडशगुणं भसद्धौ पादचतुष्टयम ् |
ववज्ञाता शाभसता योक्द्ता प्रधानं भिषगर तु ||
(च .सू .9 /10)
Though quadruped of therapeutics in all, equipped
with 16 qualities are responsible for success in
treatment yet the physician, by virtue of his knowledge ,
administrative position and by prescribing capacity,
occupies the most important position among them.
Doctor patient relation
मैरी कारुण्यमातेषु शक्द्ये प्रीततरुपेक्षणम् |
प्रकृ ततस्थेषु िूतेषु वैद्यवृवत्तश्चतुववयधेतत ||
• Doctor should be sympathetic and kind to all patients
•Concerned with those who are likely to be cured
•Feel detached with those who are towards death.
ववद्या ववतको ववज्ञानं स्मृततस्तत्परता क्रिया |
यस्यैते षड्गुणास्तस्य न साध्यमततवत्तयते ||
Knowledge, critical approach, insight into other allied science,
good memory, promptness and perseverance.
Pranabhisara – savior of life.
तस्माच्छास्रेऽथयववज्ञाने प्रवृत्तौ कमयदशयने |
भिषक् चतुष्टये युक्द्तः प्राणाभिसर उच्यते ||
•A physician duly engaged in the study of the science of
medicine ,
•In mastering their actual implications,
•In the right application of the therapy and
•Having practical experience
Royal Physician
हेतौ भिङ्गे प्रशमने रोगाणामपुनियवे |
ज्ञानं चतुववयधं यस्य स राजाहो भिषक्द्तमः ||
•One who possesses the fourfold knowledge regarding
the cause, diagnosis, cure and prevention of diseases .
QUALITIES OF DRAVYA
बहुता तरयोग्यत्वमनेकववधकल्पना |
संपश्चेतत चतुष्कोऽयं रव्याणां गुणमुच्यते ||
•Abundance
•Suitability
•Multiple form
•Potency
बहुकल्पं बहुगुणं सम्पन्नं योग्यमौषधम ् ||
•Polymorphous
quality of the
drug.
•Broad spectrum
•Readily available
•Applicable to the
patient
UPASTHATHA
उपचाराज्ञता दाक्ष्यमनुरागश्च ितयरर |
शौचं चेतत चतुष्कोऽयं गुणः पररचरे जने ||
•knowledge of nursing
•Dexterity
•Affection
•purity
अनुरक्द्तः शुचचदयक्षो बुद्चधमान ् पररचारकः |
Loving
Hygienic
Skilled
Intelligent
Excellent communication skill
Emotional stability
Empathy
Attention to detail
ROGI
स्मृतततनदेशकाररत्वमिीरुत्वमथावप च |
ज्ञापकत्वं च रोगाणामातुरस्यगुणाः स्मृताः ||
Good memory
Obedient
Fearlessness
Uninhibited expression
आढ्यो रोगी भिषक्द्वश्यो ज्ञापकः सत्ववानवप ||
•Patient should be rich
enough to afford
treatment.
•Obedient to the physician.
•Communicative
•Courageous
Thank You

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