The document discusses the classification of diseases (vyadhi) in Ayurvedic medicine based on their curability and prognosis (sadhyasadhyata), emphasizing the importance of understanding the nature of diseases and the patient’s strength (rogi bala) for effective treatment. It outlines various types of vyadhi such as sukhasadhya (easily curable), krichrasadhya (difficult to cure), and asadhya (incurable), detailing their characteristics and applicable factors. Additionally, it highlights the significance of thorough examination (pareeksha) in determining the appropriate treatment and prognosis of diseases.

1. SADHYASADHYATA
ROGI BALA PAREEKSHA
VYADHI BALA PAREEKSHA

2. Reference
 Charaka Samhita Sutrasthana 10th
Chapter

3. Introduction
तच्च दुख संयोगो व्याधयः उच्यते ||
 Manifestation of pain/misery or any kind of discomfort to the
body is called as Vyadhi
 There are multiple classification of Vyadhi available in classics.
Classification of Vyadhi based on it’s curability-incurability
(Sadhyasadhyata) is very important
 It explains the prognosis of a disease

4. Introduction
साध्यासाध्य विभागज्ञो ज्ञानपूर्वं चिकित्सकः |
काले चारम्भते कर्म यत् तत् साधयति ध्रुवम् ||
(Ch. Su 10/7)
 The physician who knows all the features of curable &
incurable diseases perfectly commences the treatment at the
appropriate time and definitely succeeds in his medical practice

5. Classification of Sadhyasadhyata
SADHYASADHYATA/
PROGNOSIS
Sadhya
Vyadhi
Asadhya
Vyadhi
Curable
Diseases
Incurable
Diseases

6. Classification of Sadhyasadhyata
SADHYA VYADHI
Sukhasadhya
Vyadhi
Krichrasadhya
Vyadhi
Easily
Curable
Curable with
Difficulty
ASADHYA
VYADHI
Yapya
Vyadhi
Anupakrama
Vyadhi
Manageable
Incurable

7. Sukhasadhya Vyadhi Lakshana (Ch.Su.10/11)
हेतवः पूर्वरूपाणि रूपाण्यल्पानि यस्य च |
न च तुल्यगुणो दूष्यो न दोषः प्रकृतिर्भवेत् ||
न च कालगुणस्तुल्यो न देशो दुरुपक्रमः |
गतिरेका नवत्वं च रोगस्योपद्रवो न च ||
दोषश्चैकः समुत्पत्तौ देहः सर्वौषधक्षमः |
चतुष्पादोपपत्तिश्च सुखसाध्यस्य लक्षणम् ||

8. Sukhasadhya Vyadhi Lakshana (Ch.Su.10/11)
If the Bala of Hetu, Poorvaroopa & Roopa is Alpa
 Qualities of Dosha & Dushya are not similar
 Dosha aggravated is not similar to the Prakruti/constitution of an individual
 If Kala (Season) or Desha (Habitat) is not favourable to the disease
Eka Rogamargaja Vyadhi’s, & diseases of recent onset associated with no
complication & Eka Doshaja Vyadhi
 The body of patient is strong & have well immune power & responds well to the
medicines
 And the Chatushpaada’s if available at the right time

9. Kruchrasadhya Vyadhi Lakshana (Ch.Su.10/14)
निमित्तपूर्वरूपाणां रूपाणां मध्यमे बले |
कालप्रकृतिदूष्याणां सामान्येऽन्यतमस्य च ||
गर्भिणीवृद्धबालानां नात्युपद्रवपीडितम् |
शस्त्रक्षाराग्निकृत्यानामनवं कृच्छ्रदेशजम् ||
विद्यादेकपथं रोगं नातिपूर्णचतुष्पदम् |
द्विपथं नातिकालं वा कृच्छ्रसाध्यं द्विदोषजम् ||

10. Kruchrasadhya Vyadhi Lakshana
 Madhyama Bala of Hetu, Poorvaroopa & Roopa
 Samanyatha in relation to Kala, Prakruthi & Dushya
 Diseases affecting Garbhini, Vridha & Baala
 Less Upadrava/complication
 Disease requiring the use of Shastra, Kshara & Agnikarma as treatment
 Not newly manifested & when the habitat of the patient is favourable for the disease
 Diseases involving one Rogamarga but not fully responding to quadruple of treatment
 Involvement of two Rogamarga but not so chronic & involvement of 2 Doshas

11. Yapya Vyadhi Lakshana (Ch.Su.10/18)
शेषत्वादायुषो याप्यमसाध्यं पथ्यसेवया |
लब्धाल्पसुखमल्पेन हेतुनाऽऽशुप्रवर्तकम् ||
गम्भीरं बहुधातुस्थं मर्मसन्धिसमाश्रितम् |
नित्यानुशायिनं रोगं दीर्घकालमवस्थितम् ||
विद्याद्द्विदोषजं,...||

12. Yapya Vyadhi Lakshana
 Patient is getting slight relief on the use of Pathya/wholesome regimen
 Sudden aggravation of disease is seen due to slightest exposure to the etiology
 Deeply seated Dosha’s, involvent of multiple Dhatu’s & when the vital points
& joints are affected
 Disease which is persisting for a longer duration
 Involvement of 2 Dosha’s

13. Pratyakhyeya Vyadhi Lakshana (Ch.Su.10/19)
तद्वत् प्रत्याख्येयं त्रिदोषजम् |
क्रियापथमतिक्रान्तं सर्वमार्गानुसारिणम् ||
औत्सुक्यारतिसम्मोहकरमिन्द्रियनाशनम् |
दुर्बलस्य सुसंवृद्धं व्याधिं सारिष्टमेव च ||

14. Pratyakhyeya Vyadhi Lakshana
 Tridosha involvement
 Gone beyond the scope of treatment
 All Rogamarga’s affected
 Discomfort, restlessness, delution & if complete sensory perception are lost
 Diseases in a weak person
 Disease which increases gradually and does not respond towards the treatment
 Appearance of Arishta Lakshana

15. Sukhasadhya vyadhi (A.H.Su.01/30-33)
• सर्वौषधक्षमे देहे यूनः पुंसो जितात्मनः |
अमर्मगोऽल्पहेत्वग्ररूपरूपोऽनुपद्रवः ||
अतुल्यदूष्यदेशर्तुप्रकृतिः पादसम्पदि |
ग्रहेष्वनुगुणेऽष्वेकदोषमार्गो नवः सुखः ||

16. • कृच्छ्रसाध्यं व्याधिमाह---------------------
शस्त्रादिसाधनः कृच्छ्रः सङ्करे च ततो गदः|
------------------------------------------------||
Kruchrasadhya vyadhi (A.H.Su.01/30-33)

17. • याप्योऽत उच्यते----------------
-----------------------------------------------|
शेषत्वादायुषो याप्यः पथ्याभ्यासाद्विपर्यये ||
Yapya vyadhi (A.H.Su.01/30-33)

18. • प्रत्याख्येय उच्यते--------------------------
अनुपक्रम एव स्यात्स्थितोऽत्यन्तविपर्यये |
औत्सुक्यमोहारतिकृद् दृष्टरिष्टोऽक्षनाशनः ||
Pratyakhyeya vyadhi (A.H.Su.01/30-33)

19. Components of Vyadhi from Sadhyasadhyatva
• Nidana (Hetu)
• Purvaroopa
• Roopa
• Dosha
• Dushya
• Prakriti
• Kala
• Dosha gati
• Nava/Jeerna roga (Roga avastha)
• Upadrava

20. Components of Rogi bala pareeksha from
Sadhyasadhyatva
• Aushadha kshama dehatva
• Yuvajatva
• Pumjatvam
• Vishayanasakta indriyajatva
• Padasampad bhavatvam
• Anukoola grahatva
सर्वौषधक्षमे देहे यूनः पुंसो जितात्मनः |
अमर्मगोऽल्पहेत्वग्ररूपरूपोऽनुपद्रवः ||
अतुल्यदूष्यदेशर्तुप्रकृतिः पादसम्पदि |
ग्रहेष्वनुगुणेऽष्वेकदोषमार्गो नवः सुखः ||

21. VYADHI BALA PAREEKSHA

22. DASHA VIDHA PAREEKSHA
•तस्मादातुरं परीक्षेत प्रकृतितश्च, विकृतितश्च,
सारतश्च, संहननतश्च, प्रमाणतश्च, सात्म्यतश्च,
सत्त्वतश्च, आहारशक्तितश्च, व्यायामशक्तितश्च,
वयस्तश्चेति, बलप्रमाणविशेषग्रहणहेतोः ||
(Ch.Vi. 8/94)

23. 2) VIKRITHI
• Vikriti refers to the pathological condition or
the state of disequilibrium in a diseased body
• विकृतितश्चेति विकृतिरुच्यते विकारः |
•तत्र विकारं हेतु-दोष-दूष्य-प्रकृति-देश-काल-
बलविशेषैर्लिङ्गतश्च परीक्षेत, न ह्यन्तरेण
हेत्वादीनां बलविशेषं व्याधिबलविशेषोपलब्धिः|

24. • The Vikriti pareeksha according to Charaka is to be
done with reference to eight factors
• Hetu
• Dosha
• Dooshya
• Prakriti
• Desha
• Kala
• Bala
• Linga

25. • These eight factors should be essentially known
to get a clear picture of the intensity of a
disease
• Without determining the strength of the
causative factors it is not possible to obtain the
knowledge regarding the intensity of the
disease

26. GRADING
• यस्य हि व्याधेर्दोष-दूष्य-प्रकृति-देश-काल-बलसाम्यं
भवति, महच्च हेतुलिङ्गबलं, स व्याधिर्बलवान्
भवति; तद्विपर्ययाच्चाल्पबलः; मध्यबलस्तु
दोषदूष्यादीनामन्यतमसामान्या-
द्धेतुलिङ्गमध्यबलत्वाच्चोपलभ्यते ||

27. • Contributory factors of the disease like doshas, dushyas,
prakriti etc of the individual resemble that of the disease
in quality and the causative factors and symptoms are
too strong and numerous, leading to manifestation of
severe diseases and otherwise mild disease
• If the causative factors are similar to disease and if the
factors and symptoms are of moderate nature then it
leads to the manifestation of moderate diseases

28. SIGNIFICANCE
• Helps to trace the samprapti
• Prognosis of a disease
• The correct line of treatment can be adopted only with
the aid of vikriti pareeksha
• Eg: In alpa dosha - langhana, Madhya dosha -langhana
paachana, praboota dosha-shodhana
• The right time for treatment can be determined only if
the different stages of pathogenesis (shatkriya kala) are
known which is possible only after vikriti pareeksha
• It helps in differential diagnosis

29. Parameters to be assessed for Vyadhi bala
• Exposure to Nidana, Samprapti, Poorvaroopa, Roopa
• Upadrava
• Tulya dosha – dushyatvam
• Atulya ritu
• Number of dosha involved
• Number of Rogamarga involved
• Kala
• Desha
• Prakruti
• Involvement of Marma and other factors

30. A.H.Su.01/30-31
•सर्वौषधक्षमे देहे यूनः पुंसो जितात्मनः |
अमर्मगोऽल्पहेत्वग्ररूपरूपोऽनुपद्रवः ||
अतुल्यदूष्यदेशर्तुप्रकृतिः पादसम्पदि |
ग्रहेष्वनुगुणेऽष्वेकदोषमार्गो नवः सुखः ||
Sukha sadhya vyadhi Lakshana

31. Sukhasadhya Vyadhi Lakshana (Ch.Su.10/11)
हेतवः पूर्वरूपाणि रूपाण्यल्पानि यस्य च |
न च तुल्यगुणो दूष्यो न दोषः प्रकृतिर्भवेत् ||
न च कालगुणस्तुल्यो न देशो दुरुपक्रमः |
गतिरेका नवत्वं च रोगस्योपद्रवो न च ||
दोषश्चैकः समुत्पत्तौ देहः सर्वौषधक्षमः |
चतुष्पादोपपत्तिश्च सुखसाध्यस्य लक्षणम् ||

32. Course Learning Outcomes
• Syllabus Topic – Topic 21. Rogi bala Pareeksha
• Describe the parameters of Rogi bala Pareeksha - Prakruti, Sara,
Samhanana, Pramana, Satmya, Satwa, Aahara shakti, Vyayama
shakti, Vaya and other factors such as Aushadha kshama dehatva,
Yuvajatva, Pumjatvam, Vishayanasakta indriyajatva, Padasampad
bhavatvam and Anukoola grahatva, etc. – CO 1, CO 8
• CO 1 : Identify the morbidities in accordance with principles of
Ayurveda pathology (vikriti vigyan siddhanta)
• CO 8 : Demonstrate ethics (sadvritta), compassion (karuna) and
possess qualities of a clinician (vaidya guna)

33. Course Learning Outcomes
• Syllabus Topic – Topic 26. Vyadhi bala pareeksha
• Describe Vikrititaha Pareeksha with its importance – CO 1
• Describe the parameters to be assessed for Vyadhi bala - Exposure to
Nidana, Samprapti, Poorvaroopa, Roopa, Upadrava, Tulya dosha -
dushyatvam, Atulya ritu, Number of dosha involved, Number of
Rogamarga involved, Kala, Desha, Prakruti, Involvement of Marma
and other factors - CO 1
• CO 1 : Identify the morbidities in accordance with principles of
Ayurveda pathology (vikriti vigyan siddhanta)

34. Course Learning Outcomes
• Syllabus Topic – Topic 27. Sadhyasadhyatva – Prognosis
• Enumerate and describe the features of sadhyasadhyatva – CO 1
• Analyse the components of Vyadhi from Sadhyasadhyatva – CO 1
• CO 1 : Identify the morbidities in accordance with principles of
Ayurveda pathology (vikriti vigyan siddhanta)

35. Dwadasha vidha pareeksha
• Ayu – Deerghayu/Madhyamayu/Alpayu
• Vyadhi
• Rtu
• Agni
• Vaya – Baalya; Kheerapa/Ksheerannada/Annada
Madhya; Vrddhi/Youvana/Sampurnata/Parihani
Vrddha
• Deha – Sthoola/Krsha/Madhya
• Bala
• Satwa
• Satmya
• Prakrti
• Bheshaja
• Desha