1. The document discusses Ayurvedic treatment methods, specifically focusing on Samshamana Chikitsa (alleviative treatment). 2. Samshamana Chikitsa aims to alleviate vitiated doshas without eliminating or exciting normal doshas. It improves digestion and metabolism and the quality and strength of tissues. 3. Samshamana treatment is useful for mild to moderate imbalances and brings the body back to a normal physiological state without causing hypo- or hyper- states like those seen from modern medicine's use of single drugs.

1. Dr. Santoshkumar Bhatted MD Panchakarma(Jamnagar) Lecturer in the Dept. of Panchakarma N.K.J. Ayurvedic Medical College & PG Centre, BIDAR – Karnataka.

2. TRISUTRA AYURVED Aushadham Hetu Linga AYURVED Hetu linga ausadha jnanam swastha atura parayanam (Ca. Su. 1)

3. OBJECTIVE OF AYURVED & DEFINITION OF CHIKITSA Physician Medicament Attendent Patient Dhatusamya (Homeostasis) Dhatu samyam kriya cha ukta tantrasya asya prayojanam. (Ca. Su. 1)

4. SHUDDHA/ASHUDDHA CHIKITSA (PROPER/IMPROPER TREATMENT) Prayogaha shamayed vyadhim yo anyam anyam udirayet, Na asau vishuddha suddhastu shamayet yo na kopayet. (Ca. Vi. 8/23) SHUDDHA CHIKITSA ASHUDDHA CHIKITSA Cures one disease Doesnot Produce another disease Cures one disease Produce another disease

5. DEFINITION OF SAMSHAMAN CHIKITSA Does not eliminate the Vitiated Dosha Does not Excite Normal Dosha Only Alleviates(Mitigates) Vitiated Dosha na shodhayati yad doshan samana na udirayati api, Samikaroti vishaman shamanam tat cha saptadha (As. Sam. Su. 24)

6. AYURVED CHIKITSA VIS-À-VIS MODERN MEDICINE Multidrug Singledrug Homeostasis Singledrug Active Principle Hypo / Hyper states (Side Effects) Purusham - Purusham Rogipariksha Roga pariksha Roga pariksha Chikista MODERN MEDICINE Modern Medicine AYURVED AYURVED

7. CLASSIFICATION OF CHIKITSA YUKTIVYAPASHRAYA Satvavajaya Daivavyapashraya Ayurved Yuktivyapashraya Santarpana Brumhana Langhana Apatarpana

8. SAMSHAMANA AS BOTH LANGHANA & BRUMHANA Langhana Brumhana Samshodhana Samshamana Vata-shamana Pitta-shamana shodhanam shamanam cheti dwidha tatrapi langhanam bumhanam shamanam tu eva prayo pittanilasya cha.(As. Sam. Su. 24)

9. CLASSIFICATION OF LANGHANA-SAMSHAMANA Langhana-Samshamana Pachana Deepana Kshudha-Dharana Trushna-Dharana Vyayaam Atapasevana Vayusevana

10. UTILITY OF DIFFERENT TYPES OF SAMSHAMANA Pachana & Deepan :- Improves agni, digest ama, useful to treat in the beginning diseases like, vomitting, diarrhoea, heart diseases, cholera, intestinal torpor, fever, constipation, heavyness of the body, erection, nausea, anorexia etc.,, which are caused by the vitiation of Kapha & Pitta and of moderate nature. Kshudha/Trushna dharana :- Causes Dosha Pachan & usesful to treat the above said conditions when they are mild in nature. Vyayaam, Atapa & Marut Sevana :- causes Doshakshaya and useful to treat the strong individuals suffering from diseases of moderate nature. Brumhana Samshamana :- Improves the quality & strength of Dhatu & useful to alleviate Vata & Pitta diseases

11. MODE OF ACTION OF SAMSHAMANA Agnimandhya Ama Doshashamana Amapachana Agnidipti Dhatuposhan Doshaprakopa Dhatudaurbalya Langhanene ksayam nite doshe sandhukshite anale (Ca. Ci. 3) Aharam pachati shikhi doshan ahara varjita sham prakopo doshanam sarvesham agni sansrito (Ca. Ci.5)

12. CONCLUSION Ayurveda Chikitsa is much superior to Modern medicine as it Emphasizes on Shuddha Chikitsa. Ayurveda Chikitsa always brings the normal condition (physiological state) and never results into HYPO or HYPER state. Samshamana Chikitsa neither excites the normal Dosha, nor it eliminates the vitiated Dosha but only alleviates the vitiated Dosha, improves the power of digestion and metabolism, quality and strength of Dhatus, thereby overcoming the pathological changes. Samshamana Chikitsa is mainly useful in Alpa Bala (mild) and Madhyama Bala Dosha (moderate) condition.

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