Nidaan Notes (Charak Samhita)

Nidaan ::: General Outline
1. Diagnosis
2.  Cause of disease

3 Main Causes --

•      Asatmya-indriyartha-samyog

•      Pradnya –aparadh

•      Time factor

  Each one is important.

Time factor : unavoidable

Types of Vyaadhi--

Physical:

•      Aagneya

•      Saumya

•      Vaayaveeya

Psychological:

•      Raajas

•      Taamas

Synonyms of Vyaadhi --

•      Vyadhi : giving so many pains/discomforts

•      Aamay: developing from Aam

•      Aatank: leading to miserable life

•      Yakshma: corresponding to ‘Syndrome’

•      Jwara: involving both – mind & body

•      Roga: painful

•      Vikaar: indicating changes in normalcy 

Nidana-Panchaka --

•      Nidan == causes of disease

•      Purvaroop == pre-symptoms

•      Roop == signs & symptoms

•      Upashaya == treatment applied for confirmation of diagnosis

•      Samprapti == process of disease development

3 Main Steps of Sampraapti --

1.Dosha – dushti ----

                abnormality of Dosha due to specific Hetu:

   e g – Shimbi-dhanya (cereals)== increase in Ruksha-guna of Vaata

2. Dosha- visrpana ----

                      Circulation of abnormal Dosha

3. Vyadhi-vyakti -----

                expression of disease with signs & symptoms

Types of Sampraapti--

•      Vikalpa Samprapti: Judgment of Dosha-gunas responsible for disease.

•      Samkhya : counting of types of a disease

•      Praadhanya :    dominant Dosha

•      Bal-kaal:  time of aggravation of disease (eg- kapahja ---in Vasant ritu/ morning )

                                                                                                          (part one)