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The chapter Dwivraniya Chikitsa pertains to wound management and briefs about surgical procedures ( shalya). Other aspects of therapeutics like preservation and promotion of physical, mental, spiritual and sexual health is dealt in the first two chapters of Rasayana Chikitsa and Vajikarana Chikitsa. Being primarily a treatise of kayachikitsa (medicine), twenty three chapters in the Chikitsa Sthana deal with medical therapeutics. Each chapter in this section deals with a separate specialty. The medical therapeutics today has been classified into many branches focused on a defined group of patients, diseases, skills, or philosophy. The drugs are mentioned in the form of fresh juice and paste, powder, tablet, decoctions, avaleha (jam), asava (fermented preparations mainly from juices), arishta (fermented preparations mainly from decoctions), medicated ghee and oil etc. It is followed by description of single or compound preparations along with their constituents, method of preparation and indications. In therapeutic section of chapters, a general pattern is adopted to describe the management: The first principle of treatment ( chikitsa sutra) of that particular disease is given in terms of langhana or brimhana, snehana or rukshana, swedana or stambhana and related measures of shodhana followed by their judicious use in particular state and stage of the disease. However each chapter in this section starts with comprehensive information about etio-pathogenesis along with symptomatology, prognosis and classification of diseases before delving into detailed treatment. This section relates mainly to therapeutics. Chikitsa Sthana is the most important section focusing on objectives of Ayurveda for preservation of health and treatment of diseased The medical practice of Kayachikitsa is based upon an intimate understanding of nutrition and the factors responsible for digestion, absorption and metabolism. Therefore, the word “Kaya-chikitsa” indicates medical management of diseases caused by impaired “Agni”. Literally, the term Kaya comprehends entire process of metabolism, rather than either anabolism as denoted by Deha or catabolism denoted by Sharira. Therefore, the treatment is based upon correcting the digestion and metabolism. It is important to note that the status of health and etio-pathogenesis of disease depends upon status of Agni (digestion and metabolism). The term Chikitsa means treatment or therapy. Yonivyapat ChikitsaĬhikitsa Sthana deals with the study of preservation of health, prevention and management of various diseases. Sutra Sthana, Nidana Sthana, Vimana Sthana, Sharira Sthana, Siddhi Sthanaġ. Charak Samhita Chikitsa Sthana-Preamble Section/Chapter
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