Charaka Samhita {kalpa and Siddhi Sthana} notes
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A healthy individual is an asset to any society, while a sick individual will be a liability to his family in particular and the society at large. To keep oneself healthy, Ayurveda lays down the principles of various lifestyles in terms of daily regimen (dinacharya), seasonal regimen (ritucharya) and modified lifestyles to cure the diseases. Physical exercise for the preservation of health begins with adapting techniques for purification of the body and the mind along with an intake of rasayana drugs (rejuvenatives). Accumulated mala (metabolic waste) at the level of cell, tissue or organ should be expunged out to facilitate the restoration of normal functioning of the body by five purification procedures (shodhana karma) often referred as Panchakarma, namely vamana (emesis), virechana (purgation), asthapana basti (evacuative enema), anuvasana basti (restorative enema), and shirovirechana (errhines) are indicated for healthy as well as diseased persons. If malas are not taken out of the body, they cause diseases and decay (ageing) of the body. After purification procedures, jatharagni (gastro-intestinal digestive juices) becomes weak and may not digest the food normally. For restoration of this function, the food that is easily digestible is introduced and increased gradually over a period of time and this procedure is called samsarjana karma. Details of pharmaceutical process of drugs employed in vamana and virechana procedures are given in this section and detailed therapeutic implications of all the shodhana karma in Siddhi Sthana. Vamana and virechana therapies should be administered before administering basti (medicated enema therapy). Therefore, vamana and virechana drugs are first described in Kalpa Sthana before the description of basti therapy, which is described in detail under Siddhi Sthana. Generally, purgation therapy is administered only after the administration of emetic therapy and keeping this view the first six chapters are allocated for description of emetic drugs.
Six drugs have been described for emesis and nine others are described for purgation. Six hundred recipes prepared from these drugs (Total 15 drugs) are for the use of physician of low caliber and intelligent physician can formulate many other recipes to suit the exact requirement of his patient. The formulations are prescribed according to disease in different dosage forms like kashaya (decoction), svarasa (juice), kalka (paste), churna (powder), peya (drinks), lehya (lickable), and bhojya (foods)."
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