APA Webinar Review: How to develop effective Ayurvedic treatment protocols with the use of Samprapti Ghataka
Introducing the subject, Dr Aakash explained that if we spend enough time during the consultation process to form a correct understanding of the disease process and how it has manifested, 70% of our work as an Ayurvedic practitioner is complete. All the clues that we need are in the case history and clinical examination of the patient.The Samprapti Ghataka's is a record taking of the different factors involved in the origin, progression and manifestation of a disease, which allows the practitioner to treat it effectively. In the Charaka Samhita Vi. 8/132, it is stated that proper examination of the patient ensures ‘Pratipatti Jnana’ (a disciplined analysis and understanding of the disease), which is essential before starting and prescribing any treatment. For each client we should thus be able to write down all the components of the Samprapti Ghataka, because within it lies the clue of how to treat the disease.
Understanding the movement of the Doshas through the body is important: where it originated, where it moved to and where it lodged. Samprapti is the journey of the vitiated Dosha. To understand this journey, two words have been used: Gati (the journey of the Dosha) and Jata (manifested disease). In order to understand a disease, we need to recognise whether the Dosha is still travelling or if it has arrived at its site of manifestation. If the Dosha is still travelling, the question is how to halt or reverse it. If the Dosha has already lodged, we need to think about how to conquer it and ensure that further vitiation is arrested.Where the Dosha lodges is determined by the individual’s Khavaigunya (inherent predisposition). In addition, looking for the presence of Ama symptoms is essential, as it is the root cause of all disease. Unless you treat Ama, no other treatment should be initiated. If you are able to successfully treat Ama, most of the other symptoms of the disease disappear.The vitiated Doshas that move through the channels move along with Ama, thus we need to understand if the Doshas are in a normal or abnormal state.