Six Upakrama
Six Upakrama
Six Upakrama
Review Article
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DOI: 10.7897/2277-4343.04507
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ABSTRACT
The eternal science of life Ayurveda has indicated various types of Chikitsa for the management of diseases. Amongst the Chikitsa mentioned,
Shadvidopakrama bears lot of significance. In this context the knowledge of upakrama becomes very essential. The Sadvidhaupakrama, the
combination of six prime upakramas of Ayurveda can be considered a part of Yuktivipashraya chikitsa. Sadvidha upakrama plans to act by balancing
the proportion of the Panchamahabhutas in the body. In other words those substances or process which increases the agni, vayu and aakasha
mahabhuta in the body can be termed as langhana. Result of any Upakrama is Dosha Saamyata. It is attained through balancing the Gunas, ultimately
by achieving the Panchabhouthika stability. Whatever may be the treatment modalities it will come under the peer view of Shadvidhopkrama. That is
the reason these principles of shadvidhopkrama are implemented in the day to day clinical practice.
Keywords: Chikitsa, Dosha Saamyta, Upkrama, Shadvidhopkrama
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Table 1
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stool after Snehapana. Shodhananga Snehapana with means, in vatapradhana kustha like kitibha kustha it can
Mahatikthakam Ghritam decrease features of psoriasis up nullifies the vitiated vata dosha by Snighda guna of sarpi
to some extent. More in depth studies are required to interim the usage of the snehana upkrama does the
evaluate their importance and for their application in samprapti vightana by acting on the guntha vriddhi of the
modern medical practice.52 Dilbag Singh Jindal et al dosha in vata kustha.
studied role of Parisheka Svedana in the management of
Katigraha. This study was carried out to evaluate the Action over the Tridoshas
effects of Ksheerbala Taila in the management of Sadvidha upakrama helps to mitigate the tridoshas in the
Katigraha. As the base of Ksheerbala Taila is Tila Taila, body as Langhana mitgates Kapha, Pitta, Brumhana is
which is also has Vata relieving effect, therefore in this Vata, Pittahara, Rukshana decrease the Kapha, Pitta,
study Tila Taila was kept as a control drug to evaluate Snehana is Vata Pittahara, Swedana is Vata Kaphara and
whether the effect is of Ksheerbala Taila or only of oil Stambhana eliminates the Pitta and Vata dosha for
and heat used in the process. The results of this study example in the management of the Dhatukshaja
clearly showed that Ksheerbala Taila provided far better Pakshvada Brhumana, is the line of the management
relief to the patients of Katigraha in comparison to Tila which acts on the both vitiated vata and pitta dosha.
Taila. Hence it can be said that Ksheerbala Taila has its
own effect also in relieving Katigraha which is one of the CONCLUSION
Vata Vyadhi.53 Patel MV et al. conducted study on effects The result of any Upakrama is Dosha Saamyata. It is
of Ayurvedic treatment on forty-three patients of attained through balancing the Gunas, ultimately by
ulcerative colitis. A clinical study of 43 patients of achieving the Panchabhouthika stability.
ulcerative colitis has been conducted. They were given Shadvidopakrama works on the principle of Saamanya
Udumbara kvatha basti with oral Ayurveda medicaments Vishesha Siddhanta. All the Upakramas come under the
including Kutaj ghan vati, Udumbara kvatha, and domain of the Sadvidhaupakrama. Roga and Rogi must be
combination of Musta, Nagakesara, Lodhra, Mukta carefully assessed and only then Upakrama should be
panchamrut rasa for a one-month period. Results were planned. That is why it is called Yuktivypashraya
analyzed statistically by using the 't' test. In this study, it Chikitsa. Thus, Shadvidopakrama is used both for
was observed that the symptoms and signs, daily dose of prevention and cure of disease. Charaka has clearly
steroids and other anti-inflammatory drugs were reduced concluded this concept by saying that although various
by more than 75 % with a highly significant result. The combination of doshas are possible as per various
hemoglobin level was also increased.54 condition still the number of the doshas remains three
similarly whatever may be the treatment modalities it will
Action of Shadvidhopkrama come under the peer view of Shadvidhopkrama. Thus it
Sadvidha upakrama plans to act by balancing the can be concluded that principles of shadvidhopkrama are
proportion of the Panchamahabhutas in the body. In other implemented in the day to day clinical practice.
words those substances or process which increases the
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