1. Why to study
?

2. phenomenon DISEASE IS A PHENOMENON
To deal with it efficiently TO TREAT
TO CURE
TO PREVENT
Need to
study
various factors WHAT R
responsible for the occurrence
THEY ????
i.e. GENESIS OF THE ILLNESS

3. Invariable antecedents
Without which the disease can't
occur
Known as
cause

4. The concept
is changing and evolving
time to time
from ancient to modern…

5. supernatural Koch
His postulate
Hippocratic
Within Constitutional approach of
ayurveda
Syndeham
Something comes from out
Morgan
Due to pathological changes
Virchow
Cellular pathology Modern concepts…

6. Disea
se
agent
DISEASE
man

7.  One to one concept
So failed…
Give rise to evolution of…

8. ENVIR
ONMEN
T
AGENT HOST

9. MULTIFACTORIAL CAUSATION :
• BIOLOGICAL
• NURITIONAL
• PHYSICAL
• CHEMICAL
• MECHANICAL

10. WEB OF CAUSATION
CHANGE IN LIFE STRESS
WORK STRESS
IMPROPER DIET
LACK OF PHYSICAL EMOTIONAL
EXERCISE DISTURBING
SIGN & SYMPTOMS
DISEASE

11. In short…
The cause
Is
Not a unitary factor
But
A multifactorial phenomenon

12. health
Exciting & maintaining ~ 7
Partly psychical & partly physical
Fundamental causes ~ 7 Morbific noxious agents ~ 31
disease
Susceptibility and Disposition ~ 31

13. • CUR
• Two
• Internal and external
Internal is also proximate cause which respects the
individuality of pt

14.  Illnessfrom will  intellect  memory
body
 Only susceptible individual have been
affected with example of tuberculosis
 Bacteria not the cause but the outcome
 We can correlate it better with
epidemiological triad.

15.  Multifactorial-ness of cause
 In case of tuberculosis,
 Constitution, heredity, predisposition, envir
onment including social, economic position
and condition of living –
subsistence, food, clothing, light, air
housing, neighbors, occupation, mental
and physical conditions and habits of life
and thought.

16. classified all the categories in these form…

17. primary fundamental
essential
efficient
substantial
Secondary Exciting
Precipitating,
Immediate,
physical, psycho-spiritual, socio-
cultural, economico-political,
Maintaining Modifying

18. In the conceptual image

19. 1. Diathesis
2. Temperament
3. Hereditary influences
4. Miasms
5. Suppressions
6. Vaccination

20. The exciting and precipitating factors

21. Sustained via maintaining cause.

22. PREDISPOSITING CAUSE:
DISPOSITION OF PATIENT
PRECIPITATING CAUSE:
ABORTION (physical)
RELIGIOUS GUILT
(psychological)
MAINTAINING CAUSE:
VEXATION & BROODING
STRAINED IPR WITH HUSBAND

23.  Final cause  good efficient homeopath
 Formal cause  idea to learn more
 Efficient cause  action learning
 Material cause  Palghar hospital & pts
ARISTOTAL