Ayurvedic view of pain

1. Ayurvedic Aspect of Pain
VD. MANOJ JAGTAP
ASSO. PROFESSOR
SHARIR RACHANA VIBHAG
YMT ATYRVEDIC COLLEGE, KHARGHAR

5. • Life is a journey from a pain ( birth) to a pain
(death)…… Pain is a dear friend who walks along
and tells when something is wrong.
• Pain motivates the individual to withdraw from
damaging situations, to protect a damaged body
part while it heals, and to avoid similar
experiences in the future.
-The neurobiology of pain

6. • वेदना - दु:खम्
– रोग ्
– शूल
– रुजा
– व्यथा

7. • वेदना प्राकृ त - प्रसववेदना
ववकृ त - उदरशूल

8. • वेदना शारीर
मानस
• वेदना ननज
आगन्तु

9. • वेदना आशुकारी
चिर

10. • शूल – शंक
ु स्फोटनवत् अस्मात् शूलासक्तस्य
तीव्रा वेदना भवनत तस्मात् शूलममहोच्यते ।
(सु.उ.४२/८१)
• शुलोत्पत्ती कथा

11. Definition of Pain
• An unpleasant sensory and
emotional experience associated
with actual or potential tissue
damage
-International Association for Study of Pain (IASP)

12. Classification of Pain
• Nociceptive – Due to Injury
• Neuropathic – due to lesion or disease in
somatosensory nervous system
Eg- Diabetic neuropathy, Neuralgia,
• Inflammatory – due to inflammation
Eg- RA, Appendicitis, Herpes Zoster
• Psychogenic – pain caused, increased, prolonged
by mental,emotional,behavioral factors.
Eg. Sometimes Headache, Back Pain, Stomach Pain

13. Nature of Pain
Vague aching pain
Burning Pain
Throbbing Pain
Scalding Pain
Pins & Needles
Stabbing Pain
Constricting Pain
Colic Pain

14. • Radiating Pain - Radiating pain is a sign that a
nerve or nerve roots along the spinal column are
under pressure from injury or inflammation. A
common symptom of many spinal conditions, this
pain travels the length of a nerve including, down
an entire arm or leg.
• Referred Pain - Referred pain, also
called reflective pain, is pain perceived at a
location other than the site of the painful
stimulus
• Shifting Pain - Pain that shifts is pain that started
in one place but 'moved' to include a new area.

15. वेदना – त्रिदोष वविार
• वात दोष – रुक्ष, शीत, खर, िल
• वपत्त दोष – तीक्ष्ण, उष्ण,
• सवव शूल लक्षणेषु वायुरेव प्रधानं कारणम ् ।
-मा.नन

16. • व्यध - ताडनममव मुद्गराददना(अ.दत्त)
सूिीववद्धेस्येव व्यथा (हेमादि)
• रुक् – शूलम ् (अ.दत्त) (हेमादि)
• तोद - ववनिन्न्ं शूलम ् (अ.दत्त)
तोिेनेव व्यथा (हेमादि)
• भेदन - भेदो ववदारणम् (अ.दत्त)
• अंगभंग - िुणवनममव भड्ग: (अ.दत्त)
• दाह् – सन्ताप (हेमादि)
• उष्मा - औष््यम (अ.दत्त)

17. • पुरीष वृद्धी - क
ु क्षौ ---------- वेदना शकृ त ।
• मुि वृद्धी - मूिं तु बस्स्तननस्तोदं------- ।
• मांसक्षय -मांसे ---------- सस्न्धवेदना ।
• अस्स्थक्षय -अस््यन्यस्स्थतोद: ------ ।
• शुक्रक्षय - ------- तोदो अत्यथं वृषणयोमेढ्रं ।
• पुरीषक्षय - ------ हृत्पार्श्वे पीडयन ।
• मूिक्षय - ----- मूियेत्कृ च्रात् वववणवम ् ।

18. • Marmas are the vital points or delicate areas of
the body. They cause death or damage or
deformity when they get injured. Based on the
level of damage caused by injury, Marmas are
classified into five types.
1. Sadyo Pranahara Marma – injury leading to
immediate death.
2. Kalantara Pranahara Marma – injury leading
to gradual death
3. Vaikalyakara Marma – injury leading to
deformity
4. Rujakara Marma – injury leading to pain
5. Vishalyaghna Marma – Removal of pierced
foreign material from the site leads to injury.

19. • Rujakar Marma:
Injury leads to pain. Predominantly composed
of Agni and Vayu Guna are 8 in number.
• Gulpha – 2 in number – Ankle Joint
Manibandha – 2 in number – wrist joint
Kurchashira – 4 in number – distal to wrist
joint, distal to ankle joint.

20. • गुल्फौ द्वौ मणणबन्धौ द्वौ द्वे द्वे क
ू िवमशरां
मस ि |
रुजाकराणण जानीयादष्टावेतानन बुद्चधमान् |
• ति सद्यःप्राणहरमन्ते ववद्धं कालान्तरेण मार
यनत, कालान्तरप्राणहरमन्ते ववद्धं वैकल्यमापा
दयनत, ववशल्यघ्नं वैकल्यकरं िभवनत, वैकल्य
करं कालान्तरेण क्लेशयनत रुजां ि करोनत, रु
जाकरमतीव्रवेदनं भवनत ||२२||

21. • िेदभेदामभघातेभ्यो दहनाद्दारणादवप |
उपघातं ववजानीयान्ममवणां तुल्यलक्षणम ् ||४१||
-
इदानीं ममवघाततुल्यं ममवसमीपस्यावप देशस्य घातं महा
नथवकरं दशवयन्नाह-
िेदेत्यादद| उपघातं समीपघातम्||४१||

22. • ममावमभघातस्तु न कस्र्श्िदस्स्त योऽल्पात्ययो वाऽ
वप ननरत्ययो वा |
प्रायेण ममवस्वमभताडडतास्तु वैकल्यमृच्िन्त्यथवा
मियन्ते ||४२||
ममावमभघाते वैद्यस्य यत्नपरतां दशवयन्नाह-
ममावमभघात इत्यादद| अल्पात्यय इनत अल्पव्यापत ्|
ननरत्यय इनत ननगवतव्यापत ्|

23. • तत् त्रिववधं बलभेदेन-
प्रवरं, मध्यम ्, अवरं िेनत; अतर्श्ि प्रवरमध्यावरस
त्तवाः पुरुषा भवस्न्त|
• ति प्रवरसत्तवाः सत्तवसारास्ते सारेषूपददष्टाः, स्वल्प
शरीरा ह्यवप ते ननजागन्तुननममत्तासु महतीष्ववप
पीडास्वव्यथा दृर्श्यन्ते सत्तवगुणवैशेष्यात्;
• मध्यसत्तवास्त्वपरानात्मन्युपननधाय संस्तम्भय
न्त्यात्मनाऽऽत्मानं परैवावऽवप संस्तभ्यन्ते;
• हीनसत्तवास्तु नात्मना नावप परैः सत्तवबलं प्रनत श
क्यन्ते उपस्तम्भनयतुं, महाशरीरा ह्यवप ते स्वल्पा
नामवप वेदनानामसहादृर्श्यन्ते