trividhaṁ karma- pūrvakarma, pradhānakarma, paścātkarmēti; tadvyādhiṁ pratyupadēkṣyāmaḥ ||3||
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त्रिविधं कर्म- पूर्वकर्म, प्रधानकर्म, पश्चात्कर्मेति; तद्व्याधिं प्रत्युपदेक्ष्यामः ||३||
Meaning of the śloka
Treatment has three stages: purvakarma, the preparatory measures; pradhanakarma, the principal procedure; and pashchatkarma, the subsequent care. These will be explained in relation to each disorder.
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pūrvakarmētyādi tatraikē- “laṅghanādi virēkāntaṁ pūrvakarma vraṇasya ca| pāṭanaṁ rōpaṇaṁ yacca pradhānaṁ karma tat smr̥tam| balavarṇāgnikāryaṁ tu paścātkarma samādiśēt’’- iti; anyē tu saṁśōdhyasya pācanasnēhanasvēdanāni pūrvakarma, vamanavirēcanabastinasyasirāmōkṣaṇāni pradhānaṁ karma, pēyādyannasaṁsarjanaṁ paścātkarma; aparē tu cayādīnāṁ pūrvarūpāntānāmātaṅkōtpattēḥ prāgyat kriyatē tat pūrvakarma, ātaṅkōtpattau yat tat pradhānaṁ karma, nivr̥ttātaṅkasyānubandhōpacaraṇāya yat tat paścātkarma| idaṁ tat pūrvakarmētyādi iha kathaṁ nōdāhriyata iti praṣṭuruttaramāha- tadvyādhimityādi|- taditi trividhaṁ karma vyādhiṁ vyādhiṁ pratyupadēkṣyāmaḥ; na iha, granthagauravabhayāt||3||
Meaning of the commentary
Several interpretations of the three stages are preserved. One describes measures from langhana through purgation as preliminary care for a wound, opening and healing the wound as the principal treatment, and measures concerning strength, complexion and agni as subsequent care. Another applies the division to a person undergoing shodhana: pachana, oleation and sweating are preliminary; emesis, purgation, basti, nasya and venesection are principal procedures; and a gradual dietary sequence beginning with peya is subsequent care. A third makes the division according to the course of illness: measures before its manifestation, from accumulation through premonitory signs, are preliminary; those during manifest illness are principal; and care for what persists after the illness subsides is subsequent. These measures are not all detailed here because that would make the text unnecessarily lengthy; they will be explained under individual disorders.
Key terms
- pUrvakarma (pūrvakarma)
- Preparatory measures, defined differently in the commentary's three interpretations.
- pradhAnakarma (pradhānakarma)
- The principal treatment or procedure.
- pashcAtkarma (paścātkarma)
- Care following the principal procedure or the subsiding of illness.
- peyA (peyā)
- A thin gruel placed first in the gradual dietary sequence mentioned here.