ਤ੍ਰਿਵਿਧਂ ਕਰ੍ਮ- ਪੂਰ੍ਵਕਰ੍ਮ, ਪ੍ਰਧਾਨਕਰ੍ਮ, ਪਸ਼੍ਚਾਤ੍ਕਰ੍ਮੇਤਿ; ਤਦ੍ਵ੍ਯਾਧਿਂ ਪ੍ਰਤ੍ਯੁਪਦੇਕ੍ਸ੍ਯਾਮਃ ||੩||
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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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ਪੂਰ੍ਵਕਰ੍ਮੇਤ੍ਯਾਦਿ ਤਤ੍ਰੈਕੇ- “ਲਙ੍ਘਨਾਦਿ ਵਿਰੇਕਾਨ੍ਤਂ ਪੂਰ੍ਵਕਰ੍ਮ ਵ੍ਰਣਸ੍ਯ ਚ| ਪਾਟਨਂ ਰੋਪਣਂ ਯਚ੍ਚ ਪ੍ਰਧਾਨਂ ਕਰ੍ਮ ਤਤ੍ ਸ੍ਮਤਮ੍| ਬਲਵਰ੍ਣਾਗ੍ਨਿਕਾਰ੍ਯਂ ਤੁ ਪਸ਼੍ਚਾਤ੍ਕਰ੍ਮ ਸਮਾਦਿਸ਼ੇਤ੍’’- ਇਤਿ; ਅਨ੍ਯੇ ਤੁ ਸਂਸ਼ੋਧ੍ਯਸ੍ਯ ਪਾਚਨਸ੍ਨੇਹਨਸ੍ਵੇਦਨਾਨਿ ਪੂਰ੍ਵਕਰ੍ਮ, ਵਮਨਵਿਰੇਚਨਬਸ੍ਤਿਨਸ੍ਯਸਿਰਾਮੋਕ੍ਸਣਾਨਿ ਪ੍ਰਧਾਨਂ ਕਰ੍ਮ, ਪੇਯਾਦ੍ਯਨ੍ਨਸਂਸਰ੍ਜਨਂ ਪਸ਼੍ਚਾਤ੍ਕਰ੍ਮ; ਅਪਰੇ ਤੁ ਚਯਾਦੀਨਾਂ ਪੂਰ੍ਵਰੂਪਾਨ੍ਤਾਨਾਮਾਤਙ੍ਕੋਤ੍ਪਤ੍ਤੇਃ ਪ੍ਰਾਗ੍ਯਤ੍ ਕ੍ਰਿਯਤੇ ਤਤ੍ ਪੂਰ੍ਵਕਰ੍ਮ, ਆਤਙ੍ਕੋਤ੍ਪਤ੍ਤੌ ਯਤ੍ ਤਤ੍ ਪ੍ਰਧਾਨਂ ਕਰ੍ਮ, ਨਿਵਤ੍ਤਾਤਙ੍ਕਸ੍ਯਾਨੁਬਨ੍ਧੋਪਚਰਣਾਯ ਯਤ੍ ਤਤ੍ ਪਸ਼੍ਚਾਤ੍ਕਰ੍ਮ| ਇਦਂ ਤਤ੍ ਪੂਰ੍ਵਕਰ੍ਮੇਤ੍ਯਾਦਿ ਇਹ ਕਥਂ ਨੋਦਾਹ੍ਰਿਯਤ ਇਤਿ ਪ੍ਰਸ੍ਟੁਰੁਤ੍ਤਰਮਾਹ- ਤਦ੍ਵ੍ਯਾਧਿਮਿਤ੍ਯਾਦਿ|- ਤਦਿਤਿ ਤ੍ਰਿਵਿਧਂ ਕਰ੍ਮ ਵ੍ਯਾਧਿਂ ਵ੍ਯਾਧਿਂ ਪ੍ਰਤ੍ਯੁਪਦੇਕ੍ਸ੍ਯਾਮਃ; ਨ ਇਹ, ਗ੍ਰਨ੍ਥਗੌਰਵਭਯਾਤ੍||੩||
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.