While describing the Sara in context to
Atura Pariksha,
the terminologies like Sarvasara, Madhyamsara & Avara sara are found. These
are only stated by Acharyas Caraka. Here Sarvasara is not a separate type, but
it is just a stage which is found in a person in the form of qualitative &
quantitative presence of all the types of Sara & gives the information about
Dehabala.
Dhatu sarata is the special feature of
Ayurvedic concept. For any physician to diagnose any disease there should be
acquaintance of Tridhoshas, Sapta Dhatu s and Malas etc. Like that knowledge of
Sarata is equally important. It is included in Dasavidha pariksha. In subject of Pariksha, Acharyas Sushruta opines that
physician can achieve success in treatment when he is properly known about
Pramanaa of Amga-
pratyamga & Sarata of Dhatu.
विशेषतोऽड्गप्रत्यड्गप्रमाणादथसारत:।
परीष्यायु:सुनिपुणो भिषक सिध्यति कर्मसु।(सु.सू३५/१७)
Sara is Visudhatara svarupa of that
particular Dhatu . So that it will able to perform its normal functions having
good strength. If Dhatu will not in its proper state it will definitely hamper
the strength. This strength is nothing but Dhatu bala. If Dhatu bala is good
then it will provide the shield against the lodging of Dosa as Dhatu are Dushya and protect the body against
diseases. To assess this DhAtu bala, Acaryass have given a tool i.e. to examine
Dhatu sarata.
In other term, Acharyas Caraka has said there
is interrelation between Sara of Dhatu & Vyadhikshamtva as-
शरीराणिचातिस्थुलान्यतिकॄशान्यनिविष्टमांसशोणितास्थिनिदुर्बलानिसात्म्याहारोपचितान
अल्पाहाराण्यल्पसत्वानि च भवन्त्त्यव्याधिसहानि
,विपरितानि पुनर्व्याधिसहानि।च.सू२८/७
The persons who are very fatty, very
thin, whose Mansa-Shoniita-Asthi Dhatu
are not properly formed or not properly distributed in body, weak
person, malnourished, taking less quantity of food can not fight against the disease
power and are considered as Vyadhi-asahani-having low immune power. Means if
the described signs are not possessing in which person has best immune power.
Here it is cleared that when there is proper and formation and distribution of
Mamsa, Sonita & Asthi Dhatu then immune power
will be excellent then & then only oppose the Vyadhi-utpatti. This proper
formation is nothing but excellent quality and quantity of Dhatu. This
interdependence can be understood as-
Utility
of Sara Pariksha:
Acharyas Caraka has described Pariksha as-
परीक्षायास्तु खलु प्रयोजनं प्रतिपत्तिज्ञानम।च.वि.८/१३२
The word pratipatti stands for these
three meanings stated as below-
1.
Real
or true knowledge
2.
Perfect
judgement
3.
Timely
action
Sara Pariksha is mainly described for Bala Pariksha-
सारतश्चैति साराण्यष्टौ पुरुषाणां बलमानविशेषज्ञानार्थमुपदिश्यन्ते।च.वि८/१०२
In Ashatang Hridaya, Achryas Vagbhaṭa
mentioned the same-
बलप्रमाणज्ञानार्थ साराण्युक्तानि देहिनाम।अ.ह.शा३/११७
Thus Acryass state utility of Sarapariksha for Bala pramanadnyanartham.
As Sara means Bala, it means that
Sarata is an important factor by which the strength of a person can be easily
known. Though other factors also have their importance in assessing the
Dehabala of the patient but Sāra Pariksha
may be taken as lonely a capable for Bala assessment method which gives complete
assessment of Dehabala. The body which possesses the Dhatu sarata Saravana
Dhatu always remains strong.
There are many examinations mentioned
for Atura Pariksha,
one of which is Dashavidha Pariksha
coated in Caraka Samhita
vimansthana 8th adhyaya as-
तस्मादातुरं
परिक्षेत प्रकॄतिश्च, विकॄतिश्च,सारतश्च,संहननश्च,प्रमाणतश्च,सात्म्यतश्च,सत्वतश्च
,आहारशक्तितश्च,व्यायामशक्तितश्च,वयस्तश्चेति ,बलप्रमाणविषेशग्रहणहेतो:।च.वि.८/९४
Sara pariksha
stated in Pariksha
of Atura-
आतुरस्तु
खलु कार्यदेश:।तस्य परिक्षा आयुष: प्रमाण अज्ञानहेतोर्वा स्याद, बलदोषप्रमाणज्ञानहेतोर्वा।तत्र
तावदियं बलदोषप्रमाणज्ञानहेतो:; दोषप्रमाणानुपो हि भेषजप्रमाणविकल्पो बलप्रमाणविशेषापेक्षो
भवति।च.वि.८/९४
The place of action is verily the
patient himself. His examination is for the sake of the knowledge of his life
span or that of the measure of his physical & mental strength and the
intensity of morbidity of Dosha.
The knowledge of the measure of his strength & intensity of morbidity are
essential for the preparation of medicine & also in deciding the dose of
the medicine. Also to avoid confusion between Guruvyadhita & Laghuvyadhita,
proper assessment of patient is necessary for appropriate treatment.
A rash administration of very strong
medication without examination, on a weak patient (Avara satva) will upset him.
Weak people cannot stand for strong remedies. Due to these reasons Atura should
be examined by Sarata-
कथं नु शरीरमात्रदर्शनादेव भिषडगॄह्येद्यमुपचितत्वाद्बलवान
अयमल्पबल: कॄशत्वात,महाबलोऽयं महाशरिरत्वादल्पबल इति;दॄश्यन्ते ह्युल्पशरीरा: कॄशाश्चैके
बलवन्त :;तत्र पिपीलिकाभारहरणवत सिध्दि;।अतश्च सारत: परिक्षेतेत्युक्तम।च.वि.८/११५
A physician may be deceived by the
appearance of the body merely & conclude a man to be a strong man, because
of robustness, a man to be a weak because he is emaciated, a man to be
exceedingly strong because he has a big body or that a man having small body is
possessed of small strength, it is not true. These are persons who appear small
in body & emaciated but are strong. For they are like the ant, which carries
relatively more load than its body weight & therefore it has been said that
a person to be tested from the point of view of Sarata.
To understand the importance of Dhatu
sarata, it is essential to know the whole process of production of Dhatu. The
whole process of Dhatu production is
always continue & progressive as there is continuous ongoing process of
anabolism & catabolism of the body elements. During this process Dhatu s
are formed but for the formation of excellent Dhatu i.e. Dhatu sarata is depend
upon many factors in digestion (samyak Pachana).
विविधमशितं
पीतं लीढं खादितं जन्तोर्हितमन्तरग्निसन्धुक्षितबलेन यथास्वेनोष्मणा सम्यग्विपच्यमानं
कालवदनवस्थितसर्वधातुपाकमनुपहतसर्वधातुष्ममाहतस्त्रोत:केवलं शरीरमुपचयबलवर्णसुखायुषा
योजयति शरीरधातूनूर्जयति च।(च.सू.२८/३)
The Ahara is a factor which is
responsible for the nourishment of body elements i.e. Dhatu. When Āhāra is
taken in proper quantity and quality with observation of
Aharavidhivisheshaayatana, having good digestive power, in proper time then
Samyak Pachana (proper digestion) occurs which can promote strength,
complexion, happiness and life itself.
तत्राहारप्रसादाख्यो
रस: किट्टं च मलाख्यमभिनिर्वर्तते । किट्टात स्वेदमूत्रपुरीषवातपित्तब्रेष्माण: कर्णाक्षिनासिकास्यलोमकूपप्रजननमला:
केशश्महलोमनखाद्यश्चावयवा:पुष्यन्ति। त्वाहाररसाद्रसरुधिरमांसमेदोस्थिमज्जशुक्रौजांसिपञ्चेनद्रियद्रव्याणिधातुप्रसादसञ्जकानि
शरीरसन्धिबन्धपिच्छाद्यश्चावयवा:।ते सर्व एव धातवोमलाख्या:प्रसादाख्याश्च रसमलाभ्यां
पुष्यन्त:स्वं मानमनुवर्तन्तेयथावय:शरीरम।च.सू.२८/४,५
From the digested food, Prasadbhaga
(Ahara rasa) and Malakhyabhaga (kitta) are formed. Body channels constitute the
means of passage for the essential & waste products. Through these channels
the essential fluid (Ahara rasa) fed the Rasa, Rakta…etc. Dhatu & Oja,five
sensory organs & also parts as body joints & ligaments. The
Prasadabhaga Rasa is going to manufacture all bodily elements. Acharyas Charaka
has clearly mentioned the channels (Srotasas) provide passage & does the
nutrition of Dhatu.
Dhatvagni
Dhatu
sarata
After the completion of Jatharagni
& Bhutagni Vyapara, Dhatvagni plays important role in production of Dhatu.
Ahara rasa spread due to Vyana vayu (vikshepana) in particular Dhatu places (srotasa)
upon which Dhatvagni acts & produces two main parts named sthulabhaga (poshya) & sukshmabhaga (poshaka). Out of them sthulabhaga is used to
nourish ownself whereas Sukshmabhaga
goes further to nourish next Dhatu. Again this Agni performs specific action on
its own nutritive part i.e prasadabhaga. During the process of own nourishment,
also gives nourishment to its Upadhatu. As there is formation of Dhatu mala,
sara/refined/most purified part is also getting formed. This Sara which again
contributes in the formation of good quality of that particular Dhatu i.e.
Dhatu sarata while sukshmabhaga
of this is going to contribute the main pool in the formation of Oja (which is
considered as Sapta Dhatu sara).
रसाद्र्क्तं ततो मांसं मासान्मेदस्ततोऽस्थि
च।
अस्थ्नो मज्ज तत: शुक्रं शुक्राद्रर्भ: प्रसादज:।सु.सू.१४/१६
In such away from nutrient Ahara rasa, Rasa
Dhatu, forms Rakta Dhatu thence Mansa Dhatu, from Mansa-Meda Dhatu thence asthi
Dhatu . From Asthi-Majja Dhatu & thence Shukra Dhatu are formed, nourished
and kept with their best quality (Dhatu sarata).
Dhatu
sarata & Dhatusamya:
Thus the co-relative & accumulative
functions of Agni (Jatharagni, Bhutagni, Dhatvagni), Samhana vayu, Kleda, Kala
& Srotasa (channels) on Ahara are going to produce these Dhatu of our Body.
In such a way the increase or decrease in Dhatu is taken away & Dhatusamya
is acquired which leads to protect the Health.
The imbalance state of Dhatu s is known
as Dhatu vaishmya which is either Dhatu kshya
or Dhatu vrdhdi
leading to Rogotpatti. In Ayurveda many diseases mentioned are due to increase
or decrease in Dhatu. Dhatusamya is the state of Prakruti i.e. Health which is the main aim of
Ayurveda.
विकारो धातुवैषम्यं,साम्यं प्रकॄतिहच्यते।च.सू.९/४
Achrayas have clear concept about Dhatu
paka (Catabolism) & Dhatu poshana
(Anabolism). Disorders caused due to Dhatu vaishmya can be brought to equilibrium state
by Dhatu samya Chikitsa in which disease caused by Dhatu kshya is managed by Dhatu vrdhdi & vice versa.Whereas the Dhatu
sarata is something more than the Dhatusamya. Because by increasing or
decreasing the Dhatu to bring at its prakrtavstha
is known as Dhatusamya but after the establishment of this Samya, to maintain
it with supreme qualities is nothing but Sarata of that Dhatu which indicates
towards the quality of Dhatu with its proper quantity.The best harmony of Dhatu
producing factors produce Dhatu sarata. On the basis of Yukti & Tarka,
deterioration of any factor from its normancy which are involving in the
production of Dhatu affects the quality as well as quantity of Dhatu which
directly influence purity or excellency of Dhatu i.e. Dhatu sarata.Thus Sarata
is one step forward to equilibrium state of Dhatu.