CONCEPTUAL STUDY OF NIDANARTHAKARA ROGA [A DISEASE ITSELF BECOME CAUSATIVE FACTOR FOR SOME OTHER DISEASE] PRATISHYAY [RHINITIS], KASA [COUGH], KSHAYA [TUBERCULOSIS] AND SHOSHA

Dr.Ambika K. Gutthe and Dr. Sachin Deva. 1. P.G Scholar, Department of Roga Nidan, Parul Institute of Ayurveda, Parul University, Vadodara, Gujarat. 2. Associate Professor, Department of Roga Nidan, Parul Institute of Ayurveda, Parul University, Vadodara, Gujarat. ...................................................................................................................... Manuscript Info Abstract ......................... ........................................................................ Manuscript History Received: 05 September 2019 Final Accepted: 07 October 2019 Published: November 2019

Nidan [causative factor] plays an important role in course and onset of any disease. It may become the cause of another disease. This concept is explained by Acharya Charaka under the heading ""Nidanarthakara roga"" [a disease itself become causative factor for some other disease].Further he has narrated the example of nidanarthakara roga [a disease itself become causative factor for some other disease] as ""Pratishyaya [rhinitis] kasa [cough] kshaya [Tuberculosis] shosha [wasting] .In day to day practice it is very important to know the nidanarthakaratwa of any disease. It not only leads to development of another disease but also hamper the immunity of patient. In this attempt an effort is made to understand nidanarthakara vyadhi [a disease itself become causative factor for some other disease] and to make ware people about Nidanartharatwa of Pratishyaya [rhinitis] Copy Right, IJAR, 2019,. All rights reserved.

…………………………………………………………………………………………………….... Introduction:-
Ayurveda is a science of life which has holistic approach. The treatment of ayurveda is mainly based on the fundamental principle mentioned in classic. Ayurveda mainly emphasizes on preventive aspect rather than curative aspect. The most important concept regarding the pathogenesis of disease is ""Nidanarthakara Roga"" [a disease itself become causative factor for some other disease]. the Nidanarthakara Roga [a disease itself become causative factor for some other disease] means one disease act as causative factor for other disease. [1] The main cause of Nidanarthakara roga[a disease itself become causative factor for some other disease] may be lack of proper treatment of previous disease or weak immunity of patient of that the particular system. [2] Acharya sushruta has also emphasized the importance of Nidan [causative factor] as avoiding the cause is the treatment in brief. , such combination of disease due to the incorrect administration of therapies or production of one disease out of the other makes the condition difficult to cure [3] 174 Because of unhealthy lifestyle, food habits polluted air, low immunity the common cold, or coryza is very common disease in today"s era. Also due to lack of proper treatment it leads to chronicity i.e. Jeerna Pratishyaya [chronic rhinitis] and in further stage form Kasa [cough].
In this article we tried to study the Charakokta""Nidanarthakara Roga"" siddhanta with the example Pratishyayaudabhaveta kasaha, kasata sanjayate kshayaha I Initially Nidanarthakara Roga [a disease itself become causative factor for some other disease] manifests independently as a disease and later serve as a etiological factor for another disease. Sometime they serve both purpose i.e. disease as well as aetiology and sometimes become either aetiology or disease

Concept of Ekarthakari and ubhayarthakari vyadhi -
Primary disease is nothing but the original disease itself and sometime later may cause a secondary disease, in other word become nidan [cause] for another disease [4] Also this primary disease may or may not continue to exist with the secondary disease. If the primary disease exists after the onset of a secondary then it is Ubhayarthakari and if primary one subsides after the onset of secondary it is Ekarthakari.

Materials and methods:-
Literature of ayurvedic and modern science available from vedic era to present era.

Discussion:-
In Nidanarthakara vyadhi [a disease itself become causative factor for some other disease] it is important to know that disease can produce another disease only when there is a presence of sahakari bhava (supporting / conducive factor). That is the reason why nidans [cause] are specific to specific diseases. Practically when treating the patients of pratishyaya [rhinitis] the rule of shudha chikitsa (pure treatment) is not properly followed. Only kaphagna chikitsa (alleviation of kapha) is given by which kapha is reduced one hand the other hand vata dosha is vitiated. Especially in modern medicine treatment the secretion are suppressed and patient develops vataja kasa [one type of cough], in later stage we found this in many cases. In other cases patient neglected to take proper treatment of pratishyaya Kshaya means depletion or dis-creation. Acharya sushrut has described it as the synonym of "Shosha" [wasting] and explains that the loss of capability of body to do work is called kshaya [tuberculosis] [8] . Gangadhara

Conclusion:-
The most important concept regarding the pathogenesis of disease is Nidanarthakara roga. The main cause of nidanarthakara roga may be lack of proper treatment of previous disease or weak immunity of patient of that particular system. Vyadhi can be swatantra or paratantra. Swatantra vyadhi are caused by direct external factors. These medical conditions fall in to the category of primary diseases. Paratantra vyadhi represent medical conditions that have arisen from other illnesses. They are referred to as secondary or associated with another disease. When vyadhi has got multiple doshas anubandha then vyadhi become difficult for treatment. Nidanarthakara roga sidhant can be used for diagnostic purpose and prognosis of the disease. We can avoid upadrava (complication) from nidarthakara roga sidhant. More attention to be paid towards the proper treatment of pratishyay treatment. So as not to be further development of kasa (cough), kshaya (tuberculosis) and shosha (wasting) become nidanarthakara roga.