1. CRITICAL ANALYSIS OF AVARANA
Prasanth. D
1ST Year M.D Scholar
Guided By,
Dr.S.G.Prasanna Aithal
Asst.Professor
Department of Panchakarma
Alva’s Ayurveda College and Hospital
Moodbidri.D.K , Karnataka – India

2. INTRODUCTION
Avarana of Vata is difficult to understand as well as to diagnose.
Its wrong diagnosis may lead to faulty management which may further deteriorate the condition.
Its understanding is essential for the accurate diagnosis and management.

3. VATA IS AN UNIQUE DOSHA
Vayu is life, strength, sustainer of the creatures, entire world, master of all activities.
‘Ashukaritwa’
Vata - movement 3

4. Avarana Many clinical conditions imitate Avarana. Samsarga Gatatva
Sammishra
Dhatu Gatatva
Avarana

5. Three Pathological Conditions of Vata
1. : Pure Vata without mixing with other Dosha i.e. Dosha-Asamsrishta
2. : Vata mixed with other Dosha i.e. Samsarga and Sannipata
3. : Vitiation of Vata due to obstruction of its channel by others

6. Vigeyoh Lakshana Uhabhyam Chikitsa Cha Avirodhita (Sushruta Chiki
Kevala Vata & Dosha-Yukta Vata by symptoms.
Avarita Vata - symptoms and reasoning (Uha).

7. Definitions of Avarana Vata
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(cÉ¢ümÉÉÍhÉ cÉ.ÍcÉ.28/59)
Margavarodha(occlusion/ obstruction) causes obstruction in the speed of movement of Vata, leads to it’s aggravation.
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The occlusion or obstruction which produced by Vatadi dosha, Dhatus called as Avarana.

8. Avarana Terminologies
Avarana of Vata : Obstruction of Vata movement - can be due to Pitta, Kapha, Dhatus, Malas, even by other Vatas.
Samanyavarana : Vata get obstructed by dosha, dhatu, mala etc.
Anyonyavarana : Sub type of Vata get obstructed by another type of Vata.
Avaraka : The factor which causes the obstruction of Vata is Known as Avaraka. Eg If Kapha causes Avarana of Vata ,the Kapha is called as Avaraka in this context.

9. When Avarana of Vata occurs it is known as Avrita Vata.
Central idea of Avrita Vata – Gati is disturbed due to etiological factors other than its own – Vata vitiation.
Avaraka – The substance which obstructs the pathway of Vata.
Avarita / Avariya – That which gets covered (Vata).
Avaraka suppresses the normal functions of Avariya.
Avaraka
Avariya

10. Principle of Symptomatology :
If the Avaraka is stronger than Avarya, then the Avarya looses its function and there is increase in the function of Avaraka.
If the Avaraka is weaker than Avarya, then the Avarya function get increased and decrease in the function of Avaraka.
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11. The symptoms produced are based on the principles of
Rupahani – Karma Hani.
RupaVriddhi – Karma Vriddhi.
Rupantara – Anya karma.
The symptoms depend upon intensity of the obstruction i.e. partial or complete, functional or organic, acute or chronic

12. The Avarana of Vata may be innumerable
Types of Avarana Vata :
The Avarana of Vata may be innumerable
“ uÉÉrÉÉåUÉuÉUhÉÇ cÉÉiÉÉå oÉWÒûpÉåSÇ mÉëuɤrÉiÉå | ” (A.WØû.ÌlÉ.16/30)
Mainly we can get 47 Types in classicals -
Murta Avarana – 22
Amurta Avarana - 20
Mishra Avrita Vata - 5

13. MURTA AVARANA - Pitta dosha, Kapha dosha, Dhatus, malas and Anna are the murta substances causes Avarana.
AMURTA AVARANA/Anyonya Avarana - Panchavata impedes the functions of each other.
MISHRA AVRITA VATA - Two or more factors cause Avarana.
Innumerable - Due to various permutation and combination of Pitta, Kapha and sub types of Vata.

14. DIAGNOSTIC METHODS EXCLUSION BY
The diagnosis of Avarana – Always a challenge (Ca.Si.1/57).
Diagnosed by Exclusion Criteria.
EXCLUSION BY
NIDANA
SAMPRAPTI
LAKSHANA
UPASHAYA
CHIKITSA

15. PROGNOSIS
Depending on the type of Avarana and Avaraka prognosis varies.
Example
In Doshavarana Type, Avarana of Prana and Udana by Pitta and Kapha are more severe.
In Anyonya Avarana Udanavrita Prana leads to karmakshaya, Ojokshaya, Balakshaya and even death.

16. GENERAL MANAGEMENT General principles of Vatopakrama.
Anabhishyandi, Snigdha and Srotoshuddhikaraka measures.
Sarvasthana Avrita Vata – Prompt measures to regulate Vata.
Principles of Sthanika and Agantu dosha chikitsa.
Shodhana, Madhura Anuvasana, Yapana Basti.
Rasayana – Shilajatu. Guggulu, Chyavanprasha.

17. SPECIFIC MANAGEMENT Management Specific to type of Avarana.
Example – Alternative administration of Shita and Ushna Kriya in Pittavrita Vata.

18. AVARANA AN ATYPICAL PRESENTATION
No particular history of indulgence of causative factors mentioned for Vata.
Hetu will be of Pitta, Kapha, Dhatu, Mala or Anna depending upon the Avaraka involved.
The resultant disease is of Samanyaja or Nanatmaj disorder of Vata.
These points will be more clear from the two types of Madhumeha described by Charaka.

19. Madhumeha- Nidana Shuddha Vataja Kashaya, Tikta, Katu Ruksha Laghu
Anashana
Jagarana
Vyayama, Vyavaya
Udvega, Shoka
Shodhana Atiyoga
Vishama Sharira-Nyasa
Avarita Vataja
Amla & Lavana
Snigdha
Guru
Atimatra Samshntam
Nidra
Tyakta Vyayama
Tyakta Chintanam
Shodhana Akurvatam
Asya sukha

20. Samprapti of Madhumeha
Shuddha Vataja
Provoked Vata due to its Ruksha quality changes the natural sweet taste of Oja to astringent and excrete it through urinary system. This type of Madhumeha is incurable
Avarita Vataja
Increased Kapha, Pitta. Medas & Mamsa obstruct the Gati of Vata, which in turn carries the Ojas to Basti. It results in Madhmeha having difficult to cure prognosis

21. Madhumeha- Lakshana Shuddha Vataja Avarita Vataja
Kashaya Madhuram Pandu Ruksham Mehati Yo Narah. Vata-Kopad-Asadhyam Tam Pratiyan-Madhumehanam.
Passes astringent-sweet whitish and dry urine-All are related with Vata.
Avarita Vataja
Sa Marutasya Pittasya Kaphasya Cha Muhar-Muhah. Darshayati-Akritim Gatva Kshayam Api-Ayate Punah.
Shows the symptoms of Vata, Pitta & Kapha in waxing & waning manner.

22. Madhumeha- Upashaya Avarita Vataja Shuddha Vataja
Upashaya of Vata may further deteriorates the Condition.
Anupashaya of Vata may provide some relief in the condition
Shuddha Vataja
Upashaya of vata gives relief in the disease.
Anupashaya of vata further deteriorates the condition

23. It is obvious from the foregoing that there are conditions of vata where: There is no Causative Factor of vata. There is no Upashaya of Vata Even then either the Resultant Disease is of Vata or The main/troublesome symptom is of Vata . Suspect that it may be the Condition of Avarita Vata.

24. Conclusions
Avarana are the part of the pathogenesis of some disorders like Avrita Madhumeha, Urustambha.
They represent as independent diseases also.
They are also helpful to understand the pathogenesis of few complicated diseases in this modern era.
Avarana is an atypical presentation so we have to come out of our routine way of diagnosis for a comprehensive management.

25. Thank You One And All