The Caraka Samhita
The Caraka Samhita
This classical text attributed to the great acharya Caraka is considered the oldest and most important text of non-surgical Ayurvedic medicine. The Caraka Samhita has been divided into four volumes, eight parts (sthanas), and these, in turn, are divided into different chapters.
Sutra-Sthanam, the first part, is a compilation of basics of healthcare. It begins with an introduction to health, medicine, hygiene, prophylaxis, diet, and life-style. The four components necessary for successful treatment - the physician, the medication, the patient, and the attendant. Snehakarma (Oleation) and Swedakarma (sweat therapy) and the cause of the illness are discussed. Method of construction of healing centre/hospital is elaborated. It decries treatment by quacks and warns that a person hit by lightning has a better chance of survival than a patient who falls into the hands of a quack.
Nidana-Sthanam, the second part, deals with the cause, pathology, clinical manifestation diagnosis and treatment of eight serious diseases – fever, bleeding, tumors and ulcers, urinary tract diseases, skin diseases, general physical deterioration of the body or of individual organs, and epilepsy The treatment for the above conditions are examined in detail.
Vimana-Sthanam, the third part, deals with chemistry, physiology, anatomy, epidemiology, infectious diseases, diseases of the circulatory, digestive and excretory systems, parasitic illnesses. The logical ways of arriving at a diagnosis namely, observation, inference and interrogation and methods of teaching medical students also discussed in this part. The life expectancy, natural death due to aging, and untimely death due to various factors including over burden, stress and lifestyle leading to morbidity has been compared to that of a vehicle and explained.
Sharira-Sathanam, the fourth part, covers human anatomy, reproduction and pregnancy, the development of the fetus in the mother’s womb, and the role of the mother’s milk. It discusses various toys and amulets for the newborn.
Indriya-Sthanam, the fifth part, covers clinical features, diagnosis, and prognosis. A large portion deals with signs of imminent death or bad prognosis.
Cikitsa-Sthanam, the sixth part, deals with treatment methods and various medications. This is the most important for practicing physicians.
Kalpha-Sthanam, the seventh part , deals with medications used in vamana and virechana. Formulations for inducing vomiting and laxatives are given.
Siddhi-Sthanam, the eighth part, deals with Ayurveda’s classicals method of detoxification, called panchakarma. The Caraka Samhita contains 341 recipes made from plants, 177 medications using animal products and 64 medications using minerals and metals.