Dr. K.

Shiva Rama Prasad , lesson plan 1037 for Paper KC-I Theory
Instructional aids / tools needed:
Oral, black board and explanatory mode
Avrutavata and its Chikitsa (cUM cMix 28)
Topic:
Reference:
viIi E{ Mhx S () *

i{kE n i%xh: **59**

Lw xuMqh WluuuUh qi cUM cMix 28/215 - Aurhq osrxuUhi

xuMqWlpui, AuUMxriixai: xuMqupui ij AuUhl c Aur: mMmi pui ij xuMqh
upui: - c c 28/215-216 cmh
r xkUh xu xxcm zxri
ui mSp: xi: xuuiw uzwi:

{ki h ih il G *
ii Ei {Vx S i **184**
vx : {x: Ii: *
E: I{x S {i **185**
viPiI Sx *
{Eh Eu ih **186**
Ei zx V M{Ih: *
niIh x x Sx **187**
Vh {il i i{V i *
E{k {kn xVi **188**
|inPi |Vi * (qSui, Axjrui, qui)
nI i i: **195**
%lWl {pi%%i *
mu (zai ui cMix) Uixui
+zi inJ: {Sx n{x P **196**
jx i jh n: ki: *
Ei ihb MvniiG **197**
Understanding the Samanya, Vishesha and Dhatwadi Avrutavata and its management
Objectives:
Subject points (include flow diagrams & tables):

Good clinician has to observe the Avarana along with the Agni and Ama. With out observing the Avarana in clinical
practice, the treatment becomes incomplete. The obstruction (Sanga) in any Srotas causes the disease manifestation
in the respective site. When the Vata-vaha Srotas is obstructed it is termed as the Avarana.
Etymology Avarana means obstruction developed from Rudh Dhatu. Chakrapani & Dalhana explained it as
qauUhl uamioki c c 28/59 cmh ; Auir Aulirk: x l 1/85 QsWh i.e. prakrita Vata vega
pratibandhata, understood as the normal Utsaha, etc. functions of the Vata are retarded (Chakrapani) and
obstructed (Dalhana). It is a question, how an Amurta is get obstructed and how the Amurta Vata obstructs one
another. Arunadatta and Dalhana clarified it as rqir UpqZlqpxmiosui Sosppi: Airu: xl Au
Circri x c 5/29 QsWh; r: uir: Alrlr Emxmi: osui Sosxrpbil aioai iluiqa Circri (ixqi
uilqm mUxmUuUh rqu) A W l 16/52 AhS Gatubhanga of the stronger to weak and the one to another Vata

Avarana also possible. Thus Vata gatinirodha is Avarana and the substance that prevents / obstructs is Avaraka.
The prevented Vata is stated as Avruta, as the only Vata has a property of moving (Chala Guna) and controls/ moves
the rest. Thus the Pitta, Kapha, Anna, Puresha, Rasadi Dhatu, etc. are called as Avaraka Varga. The weak Vata in
Paraspara avrutavata becomes Avaraka.
Determination of Avruta and Avaraka: Generally functional deterioration of Avruta Dosha (AuiSw MqWl) and
functional acceleration / increase of Avaraka (AuUM Mqu) taken place in Achaya poorvaka prakopa of the

A lesson by Dr. K. Shiva Rama Prasad (09633552646/09290566566) technoayurveda@gmail.com

Dosha. With the diminished functions of Vata observed clinically makes the diagnosis of Avruta Vata.

Classification of Avarana:
The Dosha Avruta are 3 Pitta, Kapha and Pitta-Kapha called as Samanya Avarana
Visistha Avarana are of Pitta obstructing Pranavata etc of 5 and Kapha obstructing Pranavata etc of 5 =
a total of 10 Avarana
Dhatwadi Avruta are 10 as Rakta, Mamsa, Meda, Asthi, Majja, Sukra, Sarva dhatu, Mootra, Pureesha
and Anna
Parapara avruta are of 25 Pranavata etc of 5 obstructing Pranavata etc of 5
Thus a total of 43 Avarana are witnessed.
Management of Avarana: When Avruta Vata is observed, simple procedures are adopted means not the
Shodhana only Shamana procedures or situational management are observed.
Pitta Avrutavata: As the condition is of Vata, nutrient food such as Jangala Mamsa rasa, Yava, shali
usage is beneficial. Jeevaneeya sarpi is offered as the Pitta is Avaraka. Sheeta- Ushna kriya
simultaneously done to pacify the situation. Non antagonistic Vata management is offered here.
Ksheera and Madhura rasa Dravya are used for either Mrudu-Rechana or Ksheera-Vasti purpose. Bala,
Yastimadhu, Panchamoola in kashaya, Taila, Ghrita, ksheera form is used.
Note: As the symptoms of Santapa and Trushna relates to the water loss in the body and daha to neuritis
this condition seems to be a peripheral neuritis and requires the contrast bath.
Kapha Avrutavata: Nutrient materials like Yavanna, Jangala Mamsa along with Vata hara
Puranaghrita, Tila Taila, Sarshapa taila are given. Sweda, Teekshna Niruha, Vamana Virechana are
administered. A Kapha hara Vata anulomaka Chikitsa is indicated in general.
Samsarga Avrutavata: In any two Dosha associated Avrutavata, first Pitta Avrutavata Chikitsa is
followed and later the Kapha Avrutavata management.
Rakta Avrutavata: treatments of Vatarakta are administered. They are Susruta indicate Vatarakta
may have Margavarana, thus the Raktamokshana is indicated where the small amounts of blood letting
several times. ij, +n iIxoi MhqhiEn{{uiE{i * ii
xn{G{{t |iH i| {hPi {i * (Su.chi.5/7) later to raktamokshana Vamana
Virechana etc are admnistered and followed by Peya Vilepi etc of samsarjana krama.
Note: Usually here we observe the pain in between the skin and muscle i.e. subcutaneous along with the
swelling (cardinal symptoms Color, Dolor, Robor, Tumor and Function less ness). Irritation and
numbness also associates. Thus the Raktamokshana in terms of relieving the toxins and Vamana for
excretion of histamines is useful.
Mamsa avrutavata: Abhyanga and Swedana are used along with Mamsarasa, Ksheera, and Sneha.
Note: Here the shotha is told as symptom but the swelling is non inflammatory and subjected for external
pressure massage and sudation, only if no ulceration. If ulcers are present these two becomes useless and
60 Vrana upachara are significant.
Meda Avrutavata: Prameha, Vata and Medo hara Chikitsa is done. They are as told for Prameha
chikitsa samshodhana is indicated i.e. Ruksha Ushna Vasti and Udwartana of Ruksha and Teekshna.
Vatahara Medohara Ahara and Paneeya are given as pathya. l: | xE: EilE: {n *
h ij E E vx nvE **15** (Ch.Chi.6/15) iPxz{xx nh S * Ih iiIh
Ihuixx S **21** (Ch.Su.21/21)
Note: Cold and clammy limbs are witnessed along with the Urusthambha symptoms, thus the
managements offered are Vata hara Chikitsa as Ushna kriya and Medohara as Teekshna Rooksha
kriya.
Asthi Avrutavata: Medo Avrutavata Chikitsa along with Maha sneha is used.
Note: Most of the symptoms resemble the osteopenia as pricking pain either by pressure or without. Here
highly nutritive (Brimhana Sneha) are necessary along with Ca supplementation.
Majja Avrutavata: Asthi Avrutavata is done here.
A lesson by Dr. K. Shiva Rama Prasad (09633552646/09290566566) technoayurveda@gmail.com

Note: it is an extended state of osteipenia i.e. osteoporosis and require the ssame management of asthi
Avrutavata.
Shukra Avrutavata: shukragatavata Chikitsa is doen. They are %z{x Gl GE i *
rM o G ntuSx **94** H|iH {H Ei G * (Cha.chi.28/94-95) i.e. strength
given nutrient foods and drinks that make the orgasm are offered. If the semen is not ejaculated looking
at the obstruction, Sukra Rechaka drugs are administered along with the Virechana. When the
obstruction is relieved semen productive measures are undertaken.
Note: most of the Erectile Dysfunctions are brought forward here. Even the seminal defects also included
here by the Acharyas such as

Anna Avrutavata: Initially Vamana is administered. Later Pachana Deepana and laghu Dravya
aushadha are administered. Clinically it is observed as pain immediately after intake of food and
subsides after digestion.
Mutra Avrutavata: Mutrala drugs are administerd. If not relieved Swedana and Uttravasti are done.
Clinically anuria is observed along with pain in groin.
Vida Avrutavata: Eranda Taila etc Snigdha Dravya is used along with Udavarta Chikitsa. They are i vnni Ei: ** : G vi: M|i{k **19** xi: (Su.Chi.55/19-20). The Vata
kriya means Snehapana, Swedana, Virechana (anulomna), Varti, Vasti, etc. According to the necessity.
Clinically constipation and pain in abdomen is visualized.
Conclusion: Different Avarana told to elicit in clinical area is difficult as they many times appear as preclinical symptoms. Thus care to be taken to identify and treat them.
Experimental Avarana is like covering and directional change. Feel a balloon underneath a cover and how the air
inside shifts its place with pressure. The Avarana also like displacement and directional change of
/ Practice
Amoorta (invincible) Vata could be understood as neural conductivity directional change / reversal /
module
Assignment:
Model
questions

irritation. (Normal Vata always flows to down i.e. axons to dendroids). Some times it is understood as
collateral nerve conductivity a physiological body activity to pathological entity.
Check the symptoms studied in Nidana, and application of Chikitsa for it.
Write Dosha, Dhatu and Mala Avrutavata lakshana and Chikitsa in detail.
Essay
Write Pittavruta Vata Chikitsa
Short
Write Kapha Avruta Vata chikitsa
What measures are undertaken when Dhatu are Avruta by Vata
Raktavruta Chikitsa, Mmsavruta Chikitsa, etc.
Mini
Write Avaraka varga
Write how to determine the Avruta and Avaraka in Avarana

Fill in the blanks/ Multiple choice: see the multiple choice book

A lesson by Dr. K. Shiva Rama Prasad (09633552646/09290566566) technoayurveda@gmail.com