Volume 20 No 22 (2022)
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Observational Study of Arishtalakshanas in Present Context with Special Reference to Oral Cancer
Dr. Vinay M. Pandey
Abstract
Arishtalakshanas, described by Acharya Charak in the Indriyasthaan of Charaksamhita, are signs and symptoms that can help prognose the severity of a disease and provide an estimate of the time remaining before a patient's death. These indicators are valuable for physicians, as they offer insights into the patient's prognosis. Arishtalakshanas reveal the state of vitality, known as "Gatayu," where treatment becomes futile. Knowing this, doctors can inform relatives about the poor prognosis and proceed with treatment with consent. Arishtalakshanas are outlined in ancient Ayurvedic texts, with Sushrut discussing them in the Sutrasthaan's 6th Adhyaay and Vagbhat in the Sharirsthaan's 2nd Adhyaay. However, Acharya Charak dedicated the entire Indriyasthaan to Arishtalakshanas, a unique aspect of Charaksamhita. As previously mentioned, Arishtalakshanas are indicators of impending death. Cancer is a significant health issue, with a mortality rate of 3% to 10% among the global population. Unhealthy diet, smoking, alcoholism, tobacco chewing, and stress are recognized risk factors. In India, approximately 130,000 new cases of oral cancer are diagnosed annually. Unfortunately, patients often overlook initial symptoms, resulting in late-stage diagnosis when treatment options are limited. Patients with advanced-stage cancer (stages 3 and 4) generally have a poor prognosis. Although they may exhibit Arishtalakshanas, further evaluation is needed to determine their correlation with the signs and symptoms of patients near death. Therefore, this study aims to explore the signs and symptoms of Arishtalakshanas in the present context, specifically focusing on oral cancer, through an observational study titled "Observational Study Of Arishtalakshanas In Present Context with Special Reference To Oral Cancer."
Keywords
Arishtalakshanas, described by Acharya Charak in the Indriyasthaan of Charaksamhita, are signs and symptoms that can help prognose the severity of a disease and provide an estimate of the time remaining before a patient's death.
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