Nidana Panchaka: A Unique Diagnostic Tool (As Per CCIM Syllabus for UG and PG)

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The book "Nidana Panchaka : A Unique Diagnostic Tool" written by Dr. Mahamad Yunus S. Nabooji is a unique and complete treatise on Nidana Panchaka. This book is one of its own kinds which deal each topic of Nidana Panchaka with its Clinico-diagnostic and pathological understanding, supplement to undergraduate and postgraduate students keeping in view the C.C.I.M. syllabus of Roganidana and Vikruti Vijnana of second B.A.M.S. students and Postgraduate scholars. The success of my work fully depends upon its utility to many students. It is the classical and unique book on Ayurvedic diagnostics useful for Ayurvedic teachers and practitioners also.

Dr. Mahamad Yunus S. Nabooji is Assistant professor teaching Roganidana and Vikruti Vijnana since 2014 for both UG and PG scholars at Shri J.G.C.H.S. Ayurvedic Medical College, Ghataprabha (Karnataka). He is renowned Ayurvedic diagnostician. He completed his graduation from S.D.M. College of Ayurveda, Udupi and Post graduate in Roganidana from Government Ayurvedic Medical College. Bangalore (Karnataka). The author has published many articles in National and International journals and presented the papers. He is associated with two International journals as associate editor in JAIMS (Journal of Ayurveda and Integrated Medical Science) and as editorial board member in IAMJ (International Ayurvedic Medical Journal).

I consider it a privilege to be asked by our staff Dr. Mahamad Yunus. S. Nabooji to contribute a foreword to the book entitled as Nidana Panchaka : A unique diagnostic tool. It also gives me a sense of pride.

The author has approached the concept of Nidana Panchaka in a unique manner and enlightens the role of Nidana Panchaka in the diagnosis of the disease with both modern and Ayurvedic examples. He has taken a great initiation to consider the Samanya lakshanas as clinical diagnostic report and Pratyatma lakshanas as the pathological diagnostic report of Ayurveda and explain the appropriate reason for the consideration.

Undoubtedly, this book will be very useful to know the diagnostic aspect of diseases for both UG and PG students, teachers, research scholars and practitioners of Ayurveda. My hearty congratulations to Dr. Mahamad Yunus S. Nabooji to his unique book on Nidana Panchaka and i wish him all the best for his future work.

I have always relished teaching Roga Nidana in my teaching experience. It was because of constant inspiration from my students that i could come up with Nidana Panchaka : A Unique Diagnostic Tool, which hopefully would meet the in adequacies the student face in the understanding of Nidana Panchaka. This book attempts to explain the concept of Nidana Panchaka in unique manner and tried to explore the role of Nidana Panchaka in the light of clinical and pathological diagnosis.

Uniqueness of this book

1. The Ayurvedic terms have been highlighted by using Italic letters.

2. This book is having six chapters namely Nidana Panchaka, Nidana, Samprapti, Poorvarupa, Roopa and Upashaya, each chapter explain in detail with its all diagnostic role in the diagnosis.

3. Each component of the chapters are explained in simple with its clinical point. 4. To explore the unique concept of Nidana Panchaka in the light of diagnosis, in this book the Pratyatma lakshanas are considered as Pathological diagnostic report.

5. The Samanayalakshanas as Provisional diagnostic tool and Visheshalakshanas along with Upashaya as Confirmatory diagnostic tool and these considerations were explained with appropriate reasons.

Acknowledgement

I offer my salutation to lord almighty Allah, for the wisdom and perseverance that he has been bestowed upon me during this work and indeed throughout my life.

First I thank all my family members for their continuous support while writing this book. My grandmother Khatunbi Nabooji, my parents, Sharmuddin Y. Nabooji and Shabera S. Nabooji 'and my brothers Suleman, Mohammed Isaq, Abdul Gani, Abdul Razak, my sisters Zaheeda, Khuteja, my sister in law Hazeera Suleman and my cute niece/nephew Ummekulsum, Ummehafsa, Fahima, Fouziya, Junera, Moosab, Muzeeb, and Abdulahad for educating me to learn about art of life along with unconditional support and encouragement to pursue my interest in my career.

I extend my thanks to, my entire uncle, aunty, and Cousins Mohammed Iliyas, Dr. Mohammed Yusuf, Dr. Abdul Rasheed, Dr. Abdul Rouf, Abubakar Patel, Abdul majeed, Abdulgani Patel, Rafeek Muhammed, Dr. Abdul Rahman, Dr. Parveen, Naseema, Reshma, Tabrez, Tabsum, Asif, Idris, Ayub and all the members of Nabooji (Deccan) family for their support and encouragement.

I express my sincere thanks to our beloved chairman Shri B.R. Patil (Nagnur), C.E.O. Dr. B.K.H. Patil, Medical director Dr. C.S. Bankar and all directors and members of Shri J.G.C.H.S. Ayurvedic Medical College and Hospital Society, Ghataprabha, Karnataka.

I offer my heartfelt thanks to the Principal, Dr. J.K. Sharma, Vice-principal, Dr. C.S. Maladkar, Dean and Professor Dr. V.S. Kotrannavar, P.G. Co-ordinator Dr. S.L. Athani. Professors Dr. S. Gopal, Dr. V.B. Masthamardi, Dr. A.B. Nargund, lecturer Dr. Mohasin Kadegoan, Dr. R.S. Jakati and all my teaching and non-teaching staffs and librarian Mr. S.B. Chalgeri of Shri J.G.C.H.S. Ayurvedic Medical College, Ghataprabha for giving me the most valuable suggestions from time to time to complete my book. Last but not least I thank all my dear friends, students and publisher Chaukhambha Vishvabharati Varanasi.

Ayurveda is a well-known science of life, because of its three principle objectives; Swasthasya Swasthya Rakshanam (To prolong life and promote perfect health), Aturasya Vikara (To completely know the disease) and Vikara Prashamana (To completely eradicate the disease). Roganidana is a unique subjective and objective diagnostic oriented department of Ayurveda mainly deals about different diagnostic parameters to surmount the Aturasya vikara by means Roga and Rogi pareeksha (Examination of Patient and Disease).Among them Nidana Panchaka, it is evolved with a combination of two words pancha means 'five' and nidana means 'methods of diagnosis' i.e. five means of diagnosis and it is considered as unique diagnostic tool. Namely Nidana (Causative factor), Poorvaroopa (Premonitory clinical features), Roopa (Clinical features), Upashaya (Confirmatory diagnostic therapy/ Explorative therapy) and Samprapti (Pathogenesis/Disease Process).

रोगो हि राजेव बहुपरिवार:! तस्य केचिद्गरे केचित्सय केचित्पश्रचा द्वजन्ति! ते च पूर्व रूपरूपोपद्रवसंज्ञा: ! (अ.ह.नई. 1/3 हेमाद्रि) रोगमादौ परीक्षेत ततोडनन्तरमोषधम् ! तत: कर्म भिषक् पश्चाज्यानपूर्व समाचरेत् !! (च.सु. 20/20) Disease is considered to be king because clinically it manifest with multiple dimensions, some features before manifestation of the disease called poorvaroopa, some after the manifestation of the disease called roopa and some during chronic or complicated stage of the disease known as upadrava, so to overcome the complete knowledge of the disease one has to examine the disease thoroughly by means of Nidana Panchaka and later initiate the treatment for the betterment of the patient and to get success in the society.

न हि सर्वविकारणा नामतोडस्ति ध्रुवा स्थिति : ! (च. सु. 18/44) As mentioned that, it is not possible to give name for all the diseases, whatever is needed, is to know the nature of the pathology and the nature of the patient is enough to know the nature of the disease. Thereafter, one should plan the treatment by applying the knowledge of disease gained by the Nidana Panchaka. A physician intiated the treatment without proper diagnosis or analysing the factors (in case of unknown disease) of the disease can accomplish the desired objects only by the chance, even he is well acquainted with knowledge of chikitsa. On the other hand a physician, who is admostered treatment after the accurate diagnosis or critical analysis of the factors of disease, is sure to accomplish the desired object without doubt.

Thus, all the ancient treatises of ayurveda has emphasized to follow specific diagnostic methods for reaching the accurate diagnosis of the disease prior to their treatment. The treatises like Charaka, Madhava. Sushruta etc have described various rogapareeksha in terms of unique diagnostic tool called Nidana Panchaka in specific way. So in this book an initiation is taking to explain the concept of Nidana Panchaka in the clinical point of view to know the diagnostic aspect.