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Principleसिद्धांत

Prognosis (curable, manageable, incurable)

साध्य, याप्य, असाध्य · साध्य

Extracted from the text7 references

Built from passages of the source by the curated extraction. Pending human review.

Names and synonyms

Sanskrit
साध्यअसाध्ययाप्यकृच्छ्रसाध्यसुखसाध्य
Hindi
असाध्ययाप्यसाध्यठीक होने योग्य
English
Prognosisprognosiscurableincurablemanageable
Romanized
sadhyaasadhyayapya

What the text says

Each statement reports the source, with its chapter, page and verse. Traditional descriptions are not presented as proven medical facts.

Definition2

  • Diseases that are held in check by continued use of suitable medicine and wholesome diet, so that they do not take life at once, but kill in the course of time, being incurable, are called manageable (yāpya); those that take life at once are called incurable, that is untreatable (anupakrama).

    Chapter 7 · p. 103 · v. 59Hindi commentaryTraditional description
  • Diseases that subside only when treated with great effort, much arrangement and great formulations are to be known as hard to cure (kṛcchrasādhya); one that is calmed with little effort, in a short time and by few medicines is easy to cure (sukhasādhya).

    Chapter 7 · p. 103 · v. 60Hindi commentaryTraditional description

Classification1

  • Diseases are said to be divided into two, incurable (asādhya) and curable (sādhya), as the commentary says Bhagavān Samantabhadra Svāmī taught; the incurable are of two kinds, untreatable (anupakrama) and manageable (yāpya), and the curable are very hard to cure (ati-kṛcchrasādhya) and very easy to cure (ati-sukhasādhya).

    Chapter 7 · p. 102 · v. 58Hindi commentaryTraditional description

    Note: The verse itself names Samantabhadra (समंतभद्रै:); verse 61 sums these up as four kinds of disease.

Treatment principle2

  • Therefore diseases, which destroy precious life as quickly as fire or a snake, should always be set right promptly with proper treatment.

    Chapter 7 · p. 104 · v. 62Hindi commentaryTraditional description
  • Among the vata diseases described with their signs, the physician skilled in treatment is told to decide first which are curable and which incurable, and to cure the curable ones with the medicines told and to be told.

    Chapter 12 · p. 199 · v. 31Hindi commentaryTraditional description

Cautions1

  • When treating such incurable states, the physician should state this clearly before beginning treatment; otherwise, the commentary adds, he earns disrepute.

    Chapter 7 · p. 103 · v. 59Hindi commentaryTraditional description

Prognosis2

  • The text says curable diseases are to be cured with medicines and the like, manageable (yapya) diseases kept in check with skilled procedures, and incurable diseases that are hard to understand and hard to treat declared incurable and given up.

    Chapter 10 · p. 157 · v. 27Hindi commentaryTraditional description
  • If diseases are not treated promptly and properly by the method of the texts, the easily curable are said to become hard to cure, the hard to cure manageable, the manageable untreatable, and the untreatable destroy life at once; the commentary attributes this to Ācārya Pūjyapāda of old.

    Chapter 7 · p. 103 · v. 62Hindi commentaryTraditional description

Where else is this mentioned?

Named 152 times on 61 pages. These are automatic name matches, so a few may refer to something else with the same name.

Questions and answers

Which diarrhoea patients does the text call very hard to treat and to be given up?

The very young, the very old, the emaciated, the weak and the consumptive, and those whose stool looks like ghee, spleen, fat, liver, oil, water, milk, curd or buttermilk.

Detailed answer and sources
According to chapter 10, how should a physician deal with curable, manageable and incurable diseases?

Cure the curable with medicines, keep the manageable in check with skilled procedures, and declare the incurable as incurable and give them up.

Detailed answer and sources
How does the text classify diseases by curability?

Into curable and incurable; the curable are hard to cure or easy to cure, the incurable are manageable (yāpya) or untreatable (anupakrama), four kinds in all.

Detailed answer and sources
What does the text say happens when treatment is delayed or not done properly?

Each disease slides one class worse: easy becomes hard, hard becomes manageable, manageable becomes untreatable, and the untreatable kills at once.

Detailed answer and sources
By what signs is a prameha patient known to be free of the disease, and when is he called incurable?

He is free when he passes urine that is clear, very bitter, dry, alkaline, slightly warm and not turbid, only now and then and in small amounts.

Detailed answer and sources
Which kushthas does the text treat as curable, manageable or incurable?

Kushtha in the skin, blood and flesh is curable with medicines; in the fat it is only manageable; the rest, in bone, marrow and semen, does not heal even with panchakarma.

Detailed answer and sources
Which signs mark hemiplegia (pakshaghata) as incurable in chapter 12?

A swollen and numb body, distension, a bent and trembling body, excessive vata, absence of pain and wasted limbs.

Detailed answer and sources
When does the text say a urinary stone yields to medicine, and when does it call for surgery?

A soft stone is cured by medicines; a hard, grown stone is broken open with care and removed, that is, by surgery.

Detailed answer and sources
How does the text judge the curability of disorders of semen and menstrual blood?

Disorders from vata, pitta or kapha singly are curable and are overcome with oleation, sudation and similar procedures; the corpse-smelling, pus-like, foul and knotted kinds are difficult to cure; the faeces-smelling kind is called incurable.

Detailed answer and sources

All references

Every page and verse of the source that this entry draws on.

Quick facts

Content type
Principle
Categories
Prognosis
Source pages with records
5
Pages naming it
61
Extraction tasks
T06, T07, T10
Record id
concept_sadhya_asadhya