ArticlePDF Available

UNIQUE JOURNAL OF AYURVEDIC AND HERBAL MEDICINES DEVELOPMENT & STANDARDIZATION OF 'HEALTH SCALE-19 (HS-19)'ON THE BASIS OF DHATU-SAMYATA

Authors:
  • Regional Ayurveda Research Institute, Jaral Pandoh Mandi H.P.

Abstract

Going through individual peculiarities of all the subjects is the prime requirement for carrying out any research in the field of Ayurveda. For practical accomplishment of this need and to fulfill the aim of individualized mass, Standardization of research materials has become essential. If it's a case of healthy volunteers, categorization becomes somewhat more complex. 'Health' is merely interpreted as an absence of a disease, but in Ayurveda, it is narrated as a definite condition of 'Dhatusamya'. Acharya Charaka has narrated its traits in a precise manner. These features designate Health at four different levels viz. Physical, Psychological, Sensorial and Spiritual. Different Health-scales and criteria of modern science contain questionnaire related with Physical capacity, effect of disease on routine works and symptoms related to recovery from the disease. Though being scientific and trustworthy, these scales still seem lacking in spotting some of the aspects like Sensorial & Spiritual Health. So, to develop and standardize a criterion for assessment of Complete Health (DHATUSAMYA) in healthy volunteers, this literary exercise of establishing 'Health Scale-19', has been done.
Vyas Kavita et al. UJAHM 2015, 03 (02): Page 55-61
Unique Journal of Ayurvedic and Herbal Medicines, 03 (02), March-April 2015 55
U
NIQUE
J
OURNAL OF
A
YURVEDIC AND
H
ERBAL
M
EDICINES
Available online: www.ujconline.net
Research Article
ISSN 2347
-
2375
DEVELOPMENT & STANDARDIZATION OF ‘HEALTH SCALE-19 (HS-19)’ON
THE BASIS OF DHATU-SAMYATA
Vyas Kavita
1*
, Vyas Hitesh
2
,
Dwivedi RR
3
1
Lecturer, Department of Samhita, Siddhanta & Samskrit, BKAMCH, Daudhar (Moga), Punjab, India
2
Assistant Professor, Basic Principles Department, I.P.G.T. & R.A., G.A.U., Jamnagar, India
3
Professor & Head, Basic Principles Department, I.P.G.T. & R.A., G.A.U., Jamnagar, India
Received 26-02-2015; Revised 23-03-2015; Accepted 21-04-2015
*Corresponding Author: Vd. Kavita Vyas
Lecturer, Department of Samhita, Siddhanta & Samskrit, BKAMCH, Daudhar (Moga), Punjab Contact No: 09888552911
ABSTRACT
Going through individual peculiarities of all the subjects is the prime requirement for carrying out any research in the field of
Ayurveda. For practical accomplishment of this need and to fulfill the aim of individualized mass, Standardization of research
materials has become essential. If it’s a case of healthy volunteers, categorization becomes somewhat more complex. ‘Health’ is
merely interpreted as an absence of a disease, but in Ayurveda, it is narrated as a definite condition of ‘Dhatusamya’. Acharya
Charaka has narrated its traits in a precise manner. These features designate Health at four different levels viz. Physical,
Psychological, Sensorial and Spiritual. Different Health-scales and criteria of modern science contain questionnaire related with
Physical capacity, effect of disease on routine works and symptoms related to recovery from the disease. Though being scientific and
trustworthy, these scales still seem lacking in spotting some of the aspects like Sensorial & Spiritual Health. So, to develop and
standardize a criterion for assessment of Complete Health (DHATUSAMYA) in healthy volunteers, this literary exercise of establishing
‘Health Scale-19’, has been done.
Keywords: Ayurveda, Dhatusamya, Health, Sensorial Health, Spiritual Health, Health scales, Standardization.
INTRODUCTION
When material of research work is a human being, it
necessitates lots of concern to avoid possible research lacunas.
Such a study may be massive when oriented to modern
science, but when it is aimed to research in the field of
Ayurveda, it must have touch of individualization
1
as it is
advocated by the ancient scientists of Ayurveda. For carrying
out any research work, it is practically not feasible to go
through individual peculiarities of all the candidates. Thus, to
fulfill the aim of individualized mass, Standardization of
research materials is essential. In the case of patients,
categorization may be done as per the signs and symptoms of
the related disease narrated in classics, but when it’s a case of
healthy volunteers, categorization becomes somewhat
difficult.Ayurvedic classics accommodate sound literature
regarding Health. For thorough maintenance of health, some
modalities like Swasthavritta, Sadvritta and Rasayana have
also been narrated in detail. Unfortunately, this actual
concept of health has been vanished and Health is being
interpreted only as an antonym of Disease. In actual, Health is
not merely an absence of a disease rather much more.
Absolute concept of HEALTH:
The definition of Health given by Acharya Sushruta
2
is well
accepted and is the base of the current definition of Health
given by W.H.O. This definition can be utilized for
development of few criteria to assess the status of Health of an
individual. Definition of Sushruta Samhita says,
when Dosha, Dhatu, Mala & Agni can perform their works
without any difficulty and, along with that, the soul, sense
organs & mind are also in a pleasant condition then the person
may be eligible for the nomenclature of ‘Swastha’ i.e. healthy.
Amongst all the classics, Acharya Charaka has narrated the
traits of a Swastha(Healthy) person in a comprehensive and
sensible manner. He has narrated Dhatusamya as Karyai.e.
one of the 10 aspects to be investigated for better development
of intellect. Here, Karya’ means balanced state of all body
components. This is characterized by Vikaropashama
(subsidence of disease). It may be ensured by Rugupashamana
(subsidence of pain), Swaravarnayoga (having original quality
of voice & complexion), Shareeropachaya (appropriate
nourishment of the body) etc characteristics
3
This is one of the
best descriptions defining Health which includes almost all the
Vyas Kavita et al. UJAHM 2015, 03 (02): Page 55-61
Unique Journal of Ayurvedic and Herbal Medicines, 03 (02), March-April 2015 56
linked aspects and levels i.e. physical, sensorial, psychological
and spiritual levels of Health. This is why these features have
been accepted as the characteristics of a healthy person.
Different scales and criteria of modern science, regarding
Health, contain questionnaire related with Physical capacity,
effect of disease on routine works and symptoms related to
recovery from the disease. Some of the criteria, like GHQ-12,
indicate the status of mental health of a person. Some other
scales are also there. Though being scientific and trustworthy,
all these scales still fall short to spot some of the important
aspects like Health at Sensorial & Spiritual levels. So, to
assess the different aspects of Health, in a diverse way, this
literary exercise has become inevitable.
Aims & Objectives
1. To develop and standardize a criterion for assessment of
Complete Health (DHATUSAMYATA) in healthy
volunteers as well as cured patients.
MATERIALS AND METHODS
Materials
Only textual materials have been referred for present work.
The main text used for this study is Charaka Samhita. The
other classics used are Sushruta Samhita, Kashyapa Samhita
and available commentaries on these classical texts. Some
research articles and related websites have also been referred.
Methods
Facts related to the concept of Health and its assessment in
ancient Ayurvedic texts and modern literature have been
collected, compiled and analyzed to build the base of the
present study.
Different aspects of Health
Health possesses equal importance to the diseases in the
classics of Ayurveda. That is why it has shared almost half
portion of the ultimate goal of this science. Perception of
‘Health’ in Ayurveda is quite unique. All over goodness of
Shareera(body), Mana(mind), Buddhi(intellect) and
Indriyas(sense organs) is known as Complete Health. Acharya
Charaka has described the importance of keen observation in
determination of different stages of diseases as well as of
healthy status
4.
A
wise physician should closely observe the
subtleties of aggravated, normal and diminished Doshas,
power of digestion, strength, mental faculties and diseases.
Having close acquaintance of these diverse states, helps
physician to set down such remedies as would help in
attainment of four-fold welfare.
In the present era, the tripartitee conceptualization of health
into physical, mental and social components has tended to
dominate most frameworks for general health. Physical health
may be parsed into mobility and ambulation, limitations on
ability to do usual activities etc. Mental health could be
parsed into cognitive function, emotional health & its limits on
functioning and so forth. Social health may involve abilities to
interact with friends and family, intimacy, spirituality and
aspects of the social and physical environment in which the
person lives.
While examining the status of Health at the anvil of science,
the characteristics of a ‘Healthy’ person can be divided under
other three different labels i.e. strength of Deha (body), Agni
(power of digestion) & Chetas (psyche). Above mentioned
signs and symptoms may be divided in these three categories
accordingly:
1) Dehabala Vata-Mootra-Purisha-Retas mukti (proper
expulsion of flatus, urine, stool and semen),
Shareeropachaya (proper nourishment of body), Swara-
Varna yoga(regaining the actual status of voice &
complexion), Balavruddhi (extension of bodily strength
up to its previous level).
2) AgnibalaAaharakale ruchi(sense of hunger at the meal
time), Abhyavaharya-abhilasha (desire for food), Kaale-
Samyak Jaranam (timely & proper digestion of the food
taken).
3) Chetasbala Sarvakaraihi mano-buddhi-indriyanam
avyapattih (completely non-tumbled condition of mind,
intellect & senses), Yathakalo nidralabha (timely sleep),
Sukhena pratibodhanam (feeling of being at ease at the
time of awakening), Vaikarikanam Swapnanam
adarshanam (non-appearance of abnormal dreams).
On the basis of these three types of strength, the dose of
medicine gets determined. Hence, knowledge of the status of
Health is crucial not only for the maintenance of Health but
also for treating the diseases.
Many criteria are available for evaluation of particular
diseases, but no one is established to assess Health as it is.
Subsequent to the Health Insurance Experiment, researchers in
Boston had to face the same problem. They wished to
demonstrate a general model for evaluating the outcomes of
medical care. The general health questionnaire they wanted to
use was too long. Ware and colleagues developed a short form
of that questionnaire using 36 questions to cover 8 scales:
1) Physical function (PF)
2) Role function as limited by physical health (RP)
3) Bodily pain (BP)
4) Social functioning (SF)
5) Mental health (MH)
6) Role function as limited by emotional health (RE)
7) Vitality (VT)
8) General health perception (GH)
This was formally known as the Medical Outcome Study
Short Form 36, or “MOS Short Form-36”, and now is just
the “SF-36”
5
for short. This version is now used under the
name SF-36v2
TM
(Ware,2000)
6
.It is perhaps the most widely
used health status profile in the world which was generated to
comprehensively assess multiple dimensions of health
generally following the WHO conceptualization. The aim of
this scale was to measure health-related quality of life. It was
prepared for advancement of Social Science. Hence, the
objectives of this scale are quite different than motto of
Ayurveda. Therefore, the method of Ayurveda should be
adopted to develop a scale for the measurement of different
aspects of total Health.
Development of ‘ Health Scale-19’ (HS-19) for four fold
evaluation of Health i.e. Dhatusamya
For carrying out any research in Ayurveda, Health must be
evaluated at four different levels viz. Physical, Psychological,
Sensorial and Spiritual. Including normalcy of all Anatomical
structures, if all the systems and organs can perform their
natural functions with ease then the person can be called as
Healthy at Physical level. Similarly, pleasure of Mind and
Vyas Kavita et al. UJAHM 2015, 03 (02): Page 55-61
Unique Journal of Ayurvedic and Herbal Medicines, 03 (02), March-April 2015 57
sense organs is also a sign of good health. If all Psychological
traits appear normal then the person may be labeled as Healthy
at Psychological level while appropriate working of every
sense organ, without any difficulty or deterioration, indicates
to be healthy at Sensorial level. Presumption of Health at
Spiritual level is an austere task. Intellect may be taken as a
representative of Spirit and hence, health at this level may be
presumed by its function i.e. the power of taking decisions.
In Charaka Samhita
7
, Acharya Charaka has narrated
Dhatusamya as to be achieved at the end of treatment. So, the
very first characteristic is Rugupashamanam i.e. subsidence of
previous disease which, in the reference to context, has not
been given due importance here.
If a person is ill, his pain & debility reflect in his appearance
and performance. Pain can be assumed keenly through Voice
and complexion of the person. After medication, when pain
settles down and debility dies out then the person regains his
natural state of energy and hence the original quality of voice
and complexion may be attained again. In the same way, all
other features may be elaborated and their frequency, intensity
and duration may be divided in grades, as follows:
Physiological features
1) Rugupashamanam
Gd. Lakshana
0 Presence of any kind of disease in body and mind, routine works cannot be done at all
1 Presence of any kind of disease in body and / or mind, hampering routine works to some
extent
2 Presence of any kind of disease in body and / or mind, not hampering routine works
3 Absence of any kind of disease in body and mind
2) Vata-mukti
Gd. Lakshana
0 Can’t pass flatus or passes with great difficulty, with great sound & strongly foul smell
1 Difficulty in passing flatus, frequency altered, with sound & may be foul smelling
2 Slightly altered frequency with mild sound & slight odor
3 Easily passes flatus, less frequency, without sound & much odor
3) Mootra-mukti
Gd. Lakshana
0 Great difficulty in passing urine with altered consistency and color of urine
1 Difficulty in passing urine, consistency and color of urine may or may not be altered
2 Altered frequency without difficulty
3 Easily, in normal routine frequency
4) Pureesha-mukti
Gd. Lakshana
0 Passes stool only with purgatives
1 Passing of stool is depended on smoking, tea, walking etc.
2 Passes stool without any help but irregularly and without satisfaction
3 Passes stool easily(without any help) and regularly with satisfaction
5) Shareeropachaya
Gd. Lakshana
0 Severe alteration in body built
1 Moderate alteration in body built
2 Mild alteration in body built
3 Normal body built as per Prakriti
6) Varna-yoga
Gd. Lakshana
0 Totally altered Varna on most of the parts of the body
1 Completely altered Varna at some part of the body with or without moderately altered body
colour
2 Moderately altered body colour
3 Varna as per Prakriti or Slightly altered Varna according to age, race etc
Vyas Kavita et al. UJAHM 2015, 03 (02): Page 55-61
Unique Journal of Ayurvedic and Herbal Medicines, 03 (02), March-April 2015 58
7) Balavrihdhdhi
8) Aaharakale ruchih
Gd. Lakshana
0 Doesn’t feel hunger
1 Feels hunger at Aaharakala but cannot take food
2 Feels hunger at Aaharakala but cannot eat in proper quantity
3 Feels of hunger at Aaharakala and takes food in proper quantity
9) Retas-mukti
Gd. Lakshana
0 Premature / Delayed ejaculation with severe pain / No ejaculation
1 Premature / delayed ejaculation, may be with mild pain
2 Sometimes Premature / Delayed ejaculation with or without pain
3 Timely ejaculation without pain
Or
Aartava-mukti
Gd. Lakshana
0 Irregular, severe pain, least / heavy bleeding
1 Severe alteration in any one parameter or
moderate change in all the parameters
2 Mild to moderate alteration in any of the parameters
3 Regular, mild pain, moderate amount
10) Abhyavaharya-abhilasha
Gd. Lakshana
0 Unwilling towards food but can take it without difficulty
1 Willing towards most liking food and not to the other
2 Willing towards some specific food or Rasavishesha
3 Equal willing towards all foods
11) Kale jaranam
Gd. Lakshana
0 Presence of Samyak jarana lakshanas >10 hrs
1 Presence of Samyak jarana lakshanas within 8-10 hrs
2 Presence of Samyak jarana lakshanas within 6-8 hrs
3 Presence of Samyak jarana lakshanas within 6 hrs
12) Samyak jaranam
Gd. Lakshana
0 Absence of Samyak jarana lakshanas (< 25%)
1 Presence of some of the Samyak jarana lakshanas ( 25 to 50 %)
2 Presence of many of the Samyak jarana lakshanas ( 50 to 90 %)
3 Presence of all lakshanas of Samyak jarana (> 90%)
Psychological features
13) Sarvakaraihi Mano-avyapattih
Gd. Lakshana
0 Not potent to perform >3 of chintanadi karmas satisfactorily
1 Less potent to perform 2 or 3 chintanadi karmas satisfactorily
2 Less potent to perform any one of chintanadi karmas satisfactorily
3 Potent enough to perform all chintanadi karmas satisfactorily
Gd. Lakshana
0 Severe loss of Bala and efficiency decreased > 50%
1 Bala reduced and efficiency decreased up to 50%
2 Bala slightly reduced but efficiency not altered much (< 25%)
3 Bala as per Prakriti or Bala slightly reduced due to age, race etc
Vyas Kavita et al. UJAHM 2015, 03 (02): Page 55-61
Unique Journal of Ayurvedic and Herbal Medicines, 03 (02), March-April 2015 59
14) Vaikarikanam swapnanam adarshanam
Gd. Lakshana
0 Regularly abnormal and disease related dreams disturbing sleep
1 Occasionally abnormal and disease related dreams but not disturbing sleep
2 Occasionally abnormal dreams may or may not disturb sleep
3 Rarely abnormal or disease related dreams but not disturbing sleep
15) Sukhen pratibodhanam
Gd. Lakshana
0 Mostly feeling distress at both Physical & Mental levels after awakening at morning
1 Feeling of discomfort at Physical level and dissatisfaction at mental level after awakening at
morning
2 Feeling of dissatisfaction without any complaint at physical level after awakening at morning
3 Total satisfaction and feeling of well being at Physical & mental levels after awakening at
morning
16) Yathakalo Nidralabhah (adequate sleep at night)
Gd. Lakshana
0 Requires >1 hour to sleep after going to bed in any condition
1 Requires 30 minutes to 1 hour to sleep after going to bed in any condition
2 Requires 10 to 30 minutes to sleep after going to bed in any condition
3 Requires <10 minutes to sleep after going to bed in any condition
Sensorial features
17) Swara-yoga
Gd. Lakshana
0 Quality & loudness of voice altered
1 Loudness of voice altered
2 Quality of voice altered
3 Quality & loudness of voice as per Prakriti
18) Indriyanam –avyapattih
Gd. Lakshana
0 Inability to percept vishayas by two or more indriyas
1 Inability to percept vishayas by one indriya
2 Difficulty in perception of vishayas by one or more indriya
3 Normal perception of vishayas by all the indriyas
Spiritual features
19) Sarvakaraihi Buddhi-avyapattih
Gd. Lakshana
0 Cannot take decision anyhow
1 Feels greatly bewildered and can take decision only after others’ help
2 Feels confusion while taking decision but finally judges firmly
3 Can take decision very well
DISCUSSION
Health is a very peculiar condition. The view of Ayurveda
towards Health is quite different than that of modern science.
Manifestation of disease may be so subtle that it may
intermingle with the superficial picture of Health. So, to
standardize the status of Health, this line difference between
Health & disease must be recognized.
As per the theory of Shadvidha Kriyakalas, it is very clear that
the minute appearance of the disease starts very early from its
actual manifestation. This particular stage is so delicate that
even a minute interruption in the functions of either of the
Physique, Psyche, Sensory organs and Spirit may disturb the
status of Health. So, the actual harm to Health begins from this
very point. Hence, Healthy volunteers should be selected for
research before they come across this stage. Moreover, also
while checking the status of Health in a cured patient, this
stage is to be checked for verifying complete remission of the
disease.
SF-36 is described as one of the Health-related quality
measurements. Health at this level merely means the capacity
of performing all routine activities with ease. Some questions
regarding mental health and social behavior are also
accommodated which add to Physical Health. Even after
Vyas Kavita et al. UJAHM 2015, 03 (02): Page 55-61
Unique Journal of Ayurvedic and Herbal Medicines, 03 (02), March-April 2015 60
touching different aspects, it seems that, SF-36 is lacking
somewhere to cover all the minute observations of HS-19. On
the other hand, SF-36 accommodates questions regarding
Social behavior, in which the other scale is deficient. But, after
all, social behavior depends on Physical & Psychological
health and hence can be considered as a consequence of them.
This might be the reason behind lack of these types of
questions in HS-19. Comparison of both the scales is as
below:
Table 1:Comparison of the parameters included in SF-36 with that of the HS-19 criteria
No. SF-36 scale HS-19 criteria No. of Que. in
HS-19 criteria
1 Physical function (PF) e.g. climbing stairs -- 00
2 Role function as limited by physical health (RP)e.g.
having difficulty -- 00
3 Bodily pain (BP) e.g. pain interference Rugupashamanam 01
4 Social functioning (SF) e.g. social time / extent -- 00
5 Mental health (MH) e.g. nervous / happy
Sarvakaraih Mano-Avyapatti, Nidralabho
yathakalam, Sukhena pratibodhanam,
Vaikarikanam swapnanam adarshanam
04
6 Role function as limited by emotional health (RE) e.g.
less accomplished --
7 Vitality (VT) e.g. full of energy / tired Balavriddhi 01
8 General health perception (GH) e.g. sick easier or
health excellent
Shareeropachaya
-- 01
As shown in table-2, all the 8 facets used in SF-36, can be
divided under three headings used in HS-19, viz. Dehabala,
Agnibala & Chetasbala. Hence, it can be said that HS-19
contains most of the aspects of SF-36 and SF-36 is like a small
part of the concept of Dhatusamya.
Table 2: Comparison of the categories of the parameters used in SF-36 & HS-19
No. Scale used in SF-36 Category of the parameters used in HS-19
1
2
Physical function (PF)
Role function as limited by physical health (RP) Dehabala (Physical Health)
3 Bodily pain (BP) --
4
5
Vitality (VT)
General health perception (GH) Dehabala + Chetas bala (Physio-psychological Health )
6 Social functioning (SF) --
7
8
Mental health (MH)
Role function as limited by emotional health (RE) Chetas bala (Psychological Health )
SF-36 was actually prepared to check the Health status of the
members of Health Insurance Experiment. Here, the quality of
life had been emphasized. The main aim was to ensure their
fitness for insurance. In this way, the basic need of its creation
was quite different than the idea of Health in Ayurveda.
Moreover, the questionnaire was designed to verify the Health
status mostly during last 4 weeks whereas the concept of
Health in Ayurveda extends up to larger limits. Furthermore,
the picture of Health revealed by both the methods is quite
unlike. SF-36 makes known the comparative position of
Health. It merely checks whether the physical or mental health
has been interrupted during last 4 weeks or not, so that the
policy may be decided undoubtedly. Health analysis in
Ayurveda is done in a totally diverse way. This method checks
either the percentage of Health at four different levels in
Healthy volunteers or the percentage of recovered Health in
the cured patients. Hence, from method & means to the motto,
everything is varied in regards of these two.
HS - 19 evaluates Total Health in four different but equally
essential categories. Total score of the scale is taken as 100%
for 19 questions, among which are 9, 1, 2 and 1 questions are
allotted to Physical, Psychological, Sensorial and Spiritual
levels, respectively. In addition, 4 & 1 questions are related to
Physio-psychological and Physio-psycho-sensorial level,
correspondingly. Thus, total number of questions at all the
levels will be as under:
Table 3: Distribution of questions in HS-19
No. Level of Health No. of Que. Gained No. % of Health
1. Physiological 14
2. Psychological -Male 07
Vyas Kavita et al. UJAHM 2015, 03 (02): Page 55-61
Unique Journal of Ayurvedic and Herbal Medicines, 03 (02), March-April 2015 61
-Female 06
3. Sensorial -Male
-Female
03
02
4. Spiritual 01
Maximum 3 marks are given to each answer and then total percentage of answers is calculated at each level. As per this calculation,
the final assessment of this outcome will be as below:
Table 4: Criteria for Assessment
After having a superficial look over Table no. 3, one may get
confused that how all the four levels may have equal
importance as the no. of questions distributed to each of them
is different. Actually, each level represents a different stage of
Health and hence has been allotted total 100% of scores. So in
final scoring, each has its own place and importance.
Suggestions
The ultimate aim of Chikitsa (treatment) is Dhatusamya i.e.
completely balanced condition of body, mind, senses and
spirit. From the aspect of practical utility, it is chiefly related
to body for most of its part. For the particular use of this scale
in assessment of healthy volunteers and cured patients, the
above mentioned pattern of distributing questions is alright,
but if the purpose of research especially includes aspects of
senses or spirit, then the number of questions allotted to
Sensory and Spiritual levels should be changed. Especially in
the case of Spiritual level, the number should be increased as
only a single question is not appropriate for statistical analysis
of the study. The number of questions may be changed as per
the need of the research.
Among all the features, Rug-upashamana should be included
in the cases of cured patients only and if otherwise should be
excluded.
Questions allotted to the three features regarding completely
non-deteriorated condition of Mana, Indreeya and Buddhi
,may be multiplied by elaborating their basic concepts.
CONCLUSION
Characteristics of Dhatusamya, accommodated in ‘Health
Scale-19’depict the status of Health of a person. Through this
scale, Health can be checked at Physical, Psychological,
Sensorial and Spiritual levels, which all together indicate
Complete Health of the person. Hence, ‘HS-19’ is a valuable
criterion to check the status of Health in individuals. This
particular scale may be used to select healthy volunteers for
the research purpose in Ayurveda. It can also be used to
ascertain the status of Health in cured patients. Thus, it may be
useful either in the beginning (for Healthy volunteers) or at the
end (for cured patients) of many research works.
REFERENCES
1. Acharya Charaka, Charaka Samhita (with Ayurveda
Deepika Commentary of Cakrapanidatta), Sootrra-
Sthana, Adhyaya 1/123,. Edited by Vaidya Jadavaji
Trikamji Acarya; Chaukhamba Sanskrit Sansthana
Varanasi; Third Edition, 2004.
2. Acharya Sushruta, Susruta Samhita-
Nibandhasangraha Commentary of Shri
Dalhanacarya, Nyayachandrika Commentary of
Gaydas, Sootra-Sthana Adhyaya 15/41 Edited by
Yadav Sharma; Chaukhamba Orientalia
Varanasi,Third Edition 2003.
3. A
Ac
charya Charaka, Charaka Samhita (with Ayurveda
Deepika Commentary of Cakrapanidatta),Vimana-
Sthana, Adhyaya 8/89,. Edited by Vaidya Jadavaji
Trikamji Acarya; Chaukhamba Sanskrit Sansthana
Varanasi; Third Edition, 2004.
4. Acharya Charaka, Charaka Samhita (with Ayurveda
Deepika Commentary of Cakrapanidatta), Nidana-
Sthana, Adhyaya 8/36-37,. Edited by Vaidya Jadavaji
Trikamji Acarya; Chaukhamba Sanskrit Sansthana
Varanasi; Third Edition, 2004.
5. Dennis G. Fryback, Measuring Health-Related
Quality Of Life, Workshop on Advancing Social
Science Theory: The Importance of Common
Metrics, The National Academies, Division of
Behavioral and Social Sciences and Education,
Washington, D.C., February, 2010
6. http://www.sf-36.org/,accessed 20 Nov 2009
7. A
Ac
charya Charaka, Charaka Samhita (with Ayurveda
Deepika Commentary of Cakrapanidatta),Vimana-
Sthana, Adhyaya 8/89,. Edited by Vaidya Jadavaji
Trikamji Acarya; Chaukhamba Sanskrit Sansthana
Varanasi; Third Edition, 2004.
Source of support: Nil, Conflict of interest: None Declared
Dhatusamya lakshanas Evaluation of Health
75-100% at all the 4 levels Completely healthy
75-100% at all the 2 or 3 levels Healthy
50-75% at all the 4 levels Partially Healthy
ResearchGate has not been able to resolve any citations for this publication.
Charaka Samhita (with Ayurveda Deepika Commentary of Cakrapanidatta),Vimana-Sthana, Adhyaya 8/89
  • A Ac Charya Charaka
A Ac charya Charaka, Charaka Samhita (with Ayurveda Deepika Commentary of Cakrapanidatta),Vimana-Sthana, Adhyaya 8/89,. Edited by Vaidya Jadavaji Trikamji Acarya; Chaukhamba Sanskrit Sansthana Varanasi; Third Edition, 2004. Source of support: Nil, Conflict of interest: None Declared
Susruta Samhita-Nibandhasangraha Commentary of Shri Dalhanacarya
  • Acharya Sushruta
Acharya Sushruta, Susruta Samhita-Nibandhasangraha Commentary of Shri Dalhanacarya, Nyayachandrika Commentary of
Sootra-Sthana Adhyaya 15/41 Edited by Yadav Sharma
  • Gaydas
Gaydas, Sootra-Sthana Adhyaya 15/41 Edited by Yadav Sharma;
Charaka Samhita (with Ayurveda Deepika Commentary of Cakrapanidatta), Nidana-Sthana
  • Acharya Charaka
Acharya Charaka, Charaka Samhita (with Ayurveda Deepika Commentary of Cakrapanidatta), Nidana-Sthana, Adhyaya 8/36-37,. Edited by Vaidya Jadavaji Trikamji Acarya; Chaukhamba Sanskrit Sansthana Varanasi; Third Edition, 2004.
Measuring Health-Related Quality Of Life, Workshop on Advancing Social Science Theory: The Importance of Common Metrics, The National Academies, Division of Behavioral and Social Sciences and Education
  • Dennis G Fryback
Dennis G. Fryback, Measuring Health-Related Quality Of Life, Workshop on Advancing Social Science Theory: The Importance of Common Metrics, The National Academies, Division of Behavioral and Social Sciences and Education, Washington, D.C., February, 2010