Vyadhibala and its Assessment – A Narrative Review

Abstract

Ayurveda is a comprehensive medical system based on ancient medicine. To become an expert and achieve  dominance in clinical approaches, one must possess a thorough comprehension of science. In clinical medicine,  the first stage is a thorough evaluation of the patient, which is followed by the planning of appropriate therapies. If  a doctor starts treating patients without properly diagnosing the condition, achieves the desired result by accident,  and does not become well-known. Conversely, a doctor will undoubtedly succeed if he gives medications following  a correct diagnosis and develops the primary course of care after taking the morbidity of pathogenetic variables,  strength, location, season, etc., into account. Charak described Roga Pariksha and Rogi Pariksha for the diagnosis  and prognosis of a disease. Rogabala can be assessed by Nidana Panchakas, i.e., Nidana (etiology), Purvarupa  (premonitory signs and symptoms), Rupa (signs and symptoms), Upashaya (explorative theories), Samprapti (pathogenesis) along with the knowledge of Sadhyasadhyata, Ama-Nirama Avastha, Upadrava (complications),  Arista (bad prognostic indicators), and the efficiency of Chikitsa Chatushpada. Assessing Rogabala is essential for  proper diagnosis, treatment, prognosis, and academic research in Ayurveda. It determines severity, predicts disease  progression, and guides treatment intensity. A well-researched study on Rogabala can bridge traditional knowledge  with modern clinical applications, improving the effectiveness of Ayurvedic treatments. Ayurveda, the science of life, maintains the health of a healthy  individual and cures the disease of a patient. At present, people  are suffering from different kinds of diseases, which are idiopathic,  immunosuppressive, and diseases of different origins. As per  Astanga Hridaya, the term Roga refers to the imbalance in the  proportions of Doshas.[1] The word Roga refers to any kind of pain  or discomfort that will be observed in diseased people. Roga is  derived from Ruk or Ruja. Assessment of the strength of a Roga is very important for a clinician for the diagnosis, prevention, and  treatment. Before giving any kind of treatment, one has to identify  the actual illness the individual is suffering from, and then only  the physician has to give appropriate medications. Rogabalas here  stands for the strength of Roga, the Avastha, or stages of Roga, whether it will be cured or become chronic with the production  of disabilities in a patient or may cause death of the patient. The  following factors have to be employed during the proper diagnosis  of the disease.