Let us start this post on a positive note by knowing about the features of a healthy person. According to WHO, Health is a state of complete physical, mental, social and spiritual well being of the individual on not mere absence of a disease. Acharya Susruta has given the most comprehensive assessment criteria for a healthy person.
Samadoshah Samaagnischa Samadhaatumalakriyah.
Prasannaatmendriyamanaah Svasta Ityabhidheeyate.
Before explaining the above sloka, we need to remember that ancient sciences especially Ayurveda describe things based on two important aspects – Guna (attributes or qualities) & Karma (expression of these attributes as actions). We will have a technical elaboration on guna and karma when we discuss about dosha.
The first line of the above sloka stands for physical plane while the second line indicates mental, social and spiritual planes.
SAMADOSHA – Physiological or equilibrium state of the doshas.
SAMAAGNI – Perfect functioning of digestion, metabolism, absorption and assimilation.
SAMADHAATU – Maintenance of structural integrity of the body or sharira.
SAMAMALA – Proper formation, separation and excretion of waste products.
SAMAKRIYAH – Self dependent performance of routine activities.
The second line can be understood in two ways. Clinically relevant way is
PRASANNA ATMA – Hundred percent focused with clarity, authentic decision making
PRASANNA INDRIYAH – No sensory or motor defect
PRASANNA MANAH – Neither depressed nor anxious, neither inactive nor hyperactive
In a deeper sense it can be understood as
PRASANNA ATMA – Constant recollection of the ultimate truth, ‘paramatma or supersoul’
PRASANNA INDRIYAH – Control over senses.
PRASANNA MANAH – Cooperative social behaviour
Acharya Susruta has covered all entities of life told by acharya charaka. That is Sarira, Indriya, Satva and Atma. Now, we are into an important part of the discussion that is about the tridosha. In clinical practice, if dosha involved is diagnosed, then major part of the treatment is complete.