Keys to a successful treatment : Chikitsa Padah



Chikitsa Chatush Padah  litteraly means ” 4 limbs of a treatment ” and is one of the key point to understand our approach and how Ayurvedic medicine works.

Nowadays, it is unfortunately common to see people putting their health in the hands of a practitioner in the hope that he or she would save them from their troubles.

This is a very infantilizing approach that is promoted. Not only the Doctor is part of the recovery from troubles, but also the Medicine, The Assistant and the Patient itself. Those four factors are all together essential for healing.

If the Doctor knows its science but the medicine is of poor quality : treatment will fail. If the Medicine if efficient but taken at the wrong time : treatment will fail. If both the Medicine and the Doctor proves efficiency but the Patient does not take it properly or forget to take it: treatment will fail.

Combinations goes on like that but the point here is to emphasize that the responsibility in a treatment is shared among four pillars. Ayurveda does not believe in taking a pill and get rid of troubles, it is a common effort of those four foundations. Also, it ensures that the patient understands its disorders, understands the treatment and take part of it so, once recovered he will be able to own his life with responsibility and knowledge.




As stated earlier , for a successful treatment there is Bhishag(Doctor) Dravya (Medicine) Upastha (Nurse) and Rogi (Patient) , those are the four factors.

Each of these four have further four qualities.

Qualities of the Doctor:

  • Daksha – Alert, Disciplined
  • Shastra – Having detailed knowledge about diseases and treatment
  • Drushtakarma – Having practical experience
  • Shuchi – Cleanliness

Qualities of Medicine:

  • Bahukalpa – Ability to formulate in different dosage forms, like decoction, powder,             herbal oil etc.
  • Bahuguna – Having Enormous Qualities
  • Sampanna – Endowed with Virtues
  • Yogya – Suitable and appropriate for specific diseases


Qualities of Nurse:

  • Anurakta – Compassion towards Patients
  • Shuchi – Cleaniness
  • Daksha – Alert, Active
  • Budhiman – Intelligent

Qualities of Patient:

  • Adya – Rich in spirit and Having enough money
  • Bhisghagvashya – Complete Obedience towards Doctor
  • Gyapaka – Good Memory
  • Satvavaan – Having Good Strength to tolerate disease and treatment



The patient is not the victim of its disease, the doctor is not the savior.

There is no magical miracle formula either allopathic, naturopathic, that will change things. The disease is ultimately under the control of the person. What the person choose to do with its life. The herb, the pill, the medicine in itself alone will not be the miracle element that will always work in any condition.

Getting back to health is an holistic process, a conversion to life, a choice that needs to be applied in all fields by the patient, that includes lifestyle, state of mind, diet, etc. It is important that the patient learns how to handle itself with intelligence and nourishment for life.

Health is first and foremost a personal choice.

Such as there is not a single factor leading to disease, there is no single factor leading to recovery.