There’s actually a lot we can tell about a person without asking them a single question. If they are not feeling well, you can notice the way they look unusually pale, or that their voice sounds different, weaker than usual. Their eyes may look different, their skin may look dry, their lips may look chapped, or maybe they might just look exhausted. These are just some observations. Ayurveda actually has an entire section in the Charaka Samhita talking about this kind of observation called Indriya Sthana. The very first chapter is called Varṇasvarīyam Indriyam where Charaka describes how a physician should pay attention to changes in a person’s complexion, voice, and other signs when assessing an illness or the severity of a disease. Because Ayurveda doesn’t look at the simple question of what disease this person is actually having. It instead goes a little deeper into asking what the body is telling us about the illness. It is actually our body that gives out the first signs of illness before it becomes something more obvious. Disease isn’t always the beginning of the story. It is ultimately important to keep in check the signs that our body is giving away, always. यच्चान्यदपि किंचिद्वर्णवैकृतमभूतपूर्वं सहसोत्पद्येतानिमित्तमेव हीयमानस्यातुरस्य शश्वत्, तदरिष्टमिति विद्यात्। An abnormal change that was not present before, appears suddenly, and occurs in someone whose condition is already declining. Such a change, Charaka says, should be recognized as an ariṣṭa, an ominous prognostic sign. Now, one of the most important ideas in the chapter is the distinction between Prakriti and Vikriti. Prakriti refers to a person’s natural state, while Vikriti refers to the deviation from that state. A person’s appearance may naturally vary depending upon their constitution, age, environment, and other individual characteristics. So we can’t just vaguely determine that one particular complexion may be healthy or unhealthy. We need to look a little deeper. Charaka’s list of things to examine is very extensive. He not just mentions the complexion and voice, but also the smell, taste, touch, eyes, ears, nose, the mental state, and many more. The list goes on. In fact, Charaka tells us that a person should be observed as a whole, because a single unusual sign doesn’t entirely tell the entire story. A temporary change with an obvious explanation is different from a sudden change that appears without apparent reason in someone whose condition may already be deteriorating. So generally, the whole idea is that observation becomes meaningful when it is placed in context. The entire emphasis here is on the change that you witness within your body. And I think this is where this idea becomes useful even outside the context of an Ayurvedic physician examining a patient. Because most of us don’t necessarily pay attention to our own bodies or the signs they are giving out. We know how we feel ultimately, whether our face is looking normal when we wake up, or if our skin is feeling as usual. We know our baseline. But when you wake up feeling different we brush it off as, “Maybe I have not rested well.” But you need to understand that the baseline is important. Because if you suddenly feel unusually tired for several days, or maybe your appetite has changed, or there are other signs your body that are trying to tell you, then I think this is where we need to stop looking and start observing what is wrong. Because from an Ayurvedic point of view, disease is never something that simply comes overnight. Long before it becomes serious, your body is already trying to protest against it through different signs. None of those signs individually might feel like a big deal. And that is exactly why they get ignored. But when you look at the whole picture, these small signs can slowly lead up to something more serious. Disease isn’t the starting point, it is actually much closer to the end of the story that your body has already been trying to tell you for a while now. We are often quick to notice when there is something wrong with our phones, our cars, or our laptops. We notice that the battery is draining faster than usual, or the screen is running slow, or the phone is lagging a bit. But when it comes to our bodies, we often ignore the same signs. And maybe it is because our lifestyle has changed. We sleep less, work more, eat at odd hours, and keep pushing ourselves through the day. We think our body is adaptable, but it isn’t. Your body is constantly giving you information. The question is whether you are paying enough attention to notice it. You don’t have to become an expert at interpreting every single sign. You just need to know what your normal looks and feels like, so you can recognize when something starts to change. If you want to understand your body a little more deeply, you can explore our courses on the Charaka Samhita and Ashtanga Hridayam, and learn how these texts approach the body, health, and the signs it gives us.
