Analysis of Nidana, Lakshana, Chikitsha of Dosha Vriddhi, Kshaya and Prakopa
Analysis of Nidana, Lakshana, Chikitsha of Dosha Vriddhi, Kshaya and Prakopa
The concept of swastha in Ayurveda is the most holistic concept .Ayurveda defines
swasthyavastha as the samavastha of dosha, dhatu, mala, agni, etc. Ayurveda speaks a unique concept
of dosha , than the 4 dosha of traditional Greco-Roman medieval medicine. Dosha is often translated as
the HUMOUR in Ayurveda, whereas Greek and Roman dosha were considered as FLUIDS .Dosha
manifest as the elemental forces in the sharira and not a physical substance in themselves 2 .
DOSHA
The word dosha is derived from pulinga shabda3 as the word dosha means शरीर दष
ू णादोषा: that which
causes vitiation. Doshas are 3 in nos viz वात पित्त कफ. Their existence in the sharira can be individual
or in the combination. The combination of 2 dosha is DWIDOSHAJA ,the combination of 3 dosha is
TRIDOSHAJA /SANNIPATAJA. The individual dosha has their own panchabhouthic sangatana as ;
DOSHA VRUDDHI
The doshas undergoing vriddhi i.e. increase either in Gunathamaka , Dravyatmaka ,Karmathmaka is the
dosha vruddhi.The vruddi can be in swasthana aiso .
The swabhavika guna-karma vruddi of the dosha is seen. eg: snigdha ,seetha ,madhura are the
prakutha karma of kapha ,if kaphavruddi occurs then snigdata ,shaitya ,maduradhi vruddi in the
twacha,mukha, jihva, nakha,netra ,mutra, purisha is noticed.
Dosha, dhatu, upadhatu, mala gets vruddi firstly by its own Dravyas in which predominance of
its mahabhuta is seen ,in particular dosha, dhatu etc7. eg ;Pitta and rakta is Agnimahabhuta
pradana and the dravyas which are predominant with agnimahabuta are consumed ,then it
leads to pitta and rakta vruddi .
Apart from aharadravyas , Vihara, Desha , kala, Rutu also causes vruddi in the dosha s based on
the similar swabhava26 .
When the guna-karma vruddi is noticed , the vruddha dosha moves in viparitha marga
(unmargagami) and causes dushana of dushyas leading to manifestation of vyadhi .
Dosha vruddi includes the Sanchaya and prakopa together .Sanchaya is the first Avastha and its
in Alpamatra also, by which it can be easily treated. When the doshavruddi is noticed in
Adikamatra and the lakshanas are being manifested is the dosha prakopa.
A/c to Dalhana, he classified the dosha vruddi into 2; Gunathmaka vriddi and Matrathamaka
vruddi . In which he expains as gunathmaka vruddi is rupavruddi and its in sanchaya avastha .
The Matrathamaka is the Vilayana rupa vruddi and its in the Prakopa avastha8 .
When the doshas are in the samaavastha performing their prakruta karma .As vata being
circulated throughout the sharira ,wherever the Vidyamanadoshas are noticed by vata ,it
creates vruddi in the matra conglomerating in Vidyamanadosha sthana ,leading to the
sthanataragatadosha vruddi ,which produces as a roga .This is a sthanataragata dosha vikara in
which dosha vruddi is the main karana.In this way the sthanataragata sama dosha may also
leads to rogas .
8. वद्दि
ृ र्हि द्विविधा चय लक्षणा प्रकोप लक्षणा च , तत्र संहति रुपाव्रुद्दिश्च : विलयनरुपा वद्दि
ृ : प्रकोप: । (सु
.चि .३३.३.डल्हण )
DOSHAVRUDDI LAKSHANAS
Along with the natural attributes of doshas, there are some features of doshas which are responsible for
there participation in the pathology of Vyadhi 9.
Atmarupa Lakshana of Doshas10 :
9 . दोषा:प्रवद्ध
ृ ा:स्वंलिङ्गं दर्शयन्तियथाबलं । क्षीणाजहतिलिङ्गं स्वं, समा:स्वं कर्म कुर्वते ॥ (च .सु १७ ६२ )
10 . सर्वेष्वपि ...........तद्यथा - रौक्ष्यं शैत्यं लाघवं वैशद्यं गति अमर्त
ु त्वं अनवस्थित्वं चेति
वायुरात्मरूपाणि;......तैरन्वितं वात विकार मेवाध्यवत्स्येतः ॥ (च .सु .२० .१२ )
10 . सर्वेष्वपि .....तद्यथा - औष्ण्यं तैक्ष्ण्यं द्रवत्वं अतिस्नेहो वर्णश्चा शुक्ल अरुण वरजो गन्धश्च विस्रो
रसौ च कटुकाम्लौ सरत्वं च पित्तस्य अत्मारूपाणि ; .........तैरन्वितं पित्त विकार मेवाध्यस्येत ॥ (च.सु .२०
.१५ )
DOSHA KSHAYA
When doshas are present in lesser quantum at their own abode, it is called Kshaya of doshas. In this
state of Kshaya, doshas cast off their normal functions9 .
10. सर्वेष्वपि ....... तद्यथा - स्नेह शैत्य शौकल्य गौरव माधुर्य स्थैर्य पैच्छिल्य मार्त्स्यनि श्लेष्माणं आत्म
रूपाणि .....श्लेष्मा विकार मेवाध्यस्येत ॥ (च .सु .२०.१८ .) 11 .
चयोवद्दि
ृ : स्वधाम्न्येव प्रद्वे षो वद्दि
ृ हे तुषु । विपरित गुणेच्छा च ......... (अ . हृ.१२ .२२ .) 12 . संचये
s अपहृता दोषो लभन्ते नोत्तरा गति : । ते तूत्तरासु गतिषु भवन्ति बलवत्तरा : ॥ (सु
.सू.२१ .३७ )
13. वद्ध
ृ ा निर्हर्तव्या : ........... ( सु . चि . ३३.३ ) 14 .
व्यायामोs नशनं चिन्ता रुक्षाल्प प्रमिताशनं । वातापौ भयं शोको रुक्षपानं प्रजागर: ॥
कफ शोणित शक्र
ु ाणां मलानां चातिवर्तनं । कालो भत
ु ोपघतश्चा ज्ञातव्या: क्षय हे तव : ॥
(च .सु .१७.७६-७७ )
Nidana parivarjana which does not lead to further kshinatha of doshas, bringing to normalcy16
Dosha guna-karma kshaya is fulfilled with viparitha gunayuktha ahara and vihara leading to
samaavastha of dosha. Eg. In Vata kshaya – Ruksha, laghu, sheetha ahara sevana is indicated.
The kshina doshas are subjected to Bruhmana , which nourishes the kshina doshas and brings to
normalcy17 .
DOSHA PRAKOPA
Due to indulgence in dosha aggravating regimen , dosha may increase to such extent that it tends to
leave its own abode and start moving to other sites of the sharira18 .The prakopaavastha is featured
with aggravation of dosha and person starts feeling of being rogi .Prakopa of dosha results due to
successive accumulation of doshas .
24 . सर्वेष्वपि ....... तद्यथा - स्रंस्र भ्रंस व्यास संग भेद सदा हर्ष तर्ष कम्पवर्तचाल तोदव्यथा चेष्टादिनी ,
तथा खर परुषा विशद सुषिर अरुणवर्ण कषाय विरसमुखत्व शोष शूल सुप्ति सङ्कोचन स्तम्भन
खञ्जतदीनि च वयो: कर्माणि;तैरन्वितं वात विकार मेवाध्यवसेत ॥ (च .सु.२०.१२.)
25 . सर्वेष्वपि ....... तद्यथा - दाह उष्ण पाक स्वेद क्लेद कोथ कण्डु स्राव राग यथास्वं च गन्ध वर्ण
रसाभिनिर्वर्तनं पित्तस्य कर्माणि;तैरन्वितं पित्त विकार मेवाध्यवसेत ॥ (च .सु.२०.१५ .)
27 . तेषां प्रकोपत ् कोष्टतोद संचरणा अम्लिका पिपास परिदाह अन्नद्वे षा ह्रुदयोत्क्लेदाश्च जायन्ते । तत्र
द्वितीय क्रियाकल : ॥ (सु .सू .२१ २७ ) 28.
प्रशाम्यतौषधै: पर्वो
ू दै व युक्तिव्यपाश्रयै : । मानसो ज्ञान विज्ञान धैर्य स्मति
ृ समाधिभि : ॥ (च
.सु.१.५८ )
Though the number of Vata rogas are numerous along with other doshas, it also undergoes
vruddi and prakopa, simultaneously it undergoes prakopa even in avarana which is caused due
to dhatu Kshaya, Ruksha annapaana, vayumarga avarodha22 .
The dosha vruddi and prakopa is noticed in different kala of raatri, dina, after food, rutu,
avastha individually as23 ;
Each dosha has its own Lakshana according to which it produces symptoms in the sharira, on the basis
of these lakshanas the dominancy of any dosha can be confirmed.
Vataprakopa Lakshanas24
Pittaprakopa Lakshana25
Kaphaprakopa Lakshana26
Acharya Sushrutha explains a unique features when the doshas undergo Prakopa, where in he
includes prakopa in dvithiya kriyakala. The individual Lakshanas are ;
Vata : Koshtathoda sanchalana
Pitha : Pipasa paridaha
Kapha : Anna dwesha, hrudayakleda
Nidana parivarjana
Hethuviparitha aushada chikitsa
Shamana and shodana chikithsa
CONCLUSION
Any deviation of dosha from their samaavastha should be treated promptly, as the same are
responsible for existence of the body. The doshas may cause destruction in vruddi or Kshaya or prakopa
in the sharira. The sharirika doshas are treated with daivavyapasraya chikitsha and yukti vyapasraya
chikitsha, while the manasika doshas are treated by gyana, vigynana, dhairya, smruti and samadi 28.
As a general rule ,equilibrium state of dosha should be maintained, increased dosha
should be decreased and that decreased should be increased and aggravated should be eliminated 29.
The vruddi or Kshaya of dosha is characterized by dwesha or ichcha for food which is
similar or dissimilar in gunas of that dosha. The rogothpathi is formed either by individual doshas or in
combination of doshas manifesting as a vyadhi . The subtle part of the doshas are viewed i.e. which
part is involved, which guna is involved , how much matra of prakopa occurred etc, these are
ascertained as amshamsha kalpana , considering bala of sharira, dosha vruddi, matra vruddhi is being
evaluated through which treating the patients become easier.
When the doshas undergo prakopa then prasamana or shodhan chikitsha is
undertaken because of the doshas are in excess. Selection of chikitsha in these cases is based on
quantum of doshas present in sharira. If dosha vitiation is in alpamatra then only langhana is sufficient
to elevate. If its in madhyama matra ,then langhana and pachana should be used in combination . If
its in bahumatra , then shodhana has to be administered, which eliminates the excess doshas just like
draining out of excess water by breaking its banquette 30. Though treating the patient is the main
consideration of physician considering of all the aspects and treating the disease.