Kriya kala VIVECHANA IN STHOLAYA / OBESITY

2. Dr Ashwini N.
PG Scholar
Department of PG studies in Kayachikitsa
SKAMCH&RC Bengaluru

3. CONTENTS
Introduction
Kriyakala
Shad kriyakala
Sthoulya
Kriyakala vivechana in sthoulya
Discussion
Conclusion
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4. INTRODUCTION
“प्रयोजनं चास्य स्वस्थस्य स्वास््यरक्षणमातुरस्य ववकारप्रशमनं
च।” (Cha.Su.30/26)
Main two aims of ayurveda-
“Swasthasya swastha rakshanam”
“Aturasya roganuth”
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5. क्रिया + काल = क्रियाकाल
Kriya = karma, pravrutthi.(action)
Kala = time
Proper Time of treatment initiation.
Opportunities in process of
disease management.
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6. Ritu Kriyakala
Sanchaya
Prakopa
Prashama
Vyadhi Kriyakala
Sanchaya
Prakopa
Prasara
Sthana Samshraya
Vyakta
Bheda 6

9. Vata Prakopa
Vata Prashma
Pitta Chaya
Kapha Prakopa
Pitta PrakopaPitta Prashma
Kapha Chaya
Kapha Prashma
Vata Chaya
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11. 6 stages of kriyakala
“संचयं च प्रकोपं च प्रसरं स्थानसंश्रयम्।
व्यवतं भेदं च यो वेवि दोषाणां स भवेविषक् ॥”
(Su.Su 21/36)
• SANCHAYA
• PRAKOPA
• PRASARA
• STHANASAMSHRAYA
• VYAKTA
• BHEDA
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12. SANCHAYA
“संहवतरुपा वॄविश्चयः ।” (Su.Su 21/18,Dalhana)
• Swasthana vruddhi of doshas takes place in
this stage.
12

13. Sanchaya
Swabhavika
Aawasthika Naimittika
Aswabhavika
Pragnaparadha Asatmendriya
TYPES OF SANCHAYA
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14. LAKSHANAS OF SANCHAYA
“तत्र संचितानां खलु दोषाणां स्तब्धपूणणकोष्टता
पीतावभासता मन्दोष्मता ि अंगानां गौरववमालस्यं
ियकारवणववद्वेषश्िेतत ललं गातन भवन्न्त । तत्र
प्रथमः क्रियाकालः ॥” (Su.Su 21/18)
14

15. • ियो वॄद््दः स्वधाम्नन्येव प्रद्वेषो वॄद््देेतुषु।
ववपरवीतगुणेच्छा ि
(AH.Su.12/22)
• There will chaya karana vidwesha and
viparitha guna iccha in this stage.
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16. PRAKOPA
“ववलयन रुप वृवि प्रकोप ।” (Su.Su 21/18,Dalhana)
• Doshas which had previously accumulated in
sanchaya avastha become excited to move to
other locations
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17. TYPES OF PRAKOPA
Chaya poorvaka
prakopa
Swabhavika
Aswabhavika
Achaya poorvaka
prakopa
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18. “तेषां प्रकोपात ्
कोष्टतोदसंिरवणाम्नलीकावपपासापररवदाेान्नद्वेषेहृदयो
त्क्लेदाश्ि
जायन्ते ।तत्र द्ववतीयः क्रियाकालः ॥” (SU.SU.21/27)
LAKSHANAS OF PRAKOPA
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19. PRASARA
“प्रकषेण सरवणं प्रसरवणम ्।”
• Spreading to wider area.
• Dosha prakopa take place in very high quantity
so that it increases from its own site and start
spreading all over the body .
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20. LAKSHANAS OF PRASARA
“एवं प्रकु वपतानां प्रसरवतां
वायोववणमागणगमनाटोपौ,ओषिोषपररवदाेधूमाय
नातन
वपत्तस्य,अरवोिकाववपकांगसादाश्छ्दणश्िेतत
श्लेष्मणो ललंगातन भवन्न्त,तत्र तृतीयः
क्रियाकालः ॥” (Su.Su 21/32)
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21. STHANA SAMSHRAYA
पूवणरुपमेव स्थान संश्रयम्।
स्थान संश्रतयणः िु धदाः भाववव्याचधप्रबोदकम्।
दोषाः कु वणन्न्त यन्ललङ्गं पूवणरूपं
तदुच्यते।(मा.तन.१.मधु)
The excited dosha having moved to other parts of body
become localized and it marks the beginning of
manifestation of specific diseases pertaining to those
structures.
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22. एवं प्रकु वपतातांश्तान ्शरवीरवप्रदेशानागम्नय तांस्तान्
व्याधीन्जनयन्न्त ॥(Su Su 21/33)
The prakupita doshas will spread all over the
body, once finds kha vaigunya they accumulate
there producing disease.
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23. • UDARA- Gulma,Vidradhi,Udara,Agni-
sada,Aanaha,Visuchika and Atisara.
• BASTI-
Prameha,Ashmari,Mutraghata,Mutradosha.
• MEDRAGHATA-Niruddha
prakasaha,Upadamsha,Shuka dosha.
• GUDAGHATA-Bhagandhara,Arshas.
• VRUSHANAGHATA-Vriddhi.
• URDHWAGATA-Urdhwa jatruja rogas. 23

24. • TWAK-MAMSA-SHONITASTHA- Kshudra
roga,Kusta,Visarpa.
• MEDOGHATA- Granthi,Apachi,Arbuda,Gala
ganda,Alaji.
• ASTHIGHATA-Vidradhi.
• PADAGHATA- Shleepada,Vata Shonitha,Vata
Kantaka.
• SARVANGAGHATA-Sarvanga roga,Jwara.
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25. VYAKTA
“व्याधेः प्रव्यतं रुपं व्यवतः ।” (Su.Su 21/34 ,Dalhana)
• Manifestation of disease takes place in this
stage (panchama kriyakala)
“अतउर्ध्वंव्याधेददशदनंवक्ष्यामः..............|”
(Su.Su.21/34)
• This stage denotes roopavasta of a disease.
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26. BHEDA
“अत उधवणमेतेषामवदीणाणनां व्रणभावमापन्नानां
षष्ठः क्रियकालः ,ज्वरवाततसारवप्रभॄतीनां ि
दीर्णकालानुबन्धः । तत्राप्रततक्रियमाणे
असाधयतामुपयन्न्त ॥” (Su.Su.21/35)
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27. • Deergha kaala anubandha.
• If left untreated it goes to asadhya stage.
• Classification of diseases depends on dosha
predominance
• When the disease reaches this stage, they may
act as predisposing causes for other diseases.
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32. AVAYAMA
DIVA
SWAPNA
SLESHMALA
AHARA
SEVINA
ADHYASHA-
NA
32

33. Nidana
sevana
Kapha
sanchaya
Anganam
gaurava,Aalsya
33

35. Further indulgence in Kaphakara
ahara-vihara
Aggravation of Kapha dosha along with
production of aama anna rasa
Kapha dosha vriddhi
35

37. Due to nidana sevana
श्लेष्म प्रकोप
Vriddhi of medho dhatu,sanga
in medhovaha srotas
Vata prakopa and inturn
jataragni sandookshana
Atibhubhukshana inturn
medho datu vriddhi
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39. • Dosha dushya samurchana takes place at this
stage.
• Kapha samurchana takes place with medo
dhatu.
Leading to prodromal symptoms such as
• Guru ghatratva
• Sweda aabhada
• Asahasatva
• Teekshnagni –kshudati matra-pippasatiyoga.
39

41. मेदोमांसावतवॄित्वाश्चलवस्िगुदरस्तनः।
अयथोपचयोत्साहो नरो अवतस्थूल उच्यते ॥ (Cha.Su.21/9)
• Medo-mamsa vriddhi
• Chala sphik-udara-stana
• Ayatopa chayotsaha
41

42. अततस्थूलस्य तावदायुषो ह्रासो जवोपरवोधः
कॄ च्रव्यवायता दौबणलयं दौगणन्धयं स्वेदाबाधः
क्षुदततमात्रं वपपासाततयोगश्िेतत भवन्त्कयष्टौ दोषाः
॥
(Ch.Su.21/4)
• आयुषो ह्रास- Due to lack of poshana of other
dhatus other than medo dhatu. 42

43. • जवोपरोध -Due to sharira shaitilya and
sukumaratha sthula persons are
utsaha rahita.
• कॄ च्छ्रव्यवायत -Due to shukra alpata and avruta
of shukra marga by medo dhatu.
• दौर्बल्य - Due to vishama dhatu vriddi.
43

44. • दौर्बन्ध्य - Due to adika meda.
(dourgandhya in sweda)
• स्वेदार्ाध -Due to meda swabhava.
• क्षुदततमात्रं - Due to teeksha agni and vayu.
• पपपासाततयोर् - vayu bahulyata in kosta.
44

46. • Stage of differentiation of the subtype of
sthoulya.
• Manifestation of sthoulya upadravas.
46

47. A.H.Su 14/14, classifies sthoulya as
• Adhika
• Madhya
• Hina
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48. UPADRAVAS IN STHOULYA

49. Visarp
a
Kushta
Bhagan
-dara
Jwara
Prame-
ha
Atisara
Arsha
Sleepad-
a
KamalaApachi
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51. • The concept of shatkriyakala is applicable in
all disorders or disease condition.
• Proper identification of particular stage help
us to plan the treatment.
• For the understanding of kriyakala one should
require good textual knowledge, clinical and
analatical skills. 51

52. • The practical application and analysis of
kriyakala helps in prevention of disease at
different levels.
• Ati-sthula is considered as one among asta-
ninditha purusha.
52

53. • Kha-vaigunya place a important role in case of
disease manifestation.
Sthana samshraya of medas in basti -prameha.
53

56. • It is easy to pluck a plant when it is still a sapling, but
it is difficult when it becomes a tree.
• If some attention is paid towards the simplest of
clinical symptoms several disease can be handled
successfully by doing right kriya(chikitsa) at right
kala (timely action).
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57. • काश्याबमेव वरं स्थौल्यात् न हि स्थूलस्य
भेषजम ् ।
(A H 14/31)
• Sthoulya being a life-style disorder it’s a prime
importance to treat it so that it does not lead
to any other secondary disorders.
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