Diseases of Purishvaha srotas

3. INTRODUCTIONINTRODUCTION
 The present century has been declared to concentrate on “LifestyleThe present century has been declared to concentrate on “Lifestyle
Disorders” by World Health Organization and fortunately Ayurved has anDisorders” by World Health Organization and fortunately Ayurved has an
ample scope to contribute allot in this field to the world because Ayurvedample scope to contribute allot in this field to the world because Ayurved
has a total understanding about the nature and person; the rhythm andhas a total understanding about the nature and person; the rhythm and
unanimity between Pinda and Brahamanda. Ayurved the science of life is aunanimity between Pinda and Brahamanda. Ayurved the science of life is a
time tested treasure of knowledge that has been handed down to us fromtime tested treasure of knowledge that has been handed down to us from
our great ancestors. The wisdom theour great ancestors. The wisdom the foresightness and pragmatic attitudeand pragmatic attitude
structured in the classics aims for total positive health including physical,structured in the classics aims for total positive health including physical,
mental, spiritual well being and combating with illness.mental, spiritual well being and combating with illness.
 So far a small topic has been chosen to consider of its great value toSo far a small topic has been chosen to consider of its great value to
correct some primary steps of Lifestyle Disorders.correct some primary steps of Lifestyle Disorders.
 The present century has been declared to concentrate on “LifestyleThe present century has been declared to concentrate on “Lifestyle
Disorders” by World Health Organization and fortunately Ayurved has anDisorders” by World Health Organization and fortunately Ayurved has an
ample scope to contribute allot in this field to the world because Ayurvedample scope to contribute allot in this field to the world because Ayurved
has a total understanding about the nature and person; the rhythm andhas a total understanding about the nature and person; the rhythm and
unanimity between Pinda and Brahamanda. Ayurved the science of life is aunanimity between Pinda and Brahamanda. Ayurved the science of life is a
time tested treasure of knowledge that has been handed down to us fromtime tested treasure of knowledge that has been handed down to us from
our great ancestors. The wisdom theour great ancestors. The wisdom the foresightness and pragmatic attitudeand pragmatic attitude
structured in the classics aims for total positive health including physical,structured in the classics aims for total positive health including physical,
mental, spiritual well being and combating with illness.mental, spiritual well being and combating with illness.
 So far a small topic has been chosen to consider of its great value toSo far a small topic has been chosen to consider of its great value to
correct some primary steps of Lifestyle Disorders.correct some primary steps of Lifestyle Disorders.

4. UÉåaÉÉ: xÉuÉåïÅÌmÉqÉlSåalÉÉæxÉÑiÉUÉqÉÑSUÉÌhÉcÉ |
AeÉÏhÉÉïlqÉÍsÉlÉæ¶ÉÉlÉæ: eÉÉrÉliÉåqÉsÉxÉlcÉrÉÉiÉç ||
(M.Ni35/1)
Most of the diseases are caused by Mandagni, Malasanchya
and Vegadharan .Here we concentrate on Mala.
Ayurved has told about dinacharya,ratricharya and ritucharya for
healthy living.
Malotsarjan is a very important upkrama of dincharya
U¤ÉÉjÉïqÉÉrÉÑwÉ: xuÉxjÉÉåeÉÉiÉuÉåaÉ: xÉqÉÑixÉ×eÉåiÉ â|
(A.S.Su 3/3)
mÉëuÉiÉïrÉåiÉâmÉëcÉÍsÉiÉÇlÉiÉÑrɦÉÉSÒSÏUrÉåiÉâ |
(A.S.Su 3/4)
UÉåaÉÉ: xÉuÉåïÅÌmÉqÉlSåalÉÉæxÉÑiÉUÉqÉÑSUÉÌhÉcÉ |
AeÉÏhÉÉïlqÉÍsÉlÉæ¶ÉÉlÉæ: eÉÉrÉliÉåqÉsÉxÉlcÉrÉÉiÉç ||
(M.Ni35/1)
Most of the diseases are caused by Mandagni, Malasanchya
and Vegadharan .Here we concentrate on Mala.
Ayurved has told about dinacharya,ratricharya and ritucharya for
healthy living.
Malotsarjan is a very important upkrama of dincharya
U¤ÉÉjÉïqÉÉrÉÑwÉ: xuÉxjÉÉåeÉÉiÉuÉåaÉ: xÉqÉÑixÉ×eÉåiÉ â|
(A.S.Su 3/3)
mÉëuÉiÉïrÉåiÉâmÉëcÉÍsÉiÉÇlÉiÉÑrɦÉÉSÒSÏUrÉåiÉâ |
(A.S.Su 3/4)

5.  lÉuÉåÌaÉiÉÉåÅlrÉMüÉrÉïlÉuÉåÌaÉiÉÉåÅlrÉMüÉrÉï:|:|
((A.S.SuA.S.Su 3/5)3/5)
 aÉÑSÉÌSqÉsÉqÉÉaÉÉïhÉÉÇzÉÉæcÉMüÉÎliÉoÉsÉmÉëSqÉçaÉÑSÉÌSqÉsÉqÉÉaÉÉïhÉÉÇzÉÉæcÉMüÉÎliÉoÉsÉmÉëSqÉç ||
 mÉÉÌuÉmÉÉÌuɧ§rÉMüqÉÉïrÉÑwqÉsɤqÉÏMüÍsÉmÉÉmÉSiÉçrÉMüqÉÉïrÉÑwqÉsɤqÉÏMüÍsÉmÉÉmÉSiÉç |||| (Y.R)(Y.R)

 All the unwanted & toxic substances of body are excreted as Mala. IfAll the unwanted & toxic substances of body are excreted as Mala. If malotsarjanmalotsarjan
is improper then it will cause various diseases .Sois improper then it will cause various diseases .So malotsarjanmalotsarjan pattern directly affectspattern directly affects
on health of individuals.on health of individuals.
 Diet has direct effect onDiet has direct effect on malotsarjanmalotsarjan pattern.pattern.
 ÌMüÌMü––qɳÉxrÉqɳÉxrÉ ÌuÉhqÉÔÌuÉhqÉÔ§§ÉqÉçÉqÉç | (| (Ch.ChiCh.Chi 15/17)15/17)

 In this era of modernization and civilization the society is consciousIn this era of modernization and civilization the society is conscious
enough about “what to eat” the awareness about food items ,their quality,enough about “what to eat” the awareness about food items ,their quality,
quantity and nutritional value etc is increasing gradually, then also thequantity and nutritional value etc is increasing gradually, then also the
popularity of fast food is greater due to lifestyle, sedentary works, stressfulpopularity of fast food is greater due to lifestyle, sedentary works, stressful
environment etc. One phase of life is happy with reduced physical activity andenvironment etc. One phase of life is happy with reduced physical activity and
other face is showing many life style related disorders and health problems.other face is showing many life style related disorders and health problems.
Among them constipation is most common health related problem, it is anAmong them constipation is most common health related problem, it is an
aggravating but not life threatening or debilitating complaints that can beaggravating but not life threatening or debilitating complaints that can be
managed in primary care.managed in primary care.

 lÉuÉåÌaÉiÉÉåÅlrÉMüÉrÉïlÉuÉåÌaÉiÉÉåÅlrÉMüÉrÉï:|:|
((A.S.SuA.S.Su 3/5)3/5)
 aÉÑSÉÌSqÉsÉqÉÉaÉÉïhÉÉÇzÉÉæcÉMüÉÎliÉoÉsÉmÉëSqÉçaÉÑSÉÌSqÉsÉqÉÉaÉÉïhÉÉÇzÉÉæcÉMüÉÎliÉoÉsÉmÉëSqÉç ||
 mÉÉÌuÉmÉÉÌuɧ§rÉMüqÉÉïrÉÑwqÉsɤqÉÏMüÍsÉmÉÉmÉSiÉçrÉMüqÉÉïrÉÑwqÉsɤqÉÏMüÍsÉmÉÉmÉSiÉç |||| (Y.R)(Y.R)

 All the unwanted & toxic substances of body are excreted as Mala. IfAll the unwanted & toxic substances of body are excreted as Mala. If malotsarjanmalotsarjan
is improper then it will cause various diseases .Sois improper then it will cause various diseases .So malotsarjanmalotsarjan pattern directly affectspattern directly affects
on health of individuals.on health of individuals.
 Diet has direct effect onDiet has direct effect on malotsarjanmalotsarjan pattern.pattern.
 ÌMüÌMü––qɳÉxrÉqɳÉxrÉ ÌuÉhqÉÔÌuÉhqÉÔ§§ÉqÉçÉqÉç | (| (Ch.ChiCh.Chi 15/17)15/17)

 In this era of modernization and civilization the society is consciousIn this era of modernization and civilization the society is conscious
enough about “what to eat” the awareness about food items ,their quality,enough about “what to eat” the awareness about food items ,their quality,
quantity and nutritional value etc is increasing gradually, then also thequantity and nutritional value etc is increasing gradually, then also the
popularity of fast food is greater due to lifestyle, sedentary works, stressfulpopularity of fast food is greater due to lifestyle, sedentary works, stressful
environment etc. One phase of life is happy with reduced physical activity andenvironment etc. One phase of life is happy with reduced physical activity and
other face is showing many life style related disorders and health problems.other face is showing many life style related disorders and health problems.
Among them constipation is most common health related problem, it is anAmong them constipation is most common health related problem, it is an
aggravating but not life threatening or debilitating complaints that can beaggravating but not life threatening or debilitating complaints that can be
managed in primary care.managed in primary care.


6.  The word constipation has several meanings and the way it is used inThe word constipation has several meanings and the way it is used in
many differs not only between patients but also between different culturemany differs not only between patients but also between different culture
and regions. In Swedish population study ,it was found that a need of toand regions. In Swedish population study ,it was found that a need of to
take laxative was most common concept of constipation(57%take laxative was most common concept of constipation(57%
respondents).In the same study, women(45%) wererespondents).In the same study, women(45%) were twiselytwisely as likely asas likely as
men (21%) to regard infrequent bowel movements, whereas equalmen (21%) to regard infrequent bowel movements, whereas equal
proportions of men and women regarding hard stool(43%), strainingproportions of men and women regarding hard stool(43%), straining
during defecation (23%) as representing constipation. Depending onduring defecation (23%) as representing constipation. Depending on
various factors diagnostics defecation, demographic factors and groupvarious factors diagnostics defecation, demographic factors and group
sampling constipation surveys shows prevalence of between 1% and moresampling constipation surveys shows prevalence of between 1% and more
than 20% in western populations. In studies of elderly population , up tothan 20% in western populations. In studies of elderly population , up to
20% of community dwelling individual and 50% 0f institutionalized elderly20% of community dwelling individual and 50% 0f institutionalized elderly
persons reported symptoms.persons reported symptoms.
 Functional constipation is generally defined as disorderFunctional constipation is generally defined as disorder
characterized by persists difficult or seemingly in complete and/orcharacterized by persists difficult or seemingly in complete and/or
infrequent bowel movements (once every 3infrequent bowel movements (once every 3--4 days or less) in the absence4 days or less) in the absence
of alarm symptoms or secondary causes. Different medicalof alarm symptoms or secondary causes. Different medical definationsdefinations
and variations in reported symptoms make it difficult to provide reliableand variations in reported symptoms make it difficult to provide reliable
epidemiological data.epidemiological data.
 The word constipation has several meanings and the way it is used inThe word constipation has several meanings and the way it is used in
many differs not only between patients but also between different culturemany differs not only between patients but also between different culture
and regions. In Swedish population study ,it was found that a need of toand regions. In Swedish population study ,it was found that a need of to
take laxative was most common concept of constipation(57%take laxative was most common concept of constipation(57%
respondents).In the same study, women(45%) wererespondents).In the same study, women(45%) were twiselytwisely as likely asas likely as
men (21%) to regard infrequent bowel movements, whereas equalmen (21%) to regard infrequent bowel movements, whereas equal
proportions of men and women regarding hard stool(43%), strainingproportions of men and women regarding hard stool(43%), straining
during defecation (23%) as representing constipation. Depending onduring defecation (23%) as representing constipation. Depending on
various factors diagnostics defecation, demographic factors and groupvarious factors diagnostics defecation, demographic factors and group
sampling constipation surveys shows prevalence of between 1% and moresampling constipation surveys shows prevalence of between 1% and more
than 20% in western populations. In studies of elderly population , up tothan 20% in western populations. In studies of elderly population , up to
20% of community dwelling individual and 50% 0f institutionalized elderly20% of community dwelling individual and 50% 0f institutionalized elderly
persons reported symptoms.persons reported symptoms.
 Functional constipation is generally defined as disorderFunctional constipation is generally defined as disorder
characterized by persists difficult or seemingly in complete and/orcharacterized by persists difficult or seemingly in complete and/or
infrequent bowel movements (once every 3infrequent bowel movements (once every 3--4 days or less) in the absence4 days or less) in the absence
of alarm symptoms or secondary causes. Different medicalof alarm symptoms or secondary causes. Different medical definationsdefinations
and variations in reported symptoms make it difficult to provide reliableand variations in reported symptoms make it difficult to provide reliable
epidemiological data.epidemiological data.

7. CONCEPT OF PURISHVAH SROTASCONCEPT OF PURISHVAH SROTAS
 PURISHPURISH
The Ayurvedic concepts of physiology, pathology, diagnosis, prognosis,The Ayurvedic concepts of physiology, pathology, diagnosis, prognosis,
medicine and therapeutics, are all based on the theory of Trimedicine and therapeutics, are all based on the theory of Tri DoshasDoshas viz.viz. VataVata,, PittaPitta
andand KaphaKapha..
 On the normal or disturbed equilibrium as the case may be, of these TriOn the normal or disturbed equilibrium as the case may be, of these Tri DoshasDoshas
depend health and ill health respectively. They are designated asdepend health and ill health respectively. They are designated as DoshasDoshas because ofbecause of
their capacity to vitiate and themselves become vitiated by other factorstheir capacity to vitiate and themselves become vitiated by other factors
 They are also known asThey are also known as DhatusDhatus as they support the body in its normal states.as they support the body in its normal states.
The termThe term DhatusDhatus means a constituent, an essential element, primary substance, ameans a constituent, an essential element, primary substance, a
humor the supporter etc.humor the supporter etc.
 In three AVASTHAPAKA and POSAKADOSHAIn three AVASTHAPAKA and POSAKADOSHA nirmananirmana are the first phase ofare the first phase of
transformation.transformation. AnnarasaAnnarasa is the first bio product of food to encircle and circulate withis the first bio product of food to encircle and circulate with
respective channel in the body. The formation of sevenrespective channel in the body. The formation of seven DhatusDhatus from thisfrom this annarasaannarasa
with respective Agni,with respective Agni, UpdhatusUpdhatus and Malaand Mala nirmananirmana also takes place in the secondalso takes place in the second
phase of transformation.phase of transformation.
 PURISHPURISH
The Ayurvedic concepts of physiology, pathology, diagnosis, prognosis,The Ayurvedic concepts of physiology, pathology, diagnosis, prognosis,
medicine and therapeutics, are all based on the theory of Trimedicine and therapeutics, are all based on the theory of Tri DoshasDoshas viz.viz. VataVata,, PittaPitta
andand KaphaKapha..
 On the normal or disturbed equilibrium as the case may be, of these TriOn the normal or disturbed equilibrium as the case may be, of these Tri DoshasDoshas
depend health and ill health respectively. They are designated asdepend health and ill health respectively. They are designated as DoshasDoshas because ofbecause of
their capacity to vitiate and themselves become vitiated by other factorstheir capacity to vitiate and themselves become vitiated by other factors
 They are also known asThey are also known as DhatusDhatus as they support the body in its normal states.as they support the body in its normal states.
The termThe term DhatusDhatus means a constituent, an essential element, primary substance, ameans a constituent, an essential element, primary substance, a
humor the supporter etc.humor the supporter etc.
 In three AVASTHAPAKA and POSAKADOSHAIn three AVASTHAPAKA and POSAKADOSHA nirmananirmana are the first phase ofare the first phase of
transformation.transformation. AnnarasaAnnarasa is the first bio product of food to encircle and circulate withis the first bio product of food to encircle and circulate with
respective channel in the body. The formation of sevenrespective channel in the body. The formation of seven DhatusDhatus from thisfrom this annarasaannarasa
with respective Agni,with respective Agni, UpdhatusUpdhatus and Malaand Mala nirmananirmana also takes place in the secondalso takes place in the second
phase of transformation.phase of transformation.

8.  Mala are the impurities which are hurtful to the body and if not excreted, they obstructMala are the impurities which are hurtful to the body and if not excreted, they obstruct
the physiology of body. These are the waste products which are not acceptable bythe physiology of body. These are the waste products which are not acceptable by
cellular physiology and hence their removal is necessary for healthy environment ofcellular physiology and hence their removal is necessary for healthy environment of
body. It includes the excreta issuing outwards from the orifices of the body in variousbody. It includes the excreta issuing outwards from the orifices of the body in various
forms like putrescent or end products offorms like putrescent or end products of dhatusdhatus, vitiated, vitiated vatavata,, pittapitta,, KaphaKapha and theand the
tendencies residing in the body which tends to hamper or injure the normaltendencies residing in the body which tends to hamper or injure the normal
physiology of body. In short, these are the eliminable products which are formedphysiology of body. In short, these are the eliminable products which are formed
during various Pak or metabolic reactions in the body while their timely existence isduring various Pak or metabolic reactions in the body while their timely existence is
supportive to the body.supportive to the body.
 Thus the physiology of Prasad andThus the physiology of Prasad and KittaKitta is well defined in Ayurved. Viewing allis well defined in Ayurved. Viewing all
these above listed definitions and suppositions the two words are apparentlythese above listed definitions and suppositions the two words are apparently
used in different prepositions byused in different prepositions by AcharyasAcharyas, one is, one is KittaKitta and other is Mala.and other is Mala. KittaKitta
is not the one and final product of but it is a constant process of digestion,is not the one and final product of but it is a constant process of digestion,
metabolism which extracts themetabolism which extracts the kittakitta from Prasad at every atomic stage wherefrom Prasad at every atomic stage where
the Prasad is the change of Sukhumi out ofthe Prasad is the change of Sukhumi out of SthulaSthula,, biotransformedbiotransformed matter outmatter out
of natural food products, organic from inorganic, acceptable out ofof natural food products, organic from inorganic, acceptable out of
unacceptable, the gross food matter is Prasad.unacceptable, the gross food matter is Prasad.
 Here a clear further transformable and transportable energy source isHere a clear further transformable and transportable energy source is
Prasad and at every stage the second product other than Prasad isPrasad and at every stage the second product other than Prasad is KittaKitta whichwhich
is stillis still sthulasthula, natural, unacceptable,, natural, unacceptable, untransportableuntransportable andand untransformableuntransformable..
 Mala are the impurities which are hurtful to the body and if not excreted, they obstructMala are the impurities which are hurtful to the body and if not excreted, they obstruct
the physiology of body. These are the waste products which are not acceptable bythe physiology of body. These are the waste products which are not acceptable by
cellular physiology and hence their removal is necessary for healthy environment ofcellular physiology and hence their removal is necessary for healthy environment of
body. It includes the excreta issuing outwards from the orifices of the body in variousbody. It includes the excreta issuing outwards from the orifices of the body in various
forms like putrescent or end products offorms like putrescent or end products of dhatusdhatus, vitiated, vitiated vatavata,, pittapitta,, KaphaKapha and theand the
tendencies residing in the body which tends to hamper or injure the normaltendencies residing in the body which tends to hamper or injure the normal
physiology of body. In short, these are the eliminable products which are formedphysiology of body. In short, these are the eliminable products which are formed
during various Pak or metabolic reactions in the body while their timely existence isduring various Pak or metabolic reactions in the body while their timely existence is
supportive to the body.supportive to the body.
 Thus the physiology of Prasad andThus the physiology of Prasad and KittaKitta is well defined in Ayurved. Viewing allis well defined in Ayurved. Viewing all
these above listed definitions and suppositions the two words are apparentlythese above listed definitions and suppositions the two words are apparently
used in different prepositions byused in different prepositions by AcharyasAcharyas, one is, one is KittaKitta and other is Mala.and other is Mala. KittaKitta
is not the one and final product of but it is a constant process of digestion,is not the one and final product of but it is a constant process of digestion,
metabolism which extracts themetabolism which extracts the kittakitta from Prasad at every atomic stage wherefrom Prasad at every atomic stage where
the Prasad is the change of Sukhumi out ofthe Prasad is the change of Sukhumi out of SthulaSthula,, biotransformedbiotransformed matter outmatter out
of natural food products, organic from inorganic, acceptable out ofof natural food products, organic from inorganic, acceptable out of
unacceptable, the gross food matter is Prasad.unacceptable, the gross food matter is Prasad.
 Here a clear further transformable and transportable energy source isHere a clear further transformable and transportable energy source is
Prasad and at every stage the second product other than Prasad isPrasad and at every stage the second product other than Prasad is KittaKitta whichwhich
is stillis still sthulasthula, natural, unacceptable,, natural, unacceptable, untransportableuntransportable andand untransformableuntransformable..

9. FORMATION OF PURISH:FORMATION OF PURISH:
 PurishPurish is that final excreta which is eliminable from the body after all the digestion,is that final excreta which is eliminable from the body after all the digestion,
metabolism process, which is unable to transport into the circulatingmetabolism process, which is unable to transport into the circulating biomatterbiomatter. In. In
Ayurved, two specific and different channels or strotasa are defined in one commonAyurved, two specific and different channels or strotasa are defined in one common
alimentary canal. With overall study of this grand strotasa i.e. alimentary canal inalimentary canal. With overall study of this grand strotasa i.e. alimentary canal in
contemporary view performs multiphase digestion and metabolism commences fromcontemporary view performs multiphase digestion and metabolism commences from
bubal cavity and terminates till rectum. The concept ofbubal cavity and terminates till rectum. The concept of PakwashayaPakwashaya is very specific inis very specific in
Ayurved that does not deal with any small or large organ but largely resembles withAyurved that does not deal with any small or large organ but largely resembles with
large intestine.large intestine.
 Panchbhautic Swaroop Of Purisha:Panchbhautic Swaroop Of Purisha:
 PurishPurish contains predominantly 3 of 5 basic elements namelycontains predominantly 3 of 5 basic elements namely-- PruthviPruthvi, Agni and, Agni and
Vayu. ItsVayu. Its colourcolour is yellow and it is due to bile pigments (i.e.is yellow and it is due to bile pigments (i.e. pittapitta) present in) present in
stools. It is slightly pungent in taste and has natural bad smell.stools. It is slightly pungent in taste and has natural bad smell.
 According toAccording to ChakrapaniChakrapani,, PurishdhanaPurishdhana isis PakwashayaPakwashaya. But since. But since CharakaCharaka
mentioned bothmentioned both PurishdhanaPurishdhana andand PakwashayaPakwashaya in the samein the same SlokaSloka as seats ofas seats of
VataVata, it is clear that both are not one and the same and therefore the, it is clear that both are not one and the same and therefore the
contention ofcontention of ChakrapaniChakrapani is not correct.is not correct. PurishdhanaPurishdhana should be considered asshould be considered as
that portion of the intestines where in is located thethat portion of the intestines where in is located the PurishdharakalaPurishdharakala. This. This
PurishdhanaPurishdhana also includes thealso includes the GudaGuda which is mentioned by Sushruta as thewhich is mentioned by Sushruta as the
seat ofseat of VataVata (Su. Su. 21/16).(Su. Su. 21/16).
 Through theThrough the PakwashayaPakwashaya region,region, ApanavataApanavata is stated to move the regionsis stated to move the regions
ofof BastiBasti,, SroniSroni,, MedraMedra,, VrisanaVrisana andand VangsanaVangsana..
 PurishPurish is that final excreta which is eliminable from the body after all the digestion,is that final excreta which is eliminable from the body after all the digestion,
metabolism process, which is unable to transport into the circulatingmetabolism process, which is unable to transport into the circulating biomatterbiomatter. In. In
Ayurved, two specific and different channels or strotasa are defined in one commonAyurved, two specific and different channels or strotasa are defined in one common
alimentary canal. With overall study of this grand strotasa i.e. alimentary canal inalimentary canal. With overall study of this grand strotasa i.e. alimentary canal in
contemporary view performs multiphase digestion and metabolism commences fromcontemporary view performs multiphase digestion and metabolism commences from
bubal cavity and terminates till rectum. The concept ofbubal cavity and terminates till rectum. The concept of PakwashayaPakwashaya is very specific inis very specific in
Ayurved that does not deal with any small or large organ but largely resembles withAyurved that does not deal with any small or large organ but largely resembles with
large intestine.large intestine.
 Panchbhautic Swaroop Of Purisha:Panchbhautic Swaroop Of Purisha:
 PurishPurish contains predominantly 3 of 5 basic elements namelycontains predominantly 3 of 5 basic elements namely-- PruthviPruthvi, Agni and, Agni and
Vayu. ItsVayu. Its colourcolour is yellow and it is due to bile pigments (i.e.is yellow and it is due to bile pigments (i.e. pittapitta) present in) present in
stools. It is slightly pungent in taste and has natural bad smell.stools. It is slightly pungent in taste and has natural bad smell.
 According toAccording to ChakrapaniChakrapani,, PurishdhanaPurishdhana isis PakwashayaPakwashaya. But since. But since CharakaCharaka
mentioned bothmentioned both PurishdhanaPurishdhana andand PakwashayaPakwashaya in the samein the same SlokaSloka as seats ofas seats of
VataVata, it is clear that both are not one and the same and therefore the, it is clear that both are not one and the same and therefore the
contention ofcontention of ChakrapaniChakrapani is not correct.is not correct. PurishdhanaPurishdhana should be considered asshould be considered as
that portion of the intestines where in is located thethat portion of the intestines where in is located the PurishdharakalaPurishdharakala. This. This
PurishdhanaPurishdhana also includes thealso includes the GudaGuda which is mentioned by Sushruta as thewhich is mentioned by Sushruta as the
seat ofseat of VataVata (Su. Su. 21/16).(Su. Su. 21/16).
 Through theThrough the PakwashayaPakwashaya region,region, ApanavataApanavata is stated to move the regionsis stated to move the regions
ofof BastiBasti,, SroniSroni,, MedraMedra,, VrisanaVrisana andand VangsanaVangsana..

10. FUNCTIONS:FUNCTIONS:
 mÉÑUÏwÉqÉÑmÉxiÉqpÉÇuÉÉruÉÎalÉkÉÉUhÉÇcÉmÉÑUÏwÉqÉÑmÉxiÉqpÉÇuÉÉruÉÎalÉkÉÉUhÉÇcÉ ||||
(Su.Su.15/5)(Su.Su.15/5)
 TheThe PurishPurish in the body performs the following physiological actions:in the body performs the following physiological actions:--
 1. It supports the body.1. It supports the body.
 22.. ItIt isis thethe UpstambhanUpstambhan whichwhich itit supportssupports thethe bodybody.. BecauseBecause ofof itsits
solidsolid nature,nature, faecesfaeces areare heldheld forfor aa longlong timetime inin thethe coloncolon andand dodo notnot
allowallow food,food, digestivedigestive enzymesenzymes andand gasesgases toto escapeescape easilyeasily.. HenceHence thethe
intestineintestine hashas enoughenough timetime forfor digestiondigestion andand absorptionabsorption ofof foodfood..
ThusThus indirectlyindirectly faecesfaeces supportsupport thethe entireentire bodybody..
 3. It also protects the3. It also protects the VataVata and Agni in the body.and Agni in the body.
 MALOTSARJAN(DEFECATION):MALOTSARJAN(DEFECATION):
 After complete digestion of food, the nutrients are absorbed and theAfter complete digestion of food, the nutrients are absorbed and the
waste products remaining in thewaste products remaining in the grahanigrahani are known asare known as MaladravaMaladrava..
The separation of nutrients and waste products is aided withThe separation of nutrients and waste products is aided with
 mÉÑUÏwÉqÉÑmÉxiÉqpÉÇuÉÉruÉÎalÉkÉÉUhÉÇcÉmÉÑUÏwÉqÉÑmÉxiÉqpÉÇuÉÉruÉÎalÉkÉÉUhÉÇcÉ ||||
(Su.Su.15/5)(Su.Su.15/5)
 TheThe PurishPurish in the body performs the following physiological actions:in the body performs the following physiological actions:--
 1. It supports the body.1. It supports the body.
 22.. ItIt isis thethe UpstambhanUpstambhan whichwhich itit supportssupports thethe bodybody.. BecauseBecause ofof itsits
solidsolid nature,nature, faecesfaeces areare heldheld forfor aa longlong timetime inin thethe coloncolon andand dodo notnot
allowallow food,food, digestivedigestive enzymesenzymes andand gasesgases toto escapeescape easilyeasily.. HenceHence thethe
intestineintestine hashas enoughenough timetime forfor digestiondigestion andand absorptionabsorption ofof foodfood..
ThusThus indirectlyindirectly faecesfaeces supportsupport thethe entireentire bodybody..
 3. It also protects the3. It also protects the VataVata and Agni in the body.and Agni in the body.
 MALOTSARJAN(DEFECATION):MALOTSARJAN(DEFECATION):
 After complete digestion of food, the nutrients are absorbed and theAfter complete digestion of food, the nutrients are absorbed and the
waste products remaining in thewaste products remaining in the grahanigrahani are known asare known as MaladravaMaladrava..
The separation of nutrients and waste products is aided withThe separation of nutrients and waste products is aided with

11.  PachakagniPachakagni..ThisThis MaladravaMaladrava constitutesconstitutes twotwo parts,parts, oneone isis liquidliquid andand
thethe otherother partpart isis depriveddeprived ofof liquidliquid knownknown asas protoproto partpart ofof PurishPurish..
ThisThis protoproto partpart ofof PuriPuri reachesreaches MalashayaMalashaya (rectum)(rectum) withwith thethe motionmotion
providedprovided byby SamanavayuSamanavayu,, knownknown asas PurishPurish andand staysstays herehere.. ThenThen itit isis
excretedexcreted byby thethe bodybody throughthrough thethe analanal canalcanal byby thethe propagationpropagation ofof
ApanaVayuApanaVayu..
 PURISH VRIDHDHI:PURISH VRIDHDHI:
 DecreaseDecrease ofof purishpurish producesproduces discomfortdiscomfort inin cardiaccardiac regionregion andand flanks,flanks,
flatusflatus movesmoves upwardupward accompaniedaccompanied withwith soundsound andand movingmoving inin
epigastricepigastric regionregion..
 For treating a patient suffering fromFor treating a patient suffering from purishpurish kshaykshay ,,KulmasaKulmasa(a(a
preparation from barely),preparation from barely), MasaMasa,, KushkundaKushkunda((mashroommashroom),), AjaAja
Madhya(mid part of goat),Madhya(mid part of goat), YavaYava , leafy vegetable and, leafy vegetable and DhanyamlaDhanyamla
should be prescribed.should be prescribed.
 PURISH KSHAYA:PURISH KSHAYA:
 Great increase ofGreat increase of purishpurish produces gurglingproduces gurgling noicenoice and pain in theand pain in the
abdomen, heaviness of abdomen.abdomen, heaviness of abdomen.

 PachakagniPachakagni..ThisThis MaladravaMaladrava constitutesconstitutes twotwo parts,parts, oneone isis liquidliquid andand
thethe otherother partpart isis depriveddeprived ofof liquidliquid knownknown asas protoproto partpart ofof PurishPurish..
ThisThis protoproto partpart ofof PuriPuri reachesreaches MalashayaMalashaya (rectum)(rectum) withwith thethe motionmotion
providedprovided byby SamanavayuSamanavayu,, knownknown asas PurishPurish andand staysstays herehere.. ThenThen itit isis
excretedexcreted byby thethe bodybody throughthrough thethe analanal canalcanal byby thethe propagationpropagation ofof
ApanaVayuApanaVayu..
 PURISH VRIDHDHI:PURISH VRIDHDHI:
 DecreaseDecrease ofof purishpurish producesproduces discomfortdiscomfort inin cardiaccardiac regionregion andand flanks,flanks,
flatusflatus movesmoves upwardupward accompaniedaccompanied withwith soundsound andand movingmoving inin
epigastricepigastric regionregion..
 For treating a patient suffering fromFor treating a patient suffering from purishpurish kshaykshay ,,KulmasaKulmasa(a(a
preparation from barely),preparation from barely), MasaMasa,, KushkundaKushkunda((mashroommashroom),), AjaAja
Madhya(mid part of goat),Madhya(mid part of goat), YavaYava , leafy vegetable and, leafy vegetable and DhanyamlaDhanyamla
should be prescribed.should be prescribed.
 PURISH KSHAYA:PURISH KSHAYA:
 Great increase ofGreat increase of purishpurish produces gurglingproduces gurgling noicenoice and pain in theand pain in the
abdomen, heaviness of abdomen.abdomen, heaviness of abdomen.


12. CONCEPT OF STROTASCONCEPT OF STROTAS
 InIn Ayurved,Ayurved, thethe conceptconcept ofof SrotasSrotas hashas beenbeen propagatedpropagated veryvery specificallyspecifically.. BodyBody isis
composedcomposed ofof numerousnumerous SrotasSrotas,, whichwhich havehave aa significantsignificant rolerole inin thethe maintenancemaintenance ofof
thethe equilibriumequilibrium ofof bodybody elementselements.. TheyThey areare responsibleresponsible forfor thethe maintenancemaintenance ofof healthhealth
asas wellwell asas forfor thethe diseaseddiseased conditioncondition.. TheThe SrotasSrotas areare derivativesderivatives oror modificationsmodifications ofof
thethe PanchaPancha MahabhutasMahabhutas,, especiallyespecially AkashaAkasha MahabhutaMahabhuta.. IfIf consideredconsidered physiologically,physiologically,
SrotasSrotas isis thethe channelchannel throughthrough whichwhich differentdifferent elementselements undergoundergo transformation,transformation,
transmutation,transmutation, circulationcirculation andand transportationtransportation.. TheThe SrotasSrotas isis anan integralintegral partpart ofof thethe
body,body, servingserving asas aa routeroute toto conductorconductor conveysconveys aa substancesubstance fromfrom oneone placeplace toto otherother..
AnotherAnother conceptconcept ofof SrotasSrotas isis itsits microscopicmicroscopic descriptiondescription.. TheirTheir functionsfunctions includeinclude
nourishment,nourishment, circulation,circulation, excretionexcretion andand reproductionreproduction.. InIn brief,brief, thethe conceptconcept ofof SrotasSrotas
includesincludes microscopic,microscopic, mm
 PURISHAVAHAPURISHAVAHA STROTASSTROTAS
 mÉgcÉqÉÏmÉgcÉqÉÏ mÉÑUÏwÉkÉUÉmÉÑUÏwÉkÉUÉ lÉÉqÉlÉÉqÉ:: rÉÉÅliÉrÉÉÅliÉ:: MüÉå¸åMüÉå¸å qÉsÉqÉÍpÉÌuÉpÉeÉiÉåqÉsÉqÉÍpÉÌuÉpÉeÉiÉå mÉYuÉÉzÉrÉÉxjÉÉmÉYuÉÉzÉrÉÉxjÉÉ ||||
 ByBy thethe termterm PurishvahaPurishvaha SrotasSrotas,, notnot onlyonly thethe transportationtransportation ofof PurishPurish,, butbut alsoalso
itsits formationformation (Sara(Sara KittaKitta separation),separation), itsits transportationtransportation andand excretionexcretion areare
meantmeant.. TheseThese functionsfunctions areare carriedcarried outout inin thethe tubulartubular part,part, anatomicallyanatomically
startingstarting fromfrom thethe appendixappendix andand endingending atat thethe analanal canalcanal.. MaladharaMaladhara KalaKala formsforms
aa majormajor partpart ofof thisthis SrotasSrotas.. ThusThus thisthis systemsystem participatesparticipates inin thethe formationformation ofof
alimentaryalimentary canalcanal oror digestivedigestive system,system, alongalong withwith AnnavahaAnnavaha SrotasSrotas
 InIn Ayurved,Ayurved, thethe conceptconcept ofof SrotasSrotas hashas beenbeen propagatedpropagated veryvery specificallyspecifically.. BodyBody isis
composedcomposed ofof numerousnumerous SrotasSrotas,, whichwhich havehave aa significantsignificant rolerole inin thethe maintenancemaintenance ofof
thethe equilibriumequilibrium ofof bodybody elementselements.. TheyThey areare responsibleresponsible forfor thethe maintenancemaintenance ofof healthhealth
asas wellwell asas forfor thethe diseaseddiseased conditioncondition.. TheThe SrotasSrotas areare derivativesderivatives oror modificationsmodifications ofof
thethe PanchaPancha MahabhutasMahabhutas,, especiallyespecially AkashaAkasha MahabhutaMahabhuta.. IfIf consideredconsidered physiologically,physiologically,
SrotasSrotas isis thethe channelchannel throughthrough whichwhich differentdifferent elementselements undergoundergo transformation,transformation,
transmutation,transmutation, circulationcirculation andand transportationtransportation.. TheThe SrotasSrotas isis anan integralintegral partpart ofof thethe
body,body, servingserving asas aa routeroute toto conductorconductor conveysconveys aa substancesubstance fromfrom oneone placeplace toto otherother..
AnotherAnother conceptconcept ofof SrotasSrotas isis itsits microscopicmicroscopic descriptiondescription.. TheirTheir functionsfunctions includeinclude
nourishment,nourishment, circulation,circulation, excretionexcretion andand reproductionreproduction.. InIn brief,brief, thethe conceptconcept ofof SrotasSrotas
includesincludes microscopic,microscopic, mm
 PURISHAVAHAPURISHAVAHA STROTASSTROTAS
 mÉgcÉqÉÏmÉgcÉqÉÏ mÉÑUÏwÉkÉUÉmÉÑUÏwÉkÉUÉ lÉÉqÉlÉÉqÉ:: rÉÉÅliÉrÉÉÅliÉ:: MüÉå¸åMüÉå¸å qÉsÉqÉÍpÉÌuÉpÉeÉiÉåqÉsÉqÉÍpÉÌuÉpÉeÉiÉå mÉYuÉÉzÉrÉÉxjÉÉmÉYuÉÉzÉrÉÉxjÉÉ ||||
 ByBy thethe termterm PurishvahaPurishvaha SrotasSrotas,, notnot onlyonly thethe transportationtransportation ofof PurishPurish,, butbut alsoalso
itsits formationformation (Sara(Sara KittaKitta separation),separation), itsits transportationtransportation andand excretionexcretion areare
meantmeant.. TheseThese functionsfunctions areare carriedcarried outout inin thethe tubulartubular part,part, anatomicallyanatomically
startingstarting fromfrom thethe appendixappendix andand endingending atat thethe analanal canalcanal.. MaladharaMaladhara KalaKala formsforms
aa majormajor partpart ofof thisthis SrotasSrotas.. ThusThus thisthis systemsystem participatesparticipates inin thethe formationformation ofof
alimentaryalimentary canalcanal oror digestivedigestive system,system, alongalong withwith AnnavahaAnnavaha SrotasSrotas

13. PURISHVAHA STROTOGATA VYADHISPURISHVAHA STROTOGATA VYADHIS
 SinceSince pathophysiologypathophysiology of theof the PurishvahaPurishvaha SrotasSrotas is not beyond the generalis not beyond the general
pattern ofpattern of SrotodustiSrotodusti, the general, the general HetusHetus and symptoms ofand symptoms of SrotodustiSrotodusti can becan be
applied toapplied to PurishvahaPurishvaha SrotasSrotas also. This general pattern has already beenalso. This general pattern has already been
discussed under thediscussed under the AnnavahaAnnavaha SrotogataSrotogata VyadhisVyadhis..
 SpecificSpecific HetusHetus forfor PurishvahaPurishvaha SrotodustiSrotodusti::
xÉÇkÉÉUhÉÉSirÉzÉlÉÉiÉçxÉÇkÉÉUhÉÉSirÉzÉlÉÉiÉç AeÉÏhÉÉïkrÉzÉlÉÉAeÉÏhÉÉïkrÉzÉlÉɨ¨ÉjÉÉÉjÉÉ ||
UÉcÉÉåïuÉÉÌWûlÉÏUÉcÉÉåïuÉÉÌWûlÉÏ SÒzrÉÎliÉSÒzrÉÎliÉ SÒoÉïsÉÉåalÉåSÒoÉïsÉÉåalÉå:: MM××üzÉxrÉüzÉxrÉ cÉcÉ |||| Cha.ViCha.Vi 5/215/21
 Suppression of natural urges (specially of defecation)Suppression of natural urges (specially of defecation)
 OvereatingOvereating
 Eating before the previous food is digestedEating before the previous food is digested
 Frequently eatingFrequently eating
 Impairment of AgniImpairment of Agni
 Emaciation (Emaciation (KarshyaKarshya))
 All theseAll these HetusHetus along with general causes ofalong with general causes of SrotodustiSrotodusti lead tolead to AgnidustiAgnidusti inin
some or other way. Among the above causes second cause is against thesome or other way. Among the above causes second cause is against the
statement ofstatement of AharavidhiAharavidhi VidhanaVidhana, ', 'MatravatMatravat' so the' so the AgnidustiAgnidusti is actually ais actually a
result of otherresult of other HetusHetus which gears up further pathology.which gears up further pathology.
 SinceSince pathophysiologypathophysiology of theof the PurishvahaPurishvaha SrotasSrotas is not beyond the generalis not beyond the general
pattern ofpattern of SrotodustiSrotodusti, the general, the general HetusHetus and symptoms ofand symptoms of SrotodustiSrotodusti can becan be
applied toapplied to PurishvahaPurishvaha SrotasSrotas also. This general pattern has already beenalso. This general pattern has already been
discussed under thediscussed under the AnnavahaAnnavaha SrotogataSrotogata VyadhisVyadhis..
 SpecificSpecific HetusHetus forfor PurishvahaPurishvaha SrotodustiSrotodusti::
xÉÇkÉÉUhÉÉSirÉzÉlÉÉiÉçxÉÇkÉÉUhÉÉSirÉzÉlÉÉiÉç AeÉÏhÉÉïkrÉzÉlÉÉAeÉÏhÉÉïkrÉzÉlÉɨ¨ÉjÉÉÉjÉÉ ||
UÉcÉÉåïuÉÉÌWûlÉÏUÉcÉÉåïuÉÉÌWûlÉÏ SÒzrÉÎliÉSÒzrÉÎliÉ SÒoÉïsÉÉåalÉåSÒoÉïsÉÉåalÉå:: MM××üzÉxrÉüzÉxrÉ cÉcÉ |||| Cha.ViCha.Vi 5/215/21
 Suppression of natural urges (specially of defecation)Suppression of natural urges (specially of defecation)
 OvereatingOvereating
 Eating before the previous food is digestedEating before the previous food is digested
 Frequently eatingFrequently eating
 Impairment of AgniImpairment of Agni
 Emaciation (Emaciation (KarshyaKarshya))
 All theseAll these HetusHetus along with general causes ofalong with general causes of SrotodustiSrotodusti lead tolead to AgnidustiAgnidusti inin
some or other way. Among the above causes second cause is against thesome or other way. Among the above causes second cause is against the
statement ofstatement of AharavidhiAharavidhi VidhanaVidhana, ', 'MatravatMatravat' so the' so the AgnidustiAgnidusti is actually ais actually a
result of otherresult of other HetusHetus which gears up further pathology.which gears up further pathology.

14. Specific Symptoms ofSpecific Symptoms of PurishvahaPurishvaha SrotodustiSrotodusti::
 mÉëSÒ¹ÉlÉÉÇmÉëSÒ¹ÉlÉÉÇ iÉÑiÉÑ ZÉsuÉåwÉÉÍqÉSÇZÉsuÉåwÉÉÍqÉSÇ ÌuÉzÉåwÉÌuÉÌuÉ¥ÉÉlÉÇÌuÉzÉåwÉÌuÉÌuÉ¥ÉÉlÉÇ pÉuÉÌiÉ;iÉpÉuÉÌiÉ;iɱ±jÉÉjÉÉ MM××ücNíåûhÉÉsmÉsmÉÇücNíåûhÉÉsmÉsmÉÇ
xÉzÉoSzÉÔsÉqÉÌiÉSìuÉqÉÌiÉaÉëÍjÉiÉqÉÌiÉoÉÉWÒûcÉÉåmÉÌuÉzÉliÉÇxÉzÉoSzÉÔsÉqÉÌiÉSìuÉqÉÌiÉaÉëÍjÉiÉqÉÌiÉoÉÉWÒûcÉÉåmÉÌuÉzÉliÉÇ SìÓ¹uÉÉmÉÑUÏwÉuÉWûÉlÉxrÉSìÓ¹uÉÉmÉÑUÏwÉuÉWûÉlÉxrÉ xÉëÉåiÉÉÇÍxÉxÉëÉåiÉÉÇÍxÉ mÉëSÒ¹ÉlÉÏÌiÉmÉëSÒ¹ÉlÉÏÌiÉ ÌuÉÌuɱ±ÉiÉÉiÉ ||||
Cha.ViCha.Vi 5/85/8
 Scanty StoolScanty Stool
 Painful defecation with soundPainful defecation with sound
 Very watery stoolsVery watery stools
 Very hard stoolsVery hard stools
 Stool in excess quantity or excess time for defecationStool in excess quantity or excess time for defecation

 AmongAmong thethe aboveabove features,features, classificationclassification cancan bebe donedone onon thethe basisbasis ofof
 (1) symptoms related to fecal matter(1) symptoms related to fecal matter
 (2) symptoms related with defecation process.(2) symptoms related with defecation process.
SymptomsSymptoms nono.. 33 andand 44 comecome underunder thethe firstfirst category,category, allall othersothers areare ofof secondsecond
category,relatedcategory,related withwith defecationdefecation.. DifficultyDifficulty oror abnormalityabnormality inin defecationdefecation maymay bebe aa resultresult ofof
anatomicalanatomical oror physiologicalphysiological changeschanges inin thethe PurishvahaPurishvaha SrotasSrotas..
 mÉëSÒ¹ÉlÉÉÇmÉëSÒ¹ÉlÉÉÇ iÉÑiÉÑ ZÉsuÉåwÉÉÍqÉSÇZÉsuÉåwÉÉÍqÉSÇ ÌuÉzÉåwÉÌuÉÌuÉ¥ÉÉlÉÇÌuÉzÉåwÉÌuÉÌuÉ¥ÉÉlÉÇ pÉuÉÌiÉ;iÉpÉuÉÌiÉ;iɱ±jÉÉjÉÉ MM××ücNíåûhÉÉsmÉsmÉÇücNíåûhÉÉsmÉsmÉÇ
xÉzÉoSzÉÔsÉqÉÌiÉSìuÉqÉÌiÉaÉëÍjÉiÉqÉÌiÉoÉÉWÒûcÉÉåmÉÌuÉzÉliÉÇxÉzÉoSzÉÔsÉqÉÌiÉSìuÉqÉÌiÉaÉëÍjÉiÉqÉÌiÉoÉÉWÒûcÉÉåmÉÌuÉzÉliÉÇ SìÓ¹uÉÉmÉÑUÏwÉuÉWûÉlÉxrÉSìÓ¹uÉÉmÉÑUÏwÉuÉWûÉlÉxrÉ xÉëÉåiÉÉÇÍxÉxÉëÉåiÉÉÇÍxÉ mÉëSÒ¹ÉlÉÏÌiÉmÉëSÒ¹ÉlÉÏÌiÉ ÌuÉÌuɱ±ÉiÉÉiÉ ||||
Cha.ViCha.Vi 5/85/8
 Scanty StoolScanty Stool
 Painful defecation with soundPainful defecation with sound
 Very watery stoolsVery watery stools
 Very hard stoolsVery hard stools
 Stool in excess quantity or excess time for defecationStool in excess quantity or excess time for defecation

 AmongAmong thethe aboveabove features,features, classificationclassification cancan bebe donedone onon thethe basisbasis ofof
 (1) symptoms related to fecal matter(1) symptoms related to fecal matter
 (2) symptoms related with defecation process.(2) symptoms related with defecation process.
SymptomsSymptoms nono.. 33 andand 44 comecome underunder thethe firstfirst category,category, allall othersothers areare ofof secondsecond
category,relatedcategory,related withwith defecationdefecation.. DifficultyDifficulty oror abnormalityabnormality inin defecationdefecation maymay bebe aa resultresult ofof
anatomicalanatomical oror physiologicalphysiological changeschanges inin thethe PurishvahaPurishvaha SrotasSrotas..

15. Diseases ofDiseases of PurishvahaPurishvaha SrotasSrotas::
(I)(I) ClassificationNo.1ClassificationNo.1
Many diseases have symptoms related toMany diseases have symptoms related to faecalfaecal matter or act of defecation.matter or act of defecation.
Actually 'Mala' examination is one among theActually 'Mala' examination is one among the RogiRogi ParikshaPariksha. It should be performed. It should be performed
in each patient of any disease. The abnormality in 'Mala' is in variably observed inin each patient of any disease. The abnormality in 'Mala' is in variably observed in
most of the diseases but the diseases in which the pathogenesis takes place inmost of the diseases but the diseases in which the pathogenesis takes place in
PurishvahaPurishvaha SrotasSrotas are listed under this category.are listed under this category.
 1.Atisar1.Atisar 8.Arsha8.Arsha
 2.2. PravahikaPravahika 9.rimi9.rimi
 3.Ajirna3.Ajirna 10.10. BhagandaraBhagandara
 4.Grahani4.Grahani 11.Udavarta11.Udavarta
 5.Alasaka5.Alasaka 12.Vidradhi12.Vidradhi
 6.Visuchika6.Visuchika 13.13. GudabramsaGudabramsa
 7.7. AdhogaAdhoga AmlapittaAmlapitta 14.Baddha14.Baddha GudodaraGudodara
AharaAhara VidhiVidhi VidhanaVidhana is not followed, causes many disorders. The diseasesis not followed, causes many disorders. The diseases
related withrelated with PurishvahaPurishvaha SrotasSrotas are considered under this classification.are considered under this classification.
(I)(I) ClassificationNo.1ClassificationNo.1
Many diseases have symptoms related toMany diseases have symptoms related to faecalfaecal matter or act of defecation.matter or act of defecation.
Actually 'Mala' examination is one among theActually 'Mala' examination is one among the RogiRogi ParikshaPariksha. It should be performed. It should be performed
in each patient of any disease. The abnormality in 'Mala' is in variably observed inin each patient of any disease. The abnormality in 'Mala' is in variably observed in
most of the diseases but the diseases in which the pathogenesis takes place inmost of the diseases but the diseases in which the pathogenesis takes place in
PurishvahaPurishvaha SrotasSrotas are listed under this category.are listed under this category.
 1.Atisar1.Atisar 8.Arsha8.Arsha
 2.2. PravahikaPravahika 9.rimi9.rimi
 3.Ajirna3.Ajirna 10.10. BhagandaraBhagandara
 4.Grahani4.Grahani 11.Udavarta11.Udavarta
 5.Alasaka5.Alasaka 12.Vidradhi12.Vidradhi
 6.Visuchika6.Visuchika 13.13. GudabramsaGudabramsa
 7.7. AdhogaAdhoga AmlapittaAmlapitta 14.Baddha14.Baddha GudodaraGudodara
AharaAhara VidhiVidhi VidhanaVidhana is not followed, causes many disorders. The diseasesis not followed, causes many disorders. The diseases
related withrelated with PurishvahaPurishvaha SrotasSrotas are considered under this classification.are considered under this classification.

16. FUNCTIONS OF APANA VATA :FUNCTIONS OF APANA VATA :
 The action which has to be happened isThe action which has to be happened is callledcallled asas
Karma. Here Karma means notKarma. Here Karma means not KarmakarakaKarmakaraka butbut
it is theit is the KriyaKriya. The word. The word KriyaKriya is derived from 'is derived from 'KruKru
++ ManinaManina"" PratyayaPratyaya..
 VegaVega UtpattiUtpatti atat ApanaApana VataVata ::
The meaning of Vega is closely related toThe meaning of Vega is closely related to
that of "that of "GatiGati GandhanayoGandhanayo" of" of VataVata. So among. So among
TriDoshasTriDoshas,, VataDoshaVataDosha hashas pocessespocesses uniqueunique
property for Vegaproperty for Vega UtpattiUtpatti. The intensity of this. The intensity of this
Vega differ according to the sub division ofVega differ according to the sub division of VataVata
 The action which has to be happened isThe action which has to be happened is callledcallled asas
Karma. Here Karma means notKarma. Here Karma means not KarmakarakaKarmakaraka butbut
it is theit is the KriyaKriya. The word. The word KriyaKriya is derived from 'is derived from 'KruKru
++ ManinaManina"" PratyayaPratyaya..
 VegaVega UtpattiUtpatti atat ApanaApana VataVata ::
The meaning of Vega is closely related toThe meaning of Vega is closely related to
that of "that of "GatiGati GandhanayoGandhanayo" of" of VataVata. So among. So among
TriDoshasTriDoshas,, VataDoshaVataDosha hashas pocessespocesses uniqueunique
property for Vegaproperty for Vega UtpattiUtpatti. The intensity of this. The intensity of this
Vega differ according to the sub division ofVega differ according to the sub division of VataVata

17. NIDANNIDAN
 HetusHetus are the substances having similarity with theare the substances having similarity with the gunaguna, karma of the, karma of the
DoshasDoshas. Effect of the. Effect of the hetuhetu depend upon thedepend upon the predominancypredominancy of theof the gunasgunas oror
karma in them. Actually thesekarma in them. Actually these hetushetus shows effects on the basis of ,shows effects on the basis of ,
““xÉuÉïSÉxÉuÉïSÉ xÉuÉïpÉÉuÉÉlÉÉÇxÉuÉïpÉÉuÉÉlÉÉÇ xÉÉqÉÉlrÉqÉçxÉÉqÉÉlrÉqÉç uÉuÉ××kkÉkkÉ MüÉUhÉqÉçMüÉUhÉqÉç || ” Ch.su.1/44” Ch.su.1/44
No any direct reference is available in the classics for the etiological factors ofNo any direct reference is available in the classics for the etiological factors of
purishapurisha kathinyatakathinyata andand krichhakrichha malamala pravrittipravritti. But the factors producing vitiation in. But the factors producing vitiation in
the normal state ofthe normal state of ApanavataApanavata and Agni, can be consider as the causative factor forand Agni, can be consider as the causative factor for
purishapurisha strotojanyastrotojanya vikarvikar
xÉÇkÉÉUhÉÉSirÉzÉlÉÉiÉçxÉÇkÉÉUhÉÉSirÉzÉlÉÉiÉç AeÉÏhÉÉïkrÉzÉlÉÉAeÉÏhÉÉïkrÉzÉlÉɨ¨ÉjÉÉÉjÉÉ ||
uÉcÉÉåïuÉÉÌWûlÉÏuÉcÉÉåïuÉÉÌWûlÉÏ SÒzrÉÎliÉSÒzrÉÎliÉ SÒoÉïsÉÉåalÉåSÒoÉïsÉÉåalÉå:: MM××üzÉxrÉüzÉxrÉ cÉcÉ |||| (Ch.Vi.5/21 )(Ch.Vi.5/21 )
The factors mentioned in above two quotation are either ofThe factors mentioned in above two quotation are either of purishavahapurishavaha
strotodushtikarstrotodushtikar or Agni (or Agni (AnnavahastrotasAnnavahastrotas)) dushtikardushtikar , ultimately these factors may be, ultimately these factors may be
the causative factors for thethe causative factors for the purishapurisha strotojanyastrotojanya vikarvikar..
 HetusHetus are the substances having similarity with theare the substances having similarity with the gunaguna, karma of the, karma of the
DoshasDoshas. Effect of the. Effect of the hetuhetu depend upon thedepend upon the predominancypredominancy of theof the gunasgunas oror
karma in them. Actually thesekarma in them. Actually these hetushetus shows effects on the basis of ,shows effects on the basis of ,
““xÉuÉïSÉxÉuÉïSÉ xÉuÉïpÉÉuÉÉlÉÉÇxÉuÉïpÉÉuÉÉlÉÉÇ xÉÉqÉÉlrÉqÉçxÉÉqÉÉlrÉqÉç uÉuÉ××kkÉkkÉ MüÉUhÉqÉçMüÉUhÉqÉç || ” Ch.su.1/44” Ch.su.1/44
No any direct reference is available in the classics for the etiological factors ofNo any direct reference is available in the classics for the etiological factors of
purishapurisha kathinyatakathinyata andand krichhakrichha malamala pravrittipravritti. But the factors producing vitiation in. But the factors producing vitiation in
the normal state ofthe normal state of ApanavataApanavata and Agni, can be consider as the causative factor forand Agni, can be consider as the causative factor for
purishapurisha strotojanyastrotojanya vikarvikar
xÉÇkÉÉUhÉÉSirÉzÉlÉÉiÉçxÉÇkÉÉUhÉÉSirÉzÉlÉÉiÉç AeÉÏhÉÉïkrÉzÉlÉÉAeÉÏhÉÉïkrÉzÉlÉɨ¨ÉjÉÉÉjÉÉ ||
uÉcÉÉåïuÉÉÌWûlÉÏuÉcÉÉåïuÉÉÌWûlÉÏ SÒzrÉÎliÉSÒzrÉÎliÉ SÒoÉïsÉÉåalÉåSÒoÉïsÉÉåalÉå:: MM××üzÉxrÉüzÉxrÉ cÉcÉ |||| (Ch.Vi.5/21 )(Ch.Vi.5/21 )
The factors mentioned in above two quotation are either ofThe factors mentioned in above two quotation are either of purishavahapurishavaha
strotodushtikarstrotodushtikar or Agni (or Agni (AnnavahastrotasAnnavahastrotas)) dushtikardushtikar , ultimately these factors may be, ultimately these factors may be
the causative factors for thethe causative factors for the purishapurisha strotojanyastrotojanya vikarvikar..

18. HETUHETU
Hetus of apanaprakopa for
purishakathinyata and purishakrichchata
Apanaprakop
PURSHWAH STROTODUSHTI
vegavidharana Agnivaigunyatakara

19. CHIKITSACHIKITSA
 The aim of theThe aim of the chikitsachikitsa is to reis to re--establish the equilibrium of the bodyestablish the equilibrium of the body
(cha.chi.1/3). The term(cha.chi.1/3). The term chikitsachikitsa is derived from the root “kitis derived from the root “kit rogapnayanerogapnayane””
i.e. kit is adopt measures calculate to removal of the factors of thei.e. kit is adopt measures calculate to removal of the factors of the vikaravikara..
According toAccording to BhagwanBhagwan AatreyaAatreya PunarvasuPunarvasu..
rÉÉÍpÉrÉÉÍpÉ:: Ì¢ürÉÉÌ¢ürÉÉ eÉÉrÉliÉåeÉÉrÉliÉå zÉUÏUåzÉUÏUå kÉÉiÉuÉkÉÉiÉuÉ:: xÉqÉÉxÉqÉÉ: |: |
xÉÉxÉÉ ÍcÉÌMüixÉÉÍcÉÌMüixÉÉ ÌuÉMüÉUÉhÉÉÇÌuÉMüÉUÉhÉÉÇ MüqÉïMüqÉï iÉSiÉS ÍpÉwÉeÉÉqÉiÉqÉçÍpÉwÉeÉÉqÉiÉqÉç ||||
Ca.Su.16/34.Ca.Su.16/34.
TheThe measuresmeasures byby whichwhich thethe vitiatedvitiated factorsfactors ofof thethe bodybody
areare restoredrestored toto theirtheir equilibriumequilibrium statestate isis calledcalled CHIKITSACHIKITSA..
PurishPurish vegveg avrodhavrodh janyajanya lakshanlakshan
mÉYuÉÉzÉrÉÍzÉU:zÉÔsÉÇmÉYuÉÉzÉrÉÍzÉU:zÉÔsÉÇ uÉÉiÉuÉcÉÉåïÅmÉëuÉiÉïlÉqÉçuÉÉiÉuÉcÉÉåïÅmÉëuÉiÉïlÉqÉç ||
ÌmÉÎhQûMüÉå²å¹lÉÉkqÉÉlÉÇÌmÉÎhQûMüÉå²å¹lÉÉkqÉÉlÉÇ mÉÑUÏwÉåmÉÑUÏwÉå xrÉÉSèxrÉÉSè ÌuÉkÉÉËUiÉåÌuÉkÉÉËUiÉå || Ca.Su.7/8|| Ca.Su.7/8
 The aim of theThe aim of the chikitsachikitsa is to reis to re--establish the equilibrium of the bodyestablish the equilibrium of the body
(cha.chi.1/3). The term(cha.chi.1/3). The term chikitsachikitsa is derived from the root “kitis derived from the root “kit rogapnayanerogapnayane””
i.e. kit is adopt measures calculate to removal of the factors of thei.e. kit is adopt measures calculate to removal of the factors of the vikaravikara..
According toAccording to BhagwanBhagwan AatreyaAatreya PunarvasuPunarvasu..
rÉÉÍpÉrÉÉÍpÉ:: Ì¢ürÉÉÌ¢ürÉÉ eÉÉrÉliÉåeÉÉrÉliÉå zÉUÏUåzÉUÏUå kÉÉiÉuÉkÉÉiÉuÉ:: xÉqÉÉxÉqÉÉ: |: |
xÉÉxÉÉ ÍcÉÌMüixÉÉÍcÉÌMüixÉÉ ÌuÉMüÉUÉhÉÉÇÌuÉMüÉUÉhÉÉÇ MüqÉïMüqÉï iÉSiÉS ÍpÉwÉeÉÉqÉiÉqÉçÍpÉwÉeÉÉqÉiÉqÉç ||||
Ca.Su.16/34.Ca.Su.16/34.
TheThe measuresmeasures byby whichwhich thethe vitiatedvitiated factorsfactors ofof thethe bodybody
areare restoredrestored toto theirtheir equilibriumequilibrium statestate isis calledcalled CHIKITSACHIKITSA..
PurishPurish vegveg avrodhavrodh janyajanya lakshanlakshan
mÉYuÉÉzÉrÉÍzÉU:zÉÔsÉÇmÉYuÉÉzÉrÉÍzÉU:zÉÔsÉÇ uÉÉiÉuÉcÉÉåïÅmÉëuÉiÉïlÉqÉçuÉÉiÉuÉcÉÉåïÅmÉëuÉiÉïlÉqÉç ||
ÌmÉÎhQûMüÉå²å¹lÉÉkqÉÉlÉÇÌmÉÎhQûMüÉå²å¹lÉÉkqÉÉlÉÇ mÉÑUÏwÉåmÉÑUÏwÉå xrÉÉSèxrÉÉSè ÌuÉkÉÉËUiÉåÌuÉkÉÉËUiÉå || Ca.Su.7/8|| Ca.Su.7/8

20.  PurishPurish vegveg rodhrodh chikitsachikitsa
xuÉåSÉprÉXûÉuÉaÉÉWûɶÉxuÉåSÉprÉXûÉuÉaÉÉWûÉ¶É uÉiÉïrÉÉåuÉiÉïrÉÉå oÉÎxiÉMüqÉïoÉÎxiÉMüqÉï cÉcÉ ||ÌWûiÉÇÌWûiÉÇ mÉëÌiÉWûiÉåmÉëÌiÉWûiÉå uÉcÉïxrɳmÉÉlÉÇuÉcÉïxrɳmÉÉlÉÇ mÉëqÉÉÍjÉmÉëqÉÉÍjÉ cÉcÉ ||||
Cha.Su.7/9Cha.Su.7/9
 MANAGEMENT OF SHARIRA GUNA LEVELMANAGEMENT OF SHARIRA GUNA LEVEL
In case ofIn case of chikitsachikitsa CharakacharyaCharakacharya advised to use theadvised to use the drugesdruges havinghaving
oppositeopposite gunasgunas for the treatment of curative disease.for the treatment of curative disease.
ÌuÉmÉUÏiÉaÉÑhÉæÌuÉmÉUÏiÉaÉÑhÉæ:: SåzÉqÉÉSåzÉqÉɧ§ÉÉMüÉsÉÉåmÉmÉÉÌSiÉÉÉÉMüÉsÉÉåmÉmÉÉÌSiÉÉ: |: |
pÉåwÉeÉæpÉåwÉeÉæ:: ÌuÉÌlÉuÉiÉïliÉåÌuÉÌlÉuÉiÉïliÉå ÌuÉMüÉUÉÌuÉMüÉUÉ:: xÉÉkrÉxÉqqÉiÉÉxÉÉkrÉxÉqqÉiÉÉ:||:||
Cha.Su.1/62Cha.Su.1/62
 The principle behindThe principle behind ViparitaViparita gunaguna chikitsachikitsa is “is “SamanyaSamanya ViseshVisesh SidhhantSidhhant””
(Ch.Su.1) . At very few occasions ,(Ch.Su.1) . At very few occasions , vyatyasatvyatyasat chikitsachikitsa has been usedhas been used
which also can be explained in the form ofwhich also can be explained in the form of gunaguna..
 AtAt sharirasharira gunaguna level , predominatinglevel , predominating gunasgunas causingcausing vaigunyavaigunya inin
AnnavahaAnnavaha strotasstrotas andand purishvahapurishvaha strotasstrotas areare ruksharuksha,, kathinakathina,, sheetasheeta,,
sthirasthira; so on the basis of; so on the basis of viparitaviparita gunaguna chikitsachikitsa above pathogenesis isabove pathogenesis is
managed by followingmanaged by following gunasgunas..
 PurishPurish vegveg rodhrodh chikitsachikitsa
xuÉåSÉprÉXûÉuÉaÉÉWûɶÉxuÉåSÉprÉXûÉuÉaÉÉWûÉ¶É uÉiÉïrÉÉåuÉiÉïrÉÉå oÉÎxiÉMüqÉïoÉÎxiÉMüqÉï cÉcÉ ||ÌWûiÉÇÌWûiÉÇ mÉëÌiÉWûiÉåmÉëÌiÉWûiÉå uÉcÉïxrɳmÉÉlÉÇuÉcÉïxrɳmÉÉlÉÇ mÉëqÉÉÍjÉmÉëqÉÉÍjÉ cÉcÉ ||||
Cha.Su.7/9Cha.Su.7/9
 MANAGEMENT OF SHARIRA GUNA LEVELMANAGEMENT OF SHARIRA GUNA LEVEL
In case ofIn case of chikitsachikitsa CharakacharyaCharakacharya advised to use theadvised to use the drugesdruges havinghaving
oppositeopposite gunasgunas for the treatment of curative disease.for the treatment of curative disease.
ÌuÉmÉUÏiÉaÉÑhÉæÌuÉmÉUÏiÉaÉÑhÉæ:: SåzÉqÉÉSåzÉqÉɧ§ÉÉMüÉsÉÉåmÉmÉÉÌSiÉÉÉÉMüÉsÉÉåmÉmÉÉÌSiÉÉ: |: |
pÉåwÉeÉæpÉåwÉeÉæ:: ÌuÉÌlÉuÉiÉïliÉåÌuÉÌlÉuÉiÉïliÉå ÌuÉMüÉUÉÌuÉMüÉUÉ:: xÉÉkrÉxÉqqÉiÉÉxÉÉkrÉxÉqqÉiÉÉ:||:||
Cha.Su.1/62Cha.Su.1/62
 The principle behindThe principle behind ViparitaViparita gunaguna chikitsachikitsa is “is “SamanyaSamanya ViseshVisesh SidhhantSidhhant””
(Ch.Su.1) . At very few occasions ,(Ch.Su.1) . At very few occasions , vyatyasatvyatyasat chikitsachikitsa has been usedhas been used
which also can be explained in the form ofwhich also can be explained in the form of gunaguna..
 AtAt sharirasharira gunaguna level , predominatinglevel , predominating gunasgunas causingcausing vaigunyavaigunya inin
AnnavahaAnnavaha strotasstrotas andand purishvahapurishvaha strotasstrotas areare ruksharuksha,, kathinakathina,, sheetasheeta,,
sthirasthira; so on the basis of; so on the basis of viparitaviparita gunaguna chikitsachikitsa above pathogenesis isabove pathogenesis is
managed by followingmanaged by following gunasgunas..

21. CHIKITSA IN NUTSHELLCHIKITSA IN NUTSHELL
 WHAT ARE THE SYMPTOMS?WHAT ARE THE SYMPTOMS?
 Abdominal painAbdominal pain
 AcidityAcidity
 AnaemiaAnaemia
 Weight lossWeight loss
 Loss of appetiteLoss of appetite
 NauseaNausea
 FatigueFatigue
 FeverFever
 Medicines beneficial in treating ulcerative colitis areMedicines beneficial in treating ulcerative colitis are
 KutajKutaj,, ArjunaArjuna,, DhaniyaDhaniya,, JayphalaJayphala,, DadimaDadima,, BilvaBilva,, GuduchiGuduchi,, AkikAkik PishtiPishti,, PravalPraval
PishtiPishti and so many.and so many.
 WHAT ARE THE SYMPTOMS?WHAT ARE THE SYMPTOMS?
 Abdominal painAbdominal pain
 AcidityAcidity
 AnaemiaAnaemia
 Weight lossWeight loss
 Loss of appetiteLoss of appetite
 NauseaNausea
 FatigueFatigue
 FeverFever
 Medicines beneficial in treating ulcerative colitis areMedicines beneficial in treating ulcerative colitis are
 KutajKutaj,, ArjunaArjuna,, DhaniyaDhaniya,, JayphalaJayphala,, DadimaDadima,, BilvaBilva,, GuduchiGuduchi,, AkikAkik PishtiPishti,, PravalPraval
PishtiPishti and so many.and so many.

22. Vatsakadi Churna
Pitta Balance
Arjuna capsule
Kutjaghana vati
These are capable of fighting against such troubling
condition.

23. LIVE HEALTHYLIVE HEALTHY

24. PRECAUTIONARY MEASURES
The best precautions that can be taken
in this busy lifestyle are to improve the
eating habits and adopting a healthier
lifestyle.
A person suffering from ulcerative colitis
should not eat hot and spicy food as it
would damage the lining of intestines to a
huge extent.
Consumption of alcohol and tobacco
should be prohibited as these irritate the
colon.
The best precautions that can be taken
in this busy lifestyle are to improve the
eating habits and adopting a healthier
lifestyle.
A person suffering from ulcerative colitis
should not eat hot and spicy food as it
would damage the lining of intestines to a
huge extent.
Consumption of alcohol and tobacco
should be prohibited as these irritate the
colon.

25. PRECAUTIONARY MEASURES
Tender coconut water soothes the
soft mucosa of the colon and hence is
very helpful.
Drink buttermilk mixed with water
daily as it is very effective in the
treatment of ulcerative colitis.
Juices of papaya, raw cabbage,
carrot is really beneficial. Have these
with adding little boiled water.
Tender coconut water soothes the
soft mucosa of the colon and hence is
very helpful.
Drink buttermilk mixed with water
daily as it is very effective in the
treatment of ulcerative colitis.
Juices of papaya, raw cabbage,
carrot is really beneficial. Have these
with adding little boiled water.

26. PRECAUTIONARY MEASURES
A healthy way to live is to exercise
regularly, which helps in improving
the immune system and also helps
the body to push out toxic wastes
through sweat. A person suffering
from ulcerative colitis can do regular
recommended exercise.
Small diet with frequent meals of soft cooked or steamed
vegetables, rice are advised to take
A healthy way to live is to exercise
regularly, which helps in improving
the immune system and also helps
the body to push out toxic wastes
through sweat. A person suffering
from ulcerative colitis can do regular
recommended exercise.

27. THANK YOU