General patho physiology in Ayurveda (Kriyakala)

1. General
Pathophysiology of a
disease in Ayurveda

2. Abnormal states of Doshas
Dr.Kishor Patwardhan

3. Increased Vata
 Emaciation
 Black discoloration
 Desire for hot substances
 Tremors
 Abdominal distention
 Constipations
 Loss of strength, sleep and sensorial functions
 Irrelevant speech
 Giddiness
 Helplessness

4. Decreased Vata
 Debility
 Decreased speech and movements
 Loss of sensations
 Symptoms of increased Kapha

5. Increased Pitta
 Yellow coloration of faeces, urine, eyes and skin
 Excessive hunger
 Excessive thirst
 Burning sensation
 Loss of sleep

6. Decreased Pitta
 Weak digestion and metabolism
 Coldness
 Loss of natural complexion

7. Increased Kapha
 Weak digestion and metabolism
 Excessive salivation
 Lethargy
 Heaviness
 Whitish discoloration
 Feeling of coldness
 Looseness of the body parts
 Dyspnoea
 Cough
 Excessive sleep

8. Decreased Kapha
 Dizziness
 Emptiness in the sites of Kapha
 Palpitation
 Loose joints

9. Samprapti -
pathogenesis.
Sushruta
describes six
successive
stages of
manifestation
of a disease
During each
stage, a
physician has
an opportunity
to treat the
subject.
These
successive
stages are
known as
Kriyakala.

10. Six stages of
a disease
Sanchaya (Accumulation)
Prakopa (Aggravation)
Prasara (Spread)
Sthana samshraya (Localization)
Vyakti (Manifestation)
Bheda (Differentiation)

11.  In this stage morbid Doshas start
accumulating in their own primary
sites.
 Dislike for substances which are the
causes of the accumulation
 Liking for the substances of opposite
nature.
Sanchaya
(Accumulation)

12. In this stage mild symptoms are seen.
Accumulation of Vata:
Sense of abdominal distention
Accumulation of Pitta:
Yellowish nails, eyes and urine
Accumulation of Kapha:
Feeling cold, lethargy
Symptoms

13. If one treats the disease at the
stage of Sancaya, the disease does
not spread further.
If this stage is not recognized and
the person continues to indulge in
unhealthy foods etc., the Doshas
aggravate further.

14.  In this stage Doshas go on
accumulating further even in their
secondary sites.
Prakopa
(Aggravation)

15. Symptoms

 Vata Abdominal pain
 Hyper peristalsis
 Pitta Water brash
 Polydypsia
 Burning sensation
 Kapha Nausea
 Heaviness in chest

16.  The morbid Doshas are hyper-activated
and invade the sites of other Doshas in
addition to their own; Vata to the sites
of Pitta and Kapha etc.
 They also move out of the Koshtha
(Center, Core) to Shakha (periphery)
being transported by the circulating
Rasa Dhatu.
Prasara
(Spread)

17. The person develops mild to
moderate symptoms in this
stage.
If effective treatment
becomes available , the
Doshas come back to
normal; otherwise
abnormality continues
further to the onset of the
fourth stage.

18. Symptoms
 Vata Tympanitis
 Pitta Fever
 Burning sensation
 Kapha Anorexia
 Indigestion
 Fatigue
 Nausea

19.  Unhealthy food and activities lead
to an aggravation in the Doshas.
 Mild abnormalities in –
 Jatharagni
 Dhatus
 Srotas
 Ojas
During the first
three stages:

20. Sthana
Samshraya
(Localization)
The aggravated Doshas which were
circulating all over the body along
with Rasa Dhatu, now tend to get
lodged at certain places in the Dhatus
Localization occurs at the weakest site
of a Srotas
Bring about abnormalities in the
Srotas

21.  The Dhatus have their defense, Ojas,
which is responsible for their strength,
to carryout their functions, to prevents
the disease in case of its happening.
 The decrease of Ojas makes the Dhatus
poor in strength and susceptible to the
bad effect of the morbid Doshas.

22.  Further increase of the Doshas
 Union of abnormal Doshas and Dushyas
 Localization of Doshas at certain places
 Decrease of Ojas
 Deformities of Srotas
 Accumulation of Ama

23. All these act as essential
prerequisite for the onset of
the disease.
Result of these acts appears as
Puvarupa (prodromal
symptoms).

24. Vyakti
(Manifestation)
In this stage, the disease expresses
itself with all its characteristic
symptoms and signs.
These symptoms and signs are very
clearly recognizable without doubt.
The diseases are given specific names
based on the chief symptom/sign, the
organ affected and many other
factors.

25.  The abnormalities can be brought to normalcy
when effective treatment and all other
favorable factors are present.

26. Bheda
(Differentiation)
This is the last stage
All the abnormalities become
still more profound and
irreversible.
In spite of the best treatment,
they continue to persist.