imbalance of doshas and the course they follow to cause disease
is termed samprapti or pathogenesis. Since diseases
develop in distinct stages, a good knowledge of those helps in early
recognition of disease. Ayurveda thus elaborates a
six stage process for diagnosis called Kriya (action) Kal (time).
The first 4 stages being unique to Ayurveda in that
they permit recognition and elimination of the disease before it
ventures into differentiated clinical symptoms.
who knows the various stages of pathogenesis accumulation (sanchaya),
provocation (prakopa) spread or migration (prasara),
deposition or augmentation (sthana samshaya), manifestation
(vyakti) and the differentiation (bheda)
is entitled to be a physician.
One: Accumulation (Sanchaya)
digestive power and excess of dosha is responsible for
such a condition.
toxins (ama) produced by improper digestion collects
in the gastro-intestinal (GI) tract.
resulting from a kapha
imbalance accumulates in the stomach, those associated with a pitta imbalance collects
in the small intestine, and that related to vata
malfunction amasses in the colon.
to the presence of one of these toxins, mild and ill-defined symptoms
We should recognise and eliminate the cause instead of ignoring
or suppressing it.
aversion to similar things and attraction for contraries.
Two : Aggravation (Prokapa)
accumulated, stagnant doshas are now `excited
by factors as ahara, vihara &
toxins amass in such degree to get provoked in the site of production
in the GI tract.
Three : Spread (Prasara)
In this stage, the toxins accumulated in the GI tract start
Generally, up to this stage the damage is entirely reversible
and restoration of doshic balance can be achieved with proper
measures. Or there may be spontaneous prashama (remission)
influenced by seasonal changes. Thus there is sanchaya of
in rainy season, prakopa in fall and prasara in early winter.
Based on degree of excitation, it might even passed the stages
of prashama or prasara.
Four : Agumentation (Sthana Samshraya)
toxins migrate, entering and taking refuge in localised, weak
or defective dhatus thereby leading to malfunction
and structural damage.
is from here that specific degenerating disease and susceptibilities
to serious infections begin.
Five : Symptom Manifestation (Vyakti)
Six: Complications/Differentiation (Bheda)
The disease having taken taken years or even decades to reach
this final stage, becomes chronic.
Offers detailed understanding of the group of symptoms thereby
making clear nature of disease.
Might act as predisposing factors for the spread of other diseases.
in Ayurveda | Diagnosis Process
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