This presentation deals with assessment of Kostha w.s.r to shodhana

1. Kostha Assesment
Dr Akshay Shetty
Associate .Professor
Dept of Panchakarma
SSRAMCH Inchal

2. Contents
• Objectives
• Introduction
• Definition
• Assessment of koshtha
• Snehana
• Vamana
• Virechana
• Discussion
• conclusion
• References
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3. Objectives
By the end of the session the learners must be able to
• Illustrate kostha
• Classify kostha
• Explain importance of kostha
• Assess the kostha
• Apply in shodhana
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4. Introduction
• Koshtha is a unique concept in Ayurveda
• It can be understood in terms of anatomically and physiologically
• Anatomically koshtha means cavity
• Physiologically Koshţha is the nature of bowel habit, which originates
as an entity of Prakriti at the time of conception.
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5. पञ्चदश कोष्ठाङ्गानि; तद्यथा-
िानिश्च, हृदयं च, क्लोम च, यक
ृ च्च, प्लीहा च, वृक्कौ च, बस्तिश्च, पुरीषाधारश्च,
आमाशयश्च, पक्वाशयश्च, उत्तरगुदं च, अधरगुदं च, क्षुद्रान्त्रं च, स्थूलान्त्रं च, वपाव
हिं चेनत||१०|| cha sha 7/10
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6. Assesment of kostha
गुडनमक्षुरसं मिु क्षीरमुल्लोनडतं दनध|
पायसं क
ृ शरां सनपपिः काश्मयपनिफलारसम्||६६||
द्राक्षारसं पीलुरसं जलमुष्णमथानप वा|
मद्यं वा तरुणं पीत्वा मृदुकोष्ठो नवररच्यते||६७||
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7. Types
kostha
Mrudhu
madhyama
krura
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8. Doshic dominancy
Pitta
Bahu pitta
Mrudhu
kapha
Samadosha
Madhya
vata
Bahu
vatashleshma
krura
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9. नवरेचयस्ति िैतानि क्र
ू रकोष्ठं कदाचि|
िवनत क्र
ू रकोष्ठस्य ग्रहण्यत्युल्बणानिला||६८||
उदीणपनपत्ताऽल्पकफा ग्रहणी मन्दमारुता|
मृदुकोष्ठस्य तस्मात् स सुनवरेच्यो िरिः स्मृतिः||६९||
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10. ग्रहणी कोष्ठस्थाग्न्यनधष्ठाििूता िाडी; यदुक्तम्-
“अग्न्यनधष्ठािमन्नस्य ग्रहणाद्ग्रहणी मता” (नच.अ.१५) इनत| उदीणपनपत्तेत्यानद मृदु
कोष्ठस्वरूपकथिम्| क्र
ू रकोष्ठस्य ग्रहणीगतो वायुगुपडादीिां सरत्वं प्रनतबध्नानत, मृ
दुकोष्ठस्य नह ग्रहण्यां नवरोधको वायुिापस्ति, िम्भकोऽनप श्लेष्माऽल्पिः, उद् िूतस
रत्वगुणं च नपत्तं प्रबलं; तेि गुडानदनििः सुखं नवरेचिं िवतीनत िाविः||६५-६९||
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11. Applications of kostha
• For fixation of trial dose
• For increasing the dose of Sneha on subsequent days
• For achieving optimum, effective Snehana (oleation) in shorter period
• For fixing dose in Vamana karma
• For fixing dose in virechana karma
• To avoid complications due to dose mismanagement
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12. Kostha in snehana
• त्र्यहावरं सप्तनदिं परं तु निग्धो िरिः स्वेदनयतव्य उक्तिः [४] ||६||
िातिः परं िेहिमानदशस्ति सात्म्यीिवेत् सप्तनदिात् परं तु|७| cha.si 1
• नपबेत्त्र्त्र्यहं चतुरहं पञ्चाहं षडहं तथा |
सप्तरािात् परं िेहिः सात्म्यीिवनत सेनवतिः ||३६|| su chi 31/36
ति त्र्यहं मृदुकोष्ठापेक्षया, मध्यमकोष्ठापेक्षया तु चतुिः-
पञ्चषडहानि, क्र
ू रकोष्ठापेक्षया तु सप्तरािम्| अन्ये तु मृदुतममृदुतरमृदुकोष्ठापे
क्षया एकनित्र्यहम्, एवं मध्यमकोष्ठतरतममध्यात् चतुिःपञ्चषडहानि, क्र
ू रक्र
ू रतर
क्र
ू रतमकोष्ठापेक्षया सप्ताष्टिवानप नदवसािीनत|
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13. •One day
Mrudhutama
•Two days
Mrudhu tara
•Three days
mrudhu
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14. •Four days
Madhyama
•Five days
Madhyamatara
•Six days
Madhyamatama
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15. •Seven days
Krura
•Eight days
Kruratara
•Nine days
Kruratama
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16. Koshta in Vamana
• Unlike virechana here kostha is determined according to the presence
of shleshma. Ah 18/112-17
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17. Kostha in virechana
उदीणपनपत्ताऽल्पकफा ग्रहणी मन्दमारुता|
मृदुकोष्ठस्य तस्मात् स सुनवरेच्यो िरिः स्मृतिः||६९||
ति मृदुिः, क्र
ू रो, मध्यम इनत निनवधिः कोष्ठो िवनत |
ति बहुनपत्तो मृदुिः, स दुग्धेिानप नवररच्यते; बहुवातश्लेष्मा क्र
ू रिः, स दुनवपरेच्यिः; सम
दोषो मध्यमिः, स साधारण इनत |
ति मृदौ मािा मृिी, तीक्ष्णा क्र
ू रे, मध्ये मध्या कतपव्येनत |
पीतौषधश्च तन्मिािः शय्याभ्याशे नवरेच्यते ||२१||Su chi 33/22
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18. Summary
Introduction
Assessment
Application
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19. Conclusion
• Knowledge of kostha helps to asses kostha and application in various
pachakarma procedures to avoid vypats in snehana,vamana and
virechana.
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20. References
• Charaka Samhita
• Sushruta Samhita
• Asthanga sangraha
• Asthanga hridyam
• Principles and practice of Panchakarma Dr Pulak kanti kar
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