2. Shat Kriya Kala
• Shat = 6 Six
• Kriya = Chikitsa Activity or Treatment Procedure
• Kala = Time or Stages of treatment / चिकित्सा िे अवसर
चरक/वागभट्ट जी – व्याधि उत्पत्ति की 3 एवम दोष वृद्धि की 2
अवस्थाये बतायी ।
(Sushrut Sutra Sthana, Vrana Prashniya Adhyay
21 /36 )
3. Shat Kriyakala - 6 Stages
1) Sanchayavastha =Stage of Accumulation =In Own sites
(Milk is in pot)
2) Prakopavastha = Stage of Aggravation/vitiation = In own site
= up to maximal Level = Like Water Dam is Full, due to heavy
rain
3) Prasaravastha = Stage of Spread = Dam gets are
opened & River flood has started (Milk coming out from
pot)
4) Sthana Sanshraya = Stage of Localization
Flood has entered in the houses, which are at low level
4. 5) Vyaktavastha = Stage of Manifestation = Diagnosis of
Disease can be made, Sign/Symptoms of the disease
appears
6) Bhedavastha = Stage of Differentiation = More
specification of Dosha Involvement, Which property of
Dosha is more disturbed
5. Dosha Clinical Features English
Vata Stabdha purna
Koshtata
Feeling of obstruction & Fullness in the
organ
Pitta Pitava bhasata Icterus or yellow coloration
Kapha Manda Ushmata Low body temperature or Low Digestive
Fire
Anganam Gauravam Heaviness of organ like Legs or
Heaviness of Body
Alasya Lethargy or Laziness
तत्र प्रथम प्रधान उत्तमो वा चिकित्सािाल । वागभट्ट
6. Dosha Clinical Features English
Vata Koshtha Tod
Sancharan
Pain ,Hyper activity
Pitta Amlika Sour Eructation
Pipasa Excess Thirst ,Poly
dypsia
Paridaha Burning sensation
Kapha Anna Dwesha Anorexia –Loss of
Appetite
Hrudayo Kleda Nausea
8. पर्ययुिवषतकिण्वोदिवपष्टसमवाय…. किण्व या सुराबीज और तंडुल वपष्ट पातन
मे रात भर रखने से उफान आिर बाहर उसी प्रिार प्रिु वपत दोष प्रसर
िरते है इसमे वायु िारण है ….
तेषाम वायुगिततमत्वात प्रसरणहेतु: सत्यप्र्यिैतन्ये। स र्ह रजोभूतयष्ि:,
रजश्ि प्रवतििम सविभावानाम्।
वपत्तम पंगु ……… शा.
अचिंत्र्यवीयो दोषाणाम नेता रोग्समूहराट ॥ सुश्रुत
9. यथा- महानुदिसंियोअततवृद्ध: सेतुमव्दायािपरेणोदिे न व्यममश्र: सवित: प्रधावतत
। तद्यथा – वात वपत्त श्लेश्मा, शोणणत, …… 15 प्रिार िा प्रसर
V, P, K, R,VP,VK, PK,VR, PR, KR,VPR,VKR, PKR,VPK,VPKR = 15
िृ त्स्नेअधेअवयवे वाअवप यत्रांगे िु वपतो भृशम। दोषो वविारम नभमस मेघवत्तत्र वषितत।
नात्यथ्मि िु वपतस्िावप लीनो मागे ततष्ितत। तनष्प्रत्यनीि: िालेन हेतुमासाद्य िु प्यतत॥ सु.
स्थानगत दोष िी चिकित्सा पहले िरनी है,,, वायु िे स्थान मे िफ गया हे तो वायु िे समान र्ह
उसिी चिकित्सा िरेंगे । सुश्रुत
आमाशयेगते वाते िफे पक्वाशयाचश्रते। रुक्ष्पुवो र्हत: स्वेद: स्नेहपुविस्तथेव ि ॥ िरि
डल्हण – प्रिोप प्रसर – घी आग पर तपाना
10. प्रसरावस्था .....
Kapha Arochak Loss of Appetite ,Loss of taste sensation ( Temporary)
Avipak Indigestion
Anga Sad Debility, Loss of power
Chardi Vomiting
Dosha Clinical
Features
English
Vata Vimarga
gaman
Abnormal movement or activity
Aatop Borborygmus =a rumbling or gurgling noise made by the
movement of fluid and gas in the intestines.
Pitta Osha , Chosa Different Burning sensations
Paridaha Burning
Dhumayanani Burning -- As if Fumes are coming
13. 5. व्यक्तावस्था = व्याधेदशिनम – पंिम कियािाल
व्याचध प्रत्यात्म लिण उत्पवत्त {Disease Specific Symptoms}
प्रवार्हिा – प्रवाहमाणस्य प्रवार्हिा ।
िामला – िामान लातत इतत िामला ।
ग्रहणी – मुहुर्द्िवम मुहुबिद्धम
अततसार – अततसरणम र्द्वम
Vyadhi Pratyanik Chikitsa = Disease Specific Management can
be given
14. 10/10/2019 Prof.Dr.R.R.Deshpande
Atisar = Loose Motions = Diarrhoea
Vataja = Loose motion with severe pain
Pittaja = Yellow coloured fluid, sometimes with Blood
Kaphaja = Frothy stools
6. भेदावस्था – षष्ि कियािाल
व्रणभावमापन्नानाम …. Complication of the disease
ज्वराततसारार्दनाम दीघििालानुबंध – chronicity of the disease
तत्र अप्रततकिया – असाध्यर्यतामुपयांतत - Last stage to treat
सम्प्रातप्त िे भेदो िा ज्ञान
दोषो कि प्रधानता िा ज्ञान
साध्ययासाध्यर्यता िा ज्ञान {Prognosis}
15. Pathology in Ascending order
1) Chayavastha
2) Prakopavastha
3) Prasaravastha
4)
Sthanasamshraya
5) Vyaktavastha
6) Bhedavastha
Reversible stage,
Doshpratyanik Chikitsa
Physiologic State
Irreversible stage,
Vyadhipratyanik Chikitsa
Pathologic State
Ubhayapratyanik Chikitsa
16. Importance of Shatkriya kal
रोग प्रकिया िो वही रोिना (Break the Pathogenesis in Early
stage of Disease)
प्रततषेधात्मि अथवा चिकित्सात्मि उपायो िा यथोचित प्रयोग
(Proper use of the preventive or curative measures at proper
time)
रोगो िा शीघ्र तनदान (Early Diagnosis of the diseases)
रोगो िे पररणाम जानने िे मलये (Progress of the diseases)
रोग प्रकिया िो कफर से स्वास्थ्य कि और मोड्ने हेतु (Reverse
the Pathogenesis)
17. 10/10/2019 Prof.Dr.R.R.Deshpande
रोग प्रकिया िो वही रोिना (Break the Pathogenesis in Early stage of
Disease)
प्रततषेधात्मि अथवा चिकित्सात्मि उपायो िा यथोचित प्रयोग (Proper use of
the preventive or curative measures at proper time)
In Sthana Sanshraya – Rasayan Treatment, to improve Immunity of
organ or System –Pippalyasav for Respiratory system
In Vyakti – Disease Specific Treatment –In Pneumonia –
Shwasa Kasa Chintamani ras tab
In Bhed – May be advanced treatment like CABG in Heart
Blockages
संियेअपहृता दोषा लभंते नोत्तरा गतत:। ते तूत्तरासु गततषु भवंतत बल्वत्तरा ॥ अ.हृ.
िय एव जयेत दोषम … ।
Eg. - Cancer in Situ –Easy to treat – than Cancer with Metastasis
18. PracticalUtility
10/10/2019 Prof.Dr.R.R.Deshpande
Many cancers or Advanced conditions of Diseases can be
prevented by Noting warning signals
Examples – Hyperacidity – Gastric Ulcer –Gastric Cancer
Ulcerative Colitis – Colonic Cancer
Constipation – Dry Piles – Bleeding Piles
Others – Cold – Dry Cough – Wet cough – Pneumonia – TB
Dyspnoea on Exertion – Treadmill – r/o Angina
Obesity –Lipid Profile – Angiography
Irregular
Menses – Obesity – Hirsutism -PCOS
19. 10/10/2019 Prof.Dr.R.R.Deshpande
• Difficulty in Deglutition – Ca Oesophagus
• Hoarseness of Voice for more than 2 weeks – Ca Larynx
• Lump in the Breast – Fibroadenoma or Ca Breast
• Bleeding after Menopause – Ca Uterus
• Cough more than 3 weeks – Tuberculosis
• Backache –Tingling Numbness of Leg – Weakness while walking –
PID =Prolapsed Intervertebral Disc
• Diabetes –Uncontrolled – 600 mg % -- Glycosylated Hb > 7 ---
Chances of Complications –Diabetic Retinopathy –Blindness
• Non healing wound in DM – Gangrene
• Dementia – MRI Brain –Cerebral Atrophy –Alzeimers Disease
• Chronic Progressive Headache –MRI brain – Brain Tumor
• Liver – Hepatitis B – Cirrhosis –Ascites –Liver Cancer
20. 10/10/2019 Prof.Dr.R.R.Deshpande
अणुर्हि प्रथमम भूत्वा रोगः पश्िातत्ववधिते। स जात्मुलो मुष्णातत बलमायुग्य दुमिते:॥
तस्मात्प्रागेव रोगेभ्यो रोगेषु तरुणेषु वा। भैषजै: प्रततिु वीत य इच्छेत सुख़मात्मन:॥
िरि
Thank you all …..