This presentation deals with causative factors of Movement of Dosha from shakha to kostha vice versa.

1. DOSHA GATI FROM SHAKHA TO KOSHTA
&VICE VERSA
Dr Akshay Shetty
Associate Professor
Department of Panchakarma
SSRAMC & H Inchal

2. Contents
Objectives
Doshagati from Koshta to Shakha
Doshagati from Shakha to Koshta
Summary
References

3. Objectives
By the end of the presentation the students must be able to—
• Illustrate doshagati from Koshta to Shakha
• Illustrate doshagati from Shakha to Koshta
1

4. DOSHAGATI
FROM
KOSHTA
TO SHAKHA
व्यायामादू ष्मणस्तैक्ष्ण्याद्धितस्यानवचारणात्|
कोष्ठाच्छाखा मला याद्धि द्रुतत्वान्मारुतस्य च||३१||
तत्रस्थाश्च ववलम्बिे कदावचन्न समीररतााः|
नादेशकाले क
ु प्यद्धि भूयो हेतुप्रतीविणाः||३२||
Ca.Su 28/32

5. Cont..
Vitiated doshas move
from the alimentary
tract region (koshtha)
to the periphery
(shakha) i.e. raktadi
dhatu and skin - due to
several reasons such as
excessive exercise,
excessive heat, intake
of unwholesome diet
and regimen, and an
excess pressure of fast-
moving vata.
These vitiated dosha
stay in the peripheral
regions in a dormant
state and do not cause
any disease till the
season or environment
is conducive for them
to act.
The dosha wait for
other favorable
provocative factors in
the form of the region,
season, etc. to cause
diseases.

6. Etiological factors of Koshtha to Shakha Doshagati
SL.NO FACTORS EXPLANATION
1 Vyayamat Excessive exercise leads to vitiation of Vata and increase in body heat
which helps in dislodgement of the Doshas from their place.
2 UsmanahTaikshnyat In pathological condition, these qualities are intensified. These are
responsible for liquefaction of Doshas and dilatation of channels leading
to Prakopa or Prasara stage of pitta and kaphadoshas in which Dosha
travels from Koshtha to Shakha
3 Ahitacharanat It refers to intake of excess of unwholesome food leads to vitiation of
Doshas resulting in increase in quantity and overflow like flood
4 DrutatvaMarutasya The vitiated Doshas deviated from normal direction by the force of Vata,
moves from Koshtha to Shakha.

7. DOSHA GATI
FROM
SHAKHA TO
KOSHTA
वृद्ध्या ववष्यन्दनात् पाकात् स्रोतोमुखववशोधनात्|
शाखा मुक्त्वा मलााः कोष्ठं याद्धि वायोश्च वनग्रहात्||३३||
Ca.Su 28/33
सम्प्रवत शाखाभ्याः कोष्ठागमनहेतुं दोषाणामाह-
वृद्ध्येत्यावद| ववष्यन्दनावदवत ववलयनात्, ववलीनश्च द्रवत्वादेव कोष्ठे वन
म्नं यावत| पाकावदवत पक्वो दोषोऽबित्वेनैव वनम्नं कोष्ठं यावत | स्रोतोमु
खववशोधनावदवत अवरोधकापगमात्| वायोवनिग्रहावदवत िेप्तुवाियोवनिग्र
हात् प्राक
ृ तं स्थानं कोष्ठं यावत||३३||

8. Cont..
Five causes are responsible for the movement of
Doshas from Shakhas to Koshthas i.e. Upasthita
Doshatva like---
i. Vriddhi of the Doshas
ii. Vishyandana of the Doshas
iii. Paka of Doshas
iv. Srotomukha Vishodhana
v. Nigrahana of Vata .

9. Cont…
These all five causes can be
achieved by the
Poorvakarmas i.e. Snehana
and Swedana.
These not only bring Doshas
from Shakha to Koshtha but
also changes the form of
Doshas through which they
can be easily removed from
the body

10. Cont..
Vriddhi of the Doshas - Vriddhi of doshas can be done after the
Nidana Sevana, but Nidana Sevana may not be able to change
the form of the Doshas to Vishyandana simultaneously.
For Vruddhi of the Doshas, Sneha is consumed in empty
stomach in the morning (after digestion of previous night
meal) in such a dose which takes about 12 hours to digest.

11. Cont..
• Gradual increasing the dose of Sneha during Snehapana is to
acquire maximum utility of Sneha as Acharya Charaka says, if
Snehapana is not done gradually, it flushes out entirely from the
body (without affecting body) like water poured over an
earthen mass quickly flows out without moistening it.

12. Cont..
• Definition of Sneha itself says that, it creates
Vishyandata . Vishyanditata means Vilayana (dissolve).
• Lina Doshas are difficult to eliminate in their own
forms, Sneha creates the suitable forms of Doshas for
elimination. Sneha also facilitate passage of Utkleshita
Doshas in Srotas and Doshas float without adhesion in
the body, like honey kept in a pot smeared with fat,
toward the Koshtha .
• Ushana Guna is indispensable quality for the Swedana
because in Swedana there is always Agnisamashraya
either directly or indirectly.

13. Cont..
So Doshas get digested by the Pachana
property of the Ushnaswedana.
Here Tikshnaguna of Swedana also helps in
Pachana .
Swedana not only digests Doshas (Paka by the
Agnipradipti) but it cleans the orifices of
Srotas (also Srotomukha) consecutively. So
without Swedana Karma movement of
Doshas cannot be achieved.

14. Cont..
Vishyandana of the Doshas - Definition of Snehana
itself says that Sneha does Vishyandana karma
Paka of Doshas - Here Swedana Karma plays a key role
because Ushnata is essential Guna in the Swedana
Karma and Ushna Guna does Pachanakarma.

15. Cont.. Srotomukha vishodhana (to clean the orifices
of Srotas) –
• While describing the benefits of the
Swedana Karma, Acharya Sushruta says that
Swedana creates Nirmalatva (cleanliness) in
the Srotas.
• So Swedana cleans the orifices of Srotas

16. Cont..
Nigrahana of Vata - The first line of management of Vata dosha
according to Acharya Vagbhatta is Snehana and Swedana22. So
Vata dosha can be controlled (Nigrahana) very well by the Snehana
and Swedana.
In addition to this, form of Doshas transformed to Klinnatva and
Dravatva by Snehana and Swedana respectively, which is necessary
for the movement of Doshas toward the Koshta as well as for
elimination from the body.

17. Cont.. • Snigdha guna is indispensable quality for the
Snehana and Snigdha guna does the
Kledana karma . Drava guna of Sneha also
helps in Kledana karma . Ushna and Tikshna
gunas of the Swedana transform Doshas in
Drava form

18. Summary
1.Illustrate
• Doshagati from Koshta to Shakha
1.Illustrate
• Doshagati from Shakha to Koshta

19. References
Charaka Samhita
https://www.carakasamhitaonline.com/index.php?title=Sutra_Sthana
Vilas Kad S , Komal Gulakari S, CONCEPT OF DOSHAGATI IN REFERENCE TO KOSHTHA AND SHAKHA – A
REVIEW, Ayurpharm Int J Ayur Alli Sci., Vol. 3, No. 10 (2014) Pages 288 – 298
Pranesh Prakash , Chaudhari Kalpesh Sadanand , Pachkawade Ganesh Bhikaji , Sonawane Nirmala
Gaikwad ,A REVIEW ON IMPORTANCE OF UPASTHITA DOSHATVA IN SHODHANA KARMA,
INTERNATIONAL AYURVEDIC MEDICAL JOURNAL