Ayurvedic principle of satkriyakaal

1. Dr. Alok Kumar Verma
PhD, M.S.(Ayu)

2. Overview
 Classical reference
 Definition
 Types
 Importance in Shalya tantra

3. References
Su Su Vranaprshniya Adhyaya21/36

4. Definition
 भवन्ति चात्र-
सञ्चयं च प्रकोपं च प्रसरं स्थानसंश्रयम ् |
व्यन््िं भेदं च यो वेत्ति दोषाणां स भवेद्भभषक् ||
 Timing to control the dosha or timing of treatment.

5. Types- Stages
1. Snachaya
2. Prakopa
3. Prasara
4. Sthan samshrya
5. Vyakta
6. Bheda
 These six stages are presesnt in kriya kaal

6. Snachaya
 The clinical feature of dosha sanchaya
ित्र सन्ञ्चिानां खलु दोषाणां स्िब्धपूणणकोष्ठिा पीिावभासिा
मतदोष्मिा चाङ्गानां गौरवमालस्यं चयकारणत्तवद्वेषश्चेति
भलङ्गातन भवन्ति |
ित्र प्रथमः क्रियाकालः ||१८
As per Vagbhatta is first and most important stage of kriyakaal

7. Prakopa
 Causes of Prakopa
“ित्र
बलवद्त्तवग्रहातिव्यायामव्यवायाध्ययनप्रपिनप्रधावनप्रपीननाभभााि
लङ्ानप्लवनिरणरात्रत्रजागरणभारहरण-गजिुरगरथपदातिचयाण
कटुकषायति्िरूक्षलाुशीिवीयणशुष्कशाकवल्लूरवरकोद्दालककोरदू
षश्यामाकनीवार-मुद्गमसूराढकीहरेणुकलायतनष्पावा
अनशनत्तवषमाशनाध्यशनवािमूत्रपुरीषशुिच्छर्दणक्षवथूद्गारबाष्पवेग
त्तवाािार्दभभत्तवणशेषैवाणयुः प्रकोपमापद्यिे ||१९||”

8. The clinical feature of dosha
prakopa
 िेषां प्रकोपाि्
कोष्ठिोदसञ्चरणाम्लीकात्तपपासापररदाहातनद्वेषहृदयोत्क्लेदाश्च
जायतिे |
ित्र द्त्तविीयः क्रियाकालः ||२७||

9. Prasara
यथा- महानुदकसञ्चयोऽतिवृद्धः
सेिुमवदायाणपरेणोदके न व्याभमश्रः सवणिः प्रधावति, एवं
दोषाः कदाचचदेकशो द्त्तवशः समस्िाः शोणणिसर्हिा
वाऽनेकधा प्रसरन्ति |
िद्यथा- वािः, त्तपिं, श्लेष्मा, शोणणिं, वाित्तपिे,
वािश्लेष्माणौ, त्तपिश्लेष्माणौ, वािशोणणिे, त्तपिशोणणिे,
श्लेष्मशोणणिे, वाित्तपिशोणणिातन,
वािश्लेष्मशोणणिातन, त्तपिश्लेष्मशोणणिातन,
वाित्तपिकफाः, वाित्तपिकफशोणणिानीति; एवं
पञ्चदशधा प्रसरन्ति ||२८||

10. Method of Treatment
 The treatment should be design according to site of
doshas.
 Vata in pitta sthana- anti pitta treatment.
 Pitta in kapha sthana- antinkapha treatment.
 Kapha in vata sthana- anti vata treatmeent

11. Sthan samshraya
 Udars/kostha- gulama, vidradhi, udar rog, mandagni, aanaha, vishuchika,
atisaar, etc
 Basti- prameha, ashmari, mutraghata, and other urological disorders.
 vrashana- vridhdhi rog.
 Medhra- nirudh rog, updansha, shookdosha, etc
 Guda- arsha, bhagandara
 Urdhjatru- diseases of nose, ear, eyes, mouth and head.
 twacha+mansha+rakta- kshurda rog, kustha and visharpa
 Meda- granthi, apchi,arbuda,galganda and alaji.
 Asthi- vidradhi, anushayi
 Lower Limbs- slipada, vatarakta, vatakntaka.
 Whole body- jvara
This is fourth stage of kriyakaal. The body shows prodromal symptoms in this stage.

12. Vyakta vastha
 अि ऊध्वं व्याधेदणशणनं वक्ष्यामः
शोफाबुणदग्रन्तथत्तवद्रचधत्तवसपणप्रभृिीनां [१] प्रव्य्िलक्षणिा
ज्वरािीसारप्रभृिीनां च |
ित्र पञ्चमः क्रियाकालः ||३४|
 In this stage the clinical picture becomes clear.
 The disease present with complete sign and symptoms.

13. Bhedavastha
 अि ऊध्वणमेिेषामवदीणाणनां व्रणभावमापतनानां षष्ठः
क्रियाकालः, ज्वरातिसारप्रभृिीनां च दीाणकालानुबतधः |
ित्राप्रतिक्रियमाणेऽसाध्यिामुपयान्ति ||३५||
 When the above diseases associate for long time with
body produces other complications, this stage is called
bhedavastha.
 Most of the disease become untreatable if not get treated
in this stage. This is stage of Complications.

14. Importance
 सञ्चयेऽपहृिा दोषा लभतिे नोिरा गिीः |
िे िूिरासु गतिषु भवन्ति बलविराः ||37||
 If the doshas are handled in sanchaya stage and stop
the progression in next stage, It is best treatment.
Because as the stage progresses doshas become more
powerful.
 Acharya design the different ritucharya, dincharya,
ratricharya to avoid sanchay of doshas.
 So assessment of stage of kriyakaal is very important
to know the prognosis of disease.

15.  If two or more than two doshas are involved then, most
ugra (powerful) doshas should be the first target during
treatment.
 In surgical diseases we should first assess the stage then
treat accordingly.
 For example in during trauma, we should first think about
rakta. Blood loss can cause vitiation of all the doshas.
 Heamostasis should be our first target in case of bleeding
injury.

16.  सञ्चयं च प्रकोपं च प्रसरं स्थानसंश्रयम ् |
व्यन््िं भेदं च यो वेत्ति दोषाणां स भवेद्भभषक् ||
 So the true surgeon is only who identify the stages of
kriyakaal early and correctly.

17. Thank You