oligospermia ayurvedic treatement

ksheena shukra



ksheena shukra

In ayurveda , a great importance has been given to rasayana and vajikarana tantra.

Infertility because of ksheena shukra in different texts is mentioned below


in rigveda - meaning of shukra its qualities and main function along with derivation of retas have been explained .

Atharva veda - nidana of shukra kshaya and its management
 

sushruta - ri gatineshanayonasritibhyam tat cha .retas is a substance which flows , which has stream , or current ( similer to water ) word shukra is used to indicate male factor in santanotpatti .qualities like dipta(bright) nirmala (pure )shratub(spotless) and shukla(white)

buddha period - navanitakam a famous treatise on therepeutic preperations illustrates numerous vajikarana yogas , indirectly giving hints to sexual disorders.

KAMASUTRA- The absense of love between two partner causes shukradushti in dravyataha and gunataha sense.

Charaka samhita - ch.su.14th ch.- shukra kshaya laxanas has been explained.
ch.su.17th ch.- 8 types of reto dosha.
ch.sharira -15th ch-nidana of shukra kshaya in vajikarana adhyaya .

Ashtanga sangraha -sutra sthana 26th ch-8 types of reto dosha.
 Aija is a factor responsible for male infertility.-25th ch.
Ashtanga hrudaya -sutra sthana 27th ch,28,29- ksheena retas occurs due to vitiation of  maruta pitta.

Kashyapa - Shukra dosha management in jatisutra sharir adhyaya , shukra janana karma of lashuna has been mentioned in lashuna kalpa adhyaya.



Bhela - 1 anjali pramana os shukra has been mentioned . excessive indulgence in sex leadsto ksheena shukra
Amagupta- Ikshurak beeja prayoga , pancha kshara manmatha rasa etcare given for the treatement of  shukra kshaya. for ksheena shukra - naga vallyadi choorna, arjakadi vati , shukravallabha rasa

Def - Tatraharasya samyak parinatasya 

 kramanamajjanamanupraptasya sara shukra sanjyalabhate
 
The essence that gets formed from the food after its proper digestion and which has produced the dhatu in sequential order up to the stage of majja derives the name shukra 


Shukra - shukra is the 7th dhatu and one among the dashapranayatana., also called chatushpatha because it contains the guna of agni, vayu , prithvi , and mainly jala maha bhuta . 


Formation of shukra dhatu
                     rasa.dhatu                           rk.dh                           ma.dh                  me.dh
Ahara rasa ---------------------------- rasa ----------------- Rakta --------------------- mamsa -------------
                                                                                                                                      |
                                                                                                                                meda                                                                                                                                           |                                                                                                                                        Asthi
                                                                                                                                      |
                                                                                                                               mAJJA
                                                                                                                                      |                                                                                                                                       Shukra
Qualities of shudha shukra - Bahala - semisolid in consistancy
                                             madhura rasa draya
                                             Madhugandhi - the smell of honey
                                             Shukla varna , sphatikabha , gritabha
Normal semen is greyish white in colour. 


Snigdha - which is jala and prithvi


Pichila - indicates adhesive nature


guru -exhistance of prithvi bhuta ,and has the property of moving downwards.


Avidahi - does not cause burning sensation during ejaculation.



Anupravanabhava - it passes through minute channels .or pores.
Pralavat or garbhaya - it is also called as chatushpatha because it contain guna of agni ,vayu , prithvi , jala.

Functions of shukra - dharya -courage to aheive the target
chyavan -ability to ejaculate or orgasm.
preeti - libido ( affinity for opposite sex)
deha bala -shukra is responsible for the anabolic process inside the body and enthusiasm

.
Harsha - responsible for passion .or sex repeatedly.


Beejartha - reproduces the progeny similer to mother and father even the specific properties of the dhatu are transmitted in the progeny.


in side the body shukra remains as a beeja and during proper season (rutukala) when it gets a proper kshetra (healthy femle with healthy vagina and garbhashaya) it sprouts , when sufficient water is present.


To produce a garbha is the best function of shukra.
Moola sthana of shukravaha srotas - vrishana ( testicles) shepha ( phallus) stanau (breasts) mushka(testicles)Bone marrow.

ROOPA - 1.Shigra praseka ,chiradva praseka , shukra avisarga, early ejaculation , delayed ejaculation ,and no ejaculation.

2.toda or vedana of vrushana and medra

3.shonita alpa shukra ,mishrita nissarana,dorbalya,mukha shosha , panduta , sadana, shrama , timira darshana ,and bhrama.

             CHIKITSA 

 
Nidana parivarjana - avoid chinta ,bahya shoka, krodha ,ativyayama , excessive consumption of katu ,tikta , amla ,lavana, kashaya rasayukta ahara.

Samshodhana -Before administering vajikarana dravya prepare the body by shodhana vamana ,virechana


Sushruta -told uttara vasthi. 


The channels of the body cleansed by niruha basthi  it helps in curing all deseases. enriches shukra and promote strength , agni , swara , varna.

Charaka told yapana basti in 12th chain siddhi sthana.

YAPANA BASTI


 
Drakshadi nirooha basti


Jivantyadi nirooha basti


vidangadi taila anuvasana basti


mustadi yapana basti


Eranda moola palashadi yapana basti


Hapushadi yapana basti


Trutya baladi yapana basti


Sthiradi yapana basti


Dwipancha muladi yapana basti


Mayuradi basti


Chatur sneha anuvasana basti


Baladi yamaka anuvasana basti

                   Samshamana chikitsa

 
su.sa.su 1|7 - upachaya is the primary line of treatement in ksheena shukra. ksheera , ghee, madhura ,snigdha and sheeta dravya ,should be administered.
In shukra kshaya - Nakra retas is advised
in su.sa - vajikarana dravyas in ksheena baleeya chapter , like amlaka yoga ,masha yoga , swayam guptadi yoga.

YOGAS

 
amlaka ghrita


shilajit


amlakayasa rasayana


bhrimhani gutika , vajikarana ghrita, vajikarana panda rasa ,  


Vrushya mahisha rasa, chatak mamsa rasa along with tittira mamsa rasa, 


tittira along with kukkuta mamsa rasa


kukkuta along with mayura mamsa rasas


mayura with hamsa mamsa rasa


Vrushya masha yoga


Apathyakari shashtikadi gutika,


Vrushya puplikadi yoga


Apathyakara swarasa


Vrushya ksheera and ghrita


Vrushya godugdha


Vrushya ksheera prayoga


Vrushya pippali yoga


Vrushya shatavari ghrita


Vrushya madhuka yogas


                   Vrushya basti, vrushya mamsa gutika , Vrushya mahisha rasa , Vrishya pooplika , vrushya mashadi pooplika, apatyakar ghrita, vrushya utkarika.


Ucchata and yashtimadhu choorna along with ksheera
Sheep or goats testicle

 
vidari kshirikaya swayam gupta ksheerannapanam
powder of ksheera kakoli ,shrungataka, kaseruka, and madhulika along with ksheera

.
Masha payasam

 
 vidari kanda and swayam gupta polika


shatavari ,gokshura along with ksheera


shvadamshtra and yava choorna with ksheera

  YOGAS TOLD IN YOGA RATNAKARA

vajikara shatavaryadi choorna 


vajikara mushalyadi choorna


vajikarane pippalyadi yoga


vajikarane vidari kanda choorna


amruta bhallataka paka


rati vrudhikaro modaka


rati vallabhyakhaya pugapaka


kameshwara modaka


amra paka


laghu vajigandha sarpi


chandanadi tailam


mahasugandhita taila


chandrodaya rasa


laghu pushpa dhanwa rasa


madana kamadevo rasa


kapikacchu paka


virya stambhaka vati


vangeshwar rasa, kameshwara rasa,


purnendunama rasa


 madankamadevo rasa


SHUKRAKARA AHARA

ghee ksheera ,madhura, snigdha,shita dravyas,shali yava, godhuma.

SHUKRAKARA VIHARA

STRI IS EXPLAINED AS BEST AMONG VAJIKARANA NAD RITUCHARYA MENTIONED BY OUR ANCIENT SCRIPTURES WHICH AUGMENTS SHUKRA IN BODY.

 
chandanadi dravyanulepa
ista stree darshana
hasana, vajikarana mitra mandali
abhyanga utsadana
gandha lepana
room decorated by kamaladi pushpa
neelavarna akasha and in that bright moon
 

jaundice ayurvedic treatement

 
JAUNDICE AYURVEDIC TREATEMENT
DEEPANA
SNEHANA         
VIRECHANA
NASYAjaundice
ANJANA
SHAMANOUSHADHAS

SNEHANA        Maha tiktaka ghrita  c.s.chi.16|43
                         Pancha gavya ghrita
                         Kalyanaka ghrita
                         Draksha ghrita
                         Haridradi ghrita
                         Amrutadi ghrita     B.p.u.8
                         Kamadeva ghrita  s.s.m.k27-31

VIRECHANA ; Mrudu virechana advised.it is the choice of treatement for pitta pradhana rakta pradoshaja vikaras

TRIVRIT CHOORNA IN VYOSHADI KWATHA

NASYA:Karkotaka moola swarasa
             nisha gairika dhatri choorna

Anjana: Hingu,rasanjana,nisha gairika dhatri

SHAMANOUSHADHAS
1.SWARASA: vasa swarasa s.s.m.k 1|18
                        Guduchi swarasa  y.r.p.k.pandu chikitsa|1
                         nimba swarasa     y.r.p.k

2.KWATHA : Triphala           y.r.p.k.pandu chikitsa 1
                      Daru haridra   
                      Drakshadi
                      Guduchyadi
                      Patola mooladi   all are from same reference

3.CHOORNA:  Daru haridra  y.r.p.k_1
                         shunti                         navayasa
                         Sudarshana         s.sm.k.2|26-36,90-92
                         Hapushadi
                         Avipatti
                         Arka

4.Gutika:  Ratna pradeepaka mandoora vataka   y.r.p.k chi
                Mandoora vajra vataka
                Punarnavadi mandoora   b.p.u.8th cha
                Trayo dashanadi mandoora
                Ashta dashanga loha
                Mandoora vataka
                Chandra prabha gutika

5.LEHYAM :Amlika avaleha y.r.p.k  chi-4
                   Triphalad avaleha
                   Drakshavaleha
                   Datraya avaleha

6.GUGGULU : Chandra prabha guggulu
                       
7.ARISHTA:  Bijakarishta  c.s.chi 16
                      Dhatrayarishta

pathya  : Shali,purana yava , and purana godhuma - consumed in the form of yusha

Mugda,adaki, masoor also can be taken
Jangala mamsarasa is benificial - peacock
                 
Recent studies of kamala in ayurveda

DRUGS IN HEPATITIS;

1.PHYLLANTHUS GENUS
: (KANKALA) inactivated the hepatitis B surface antigen (HBSAG) 93-97 percent. vitro studies by university of havana.cuba in 1995
2.Rubia cordifolia :( MANJISHTA) strongly suppresed the secretion of HBSAG- 1996 national youngming university in taivan

3.Rhaphanus sativus :(MULAKHA) Seeds and stem show anti HBSAg activity by nim.k.w

4.TERMINALIA ARJUNA: Research at Toyoma medical university ,toyoma ,japan in 1996 - strong supression of secretion of HBSAg

5.GLYCYRRHIZA GLABRA : YASHTIMADHU


             In 1996 Thabrew , institute of Liver studies kings collage of medicine, bessemer road-  beneficial in chronic viral hepatitis.

               THANK YOU              

kamala

JAUNDICE AYURVEDIC TREATEMENT
A COMPLICATION WORK ON KAMALA 
Nidana: 1.According to charaka and vagbhatta increased intake of pittala ahara and vihara
2. According to sushruta intake of amla pdartha such as dadhi , kanji etc
3.According to dalhana kamala appear in delayed stage of pandu
4.nidana of shakashrita kamala
Nidana                     charaka samhita           ashtanga hrudaya

Rooksha                                +                                     +
sheeta                                    +                                     +
guru                                        +                                     +
Madhura rasa                         +                                     +
vyayama                                  +                                     +
Vegava dharana                      +                                     _
Bala nigraha                            _                                      +

ROOPA OF KOSHTHA SHAKASHRITAKAMALA

Kamala is untreated pandu roga

 
According to charaka Haridra netra, twak,mukha,nakha,Rakta mishrita peeta mutra,mala,daha,avipaka,dourbalya,aruchi,krusha,sheetalata,bekha varna.

According to sushruta only tandra and balakshaya
According to ashtanga hrudaya Hridra netra,twak, nakha,mutra,daha,avipaka,trushna,durbala indriya.

                               
                                            

acidity ayurvedic treatement

 Amlkapitta

chikitsa
 
nidana parivarjana - advised to patient toavoid katu amla rasa annapana,viruddha ahara,vega vidharana , vishamasana,bhukte divaswapna

shodhana - reoccurence of the vitiation of doshas is not possible.vamana and virechana ,



VAMANA DRAVYAS


kashyapa - lavanambu , sukhoshna dugdha, ikshu rasa, 0r madhodaka, vamana hasbeen done respectively with using the tikta dravyas.

yogaratnakara - patola patra and madana phala churna with the help of madhu and saindhava.

SHAMANA CHIKITSA

langhana
laghubhojana
satmya kala and desha sevana
pachana karma with shamana yoga - ama pachana is necessery in amla pitta.panchakarma has also a role of agni vriddhi because of same drugs like shunthi ,patola patra,guduchi , amlaki,etc have a deepana and pachana  property.

DRUGS USED IN AMLA PITTA
 a.common drugs (herbal)
ATIVISHA            SHATAVARI               DHANYAKA
MUSTA                AMALAKI                   HINGU
TRAYAMANA        YASHTI MADHU        NARIKELA
PATOLA               BHRINGARAJA          KUSHMANDA
GUDUCHI            VASA                         YAVASA
KIRATA TIKTA       NIMBA                       ARKA
TRIVRITA              PIPPALI                    VIDANGA
TRIPHALA            UDUMBARA              DRAKSHA
DANTI                  PARPATAKA              CHANDAN

B.RASA DRAVYAS

SHANKHA               SHILAJIT                 SUKTI
ABHRAKA               MANDOORA            SWARNA
LOHA                      RAUPYA                  GANDHAKA
SWARNAMAKSHIKA           PARADA         VARATIKA
KAPARDA                 MANAHSHILA          KHATIKA

C.FAMOUS RECIPES

 
BHUNIMBADI KWATHA                        SHATAVARI MANDOORA
NARIKELA KHANDA                             SHATAVARI GHRITA
VARUNADI KWATHA                            KUSHMANDA AVALEHA
AVIPATTIKARA CHURNA                      KAMADUGA RASA
SUTASHEKHARA RASA                       LILAVILASA RASA

Amlapitta

Historical review of amla pitta 

 charaka samhita - 1.sutra sthana 1/111 

 
kulattha is the cheif causetive factor-ch.su.25/40


2. Amlapitta hasbeen listed as a desease occuring due to  excessive use of lavana rasa-ch.su.26/43

3. it is a desease caused by consuming due to viruddha ahara-ch.su.26/103,

4. Rajamasha is amla pitta roga nashaka-ch.su.27 /25,

chikitsa sthana -  1.ch.chi.7/148 - Amlapitta has been listed as an indication of mahatiktaka ghrita.
 2.ch.chi.12/52 -                                              amlapitta has been listed as an indication of kansa haritaki
 3.ch.chi.15/47 - due to agnimandhya when the food is not digested properly ,it forms annavisha which when mixed with pitta causes amlapitta.

sushruta has nbot mentioned.

kashyapa samhita 

- it is the first samhita describing the desease with its nidana,rupa, chikitsa e.t.c.
 madavanidana - also mentined in detail


AMLAPITTA

it is a condition where avipaka ,klama, utklesha,tiktodgara, amlodgara, gourava,hrit daha,kantha daha,and aruchi are seen.


pitta leads to soar taste ( amla bhavana ) in such state what ever the food eaten is converted  in to amlarasa.

according to kashyapa vidagdha ahara becomes amla and remains still in the stomach which provocates the pitta dosha cause reduction in the digestive power and also cause fermentation  of food , in turn causes provocation of pitta and vitiation of stomach ultimately causing amlapitta.

paryaya nama - prameelaka ,pitta visuchika ,amlapitta.(k.s)
 pittamla, shuktaka(y.r)

AMLAPITTA 2 TYPES.

-
1.Urdhvaga amlapitta - vantam hareetam ,peetam,neelam,krishnam, raktabham, jwara,kandu,pidaka, avipaka,shiro ruja, mandala, kantha daha.

2.Adhoga amlapitta - brhama,trishna,hrillasa,analasada, sweda, kotha,

Laxanas according to different classics

 
Adhmana , amlodgara, aruchi, atisara, avipaka,hrit daha, kantha vidaha, tiktodgara , utklesha.

visishta laxanas                                                         VATAJA                            PITTAJA                            KAPHAJA
                                 shoola                               brhma                        shareera guruta
                            angasada                            vidaha                       vanti
                            jrumba

SAMPRAPTI GHATAKAS 


DOSHA -PITTA PRADHANA KAPHA
sushya - rasadhatu
agni - jatharagni
ama  - jatharagnijanya ama
srotas - annavaha and rasavaha
sroto dushti prakara - sanga , vimarga gamana
udbhava sthana - amashaya
sanchara sthana-maha srotas
vyakta sthana - amashaya
rogamarga-abhyantara

chikitsa

 
nidana parivarjana - advised to patient toavoid katu amla rasa annapana,viruddha ahara,vega vidharana , vishamasana,bhukte divaswapna

shodhana - reoccurence of the vitiation of doshas is not possible.vamana and virechana ,



VAMANA DRAVYAS


kashyapa - lavanambu , sukhoshna dugdha, ikshu rasa, 0r madhodaka, vamana hasbeen done respectively with using the tikta dravyas.

yogaratnakara - patola patra and madana phala churna with the help of madhu and saindhava.

SHAMANA CHIKITSA

langhana
laghubhojana
satmya kala and desha sevana
pachana karma with shamana yoga - ama pachana is necessery in amla pitta.panchakarma has also a role of agni vriddhi because of same drugs like shunthi ,patola patra,guduchi , amlaki,etc have a deepana and pachana  property.

DRUGS USED IN AMLA PITTA
 a.common drugs (herbal)
ATIVISHA            SHATAVARI               DHANYAKA
MUSTA                AMALAKI                   HINGU
TRAYAMANA        YASHTI MADHU        NARIKELA
PATOLA               BHRINGARAJA          KUSHMANDA
GUDUCHI            VASA                         YAVASA
KIRATA TIKTA       NIMBA                       ARKA
TRIVRITA              PIPPALI                    VIDANGA
TRIPHALA            UDUMBARA              DRAKSHA
DANTI                  PARPATAKA              CHANDAN

B.RASA DRAVYAS

SHANKHA               SHILAJIT                 SUKTI
ABHRAKA               MANDOORA            SWARNA
LOHA                      RAUPYA                  GANDHAKA
SWARNAMAKSHIKA           PARADA         VARATIKA
KAPARDA                 MANAHSHILA          KHATIKA

C.FAMOUS RECIPES

 
BHUNIMBADI KWATHA                        SHATAVARI MANDOORA
NARIKELA KHANDA                             SHATAVARI GHRITA
VARUNADI KWATHA                            KUSHMANDA AVALEHA
AVIPATTIKARA CHURNA                      KAMADUGA RASA
SUTASHEKHARA RASA                       LILAVILASA RASA

ayurvedic treatement for urticaria

URTICARIA TREATEMENT

SHODHANA   -   VAMANA
                          VIRECHANA
                          RAKTAMOKSHANA

VAMANA  -   PATOLA+NIMBA+VASA KWATHA  IS USE FUL IN SHITAPITTA,UDARDA , KOTHA     REFFERANCE  -  (B.P  M.K .55|5)

VIRECHANA  -

  1. TRIPHALA + MADHU = NAVA KARSHIKA    
  REFFERANCE - CHAKRA DUTTA. UKS CHI -2
                                                                                Y.R.SUK.CHI - 2


 2. TRIPHALA + GUGGULU + PIPPALI  IS BEST FOR TREATI NG SHITA PITTA , UDARDA, KOTHA
                                                               ( CHAKRA DUTTA . U.KS - 2 AND Y.R.SUK.CHI -2)

                         

 3. RAKTA MOKSHANA  _   AFTER MAHA TIKTAKA GHRITA PANA IS USEFUL       (REFFERANCE - CHAKRA DUTTA.UKS AND B.P.MK.55|14 , Y.R.SUK.CHI -2)

SHAMANA

1.BAHYA SHAMANA        

 A.ABHYANGA - 1.KATUTAILA AND PARISHEKA BY USHNAMBU (CHAKRA DATTA.UKS.CHI -1)
                                                                 
                          2.YAVA KSHARA + SAINDHAVA LAVANA + SARSHAPA TAILA ( CHAKRA DATTA.UKS.CHI-10 AND B.R.|7)

B.UDVARTANA


1 . SIDDHARTHA + RAJANI + PRAPUNNADA + TILA + KATUTAILA  (CHAKRA DATTA .UKS.CHI -5) AND ( B.P.MK. 55|12) YR.SUK .CHI -12                                                                     
           
                2.  ELADI GANA CHURNA + TAILA FOR UDVARTANA  ( CHAKRA DATTA . UKS.CHI -11)

C.LEPA  -  


 1. SAIDHAVA + GHRITA + KUSHTA ( Y.R.SUK.NI-12)
                  2. SURASA SVARASA LEPE  ( Y.R.SUK.CHI -12)
                  3. DURVA + NISHA ( CHAKRA DATTA .UKS.CHI - 6 ) ( B.R. SUK -55|6)


2.Abhyantara shamana
                        
yoga  -  in eladi gana 29 drugs are mentioned as shamana drugs for kotha ( su.s.su .38/13)

kashaya - a. 10 drugs mentioned in udarda prashamana maha kashaya by charaka ( ch.su. 4/17(43) )

                 b.visarpokta amritadi kwatha ( chakra datta .uks.chi.3)

                 c.yashtyadi kwatha (br.usk.-8)

                 d.Amruta + rajani +nimba + dhamasa kwatha with madhu  ( b.r.usk.-9)

khanda -  a.ardraka khanda (b.p.md.55/16-20) b.r.suk-23-28

                b.haridra khanda ( b.r.suk.-13-16)
                c.brihatharidra khanda    """"""


Rasakalpa  - shitapitabhanjana rasa (b.r.usk.-13-16)
                     veereshvaro rasa
                     shleshmapittantako rasa
Rasayana yoga - vardhamana pippali ( y.r.suk.chi-7)
                            vardhamana lashuna prayoga ( y.r.suk.chi.-7)
                            goghrita + smaricha .as vardha mana prayoga(b.r.usk.10)

yog with guda - guda + amalaki (b.p.mk -55/10)
                          ardraka rasa + purana guda (b.pk.55/11)
                          yavani + guda (b.p.mk.55/13)

                         
with ghrita - nimba patra + ghrita + amalaki (b.pd .55/9)
                    agnimantha  moola +ghrita (chakra datta .usk.-11)

with sharkara _ trikatu + sharkar (b.pk.55/10)

with kshara  - yavani +vyosha + yava kshara ( b.p.mk.55/10)
with milk - shushka pakva gambari phala after boiling with milk.
                  nava karshika guggulu (b.p.mk.55/9)

Pathya  is kulattha, karkotaka,moolaka , shigru shaka , karavellaka ,lavana tittira rasa , potika, shalincha , ushnodaka ,triphala ,dadima, madhu , tikta kashaya rasa

Apathya - 

ksheerekshu vikarini , naveena madhya ,poorva and dakshina disha parva , snana, divasvapna , viruddha ahara,matsya anupa  audaka mamsa mamsa

SHITAPITTA

SHITAPITTA

NIRUKTI - INVOLVEMENT OF PITTA DOSHA AND SHITA GUNA of kapha , vata dosha


according to madhava shitapitta and udarda are synonyms of each other


 but shita pitta - vataja prakopaka
       vidarda - kaphaja prakopaka


udarda specific charecter is mandala having inflamed edges with depressed centre
in madhava kotha is described as itchy red rashes catering major part of the skin and chronic.

 purvarupa - pipasa(thirst) aruchi (loss of appetite)hrullasa (nausea) dehasada(tiredness) rakta lochanata(rednes of eyes )
Rupa - 1.shitapitta - varati dashta samsthana shotha , kandu bahula, toda bahula,cchardi , jvara, vidaha
       
      

            2. udarda - having similar  symptoms but difference is dosha prakopa. in shitapitta - vataprakopa
 in udarda - kapha prakopa and one different symptom of udarda is central depression,itching.


            3.kotha - rashes ,rednes , itching  spreading all over body i.e mandala , kandu , ragavanti , bahuni

SAMPRAPTI GHATAKAS 


 dosha - tri dosha
dushya - rasa , rakta , twak
agni - manda and vishama
srotas - rasa rakta vaha ,mamsa and annavaha
sroto dushti prakara - vimarga gamana
udbhava sthana - amashaya
samchara sthana - tiryak shira , rasa ,rakta vahasrotas
vyadhi marga - bahya
svabhava - ashuki
vyakti sthana - twak

adhishtana  twak

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