Imbalance of dosha and its accumulation in the body is said to be the basic pathology of the disease process in general. Medicines may be given to pacify this kind of pathology. Or else accumulated dosha may be expelled out from the body by subjecting to eliminatory procedures. If the imbalance is pacified, later on depending upon the exposure to predisposing factors, there is every risk of recurrence of the illness. Contrary to this if the patient is treated by expelling the accumulation of the dosha, there is minimal or no risk of the recurrence. Therefore these eliminatory procedures, popularly known by the name panchakarma have an edge over any other medical management that pacifies the pathological accumulation of the dosha. To be more precise, oral medication or similar other therapies form the palliative treatment, and the employment of panchakarma will be the radical approach in this regard. So to say Panchakarma procedures are always preferred.

The amount of dosha vitiation may vary from patient to patient or from disease to disease. And the same in a given patient may be judged on the basis of a multitude of symptoms manifested, the extent of body parts involved, the severity of the symptoms as well as chronicity of the illness. When the amount of dosha vitiation in a given patient is massive, all the symptoms of the respective illness will manifest, involving a large portion of the body, with more severe symptoms persisting for a long period. In Sanskrit, the excessive accumulation of the dosha in the body is referred by the name bahu-doshavastha. In such a state of dosha vitiation, more and more energetic and efficacious treatment has to be planned to eradicate the disease. Contrary to this when the amount of dosha vitiation is less; administration of some palliative treatment is enough to cure the illness. Accordingly, when the severe dosha vitiation is identified, it is better to initially choose more energetic and radical shodhana therapy and then it should be followed by palliative shamana treatment. Thus proper planning of the treatment in the form of eliminatory and palliative procedures increases the prospect of success in clinical practice. In general, certain conditions that are indicative of bahu-doshavastha are listed below:



  • Avipaka                                   :-  Lack of digestion
  • Aruchi                                      :-  Lack of taste in the mouth
  • Sthaulya                                  :-  Obesity
  • Panduta                                  :-  Pallor
  • Gaurava                                 :-  Sense of heaviness in the body
  • Klama                                     :-  Feeling of tiredness at rest
  • Pidaka                                     :-  Skin eruption
  • Kotha                                       :-  Wheals
  • Kandu                                     :-  Pruritus
  • Arati                                        :-  Restlessness
  • Alasya                                    :-  Lack of enthusiasm.
  • Shrama                                  :-  Sense of tiredness
  • Daurbalya                             :-  Debility
  • Daurgandhya                      :-  Emission of bad odor from the body
  • Avasada                                :-  Depression
  • Shleshma-                            :-  Provocation of kapha dosha
  • Pitta-samutklesha             :-  Provocation of pitta dosha
  • Nidra-nasha                        :-  Insomnia
  • Ati nidrata                           :-  Excessive sleep
  • Tandra                                  :-  Drowsiness
  • Klaibya                                  :-   Impotence
  • Abuddhitva                          :-  Lack of intelligence
  • Ashasta svapna-                 :-  Experiencing bad or ill-fated dreams
  • Bala-varna-                          :-  Loss of physical strength and
  • Pranashah tripyato            :-  complexion even after intake of
  • Brimhanaih                           :-    Nutritive foods.

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