Clinical assessment of

Dosha Dhatu Malas

DR. S. K. Panda
Professor and Head
Department of Kriya Sharir
RBAMCH,AGRA
Role of Dosha Dhatu & Malas

 Dosha Dhatu Mala mūlamhi

Sareeram.
 Dosha ava hi sarba rogaikakaranam.
 Rasdisthesu Doshesu Vyadhayah
Sambhavanti Ye
Tajjanityupacharena tanahur ghrita
dahavat.
Cont.

Vikrita-avikrita Deham Ghnanti Te

Vartayanti cha.
Pratyekam Te Triddha
Vriddhi Kshaya Samy Vibhedatah.
Utkrista Madhya Alpataya Tridha
VriddhiKshayavapi
Cont.

 Vate pitte kaphe chaiva kshine

lakshanamuchyate.
 Karmanh Prakritadhanirvridhirvaapi virodhinam.
 Dosh Prakritivaishesyam niyatam
vriddhilakshanam
 Doshanam Prakritirhanirvriddhishchaivam
parikshyate.
Clinical assessment of Tridosh

Dosha is a concept responsible for

maintenance of Health and causation of
Disease. It may be explain in Micro or
Macro Level for all living creatures.
Vata Active group (Bio-physical
function)
Pitta Inactive Group (Bio-chemical
Kapha } function)
Vata

Invisible

Perceptable

Observed by its function

Concepts suggest

Cause of action – Site of action – Results

Dosha Dhatus Malas

Prasada Kitta
VRIDDHA DOSHA KARMA

VATA DOSHA
EMACIATION
BLACK DISCOLOURATION
DESIRE FOR HOT THINGS
TREMORS
DISTENSION OF ABDOMEN
CONSTIPATION
CONT……….
LOSS OF STRENGTH,SLEEP AND
SENSEORY FUNCTIONS
IRRELEVANT SPEECH
GIDDINESS
TIMIDITY
PITTA DOSHA
 YELLOW DISCOLOURATION OF
FECES,URINE,EYES AND SKIN

 EXCESS OF HUNGER AND THIRST

 FELLING OF BURNING SENSATION

 VERY LITTLE SLEEP

KAPHA DOSHA

DEBILITY OF DIGESTIVE ACTIVITY

EXCESS SALIVATION
LASSITUDE
FEALING OF HEAVYNESS
WHITE DISCOLORATION (OF FECES
etc. )
LOOSNESS OF BODY PARTS
DYSPNOEA AND COUGH
EXCESSIVE SLEEP
VRIDHA DHATU KARMA

RASA DHATU
 ALL SYMPTOMS AND SIGNS ARE
SIMILAR TO THOSE WHICH ARE
SEEN IN VRIDDHA KAPHA.
RAKTA DHATU
 VISARPA (HERPES)
 DISEASES OF SPLEEN
 ABCSSESS
 LEPROSY
 GOUT
 BLEEDING DISORDERS
 ABDOMINAL TUMOURS
 JAUNDICE CONT…………..
 RAKTA DHATU

 DISEASES OF GUMS AND TOOTHS

 DISCCOULORED PATCH ON FACE

 LOSS OF DIGESTIVE ACTIVITY

 COMA

 RED DISCOLOURATION OF SKIN,EYES AND URINE

MAMSA DHATU

ENLARGEMENT OF GLANDS
MALIGNANT TUMOURS
INCREASE IN SIZE OF
CHEEKS,THIGHS AND
ABDOMEN
OVERGROWTH OF MUSCLES
OF NECK AND OTHER PLACES
MEDAS DHATU
SYMPTOMS AS IN MANSA
VRIDHI
FATIGUE
INCREASED BREATHING EVEN
AFTER LITTLE WORK
DROOPING OF BUTTOCKS ,
BREASTS AND ABDOMEN
ASTHI DHATU

OVERGROWTH OF
BONES
EXTRA TEETH
EXCESSIVE GROWTH OF
HAIRS etc.
MAJJA DHATU
HEAVYNESS OF EYES AND
THE BODY
INCREASE IN SIZE OF THE
JOINTS
ULCERS WHICH ARE
DIFFICULT TO TREAT AT
JOINTS
SHUKRA DHATU

INCREASED SEXUAL
DESIRE (LIBIDO)

SEMINAL CALCULI
VRIDDHA MALA KARMA

 PURISH
ENLARGEMENT OF ABDOMEN,GURGLING
SOUNDS,FEELING OF HEAVYNESS IN ABDOMEN
 MUTRA
SEVERE PAIN IN BLADDER,FELLING OF NON-
ELIMINATION EVEN AFTER ELIMINATION
 SWEDA
EXCESSIVE PERSPIRATION,FOUL SMELL,ITCHING
KSHINA DOSHA
KARMA
VATA DOSHA
•DEBILITY OF BODY

•PERSON SPEEKS VERY LITTLE AND

DOES LESS ACTIVITY

•LOSS OF SENSTION AND

CONSCIOUSNESS

•OCCURANCE OF ALL SYMPTOMS OF

INCREASED KAPHA
PITTA DOSHA

WEAKNESS OF DIGESTIVE
ACTIVITY

COLDNESS

LOSS OF LUSTER
KAPHA DOSHA

DIZZINESS

EMPTYNESS OF ORGANS OF KAPHA

PALPITATION

LOOSENESS OF JOINTS
KSHINA DHATU KARMA

RASA DHATU
DRYNESS
FATIGUE
EMACIATION
EXHAUSTION EVEN WITHOUT WORK
INABILITY TO BEAR EVEN LITTLE
NOISE
RAKTA DHATU
DESIRE FOR SOUR AND COLD
THINGS

LOSS OF TENSION OF VEINS

DRYNESS
MAMSA DHATU

1. DEBILITY OF SENSE
ORGANS
2. EMACIATION OF
CHEEKS,BUTTOCKS
3. PAIN IN JOINTS
MEDAS DHATU

LOSS OF SENSATION IN
THE WAIST

ENLARGEMENT OF SPLEEN

EMACIATION OF BODY
ASTHI DHATU

PAIN IN JOINTS

PREMATURELY FALLING
OF TEETHS, HAIRS etc.
SHUKRA DHATU
 DELAY IN EJACULATION

 EJACULATION ACCOMPONYING WITH

BLEEDING

 SEVERE PAIN IN TESTICLES

 FEELING OF HOT FUMES COMING OUT OF

URETHRA
KSHINA MALA KARMA

 PURISH
MOVEMENT OF AIR IN INTESTINES,GURGLING SOUND
COMING UPWARDS,SEVERE DISCOMFORT IN REGION
OF HEART & FLANKS
 MUTRA
SCANTY URINE, DYSURIA, URIN DISCOLOURED OR
MIXED WITH BLOOD
 SWEDA
FALLING OF HAIRS,STIFFNESS OF HAIRS,CRACKING OF
SKIN
KRIYA KALA
DOSHA RITU

CHAYA PRAKOPA PRASHAM

VATA GRISHMA VARSHA SHARAD

PITTA VARSHA SHARAD HEMANT

KAPHA SISHIR VASANT GRISHMA

 KRIYAKALA
SANCHYA PRAKOPA & STHAN VYAKTI BHEDA COVALESCE
(PRE- PRASAR SAMSHRAYA (ADVANCED (CHRONICITY NCE
PATHOGENE (EARLY (DEMONSTRA MANIFESTED )
SIS) PATHOGENE BLE EARLY DISEASE)
SIS) DISEASE)

PROMOTION SPECIFIC EARLY SPECIFIC LIMITATION REHABILITAT

OF HEALTH PROTECTION DIAGNOSIS & TREATMENT OF ION &
PROMPT DISABILITY & REJUVENATI
TREATMENT REHABILITAT ON
ION
 DOSHA + DUSHYA
SAMURCHHANA

SROTAS
(ROGAMARGA,ADHISHTHANA)

SIGNS & SYMPTOMS

 FACTORS INFLUENCING DOSHA DHATU
MALAS
DHATU POSHAN

AAMA AGNI OJA

HEALTH
BODY IMMUNITY
DISEASE
SAMANYAJA AND NANATMAJA VYADHI

IN FORMATION OF NANATMAJA

VYADHI ONLY ONE DOSHA TAKES
PART AND THESE DISEASES ARE
MOSTLY ‘SYMPTOMS’ WHILE
SAMANYAJA VYADHI IS DUE TO MORE
THAN ONE DOSHA WHICH TAKE PART
IN THE ‘SAMPRAPTI’.
ROLE OF AAMA

 IN MICRO FORM IN THE LEVEL OF DHATUS AND

MALAS (DHATVAGNI AND BHUTAGNI)

 MACRO FORM IN THE LEVEL OF JATHARAGNI

 STAGES OF AAMA ASSOCIATED DHATUS AND

MALAS
AAMA
PACHHYAMANA
JIRNA
 TRI DOSHA
DOSHA OBJECTIVE SUBJECTIVE
PARAMETERS PARAMETERS

1. VATA RUKSHA SHUL

LAGHU TODA
SHEETA etc. BHEDA
BHRANSHA etc.
2. PITTA DRAVA DAHA
USHNA PAKA
SNIGDHA etc. KOTHA etc.
3. KAPHA GURU STAIMYATA
SNIGDHA TANDRA
SHEETA etc. APAKTI
GAURAV etc.
 SIMILARLY OBJECTIVE
AND SUBJECTIVE
PARAMETERS OF DHATUS
AND MALAS ACCORDING
TO THEIR VRIDDHI AND
KSHAYA CAN BE DESIGNED
FOR THEIR CLINICAL
ACESSMENT.
Thank you.