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Ayurveda elaborates a six
stage process of disease manifestation called shad kriya kal, in which detection and complication comprise the last two phases. Knowledge of the first
four stages is unique to Ayurveda and permits the recognition and elimination of
disease long before it progresses into clearly differentiated clinical symptoms.
Ama's toxicity and the dosha's mobility constitute the key components in the
disease process
Unlike the Western view on
medical treatments, Ayurvedic treatment already starts in the early stages of
the disease and is much more efficient than in a later stage.
Ayurveda distinguishes
six stages in the development of a disease:
1- Stages
of Accumulation (Sanchaya)
Illness begins in one of the three main dosha sites:
stomach (Kapha), small intestine (Pitta), or the colon (Vayu). Excess Kapha
in the stomach creates a blockage in the system that leads to lassitude,
heaviness, pallor, bloating, and indigestion. Pitta accumulation creates
burning sensation, fever, hyperacidity, bitter taste in the mouth, and
anger. Excess Vayu created gas, distention, constipation,
dryness, fear, fatigue, insomnia, and the desire for warm things. The value
of monitoring these experiences within one’s body and mind leads to the
earliest detection of an imbalance, while it is still in its hidden or
incubatory stages.
2-
Stage of Aggravation (Prakop)
As the imbalanced elements (humors) continue to
increase, the symptoms mentioned above become more aggravated and will be
noticed in other parts of the body as well. Kapha aggravation
causes a loss of appetite, indigestion, nausea, excess saliva, heaviness in
the heart and head, and over sleeping. The aggravated Pitta
experience is one of increased acidity, burning sensation in the abdomen,
lowered vitality or insomnia. Vata aggravation results in pain and
spasm in the abdomen, gas and rumbling in the bowels, and light headedness.
3- Stage of
Migration (Prasar)
Prasar literally means “to leave and spread.”
Once the origin site is full with the excess humor, it will begin to
overflow into the rest of the body, using different channels of
transportation. The path of the overflow begins in the gastro-intestinal
tract, then moves into the plasma and blood. Then the humors begin to seep
into the organs, dhatus (tissue element), and malas (waste). Simultaneously,
the symptoms at the origin site continue to grow worse.
4- Stage of
Augmentation (Sthan Samshrya)
This is “taking shelter in a place.” The Doshas (humors)
will move to wherever a weak site exists in the body. This is where and when
specific disease begin to develop. Healing is still simple, even at this
fourth stage of illness.
5- Stage of
Manifestation (Vyakta)
Vyakt, “that which can be seen.” This is the first
stage of the development of illness for which western science can detect
signs of disease. Here, disease become fully developed, showing signs of
clinical features. Names are given to imbalances of the humors, such as
cancer, bronchitis, arthritis, etc.
6- Stage
of Complication (Bheda)
The last stage, Bheda means differentiation. The symptoms become clear enough so that the elemental
cause may be determined. While stage five confirms general diagnosis, stage
six
confirms differential diagnosis. This phase is characterised by severe
impairment of dhatus function and serious damage to the shrotas (channels).
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