Changes

Other important stages of diseases are subclinical or latent or dormant (lina dosha avastha) and clinical or manifested phase (vyakta dosha avastha). In former phase, the [[dosha]] stay dormant in the koshtha or in the circulatory channels. They manifest clinical features in favorable season, environment, region, etc. This leads to clinical phase. This stage is important to know, especially in allergy and other autoimmune pathologies, which exhibit seasonal flare-ups. [Su.Sa.Sutra Sthana 21/30]<ref name=Susruta/>, [A.Hr.Sutra Sthana 13/19]<ref name=Hridaya/>

Other important stages of diseases are subclinical or latent or dormant (lina dosha avastha) and clinical or manifested phase (vyakta dosha avastha). In former phase, the [[dosha]] stay dormant in the koshtha or in the circulatory channels. They manifest clinical features in favorable season, environment, region, etc. This leads to clinical phase. This stage is important to know, especially in allergy and other autoimmune pathologies, which exhibit seasonal flare-ups. [Su.Sa.Sutra Sthana 21/30]<ref name=Susruta/>, [A.Hr.Sutra Sthana 13/19]<ref name=Hridaya/>

The aggravated state when the [[dosha]] are ready to get expelled out (utklishta) is important state for purification therapies. The other state is when the [[dosha]] are not ready to get expelled out (anutklishta) state. This forms another dyad of disease stages. The former notes “vitiated and inclined to expulsion” and the latter its opposite.[Chakrapani commentary on Cha.Sa.[[Chikitsa Sthana]] 3/146] mobile or unstable (chala) and stable (sthira) states also share similar meanings.

The aggravated state when the [[dosha]] are ready to get expelled out (utklishta) is important state for purification therapies. The other state is when the [[dosha]] are not ready to get expelled out (anutklishta) state. This forms another dyad of disease stages. The former notes “vitiated and inclined to expulsion” and the latter its opposite.[Chakrapani commentary on Cha.Sa.[[Chikitsa Sthana]] 3/146] Mobile or unstable (chala) and stable (sthira) states also share similar meanings.

The primary objective of understanding koshtha is the administration of diet, medicines, and therapeutic procedures. [A.Hr.Sutra Sthana 18/15]<ref name=Hridaya/> In general, the guideline for quantity of food that is healthy for everyone has been recommended based on his or her appetite and the capacity of koshtha. The time for food intake is decided based on symptoms indicating digestion of previous meal. The ideal mealtime is when the bowel and bladder has been evacuated, the chest is clear, the [[dosha]]s are optimum, the belching does not reflect any undigested food, sequentially followed by hunger, [[vata]] is in its normal direction, when the [[agni]] is well kindled, the senses are intact and open to perception, and lightness is perceived in the body. [A.Hr.Sutra Sthana 8/55]<ref name=Hridaya/>

The primary objective of understanding koshtha is the administration of diet, medicines, and therapeutic procedures. [A.Hr.Sutra Sthana 18/15]<ref name=Hridaya/> In general, the guideline for quantity of food that is healthy for everyone has been recommended based on his or her appetite and the capacity of koshtha. The time for food intake is decided based on symptoms indicating digestion of previous meal. The ideal mealtime is when the bowel and bladder has been evacuated, the chest is clear, the [[dosha]]s are optimum, the belching does not reflect any undigested food, sequentially followed by hunger, [[vata]] is in its normal direction, when the [[agni]] is well kindled, the senses are intact and open to perception, and lightness is perceived in the body. [A.Hr.Sutra Sthana 8/55]<ref name=Hridaya/>