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<div style='text-align:justify;'>Kapha dosha controls body fluids and maintains the structural cohesion of the organism. It is one of the three dosha. It is responsible for cohesiveness, unctuousness, lubricity, stability, and immunity. Kapha dosha has dominance of prithvi and jala mahabhuta.[Code:SAT-B.414]<ref name="ref1">KhandaleN.S.(2014): Conceptual and Applied study of Snigdha Guna of Kapha Dosha w s r ShariraBala.Dept. of Kriya Sharir, Dr. Sarvepalli Radhakrishnan Rajasthan Ayurved University.</ref> The concept of kapha is the foundation for growth, preservation, and anabolism theories.</div>
<p style="text-align:justify;">Kapha dosha controls [[Sharira|body]] fluids and maintains the structural cohesion of the organism. It is one of the three [[Dosha|dosha]]. It is responsible for cohesiveness, unctuousness, lubricity, stability, and immunity. Kapha dosha has dominance of [[Prithvi mahabhuta|prithvi]] and [[Jala mahabhuta|jala mahabhuta]].[Code:SAT-B.414]<ref name="ref1">National AYUSH Morbidity and Standardized Terminologies Electronic Portal by Ministry of AYUSH Available on http://namstp.ayush.gov.in/#/Ayurveda</ref> The concept of kapha is the foundation for growth, preservation, and anabolism theories.</p>
{{Infobox
{{Infobox
|title = Contributors
|title = Contributors
|data2 = Bhojani M. K. <sup>1</sup>,<br/>Tanwar Ankur Kumar <sup>1</sup>
|data2 = Bhojani M. K. <sup>1</sup>,<br/>Tanwar Ankur Kumar <sup>1</sup>
|label3 = Reviewer
|label3 = Reviewer
|data3 = Basisht G.<sup>2</sup>,
|data3 = [[Gopal Basisht|Basisht G.]]<sup>2</sup>,
|label4 = Editor
|label4 = Editor
|data4 = Deole Y.S.<sup>3</sup>
|data4 = [[Yogesh Deole|Deole Y.S.]]<sup>3</sup>
|label5 = Affiliations
|label5 = Affiliations
|data5 = <sup>1</sup> Department of Sharir Kriya, All India Institute of Ayurveda, New Delhi, India <br/><sup>2</sup> Rheumatologist, Orlando, Florida, U.S.A. <br/><sup>3</sup>Department of Kayachikitsa, G.J.Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India
|data5 = <sup>1</sup> Department of Sharir Kriya, All India Institute of Ayurveda, New Delhi, India <br/><sup>2</sup> Rheumatologist, Orlando, Florida, U.S.A. <br/><sup>3</sup>Department of Kayachikitsa, G.J.Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India
}}
}}
== Etymology and derivation ==
== Etymology and derivation ==
<div style='text-align:justify;'>The word kapha is derived from root “kena jalena phalati iti kapha”.<ref name="ref2">Amarkosha. Amarsimha, Edited by Pt. Haragovindasastri. Reprint Ed. Varanasi:Chaukhambha Sanskrit Sansthan, 2020.</ref> It implies that water is the foundation of the kapha. The term ‘Shleshma’ used for kapha is derived from the root “ shlish alingane”.<ref name="ref3">Sushruta. Sushruta Samhita. Edited by JadavajiTrikamjiAacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref>[Su. Sa.Sutra Sthana 21/5] The meaning is to cohere, to keep together, or to adhere. </div>
<div style='text-align:justify;'>The word kapha is derived from root “kena jalena phalati iti kapha”.<ref name="ref2">Amarkosha. Amarsimha, Edited by Pt. Haragovindasastri. Reprint Ed. Varanasi:Chaukhambha Sanskrit Sansthan, 2020.</ref> It implies that water is the foundation of the kapha. The term ‘Shleshma’ used for kapha is derived from the root “ shlish alingane”.<ref name="ref3">Sushruta. Sushruta Samhita. Edited by JadavajiTrikamjiAacharya. 8th ed. Varanasi: Chaukhambha Orientalia;2005.</ref>[Su. Sa. [[Sutra Sthana]] 21/5] The meaning is to cohere, to keep together, or to adhere. </div>
=== Synonyms:<ref name="ref3"/><ref name="ref4">Madhavakar. Madhava Nidanam. Edited by SashtriSudarshana, UpadhayaYadunandana. 30th ed. Varanasi: Chaukhambha Sanskrit Sansthana; 2000.</ref> ===
=== Synonyms:<ref name="ref3"/><ref name="ref4">Madhavakar. Madhava Nidanam. Edited by SashtriSudarshana, UpadhayaYadunandana. 30th ed. Varanasi: Chaukhambha Sanskrit Sansthana; 2000.</ref> ===
<div style='text-align:justify;'>In normal states-Shleshma [Cha. Sa. Sutra Sthana 12/12], bala[Cha. Sa. Sutra Sthana 17/117], oja[Cha. Sa. Sutra Sthana 17/117], balasa[Su. Sa. Sharira Sthana 4/74]<ref name="ref3"/> [Vachaspati on M.N. 2/40]<ref name="ref4"/> balasaka[Vijayarakshita on M.N. 2/40]<ref name="ref4"/>, Soma[Cha. Sa. Sutra Sthana 12/12] <br/>In abnormal states- Papma, mala[Cha. Sa. Sutra Sthana 17/117]</div>
<div style='text-align:justify;'>In normal states-[[Shleshma|Shleshma]] [Cha. Sa. [[Sutra Sthana]] 12/12], [[Bala|bala]][Cha. Sa. [[Sutra Sthana]] 17/117], [[Ojas|oja]][Cha. Sa. [[Sutra Sthana]] 17/117], balasa [Su. Sa. Sharira Sthana 4/74]<ref name="ref3"/> [Vachaspati on M.N. 2/40]<ref name="ref4"/> balasaka[Vijayarakshita on M.N. 2/40]<ref name="ref4"/>, Soma [Cha. Sa. [[Sutra Sthana]] 12/12] <br/>In abnormal states- Papma, [[Mala|mala]][Cha. Sa. [[Sutra Sthana]] 17/117]</div>
=== Various aspects: ===
=== Various aspects: ===
<div style='text-align:justify;'>Kapha is related to bala(strength) to perform work. It is a potential source of resistance to disease and aging. It is responsible for union and integration. Soma or water in the body, is implicit in the kapha. [Cha. Sa. Sutra Sthana 12/12] The body weight and growth are both regulated by kapha. It bestows stability and toughness. It is a crucial element in the healing process and is regarded as virility, robust sexual health, and reproductive ability. All biological fluids, whether internal or extracellular, are composed of kapha and serve essential purpose of body. It oversees many types of cohesiveness between cells, tissue, and organs. </div>
<div style='text-align:justify;'>Kapha is related to [[Bala|bala(strength)]] to perform work. It is a potential source of resistance to [[Vyadhi|disease]] and aging. It is responsible for union and integration. Soma or water in the [[Sharira|body]], is implicit in the kapha. [Cha. Sa. [[Sutra Sthana]] 12/12] The [[Sharira|body]] weight and growth are both regulated by kapha. It bestows stability and toughness. It is a crucial element in the healing process and is regarded as virility, robust sexual health, and reproductive ability. All biological fluids, whether internal or extracellular, are composed of kapha and serve essential purpose of [[Sharira|body]]. It oversees many types of cohesiveness between cells, tissue, and organs. </div>
== Bhautika composition ==
== Bhautika composition ==
<div style='text-align:justify;'>Kapha dosha has dominance of Jala and Prithvi mahabhuta.<ref name="ref5">Vagbhata. Ashtanga Samgraha. Edited by Shivprasadsharma. 3rd Ed., Varanasi: Chowkhamba Sanskrit Series Office; 2012.</ref>[A.S. Sutra Sthana 20/2] Although all the mahabhuta participate in the composition, jala mahabhuta expresses dominant role and Prithvi mahabhuta as secondary. Acharya sushruta opines that kapha dosha originatesfrom saumya or jalamahabhuta.<ref name="ref3"/>[Su.Sa. Sutra Sthana42/5] [DalhanaSu.Sa. Sutra Sthana 15/8](Figure 01) </div>
<div style='text-align:justify;'>Kapha dosha has dominance of [[Jala mahabhuta|Jala]] and [[Prithvi mahabhuta|Prithvi mahabhuta]].<ref name="ref5">Vagbhata. Ashtanga Samgraha. Edited by Shivprasadsharma. 3rd Ed., Varanasi: Chowkhamba Sanskrit Series Office; 2012.</ref>[A.S. [[Sutra Sthana]] 20/2] Although all the [[Pancha mahabhuta|mahabhuta]] participate in the composition, [[Jala mahabhuta|jala mahabhuta]] expresses dominant role and [[Prithvi mahabhuta|Prithvi mahabhuta]] as secondary. Acharya sushruta opines that kapha dosha originates from [[Saumya|saumya]] or [[Jala mahabhuta|jala mahabhuta]].<ref name="ref3"/>[Su.Sa. [[Sutra Sthana]] 42/5] [DalhanaSu.Sa. [[Sutra Sthana]] 15/8](Figure 01) </div>
=== Kapha dosha and triguna ===
=== Kapha dosha and [[Triguna|triguna]] ===
<div style='text-align:justify;'>All the living & nonliving thingsoriginate from panchamahabhuta. These panchamahabhutaoriginate from trigunatmaka prakriti as described in evolution process (utpatti karma). Dosha evolve from panchamahbhuta, so these dosha bear triguna property. Sushruta stated that kaphaevolved from jala and prithvi. Jala has sattva and tama predominance. Prithvihas tama predominance <ref name="ref3"/> [Su. Sa.ShariraSthana 1/20] Shharangdhara and Bhavaprakashopine that kaphahas tama predominance. [Sha.Sa.Pratham Khand 5]<ref name="ref6">Sharngdhara. Sarngadhara Samhita. Edited by Parashuram Shastri Vidyasagar. Varanasi: ChaukhambhaSurabharatiPrakashan ;2013.</ref> [Bha. Pra. Purva Khand 3/103]<ref name="ref7">Bhava mishra. Bhavaprakasha, Edited by Brahmasankara Mishra, Rupalalaji Vaisya. 5th ed. Hindi Commentary Vidyotini; Varanasi: Chaukhambha Sanskrit Sansthan, 1969.</ref> (Figure 01)
<div style='text-align:justify;'>All the living & nonliving things originate from [[Pancha mahabhuta|panchamahabhuta]]. These [[Pancha mahabhuta|panchamahabhuta]] originate from trigunatmaka [[Prakriti|prakriti]] as described in evolution process (utpatti karma). [[Dosha|Dosha]] evolve from [[Pancha mahabhuta|panchamahbhuta]], so these [[Dosha|dosha]] bear [[Triguna|triguna]] property. Sushruta stated that kapha evolved from [[Jala mahabhuta|jala]] and [[Prithvi mahabhuta|prithvi]]. [[Jala mahabhuta|Jala]] has [[Sattva|sattva]] and [[Tamas|tama]] predominance. [[Prithvi mahabhuta|Prithvi]] has [[Tamas|tama]] predominance<ref name="ref3"/> [Su. Sa.ShariraSthana 1/20] Sharangdhara and Bhavaprakasha opine that kapha has [[Tamas|tama]] predominance. [Sha.Sa.Pratham Khand 5]<ref name="ref6">Sharngdhara. Sarngadhara Samhita. Edited by Parashuram Shastri Vidyasagar. Varanasi: ChaukhambhaSurabharatiPrakashan ;2013.</ref> [Bha. Pra. Purva Khand 3/103]<ref name="ref7">Bhava mishra. Bhavaprakasha, Edited by Brahmasankara Mishra, Rupalalaji Vaisya. 5th ed. Hindi Commentary Vidyotini; Varanasi: Chaukhambha Sanskrit Sansthan, 1969.</ref> (Figure 01)
[[File:Fig1.jpg|center|Figure 01: Relation between Triguna, Mahabhuta and Kapha Dosha.]]<center>'''Figure 01: Relation between Triguna, Mahabhuta and Kapha Dosha.'''</center></div>
[[File:Fig1.jpg|center|Figure 01: Relation between Triguna, Mahabhuta and Kapha Dosha.]]<center>'''Figure 01: Relation between [[Triguna]], [[Mahabhuta]] and Kapha Dosha'''</center></div>
== Sites of kapha ==
== Sites of kapha ==
<div style='text-align:justify;'>Dosha are present all over the body. [Cha.Sa. Sutra Sthana 20/9] They have specific sites in normal physiological conditions. The general location of kapha is the upper parts of the body. It is marked as above the heart(hridaya).[A.S. Sutra Sthana 1/4]<ref name="ref5"/> Thes pecific seats of kapha areas below: [Code:SAT-B.238]<ref name="ref1"/> [Code:SAT-B.420]<ref name="ref1"/>(Figure 02)
<div style='text-align:justify;'>[[Dosha|Dosha]] are present all over the [[Sharira|body]]. [Cha.Sa. [[Sutra Sthana]] 20/9] They have specific sites in normal physiological conditions. The general location of kapha is the upper parts of the [[Sharira|body]]. It is marked as above the [[Hridaya|heart(hridaya)]].[A.S. [[Sutra Sthana]] 1/4]<ref name="ref5"/> Thes pecific seats of kapha areas below: [Code:SAT-B.238]<ref name="ref1"/> [Code:SAT-B.420]<ref name="ref1"/>(Figure 02)
<ul><li>Chest(Ura)[Cha.Sa. Sutra Sthana 20/9] [Su. Sa.SutraSthana 21/7]<ref name="ref3"/>[A.S. Sutra Sthana 20/3]<ref name="ref5"/>[A.Hr. Sutra Sthana 12/3]<ref name="ref8">Vagbhata. Ashtanga Hridayam. Edited by HarishastriParadkar Vaidya. 1st ed. Varanasi: Krishnadas Academy; 2000.</ref> [K.S. Sutra Sthana 27/11]<ref name="ref9">Kashyapa. Kashyapa Samhita. Edited by P. V. Tewari. Reprint. Varanasi: Chaukhambha vishvabharati;2008.</ref></li>
<ul><li>Chest(Ura)[Cha.Sa. [[Sutra Sthana]] 20/9] [Su. Sa. [[Sutra Sthana]] 21/7]<ref name="ref3"/>[A.S. [[Sutra Sthana]] 20/3]<ref name="ref5"/>[A.Hr. [[Sutra Sthana]] 12/3]<ref name="ref8">Vagbhata. Ashtanga Hridayam. Edited by HarishastriParadkar Vaidya. 1st ed. Varanasi: Krishnadas Academy; 2000.</ref> [K.S. [[Sutra Sthana]] 27/11]<ref name="ref9">Kashyapa. Kashyapa Samhita. Edited by P. V. Tewari. Reprint. Varanasi: Chaukhambha vishvabharati;2008.</ref></li>
<li>Head (shira)[Cha.Sa. Sutra Sthana 20/9] [Su. Sa.SutraSthana 21/7]<ref name="ref3"/>[A.S. Sutra Sthana 20/3]<ref name="ref5"/>[A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> </li>
<li>Head (shira)[Cha. Sa. [[Sutra Sthana]] 20/9] [Su. Sa. [[Sutra Sthana]] 21/7]<ref name="ref3"/>[A.S. [[Sutra Sthana]] 20/3]<ref name="ref5"/>[A.Hr. [[Sutra Sthana]] 12/3]<ref name="ref8"/> </li>
<li>Neck region(griva)[Cha.Sa. Sutra Sthana 20/9][K.S. Sutra Sthana 27/11]<ref name="ref9"/> </li>
<li>Neck region(griva) [Cha.Sa. [[Sutra Sthana]] 20/9] [K.S. [[Sutra Sthana]] 27/11]<ref name="ref9"/> </li>
<li>Joints (parva or sandhi)[Cha.Sa. Sutra Sthana 20/9] [Su. Sa.SutraSthana 21/7]<ref name="ref3"/> [A.S. Sutra Sthana 20/3]<ref name="ref5"/>[A.Hr. Sutra Sthana 12/3]<ref name="ref8"/>[K.S. Sutra Sthana 27/11]<ref name="ref9"/> </li>
<li>Joints (parva or sandhi)[Cha.Sa. [[Sutra Sthana]] 20/9] [Su. Sa. [[Sutra Sthana]] 21/7]<ref name="ref3"/> [A.S. [[Sutra Sthana]] 20/3]<ref name="ref5"/>[A.Hr. [[Sutra Sthana]] 12/3]<ref name="ref8"/>[K.S. [[Sutra Sthana]] 27/11]<ref name="ref9"/> </li>
<li>Stomach(amashaya)[Cha.Sa. Sutra Sthana 20/9] [A.S. Sutra Sthana 20/3]<ref name="ref5"/> [A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> </li>
<li>[[Amashaya|Stomach(amashaya)]] [Cha.Sa. [[Sutra Sthana]] 20/9] [A.S. [[Sutra Sthana]] 20/3]<ref name="ref5"/> [A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> </li>
<li>Fat (meda)[Cha.Sa. Sutra Sthana 20/9] [A.S. Sutra Sthana 20/3]<ref name="ref5"/> [A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> [K.S. Sutra Sthana 27/11]<ref name="ref9"/> </li>
<li>[[Meda|Fat (meda)]] [Cha.Sa. [[Sutra Sthana]] 20/9] [A.S. [[Sutra Sthana]] 20/3]<ref name="ref5"/> [A.Hr. [[Sutra Sthana]] 12/3]<ref name="ref8"/> [K.S. [[Sutra Sthana]] 27/11]<ref name="ref9"/> </li>
<li>Throat(kantha) [Su. Sa.SutraSthana 21/7]<ref name="ref3"/> [A.S. Sutra Sthana 20/3]<ref name="ref5"/>[A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> </li>
<li>Throat(kantha) [Su. Sa. [[Sutra Sthana]] 21/7]<ref name="ref3"/> [A.S. [[Sutra Sthana]] 20/3]<ref name="ref5"/>[A.Hr. [[Sutra Sthana]] 12/3]<ref name="ref8"/> </li>
<li>Organ controlling water uptake and loss(kloma) [A.S. Sutra Sthana 20/3]<ref name="ref5"/> [A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> </li>
<li>Organ controlling water uptake and loss(kloma) [A.S. [[Sutra Sthana]] 20/3]<ref name="ref5"/> [A.Hr. [[Sutra Sthana]] 12/3]<ref name="ref8"/> </li>
<li>Nutrient body fluid or plasma (rasa)[A.S. Sutra Sthana 20/3]<ref name="ref5"/>[A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> </li>
<li>Nutrient body fluid or plasma ([[Rasa|rasa]])[A.S. [[Sutra Sthana]] 20/3]<ref name="ref5"/>[A.Hr. [[Sutra Sthana]] 12/3]<ref name="ref8"/> </li>
<li>Nose (ghrana) [A.S. Sutra Sthana 20/3]<ref name="ref5"/> [A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> </li>
<li>[[Ghrana|Nose (ghrana)]] [A.S. [[Sutra Sthana]] 20/3]<ref name="ref5"/> [A.Hr. [[Sutra Sthana]] 12/3]<ref name="ref8"/> </li>
<li>Tongue(jihva or rasana)[Su. Sa.SutraSthana 21/7]<ref name="ref3"/>[A.S. Sutra Sthana 20/3]<ref name="ref5"/> [A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> </li>
<li>Tongue(jihva or rasana)[Su. Sa. [[Sutra Sthana]] 21/7]<ref name="ref3"/>[A.S. [[Sutra Sthana]] 20/3]<ref name="ref5"/> [A.Hr. [[Sutra Sthana]] 12/3]<ref name="ref8"/> </li>
<li>Arms(bahu) [K.S. Sutra Sthana 27/11]<ref name="ref9"/> </li></ul>
<li>Arms(bahu) [K.S. [[Sutra Sthana]] 27/11]<ref name="ref9"/> </li></ul>
Among all these sites, chest region (ura) is the prime site of kapha dosha.[Cha.Sa. Sutra Sthana 20/9][A.S. Sutra Sthana 20/3]<ref name="ref5"/> [A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> [Arunadatta on A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> Kapha doshais predominately present in stomach(amashaya). [Su. Sa.Sutra Sthana 21/6]<ref name="ref3"/> Chakrapani precisely explains the location of kapha as upper part of amashaya(stomach). [Chakrapani on Cha.Sa. Sutra Sthana 20/8]
Among all these sites, chest region (ura) is the prime site of kapha dosha.[Cha.Sa. [[Sutra Sthana]] 20/9][A.S. [[Sutra Sthana]] 20/3]<ref name="ref5"/> [A.Hr. Sutra Sthana 12/3]<ref name="ref8"/> [Arunadatta on A.Hr. [[Sutra Sthana]] 12/3]<ref name="ref8"/> Kapha dosha is predominately present in [[Amashaya|stomach(amashaya)]]. [Su. Sa. [[Sutra Sthana]] 21/6]<ref name="ref3"/> Chakrapani precisely explains the location of kapha as upper part of [[Amashaya|amashaya(stomach)]]. [Chakrapani on Cha.Sa. [[Sutra Sthana]] 20/8]
[[File:Kapha dosha Fig2.jpg|center|Figure 02. General(A) and specific sites(B) of kapha dosha.]]<center>'''Figure 02. General(A) and specific sites(B) of kapha dosha.'''</center></div>
[[File:Kapha dosha Fig2.jpg|center|Figure 02. General(A) and specific sites(B) of kapha dosha.]]<center>'''Figure 02. General(A) and specific sites(B) of kapha dosha.'''</center></div>
=== Attributes: ===
=== Attributes: ===
<div style='text-align:justify;'>The characteristics of kapha are:
<div style='text-align:justify;'>The characteristics of kapha are:
<ul><li>Heaviness(guru or gaurava)[Cha.Sa. Sutra Sthana 1/61][Cha.Sa. Sutra Sthana 20/18] [Cha.Sa. Vimana Sthana 8/96] [Su. Sa.Sutra Sthana 21/15]<ref name="ref3"/> [A.Hr. Sutra Sthana 1/12]<ref name="ref8"/> [K.S. Sutra Sthana 27/44]<ref name="ref9"/> [Sh.Sa.Pratham Khand 5/34]<ref name="ref6"/> </li>
<ul><li>Heaviness(guru or gaurava) [Cha.Sa. [[Sutra Sthana]] 1/61][Cha.Sa. [[Sutra Sthana]] 20/18] [Cha.Sa. [[Vimana Sthana]] 8/96] [Su. Sa. [[Sutra Sthana]] 21/15]<ref name="ref3"/> [A.Hr. [[Sutra Sthana]] 1/12]<ref name="ref8"/> [K.S. [[Sutra Sthana]] 27/44]<ref name="ref9"/> [Sh.Sa.Pratham Khand 5/34]<ref name="ref6"/> </li>
<li>Coldness(shita)[Cha.Sa. Sutra Sthana 1/61] [Cha.Sa. Sutra Sthana 20/18] [Cha.Sa. Vimana Sthana 8/96][Su. Sa.SutraSthana 21/15]<ref name="ref3"/>[Sh.Sa.Pratham Khand 5/34]<ref name="ref6"/> [A.Hr. Sutra Sthana 1/12]<ref name="ref8"/>[K.S. Sutra Sthana 27/44]<ref name="ref9"/> </li>
<li>Coldness(shita) [Cha.Sa. [[Sutra Sthana]] 1/61] [Cha.Sa. [[Sutra Sthana]] 20/18] [Cha.Sa. Vimana Sthana 8/96] [Su. Sa.SutraSthana 21/15]<ref name="ref3"/>[Sh.Sa.Pratham Khand 5/34]<ref name="ref6"/> [A.Hr. [[Sutra Sthana]] 1/12]<ref name="ref8"/>[K.S. [[Sutra Sthana]] 27/44]<ref name="ref9"/> </li>
<li>Softness (mridu)[Cha.Sa. Sutra Sthana 1/61] [Cha.Sa. Vimana Sthana 8/96] </li>
<li>Softness (mridu) [Cha.Sa. [[Sutra Sthana]] 1/61] [Cha.Sa. [[Vimana Sthana]] 8/96] </li>
<li>Unctuousness (snigdha) [Cha.Sa. Sutra Sthana 1/61] [Cha.Sa. Sutra Sthana 20/18] [Cha.Sa. Vimana Sthana 8/96] [Su. Sa.SutraSthana 21/15]<ref name="ref3"/>[A.Hr. Sutra Sthana 1/12]<ref name="ref8"/>[K.S. Sutra Sthana 27/44]<ref name="ref9"/> [Sha.Sa.Pratham Khand 5/34]<ref name="ref6"/> </li>
<li>Unctuousness (snigdha) [Cha.Sa. [[Sutra Sthana]] 1/61] [Cha.Sa. [[Sutra Sthana]] 20/18] [Cha.Sa. [[Vimana Sthana]] 8/96] [Su. Sa. [[Sutra Sthana]] 21/15]<ref name="ref3"/>[A.Hr. [[Sutra Sthana]] 1/12]<ref name="ref8"/>[K.S. [[Sutra Sthana]] 27/44]<ref name="ref9"/> [Sha.Sa.Pratham Khand 5/34]<ref name="ref6"/> </li>
<li>Sweet (madhura)[Cha.Sa. Sutra Sthana 1/61] [Cha.Sa. Sutra Sthana 20/18] [Cha.Sa. Vimana Sthana 8/96] [Su. Sa.Sutra Sthana 21/15]<ref name="ref3"/> [Sha.Sa.Pratham Khand 5/34]<ref name="ref6"/> [K.S. Sutra Sthana 27/44]<ref name="ref9"/> </li>
<li>[[Madhura|Sweet (madhura)]] [Cha.Sa. [[Sutra Sthana]] 1/61] [Cha.Sa. [[Sutra Sthana]] 20/18] [Cha.Sa. [[Vimana Sthana]] 8/96] [Su. Sa. [[Sutra Sthana]] 21/15]<ref name="ref3"/> [Sha.Sa.Pratham Khand 5/34]<ref name="ref6"/> [K.S. Sutra Sthana 27/44]<ref name="ref9"/> </li>
<li>Firmness/stability (sthira)[Cha.Sa. Sutra Sthana 1/61][A.Hr. Sutra Sthana 1/12]<ref name="ref8"/> </li>
<li>Firmness/stability (sthira) [Cha.Sa. [[Sutra Sthana]] 1/61][A.Hr. [[Sutra Sthana]] 1/12]<ref name="ref8"/> </li>
<li>Sliminess (picchila)[Cha.Sa. Sutra Sthana 1/61][Su. Sa.SutraSthana 21/15]<ref name="ref3"/> [Sha.Sa.Pratham Khand 5/34]<ref name="ref6"/> </li>
<li>Sliminess (picchila) [Cha.Sa. [[Sutra Sthana]] 1/61][Su. Sa. [[Sutra Sthana]] 21/15]<ref name="ref3"/> [Sha.Sa.Pratham Khand 5/34]<ref name="ref6"/> </li>
<li>Whitish(shaukalya or shweta) [Cha.Sa. Sutra Sthana 20/18] [Cha.Sa. Vimana Sthana 8/97][Su. Sa.SutraSthana 21/15]<ref name="ref3"/>[Sha.Sa.Pratham Khand 5/34]<ref name="ref6"/> [K.S. Sutra Sthana 27/44]<ref name="ref9"/> </li>
<li>Whitish (shaukalya or shweta) [Cha.Sa. [[Sutra Sthana]] 20/18] [Cha.Sa. [[Vimana Sthana]] 8/97][Su. Sa. [[Sutra Sthana]] 21/15]<ref name="ref3"/>[Sha.Sa.Pratham Khand 5/34]<ref name="ref6"/> [K.S. [[Sutra Sthana]] 27/44]<ref name="ref9"/> </li>
<li>Mouldable (mrutsana)[Cha.Sa. Sutra Sthana 20/18] [A.Hr. Sutra Sthana 1/12]<ref name="ref8"/> </li>
<li>Mouldable (mrutsana) [Cha.Sa. [[Sutra Sthana]] 20/18] [A.Hr. [[Sutra Sthana]] 1/12]<ref name="ref8"/> </li>
<li>Smoothness (slakshana) [Cha.Sa. Vimana Sthana 8/96] [A.Hr. Sutra Sthana 1/12]<ref name="ref8"/> </li>
<li>Smoothness (shlakshana) [Cha.Sa. [[Vimana Sthana]] 8/96] [A.Hr. [[Sutra Sthana]] 1/12]<ref name="ref8"/> </li>
<li>Mobile(sara) [Cha.Sa. Vimana Sthana 8/96] </li>
<li>Mobile ([[Sara|sara]]) [Cha.Sa. [[Vimana Sthana]] 8/96] </li>
<li>Compact(sandra) [Cha.Sa. Vimana Sthana 8/96] </li>
<li>Compact (sandra) [Cha.Sa. [[Vimana Sthana]] 8/96] </li>
<li>Slowness(manda) [Cha.Sa. Vimana Sthana 8/96] [A.Hr. Sutra Sthana 1/12]<ref name="ref8"/> </li>
<li>Slowness (manda) [Cha.Sa. [[Vimana Sthana]] 8/96] [A.Hr. [[Sutra Sthana]] 1/12]<ref name="ref8"/> </li>
<li>Stable (stimita) [Cha.Sa. Vimana Sthana 8/96] </li>
<li>Stable (stimita) [Cha.Sa. [[Vimana Sthana]] 8/96] </li>
<li>Viscous(vijjala) [Cha.Sa. Vimana Sthana 8/96] </li>
<li>Viscous (vijjala) [Cha.Sa. [[Vimana Sthana]] 8/96] </li>
<li>Transparent(accha) [Cha.Sa. Vimana Sthana 8/96] </li></ul>
<li>Transparent (accha) [Cha.Sa. [[Vimana Sthana]] 8/96] </li></ul>
Kapha dosha has [[Madhura|sweet(madhura)]] taste in completely transformed or mature stage. It is [[Lavana|salty(lavana)]] in incomplete stage or when it is not fully formed. [Su. Sa. [[Sutra Sthana]] 21/15]<ref name="ref3"/> Kashypa stated kapha is white in color.[K.S. [[Sutra Sthana]] 27/44]<ref name="ref9"/> </div>
== Functions of kapha ==
== Functions of kapha ==
<div style='text-align:justify;'>Kapha has independent tasks in the body. However, it is dormant without vata dosha. [Sha.Sa.Pratham Khand 5/25]<ref name="ref6"/> The principal function of kapha dosha is to maintain the normal physiology by supporting growth and anabolism. The special functions of kapha are as below: [Code:SAT-B.421]<ref name="ref1"/> [Cha.Sa. Sutra Sthana 18/51] [Cha.Sa. Sutra Sthana 12/12] [Su. Sa.SutraSthana 15/4]<ref name="ref3"/> [A.Hr. Sutra Sthana 11/3]<ref name="ref8"/>
<div style='text-align:justify;'>Kapha has independent tasks in the [[Sharira|body]]. However, it is dormant without [[Vata dosha|vata dosha]]. [Sha.Sa.Pratham Khand 5/25]<ref name="ref6"/> The principal function of kapha dosha is to maintain the normal physiology by supporting growth and anabolism. The special functions of kapha are as below: [Code:SAT-B.421]<ref name="ref1"/> [Cha.Sa. [[Sutra Sthana]] 18/51] [Cha.Sa. [[Sutra Sthana]] 12/12] [Su. Sa. [[Sutra Sthana]] 15/4]<ref name="ref3"/> [A.Hr. [[Sutra Sthana]] 11/3]<ref name="ref8"/>
<ul><li>Provides and maintains unctuousness to the body (snehana) </li>
<ul><li>Provides and maintains unctuousness to the body ([[Snehana (unction therapy)|snehana]]) </li>
<li>Maintains the anatomical integrity of various cells, tissue, and organ with each other, as well as provides support/ Maintain the integrity of joints(bandhana) </li>
<li>Maintains the anatomical integrity of various cells, tissue, and organ with each other, as well as provides support/ Maintain the integrity of joints(bandhana) </li>
<li>Maintain firmness and steadiness(sthirata or dardhyata) </li>
<li>Maintain firmness and steadiness(sthirata or dardhyata) </li>
<li>Provides weight to various structures and organs (gauravata) </li>
<li>Provides weight to various structures and organs (gauravata) </li>
<li>Maintains reproductive health(vrishta) </li>
<li>Maintains reproductive health(vrishta) </li>
<li>Provides physical and mental strength(bala) </li>
<li>Provides physical and mental [[Bala|strength(bala)]]</li>
<li>Maintains the quality of forgiveness(kshama) </li>
<li>Maintains the quality of forgiveness(kshama) </li>
<li>Maintains the quality of patience(dhriti) </li>
<li>Maintains the quality of patience([[Dhriti|dhriti]]) </li>
<li>Maintains the quality of greedlessness(alobha) </li>
<li>Maintains the quality of greedlessness(alobha) </li>
<li>Growth of the body(upachaya) </li>
<li>Growth of the body(upachaya) </li>
<li>Fortitude </li>
<li>Fortitude </li>
<li>Knowledge(jnana) </li>
<li>[[Dnyana|Knowledge(jnana)]]</li>
<li>Intelligence (buddhi) </li></ul>
<li>[[Buddhi|Intelligence(buddhi)]]</li></ul>
[[File:Kapha Fig3.jpg|center|Figure 03: Categorization of the functions of kapha.]]<center>'''Figure 03: Categorization of the functions of kapha.'''</center>
[[File:Kapha Fig3.jpg|center|Figure 03: Categorization of the functions of kapha.]]<center>'''Figure 03: Categorization of the functions of kapha.'''</center>
Acharya Vagbhatawas the first to describe five types of kapha with names. [A.Hr. Sutra Sthana 12/15-18]<ref name="ref8"/> Five particular functions of kapha are as below: [Su.Sa. Sutra Sthana 15/4]<ref name="ref3"/> [Dalhana on Su.Sa. Sutra Sthana 15/4]<ref name="ref3"/>
Acharya Vagbhata was the first to describe five types of kapha with names. [A.Hr. [[Sutra Sthana]] 12/15-18]<ref name="ref8"/> Five particular functions of kapha are as below: [Su.Sa. [[Sutra Sthana]] 15/4]<ref name="ref3"/> [Dalhana on Su.Sa. [[Sutra Sthana]] 15/4]<ref name="ref3"/>
<ol><li>Maintains the structural integrity of joints(sandhi samshleshana)</li>
<ol><li>Maintains the structural integrity of joints(sandhi samshleshana)</li>
<li>Maintains the unctuousness (snehana)</li>
<li>Maintains the unctuousness ([[Snehana (unction therapy)|snehana]])</li>
<li>Helps in the healing process(ropana)</li>
<li>Helps in the healing process(ropana)</li>
<li>Provides nutrition to the whole body(purana)</li>
<li>Provides nutrition to the whole body(purana)</li>
<li>Provides strength (bala)</li></ol></div>
<li>Provides strength ([[Bala|bala]])</li></ol></div>
== Classification ==
== Classification ==
<div style='text-align:justify;'>The classification of kaphais based on different functions and locations in the human body. [Su.Sa. Sutra Sthana 15/4]<ref name="ref3"/> [Su. Sa.Sutra Sthana 21/7]<ref name="ref3"/> [Su.Sa. Sutra Sthana21/12-14]<ref name="ref3"/> [A.S. Sutra Sthana 20/8]<ref name="ref5"/> [A.Hr. Sutra Sthana 12/15-18]<ref name="ref8"/></div>
<div style='text-align:justify;'>The classification of kaphais based on different functions and locations in the human [[Sharira|body]]. [Su.Sa. [[Sutra Sthana]] 15/4]<ref name="ref3"/> [Su. Sa. [[Sutra Sthana]] 21/7]<ref name="ref3"/> [Su.Sa. [[Sutra Sthana]] 21/12-14]<ref name="ref3"/> [A.S. [[Sutra Sthana]] 20/8]<ref name="ref5"/> [A.Hr. [[Sutra Sthana]] 12/15-18]<ref name="ref8"/></div>
=== Five types: ===
=== Five types: ===
<div style='text-align:justify;'>Avalambaka, kledaka, bhodhaka, tarpaka, and shleshaka are the five classifications of kaphadosha.The location and function of five types of kaphadosha based on different ayurvedic texts are as given in table 01. </div>
<div style='text-align:justify;'>[[Avalambaka|Avalambaka]], kledaka, bhodhaka, tarpaka, and shleshaka are the five classifications of kaphadosha. The location and function of five types of kaphadosha based on different ayurvedic texts are as given in table 01. </div>
{| class="wikitable"
{| class="wikitable"
|+ Table 01: Description of five types of kapha dosha
|+ Table 01: Description of five types of kapha dosha
|-
|-
| style="text-align:center;" | 01.
| style="text-align:center;" | 01.
| Avalambaka <br/>[Code:SAT-B.415]<ref name="ref1"/>
| [[Avalambaka|Avalambaka]] <br/>[Code:SAT-B.415]<ref name="ref1"/>
| Chest(ura)
| Chest(ura)
|
|
* Supports trika(area of conjugation of head with two arms) [Dalhana on Su.Sa. Sutra Sthana 21/12-14]<ref name="ref3"/> by its inherent power(trikasandharana)
* Supports trika(area of conjugation of head with two arms) [Dalhana on Su.Sa. [[Sutra Sthana]] 21/12-14]<ref name="ref3"/> by its inherent power(trikasandharana)
* Support and maintain the structural and functional integrity of heart by power of nutrients present in food(annarasa).(annarasasahitenhridyaavalambana)
* Support and maintain the structural and functional integrity of heart by power of nutrients present in food(annarasa).(annarasasahitenhridyaavalambana)
* Supports other kapha sites(sheshanam cha shleshmasthananamavalambanat)
* Supports other kapha sites(sheshanam cha shleshmasthananamavalambanat)
| style="text-align:center;" | 02.
| style="text-align:center;" | 02.
| Kledaka <br/>[Code:SAT-B.416]<ref name="ref1"/>
| Kledaka <br/>[Code:SAT-B.416]<ref name="ref1"/>
| Stomach(amashaya)
| [[Amashaya|Stomach(amashaya)]]
|
|
* Liquefication and disintegration of food articles to facilitates easy digestion.(praklinnambhinnasanghata or annasanghatakledanat)
* Liquefication and disintegration of food articles to facilitates easy digestion.(praklinnambhinnasanghata or annasanghatakledanat)
== Kapha dominant constitution (prakriti) ==
== Kapha dominant constitution (prakriti) ==
<div style='text-align:justify;'>Acharya described the characteristics of kaphaja constitution individuals based on attributes of kapha dosha. [Cha.Sa. Vimana Sthana 8/96] The person having kapha dosha in predominance have the following characteristics:
<div style='text-align:justify;'>Acharya described the characteristics of kaphaja constitution individuals based on attributes of kapha dosha. [Cha.Sa. [[Vimana Sthana]] 8/96] The person having kapha dosha in predominance have the following characteristics:
<ul><li>Unctuous and smooth organs </li>
<ul><li>Unctuous and smooth organs </li>
<li>Pleasing personality and fair in complexion </li>
<li>Pleasing personality and fair in complexion </li>
<li>Obedient to teachers </li></ul></div>
<li>Obedient to teachers </li></ul></div>
== Lokapurusha samanya ==
== [[Loka]] [[purusha]] samya ==
<div style='text-align:justify;'>The universe's entire production process is controlled by kapha. The kapha dosha in the human body represents the jala and prithvimahabhuta. The moon, sun, and wind are responsible for nourishing (visarga), exhausting (adana), and dispersing (vikshepa) in the universe. Similarly, the kapha, pitta, and vata do the same things in the human body.[Su.Sa. Sutra Sthana 29/6]<ref name="ref3"/> </div>
<div style='text-align:justify;'>The universe's entire production process is controlled by kapha. The kapha dosha in the human [[Sharira|body]] represents the [[Jala mahabhuta|jala]] and [[Prithvi mahabhuta|prithvi mahabhuta]]. The moon, sun, and wind are responsible for nourishing ([[Visarga kala|visarga]]), exhausting ([[Adana kala|adana]]), and dispersing (vikshepa) in the universe. Similarly, the kapha, [[Pitta|pitta]], and [[Vata dosha|vata]] do the same things in the human [[Sharira|body]].[Su.Sa. [[Sutra Sthana]] 29/6]<ref name="ref3"/> </div>
== Factors responsible for abnormal states of kapha ==
<div style='text-align:justify;'>Certain factors cause excess or decline of kapha in the human [[Sharira|body]]. These factors are natural or unavoidable and artificial or avoidable.</div>
=== Natural factors: ===
<div style='text-align:justify;'>These factors are the essential components of biological rhythm occurring in the external as well as internal environment of the [[Sharira|body]]. This natural increase is physiological. These factors are as follows:[Su.Sa. [[Sutra Sthana]] 21/24]<ref name="ref3"/>, [A.Hr. [[Sutra Sthana]] 1/8]<ref name="ref8"/>, [A.Hr. [[Sutra Sthana]] 12/24-25]<ref name="ref8"/> [A.Hr. NidanaSthana1/17-18]<ref name="ref8"/>(Figure 05)
<ul><li style="font-weight:bold">[[Ritu|Season(ritu)]]: <span style="font-weight:normal">Kapha undergoes accumulation in winter([[Hemanta|hemant]] and [[Shishira|shishira]]), gets vitiated in during [[Vasanta|spring(vasanta)]] and subsides to normal during [[Grishma|summer(grishma)]].</span></li>
<li style="font-weight:bold">Various stages of digestion of food: <span style="font-weight:normal">Kapha gets increased during the first stage of digestion or immediately after eating food(bhuktamatra).</span></li>
<li style="font-weight:bold">Biological rhythm of day and night: <span style="font-weight:normal">Kaphais increased in the morning (purvahe) and evening (purvaratre or pradoshe).</span></li>
<li style="font-weight:bold">[[Desha|Habitat(desha)]]: <span style="font-weight:normal">Marshy area (anupa).</span></li>
<li style="font-weight:bold">Age (vaya): <span style="font-weight:normal">In childhood, kapha is dominant as compared to other [[Dosha|dosha]].</span></li></ul>
[[File:Kapha Fig5.jpg|center|Figure 05: Natural factors responsible for kapha vriddhi.]]<center>'''Figure 05: Natural factors responsible for kapha vriddhi.'''</center></div>
=== Acquired factors: ===
<div style='text-align:justify;'>Acquired factors are those which increase and aggravate kapha dosha other than natural factors. These are avoidable and used in clinical practice by applying the concept of [[Samanya Vishesha Theory|samanya vishesha siddhanta]]. These factors are as follows: [Su.Sa. [[Sutra Sthana]] 21/23-24]<ref name="ref3"/> [A.Hr. Nidana Sthana 1/17-18]<ref name="ref8"/>
<ul><li style="font-weight:bold">Diet ([[Dravya|dravya]]) and properties of diet: <span style="font-weight:normal">Food with [[Madhura|sweet(madhura)]], [[Amla|sour(amla)]] and [[Lavana|salt(lavana)]] taste, heavy-to-digest food, slimy, unctuous food articles and excessive intake of water cause kapha vitiation. The common examples of these foods are pickles, sour fruits, curd, dairy sweets, freeze cold items, milk products, oily and deep fried food items.</span> </li>
<li style="font-weight:bold">Lifestyle and other activities: <span style="font-weight:normal">Daytime sleep (diwaswapna), lack of exercise (a[[vyayama]]), drinking water at night(nisha ambupana), mixing wholesome and unwholesome together (samashana) and over eating before digestion of previous meals (adhyashana), etc. [Su.Sa. [[Sutra Sthana]] 21/23-24]<ref name="ref3"/> </span></li>
<li style="font-weight:bold">Emotional and behavior factors: <span style="font-weight:normal">pleasure (harsha), procrastination, laziness, excess sleep, lack of mental activities. </span></li></ul></div>
== Clinical aspects ==
=== Preventive aspect: ===
<div style='text-align:justify;'>A person with a normal state of kapha dosha constitution (prakrita kapha), should avoid diet and lifestyle vitiating kapha.</div>
=== Stages of dosha: ===
<div style='text-align:justify;'>Dosha continues to exist in three states: hypofunction (kshaya), hyperfunction (vriddhi), and normal physiological state (sama). [Cha.Sa. [[Sutra Sthana]] 17/110] Increase and reduction in [[Dosha|dosha]] functioning ([[Karma|karma]]) can be used to understand [[Dosha|dosha]] increase and decline in the [[Sharira|body]]. [[Dosha|Dosha]], when increased, produce their respective features in excess; when decreased, cut off their functions, and when in the normal state, perform their normal functions.</div>
=== Hyperfunctioning of kapha (vriddhi lakshana) ===
<div style='text-align:justify;'>When kapha levels increase, the [[Sharira|body]] exhibits various signs and symptoms as below: [Su.Sa. [[Sutra Sthana]] 15/13]<ref name="ref3"/>, [A.Hr. [[Sutra Sthana]] 11/7-8]<ref name="ref8"/>, [A.S. [[Sutra Sthana]] 19/5]<ref name="ref5"/>:
<ul><li>Whitish coloration of skin (shaukalaya) </li>
<li>A feeling of coldness (shaityam) </li>
<li>Firmness and stiffness (sthairyam) </li>
<li>Heaviness in body (gauravam) </li>
<li>Depression (avasada) </li>
<li>Drowsiness(tandra) </li>
<li>Sleepiness([[Nidra|nidra]] or atinidrata) </li>
<li>Lack of firmness in joints (sandhivishlesha) </li>
<li>Low digestive capacity (agnisadana) </li>
<li>Salivation (praseka) </li>
<li>Laziness (alasya) </li>
<li>Flaccidity (shlathangatvam or angasada) </li>
<li>Dyspnea ([[Shwasa|shwasa]]) </li>
<li>Cough([[Kasa Chikitsa|kasa]]) </li>
<li>Obesity(sthaulya) </li>
<li>Blockage of natural passages (srotapidana) </li>
<li>Syncope (murchha) </li>
<li>Nausea (hrillasa) </li></ul></div>
=== Hypofunctioning of kapha (kshaya lakshana): ===
<div style='text-align:justify;'>When kaphadosha levels in the [[Sharira|body]] are declining, the [[Sharira|body]] exhibits various signs and symptoms as described below:[Su.Sa. [[Sutra Sthana]] 15/7]<ref name="ref3"/>, [A.Hr. [[Sutra Sthana]] 11/16]<ref name="ref8"/>, [A.S. [[Sutra Sthana]] 19/8]<ref name="ref5"/>
<ul><li>Dryness (rukshata)</li>
<li>Burning sensation in the body(antardaha) </li>
<li>Emptiness in all sites of kapha especially stomach(amashyaitara shleshmashaya shunyta) </li>
<li>Flaccid joints (sandhi shaithilya) </li>
<li>Thirst ([[Trishna Chikitsa|trishna]]) </li>
<li>Weakness (daurbalya) </li>
<li>Loss of sleep (prajagarana or anidra) </li>
<li>Giddiness (bhrama) </li>
<li>Twisting pain(udveshtana) </li>
<li>Body aches (angamarda) </li>
<li>A feeling of burning skin(parishosha) </li>
<li>Pricking pain(toda) </li>
<li>Tremors (vepana) </li>
<li>Burning sensation(daha) </li>
<li>A feeling of cracking or breaking pain(sphotana) </li>
<li>Feeling of smoke(dhumayana) </li>
<li>Palpitation (hridayadrava) </li></ul></div>
=== Diagnosis: ===
<div style='text-align:justify;'>The state of kapha dosha can be diagnosed and assessed based on clinical features. The most common clinical features of kapha dosha are unctuousness (sneha), whitishness(shwetya), coldness(shaitya), itching(kandu), heaviness(gaurava), chronicity (chirkaritvam), accumulation (upachaya), numbness(supti). [Cha.Sa. [[Sutra Sthana]] 20/15] [K.S. [[Sutra Sthana]] 27/45]<ref name="ref9"/> <br/>Forty types of [[Vyadhi|diseases]] due to an imbalance of kaphadosha(kaphananatmajavyadhi) occur, as below [Cha.Sa. SutraSthana 20/17] [K.S. [[Sutra Sthana]] 27/42-43]<ref name="ref9"/> (Table 02)</div>
{| class="wikitable"
|+ Table 02: 20 types of disease of kapha (kaphananatmajavikara)<ref name="ref10">Byadgi P.S., Saini N..MaharogaAdhyaya. In: Kar A.C., Rai S., Deole Y.S., Basisht G., eds. Charak Samhita New Edition. 1st ed. Jamnagar, Ind: CSRTSDC; 2020. https://www.carakasamhitaonline.com/mediawiki-1.32.1/index.php?title=Maharoga_Adhyaya&oldid=41150. Accessed November 14, 2022.</ref>
| Contentment (trupti)
| Drowsiness (tandra)
| Excess sleep (nidradhikya)
| Rigidity/stiffness (staimitya)
|-
| Heaviness in body (gurugatrata)
| Lassitude (alasya)
| Sweet taste in mouth (mukhamadhurya)
| Salivation (mukhastrava)
|-
| Expectoration of mucous (shleshmodgirana)
| Excess accumulation of waste products (maladhikya)
| Loss of strength (balasaka)
| Indigestion (apakti)
|-
| Adherence or coatingaround heart (hridayopalepa)
| Adherence or coating in throat (kanthopalepa)
| Adherence of waste in blood vessels/ atherosclerosis (dhamanipratichaya)
| Goiter (galaganda)
|-
| Morbid obesity (atisthaulya)
| Decreased digestive power (shitagnita)
| Urticarial rashes (udarda)
| Pale look (shvetavabhashata)
|-
|}
=== Diagnostic and assessment tools: ===
<div style='text-align:justify;'>Kaphadosha can be assessed by clinical features and functions through subjective methods like questionnaires and objective methods. Currently, there are no validated and standardized tools for [[Dosha|dosha]] assessment within the [[Sharira|body]]. Kaphavriddhi and kshaya features will be assessed through a subjective questionnaire. Ayurvedic physicians assess the normalcy and abnormality through the ayurvedic principles of examination (pariksha). <br/>Subjective and objective methods which may be used to assess the normal functioning of kapha are:
<ul><li>Test for assessment for muscular strength and endurance like dynamometry<ref name="ref11">Baltzopoulos V, Brodie DA. Isokinetic dynamometry. Applications and limitations. Sports Med. 1989 Aug;8(2):101-16.</ref> and 6 minute walk test<ref name="ref12">Agarwala P, Salzman SH. Six-Minute Walk Test: Clinical Role, Technique, Coding, and Reimbursement. Chest. 2020 Mar;157(3):603-611.</ref>, etc. </li>
<li>Cardio- Pulmonary exercise tests<ref name="ref13">Aguilaniu B, Wallaert B. Illustrated interpretation of cardio-pulmonary exercise testing. Rev Mal Respir. 2013 Dec;30(10):812-3.</ref>. </li>
<li>Lipid profile<ref name="ref14">Millan J, Pinto X, Munoz A, Zuniga M, Rubies-Prat J, Pallardo LF, Masana L, Mangas A, Hernandez-Mijares A, Gonzalez-Santos P, Ascaso JF. Lipoprotein ratios: physiological significance and clinical usefulness in cardiovascular prevention. Vascular health and risk management. 2009;5:757.</ref>, adiponectin<ref name="ref15">Achari AE, Jain SK. Adiponectin, a Therapeutic Target for Obesity, Diabetes, and Endothelial Dysfunction. Int J Mol Sci. 2017 Jun 21;18(6):1321.</ref> for assessment of meda. </li>
<li>Dual-energy X-ray absorptiometry<ref name="ref16">Laskey MA. Dual-energy X-ray absorptiometry and body composition. Nutrition. 1996 Jan 1;12(1):45-51.</ref> </li>
<li>Bioelectrical impedance devices to measure [[Sharira|body]] fat percent (BF%), fat mass (FM), and fat-free mass (FFM).<ref name="ref17">Ward LC. Bioelectrical impedance analysis for [[Sharira|body]] composition assessment: reflections on accuracy, clinical utility, and standardisation. Eur J Clin Nutr. 2019 Feb;73(2):194-199.</ref> </li>
<li>Electro-gustometry<ref name="ref18">Stillman JA, Morton RP, Hay KD, Ahmad Z, Goldsmith D. Electrogustometry: strengths, weaknesses, and clinical evidence of stimulus boundaries. Clin Otolaryngol Allied Sci. 2003 Oct;28(5):406-10.</ref> </li>
<li>CSF examination<ref name="ref19">Bigner SH. Cerebrospinal fluid (CSF) cytology: current status and diagnostic applications. Journal of neuropathology and experimental neurology. 1992 Mar 1;51(3):235-45.</ref></li>
<li>Lung capacity and volume assessment<ref name="ref20">Winck AD, Heinzmann-Filho JP, Soares RB, da Silva JS, Woszezenki CT, Zanatta LB. Effects of obesity on lung volume and capacity in children and adolescents: a systematic review. Rev Paul Pediatr. 2016 Dec;34(4):510-517.</ref><ref name="ref21">Lutfi MF. The physiological basis and clinical significance of lung volume measurements. Multidisciplinary respiratory medicine. 2017 Dec;12(1):1-2.</ref>. </li>
<li>Spirometry<ref name="ref22">Pierce R. Spirometry: an essential clinical measurement. Aust Fam Physician. 2005 Jul;34(7):535-9.</ref></li></ul>
These tests will provide a potent analytical tool for determining kapha dosha.</div>
== Treatment ==
<div style='text-align:justify;'>The principle of similarities and dissimilarity ([[Samanya Vishesha Theory|samanya- visheshasiddhanta]]) is applied in treatment. [[Rasa|Rasa]] (taste) and diet, that decrease kapha (shamaka) and aggravate kapha ([[Prakopa|prakopa]]), to treat and/or prevent [[Vyadhi|disease]] are included in management. Lifestyle and behavior to manage the levels of kapha dosha are included. Therapeutic [[Vamana|emesis (vamana)]] is the best intervention indicated for vitiated kapha. [Cha.Sa. [[Sutra Sthana]] 20/19] [Cha. Sa. [[Sutra Sthana]] 25/40] [K.S. [[Sutra Sthana]] 27/48]<ref name="ref9"/> <br/>Honey (madhu) and oil(tail) is helpful for the vitiated kapha dosha. [Cha. Sa. [[Sutra Sthana]] 25/40] <br/>The herbs with [[Katu|pungent]], [[Tikta|bitter]], [[Kashaya|astringent]], hot, and penetrating qualities are used in single or combination along with therapies like [[Swedana|swedana]] (sudation therapy), [[Nasya|nasya]] (nasal therapy), exercise, etc. These are helpful in the treatment of kapha disorders. [Cha.Sa. [[Sutra Sthana]] 20/19] [K.S. [[Sutra Sthana]] 27/46]<ref name="ref9"/>
<br/>'''Dietary modification:''' Three tastes ([[Rasa|rasa]]) that help in controlling the vitiated kapha are – [[Katu|pungent (katu)]], [[Tikta|bitter(tikta)]], and [[Kashaya|astringent (kashaya)]]. Ingestion of food having dry, hot properties and in less quantity is useful for kapha dosha management. [Cha. Sa. [[Sutra Sthana]] 1/66] [A.Hr. [[Sutra Sthana]] 13/10-12]<ref name="ref8"/>
<br/>'''Lifetsytle modification:''' Less sleep, dry massage of [[Sharira|body]], fasting, mouth gargles, exercise of different types, desire for sex. [A.Hr. [[Sutra Sthana]] 13/10-12]<ref name="ref8"/> </div>
== Future area of research ==
<div style='text-align:justify;'>The critical area of research isthe preparation of a validated and standardized questionnaire for assessingthe different states of kapha, like depletion(kshaya), increase (vriddhi), and normalcy. [[Guna|Guna]]-based assessment of kapha is needed. Evaluation of muscle and joints in various musculoskeletal disorders through modern scientific tools like MRI(magnetic resonance imaging), fMRI(functional -MRI), PET(Positron emission tomography) Scan, etc. may help in understanding normal and abnormal functioning of kapha. Assessment of kapha state in various physiological phases of life like pregnancy, lactation, childhood, old age, high altitude, space, deep sea through subjective and objective methods. Assessment through application of molecular biology, proteomics, genomics, microbiome, and metabolomicsis needed. The application of kapha in peripheral physiology, ergonomics, and biomechanics may become future research of interest. </div>
== Current researches ==
<ul style='text-align:justify;'><li style="font-weight:bold">Vasantika [[vamana]] (therapeutic [[Vamana|emesis]] in [[Vasanta|spring]] season) - A preventive measure for [[Vyadhi|diseases]] of kapha origin: <span style="font-weight:normal">The study was conducted on 69 volunteers/patients who followed classical [[Vamana|vamana]] therapy. The therapeutic [[Vamana|emesis (vamana)]] is confirmed to be safe in the study that was specifically conducted at [[Vasanta|vasant]] [[Ritu|ritu]]. The general wellness of the volunteers and patients was also seen to have improved.<ref name="ref23">Bhatted S, Shukla VD, Thakar A, Bhatt NN. A study on Vasantika Vamana (therapeutic emesis in spring season) - A preventive measure for diseases of Kapha origin. Ayu. 2011 Apr;32(2):181-6.</ref></span></li>
<li style="font-weight:bold">Development of a reliable [[Dosha|Dosha]] self-assessment questionnaire: <span style="font-weight:normal">The goal of this study was to create a valid [[Dosha|Dosha]] self-assessment questionnaire with features appropriate for use in clinical research. The basis for developing 108 Dosha-specific test items with a 7-point Likert scale was a review of existing questionnaires and translations of classic Ayurvedic texts, along with an analysis of item-total correlations and ANOVAs by [[Dosha|Dosha]] for 735 responses to a 37-item ipsative questionnaire from an [[Ayurveda|Ayurveda]] company. From this, a 39-item quiz (13 for each [[Dosha|Dosha]]) was eventually created. This study shows that it is possible to reliably quantify the three [[Dosha|dosha]] for most clinical investigations.<ref name="ref24">Edwards MT, Streiner DL. Development of a reliable Dosha self-assessment questionnaire. Explore (NY). 2022 Sep-Oct;18(5):573-578.</ref></span></li>
<li style="font-weight:bold">Dosha as a predictor of [[Nidra|sleep]] quality: <span style="font-weight:normal">The present study was conducted on 995 people to see if there was any association between [[Dosha|dosha]] and [[Nidra|sleep]] since [[Nidra|sleep]] is a result of increased kapha using standardized questionnaires. The findings imply that the [[Dosha|dosha]] can affect both the duration and quality of [[Nidra|sleep]]. The results of the study showed that kapha scores strongly predicted both the length of daytime naps in minutes [p<0.05] and daytime somnolence [p<0.05], with higher kapha scores being related to longer daytime naps.<ref name="ref25">Telles S, Pathak S, Kumar A, Mishra P, Balkrishna A. Ayurvedic doshas as predictors of sleep quality. Med Sci Monit. 2015 May 17;21:1421-7.</ref></span></li>
<li style="font-weight:bold">Heart rate variability analysis in the assessment of [[Dosha|dosha]] imbalance: <span style="font-weight:normal">Total 42 individuals' heart rate variability (HRV) spectrum data were gathered for this study in order to compare it to the clinical evaluation of [[Dosha|dosha]] imbalance. A preliminary investigation to evaluate the diagnostic agreement between the clinical approach and HRV analysis in the assessment of gross [[Dosha|dosha]] imbalance found significant concordance, as shown by the Kappa value of 0.78. The current study highlights the need for more research to confirm the HRV's usefulness in evaluating complicated [[Dosha|dosha]] imbalances and other factors like dhatu imbalance.<ref name="ref26">Ram Manohar P, Sorokin O, Chacko J, Nampoothiri V. An exploratory clinical study to determine the utility of heart rate variability analysis in the assessment of dosha imbalance. J Ayurveda Integr Med. 2018 Apr-Jun;9(2):126-130.</ref></span></li></ul>
== Theses done ==
<ol style='text-align:justify;'><li>Khandale N.S.(2014): Conceptual and Applied study of Snigdha Guna of Kapha Dosha w s r Sharira Bala. Dept. of Kriya Sharir, Dr. Sarvepalli Radhakrishnan Rajasthan Ayurved University.</li>
<li>Sharad C.(2009): A study of “Taste perception of Madhur Rasa in Kaphadhikya Prakriti with special reference to BodhakKapha.Dept. of Kriya Sharir, College of ayurveda, pune, Bharati Vidyapeeth University.</li>
<li>Chejara N. (1994): Avalambaka kapha ka vaigyanika vivechana. Dept. of Kriya Sharira, NIA, Jaipur. This study concluded that Pericardial fluid, Pleural fluid, Thyroid, Parathyroid & Thymus gland hormones may be correlated with avalambaka kapha.</li></ol>
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