The origin of these disease is mentioned as that of site of Pitta dosha (Pitta sthana). It is referred as the sites of undigested food substances (amashaya) [Chakrapani Cha.Chi.17/8] The upper part of stomach is referred as site for kapha dosha, whereas the lower part is referred as site for pitta dosha.[Chakrapani Cha.Sa.[[Sutra Sthana]] 20/8]. Anatomical position of Amashaya is from umbilicus to breast. [Cha. Sa. Vimana Sthana 2/17-18] where food is digested and absorbed. Therefore the lower end of stomach and duodenum, which mainly takes part in digestion and metabolism can be considered as the site of origin of shwasa and hikka. Derangement of digestion and metabolism is an important basic pathological event leading to vitiation of kapha and its manifestation (Vyakti sthana) in chest.
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The origin of hikka shwas diseases occurs at the site of Pitta dosha (Pitta sthana) which is lower part of stomach and duodenum from undigested food substances. [Chakrapani Cha.Sa. [[Chikitsa Sthana]] 17/8] The upper part of stomach is referred to as the site for kapha dosha,.[Chakrapani Cha.Sa. [[Sutra Sthana]] 20/8]. Therefore the lower end of stomach and duodenum is considered as the site of origin of shwasa and hikka. Derangement of digestion and metabolism is an important basic pathological event leading to vitiation of kapha and its manifestation (vyakti sthana) in chest.