The first stage of accumulation of pathogenic factors (vitiated ''doshas'') starts at their own sites. It is initiated right from the first exposure to unclean objects and other etiological factors mentioned earlier. This stage is characterized by mild disturbances in the psyche (''rajas'' and ''tamas'') and soma (''tridosha'').
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The first stage of accumulation of pathogenic factors (vitiated ''[[dosha]]s'') starts at their own sites. It is initiated right from the first exposure to unclean objects and other etiological factors mentioned earlier. This stage is characterized by mild disturbances in the psyche (''rajas'' and ''tamas'') and soma (''tri[[dosha]]'').