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==== Three Disease Pathways ====
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==== Three disease Pathways ====
 
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There are three pathways of disease manifestation- ''shakha'' (peripheral path), ''marmasthisandhi'' (vital organs & bone joints) and ''koshtha'' (digestive system). The ''shakha'' includes tissue elements like blood and skin etc.; this is considered as ''bahya rogamarga'' (external path for disease manifestation). ''Marmas'' (vital organs) are ''basti'' (urinary bladder), ''hridaya''(heart), ''murdha'' (head) etc. bones, joints, ligaments and tendons, is considered as ''madhyama rogamarga'' (middle pathway for manifestation of disease). ''Koshtha'' (digestive system) is known as ''Mahastrotas'' (great channel) it is ''sharira madhya'' (central body part), ''mahanimna'' (greater lower part), ''ama-pakwashaya'' (stomach and intestines), this is ''abhyantara rogamarga'' (internal pathway for disease manifestation). [48]  
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There are three pathways of disease manifestation- ''shakha'' (peripheral path), ''marmasthisandhi'' (vital organs & bone joints) and [[koshtha]] (digestive system). The ''shakha'' includes tissue elements like blood and skin etc.; this is considered as ''bahya rogamarga'' (external path for disease manifestation). [[Marmas]] (vital organs) are [[basti]] (urinary bladder), [[hridaya]](heart), [[murdha]] (head) etc. bones, joints, ligaments and tendons, is considered as ''madhyama rogamarga'' (middle pathway for manifestation of disease). [[Koshtha]] (digestive system) is known as [[Mahastrotas]] (great channel) it is ''sharira madhya'' (central body part), ''mahanimna'' (greater lower part), ''ama-pakwashaya'' (stomach and intestines), this is ''abhyantara rogamarga'' (internal pathway for disease manifestation). [48]  
 
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Diseases like ''ganda'' (goiter), ''pidaka'' (pustule), ''alaji'' (boil), ''apache'' (scrofula), ''charmakeela'' (skin warts), ''adhimamsa'' (muscular new growth), ''mashak'' (moles), ''kushtha'' (skin disorders), ''vyanga'' (blemishes), also the external variety of ''visarpa'' (skin disease/ swelling quickly spreads), ''shvayathu'' (edema), ''gulma'' (abdominal lumps), ''arsha'' (piles), and ''vidradhi'' (abscess) are the diseases of ''shakha'' (external route).  
 
Diseases like ''ganda'' (goiter), ''pidaka'' (pustule), ''alaji'' (boil), ''apache'' (scrofula), ''charmakeela'' (skin warts), ''adhimamsa'' (muscular new growth), ''mashak'' (moles), ''kushtha'' (skin disorders), ''vyanga'' (blemishes), also the external variety of ''visarpa'' (skin disease/ swelling quickly spreads), ''shvayathu'' (edema), ''gulma'' (abdominal lumps), ''arsha'' (piles), and ''vidradhi'' (abscess) are the diseases of ''shakha'' (external route).  
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''Pakshavadha'' (hemiplegia), ''graha'' (stiffness), ''apatanaka'' (convulsion disorder), ''ardita'' (facial palsy), ''sosha'' (cachexia), ''rajayakshma'' (tuberculosis), ''asthisandhishula'' (pain in bone joints), ''gudabhramsha'' (prolapsed rectum), and diseases of head, heart and urinary bladder are the diseases of middle pathway for disease manifestation.
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''Pakshavadha'' (hemiplegia), ''graha'' (stiffness), ''apatanaka'' (convulsion disorder), ''ardita'' (facial palsy), ''shosha'' (cachexia), ''rajayakshma'' (tuberculosis), ''asthisandhishula'' (pain in bone joints), ''gudabhramsha'' (prolapsed rectum), and diseases of head, heart and urinary bladder are the diseases of middle pathway for disease manifestation.
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''[[Jwara]]'' (fever), ''atisara'' (diarrhea), ''chhardi'' (vomiting), ''alasaka'' (sluggish intestines/ paralytic ileus), ''visuchika'' (cholera), ''[[kasa]]'' (cough), ''shwasa'' (dyspnoea), ''hikka'' (hiccups), ''anaha'' (obstructed flatulence), ''udara'' ( abdominal disorders), ''pliha roga'' (diseases of spleen), internal ''visarpa'' (skin disease/ swelling which quickly spreads), ''shvayathu'' (internal swelling), ''gulma'' (abdominal lumps), ''arsha'' (internal piles), and ''vidradhi'' (internal abscess) are the diseases of internal pathway for disease manifestation. [49]
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''[[Jwara]]'' (fever), [[atisara]] (diarrhea), [[chhardi]] (vomiting), [[alasaka]] (sluggish intestines/ paralytic ileus), ''visuchika'' (cholera), ''[[kasa]]'' (cough), ''shwasa'' (dyspnoea), ''hikka'' (hiccups), ''anaha'' (obstructed flatulence), ''udara'' ( abdominal disorders), ''pliha roga'' (diseases of spleen), internal ''visarpa'' (skin disease/ swelling which quickly spreads), ''shvayathu'' (internal swelling), ''gulma'' (abdominal lumps), ''arsha'' (internal piles), and ''vidradhi'' (internal abscess) are the diseases of internal pathway for disease manifestation. [49]
 
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