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Review Article ISSN 2454-2229

Vimarsha et al. World Journal of Pharmaceutical

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CRITICAL UNDERSTANDING OF KRIYAKALA

Dr. Vimarsha S.*1 and Dr. Abdul Khader2

1
PG Scholar, Department of PG Studies in Kayachikitsa, Sri Kalabyraveshwara Ayurvedic Medical College and
Hospital & Research Centre, Bengaluru.
2
MD, Ph.D(AYU) Professor, Department of PG studies in Kayachikitsa, Sri Kalabyraveshwara Ayurvedic Medical
College and Hospital & Research Centre, Bengaluru.

Corresponding Author: Dr. Vimarsha S.

PG Scholar, Department of PG Studies in Kayachikitsa, Sri Kalabyraveshwara Ayurvedic Medical College and Hospital & Research Centre,
Bengaluru.

Article Received on 22/06/2021 Article Revised on 12/07/2021 Article Accepted on 02/08/2021

ABSTRACT
Health may be defined as the ability to adapt and manage physical, mental and social challenges throughout life.
Ayurveda is an ancient science of life with bunch of knowledge which aims to promote health, to preserve health,
to restore health when it is impaired and to minimize the suffering and distress which is brought by equalizing
Dosha, Dhatu and Mala in the body. Ayurveda has given an important place to Kala, because the existence and the
destruction depends upon the Kala. Hence The concept of Kriyakala is considered to be utmost importance in
context to achieve the goal of Ayurveda which refers to the recognition of the stages of a disease‟s progress, which
helps to determine appropriate measure to correct the imbalance in Doshas. A clear understanding about the stages
of Kriyakala is an essential factor for early diagnosis, prognosis and for adopting appropriate preventing and
curative measures so as to prevent the further establishment of a disease & thereby preventing the complications
associated with it which has been emphasised in this article.

KEYWORDS: Health, Ayurveda, Dosha, Dhatu, Mala, disease, Kriyakala.

INTRODUCTION performing, act, action, work, labour and it also suggests

Aramba, Upaya, Karana.
The Tridoshas Vata, Pitta, Kapha are considered to be
three vitals of the body.[1] They along with other Dhatus
and malas carry out various biological processes in the The word KALA is derived from the root word क+अ+ल=
body which is essential to maintain Normal health. The काल ; ककार +अकार of कला शब्द +ली धातु Whose
Tridosha along with Sapta dhatus, trimalas, agni, meaning are to Calculate, to enumerate, a fixed or right
indriya, manas and atma in the state of prasannavastha point of time, a space of time or exclusively Time in
is responsible for health or ill-health of an individual.[2] general.
No disease can manifest without the involvement of Thus, together the word meaning of Kriyakala means-
Dosha, dhatu and mala. Doshas is a mandatory process Kriya refers to Karma or action (Chikitsa) to the resort to
for the onset of the disease.[3] Doshas undergo vitiation measure Bheshaja i.e; aushadha, ahara and charya with
at a time and produce disease rather it is a gradual a view to eliminate and correct the doshic disturbances
process which take their time in getting through various thereby arresting, interrupting or delaying the disease
stages of vitiation and gradually give origin to disease.
Thus, disease is a game of doshas and takes place in process. Kala refers to र or i.e; stages of
various stages which is explained under the concept of progress of diseases. „Kriyakala’ therefore, means the
Kriyakala. The Term Kriyakala refers to the recognition early recognition of the avastha/ stage of process of
of the stage of a disease‟s progress, which helps to disease and the resort to appropriate measures to correct
determine appropriate measure to correct the imbalance the same thereby preventing further progression of
in Doshas.[4] disease. It is also known as Chikitsavasara Kala (Proper
time for treatment) or Karmavasara Kala.
The word Kriyakala is formed with the combination of
two words: KRIYAKALA- KRIYA+KALA Where, the Kriyakala has been widely described in two separate
word Kriya means „ ‟ taken entities which is as follow:
 Rutu Kriyakala
from Shadbha Kalpa Druma which refers to doing,

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 Vyadhi Kriyakala Prakopa in Sharad Rutu and Virechana karma is

advocated in order to expell the Pitta. Similarly
Rutu Kriyakala purification of Vata dosha, Pitta dosha and Kapha dosha
Ayurveda accepts the mutually complementing nature of accumulated in Grishma, Varsha and Hemanta rutu
microcosm-Man and the macrocosm- The Universe. should be done in the month of Sravana, Karthika and
Since „Man‟ is an epitome of universe, the changes Chaitra masa respectively.
occurring in the universe will invariably influence man.
So the climatic changes occurring in the nature will Vyadhi Kriyakala
influence and affect the nature of doshas. The cycle of In Sushrutha Samhita, the word „Kriyakala‟ has been
Shad Rutus follows a specific pattern of doshic used in two different contexts: they are as follows-
distribution which plays a vital role in the disease  Sushrutha Sutrasthana Adhyaya 1st:- while
manifestation as well as in the preservation of health.[5] explaining Chikitsa Chatushtaya, the word
„Kriyakala‟ is used for specific time to perform
Rutu Kriyakala is mainly explained by Acharya Charaka Snehadi and Chhedyadi Karma. This context mainly
in Charaka Samhita and Acharya Vagbhatta in Astanga concentrates on specific administration of various
Hridaya and Astanga Sangraha, it deals with the normal treatment procedures which include Shamana
physiological variations of doshas in their respective Chikitsa, Shodhana Karma and Shastra Karma.[8]
seasons which means Doshas to accumulate in the body  Sushrutha Sutrasthana Adhyaya 21st:- here in this
in a particular season. Hence it is also called as context the word „Kriyakala‟ is also called as Shad-
„PRAKRUTA KRIYAKALA‟ or „SWASTHA Kriyakala which mainly describes the mode and
KRIYAKALA’. stages of development of diseases in six stages. The
vitiated doshas shows particular karyas in different
If the season is in accordance to the dosha, it will tend to six stages.[9]
increase or vitiate the dosha and if the season is in
discordance to the dosha, it causes pacification of dosha. Shad-kriyakala are six in numbers, they are as follows-
It includes mainly 3 stages- Chaya, Prakopa and  Sanchaya (Stage of accumulation)
Prashama which is as follows.[6]  Prakopa (Stage of Provocation)
Stages Vata dosha Pitta dosha Kapha dosha  Prasara (Stage of Propogation)
Chaya Grishma Varsha Shisira  Sthana Samshraya (Stage of localisation)
Kopa Varsha Sharad Vasanta  Vyakti (Stage of manifestation)
Prashama Sharad Hemanta Grishma  Bheda (Stage of differentiation)

If Rutucharya (Seasonal Regimes) is practised properly 1) Sanchaya (Stage of Accumulation)

according to that particular rutu (Season) the doshas will It is the first Formative or Inceptive phase of the disease
be brought back to the normal stage without causing which is also known as Samhati Rupa Vriddhi in which
severe distress to the body and it also doesn‟t require a doshas is stated to have accumulated and stagnated in its
drastic remedial measure but needs a proper Rutu own sthana or place, instead of freely circulating as in its
Shodhana. normal avastha or state.[10]

Rutu Shodhana In Different Rutus[7] The aetiology of Sanchaya can be classified into.[11]
Ayurveda has explained a unique concept of Rutu  Kala Swabhava (Natural factors)- It includes the
shodhana as a preventive measure against many seasonal seasonal and diurnal variations.
diseases in each rutu which emphasises on advocating  Trividha Hetu (Three types of causative factors)-
Shodhana procedures after change in the season. Change Pragnyaparadha, Asatmendriyartha Sanyoga
in the season from cold to hot during Hemanta and (unsuitable practices of sense organs),
Shishira rutu makes vital changes in the body which is Vyapannahetu (integral causes), and change in
considered as Kapha Prakopa in Vasanta rutu which Ahara & Vihara (Diet & Regimen) is considered as
should be expelled through Vamana karma. Likewise, Trividha Hetus which is responsible as causative
change in the season from the summer to the rainy factors for the occurrence of diseases.
season makes vital changes in the body which is
considered as Vata Prakopa in Pravritt Rutu which In this sanchayavastha, the accumulated dosha produces
should be expelled through Basti karma. Lastly, change vague and ill-defined lakshanas which are described as
in the season from the rainy season to the cold makes follows.[12]
vital changes in the body which is considered as Pitta

VATA Stabdha purna koshtata- Feeling of obstruction and fullness in the abdominal organs
Peetavabhasata- Yellowish discolouration of the body
PITTA
Manda Ushmata- low digestive fire or low body temperature
Anganam Gaurava- Heaviness of bodily organs
KAPHA
Alasya- Lethargy or laziness

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There will also be CHAYA KARANA VIDWESHA and Pratyanika Chikitsa is to be adopted here which aims at
VIPARITHA GUNA ICCHA [13] in this stage which pacifying the aggravated dosha to the normal state. Also,
refers to that it creates an aversion towards similar if the dosha’s are in the mild form then Langhana-
quality and attraction towards contraries. It is very Pachana is to be followed, if the dosha’s are in the
essential to treat the patient in this stage to arrest further moderate form then Shamana Chikitsa is to be
progression of disease.[14] incorporated and if the dosha’s are in the severe form
then Shodhana Chikitsa is to be adopted.
Dalhana has described two types of Vriddhi
(aggravation) i.e; Samhati rupa and Vilayana rupa.[15] 2) Prakopa Avastha (Stage of Provocation)
This is the second stage of Kriya Kala which occurs on
Sanchaya is of two types, they are the backdrop of Sanchaya Avastha and demands an
• Swabhavika Sanchaya immediate action orelse the dosha vitiation will progress
• Aswabhavika Sanchaya to the later stages of disease manifestation.

Treatment of Sanchaya Avastha It is the extended state of Chayavastha in which the

It is important to treat the doshas in its Chaya avastha to accumulated doshas in its own place tends to become
prevent further spread or progression to next stage and increased & excited and overflow from their own places
also to inhibit further complications related to that so as to encroach the whole body, trespassing the organs
particular disease. Here, mainly Nidana Parivarjana has and tissues meant to be the other doshas. [16] In this stage,
been indicated which refers to the removal of causative the doshas are inclined to leave their original sthana or
factors of the disease which is itself Kriya yoga or site but fail to do the same i.e they fail to move to other
Chikitsa in this avastha. Other than this, Dosha places but rather they only increase quantitatively.

Dosha Prakopa Karanas[17]

Vata Prakopa Karanas
By taking excessive Katu, Tikta, Kashaya, Ruksha, Laghu, Sheeta ahara dravyas. And by doing
Aharajanya
Anashana, Adhyashana and Vishamashana.
Viharajanya Ativyayama, Apatarpana, Bhagna, Praptana, Jagarana, Vegadharana
Vata Prakopa in Varsha Rutu (Rainy Season), in the evening, old age, and at the end of digestion of
Kalajanya
food.

Pitta Prakopa Karanas

By Excessive use of Katu, Amla, Lavana, Ushna, Tikshna guna ahara dravyas. Fish, Goat meat, Curd,
Aharajanya
Madhya Atisevana.
Viharajanya Shoka, Krodha, Bhaya, Parishrama, Suryasantapa etc
In Greeshma Rutu (Summer hot season), during the digestion of food, mid-day, mid-night and middle
Kalajanya
age. Generally Pitta provocation in Sharad Kala.

Kapha Prakopa Karanas

Aharajanya By Excessive use of Madhura, Amla, Lavana, Sheeta, Snigdha,Guru, Abhishyandi ahara dravyas.
Viharajanya Divaswapna, Avyayama, Atisantarpana, Adhyashana, Vegadharana
Naturally Kapha provocated in Vasanta Rutu, early in the morning, immediately after meals and in
Kalajanya
childhood.

Types of Prakopa into the formation of disease and needs to be dealt with
Prakopa is basically of two types,[18,19] they are as by the administration of Shodhana Chikitsa. For
follows- example, indulgence in Guru-Snigdha Ahara for some
• Sachaya Poorvaka Prakopa- This is a typical type days continuously produces mild Kapha Vriddhi in the
of Prakopa wherein the doshas undergo Chayavastha or Urah first. In the next stage of increase, it spreads to its
stage of Sanchaya and gradually progress to the stage of other seats and in further stages it spreads to the Dhatus
Prakopa when it is not attended in the first stage of and produces a disease after a reasonable ample of time.
disease pathogenesis. This type of Prakopa takes some • Achaya Poorvaka Prakopa,[20]- In this type of
time to develop unless the immunity and contributory Prakopa, the doshas jump directly into the Prakopa
factors of the disease are too strong. It is also called as avastha without passing through the chayavastha or
APATHYAJA PRAKOPA because it is increased in the stage of Sanchaya. Thus in Achaya Poorvaka Prakopa,
previous rutu due to apathya sevana and moreover it is there is direct Vitiation of doshas. The causative factors
further increased by apathya sevana again in the causing this type of Prakopa are so strong that they
succeeding rutu. This type of Prakopa tends to progress immediately aggravate the doshas without giving them

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too much of time to accumulate and quickly progress understanding we can consider examples like; the news
towards the vitiation stage or prakopa avastha. It is also of death of a person or loss of a thing most loved, at once
called as the PATHYAJA PRAKOPA because the doshas causes increase of Vata dosha, which in turn produces
will not increase in its rutukala due to observance of diseases like Unmada, Murccha etc. This kind of sudden
Pathyakrama of the concerned rutu. Hence this type of increase is also in many stages but the stages develop so
Prakopa avastha does not require any Shodhana Chikitsa quickly that it is not clearly recognizable.
and Shamana Chikitsa is said to be useful. For further

Dosha Prakopa Lakshanas (Symptoms)[21]

Koshta Toda- pricking type of pain in the abdomen
Vata prakopa lakshana
Sancharana- Mahasrotas
Amlika- Sour eructations
Pitta prakopa lakshana Pipasa- Excessive thirst
Paridaha- Burning sensation all over the body.
Annadwesha- Aversion towards food
Kapha prakopa lakshana
Hridayotkslesha- Heaviness of chest region and nausea.

Treatment of Prakopa Avastha

Here in this stage, along with the Nidana Parivarjana, The Prasara of dosha may occur in the following way
Dosha Pratyanika Chikitsa should be adopted i.e; the which is of 15 types.[25]
line of treatment should be for the increased dosha • Vata
without interfering with the provocation of other doshas. • Pitta
If Prakopa of all tridoshas occurs, then whichever dosha • Kapha
is powerful and strong should be treated first. If all the • Rakta
tridoshas are of equal strength, then the treatment for • Vata-Pitta
Vata has to be taken first, then for Pitta and then for • Vata-Kapha
Kapha. Also in Sachaya Poorvaka Prakopa, Shodhana • Kapha-Pitta
line of treatment should be adopted and in Achaya • Vata-Rakta
Poorvaka Prakopa, Shamana line of management should • Pitta-Rakta
be done. • Kapha-Rakta
• Vata-Pitta-Kapha
3) Prasara Avastha • Kapha-Pitta-Rakta
The term „Prasara‟ conveys the meaning of spreading to • Vata-Pitta-Rakta
wider area from one point to another point. The doshas • Vata-Kapha-Rakta
which have become Prakupita, expand and overflow the • Vata-Pitta-Kapha-Rakta
limits of their respective sthanas or seats to other places
which takes place just like which occurs during the Thus Prakupita doshas, whether permeating the entire
process of fermentation and the overflowing of an over body (Sarva Sharira) or a part of the body (Ardha
full water dam.[22] Acharya Sushrutha explains this stage Sharira) or just confined to a particular organ / system,
by giving two similes, one of which is the “Kinvodaka- may give rise to disease in the site of their transportation
Pista Samyoga” which means the Kinva, Udaka and just like the occurance of Varsha or rain in the areas of
grinded rice grains are mixed and kept in a vessel all the Sky where clouds have been formed.[26]
overnight which leads to fermentation process. This
Fermentation leads to spreading of the contents out of the In this stage, the vitiated Doshas continuously spread
vessel in the same way the aggravated doshas starts outside of their normal sites unless the causative agent is
spreading from its abode,[23] and the other one is As like treated. However, failing to treat the causative factors at
in a large accumulation of water which moves this stage can lead to irreversible pathogenesis. Also in
haphazardly in various directions, in the same way the this stage, diagnosis can be made with the help of clinical
prakupita doshas sometimes singly or in association with involvement.
other two doshas together, also with Rakta, expands and
overruns the body in all directions. Pitta and Kapha
doshas, as well as the dhatus and malas are inactive
substances which can only be increased in quantity but
cannot move from one place to another. Vata dosha, on
the other hand, helps to move Pitta, Kapha, Dhatus and
Malas to other places.[24] Thus, it appears that the Vata is
the driving force behind this process of manifestation of
disease.

Prasavara Avastha Dosha Lakshana.[27]

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• Vimarga gamana- vata moving in opposite direction

Vata prasara lakshana
• Atopa- gurgling sound in abdomen
• Osha- sense of boiling, rise of body temperature
• Chosha- excessive thirst
Pitta prasaraa lakshana
• Paridaha- burning sensation
• Dhumayanani- feeling as if fumes coming out of the body
• Arochaka- anorexia
• Avipaka- indigestion
Kapha prasara lakshana
• Angasada- muscle weakness
• Chardi- vomiting

Treatment of Prasara Avastha • Prasara avastha: on further heating of the melted

Here in this avastha, along with Dosha Pratyanika ghee, it produces froathing and reaches top of the heating
Chikitsa which refers to neutralising the vitiated doshas utensil & overflows beyond its normal limit and comes
by all possible means to be advocated and also Hetu out of it which can be compared to Prasara Avastha.[30]
Viparita Chikitsa which aims at counteracting the hetu or
etiological factors responsible for causing the disease and 4) Sthana Samshraya Avastha
Lakshana Viparita Chikitsa which refers to treating the This is the fourth stage of Kriya kala in which
symptoms (Symptomatic Treatment) involved in the localisation of doshas takes place. This stage continues
disease is to be adopted. from the stage of Prasara avastha where in the prakupita
doshas will spread all over the body, once they finds
Prime importance given to the treatment in this avastha Kha-Vaigunya in the srotas they invades it, accumulates
is Aganthu Dosha- Sthanika Dosha chikitsa which refers and settles there to produce Vyadhi or disease.[31]
to, if the Prakupita Vata has spread over to any specific
sites of Pitta, then the line of treatment should be as for The doshas settle at places in two preconditions, they are
Pitta. Similarly, if the Prakupita Pitta spreads over to  Nidana must be potent enough to cause the damage
any of the specific sites of Kapha and vice versa should  There must be any depletion or any certain
be treated as for the dosha of that site. disturbances in the normal surface of the srotas i.e;
Kha-Vaigunya.
Since the doshas have more pronounced by moving all
over the whole body, the tiryakgata doshas should be Hence it is clear that the Nidana itself by trigerring the
first brought to koshta and then should be elimated by Dosha may cause Sroto Vaigunya (tissue depletion) there
the nearest possible outlet by adopting various shodhana by forming foundation of a disease. At the time of Dosha
procedures. Prakopa if Kha-Vaigunya (Atrophy or Dystrophy)
already exists at tissue level, Doshas may cause disease
Dosha Gatis at that particular site. In both these conditions, the doshas
In Prasara avastha, the movement courses of the Doshas starts invading and accumulates, the amalgamation of
may be Urdhwa Gati (Upward movement), Adho Gati Dosha and Dushya takes place at the site of
(Downward movement) and may take Tiryak Gamana Srotovaigunya which is also refered to the process of
(Transverse / Cross spreading movement)[28] Dosha Dushya Sammurchana,[32] In this stage, all the
predormal symptoms of disease appear yet to manifest
The Doshas movement is from the Koshta to the Shakhas fully. So this stage is also called as the POORVAROOPA
and it is called Shakhabhigamana. The Doshas which of diseases and hence forms the most important stage
move from the place to place during the stages of regarding the treatment of any disease.[33]
Prakopa avastha and Prasara avastha are called as
Paridhavamana Doshas or Tiryakgata Doshas.[29]

The Following Example Gives An Illustration About

Sanchaya, Prakopa And Prasara Avastha-
• Sanchaya avastha
1. Samhatarupa Vriddhi- Ghee which is in solid state
in a utensil
2. Vilayanarupa Vriddhi- Heated liquefied Ghee in a
utensil.
• Prakopa avastha: After heating the thick solidified
ghee, it starts melting and showing effervesce, but it
occupies almost the same space in the beginning and it
begins to expand only when more heat is applied which
can be compared to Prakopa avastha.
The site for the localisation of the doshas giving rise to specific disease pertaining to that site is as follows.[34]

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• Gulma
• Vidradhi
• Udara roga
• Anaha
Udara • Vibandha
• Visuchika
• Atisara
• Pravahika
• Vilambika
• Prameha
• Ashmari
Basti
• Mutraghata
• Mutrakriccha
• Upadamsha
Medra • Niruddhaprakarsha
• Shuka dosha
• Arshas
Guda
• Bhagandhara
Vrushana • Vriddhi
Urdhwajatrugata • Manifests Urdhwajatrugata vikaras
• Kshudra roga
Twak, Mamsa And
• Kushta
Shonitagata
• Visarpa
• Granthi
• Apachi
Medogata • Arbuda
• Galaganda
• Alaji
Asthigata • Asthi Vidradhi
• Shlipada
Padagata • VataShonitha
• Vatakantaka

Treatment of Sthana-Samshraya Avastha • Purana Lakshana (an unsual enlargement of

The chikitsa to be adopted in this stage involves both abdomen) in Udara Roga
Dosha Pratyanika Chikitsa as well as Dushya Pratyanika • Tilapishtanibham varchas in Shakhashritha Kamala
Chikitsa to correct the Dosha, Dushya and both in
combination. And here also Samprapti Vighatana The signs and symptoms appearing in this stage are
Chikitsa is to be adopted which does the Samprapti broadly classified into two types.[35]
Vighatana of a disease i.e; which checks the Samprapti  Samanya Lakshanas: General signs and symptoms
of the ongoing disease process. produced by the increased Dosha which may be seen
in all the diseases commonly.
Here, Samshodhana Chikitsa is considered to be the best  Pratyatma Lakshanas: Specific or Peculiar signs
as to prevent further manifestation of disease process as and symptoms which are seen in any one disease
well as to eliminate the vitiated doshas and also to characteristically.
correct the dushyas involved in the same.
Treatment of Vyakta Avastha
5) Vyakta Avastha (Stage Of Manifestation) In this avastha, Vyadhi Pratyanika Chikitsa,[36] and
This is the fifth stage of kriya kala which may be stated Samprapti Vighatana Chikitsa should be advocated so as
to be that of the manifestation of the fully developed to serve the purpose of checking the pathogenesis i.e;
disease. In Sthanasamshraya avastha, if patient dosha-dushya sammurchana, SrotoShodhana, Dosha
continues to indulge in Nidana then Doshas will enter Vilayana and Dosha Shodhana. Along with adopting
into Vyakta Stage. As a consequence of dosha-dushya these line of treatment, Roga and Avasthanusara
sammurchana, general and specific symptomology are Chikitsa krama is also given prime importance in this
well exhibited so that one can diagnose the ailment and avastha of kriya kala.
also the Doshic predominance, involvement of Dushya
and Srotas will be clearly revealed. Some of the 6) Bheda Avastha (Stage Of Complications)
examples are like in It is the most advanced and last stage of Kriya Kala in
• Santapa (increased body temperature) in Jwara which they attain Vishesha Lakshana (Specific
• Sarana lakshana (excessive watery stool) in Atisara

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Vimarsha et al. World Journal of Pharmaceutical and Life Science

Symptoms) and the disease if not treated at the right time not treated, then it leads to Marana or death of the
becomes Deerghakaalaanubandhi i.e; Chronic in nature. inflicted patient.[38]

The Doshas when settle for a long duration without Treatment of Bheda Avastha
proper intervention of treatment may become prominent If the disease has become Deerghakaalaanubandhi, then
and may become Asadhya for treatment and hence the treat the nidana as well as the Pradhana roga. If the
treatment also becomes complicated to treat when it disease has produced Upadravas or complications
reaches to this stage of Kriya kala. The manifested related to that particular Vyadhi, then treat the Upadrava
vyadhi can act as Nidanaarthakara roga and may be the if prominent otherwise treat the Pradhana Vyadhi. If the
cause for some other related diseases which is called as manifested vyadhi acts as a Nidanaarthakara Roga, then
Upadravas.[37] This avastha or stage can lead to the preference should be given to the new disease and to
Vyadhimukta if treated properly at the right time and if be treated accordingly.

Delineation of the Concept of Kriyakala

DISCUSSION Vriddi or Kshaya. Due to various factors the doshas in

the body undergo vitiation or morbid changes which
The Principles and Practices of Ayurveda revolves
initiate the process of disease manifestation in six stages
around the theory of Tridosha, Sapta Dhatus and
which is termed as ShatKriyakala in Ayurveda. This
Trimalas which have been told to maintain the normal
process of development of diseases involves various
physiological processes of the body in their balanced
distinct stages of vitiation of doshas and their interaction
state and cause diseases in their vitiated states of either
with the dushyas or bodily tissues results in the

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Vimarsha et al. World Journal of Pharmaceutical and Life Science

manifestation of various symptoms which need attention 2. Sushrutha, Sushrutha Samhita, Commentary
and treatment to disrupt this process to go to further Nibandha Sangraha by Dalhana and Nyayachandrika
stages. The symptoms produced in the early stages are by Gayadas: edited by Vaidya Yadavji Trikamji
usually vague symptomatologies as they have not Acharya Chaukhambha Surbharti Prakashan,
localized to a particular site and also are not specific to a Varanasi: reprint Sutra Sthana chapter, 2012; 15/3.
particular disease. Such symptoms are usually ignored by 3. Ashtanga Sangraha- Marathi Translation by Dr.
both the patients and the clinicians. If they are left Subhasha Ranade, Anamol Prakashan, Pune;
unrecognized and untreated in the initial stages, they will Sutrasthana Chapter, 2002; 20(1): 268.
gain the strength for their further development making it 4. Sushrutha, Sushrutha Samhita, Ambikaduttashastri,
difficult to treat in the latter stages. This concept of Shat- Editor reprint 2008, Chaukhambha Sanskrit
Kriyakala is applicable in all the diseases and the whole Sansthan Varanasi, 2008; 64.
concept of Shat-Kriyakala by the ancient teachers of 5. Yadavji Trikamji Acharya, Editor (Reprint ed).
Ayurveda is to emphasize upon to understand the Charaka Samhita of Charaka (Vol I), Sharira Sthana:
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CONCLUSION Commentary of Hemadri edited by Bhisagacharya
Varanasi, Chikitsa Sthana, Chapter 12/24-25, 439-
From the above discussion of the concept of Kriyakala,
103.
the following conclusion can be derived which goes in
7. Vaidya Yadavji Trikamji Acharya, editor. Charaka
this way like-
Samhita of Agnivesa revised by Charaka and
Dridhbala with Ayurveda dipika commentary of
The Proper Knowledge of Shat-Kriyakala helps in
Chakrapanidatta, Sutra Sthana. Ch. 6, Ver. 9-48.
understanding the process of manifestation of various
New Delhi: Chaukhambha publications, 2016; 45-
diseases as well as to diagnose the diseases. The
48.
Physician who is capable of differentiating and
8. Sushrutha Samhita, Commentary Ayurveda Tattva
understanding these six stages of disease manifestation
Sandipika by Kaviraj Dr. Ambikadattashastri, Sutra
involving dosha can diagnose and treat the disease
Sthana 1/47, Chowkhamba Sanskrit Sansthan
accurately according to Shat-Kriyakala will become a
Varanasi, 12th edition, 2001; 8.
Bhishak i.e; a successful practioner. The Knowledge of
9. Sushrutha Samhita, Commentary Ayurveda Tattva
Shat-Kriyakala is helpful for knowing the
Sandipika by Kaviraj Dr. Ambikadattashastri, Sutra
Sadhyaasadhyatva of disease and also plays an important
Sthana 21/18, Chowkhamba Sanskrit Sansthan
role in the planning of treatment. After all the elaboration
Varanasi, 12th edition, 2001; 80.
about the topic Acharyas warn the Physician not to
10. Gupta Kaviraj Atrideva, Astanga Hridayam, Hindi
procrastinate Kriyakala in any way that will lead to
Commentary, Choukhambha Prakashan, Reprint,
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2007; 91.
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11. Pro. Ravidutt Tripati, editor, (1 st Ed.) Vol-1,
treatises of Ayurveda are of great importance.
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Sutrasthanam, Rithucharyaadhyaya, Chapter 3, verse
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S :I 12. Sushrutha Samhita, Commentary Ayurveda Tattva
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रS : : Sthana 21/18, Chowkhambha Sanskrit Sansthan
S II Varanasi, 12th edition, 2001; 80.
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It is easy to pluck a plant when it is still a sapling, but it Chandra Vaidya Astanga Hridayam Sutra Sthana
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Kala (Time).[39] Sthana 21/37, Chowkhamba Sanskrit Sansthan
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