NITYASAMSHLESHITA DOSHA & PARICCHEDITA DOSHA

🔸 NITYASAMSHLESHITA (LEENA) DOSHA 🔸

• Definition:

  • "Nityasamshleshita Dosha" refers to the naturally existing, physiological association of the Tridoshas (Vata, Pitta, Kapha) in the body.

  • These doshas are always present in the body in a balanced state, performing essential physiological functions.

• Synonym:

  • Also called "Leena Dosha" – meaning doshas that are in a latent or inherent state.

• Characteristics:

  • Present in the body from birth to death.

  • These doshas are not pathological; they are required for sustaining life.

  • They are not to be treated or eliminated, unless they become imbalanced (vitiated).

• Physiological Functions:

  • Vata: Responsible for all movements (e.g., breathing, nerve impulses).

  • Pitta: Responsible for metabolism and digestion.

  • Kapha: Provides stability, lubrication, and immunity.

• Sanskrit Shloka Reference:

  "वातः पित्तं कफश्चेति त्रयो दोषाः समासतः।
  विकृताविकृताः देहे सेवन्ते रोगनिर्‌मिते॥"
  (Ashtanga Hridaya, Sutrasthana 1/6)

  • Translation: Vata, Pitta, and Kapha – the three doshas – exist in the body in both balanced and imbalanced states. In their balanced state, they sustain the body; in an imbalanced state, they produce disease.

• Examples:

  • Vata in colon promoting peristalsis.

  • Pitta in the small intestine facilitating digestion.

  • Kapha in chest and joints providing lubrication and immunity.

• Clinical Relevance:

  • No treatment is needed for Nityasamshleshita Doshas unless they become vitiated.

  • Vital in maintaining homeostasis and prakruta sharir kriya (normal body functions).

🔸 PARICCHEDITA DOSHA 🔸

• Definition:

  • "Paricchedita Dosha" refers to the vitiated or abnormal doshas that have gone beyond their physiological limits and are involved in disease causation.

• Meaning:

  • "Paricchedita" means clearly distinguishable, i.e., these doshas show specific signs and symptoms of imbalance.

• Characteristics:

  • These doshas do not support the body; they vitiate dhatus and create pathological conditions.

  • Require diagnosis and treatment to restore balance.

• Stages of Dosha Vitiation (Shad Kriya Kala):

  1. Sanchaya – Accumulation

  2. Prakopa – Aggravation

  3. Prasara – Spreading

  4. Sthana Samshraya – Localization

  5. Vyakti – Manifestation

  6. Bheda – Complications

• Sanskrit Shloka Reference:

  "सञ्चयोऽथ प्रकोपोऽथ प्रसारश्चोभयान्वितः।
  स्थानसंश्रयणं चैव व्यक्तिश्चैव ततो भवेत्॥"
  (Sushruta Samhita, Sutrasthana 21/36)

• Examples:

  • Vitiated Vata causing joint pain or constipation.

  • Vitiated Pitta leading to hyperacidity or inflammation.

  • Vitiated Kapha leading to congestion or obesity.

• Clinical Relevance:

  • These doshas are diagnosed during patient examination using tools like Nadi Pareeksha, Mala-Mutra Pareeksha, Indriya Pareeksha, etc.

  • Treatment involves Shodhana (purification) or Shamana (pacification) therapies depending on stage and strength of patient.

🔸 COMPARATIVE CHART 🔸