References:
C.Chi.25, S.Su.22, 28, Chi.1,2 , A.H.U.25 -26 M.N.41-45
Introduction:
Vran`a means wound. Other meanings include sore or ulcer. It may happen due to vitiation of S`haareera Dosha or any exogenous cause like trauma, etc.
Nirukti
- 1. Vrin`oti Yasmaad Rood`he Api Vran`avastu Na Nas`hyati |
Aadeha Dhaaran`aat Tasmaad Vran`a Iti Uchyate Budhaih ||
S.Su.21/40
Though a wound gets healed, the scar remains there lifelong, therefore it is called as Vran`a. - Vran`a Gaatra Vichurn`ane |
- Vran`ayati Iti Vran`ah | S.Chi.1/6
Vran`a is said to be a condition of Tvak (skin) where it is cut or broken.
Types
According causative factors:
Nija
- Caused due to S`haareera Dosha viz. Vaata, Pitta and Kapha wherein Dosha are vitiated first and then Vyathaa (pain) gets manifested.
- Sus`hruta has counted Rakta as one of the causative factors of Vran`a.
- Considering Dosha dominance these Vran`a could be classified as:
- Vaataja – It is Stabdha, hard to touch (Kat`hina), with lesser exudates (Manda Sraavee), severe pain (Atiteevra Ruk), Toda (pricking pain), Sphuran`a (pulsation at the site of wound), S`hyaava (the colorof the wound becomes dark brown)
- Pitaaja – There is thirst (Trishn`aa), infatuation (Moha), fever (Jvara), perspiration (Sveda), burning sensation (Daaha), Dusht`i, Avadaaran`a (breaking of the skin), with odorand exudates in Pittaja Vran`a.
- Kaphaja – Kaphaja Vran`a is whitish (Paan`d`u) in color. There is less exudation (Alpa Samkleda). It is Chirakaaree (it remains for longer duration). There are sticky secretions (Bahu Pichchaa), mild pain (Manda Vedanaa). The wound is Guru (heaviness at the site of wound), Snigdha (unctuousness of the wound), Stimita (moist and motionless).
Aagantu
These Vran`a are caused due to exogenous things like trauma, falling, biting, fire, weapon etc., wherein Vyathaa (pain) is manifested first and then the Dosha get vitiated.
Nija and Aagantu Vran`a, both differ by their Hetu (causative factors), Lakshan`a (signs and symptoms) and Chikitsaa. Mantra (Spiritual Chanting) etc. are used for the Aagantu Vran`a. In Aagantu Vran`a, when there is association of Dosha, and when these Aagantu Vran`a are not subsided by their own treatment then it is necessary to treat Aagantu Vran`a by the guidelines of Nija Vran`a. According to the dominance and dominance of Dosha, these Aagantu Vran`a should be treated.
There are 16 types of Vran`a as per the association of Dosha. 16th type is S`huddha Vran`a.
- Doshaadhisht`hita (15)
- S`huddha
Types of Aagantu Vran`a (Sadyo Vran`a) fresh wounds according to Sus`hruta.
- Chhinna Vran`a
- Bhinna Vran`a
- Viddha Vran`a
- Kshata Vran`a
- Pichchita Vran`a
- Ghrisht`ha Vran`a
- Chhinna Vran`a
When a body part gets cut and the shape of the wound is Tirashcheena (Tiryag Vyavasthita), Riju (straight Avakra), Aayata (rectangular), then the Vran`a is called as Chhinna Vran`a. - Bhinna Vran`a
The Aas`hayaa_s are broken through by the weapons. The secretions are as per the broken Aas`haya. This is Bhinna Vran`a. Though an Aas`haya does not break, through the subtle channels the intestines are filled by the secretions.
When Aas`haya is filled with the blood, it manifests with Jvara and Daaha. The blood gets secreted out through urinary tract, anus, mouth and nose. - Viddha Vran`a
It is the Vran`a formed by the weapon of sharp edge. It may not pierce the Aas`haya. This is Viddha Vran`a. - Kshata Vran`a
It is not highly incised or broken wound. It gives symptoms of both, Chhinna and Bhinna Vran`a. It is Vishama Vran`a. - Pichchita Vran`a
Due to trauma and assault, the body part gets widened. The effect is up to the Asthi. The Vran`a is associated with Majjaa and Rakta. - Ghrisht`a Vran`a
The skin gets removed in this type of Vran`a. There is burning sensation and secretions. This is Ghrisht`a Vran`a.
Vaagbhat`a has given 8 types of Sadyo Vran`a
- Ghrisht`a
- Avakritta
- Vichchhinna
- Pravilambita
- Paatita
- Viddha
- Bhinna
- Vidalita
- Ghrisht`a Vran`a
There is secretion of Laseekaa or Raktales`ha. There is Plosha when there is incision. - Avakritta Vran`a
This Vran`a is more deep than Ghrisht`a Vran`a. This is a cut on the skin. - Vichchhinna Vran`a
Body part gets detached. - Pravilambita Vran`a
Dueto a wound body part remains hanging down. - Paatita Vran`a
A part when gets divided due to the wound. - Viddha Vran`a
The Vran`a happened at the skin except the Kosht`ha by a sharp pointed weapon. - Bhinna Vran`a
Vran`a happened into the Kosht`ha by a sharp pointed weapon. It is actually Viddha Vran`a happened in the Kosht`ha. - Vidalita Vran`a
It is the Vran`a associated with Majjaa and Rakta. It is also associated with the Asthi. The Vran`a is widely spread. It is caused due to the trauma or assault.
Other types of Vran`a include:
- Kritya – Chhedana can be done here – Saadhya
- Utkritya – there is no treatment but Ropan`a can be done – Asaadhya
- Dusht`a
- Adusht`a
- Marmasthita
- Amarmasthita
- Samvrita
- Vivrita
- Daarun`a
- Mridu
- Sraavee
- Asaraavee
- Savisha
- Visharahita (Nirvisha)
- Vishamasthita
- Samasthita
- Utsangee – Utsanga Maamsa – where Maamsa Dhaatu elevated in the wounds above the normal skin level or there may the elevation due to the pus formation.
- Anutsangee
- Utsanna
- Anutsanna
Rogamaarga of Vran`a – Baahya
Dosha get vitiated by their own causative factors and in Baahya Rogamaarga (S`haakhaa, Rakta etc. Dhaatu and Tvak) they manifest with the Vran`a.
Pareekshaa (examination) of Vran`a
- Dars`hana – A wound is to be looked for the age of patient, color(Varn`a) the wound, and the Indriya Ashisht`haana (the organ whereon the und is manifested)
- Spars`hana – By touching a wound the temperature, hardness of the wound can be known.
- Pras`hna – After questing a patient, causative factors (Hetu), type of pain, Saatmya (habits), Agnibala (capacity to digest) can be known.
Assessment of Vran`a includes assessment of site (Vran`a Vastu), size and shape (Aakriti), secretions (Sraava), smell (Gandha), signs and symptoms (Lakshan`a – Vedanaa).
Vran`a Vastu
Vran`a Vastu is the site of Vran`a at which Vran`a gets manifested. All the Vran`a are counted under these 8 types of Vran`a Vastu.
- Tvak
- Maamsa
- Siraa
- Snaayu
- Asthi
- Sandhi
- Kosht`ha
- Marma
Vran`a Aakriti
Vran`a Aakriti is a shape of the wound. Those are broadly considered as four.
- Aayata Deergha broadly spread
- Chaturasra Chaushkon`a four angled
- Vritta round
- Triput`aka Trikon`a triangular
Other Vran`a Aakriti are difficult to cure. They are
- Aayata
- Chaturasra
- Tryasra
- Man`Dala
- Ardhachandrasama
- Vis`haala (Visteern`a)
- Kut`ila (Vakra)
- S`haraava Nimna Madhya
- Yavamadhya
Vran`a Sraava
Secretions of Vran`a are important in diagnosis and prognosis of Vran`a.
Vran`a Sraava – 14
- Laseekaa
- Jala
- Pooya
- Rakta
- Haaridra
- Arun`a
- Pinjara – reddish yellow
- Kashaaya
- Neela
- Harita
- Snigdha
- Rooksha
- Sita
- Asita
Vran`a Sraava according to Vran`a Vastu
| Vran`a Vastu | Vran`a Bheda | Vran`a Sraava | |
| 1 | Tvak | Ghritsht`a, Chhinna, Sphot`a,Bhinna, Vidaarita | Jalavat Kinchid VisraPeetaavabhaasee |
| 2 | Maamsa | Sarpivat, SaandraS`hveta, Pichchhila | |
| 3 | Siraa | Sadyah Chhinna SiraaPakva Siraa Vran`a(Toyanaad`ee Iva) | Rakta AtipravrittiToyaagamana PooyasyaTanu Vichchhinna (Alpa Alpa Pravartana)Pichchhila Avalambee (Avalambanas`heela)S`hyaava Avas`hyaaya |
| 4 | Snaayu | Snigdha, GhanaSinghaan`aka Pratima (Raktamis`hra Ghaneebhoota S`hleshmaa) Sarakta | |
| 5 | Asthi | Asthi Abhighaata,Sphut`ita, Bhinna, Doshaavadaran`aAsthnah Doshabhakshan`a | Nihsaara AsthiS`hikti Dhautam IvaMajjamis`hritaSarakta Snigdha |
| 6 | Sandhi | Peed`yamaanah Na PravartateAakunchana, Prasaaran`a, Unnamana (Baahujanghaadeenaam Oordhvam Gamanam), Vinamana (Gaatraan`aam Adhah Praapan`am), Pradhaavana, Ukaasana, Pravaahan`aih (Kunthanam) Sravati | PichchhilaAvalambee, SaraktaUnmathita |
| 7 | Kosht`ha | RaktaMootraPureeshaPooyaUdaka | |
| 8 | Marma | Same as all other Vran`a Vastu; therefore not elaborated in the text |
Vran`a Sraava and Dosha dominance
| Vaataja Sraava | Pittaja Sraava | Kaphaja Sraava | Saannipaataja Sraava |
| Paarushya | Gomedaka Sadris`ha | Navaneeta Sadris`ha | Naalikerodaka Sadrisha |
| S`hyaava | Gomootra Sadris`ha | Kaaseesa Sadris`ha | Ervaaruka Rasa Sadrisha |
| Avas`hyaaya | Bhasma Sadris`ha | Majja Sadris`ha | Kaanjikaprasaada Sadrisha |
| Dadhimastu Sadris`ha | S`hamkha Sadris`ha | Pisht`a Sadris`ha | Aarukodaka Sadrisha |
| Kshaarodaka Sadris`ha | Kashaayodaka Sadris`ha | Tila Sadris`ha | Priyanguphala Sadrisha |
| Maamsadhaavana Sadris`ha | Maadhveeka Sadris`ha | Naalikeraodaka Sadris`ha | Yakrit Sadrisha |
| Pulaakodaka Sadris`ha | Taila Sadris`ha | Varaaha Sadris`ha | Mudgayoosha Savarn`a |
| Ativisravatva |
Vran`a Gandha
Vran`a Gandha is smell of Vran`a. generally those are 8.
- Sarpi Gandha
- Taila Gandha
- Vasaa Gandha
- Pooya Gandha
- Rakta Gandha
- S`hyaava Gandha – Smell generated after triturating curd in the copper vessel
- Amla Gandha
- Pootika Gandha
Vikrita Gandha of Vran`a (Arisht`a Soochaka / Asaadhya)
- Madya Gandha
- Aguru Gandha
- Aajya Gandha
- Sumana Gandha
- Padma Gandha
- Chandana Gandha
- Champaka Gandha
- Divya Gandha
- S`hva Gandha
- Vaaji Gandha
- Mooshika Gandha
- Kaaka Gandha
- Pootivallora Gandha
- Mtkun`a Gandha
- Panka Gandha
- Bhoomi Gandha
Vran`a Vedanaa
Vran`a Vedanaa and Dosha
Pittaja and Raktaja Vran`a:
Osha, Chosha, Paridaaha, Dhoomaayana, Gaatra Angaara Avakeern`a Iva Pachyate
Ushmaabhivriddhi, Kshaaraavasiktavat Vedanaa.
Saannipaatika: All types of Vedanaa due to all the Dosha
Kaphaja Vran`a:
Kan`d`oo, Gurutva, Suptatva, Upadeha, Alpavedanatva, Stambha, S`haityai.
Vaataja Vran`a:
Todana, Bhedana, Taad`ana, Chchhedana, Aayaamana, Manthana, Vikshepan`a, Chumuchumaayana, Nirdahana, Aabhanjana, Sphot`ana, Vidaaran`a, Utpaat`ana, Kampana, Vividha S`hoola, Vis`hleshan`a Vikiran`a, Stambhana, Pooran`a, Svapana, Aakunchana, Ankus`hikaa, Animitta, Vividha Vedanaa Praadurbhaava, Muhurmuhu Vedanaa
Vran`a Varn`a
| Vaata | Pitta & Rakta | Kapha | Saannipaatika |
| Bhasma Varn`a | Neela Varn`a | S`hveta | Sarva Varn`a |
| Kapota Varn`a | Peeta Varn`a | Snigdha | |
| Asthi Varn`a | Harita Varn`a | Paan`d`u | |
| Parusha | S`hyaava Varn`a | ||
| Arun`a Varn`a | Krishn`a Varn`a | ||
| Krishn`a | Rakta Varn`a | ||
| Pingala Varn`a | |||
| Kapila Varn`a |
Vran`a Upadrava
- Visarpa
- Pakshaghaata
- Siraastambha
- Apataanaka
- Moha
- Unmaada
- Vran`a Rujaa
- Jvara
- Trishn`aa
- Hanugraha
- Kaasa
- Chhardi
- Ateesaara
- Hikkaa
- S`hvaasa
- Vepathu
Saadhyaasaadhyatva:
Sukhasaadhya Criteria
- Tvaksthitha Vran`a
- Maamsaja Vran`a
- Sukhe Des`he
- Tarun`a Purushe
- Anupadravee
- Dheemaan Rugn`a
- Nava (Abhinava)
- Anukoola Kaala
- Aadya Ekavastu Sannives`hee (Tvak Gata Varn`a)
- Aatmavaan Rugn`a
- Subhishagbhih Upakraanta
- Sattvavaan Rugn`a
- Maasabalavaan Rugn`a
- Agnibalavaan Rign`a
- Vayobalavaan Rugn`a
- Vritta Vran`a
- Deergha Vran`a
- Triput`aka Vran`a
- Chaturasra Vran`a
- Sphiggata Vran`a
- Paayugata Vran`a
- Med`hragata Vran`a
- Prisht`hagata Vran`a
- Antarvaktra Vran`a
- Gan`d`aga Vran`a
Krichchhrasaadhya Vran`a
- Parisraavee Vran`a
- Gandhayukta Vran`a
- Doshayukta Vran`a
- Upadravayukta Vran`a
- Bahudoshee Vran`a
- Akshigata Vran`a
- Das`hanagata Vran`a
- Naasikaagata Vran`a
- Apaangagata Vran`a
- Naabhigata Vran`a
- Sevaneegata Vran`a
- Jat`haragata Vran`a
- S`hrotragata Vran`a
- Paars`hvagata Vran`a
- Kashaagata Vran`a
- Stanagata Vran`a
- Phena Sraavee Vran`a
- Pooya Sraavee Vran`a
- Anilavaha Vran`a
- Shalyavaan Vran`a
- Oordhvanirvamee Vran`a
- Bhagandara
- Antarvadana Vran`a
- Kat`eesthita Vran`a
- Asthisthita Vran`a
- Vran`a in Kusht`ha
- Vran`a in Vishajusht`a
- Vran`a in S`hosha
- Vran`a in Madhumeha
- Vran`e Vran`a (Vran`a on Vran`a)
- Vriddha Rign`a
- Atvaksthita Vran`a
- Amaamsaja Vran`a
- Upadravayukta Vran`a
- Buddhiheena Rugn`a
- Jeern`a Vran`a
- Pratikoola Kaala
- Svayam Avadeeryamaan`a
- Anaatmavaan Rugn`a
- Adnyaih Upakraanta
Tvaksthita – Maamsasthita – Siraasthita – Snaayusthita – Sandhisthita – Asthisthita – Aas`hayasthita – Kosht`hasthita – Marmasthita Vran`a are successively difficult to cure.
Asaadhya Criteria
- When all the criteriaof Sukhasaadhyatva are absent then Vran`a is Asaadhya.
- Pakvaas`hayaja Vran`a
- Pulakodakasannibha (Gavedhukodaka Jalagodhooma vat ) Sraavee Vran`a
- Kshaarodakasannibha Sraavee Vran`a
- Raktaas`haya Vran`a
- Aamaas`haya Vran`a
- Kalaayaambha Sadris`ha Sraavee Vran`a
- Trikasandhija Vran`a (Trika Baahu Greevaa Asthi Traya Sanghaata)
- Vran`a in Veesarpa
- Vran`a in Jvara
- Vran`a in Ateesaara
- Vran`a in Kaasa
- Vran`a in Trishn`aa
- Vran`a in Anidraa
- Vran`a in S`hvaasa
- Vran`a in Avipaaka (Ajeern`a)
- Bhinna S`hirahkapaala
- Mastulungadars`hee Vran`a
- Vasaa Sraavee Aagantuja Vran`a
- Medo Sraavee Aagantuja Vran`a
- Majjaa Sraavee Aagantuja Vran`a
- Mastulunga Sraavee Aagantuja Vran`a
- Doshaih Atidooshita Vran`a
Vran`a Dosha
These are the conditions due to which Vran`a though it is curable, becomes incurable.
- Snaayu Kleda
- Siraa Kleda
- Gaambheerya
- Krimi Bhakshan`a
- Asthi Bheda
- Vran`a Sas`halyatva
- Vran`a Savishatva
- Vran`a Sarpan`a
- Nakha Bheda
- Kaasht`ha Bheda
- Charma Loma
- Atighat`t`ana – some have counted these two as single Upadrava.
- Vran`a Mithya Bandha
- Ati Snehana of Vran`a
- Ati Bhaishajya Karshan`a
- Ajeern`a
- Ati Bhukta
- Viruddha Bhojana
- Asaatmya Bhojana
- S`hoka
- Krodha
- Divaasvapna
- Vyaayaama
- Maithuna
- Nishkriyatva (Chikitsaa Varjana)
- Ati Raukshya
- Kshobha
- As`huddha Kosht`ha
- Sauhitya
- Atikars`hana
- Madyapaana
- Raatrijaagaran`a
- Mithyaa Upachaara
Arisht`a Lakshan`a:
- Pittaja Kumkuma Varn`ee Varn`a
- Pittaja Dhyaamaka Varn`ee Varn`a
- Pittaja Kankusht`ha Varn`ee Varn`a
- Pittaja Daaha Rahita Varn`a
- Pittaja Chosha Rahita Varn`a
- Kaphaja Kan`d`oomaan Vran`a
- Kaphaja Sthira Vran`a
- Kaphaja S`hveta Vran`a
- Kaphaja Snigha Vran`a
- Kaphaja Dooyamaana Vran`a
- Kaphaja Dahyamaan Vran`a
- Vaataja Krishn`a Varn`ee Varn`a
- Vaataja Tanusraavee Vran`a
- Vaataja Marmataapee Vran`a
- Vaataja Svalpa Api Rujaa Akriyamaan`a Vran`a
- Kshved`amaana Varn`a
- Ghurghuraayamaana Varn`a
- Jvalishyamaana Varn`a
- Tvakstha Sas`habda Visrijyamaan`a Varn`a
- Maamsatha Sas`habda Visrijyamaan`a Varn`a
- Amarmastha Ati Vedanaavaan Varn`a
- Antah Dahyamaana, Bahih S`heeta Vran`a
- Bahih Dahyamaana, Antah S`heeta Vran`a
- Vran`eshu S`hakti Avabhaasyamaan`a Vran`a
- Vran`eshu Dhvaja Avabhaasyamaan`a Vran`a
- Vran`eshu Ratha Avabhaasyamaan`a Vran`a
- Vran`eshu Kunta Avabhaasyamaan`a Vran`a
- Vran`eshu Vaaji Avabhaasyamaan`a Vran`a
- Vran`eshu Vaaran`a Avabhaasyamaan`a Vran`a
- Vran`eshu Go Avabhaasyamaan`a Vran`a
- Vran`eshu Vrisha Avabhaasyamaan`a Vran`a
- Vran`eshu Praasaadaakriti Avabhaasyamaan`a Vran`a
- Anvachoorn`itaa Api Choorn`akirn`aavabhaasee Vran`a
- Praan`a Kshaya
- Maamsa Kshaya
- S`hvaasa Peed`ita
- Kaasa Peed`ita
- Arochaka Peed`ika
- Pravriddha Pooya Vran`a
- Pravriddha Rudhira Vran`a
- Marmasthita Vran`a
- Samyag Chikitsaa Aarabdhaa Api Ye Vran`aah Na Sidhyanti
- Madya Gandha Vran`a
Dusht`a Vran`a
Vran`a which has vitiated Dosha is called as Dusht`a. It may be Nija or Aagantu. Nija Vran`a forms due to vitiated Dosha. Aagantu Vran`a may be initially Shuddha later may become Dusht`a. Although normal (Prakruta) Dosha are essential also present in case of S`huddha Vran`a but in Dusht`a Vran`a, Dosha are abnormal hence require Vran`a S`hodhana as treatment. Features of Dusht`a Vran`a are:
- Pooti Vran`a Vran`a with pus
- Pooya Sraavee Pus secretions
- Ati Dusht`a Rakta Sraavee infected bloody secretions
- Utsangee having cavity inside (Kot`aravaan)
- Chirasthiti Associatedwith Dosha reveals the non healinginfected condition of wound
- Ati Gandha Yukta with different smells / odor
- S`hveta (white)
- Avsannavartma
- Atisthoola Vartma
- Atipinjara
- Neela
- S`hyaava
- Atipid`aka
- Rakta
- Krishn`a
- Atipootika
- Ropya
- Kumbheemukha
Dusht`a Vran`a Lakshan`a
Atisamvrita Ati Samkuchita – constricted wound – due to Vaata
Ativivrita Vyaattamukha – due to Pitta and S`hon`ita
Atikat`hina hardness – due to Vaata
Ati Mridu soft wound – due to Kapha (or due to Pitta and S`hon`ita)
Utsanna Unnatamaamsa – due to Rakta and Pitta
Avasanna Heena Maamsa Nimnaakaara – due to Rakta and Pitta
Ati S`heeta due to Kapha and Vaata
Ati Ushn`a due to Rakta and Pitta
Krishn`a Varn`a
Rakta Varn`a
Peeta Varn`a
S`hukla Varn`a – Bhairava Anavadhaarita Linga
Pooti – Pooya Maamsa Siraa Snaayubhih Poorn`ah Vran`a
Pooti Pooya Sraavee –
Unmaargee Tiryag Gatih
Utsangee Oordhvagatih
Amanodnya Dars`hana Gandha ugly look and smell of wound
Atyartha Vedanaavaan with severe pain
Daaha due to Pitta and Rakta
Paaka due to Pitta and Rakta
Raaga due to Pitta and Rakta
Kan`d`oo due to Kapha
S`hopha due to Vaata
Pid`akaa due to Rakta and Pitta
Dusht`a S`hon`ita Sraava due to Rakt and Pitta
Deerghakaalaanubandhee due to all the three Dosha
S`huddha Vran`a
Wound free from signs of vitiated Dosha, painless without discharge and with healthy granulation tissue, is called as S`huddha Vran`a. signs and symptoms are as follows:
Suvyavasthita (Vran`a of regular shape)
Samatva (Vran`a at skin level)
Jivhatalabha (Pinkish and soft like a tongue)
Mrudu (Soft)
Snigdha (Oily texture)
Shava Vranoutha (Blackish edges)
Unnata Madhya (Centrally elevated)
Sravarahita (Without any discharge)
Pidikayukta (Presence of healthy granulation tissue)
Dosharahita (Without vitiated Dosha)
Anupadravi (Without any complications)
Shlakshn`a (Smooth)
Vigata Vedana (Painless)
Ruhyamaan`a Vran`a (Healing wound)
It is a stage where ulcer is in the healing process .The word Ruhyamaana shows process towards complete healing.
Kapota Varn`a Vran`a
Kledavrjita Anta Vran`a
Sthira Vran`a
Chipit`ikaavaan Vran`a (Charmacheleeyukta Vran`a)
Rood`ha Vran`a
Rood`ha means complete healed wound. Its signs and symptoms are:
Rood`ha Vartma where Vran`a Vastu is healed
Granthirahita Vran`a without any glandular growth
As`hoona Vran`a without any edema
Aruja Vran`a without any pain
Tvak Savarn`a resembling with the colorof skin
Samatala whose surface is plane at the level of skin.
Comparative study of Vran`a types
| Vran`a type | Varn`a | Sraava | Vedanaa | Gandha | Lakshan`a |
| Vaataja | S`hyaavaArun`aS`hyaavaKrishn`aArun`aBhasmanibhaKapotaasthinibha | PichchhilaAlpa SraaveeMastutulyaMaamsatulyaPulaakaambutulyaTanu SraavaAlpa Sraava | Chat`achat`aayanas`heelaSphuran`aAayaamaTodaBhedaVedanaa BahulaTodaad`hyaBhedaad`hyaChat`achat`aayamaana | TanuS`heetaRookshaNirmaamsaNirmaamsaRooksha | |
| Pittaja | PeetaNeelaabhaPeetaNeelaKapilaPingala | Kims`hukodakaabhaUshn`a SraaveeMootrasamaKims`hukabhasmaambuvatTailaabhaUshn`aBahu Sraava | DaahaKshaarokshitakshatasama Vyathaa | KshiprajaPaakaRaagaPeeta Pid`akaa Jusht`aKshiprajaRaagavaanUshmaavaanPaakavaan | |
| Kaphaja | Paan`d`u BhaaseePaan`d`u | S`huklaS`heetaSaandraPichchhilaBahu SraavaS`hveta SraavaGhana Sraava | Pratata Chan`d`a Kan`d`oo BahulaMandavedanaaKan`d`oomaanAlparuk | Sthoolausht`haStabdha Siraa Snaayu –JaalaavatataKat`hinaGuruSthoolausht`haKat`hinaSnaayusiraajaalatata | |
| Raktaja | Pravaaladalanichaya Prakaas`haPravaalarakta | Rakta SraaveeSarakta Pooya | SavedanaaDhoomaayanas`heela | Turangasthaana Gandhi (Teekshn`akshaara Gandhi D`alhan`a)Vaajisthaanasama Gandha (Turagasthaana Tulya Gandha) | Krishn`a sphot`apid`ikaajaalopachitaPitta Lakshan`ayuktaPitta Lakshan`a Yukta |
| Vaata Pittaja | PeetaArun`aabha | Peeta SraaveeArun`a Sraavee | TodaDaahaDhoomaayana | ||
| Vaata Kaphaja | Muhurmuhu S`heeta Alpa Pichchhila Sraavee | Kan`d`ooyanas`heelaNistoda | Rooksha GuruDaarun`a | ||
| Pitta Kaphaja | Ushn`a SraavaPeeta SraavaPaan`d`u Sraava | Daaha | Guru | ||
| Vaata Raktaja | RaktaabhaArun`aabha | Rakta SraavaArun`a Sraava | TodabahulaSupta Iva Cha | Rooksha Tanu | |
| Pitta Raktaja | Ghritaman`d`aabha | Krishn`a Sraavee | Meenadhaavana Toyagandhee | MriduVisarpee | |
| Kapha RaktajaLakshan`a | Rakta | Sarakta Paan`d`u Sraava | Kan`d`oopraaya | Guru SnigdhaPichchhila Sthira | |
| Pitta Raktaja | Peeta SraavaTanu SraavaRakta Sraava | Sphuran`a TodaDaaha Dhoomaayana | |||
| Vaata Kapha Raktaja | Paan`d`u Ghana Rakta Sraava | Kan`d`oo Sphuran`aChumachumaayana | |||
| Pitta Kapha Raktaja | Paan`d`u Ghana Rakta Sraava | DaahaKan`d`oo | PaakaRaaga | ||
| Vaata Pitta Kaphaja | Trividha Varn`a | Trividha Sraava | Trividha Vedanaa | ||
| Vaata Pitta Kapha Raktaja | Vividha Varn`a | Vividha Sraava | Nirdahana NirmathanaSphuran`a Toda Daaha Kan`d`oo SvaapaVividha Vedanaa | PaakaRaaga | |
| S`huddha Vran`a | JihvaatalaabhaJihvaaprabhaS`hyaava Osht`ha | NiraasraavaNiraasraava | Vigata VedanaaAlpavedanaa | Mridu SnigdhaKshlakshn`aSuvyavasthitaMridu S`hlakshn`aKinchit Unnata MadhyaUpadravarahitaAti MriduSuvyavasthita Vran`a |
Last updated on March 25th, 2021 at 09:09 am