Srotas 240305071424 70bbde30
Srotas 240305071424 70bbde30
PREPARED BY:
PAKHI SHARMA, 58
BATCH 21
GUIDED BY:
DR. SHUBHA R. SONDOOR (HOD RN&VV)
CONTENTS
• Introduction
• Paryaya
• Structure
• Pramukhyata
• Sroto dushti prakara
• Classification along with individual Sroto viddha lakshana
INTRODUCTION
The physiological and anatomical pathways that carry all the components, elements, signals, and
reflexes come under Srotas. There are many kinds of srotas and every srotas has its moolsthana from
where transportation or transmission begins and its prabhav sthana where transported matter finally
reaches its destiny and performs its functions.
Srotas carry dosha, dhatu, upadhatu and mala in it. Hence, dosha dushti can produce Sroto dushti and
vice-versa. We will now study srotas from the POV of Roga Nidana.
Classical references
“स्रवणात् स्त्रोताम्सि।” (च.सूत्र. 30/12)
• Srotamsi
• Sira
• Dhamani
• Rasayani
• Rasavahi
• Nadya
• Panthana
• Margashareera chidrani
• Samvrta asamvrtani
• Sthanani
• Ashaya
• Niketha
STRUCTURE OF SROTAS
• Orifices of the srotas are minute, spread long and far away like lotus stalks. Through such
channels, ‘rasa’ circulates and nourishes cells and tissues.
• Srotas have the colour of the dhatu that they are carrying or transporting.
• They could be of different shapes and sizes: round, thick, large, small, microscopic,
elongated, and form networks and branches.
SROTAS PRAMUKHYATA
Improper foods, erratic behaviour and other things that are not conducive to the body bring
abnormality in srotas leading to the manifestation of disease. Acceptance of normal foods and
actions leads to happiness and sound health.
Acarya Caraka in Srotovimanasthan of Vimanasthana has mentioned srotas as detailed from now
onwards.
The tridosas viz, Vata, Pitta and Kapha move inside the srotas to perform their normal functions at
different places similarly things that are beyond the perception of sensory organs like the mind, etc.
move inside the srotas and are located in each part of the body. Healthy srotas perform their natural
functions as a result, the body is free from diseases and unhealthy srotas become the root cause for
the development of pathogenesis.
SROTO DUSHTI PRAKARA
Food (ahara) and behaviours or activities (vihara) which are similar to dosas and dissimilar to dhatus in
properties cause morbidity in srotas.
Clinical features developing from injury to srotas are called as ‘viddha’. Their lakshanas are murcha
(unconsciousness), kampa (tremors), adhamana (abdominal distention), chardi (vomiting), jwara
(fever), delirium, mutra-avarodha (urine obstruction) and even lead to death.
That is why it is said that the physician should inform the attendee about the poor prognosis and then
plan the treatment and manage the wounds as per its treatment.
CLASSIFICATION
According to Acarya Susruta:
1. Bahya
Males: 9
Females: 12
These are-
i. Nasal cavity: 2 ii. Ear path: 2 iii. Eye opening: 2
iv. Genital path: 1 v. Anal canal: 1 vi. Oral cavity: 1
Above 9 are also commonly present in females and extra 3 are-
v. Artava: 1 ii. Breast channels- 2
Acarya Sharangdhara included 1 more to the above mentioned 9 Bahir Mukha srotas- Mastaka
(brain canal).
2. Abhyantara (11 pairs)
i. Pranavaha srotas
ii. Udakavaha srotas
iii. Annavaha srotas
iv. Rasavaha srotas
v. Rudhiravaha srotas
vi. Mamsavaha srotas
vii. Medovaha srotas
viii. Shukravaha srotas
ix. Mutravaha srotas
x. Pureeshavaha srotas
xi. Artavavaha srotas
Note: Acarya Susruta did not mentioned Asthivaha, majjavaha and Swedavaha
srotas.
1. PRANAVAHA SROTAS
Moolsthana
• Acarya Caraka: Hrdaya and Maha srotas.
• Acarya Susruta: Hrdaya and Rasavahi dhamani.
Dushti Nidana
• Dhatu kshaya
• Suppression of Vega
• Intake of dry food
• Doing exercise even though feeling hunger
Pranavaha Sroto vikara
• Kasa
• Shwasa
• Hridroga
• Rajyakshama
• Swarabheda
Viddha lakshana
Caraka Susruta
Moolsthana
• Acarya Caraka: Amashaya and Vamaparshva.
• Acarya Susruta: Amashaya and Annavaha dhamani
Dushti Nidana
• Atimatra ahara
• Akala ahara
• Dushti of agni
Dushti vikara
• Chardi, krmi, Amlapitta
• Atisara, Visuchika
• Ajirna, Gulma, Mukharoga
• Agnimandhya
Viddha lakshana
Caraka Susruta
Annaabhilasha Shoola
Aruchi Andhya
Avipaka Annadvesha
Chardi Pipasa
- Chardi
- Marana
4. RASAVAHA SROTAS
Moolsthana
• Acarya Caraka: Hrdaya and Dasha dhamaniya
• Acarya Susruta: Hrdaya and rasa vaha dhamani
Dushti Nidana
• Excessive consumption of heavy, cold, oily food.
• Viruddhahara
Rasa pradoshaja vikara
• Angamarda, Pandu roga
Viddha lakshana
• Moha
• Bhramana
• Marana
5. RAKTAVAHA SROTAS
Moolsthana
• Acarya Caraka: Yakrta and Pleeha
• Acarya Susruta: Yakrta, Pleeha and Raktavaha dhamani
Dushti Nidana
• Intaking substances causing the burning sensation
• Excessive sun exposure
• Injury by burn, heat, physical trauma
Viddha lakshana
• Bluish discolouration, fever, burning sensation, anaemia, bleeding, etc
Raktavaha dushti vikara
• Masoorika, Visarpa
• Raktapitta, Vidradhi
• Daha, Arsha
• Kamla.
6. MAMSAVAHA SROTAS
Moolsthana
• Acarya Caraka: Snayu, Tvak
• Acarya Susruta: Snayu, Tvacha, Raktavaha dhamani
Dushti Nidana
• Intake of abhishyandi ahara, heavy food
• Day sleeping
Viddha lakshana
• Oedema
• Arsha
• Vascular tortion
• Cyst
• Death
7. MEDOVAHA SROTAS
Moolsthana
• Acarya Caraka: Vrkka, Vapavahana
• Acarya Susruta: Kati, Vrkka
Dushti Nidana
• Avyayama
• Divaswapna
• Atiahara sevana
Viddha lakshana
• Svedagamana
• Snigdha anga
• Talushosha
• Sthoolta
• Shofa
• Pipasa
8. ASTHIVAHA SROTAS
Moolsthana
• Acarya Caraka: Asthi and Jangha
Dushti Nidana
• Excess exercise
• Intake of Vata vardhaka ahara
• Excessive exhaustion and friction between bones
Viddha Lakshana
• Extra bone growth
• Cracking pain in teeth and bones
• Discolouration
• Kesha, Nakha, Danta deformity
9. MAJJAVAHA SROTAS
Moolsthan
• Acarya Caraka: Sandhi and Asthi
Dushti lakshana
• Neurological pain
• Parvani
• Bhrama, Murcha
Dushti Nidana
• Increased moisture, etc.
Majjavaha dushti vikara
• Sandhivata, Amavata, Pakshaghata
• Vatrakta, Kushtha
• Rajyakshama
• Prameha, Masoorika
10. SHUKRAVAHA SROTAS
• Crystal clear
• Fluid
• Unctuous
• Sweet
• Smell like honey
11. ARTAVAVAHA SROTAS
Acarya Caraka did not explain this separately as he mentioned Sukravaha srotas which include both
Shukra and artava,.
Moolsthana
• Acarya Susruta: Garbhashaya, Artavaha dhamani
Viddha Lakshana
• Vandhyatva: Incapable of reproduction
For Vandhyatva, Harita Samhita has mentioned 6 main reasons:
• Garbhakoshbhanga (acquired disease)
• Dhatukshaya
• Kakavandhya (one child sterility)
• Anpatya (absolute sterility)
• Garbhastrava (premature delivery)
• Stillbirth
12. MUTRAVAHA SROTAS
Moolsthana
• Acarya Caraka: Basti, Vankshana
• Acarya Susruta: Basti, Medhra
Dushti Lakshana
• Atistrushtama (increased urine frequency)
• Atibadda (difficulty in urine)
• Dysuria
Dushti Nidana
• Vegadharana
• Ksheena
Viddha Lakshana
• Mutranirodha
• Bladder distension
13. PUREESHVAHA SROTAS
Moolsthana
• Acarya Caraka: Pakvashaya, sthoola guda
• Acarya Susruta: Pakvashya, Guda
Dushti Nidana
• Vegadharana
• Adhyashana, Agnimandya
• Ajirna
Viddha lakshana
• Shoola
• Difficulty passing stools
• Hard stools
• Anaha
• Durgandhata
14. SVEDAVAHA SROTAS
Moolsthana
• Acarya Caraka: Medo, Loma koopa
Dushti lakshana
• Asweda, Atisweda
• Parushya, Atislakshana
• Lomaharsha
Dushti Nidana
• Ativyayama
• Ati atapa sevana
• Tikshna, Ushna ahara sevana
THANK YOU