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: https://doi.org/10.5281/zenodo.19597515

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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH

A Review On Shatkriyakala (Disease Progression) In Veiw Of Surgical Disease

Management

Dr.Dwivedi Amarprakash¹, Dr.Batra Khushbu²

¹Professor, Department of Shalyatantra, School of Ayurveda, D.Y. Patil deemed to be University, Navi Mumbai,

India.

²M.S. scholar, Department of Shalyatantra, School of Ayurveda, D.Y.Patil deemed to be University, Navi

Mumbai, India.

Corresponding Author: Dr. Batra Khushbu

E-Mail : batrakhush22@gmail.com

Article Info: Article Received on : 06/04/2026

Article Reviewed on: 08/04/2026

Article Published on : 15/04/2026

Cite this article as: - Dwivedi, A., & Batra, K. (2026). A Review On Shatkriyakala (Disease Progression) In Veiw Of Surgical

Disease Management. International Journal of Diagnostics And Research, 3(3), 75–82. https://doi.org/10.5281/zenodo.19597515

Abstract

Introduction- Shatkriyakala is a fundamental Ayurvedic concept describing the sequential stages of disease development

arising from doshic imbalance. It enables early detection of pathological changes before clinical manifestation and supports

preventive and stage-wise therapeutic intervention. With the increasing burden of lifestyle and chronic disorders,

understanding this model is vital for effective and integrative disease management. Methods- A comprehensive literary

review was conducted using classical Ayurvedic texts including Sushruta Samhita and Ashtanga Hridaya. Relevant

references were critically analyzed to understand the concept, clinical relevance, and progressive nature of Shatkriyakala.

Correlations with contemporary medical concepts were explored. Four clinical conditions— Hemorrhoids (Arsha), Fistula-

in-Ano (Bhagandara), Appendicitis (Undukpuch shoth), and Cholecystitis (Pittashaya Shoth)—were reviewed for stage-

wise clinical implications. Results- The six stages—Sanchaya, Prakopa, Prasara, Sthanasamsraya, Vyakti, and Bheda—

demonstrated a systematic progression from subtle doshic imbalance to established disease and complications. Early stages

were largely reversible through dietary regulation, lifestyle modification, and preventive therapy, whereas advanced stages

required pharmacological intervention, Panchakarma, or surgical treatment. Stage-wise clinical application revealed that

early Arsha responded to conservative therapy while advanced cases required hemorrhoidectomy; Bhagandara progressed

from abscess to tract formation requiring drainage and definitive surgery; Appendicitis evolved from early inflammation to

perforation necessitating emergency surgery; and Cholecystitis progressed from biliary colic to suppuration requiring

cholecystectomy. Strong parallels were observed with modern concepts such as inflammation, localization, abscess

formation, and chronic disease progression. Discussion and Conclusion- Shatkriyakala provides a structured and clinically

applicable model for understanding disease pathogenesis. Its stage-wise approach facilitates early diagnosis, personalized

treatment, and prevention of complications. Integration of this framework into clinical practice strengthens Ayurveda’s

preventive philosophy and supports the development of integrative diagnostic and therapeutic strategies. Further research is

needed to standardize its diagnostic application for broader clinical use.

Keywords- Shatkriyakala, Six staged disease progression, Appendicitis, Haemmorrhoids, Arsha, Fistula-in-Ano,

Bhagandara, Undukpuch shoth,Cholecystitis ,Pittashaya Shoth

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disease expression and complications. The clinical

significance of this concept lies in its ability to

guide stage-wise management, enabling preventive,

Introduction :

Shatkriyakala is a fundamental Ayurvedic concept

described by Acharya Sushruta that explains the six

sequential stages of disease development from

initial doshic imbalance to complete clinical

manifestation and complications.^[1]The term

denotes both the progression of disease and the

appropriate timing for therapeutic intervention,

curative,

and

surgical

interventions

implemented at appropriate phases of disease

evolution. ^[3]

Materials and Methods :

Literary Search - The references for this review

were collected from classical Ayurvedic texts,

mainly Sushruta Samhita and Ashtanga Hridaya.

thereby

pathogenesis (Samprapti).

Sanchaya(~Stage of

forming

the

basis

[2]

Ayurvedic

The six stages—

Accumulation),

1. In Sushruta Samhita, the term Kriyakala is

mentioned in two contexts. In the concept of

Chikitsa Chatushtaya, it refers to the

Prakopa(~Stage of Aggravation), Prasara(~Stage

of Spreading), Sthanasamsraya(~Stage of

Localization) , Vyakti(~Stage of Manifestation),

and Bheda(~Stage of Differentiation)—represent

the evolution of pathology from subtle functional

disturbance to structural disease and chronic

complications.

appropriate

timing

for

therapeutic

procedures such as Snehana, Shodhana, and

Shastrakarma. In Sutrasthana Adhyaya 21,

Acharya Sushruta describes Kriyakala as

the six stages of disease development,

In recent years, sedentary lifestyles, irregular

known

Shatkriyakala

(Vyadhi

dietary

habits,

environmental

pollution,

and

Kriyakala): Sanchaya, Prakopa, Prasara,

Sthanasamsraya, Vyakti, and Bheda. These

stages explain the sequential progression of

disease and guide stage-wise therapeutic

management. ^[4,5]

psychological stress have led to a significant rise in

chronic and lifestyle disorders. Failure to maintain

internal homeostasis is the primary contributor to

disease onset and progression, highlighting the

need for early diagnosis and preventive strategies.

2. In

Ashtanga

Sangraha

(Sutrasthana,

Unlike

symptom-based

approaches,

Ayurveda

Chapter 12), the concept of Ritu Kriyakala

describes three phases —Chaya (Stage of

accumulation of doshas), Kopa (Stage of

emphasizes early detection by identifying Dosha

imbalance before the development of overt disease.

The pathogenesis of Shatkriyakala begins with the

accumulation and aggravation of Doshas in their

normal sites, followed by systemic spread through

bodily channels and localization in susceptible

tissues, resulting in Dosha-Dushya Sammurchhana

(pathological combination).If timely intervention is

not undertaken, this process progresses to full

aggravation),

Pacification

and

Prashama

These

(Auto

stages

dosha).

represent seasonal variations in Dosha

status. Adoption of appropriate seasonal

regimen (Ritucharya) helps in maintaining

Dosha

balance

and

physiological

equilibrium. ^[6,7]

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According to Acharya Sushruta, the six phases of

dosha in the development of diseases are

1) Sanchaya

2. Prakopa (Stage of aggravation)

The second stage, Prakopa, or aggravation, occurs

when accumulated Doshas continue to increase due

to the persistence of causative factors. The Doshas

become provoked and begin to overflow within

their respective sites, leading to more pronounced

symptoms. In Vata Prakopa, the person may

experience abdominal pain and hyperperistalsis; in

Pitta Prakopa, sour eructations, excessive thirst,

and burning sensations are observed; while in

Kapha Prakopa, excessive salivation, nausea,

heaviness, and anorexia occur. Vagbhata mentions

that in this stage, the Doshas are ready to spread

throughout the body.

2) Prakopa

3) Prasara

4) Sthanasanshraya

5) Vyakti

6) Bheda

1. Sanchaya( Stage of accumulation)

The first stage, Sanchaya, marks the initial

accumulation of Doshas in their specific sites due

to various causative factors such as improper diet,

lifestyle, and environmental influences. During this

phase, Vata accumulates in Pakvashaya (large

intestine), Pitta in Grahani (small intestine), and

Kapha in Amashaya (stomach). The symptoms at

this stage are mild and include stabdhapoorna-

koshtata (abdominal stiffness and fullness) in Vata

Sanchaya, pittavabhasata (yellowish discoloration)

In modern terms, this stage indicates further

derangement of homeostasis and may correlate with

abnormal cell proliferation or increased DNA

mutations caused by oxidative stress.

3.Prasara (Stage of spreading)

and

mando

ushmata

(slight

rise

body

The third stage, Prasara, denotes the spreading of

the aggravated Doshas from their original sites to

other parts of the body through various srotas

(channels). This condition arises when the doshas

become aggravated and escape regulatory control,

subsequently spreading beyond their primary sites.

Vata Prasara produces atopa (bloating) and

regurgitation, Pitta Prasara leads to fever and

burning sensations, and Kapha Prasara manifests

as anorexia,heaviness, indigestion, fatigue, and

nausea. Classical texts compare this stage to milk

overflowing from a heated vessel.

temperature) in Pitta Sanchaya, and gaurava

(heaviness), alasya (sluggishness), and nausea in

Kapha Sanchaya. The individual may develop an

aversion to factors that aggravate the Dosha and a

liking for opposite qualities — Vata prefers warmth

and unctuousness, Pitta craves coolness and

sweetness, and Kapha tends toward fasting. As the

symptoms are minimal and the imbalance is

localized, this stage is important for preventive

care, as timely intervention may completely reverse

the pathology.

From a contemporary perspective, this stage may

correlate with early biochemical and oxidative

stress–related changes at the cellular level.

From modern perspective, this phase may be

correlated with cellular migration or systemic

inflammatory spread, where oxidative stress alters

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cell adhesion and promotes diffusion throughout

tissues.

In modern terms, This stage is comparable to the

acute or clinically apparent phase of disease

manifestation

modern

pathology,

where

4. Sthansanshraya (Stage of Localization)

diagnosis is confirmed based on clear clinical signs

and laboratory findings.

The fourth stage, Sthanasamsraya, involves the

localization of the aggravated Doshas in weak or

susceptible tissues (Dushya). Due to structural

defects or Srotodushti, the circulating Doshas settle

in specific organs, forming a Dosha-Dushya

Sammurchhana (pathological combination). This

6. Bheda (Stage of differentiation)

Finally, the sixth stage, Bheda, marks the

differentiation or complication stage of disease. If

left untreated, the illness progresses to chronicity,

leading to complications, degeneration, or even

fatal outcomes. At this stage, the disease can be

identified precisely by its Doshaja type, such as

Pittaja Atisara (diarrhea of Pitta origin). Prognosis

is generally poor, and conditions may become

irreversible or resistant to treatment. In modern

terms, this phase corresponds to advanced or

chronic disease states with structural and functional

deterioration, comparable to complications or

degenerative pathology. (Table-1)

localized

interaction

produces

Purvarupa

(prodromal symptoms) such as pain, heaviness, or

discomfort in the affected area, signaling the onset

of a disease. The nature of the emerging disorder

depends on the type of Dosha involved and the

tissue affected. Timely use of Rasayana therapy

and detoxifying measures at this stage can prevent

further progression. In modern terms, This stage

can be compared to the ―homing process‖ in

modern medicine, where abnormal cells or agents

localize

specific

tissues,

initiating early

Stage

Features

Surgical Role

Sanchaya

(Accumulation)

Prakopa

(Aggravation)

Prasara

(Spread)

Mild, vague, localized

symptoms

Symptoms more evident,

inflammation begins

Doshas/systemic spread,

abscess formation

Observation, Preventive care, No

surgery

Early medical/surgical intervention,

prevent progression

Minor surgical drainage, early

operative planning

pathological changes.

5. Vyakti (Stage of Manifestation )

The fifth stage, Vyakti, represents the full

manifestation of the disease. When the Dosha-

Dushya interaction intensifies,disease-specific signs

and symptoms (Rupa) become evident, enabling

diagnosis. This is the stage where the disease

expresses itself clearly with all its distinctive

features. For example, fever (Jwara), diarrhea

(Atisara), or inflammation (Shopha) become

evident. The symptoms can be divided into

Samanya Lakshanas (common symptoms due to

increased Dosha) and Pratyatma Lakshanas

(specific symptoms unique to that disease).

Sthanasamshraya

(Localization)

Vyakta

(Manifestation)

Bheda

Local pathology well-defined Plan definitive surgery

Disease fully expressed with

Targeted, condition-specific surgery

signs & symptoms

Complicated/advanced

disease

Radical or staged surgery, recurrence

prevention

(Complication/Chronic)

Table 1: Showing six stages of shatkriyakala(

Disease progression) ^[8]

Clinical application of Shatkriyakala (Disease

progression) in common surgical disease. :

Shatkriyakala highlights the importance of early

diagnosis and timely intervention, guiding the use

of preventive, medical, and surgical management at

appropriate stages. Thus, it serves as a practical

framework for stage-wise treatment planning and

the prevention of complications. The following

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Haemorrhoids (Arsha) ^[12,13]

Disease progression

Clinical Features

tables provide an overview of the application of

Shatkriyakala in four common surgical diseases,

correlating each stage with disease progression,

clinical features, and stage-wise management. This

demonstrates the transition from early reversible

pathology to advanced complications, along with

Stage

(Shatkriyakala)

Management

Predisposing factors such Heaviness, constipation, Nidana Parivarjana (avoid

as chronic constipation, mild discomfort; early causative factors), high-fiber

prolonged straining,

dosha chaya without

diet, hydration, bowel

regulation, lifestyle

correction.

sedentary lifestyle leading clear pathology.

to venous congestion in

hemorrhoidal plexus

Sanchaya

(Kapha-Vata imbalance

due to Viruddhadhyasan,

Vega Dharana, Ati Asana,

Striprasanga).

corresponding treatment preferences.

[9,10,11]

Increased venous pressure Straining during Shamana Chikitsa, bowel

with persistent congestion defecation, discomfort, regulation, stool softeners,

Appendicitis (Undukpuch shoth)

and early vascular

dilatation (Vata-Pitta

aggravation). Dosha

prakopa individually or in

combination.

occasional bleeding;

aggravated bowel

symptoms.

sitz bath; early medical

intervention.

Stage

(Shatkriyakala)

Prakopa

Prasara

Disease progression

Clinical Features

Management

Sluggish gut motility,

luminal stasis with mucus Vague abdominal

inspissation and lymphoid discomfort,mild

Dietary modification,

Langhan-Deepana-Pachana-

Anuloman,Nidanparivarjan.

Sanchaya

hyperplasia ( Kapha

accumulation)

anorexia

Progressive dilatation of

hemorrhoidal veins with

early pile formation and

mucosal irritation; doshas doshic spread.

spread via Dhamanis.

Itching, mild bleeding Conservative management—

per rectum, mucus

discharge; systemic

dietary measures, laxatives,

topical therapy; Shodhana

(purificatory measures) if

required.

Low fiber diet, refined

carbohydrate intake, and

irregular bowel habits

contribute to luminal

obstruction (fecolith,

stricture, tumor, or

parasites), resulting in

mucosal irritation and early

inflammation (Vata–Pitta

aggravation).‖

Mild abdominal pain,

bowel

irregularity,localized

mucosal edema and

congestion

Early intervention-Shamana

chikitsa, diet and lifestyle

correction

Prakopa

Localization in Gudavali Poorvarupa: anorexia, Dosha–Dushya targeted

(ano-rectal region) with emaciation, anemia, pain treatment; medical therapy,

formation of hemorrhoidal in anal region; later pain, local applications, and

masses due to tissue

weakness and vascular

engorgement (correlates

with Grade I–II

bleeding, intermittent

prolapse.

procedures like sclerotherapy.

Sthanasamshraya

Obstruction leads to

bacterial proliferation and

release of inflammatory

mediators, causing

increased intraluminal

pressure, edema, and

mucosal ulceration

facilitating bacterial

translocation into the

submucosa and peri-

appendiceal tissues, thereby

initiating an early

hemorrhoids).

Antimicrobial and anti-

Increasing pain, nausea, inflammatory drugs by

Fully manifested

hemorrhoids with

Prolapse, bleeding,

discomfort, mucus

discharge; distinct types hemorrhoidectomy depending

of Arsha with classical on grade; Vyadhi-specific

Kshara karma, rubber band

ligation, or

Prasara

low-grade fever

parental route,IV Fluids,

vitals monitoring.

significant prolapse and

vascular changes (Grade

II–III/IV). Clear disease

expression after Dosha–

Dushya Sammurchana.

Vyakti

Bheda

features.

chikitsa.

inflammatory cascade.

Localized appendiceal

inflammation-mucosal

Vague abdominal

Sthanasamshraya edema, compromised blood discomfort,tenderness, Antibiotics, IV Fluids.

Complicated

Severe pain, non-

Surgical hemorrhoidectomy,

flow, local irritation ( Ama mild fever,malaise

involvement)

Severe Right lower

hemorrhoids—thrombosis, reducible mass, profuse excision of thrombosed piles,

strangulation, ulceration, bleeding; complications emergency care;

irreducible prolapse;

chronic progression and

differentiation.

quadrant pain,

McBurney’s point tre

like Gulma, Plihodara Vyadhipratyanika chikitsa.

etc.

Established acute

appendicitis with clear

clinical manifestation

enderness, vomiting,

nausea with clinical

signs such as-muscle

guarding,rovsings

Appendectomy(lap/open)

with antibiotic coverage.

Vyakti

Bheda

sign,psos sign,obturator

sign,leukocytosis

Fistula-in-ano (Bhagandara) ^[13,14,15]

Complicated

appendicitis—

perforation,gangrene, per-

appendiceal abscess,

peritonitis,

Heamodynamically

unstable, Severe

systemic detoriating

Emergency surgical

intervention-Laparotomy

(emergency open

Stage

(Shatkriyakala)

Disease progression

Clinical Features

Management

signs and septic shock, appendectomy with peritoneal

guarding, rigidity lavage)

sepsis,mucocoele

Predisposing factors such Mild itching, perianal

as poor hygiene, chronic

constipation, and

cryptoglandular stasis

leading to micro-

inflammation in anal

glands (Kapha-Pitta

imbalance).

Hygiene maintenance, dietary

correction (high-fiber diet),

bowel regulation, Nidan

Parivarjan such as avoiding

long term sitting on hard

surfaces-sqatting posture.

discomfort.

Cholecystitis (Pittashaya Shoth) ^[9,10,11]

Disease Progression (Modern

Correlation)

Sanchaya

Stage (Shatkriyakala)

Clinical Features

Management

Biliary stasis with thickened

bile (sludge formation) due to Dyspepsia, heaviness

Low-fat diet, Deepana-

Pachana, Nidana Parivarjan,

Obstruction and infection Pain, mild swelling,

of anal glands with burning sensation,

bacterial proliferation discomfort during

causing early inflammation defecation.

(Vata-Pitta aggravation).

Pitta-kapha Shamana

Chikitsa, sitz bath, stool

softners, medicated oil basti

chikitsa, antibiotics (if

required).

Sanchaya

impaired gallbladder motility after fatty meals, mild Antacids, lifestyle

abdominal discomfort. modification (avoid heavy

meals)

and bile supersaturation

(Kapha-Pitta accumulation).

Prakopa

Prasara

Aggravation leading to

gallstone formation and/or

intermittent cystic duct

obstruction causing mucosal

irritation (Pitta-Kapha

aggravation).

Fat intolerance,

Spread of infection into

surrounding tissues

(intersphincteric space)

Severe throbbing pain, Antibiotics, anti-inflammatory

swelling, redness and

discomfort at perianal

bloating, mild right

hypochondriac

discomfort (biliary

colic).

Pitta-Kapha shamana, dietary

regulation, analgesics(except

opiods)observation.

medications, local

fomentation, incision and

drainage (I&D).

Prakopa

Prasara

leading to anorectal abscess region, fever.

formation.

Persistent obstruction leads to

inflammatory changes in

gallbladder wall with edema,

chemical inflammation, and

early infection.

Medical management—

analgesics(opiods are

contraindicated), anti-

inflammatory drugs,

antibiotics, monitoring.

Localization of abscess

(Guda Vidradhi) with pus erythema, localized

collection and tissue pain, possible

Tender swelling,

Incision and drainage, wound

care,kshar-application for

early sinus tract,

Increasing right upper

quadrant pain, nausea,

vomiting, low-grade

fever.

Sthanasamshraya

damage; early sinus tract discharge,difficulty in antibiotics,regular bowel

formation may begin.

sitting and defeacation. habits, monitoring for tract

formation.

Localization of inflammation

in gallbladder—acute

Sthanasamshraya cholecystitis with cystic duct

obstruction, gallbladder

distension, and wall thickening.

Right upper quadrant

Formation of a well-

defined fistulous tract

connecting anal canal to

perianal skin (post-abscess in perianal

stage).

Persistent pus discharge Ksharasutra therapy,

from external opening, fistulotomy/fistulectomy, or

recurrent pain,induration seton placement.

pain, positive Murphy’s Hospitalization, IV fluids,

sign, Boa’s sign, fever, antibiotics, supportive care.

vomiting.

Vyakti

region,swelling,itching.

Established acute cholecystitis Severe RUQ pain, fever,

Complex fistula with Chronic discharge,

multiple branching tracts, multiple openings,

Advanced surgical

management (fistulectomy,

advancement flap),

Ksharasutra in complex

cases, long-term follow-up.

with marked inflammation,

leukocytosis, guarding, Definitive management—

positive imaging laparoscopic cholecystectomy

confirmation (USG showing findings, jaundice, clay with antibiotics,ERCP,MRCP.

Vyakti

Bheda

leukocytosis, and imaging

recurrence, fibrosis, and

possible sphincter

induration, recurrent

abscess,

wall thickening, stones).

colored stool

involvement leading to

incontinence risk. Chronic

variants described by

acharya sushruta-

shatponak, paristravi,

upnaha,unmargi,etc

Bheda

Complicated cholecystitis—

gangrene, perforation,

empyema of gallbladder,

peritonitis,pancreatitis, sepsis.

Severe systemic illness, Emergency surgical

high fever, rigidity,

signs of sepsis.

intervention, drainage,

intensive care management.

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cholecystitis, haemorrhoids, and fistula-in-ano—by

Discussion :

correlating each stage with disease progression,

The concept of Shatkriyakala offers a stage-wise

clinical features, and management. The tabulated

representation clearly highlights that early stages

such as Sanchaya and Prakopa correspond to

subclinical or mild pathological changes, which are

largely reversible with dietary regulation, lifestyle

modification, and Shamana therapy.As the disease

progresses to Prasara and Sthanasamshraya,

framework for understanding disease progression,

closely

aligning

such

with

modern

pathological

infection,

principles

as inflammation,

localization, and complication. The sequential

transition from Dosha accumulation to systemic

spread and eventual localization shows similarities

with the evolution from functional disturbance to

structural pathology recognized in contemporary

science. The clinical correlations drawn in

pathological

inflammation, localization, and abscess formation

become evident, requiring active medical

processes

such

spread

conditions

haemorrhoids,

fistula-in-ano,

management and minor surgical interventions. In

appendicitis, and cholecystitis demonstrate that

early stages are largely reversible with preventive

and conservative management, while advanced

advanced stages like Vyakti and Bheda, where

structural

definitive

damage

surgical

and

complications

such

occur,

procedures

stages

needs

pharmacological

surgical

appendectomy

cholecystectomy,

intervention. This highlights the practical relevance

of Shatkriyakala in early diagnosis, timely

intervention, and prevention of disease progression.

Integrating Ayurvedic insights with modern surgical

understanding enhances clinical decision-making

and supports a more holistic, stage-based approach

hemorrhoidectomy, and fistula surgery become

necessary. Modern surgical literature also supports

this progressive pattern, where conditions like

appendicitis begin with luminal obstruction and

inflammation and may progress to perforation and

peritonitis if untreated. Similarly, cholecystitis

disease

management.

The

concept

progresses

from

gallstone

and

obstruction

Shatkriyakala provides a comprehensive and

dynamic framework for understanding disease

progression, closely paralleling the natural history

of disease described in modern medicine. The

sequential stages—from Dosha accumulation to

complication—demonstrate a logical transition

from functional disturbance to structural pathology,

comparable to processes such as inflammation,

inflammation,

infection,

complications

requiring surgical removal of the gallbladder. This

stage-wise correlation emphasizes that

Shatkriyakala is not merely a theoretical concept

but a clinically applicable model for decision-

making, enabling timely selection of preventive,

medical, or surgical treatment. It reinforces the

Ayurvedic principle of Samprapti Vighatana,

aiming to arrest disease progression before

infection,

abscess

formation,

and

chronic

degeneration.In the present review, its clinical

applicability has been demonstrated through four

irreversible

damage

occurs.Furthermore,

integrating Shatkriyakala with modern surgical

common

surgical

conditions—appendicitis,

Volume : 03 Issue : 03

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

Ayu Int Med Sci. 2024;9(4):155-158.

understanding enhances the scope of integrative

medicine, providing a holistic approach that

combines early diagnosis, individualized treatment,

and appropriate surgical intervention. Thus, this

concept holds significant potential in improving

clinical outcomes and reducing complications when

applied systematically in practice.

Available

From

https://jaims.in/jaims/article/view/3283

4. Susrutha Samhita by Kaviraj Ambikadutt

Shastri. Chapter 34. Chaukhambha Sanskrit

Prakashan Varanasi.

Conclusion :

5. Susrutha Samhita by Kaviraj Ambikadutt

Shatkriyakala serves as a valuable bridge between

classical Ayurvedic principles and modern clinical

practice by providing a systematic approach to

disease evolution and management. Its emphasis on

Shastri.

Chapter

page

90.

Chaukhambha Sanskrit Prakashan Varanasi.

6. Astang Sangraha by Ravidutt tripathi, Sutra

early

detection

and

stage-wise

intervention

Sthana

12thch,

Choukhambha

reinforces the importance of preventive healthcare

while also guiding appropriate medical and surgical

treatment in advanced stages. The correlations

established in this review underline its applicability

across a spectrum of diseases, demonstrating its

relevance in integrative medicine. Adapting this in

clinical practice can improve patient outcomes by

Publication Varanasi.

7. Vagbhat, Ashtanga Hridayam, Shastri HS,

Paradkar (editor), Choukhambha Sanskrit

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