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Abstract
"Srotamayam hi Shariram" signifies that the living body functions as a network of countless channels,
serving as an internal transport system for various purposes. In Ayurveda, the concept of Srotas-the
intricate network of channels through which vital substances such as Dosha, Dhatu, Upadhatu, & Mala
circulate in the body from one place to another is fundamental to health. Healthy Srotas perform their
normal functions, the outcome is the body will be free from diseases and unhealthy Srotas will become
the root cause for the development of the disease process. Improper food and dietetics and improper
regimen and erratic behaviour which are not conducive to the body, can result in the imbalance of Doshas
and Dushyas. Srotas possess the Khavaigunya quality, allowing for the accumulation of vitiated Dosha
and Dushya. Consequently, these Dosha and Dushya become lodged there, leading to the occurrence of
Dosha-Dushya Samurchhana. This entire process is known as Srotadusti, which triggers the manifestation
of disease. Mainly Srotadusti are of 4 types i.e Atipravritti (Increased activity/flow), Sang (Obstruction),
Siragranthi (Reduction of the lumen of the system) & Vimarggaman (Opposite direction flow)
1
. A
thorough understanding of Srotodushti and its role in developing specific diseases is essential for effective
holistic treatment of diseases.
Keywords : Srotas, Srotadusti, Khavaigunya, Doshadusya Samurchhana, Atipravritti, Sang, Siragranthi,
Vimargagamana.
P
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Reg. No. : MAHA-703/16(NAG)
Year of Establishment 2016
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH
Corresponding author: Dr. Sabita Pradhan
Article Info: Published on : 15/04/2025
Impact Factor : 1.013
Role Of Srotadusti In Disease Manifestation
Dr. Sabita Pradhan
1
, Dr. Sarita Mohanta
2
1
PG Scholar, Department of Roga Nidan Evam Vikriti Vigyan, Government Ayurvedic College & Hospital,
Balangir, Odisha
2
Prof. & HOD, Department of Roga Nidan Evam Vikriti Vigyan, Government Ayurvedic College & Hospital,
Balangir,Odisha
Cite this article as: - Dr. Sabita Pradhan (2025) ; Role Of Srotadusti In Disease Manifestation;Inter.J.Dignostics and Research
2 (3) 23-31, DOI : 1 0 . 5 2 8 1 / z e n o d o . 1 5 1 9 3 2 65
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Introduction:
Srotas are the fundamental components of the human
body and the approach to disease management relies
on the nature of the Srotodusti and the specific Srotas
involved in the progression of the illness. Identifying
these elements is essential for an ayurvedic physician
for effective treatment. Sravanat Srotansi means
Srotas are channels that help in the transportation of
various substances
[2]
. Poshya Dhatus like Rasa or
nutrient substances are supplied to different parts of
the body through the Srotas
[3]
. Srotas are those
channels which carry the Dhatus undergoing
transformation to the different destined region of
body
[4]
. According to Maharshi Sushruta Srotas are
defined as empty spaces spread to entire body which
originates from root space except Sira and Dhamani
[5]
,But Maharshi Charaka included Sira and Dhamani
in Srotas. Srotas are those in which Manas, Prana,
Anna, Jala, Dosha, Dhatu, Upadhatu, Dhatumala,
Mutra and Purisha are circulating. Srotas attain the
colour of the Dhatu in which they circulate. Once the
Srotas becomes abnormal due to different cause it will
result in abnormality in Dhatu and then disease
manifestation gets started. So, the process of
Srotodusti plays an important role in disease
formation.
Aim & Objectives :
A critical analysis of the existing literature
on Srotadusti.
To study the role of Srotadusti in disease
manifestation.
Material And Methods:
Concept Of Srotas: The term “Srotas” originates from
the Sanskrit root "Sru-gatau ksharane" with the suffix
Tasi” added to the Dhatu
[6]
. This has different
meanings - to exude, to ooze, to filter or to permeate.
Because of the function of Sravana, these are called as
Srotas. Sravanat srotamsi”refers to pathways where
Sravanam (flow or dripping) occurs, and Srotamsi are
the channels responsible for transporting Dhatu
(Asthayi or Poshya Dhatu, meaning unstable or
nourishing tissue elements). These Srotas are fine,
extensive, and far-reaching, similar to lotus stalks,
where Rasa (the nutrient fluid) circulates and
nourishes the cells and tissues
[7]
. In simpler terms,
Srotamsi are the intricate networks through which
nutrients flow to sustain and nourish the body.
Srotas Synonym:
Acharya Charak
[8]
has mentioned the synonyms of
Srotas are Srotansi, Sira, Dhamani, Rasayani,
Rasavahini, Nadi, Pantha, Marga, Shariracchidra,
Samvrit, Asamvrita, Sthana, Ashaya and Niketa.
Srotas Aakriti
[9]
:
Color: As per Acharya Charaka, the color of the
Srotas corresponds to that of the Dhatu
being transported through them.
Size: Srotas can be classified as Anu (microscopic) or
Sthula (macroscopic).
Shape: They can have various shapes, including Vritta
(cylindrical), Dirgha (long), and
Pratana (reticulated).
Types: As per Sushruta: Bahya-males-9, Females-12,
Abhyantara-11 pairs As per Charaka: Bahya-9,
Females-12, Abhyantara-13 functions of Srotas:
1. Development Interconnection: No bodily structure
can grow or deteriorate without the involvement of
Srotas, which facilitate the transport of Dhatus .
2. Health Foundation: The proper functioning of
Srotas is essential for overall health and disease
management.
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3. Waste Management: Srotas play a key role in
transporting both nourishing Dhatu and waste
products (Mala Dhatu), ensuring efficient material
exchange.
4. Essential for Well-being: Healthy Srotas are crucial
for the body's normal functioning and the
sustenance of Sthayi Dhatu.
5. Targeted Nutrient Supply: Each Srotas delivers
nutrients specifically to its related Dhatu in
appropriate quantities.
6. Specific Functions: Srotas have distinct roles in
the body, serving purposes beyond being simple
channels.
7. Dosha Regulation: Srotas contribute to the
aggravation (Prakopa) or reduction (Shamana) of
Dosha by managing their transport.
8. Crucial Interdependence: All Dosha, Dhatu, and
Mala depend on Srotas for their formation,
movement, and breakdown.
9. Metabolic Influence: They play a significant role in
regulating the metabolic state of tissues through
various pathways.
10. Internal Transport Mechanism : Srotas act as the
body’s internal transport system for critical
substances, including Dosha, Dhatu, Oja,
Agni,thoughts, and emotions.
Role Of Srotadusti In Disease Manifestation:
The Doshas (vitiated humors) become Prakupita
(aggravated or disturbed), leaving their natural sites
and moving through the Srotas (channels), which leads
to imbalances. The aggravated Doshas disturb the
Dhatus (tissues) present in both their own Sthana
(normal sites) and other Marga (pathways, i.e. Srotas ).
The Srotas become conduits through which these
Doshas spread their vitiating effects, affecting Dhatus
located in various parts of the body.The vitiated
Dhatus further vitiate the Srotas themselves. This
means that the channels, responsible for the
transportation and nourishment of Dhatus, become
dysfunctional leading to Srotadusti. Sroatadusti of one
Srotas leads to Dusti of others means multiple Srotas
are involved in the pathological process, not just one.
Each Srotas may suffer from conditions like
Atipravrutti (excess flow), Sanga (obstruction), or
Vimargagamana (misdirection), depending on the
nature of the Dosha disturbance.The vitiated Dhatus
(tissues) continue to damage other Dhatus through the
Srotas, creating a cycle of imbalance. Since each Dhatu
depends on the proper functioning of its respective
Srotas for nourishment, any disturbance leads to
systemic dysfunction and diseases. The Dushta Doshas
(vitiated Doshas) are the primary
Dushayitaras(corruptors) of all these channels and
tissues8. The Doshas, when vitiated, infiltrate the
Srotas and obstruct the natural flow, disturbing the
functioning of the body’s system. The vitiated Doshas
primarily disturb the Agni (digestive fire) within the
Srotas, leading to further Srotodushti (vitiation of the
channels) and impaired digestion and metabolism.
Therefore, when the Srotas and Agni are functioning
properly and the Doshas are balanced, one attains Ayus
(longevity) and Arogya (health). When the Srotas are
blocked or disturbed, it leads to disease and
dysfunction.
Nidan sevana: Ahara (diet) and Vihara (regimen) that
has the qualities similar to the Dosha and Karana that
are responsible for the abnormality of Dhatus are
considered to be Samanya Sroto Dushti Karana
[10]
.
In other words, the attributes of diet and lifestyles can
impact the equilibrium of the Doshas and lead to in
body’s tissues. For example, the consumption of curd
,milk , Madhura (sweet) substances, black grams are
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responsible for the vitiationof Kapha Dosha as they
possess qualities similar to Kapha Dosha like Guru
,Madhura, Snigdha Guna. Kapha Dosha and Mamsa
Dhatu will be aggravated if a person is going to sleep
immediately after eating. The factors which cause
Dosha and Dhatu Prakopana (Aggravation) also
causes vitiation of Srotas. By recognizing the Nidan
(causes) of Srotadusti, practitioners can identify
diseases in their early stages. This allows for timely
intervention and prevents the progression of the
disorder.
Kha-Vaigunya:
The term Kha-Vaigunya in Ayurveda refers to the
deficiency or impairment within the Srotas that arises
from specific Nidan Sevana. This impairment
represents a decline in the natural state of the Srotas
(Prakriti), which is crucial for the process of Samsraya
(the accumulation or consolidation) of the Doshas. In
simpler terms, the normal function of the Srotas get
impaired. This condition is necessary for the Doshas
Vata, Pitta, and Kapha to settle or accumulate in the
Srotas. When the aggravated Doshas (Vata, Pitta,
Kapha) circulate in the body, the site of their
accumulation due to Kha- vaigunya (Deficiency in the
cannels) becomes the location forthe accumulation of
Doshas and manifestation of Vyadhi (disease)
[11]
. This
can be correlated with 4
th
stage of Shadkriyakala i.e
Sthanasamshrayavastha.
Dosha-dushya samurcchana and vyadhi Utpatti:
During the Sthana Samshrayavastha (accumulation
phase), the initially aggravated Doshas come into
contact with the Dushyas (tissues), leading to the
contamination of the Dhatus (tissues of the body). This
crucial interaction, known as Dosha-Dushya
Samurchhana, plays a significant role in triggering
specific signs and symptoms, collectively referred to as
'
Purvarupa' (initial manifestations) of the disease. The
process of Dosha-Dushya Samurchhana forms the
foundation for the manifestation of any disease.
Samanya Srotadusti Lakshana:
04 type of Srotodusti are there:
Atipravritti (Increased Activity)
Sang (Obstruction)
Siragranthi (Reduction of the lumen of the
system)
Vimarga Gamana (Opposite Direction Flow)
1.
Atipravritti -Atipravritti as Atishayena pravritti. It
refers to the excessive secretion or flow of Dhatus
in the Srotas. When the vitiated Doshas cause an
abnormal increase in the flow it leads to various
diseases.
Examples
[12]
:
Pranvaha Srotas- Ati / Abhikshanna Shwasan
(Tachypnoea) e.g. Tamak Shwas (asthma)
Udakvaha Srotas-Ati Pravruddha Pipasa
(Polydipsia) e.g. Prameha (diabetes)
Annavaha Srotas-Ati Bhojan (Polyphasia)
e.g. diabetes & bulimia Ati Vaman (Excessive
Vomiting) e.g Visuchika and Cholera and
Gastroenteritis
Purishavaha Srotas -Ati (Bahu) Malapravrutti
(Increased stool frequency) e.g. Atisara
(diarrhea) and Pravahika (dysentry)
Mutravaha Srotas-Ati/Abhikshanna
Mutrapravrutti (Polyuria)e.g. Prameha
(diabetes)
Swedavaha Srotas- Ati Swedapravrutti
(Diaphoresis)e.g. Kushtha (skin disorders)
Rasavaha Srotas-Ati sroto Upalepan (Blood
vessel luminal coating)e.g. atherosclerosis.
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Raktavaha Srotas: Ati Raktapravrutti
e.g. Raktapitta (Coagulopathy), Asrukdar
(menorrhagia)
Mansavaha Srotas-Ati Mansa Vruddhi
e.g. Arbuda (Tumour)
Medovaha Srotas-Sphik, Stana, Udar
Ativruddhi (Enlargement of buttocks, breast
abdomen) e.g.Sthaulya (Obesity)
Asthivaha Srotas-Adhi asthi (Overgrowth of
bones), Adhi danta (extra tooth)
Majjavaha Srotas -Ati Netra Gaurav
(Ophthalmic Heaviness)
Shukravaha Srotas-Ati Strikamata (Excessive
sexual desire).
Ati Shukra Pravrutti (Excessive seminal
discharge)
Aartavvaha Srotas-Ati Aartav Pravrutti
(excessive menstruation)
Similarly, Atipravrutti of Doshas could also
be noticed like in the form of:
Vata Ati Pravrutti-e.g. Akshep, Gatra Sphuran
etc Pitta Ati Pravrutti-e.g. Pittaj Pandu,
Amlapitta Kapha Ati Pravrutti -e.g. Sthaulya
and Prameha
2.Sanga - It refers to the stasis of the Dhatus. Due
to this either there is absence of natural flow or
intermittent (Stokam Stokam) flow. When the
vitiated Doshas cause obstruction in the Srotas the
normal function of Srotas i.e Sravanam(flow) get
hampered. This is usually reflected in the Dhatus
which are flowing causing many diseases.
For e.g
[12]
-
Pranvaha Srotas-Ati Baddha Shwasan
(Obstructed breathing) e.g. Lung
consolidation, Lung tumour Chhinashwasa.
Annavaha Srotas-Bhojan Sanga (Stasis of
food) e.g. Duodenal stricture secondary to
peptic ulceration
Purishavaha Srotas -Purishsanga (Stasis of
stool) e.g. Malavshtambha
(Constipation),Upadravaj Malabaddhata
(Diabetic Gastroparesis), Baddhagudodara
(Intestinal obstruction)
Mutravaha Srotas -Mutrasanga (urinary
stasis)e.g. Asthila (Prostatic enlargement),
Ashmari (Calculus),Niruddhprakash
(urethral stricture)
Swedavaha Srotas-Swedavrodha (lack of
sweating) e.g. Jwara (fever)
Rasavaha Srotas -1. Hrudaye Rasa Sanga
(Heart congestion) e.g. Congestive Cardiac
Failure,2.Ati stroto Upalepanat
strotoavrodhat raswahinishu rasa sanga e.g.
Atherosclerosis/Coronary Artery Disease
Raktavaha Srotas-1. Yakrute Rakta Sanga
(Hepatic Congestion) 2. Yakrute Pitta Sanga
(Hepatic Cholestasis) e.g. Hepatocellular
jaundice, Extrahepatic obstruction
Shukravaha Srotas-Shukra Avisarga e.g.
Shukrashmari (spermolith) Aartavvaha
Srotas-Aartav Sanga
Similarly, Sanga of Doshas could be noticed due to
obstruction to their flow like:
Vata sanga- Vak sanga
Pitta sanga- Pittashmari
Kapha sanga -Kasa, Tamak shwasa
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3.Sira-granthi-It refers to the cystic formation in
various channels or to a condition where nodules or
lumps are formed within the Srotas due to vitiation
of Doshas and Dushyas circulating in the Srotas.
These causes the obstruction in the normal flow or
function of the Srotas causing diseases.
For e.g Raktaj Siragranthi Medoj Siragranthi
Granthi Arsha Arbuda
4.Vimarga-gamanam-Vimargagamana refers to
the flow of Dosha and Dushyas in different
pathways other than their natural pathways. It refers
to the reversal of the normal flow due to the
obstruction in the Srotas causing different
pathologies. For e.g
Pranvaha Srotas-1. Urdhwa Shwase
Urdhwa Shwasanam (Stertorus breathing)
2. Pransya Vilomatvam in Shwas Vyadhi
(Breathlessness)e.g. Lung consolidation,
Lung tumour, Lung congestion
Annavaha Srotas-1. Urdhwag Amlapitta
(Acid reflux)e.g. Gastro esophageal Reflux
Disease (GERD)2. Reversal of portal flow
to cause spleenomegaly e.g. Cirrhosis of
liver
Purisavaha Srotas -Fecal Material
Vomiting e.g. Purishsaj Udawarta
Baddhgudodara (Intestinal obstruction)
Mutravaha Srotas-Reversal of urinary flow
causing hydronephrosis.e.g. Asthila
(Prostatic enlargement), Ashmari
(Calculus),Niruddhaprakash (urethral
stricture)
Rasavaha Srotas -Reversal of blood flow in
heart failure to cause lung congestion e.g.
Congestive Cardiac Failure.
Raktavaha Srotas -Diffusion of bilirubin
into blood causing hyperbilirubinemia.
e.g. Intra or extra hepatic Obstructive
Jaundice
Similarly, Vimargagamana of Doshas could be
noticed due to obstruction to their flow like:
Vata Vimargagamana - Udavarta Pitta
Vimargagamana-Amlapitta
Kapha Vimargagmana - Kaphaj Shotha
Role of Mulasthana of Srotas:
Mulasthana as Prabhava Sthana means that is the
anatomical seat of the Srotas serves as the primary
site for the pathology of each Srotas. It is crucial in
understanding the disease process, as the
Mulasthana is intimately connected with
metabolism and the origin of pathological changes.
Srotas may disturb the functions of Srotomula in
due course of time sooner or later depending upon
the virulence of Srotodushti Karana and duration of
contact with Dushti Karana. For example, if the
person is presenting with the symptoms of cough
and breathlessness, we can assume the involvement
of Pranavaha Srotas. Indirectly, this implies that
there may be a possibility of involvement of
Hridaya or Mahasrotas in due course of time as
these are Srotomula of Pranavaha Srotas.
Srotaviddha Lakshana:
Viddha means being pierced,disturbed or injured.
Hence Srotaviddha means injury to the Srotas.
Acharya Sushrut mentioned Srota viddha lakshana
for specific Srotas. Acharya Vagbhatta
[13]
has
mentioned the Samanya Srota Viddha lakhshana
that are Bhrama (giddiness), Moha (altered state of
consciousness), Kampa (involuntary movements),
Pralapa (irrelevant speech), Adhmana (distension
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of the abdomen), Shula (pricking type of pain),
Aruchi (tastelessness), Trit (thirst), Chardi
(vomiting), Jwara (fever), Atirudhira Sruti (excess
bleeding from the injured region), Mutra Purisha
Rodha (obstruction of passage of urine and stools)
and Marana (death).In case of Srotaviddhha
condition the Vaidya has to treat the patient by
informing the poor prognosis of the situation and
treatment should be similar to Sadyo Vrana (acute
wound) after removing the foreign body.
Discussion:
In Ayurveda, Srotas are the vital channels
responsible for the transportation and regulation of
Dhatus, Doshas, and Malas. They play a crucial
role in maintaining the equilibrium of the body, as
no bodily function occurs independently of the
Srotas. The proper functioning of the Srotas
ensures the smooth flow of nutrients, waste
products, and other essential substances. Disruption
in the flow, known as Srotodusti, is a fundamental
cause of disease, highlighting the importance of
their health for the balance of Vata, Pitta, and
Kapha Doshas. When Doshas become Prakupita
(aggravated) and leave their normal locations, they
enter the Srotas, causing vitiation and disturbance
to the Dhatus and other Marga (pathways). This
leads to Srotodusti, which can manifest in various
forms such as Atipravritti (excessive flow), Sanga
(blockage), Siragranthi (nodule formation), and
Vimarga Gamana (misdirected flow). The
interaction between the vitiated Doshas and
vulnerable Dhatus is termed Dosha-Dushya
Samurchhana, leading to the development of
Vyadhi (disease). The concept of Kha-Vaigunya
(deficiency or impairment in the Srotas) plays a
pivotal role in disease manifestation. When there is a
weakness in the Srotas, aggravated Doshas
accumulate in these weakened areas, causing
Sthana Samshraya (settling of Doshas) and setting
the stage for Vyadhi Utpatti (disease onset). The
progression of disease through these stages
underscores the importance of identifying Nidana
(causes) early to prevent Dosha Prakopa
(aggravation) and further Srotodusti. In one disease
condition Dusti (vitiation) of multiple Srotas may
get involved. For example in respiratory disorders
like Shwasa, Pranavaha, Udakavaha, and
Annavaha Srotadusti cause the disease. In other
hand in a disease multiple Srotadusti types can
coexist, like in Tamak Shwasa (Asthma), Sanga
blocks the airways, Atipravritti increases mucus
production, Vimargagamana causes Kapha to enter
improper pathways and Siragranthi leads to airway
thickening or constriction. Furthermore, the
Mulasthana (primary site) of each Srotas is critical
in understanding the Samprapti (pathogenesis) of
diseases. The disturbance in the Mulasthana can
indicate the involvement of specific organs and
systems, guiding the treatment strategy. For
instance, in Pranavaha Srotas, symptoms such as
Shwasa (breathlessness) and Kasa (cough) suggest
the involvement of the Hridaya (heart) or
Mahasrotas (gastrointestinal tract). Therefore,
treatment in Ayurveda focuses on addressing both
the specific Srotas and the underlying Srotomula,
ensuring a holistic approach to restoring balance
and health. In one disease condition Dusti
(vitiation) of multiple Srotas may get involved.
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Conclusion:
In Ayurvedic understanding, the health of the
Srotas is fundamental to the proper functioning of
the body. The vitiation of Srotas, known as
Srotodusti, is a key factor in the manifestation of
Roga (disease). The complex interactions between
Doshas, Dhatus, and Srotas, especially during
Dosha-Dushya Samurchhana, form the basis for
disease development. Early identification of
Srotodusti and Kha-Vaigunya allows for timely
interventions to prevent disease progression.By
addressing the root causes and restoring the natural
flow within the Srotas , Ayurvedic treatment seeks
to balance the Doshas , maintain healthy Agni
(digestive fire), and ensure the proper nourishment
of Dhatus, ultimately leading to Ayus (longevity)
and Arogya (health). The emphasis on treating both
the channels and their anatomical seats ensures a
comprehensive approach to wellness and disease
prevention in Ayurveda.
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