CHIKITSA SUTRA AND MANAGEMENT OF ASTHI AND MAJJAVAHA SROTAS: AN AYURVEDIC PERSPECTIVES

According to the principles of Ayurveda, Majja Dhatu refers to a type of Dhatu that is found in the bones. When there is an increased level of Vata Dosha the degeneration of Majja Dhatu occurs, this is referred to as Asthi Kshaya. Clinical manifestations of Majja Kshaya may include the development of Asthi Saushirya and Asthi Daurbalya as well as many modern "diseases" associated with these disorders. The loss of bone tissue due to Asthi Kshaya occurs due to the lack of nutrients necessary to nourish the bones. The Chikitsa Sutra focuses on bringing the functions of Srota back to normal via a systematic treatment strategy. The first stage uses Panchakarma methods to open up blocked channels and cleanse them. The second stage involves using an individual's personal diet to restore balance to the channels through sweet and bitter foods for Majjavaha Srotas and oily foods for Asthivaha Srotas. The third stage uses medications and therapeutic treatment to manage the imbalances between the primary Doshas. This article discusses vitiation of Asthi and Majjavaha Srotas and their management through Ayurvedic perspectives.