Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
Based on Ayurveda, there are three roga margas i.e. pathways through which a illness manifests. They’re referred to as Roga Margas. They’re – Bahya Roga Marga – exterior pathway, Madhyama Roga Marga – intermediate pathway and Abhyantara Roga Marga – inside pathway.
On this article, we are going to attempt to perceive ‘Bahya Roga Marga’.
That means of Bahya Roga Marga
– Bahya = exterior
– Roga = illness
– Marga = pathway / tract
Bahya Roga Margas are these which kind the exterior pathways for manifestation of ailments.
Ref – Ashtanga Hridaya Sutra Sthana, Chapter 12, Verses 44 ½ – 45 (A.Hr.Su.12/44b-45)
Bahya Roga Marga: The exterior pathway of ailments
शाखारक्तादयस्त्वक् च बाह्यरोगायनं हि तत्॥४४॥
तदाश्रया मषव्यङ्गगण्डालज्यर्बुदादयः।
बहिर्भागाश्च दुर्नामगुल्मशोफादयो गदाः॥४५॥
Bahya Roga Marga includes Shakha. Subsequently, these ailments are additionally referred to as as ‘Sakhagata Rogas’ i.e. ailments manifesting within the Sakhas.
Sakha means branches. In medical phrases we are able to contemplate it as ‘buildings within the periphery’ or within the outer a part of the physique. In Ayurveda language, Sakhas are the dhatus i.e. tissues of the physique. It’s outlined as ‘raktadayah twak cha’ i.e. blood and different tissues and pores and skin comprise Sakhas. Right here, twak or pores and skin represents ‘rasa dhatu’. So, the sakhas are –
– Twak – pores and skin (represents rasa dhatu),
– Rakta – blood
– Mamsa – muscular tissues
– Meda – fats
– Asthi – bones
– Majja – bone marrow and
– Shukra – semen / sperms
Are all dhatus current within the periphery or outer a part of the physique?
Technically no. However from Ayurveda perspective, all these tissues are current within the periphery i.e. outdoors the physique which covers the inner organs. We get doubts about shukra dhatu on this context. However Ayurveda has talked about ‘Sarva Shariragata Shukra’ which implies the shukra current all by the physique, which additionally makes it a part of sakha. Even amongst these dhatus, asthi i.e. bones are thought of amongst the Madhyama roga marga. Right here, solely the tip parts of the bones which contribute in direction of formation of bony joints ought to be thought of as Madhyama roga marga. The remainder of the bone counts in Sakha.
One other manner of understanding is from the attitude of Abhyantara Roga Marga. This pathway of ailments includes inside pathway and consists of the kostha – visceral organs. The periphery of those pathways can also be made up of or includes one or the opposite tissues. Because the tissues look like branching out of the koshta or forming the outer boundary of the identical, they’re referred to as as sakhas.
So, the bahya roga margas and sakhagata rogas are one and the identical and describe the exterior pathway of ailments.
Shakha Gati
Right here, we have to perceive another time period i.e. Sakha Gati, which implies motion of doshas into the sakhas. Gati is the motion of doshas. When the vitiated doshas transfer in bahya roga marga, they transfer into the sakhas i.e. tissues and have an effect on them. That is the mechanism earlier than the ailments are manifested within the sakhas or bahya roga marga. Thus, the doshas in sakha gati, transfer within the exterior pathways i.e. twak, rakta and different tissues and trigger ailments in that pathway.
Bahya Roga Margagata / Sakhagata Rogas
The ailments occurring within the bahya roga marga or Sakha are referred to as as ‘Bahya Roga Margagata Roga’ or ‘Sakhagata Roga’.
These are the ailments which happen within the tissues making up the Sakhas or Bahya Roga Marga i.e. from twak to shukra dhatu. In a manner, they’re the ailments manifesting in and expressed by one or the opposite tissues.
Some examples for ailments manifesting in bahya roga marga or sakha are –
– Masa – elevated mole
– Vyanga – melasma
– Ganda – goiter
– Alaji – pores and skin illness, boils
– Arbuda – tumor
– Durnama – piles / hemorrhoids
– Gulma – belly tumors
– Sopha – swelling and many others.
Different ailments might be thought of tissue-wise on this context
– Twak – Kustha – pores and skin ailments and many others.
– Rakta – blood – ailments of blood, anemia and many others.
– Mamsa – muscular tissues – Galaganda – goiter, Gandamala – lymphadenitis, Arsha – piles and many others.
– Meda – fats – medoroga – weight problems, ailments prompted as a consequence of disturbance in fats metabolism, prameha – diabetes and many others.
– Asthi – bones – bone issues
– Majja – bone marrow – bone marrow issues
– Shukra – semen, sperms, reproductive tissue – impotence, untimely ejaculation and many others.
Different ailments –
– Pidaka – eruptions, boils
– Charmakila – warts
– Adhimamsa – muscular sprouts or over-growth
– Mashaka – gum swelling od dysfunction
– Visarpa – exterior kinds of herpes
– Vidradhi – abscess
Essential factors to recollect about Bahya Roga Marga
Many of the buildings of Bahya Roga Marga i.e. Sakha, make up the outside of the physique, although they could even be current contained in the physique. The superficial tissues might be thought of as sakha and the inner tissues as a part of koshta or marma.
Seeing the ailments talked about within the context of bahya roga marga, it’s clear that almost all of them happen on the floor of the physique, superficial tissues, might be seen, felt and addressed with exterior therapies and measures.
Shakhas or tissues making the bahya roga marga are susceptible to exterior accidents.
Ailments occurring within the sakha or bahya roga marga are simple to diagnose since they’re seen.
Ailments of bahy roga marga carry a great and favorable prognosis, if recognized and addressed on the quickest and therefore simple to deal with.
Bahya Roga Marga is the seat of Dhatu Agni. That is answerable for formation of dhatus. This fireplace is influenced by the hearth within the stomach, the central-core jatharagni or kayagni. The ailments of kayagni might be mirrored by hypo or hyper functioning of those dhatu agnis which result in improve or lower of the tissues and their functioning respectively.
Constructions associated to the tissues making the bahya roga marga i.e. hairs, nails, and many others. and the ailments occurring therein (appendages of the physique) can be thought of as associated to bahya roga marga.
Extreme manufacturing of dhatu malas too shall be thought of as pathological manifestations of those pathways i.e. bahya roga marga.
Dhatu agni mandya i.e. hypo-functioning of the tissue hearth, is a crucial pathological occasion in ailments of bahya roga marga. Snehana – oleation and Swedana – sudation would be the greatest remedies which might be performed in these ailments. These measures will assist in digesting the ama within the tissues, kindle the dhatu agni, take away the tissue blocks and allow the motion of morbid doshas which had been localized within the tissues in direction of the kostha. From there, the doshas might be expelled by vamana or virechana. So far as shodhana is worried, vamana, virechana and raktamokshana are the most effective remedies for ailments of bahya roga marga. Vasti would be the greatest remedy for ailments localized in asthi, majja and shukra dhatus. Ksharakarma and Agnikarma are additionally ultimate remedies for sakhagata rogas and might be skillfully chosen as and when required.
