Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa S, B.A.M.S
In response to Ayurveda, there are three roga margas i.e. pathways by 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’ll 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 type the exterior pathways for manifestation of illnesses.
Ref – Ashtanga Hridaya Sutra Sthana, Chapter 12, Verses 44 ½ – 45 (A.Hr.Su.12/44b-45)
Bahya Roga Marga: The exterior pathway of illnesses
शाखारक्तादयस्त्वक् च बाह्यरोगायनं हि तत्॥४४॥
तदाश्रया मषव्यङ्गगण्डालज्यर्बुदादयः।
बहिर्भागाश्च दुर्नामगुल्मशोफादयो गदाः॥४५॥
Bahya Roga Marga contains Shakha. Due to this fact, these illnesses are additionally referred to as as ‘Sakhagata Rogas’ i.e. illnesses 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 interior 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 element of sakha. Even amongst these dhatus, asthi i.e. bones are thought of amongst the Madhyama roga marga. Right here, solely the top 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 means of understanding is from the attitude of Abhyantara Roga Marga. This pathway of illnesses contains inside pathway and contains the kostha – visceral organs. The periphery of those pathways can be made up of or contains one or the opposite tissues. Because the tissues seem 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 illnesses.
Shakha Gati
Right here, we have to perceive yet one more 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 illnesses 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 illnesses in that pathway.
Bahya Roga Margagata / Sakhagata Rogas
The illnesses occurring within the bahya roga marga or Sakha are referred to as as ‘Bahya Roga Margagata Roga’ or ‘Sakhagata Roga’.
These are the illnesses which happen within the tissues making up the Sakhas or Bahya Roga Marga i.e. from twak to shukra dhatu. In a means, they’re the illnesses manifesting in and expressed by one or the opposite tissues.
Some examples for illnesses 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 – stomach tumors
– Sopha – swelling and so forth.
Different illnesses could be thought of tissue-wise on this context
– Twak – Kustha – pores and skin illnesses and so forth.
– Rakta – blood – illnesses of blood, anemia and so forth.
– Mamsa – muscular tissues – Galaganda – goiter, Gandamala – lymphadenitis, Arsha – piles and so forth.
– Meda – fats – medoroga – weight problems, illnesses brought on resulting from disturbance in fats metabolism, prameha – diabetes and so forth.
– Asthi – bones – bone issues
– Majja – bone marrow – bone marrow issues
– Shukra – semen, sperms, reproductive tissue – impotence, untimely ejaculation and so forth.
Different illnesses –
– Pidaka – eruptions, boils
– Charmakila – warts
– Adhimamsa – muscular sprouts or over-growth
– Mashaka – gum swelling od dysfunction
– Visarpa – exterior sorts of herpes
– Vidradhi – abscess
Vital 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 might even be current contained in the physique. The superficial tissues could be thought of as sakha and the interior tissues as a part of koshta or marma.
Seeing the illnesses talked about within the context of bahya roga marga, it’s clear that the majority of them happen on the floor of the physique, superficial tissues, could be seen, felt and addressed with exterior therapies and measures.
Shakhas or tissues making the bahya roga marga are vulnerable to exterior accidents.
Illnesses occurring within the sakha or bahya roga marga are straightforward to diagnose since they’re seen.
Illnesses of bahy roga marga carry a superb and favorable prognosis, if recognized and addressed on the quickest and therefore straightforward to deal with.
Bahya Roga Marga is the seat of Dhatu Agni. That is chargeable for formation of dhatus. This hearth is influenced by the hearth within the stomach, the central-core jatharagni or kayagni. The illnesses of kayagni could 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 so forth. and the illnesses occurring therein (appendages of the physique) will also 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 fireplace, is a crucial pathological occasion in illnesses of bahya roga marga. Snehana – oleation and Swedana – sudation would be the greatest therapies which could be accomplished in these illnesses. 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 could be expelled by vamana or virechana. So far as shodhana is worried, vamana, virechana and raktamokshana are the very best therapies for illnesses of bahya roga marga. Vasti would be the greatest remedy for illnesses localized in asthi, majja and shukra dhatus. Ksharakarma and Agnikarma are additionally excellent therapies for sakhagata rogas and could be skillfully chosen as and when required.
