Skip to main Communities My dashboard Log in Sign up Published April 15, 2026 | Version v1 Journal article Open A Review On Shatkriyakala (Disease Progression) In Veiw Of Surgical Disease Management Authors/Creators Dwivedi, Amarprakash (Contact person) Batra, Khushbu (Researcher) Description 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 Files Files (504.2 kB) Name Size Download all 10.A Review On Shatkriyakala (Disease Progression) In Veiw Of Surgical Disease Management.docx md5:52c0517415742789ec0ad6b8c82bcdd5 504.2 kB Download 193 Views 142 Downloads Show more details All versions This version Views Total views 193 193 Downloads Total downloads 142 142 Data volume Total data volume 76.6 MB 76.6 MB More info on how stats are collected.... Versions External resources Indexed in OpenAIRE Communities Details DOI DOI Badge DOI 10.5281/zenodo.19597515 Markdown [](https://doi.org/10.5281/zenodo.19597515) reStructuredText .. image:: https://zenodo.org/badge/DOI/10.5281/zenodo.19597515.svg :target: https://doi.org/10.5281/zenodo.19597515 HTML <a href="https://doi.org/10.5281/zenodo.19597515"><img src="https://zenodo.org/badge/DOI/10.5281/zenodo.19597515.svg" alt="DOI"></a> Image URL https://zenodo.org/badge/DOI/10.5281/zenodo.19597515.svg Target URL https://doi.org/10.5281/zenodo.19597515 Resource type Journal article Publisher Zenodo Published in International Journal of Diagnostics And Research, 3(3), 75-82, ISSN: 2584-2757, 2026. Languages English Rights License Creative Commons Attribution 4.0 International The Creative Commons Attribution license allows re-distribution and re-use of a licensed work on the condition that the creator is appropriately credited. Read more Citation Export Technical metadata Created April 15, 2026 Modified April 15, 2026 Jump up About About Policies Infrastructure Principles Projects Roadmap Contact Blog Blog Support Help FAQ Developers REST API OAI-PMH Contribute GitHub Donate Funded by Powered by CERN Data Centre & InvenioRDM Status Privacy policy Cookie policy Terms of Use This site uses cookies. Find out more on how we use cookies Accept all cookies Accept only essential cookies