KOSHTA: A CRITICAL REVIEW OF ITS CLINICAL SIGNIFICANCE

Vd. Pooja Gadle* and Vd. Vijay Potkule

ABSTRACT

In Ayurveda, Koshtha is a distinctive concept that refers to the cavity or space within the body, particularly relating to the digestive system. The term "Koshtha" denotes the nature of the alimentary tract, encompassing the motility of the intestines and the movement of food and fecal matter through the digestive canal, ultimately facilitating the elimination of waste. Based on the predominance of the Doshas or individual Prakruti (constitution), Koshtha is generally classified into three types: Krura (hard), Mridu (soft), and Madhya (moderate), reflecting the dominance of Vata, Pitta, and Kapha Doshas, respectively. Koshtha is integral to the concept of Abhyantara Rogamarga (internal disease pathways). Koshtha Pariksha (examination of the digestive system) provides valuable insights into the consistency, moisture, and overall quality of bowel habits. This assessment is crucial for accurate diagnosis and effective treatment of various ailments. Furthermore, Koshtha Pariksha aids in selecting appropriate Aushadhi (medicinal formulations) and determining their optimal dosages. It also plays a significant role in advising patients on Pathya-Apathya (wholesome and unwholesome practices) and Aahara-Vihara (dietary and lifestyle choices), thus promoting holistic health.

Keywords: Tridosha, Koshtha, Koshtha Pariksha, Virechana Dravya.