Abstract

RAKTAVAHA SROTAS AND THE AYURVEDIC UNDERSTANDING OF KAMALA: A PATHOPHYSIOLOGICAL PERSPECTIVE

Ritu Negi*, Dr. Apeksha Panwar and Dr. Kavya Kala

ABSTRACT

Introduction: In Ayurveda, Raktavaha Srotas, channels responsible for blood transport are rooted in the liver, spleen, and vasculature. Kamala (jaundice) is classified as a Raktavaha Srotodushti (channel pathology), yet its Ayurvedic Srotomula (root-channel) theory lacks clear biomedical correlation. Aim: To clarify the functional significance of the Raktavaha Srotas Mula in the pathogenesis of Kamala by mapping classical Ayurvedic concepts onto modern bilirubin metabolism and jaundice subtypes. Methods: A comparative review of classical texts (Acharya Charaka, Sushruta, and Vagbhaṭta) defined Kamala’s etiology, signs, and subtypes (Koshtashrita and Shakhashrita), and outlined Srotodushti categories (Atipravṛutti, Sanga, Vimarggamana, Shiragranthi). These descriptions were then aligned with contemporary understanding of haemolytic and obstructive jaundice, including bilirubin production, conjugation, and excretion. Results: 1. Raktavaha Srotasa Mula (liver, spleen, blood vessels) correspond to organs central to bilirubin homeostasis. 2. Koshthashrita Kamala parallels pre-hepatic (haemolytic) jaundice, excess bilirubin generation in spleen (Atipravṛutti) and impaired hepatic uptake (Vimarggamana). 3. Shakhashrita Kamala mirrors obstructive jaundice, biliary blockage (Sanga/Shiragranthi) leading to conjugated hyperbilirubinemia and acholic stools. Discussion and Conclusion: Classical Srotomula theory for Raktavaha Srotas aligns with modern pathophysiology of jaundice. These findings validate Ayurvedic channel-root concepts and underscore the need for interdisciplinary research to further integrate Srotas theory with contemporary hepatology.

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