Dhatus also have three states – sama (Balanced state), vrddhi and ksaya (same as doshas). Aggravated doshas weaken dhatus, so in the disease process dhatu ksaya signs are addressed. Only in few diseases vrddhi signs are mentioned.
Signs of Dhatu and Mala Ksaya and Vrddhi
Causes of Dhatu Ksaya
Ksaya means Depletion
Excessive exercise
Excessive fasting (e.g. anorexia, bulimia)
Worry
Grief
Excess heat
Insomnia
Excess diarrhea
Excessive diuretics
Causes of Dhatu Vrddhi
Vrddhi mean Increase
Blockage
Weak agni
Dhatu/Mala: Rasa
Ksaya (Depletion)
Dryness/dehydration of the body (rauksya)
Fatigue on even slight exertion (śrama)
Emaciation (śosa)
Lack of enthusiasm (glāni)
Intolerance to sound (śabdāsahatva)
Palpitation
Tightness in the chest and pain in the chest
Vrddhi (Increase)
Increased rasa shows signs and symptoms like the increase of kapha
Nausea
Excess salivation
Lymphatic congestion
Lack of taste sensation, anorexia
Lethargy
Swelling
Anemia
Candida, yeast infections
Leucorrhea, cystic ovaries
Dhatu/Mala: Rakta
Ksaya (Depletion)
Longing for cold and acidic (sour) food and drinks
Flabbiness of veins
Dryness and dehydration
Dizziness
Fainting
Weakness
Breathlessness
Darkness in front eyes
Cold hands and feet
Loss of complexion
Death
Vrddhi (Increase)
Erysipelas
Enlargement of spleen
Abscess
Skin diseases
A group of diseases affecting joints and skin such as rheumatoid arthritis, psoriatic arthritis, gout, and neurodermatitis
Bleeding diseases
Bleeding gums and gingivitis
Jaundice
Diseases of liver and spleen
Functional swellings in the abdomen, abdominal tumors
Black discoloration on the face
Red color of skin (Hyperemia)
Redness of eyes
Blood in urine
Weakness of physiological fire
Dhatu/Mala: Mamsa
Ksaya (Depletion)
Wasting of buttock muscles (gluteal muscles)
Wasting of cheek muscles
Weakness of sensory organs and reduction of their acuity
Pain in joints (arthralgia) and muscles
Loss of muscles on the body
Debility
Dry skin (Upadhātu of Māṃsa)
Vrddhi (Increase)
Goiter (enlargement of the thyroid gland)
Cervical lymphadenitis
Malignant tumor
Tumors, benign growth
Enlargement of the cheeks
Enlargement of thigh
Excessive muscularity of neck etc.
Diseases of palate, tongue, throat
Dhatu/Mala: Meda
Ksaya (Depletion)
Numbness in the lumbar region
Enlargement of spleen
Emaciation
Roughness in the body
Exhaustion
Thinness of abdomen
Vrddhi (Increase)
All the symptoms of an increase of Māṃsa
Diabetes, and clammy skin
Obesity
Excessive thirst & sweating
Protrusion and hanging of buttocks
Protrusion and hanging of breasts
Protrusion and hanging of abdomen
Fatigue even on slight exertion
Increase of the abdomen and flanks
Unctuousness of the body
Dhatu/Mala: Asthi
Ksaya (Depletion)
Pricking pain in the bones
Early falling of teeth
Falling of hair of the scalp
Falling of nails
Weak & brittle bones
Lack of stamina and fractures
Breaking of teeth and nails
Vrddhi (Increase)
Increased calcification of soft tissues
Increase protruded bones
Additional teeth
Bone tumors
Spurs
Dhatu/Mala: Majja
Ksaya (Depletion)
Emptiness and porosis of bones
Giddiness (dizziness/vertigo)
Blackouts (feeling of entering darkness)
Pain in joints
Weakness and lightness in bones
Vrddhi (Increase)
Feeling of the heaviness of the eyes
Feeling of heaviness to the body
Formation of large carbuncles in joint
Tumors of the nerves and brain
Swelling in joints
Dhatu/Mala: Sukra (Sperm)
Ksaya (Depletion)
Delay of ejaculation/ejaculation of blood
Pricking pain of the testes
Fuming or burning sensation of the penis
Impotence
Pain in scrotum
Exertion
Vrddhi (Increase)
Increased libido
Benign enlargement of prostate/Prostatic calculi (śukrāśmari)
Dhatu/Mala: Artava (Ovum)
Ksaya (Depletion)
Amenorrhea (absence of period)
Oligomenorrhea (less bleeding)
Menstrual cramps
Vrddhi (Increase)
Menorrhagia
Endometriosis
Dhatu/Mala: Mutra (Urine)
Ksaya (Depletion)
Reduction in urine
Painful urination
Discoloration of urine (due to over concentration)
Blood in urine
Vrddhi (Increase)
Pricking pain in the bladder
A feeling that urine is not voided even after voiding it
Excessive urination/diabetes
Dhatu/Mala: Purisa (feces)
Ksaya (Depletion)
Building up of gas in intestine
Pain in the epigastrium
Pain in flanks
Vrddhi (Increase)
Distention of abdomen
Gurgling sounds in the abdomen
Heaviness of abdomen
Pain in the abdomen
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