APPLIED ASPECTS OF SROTAS, KOSHTHA AND AGNI IN PANCHAKARMA

Background: Panchakarma is a comprehensive detoxification and therapeutic regimen in Ayurveda, aimed at eliminating Doshas and restoring physiological harmony. The efficacy of Panchakarma is significantly influ-enced by the functional state of Srotas (body channels), Koshtha (bowel constitution), and Agni (digestive and metabolic fire), which are foundational for diagnosis, Purva Karma, and therapeutic response. Objectives: To explore and analyse the applied significance of Srotas, Koshtha, and Agni in planning and executing effective Panchakarma therapies, and to understand their role in determining Dosha status, bio-cleansing suitability, and individualised treatment protocols. Materials and Methods: A qualitative analytical study was conducted based on classical Ayurvedic texts (e.g., Charaka Samhita, Ashtanga Hridaya, Sharngadhara Samhita) and modern clinical interpretations. Emphasis was laid on the roles of Srotoshuddhi, Koshthabheda (Mridu, Madhyama, Krura), and Agnibala (Vishama, Tikshna, Sama, Mandagni) during Purva Karma, Pradhana Karma, and Pash-chat Karma phases of Panchakarma. Results: The Srotoshuddhi ensures optimal bioavailability and clearance during Vamana, Virechana, and Basti. Understanding Koshtha aids in selecting appropriate drugs, determining the timing of procedures, and titrating doses. Agnibala influences the digestion of Sneha, tolerance to Shodhana drugs, and post-procedure recovery. Failure to assess these factors often leads to Ama, procedural complications, or incomplete Dosha expulsion. Conclusion: Clinical evaluation of Srotas, Koshtha, and Agni is crucial for cus-tomising Panchakarma protocols to achieve safe and effective therapeutic outcomes. Incorporating these as-sessments ensures procedural precision, enhances efficacy, and minimises adverse effects.