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<li style="font-weight: bold;">Deviated flow (vimarga gamana): <span style="font-weight: normal;">Diversion from natural passages e.g., movement of apana vata in udavarta, movement of food in the upward direction in vomiting (chhardi), abdominal diseases (udara roga), bleeding disorders (raktapitta), acute gastroenteritis (visuchika), fistula (bhagandara). </span></li></ol>
<li style="font-weight: bold;">Deviated flow (vimarga gamana): <span style="font-weight: normal;">Diversion from natural passages e.g., movement of apana vata in udavarta, movement of food in the upward direction in vomiting (chhardi), abdominal diseases (udara roga), bleeding disorders (raktapitta), acute gastroenteritis (visuchika), fistula (bhagandara). </span></li></ol>
== Clinical features of vitiation of each srotasa ==
<p style="text-align:justify;">Vitiation caused in the srotas will lead to manifestation as described below: [Cha. Sa [[Vimana Sthana]] 5/7]] and [Su. Sa. [[Sharira Sthana]] 9/12]] </p>
{| class="wikitable"
! S.no.
! Srotasa
! Clinical features
|-
| 1
| Pranavaha
| Painful, irregular breathing, breathing with abnormal lung sounds (atisrishtamatibadham kupitamalpamalpamabhikshana va Sashabadamshoolamuchchawantam), forward bending of body (vinamana ), syncope (moha), dizziness (bhrama), tremors (vepana) & (maranam) death
|-
| 2
| Udakavaha
| Dryness of tongue,palate, lips,throat,kloma (jihvataluosshthakanthamklomashosha) polydypsia (ati pravriddham Pipaasa), death(maranam)
|-
| 3
| Annavaha
| Anorexia (arochaka), indigestion avipaka), vomiting (chhardi), polydipsia (pipasa), blindness (andhya), flatulence (adhmana), pain in abdomen (shoola), death (maranam)
|-
| 4
| Rasavaha
| Anorexia (aruchi), lack of interest in the food (ashradha), tastelessness (asyavairasya), nausea (hrillasa), heaviness in body (gaurav), fatigue (tandra), Fever (jwara), anemia (pandu), darkness in front of the eyes (tama), malnutrition (krishangata), premature aging (palita), loss of libido (klaibya), death (maranam)
|-
| 5
| Raktavaha
| Skin disorder (twak vikara ), like melasma (vyanga), obstinate skin diseases (kushtha), ringwarm or tines (dadru), bleeding from different part of the body (raktapitta), Menorrhagia (asrigdara), anal & urogenital abscesses (gudamedrasyapaaka), jaundice (kamala), vitiligo (shvitra), fever (jwara), anemia (pandutva), conjunctivitis.
|-
| 6
| Mamsavaha
| Granuloma (adhimansa), tumour (arbuda), adenoids (galashaluka), elongated uvula (gala shundika), gangrene (pootimansa), goitre (galaganda), cervical lymphadenitis (gandamalaemasciation), aneurysm (mamsa shosha), death (maranam).
|-
| 7
| Medavaha
| Decreased life span (ayushohrasa), retarded movements/impaired body movements (Javoparodha), difficulty in sexual act (kricchra vyavayata), general debility (daurbalya), Bad odour of the body (daurgandhya) , excess sweating (swedabadha), excessive hunger (kshudhatimatra ), increased thirst, dryness (pipasatiyoga)
|-
| 8
| Asthivaha
| Bony overgrowths (adhiasthi), extra teeth (adhidanta), odontitis (dantabheda), bone pain, splitting pain in bones (asthibheda, asthi shulam), discoloration (vivarnata), deformities of hair, bones, nails, and pain in bones and teeth (keshalomanakhashmakshrudosha)
|-
| 9
| Majjavaha
| Pain in joints (parva ruka ) , confusion (bhrama), syncope (murchha), (arunshika), the interphalangeal joints appear big (Sthoola Mula of Parvas)
|-
| 10
| Shukravaha
| Loss of libido (Klaibya), lack of erection (aharshanama), no progeny (Na cha jayte garbha), progeny will be deformed & a short life span (alpaaayuvirupama), abortion (garbhapata), miscarriage (garbhashrava)
|-
| 11
| Mutravaha
| Polyuria (atisristham), scanty urination (atibaddhama), Obstructed urination (prakupitam), frequent urination (alpama alpama) viscous urination (bahalama), painful urination (sashoolam).
|-
| 12
| Purishvaha
| Difficulty in excretion of stool (kruchchrata), faeces getting expelled in small quantities (alpama alpama) sounds during defecation (sa shabdama), painful excretion of faeces (sa shoolam), diarrhoea (ati dravam), hard stool (atigrathitama), excess formation of faeces (atibahu).
|-
| 13
| Swedavaha
| Excessive (atiswedam) or no perspiration (aswedama), rougness (parushya) , horripilation (lomaharsha). excessive smoothness of skin ( atishlakshnata),
|-
| 14
| Artavavaha
| Infertility (vandhyata), dyspareunia (maithuna asahishnuta), amennorhea (artava nasha).
|-
|}
== Advanced diagnostic tools ==
<p style="text-align:justify;">Above stated clinical manifestation will be present if there is some kind of vitiation in the srotasa which can be diagnosed based on the features present alongwith several contemporary diagnostic tools that are described below: </p>
<ol style='text-align:justify;'><li>Pranvaha srotasa: spirometry, ECG (electrocardiography), sputum analysis, lung function test, etc. </li>
<li>Udakavaha srotasa: esophageal manometry, chest X-ray, ECG(electrocardiography) </li>
<li>Annavaha srotasa: endoscopy, USG(ultrasonography) (whole abdomen), </li>
<li>Rasavaha srotasa: anthropometry, </li>
<li>Raktavaha srotasa: complete blood count, peripheral blood smear, blood culture, etc. </li>
<li>Mamsavaha srotasa: EMG(electromyography), biopsy, USG-doppler, etc. </li>
<li>Medavaha srotasa: lipid profile, hormone profile (mainly pituitary hormones), etc. </li>
<li>Majjavaha srotasa: bone marrow biopsy and aspiration </li>
<li>Asthivaha srotasa: X-ray, CT-Scan, MRI, DEXA-Scan, etc </li>
<li>Shukravaha srotasa: semen analysis, hormone profile, etc </li>
<li>Mutravaha srotasa: urine-routine & microscopic, ultrasonography (Kidney Ureter Bladder), etc. </li>
<li>Purishavaha srotasa: stool culture, USG (ultrasonography of abdomen and pelvis), proctoscopy, colonoscopy, etc. </li>
<li>Swedavaha srotasa: sweat test </li>
<li>Artavavaha srotasa: USG ((ultrasonography of abdomen and pelvis)), hormone profile </li></ol>
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