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As mentioned earlier, the vitiated doshas move from the alimentary tract region (koshtha) to the periphery (shakha) i.e. raktadi dhatu and skin - due to several reasons such as excessive exercise, excessive heat, intake of unwholesome diet and regimen, and an excess pressure of fast-moving vata. These vitiated doshas stay in the peripheral regions in a dormant state and do not cause any disease till the season or environment is conducive for them to act. The doshas wait for other favorable provocative factors in the form of the region, season, etc. to cause diseases. [31-32]
 
As mentioned earlier, the vitiated doshas move from the alimentary tract region (koshtha) to the periphery (shakha) i.e. raktadi dhatu and skin - due to several reasons such as excessive exercise, excessive heat, intake of unwholesome diet and regimen, and an excess pressure of fast-moving vata. These vitiated doshas stay in the peripheral regions in a dormant state and do not cause any disease till the season or environment is conducive for them to act. The doshas wait for other favorable provocative factors in the form of the region, season, etc. to cause diseases. [31-32]
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==== Movement of dosha from shakha to koshtha ====
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==== Movement of ''dosha'' from ''shakha'' to ''koshtha'' ====
    
वृद्ध्या विष्यन्दनात् पाकात् स्रोतोमुखविशोधनात्|
 
वृद्ध्या विष्यन्दनात् पाकात् स्रोतोमुखविशोधनात्|

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