REVIEW OF ASTHI KSHAYA IN RELATION TO ASTHI DHATU, VATA DOSHA AND BONE HEALTH
DOI:
https://doi.org/10.22159/prl.ijayush.v15i06%20(June).2124Keywords:
Asthi Kshaya, Asthi Dhatu, Vata Dosha, Bone Health, Osteoporosis, Bone Mineral DensityAbstract
Background: Asthi Kshaya is an important pathological condition described in Ayurveda, mainly related to depletion of Asthi Dhatu and aggravation of Vata Dosha. In classical view, Asthi Dhatu provides structural support, strength, stability and protection to the body. When Asthi Dhatu becomes depleted due to improper nutrition, disturbed Agni, excessive Vata Vardhaka Ahara Vihara, aging, excessive exercise, trauma or chronic disease, symptoms like bone pain, joint pain, weakness of teeth, hair and nails, dryness, cracking sensation and reduced body strength may appear. In modern view, similar conditions may be correlated with reduced bone mineral density, osteopenia, osteoporosis and poor skeletal health Material and Methods: This review was prepared by studying classical Ayurvedic concepts related to Asthi Dhatu, Dhatu Kshaya, Vata Dosha, Dhatvagni, Srotas and Samprapti. Modern literature related to bone remodelling, osteoporosis, osteopenia, bone mineral density, calcium, vitamin D and hormonal influence was also reviewed. The collected material was analyzed conceptually and presented in a structured review format. Discussion: The relation between Asthi Dhatu and Vata Dosha is very important because Vata is mainly located in Asthi. Due to Ashraya Ashrayi Bhava, aggravation of Vata may disturb Asthi Dhatu, leading to structural weakness, pain and degeneration. Conclusion: Asthi Kshaya can be understood as a condition of reduced bone strength and impaired skeletal nourishment. Early correction of diet, lifestyle, Agni, Vata Dosha and bone-supportive measures may help in maintaining better bone health.
References
Agnivesha. Charaka Samhita, Sutra Sthana, Dirghanjivitiya Adhyaya. In: Acharya YT, editor. Varanasi: Chaukhambha Surbharati Prakashan; 2013. p. 6.
Agnivesha. Charaka Samhita, Sutra Sthana, Tasyashitiya Adhyaya. In: Acharya YT, editor. Varanasi: Chaukhambha Surbharati Prakashan; 2013. p. 45.
Agnivesha. Charaka Samhita, Sutra Sthana, Maharoga Adhyaya. In: Acharya YT, editor. Varanasi: Chaukhambha Surbharati Prakashan; 2013. p. 113.
Agnivesha. Charaka Samhita, Sutra Sthana, Vividhashitapitiya Adhyaya. In: Acharya YT, editor. Varanasi: Chaukhambha Surbharati Prakashan; 2013. p. 179.
Agnivesha. Charaka Samhita, Chikitsa Sthana, Grahani Chikitsa Adhyaya. In: Acharya YT, editor. Varanasi: Chaukhambha Surbharati Prakashan; 2013. p. 517.
Agnivesha. Charaka Samhita, Sharira Sthana, Katidhapurushiya Sharira Adhyaya. In: Acharya YT, editor. Varanasi: Chaukhambha Surbharati Prakashan; 2013. p. 324.
Sushruta. Sushruta Samhita, Sutra Sthana, Doshadhatumalakshayavriddhi Vijnaniya Adhyaya. In: Acharya YT, Narayan Ram Acharya, editors. Varanasi: Chaukhambha Surbharati Prakashan; 2019. p. 68.
Sushruta. Sushruta Samhita, Sharira Sthana, Garbhavyakarana Sharira Adhyaya. In: Acharya YT, Narayan Ram Acharya, editors. Varanasi: Chaukhambha Surbharati Prakashan; 2019. p. 363.
Vagbhata. Ashtanga Hridaya, Sutra Sthana, Doshadivijnaniya Adhyaya. In: Paradakara HS, editor. Varanasi: Chaukhambha Surbharati Prakashan; 2020. p. 182.
Vagbhata. Ashtanga Hridaya, Sutra Sthana, Doshopakramaniya Adhyaya. In: Paradakara HS, editor. Varanasi: Chaukhambha Surbharati Prakashan; 2020. p. 224.
Vagbhata. Ashtanga Hridaya, Sharira Sthana, Angavibhaga Sharira Adhyaya. In: Paradakara HS, editor. Varanasi: Chaukhambha Surbharati Prakashan; 2020. p. 386.
Sharma PV. Dravyaguna Vijnana. Vol 1. Varanasi: Chaukhambha Bharati Academy; 2018. p. 112-118.
Sharma RK, Dash B. Charaka Samhita: Text with English Translation and Critical Exposition Based on Chakrapani Datta’s Ayurveda Dipika. Vol 1. Varanasi: Chowkhamba Sanskrit Series Office; 2021. p. 312-318.
Tortora GJ, Derrickson B. Principles of Anatomy and Physiology. 16th ed. Hoboken: John Wiley & Sons; 2021. p. 178-205.
Mescher AL. Junqueira’s Basic Histology: Text and Atlas. 16th ed. New York: McGraw Hill Education; 2021. p. 142-158.
Hall JE. Guyton and Hall Textbook of Medical Physiology. 14th ed. Philadelphia: Elsevier; 2021. p. 1005-1024.
Rowe P, Koller A, Sharma S. Physiology, Bone Remodeling. In: StatPearls [Internet]. Treasure Island: StatPearls Publishing; 2023 [cited 2026 Jun 2]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499863/
National Institute of Arthritis and Musculoskeletal and Skin Diseases. Bone Mineral Density Tests: What the Numbers Mean [Internet]. Bethesda: National Institutes of Health; 2022 [cited 2026 Jun 2]. Available from: https://www.niams.nih.gov/health-topics/bone-mineral-density-tests-what-numbers-mean
LeBoff MS, Greenspan SL, Insogna KL, Lewiecki EM, Saag KG, Singer AJ, et al. The clinician’s guide to prevention and treatment of osteoporosis. Osteoporos Int. 2022;33(10):2049-2102.
Eastell R, Rosen CJ, Black DM, Cheung AM, Murad MH, Shoback D. Pharmacological management of osteoporosis in postmenopausal women: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2019;104(5):1595-1622.

