# doṣakṣaya (दोषक्षय) > Canonical version of this page: https://nighantu.ageayurveda.com/lexicon/dosha-kshaya/ An Ayurvedic technical term, rendered into English in 6 different ways. The renderings do not agree, and the difference between them changes what the term is taken to mean. ## Identification | Field | Value | | --- | --- | | Transliteration | doṣakṣaya | | Devanagari | दोषक्षय | | Also written | doṣa-kṣaya, kṣaya, saṅkṣaya, kṣīṇa doṣa, dosha kshaya, dosha depletion | | Category, as gathered | dosha-dynamics | | Grouped under | Dosha and its subtypes | | Classical citations | 5 | | Citations checked | 2026-10-08 | ## How it is translated, and whether the translation holds Each rendering is given with the source that uses it. The assessment is ours. ### Diminution of vata WHO International Standard Terminologies on Ayurveda (2022) · ITA-5.2.1.9 (vātakṣayaḥ) · standard As with vṛddhi, WHO has no general doṣakṣaya entry; it appears only per-doṣa, and under 'Morbidity and diagnostic terms (disorders)', i.e. depletion is classified as a disorder. Reproduced unaltered and attributed from the WHO International Standard Terminologies on Ayurveda, which is what that licence permits, and deliberately absent from the downloadable dataset, which is CC BY 4.0. ### Diminution of pitta WHO International Standard Terminologies on Ayurveda (2022) · ITA-5.2.2.6 (pittakṣayaḥ) · standard Reproduced unaltered and attributed from the WHO International Standard Terminologies on Ayurveda, which is what that licence permits, and deliberately absent from the downloadable dataset, which is CC BY 4.0. ### Diminution of kapha WHO International Standard Terminologies on Ayurveda (2022) · ITA-5.2.3.5 (kaphakṣayaḥ) · standard Reproduced unaltered and attributed from the WHO International Standard Terminologies on Ayurveda, which is what that licence permits, and deliberately absent from the downloadable dataset, which is CC BY 4.0. ### Depletion of vata pattern (TM2) ICD-11 MMS v2026-01, Traditional Medicine Module 2 · SR14; also SR19 pitta, SR1E kapha · classification ICD-11 chooses 'depletion' where WHO chooses 'diminution' for the same Sanskrit. A direct rendering disagreement between two WHO-published instruments. Reproduced unaltered and attributed from WHO ICD-11, which is what that licence permits, and deliberately absent from the downloadable dataset, which is CC BY 4.0. ### loss / waste / deterioration Sushruta Samhita, tr. Bhishagratna (1907) · Sutrasthana XV · translation Bhishagratna alternates freely between 'loss', 'waste', 'deterioration' and 'degeneration' for kṣaya, without signalling that one Sanskrit term underlies them. ### deterioration or loss Charaka Samhita, tr. Kaviratna (1896-1913) · opening of Lesson XVII · translation Kaviratna's phrasing in Agniveśa's question at the head of Charaka Sutrasthana 17. ## The classical passages ### Charaka Samhita Sutrasthana 17:7, checked against the source > दशाष्टौ च क्षयाः सप्त पिडका माधुमेहिकाः| दोषाणां त्रिविधा चोक्ता गतिर्विस्तरतः शृणु||७|| / daśāṣṭau ca kṣayāḥ sapta piḍakā mādhumēhikāḥ| dōṣāṇāṁ trividhā cōktā gatirvistarataḥ śr̥ṇu||7|| tr. none quoted (Sanskrit mula only) · https://www.carakasamhitaonline.com/index.php/Kiyanta_Shiraseeya_Adhyaya Charaka announces eighteen kṣayas as a topic in its own right, alongside the three gatis of doṣa. Kṣaya is a named division of the doctrine, not an afterthought to vṛddhi. ### Charaka Samhita Sutrasthana 17:63, checked against the source > वातादीनां रसादीनां मलानामोजसस्तथा| क्षयास्तत्रानिलादीनामुक्तं सङ्क्षीणलक्षणम् ||६३|| / vātādīnāṁ rasādīnāṁ malānāmōjasastathā| kṣayāstatrānilādīnāmuktaṁ saṅkṣīṇalakṣaṇam ||63|| tr. none quoted (Sanskrit mula only) · https://www.carakasamhitaonline.com/index.php/Kiyanta_Shiraseeya_Adhyaya The eighteen kṣayas are distributed across doṣas, dhātus, malas and ojas, so 'kshaya' unqualified is ambiguous in the source text itself and must always be qualified. ### Charaka Samhita Sutrasthana 17:62, checked against the source > क्षीणा जहति लिङ्गं स्वं, समाः स्वं कर्म कुवेते||६२|| / kṣīṇā jahati liṅgaṁ svaṁ, samāḥ svaṁ karma kuvētē||62|| tr. none quoted (Sanskrit mula only) · https://www.carakasamhitaonline.com/index.php/Kiyanta_Shiraseeya_Adhyaya The diagnostic criterion for kṣaya: the depleted doṣa abandons its own signs. Kṣaya is recognised by absence of function, which is why it is systematically under-diagnosed relative to vṛddhi. (Site prints 'कुवेते' for 'कुर्वते'.) ### Sushruta Samhita Sutrasthana 15, checked against the source > The loss of the bodily Vayu (nerve-force) is followed by a state of languor, shortness of speech, uneasiness or absence of hilarity, and loss of consciousness. The loss of (Pitta) is marked by a dulness of complexion, diminution of the bodily heat and an impaired state of internal fire (digestive heat). The loss of phlegm (Kapha) is marked by dryness, a sensation of internal burning, a feeling of emptiness in the stomach and other cavities or chambers of the body, looseness of the joints (a feeling as if the joints were all broken), thirst, weakness, and insomnia. In such cases the medical treatment should consist of remedial agents which are capable of directly contributing to the growth or formation of the humour so lost or deteriorated. tr. Kaviraj Kunja Lal Bhishagratna · https://www.wisdomlib.org/hinduism/book/sushruta-samhita-volume-1-sutrasthana/d/doc122907.html The three kṣaya sign-lists and the treatment principle (supply what was lost) in lawfully quotable English. The single most useful passage for this term. ### Sushruta Samhita Sutrasthana 15, checked against the source > Such a loss or perceptible deterioration of any of them should be ascribed to the use of excessive cleansing or cathartic (Samshodhana) and pacifying (Samshamana) measures, or to a repression of the natural urgings of the body, or to a course of violent or overfatiguing physical exercise, or to amorous excesses, or to the use of unwholesome and unsuitable food, or to, grief, etc. tr. Kaviraj Kunja Lal Bhishagratna · https://www.wisdomlib.org/hinduism/book/sushruta-samhita-volume-1-sutrasthana/d/doc122907.html Bhishagratna's footnote 5 giving the causes of kṣaya, and naming overtreatment by śodhana and śamana first. Directly relevant to dosha-prashamana: excessive pacification is itself a cause of doṣa depletion. ## Not to be confused with - **dhātu-kṣaya.** Charaka Sutrasthana 17/63 lists kṣaya of doṣas, dhātus, malas and ojas together. Dhātu-kṣaya (tissue wasting) drives a different pathology, Charaka Nidana 4 uses it for one type of madhumeha, and is not interchangeable. - **ojaḥ-kṣaya.** Enumerated in the same eighteen but treated separately and prognostically worse; Sushruta Sutrasthana 15 says a patient who has lost consciousness through loss of ojas 'should be given up by a physician'. - **kṣaya / rājayakṣmā as a disease name.** Kṣaya standing alone commonly denotes phthisis/consumption in classical and colonial-era Indian medical writing. Another genuine homograph trap. - **praśamana.** Praśamana is the deliberate therapeutic reduction of an aggravated doṣa toward normal; kṣaya is depletion below normal. Sushruta's footnote makes excessive śamana a cause of kṣaya, so they are causally linked and conceptually opposite. - **śodhana-induced depletion.** Post-purification doṣa reduction is an expected therapeutic state, not a kṣaya diagnosis, unless it exceeds the target. - **vaiṣamya.** WHO ITA-5.2.1 doṣavaiṣamyam, 'Derangement of dosha', is the umbrella term covering both vṛddhi and kṣaya. ## Renderings that do not hold - deficiency. Borrows the nutritional-deficiency frame, which implies a measurable shortfall against a reference intake. No doṣa has a reference range. - low vata / low pitta. Laboratory register again, and it also invites the inference that raising the doṣa is straightforwardly good. - loss. Bhishagratna's rendering, and it overstates: kṣaya is diminution, not absence, and the texts describe it as recoverable. - consumption / wasting. Imports the disease kṣaya (phthisis). Correct for one homograph, wrong for this one. - imbalance. Collapses kṣaya with vṛddhi; the two have opposite treatments and opposite diagnostic criteria. ## Open questions Recorded rather than resolved. - The eighteen kṣayas are announced at Charaka Sutrasthana 17/7 but the full enumeration across verses 63-72 was only partly read; a complete list of which eighteen was not compiled here. - WHO ISTA and ICD-11 TM2 disagree ('Diminution' vs 'Depletion') for the same Sanskrit; whether either instrument documents the choice was not established. - The Devanagari compound दोषक्षय was not attested verbatim; क्षय and दोष were each verified (Cha.Su.17/7, 17/63). ## Citation Age Ayurveda Nighantu, "doṣakṣaya", https://nighantu.ageayurveda.com/lexicon/dosha-kshaya/, CC BY 4.0. Whole lexicon: https://nighantu.ageayurveda.com/lexicon.json and https://nighantu.ageayurveda.com/lexicon.csv. Educational reference only. A term entry explains what a word means and how it has been translated. Nothing here is advice.