Ayurveda — “the knowledge of life” — is India's traditional system of medicine, recorded in texts such as the
Charaka Samhita, Sushruta Samhita and Ashtanga Hridaya. It sees health as a balance of body,
mind and environment, and places great weight on daily routine, diet and prevention. This page explains the core ideas
used throughout our condition guides.
Five elements
Ayurveda holds that everything, including the body, is made of five elements (Pancha Mahabhuta): space
(akasha), air (vayu), fire (agni), water (jala) and earth (prithvi).
These are best understood as qualities rather than literal substances — space as openness, air as movement, fire as
transformation, water as cohesion and earth as structure. In the body they combine into three functional principles,
the doshas.
The three doshas
All three doshas are present in everyone and are necessary for life. Problems arise when one is increased or decreased out of balance.
When a dosha becomes excessive (vriddhi) or depleted (kshaya), Ayurveda considers that
disease can begin. Opposite qualities restore balance: warm, oily, grounding food and routine calm dry, light,
cold Vata; cooling foods and a calm mind settle hot, sharp Pitta; light, warm food and activity lighten
heavy Kapha. Each dosha also has five sub-types — for example Apana Vata, which governs downward
movement and elimination, and Bhrajaka Pitta, which governs skin colour.
Ayurveda describes plants, foods and people using the same qualities — hot or cold, heavy or light, dry or oily — which is how it matches remedies to imbalances.
Prakriti & vikriti
Prakriti is your constitution — the balance of doshas fixed at conception, shaping body type,
digestion, temperament and tendencies. Someone with a Vata-predominant constitution may be slim, quick and
prone to dryness and anxiety; Pitta, of medium build, focused, warm and prone to acidity and irritability;
Kapha, sturdy, calm and steady, and prone to weight gain and congestion. Most people are a combination.
Vikriti is your current state of imbalance, which Ayurvedic treatment aims to correct. Our
dosha checker gives an informal idea of your tendencies; it is not a diagnosis.
Agni & ama
Agni, the digestive and metabolic “fire”, is central to Ayurveda. Balanced agni digests food and
builds healthy tissues. Weak or irregular agni produces ama — a sticky, undigested residue that
Ayurveda considers the starting point of many diseases, recognised by a coated tongue, heaviness, poor appetite and
sluggishness. This is why so many Ayurvedic treatments begin with digestion: regular meals, warm cooked food,
appetising spices, and not eating before the previous meal is digested.
The seven dhatus
The body is described as seven tissues (dhatus), each nourished in turn by the one before it:
The seven dhatus and their approximate modern equivalents
Dhatu
Roughly corresponds to
Rasa
Plasma, lymph, nourishing fluid
Rakta
Blood
Mamsa
Muscle
Meda
Fat
Asthi
Bone
Majja
Marrow and nervous tissue
Shukra / Artava
Reproductive tissue
The refined essence of all seven is Ojas — vitality and resistance to disease — which stress, illness, grief and irregular living deplete.
Pillars of health
Ahara — food: fresh, seasonal, suited to your digestion, eaten at regular times and in moderate amounts.
Nidra — sleep: regular, sufficient sleep at night; daytime sleep is discouraged for most adults.
Brahmacharya — balanced conduct: moderation in the use of the senses and energy, including sexual activity.
Classical Ayurveda (Ashtanga Ayurveda) has eight branches:
Kayachikitsa — internal medicine
Kaumarabhritya — care of children, and traditionally of pregnancy and childbirth
Shalya Tantra — surgery
Shalakya Tantra — eye, ear, nose, throat and head
Bhuta Vidya — mental illness and conditions of unseen cause
Agada Tantra — toxicology
Rasayana — rejuvenation and healthy ageing
Vajikarana — sexual and reproductive health
Ayurveda & modern medicine
Many Ayurvedic lifestyle principles — regular sleep, fresh home-cooked food, moderation, daily activity, oral hygiene,
stress management — align well with modern evidence. Most Ayurvedic concepts, such as the doshas, are traditional
frameworks that have not been tested in the way modern science tests ideas, and research on specific Ayurvedic
treatments is still limited.
On NeedsDoctor, we present Ayurveda as a complement to, not a replacement for, modern medical care — especially for
serious illness, infections, emergencies, pregnancy and children. Please read our
medicine safety guide before starting Ayurvedic treatment.