Koshta (कोष्ठ)

Koshta refers to the nature of the bowel movements, which is a key indicator of one's digestive health and doshic predom.

Ayurvedic Principles (Siddhanta Kosha) 1 min read
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Sanskrit Verse

क्रूरो मृदुर्मध्यमश्च कोष्ठः।

— (Ashtanga Hrudayam, Sutrasthana 1/8 - context)

Explanation

Koshta refers to the nature of the bowel movements, which is a key indicator of one’s digestive health and doshic predominance. It is classified into three types: 1. Krura Koshta (Hard/constipated bowels, typical of Vata), 2. Mridu Koshta (Soft/loose bowels, typical of Pitta), and 3. Madhyama Koshta (Normal/regular bowels, typical of Kapha and a balanced state).

Clinical Importance

Assessing a patient’s Koshta is essential before administering any purgative therapy (Virechana) or laxative herbs. The dosage and type of herb must be adjusted based on the patient’s natural bowel tendency to avoid under- or over-dosing.