Sanskrit Verse

सञ्चयं च प्रकोपं च प्रसरं स्थानसंश्रयम्। व्यक्तिं भेदं च यो वेत्ति दोषाणां स भवेद् भिषक्॥

— (Sushruta Samhita, Sutrasthana 21/36)

Explanation

These are the six stages of disease manifestation, which describe the full journey of Samprapti. They are: 1. Sanchaya (Accumulation of doshas), 2. Prakopa (Aggravation), 3. Prasara (Spreading), 4. Sthana Samshraya (Localization in a weak site), 5. Vyakti (Manifestation of clear symptoms), and 6. Bheda (Differentiation/Complications).

Clinical Importance

A skilled physician can identify a disease in its early stages (1-4) before it fully manifests, allowing for easier treatment and prevention. Treating a disease in the Sanchaya or Prakopa stage is much simpler than in the Vyakti or Bheda stage.