[Sixty two permutations and combinations of samsarga and tridosha (I). Thirteen types of sannipata] There are 13 conditions of sannipata of dosha (combination of all three dosha), out of these, three conditions are with a dominance of two dosha (other one dosha comparatively less increased), three conditions are with dominance of only one dosha (others two dosha comparatively less increased), six conditions with diminished, moderate and dominant dosha, and one condition with equal aggravation of all three dosha
[(II). Nine types of samsarga] Samsarga means a combination of two provoked dosha and there are nine such combinations or samsargas. Of these, six samsargas have one dosha more provoked than the other. In the remaining three cases, both dosha are equally increased
[(III). Twenty-five conditions of kshina dosha] Similar to the combinations of increased dosha mentioned above, there are 25 conditions of kshina (decreased) dosha. [(IV). Twelve sannipata of normal, increased and decreased dosha] There is another form of sannipata where the dosha are present in normal, decreased or increased combinations, and such cases are of 12 types there.
Out of these, six conditions are where one dosha is increased, the second is normal and the third is decreased. In three types of combinations, two dosha are increased and the third decreased. Finally, there are three types of combinations where one dosha is increased and the other two are decreased.
[Twelve types of irregular (vishama) sannipata(combination of dosha) 1. Normal pitta, decreased kapha and increased vata sannipata] In a condition where kapha is decreased, vata that takes out normal pitta from its site and spreads it within the body.