At this stage the process of dosh-dushya-sammurchhana is completed and most of the sign and symptoms develop on the body by the help of which disease could be diagnosed. The sign & symptoms developed at this stage are called roopa of the disease
• The disease having taken long time to reach this final stage becomes chronic.
• Offers detailed understanding of the group of symptoms thereby making clear nature of disease.
• Might act as predisposing factors for the spread of other diseases.
Bheda (Stage of complications)– It is the sixth and final stage of Shat kriya kala in Ayurveda. This final phase is also known as the stage of complications. Bheda literally means differentiation. Stage five that is Vyakta confirms general diagnosis and the sixth stage confirms differential diagnosis. This phase offers a detailed understanding of the group of symptoms that have surfaced the fact that all the doubts regarding the nature of the disease are eliminated. This sixth stage is characterized by severe impairment of dhatu function, serious damage to the Srotas (the vessels within each dhatu) and the complications that involves related dhatus. The entire disease process can be aggravated by the toxic side effects of the drugs that are used to cure it. At this final stage, many of the diseases become a bit difficult to treat completely. Degenerative conditions and susceptibility to several infectious diseases do not develop overnight, it takes many years and the seeds of dysfunction occur as a result of inappropriate lifestyle and diet. Shat kriya kal or the six significant stages of disease formation in Ayurveda provides the knowledge of how illness originates and manifests step by step. Ayurveda uses these six stages to remove both the signs as well.