Ayurveda emphasizes the importance of Srotas—subtle channels responsible for transporting biological substances—as foundational to maintaining physiological balance and health. Within this framework, Artavavaha Srotas and Mutravaha Srotas are fundamentally responsible for the functioning of the female reproductive and urinary systems, respectively. Artavavaha Srotas, originating from the Garbhashaya and Artavavaha Dhamanis, regulate menstruation, ovulation, and reproductive potential, and their vitiation manifests as infertility, menstrual irregularities, and gynecological disorders. Mutravaha Srotas, beginning from the Basti and Medhra, govern urine formation, conduction, and elimination, with disorders presenting as urinary retention, Prameha, and urinary calculi. Modern anatomical correlations identify these channels with the uterus, ovaries, fallopian tubes, kidneys, ureters, bladder, and urethra, highlighting a clear structure-function relationship. Comparative analysis reveals convergence between Ayurvedic principles—Moola, Marga, and Mukha—and contemporary understanding of organ origin, course, and outlets. This integrative perspective facilitates a holistic approach to diagnosis, prevention, and therapeutics, combining classical wisdom with modern medical insights. Understanding these channels enhances clinical decision-making in gynecology and urology, promotes preventive healthcare, and underscores the relevance of Srotas in contemporary integrative medicine.
Gautam et al. (2025) studied this question.