10.4 Potential Causes of Ill-Health: Tapatraya, Kleshas & Anatraya

Key Takeaways

  • Tapatraya names three classes of affliction: Adhyatmika arising from oneself, Adhibhautika from other living beings, and Adhidaivika from cosmic or natural forces.
  • Adhyatmika divides further into Sharirika (bodily) and Manasika (mental) suffering, so the classification covers physical illness and psychological distress alike.
  • The three repetitions of Shantih in the closing mantra correspond to the three Tapas, which is why the closing chant and the pathology syllabus are the same topic.
  • The five Kleshas of PYS 2.3 are the yogic account of the root cause: Avidya is the field in which Asmita, Raga, Dvesha and Abhinivesha grow.
  • Anatraya is the classification of mental and emotional ill-health used alongside Tapatraya; Prajnaparadha - the failure of judgement in which one acts against what one knows - is the Ayurvedic term for the corresponding cause.
Last updated: August 2026

10.4 Potential Causes of Ill-Health: Tapatraya, Kleshas & Anatraya

Item 3.17 reads: "Potential causes of ill-health: Tapatrayas and Kleshas, Mental and Emotional ill Health: Anatrayas." It is asking for the tradition's aetiology — where suffering comes from — under three headings.


Tapatraya: the threefold affliction

Tapa means heat, burning, torment; traya means three. The Tapatraya classifies all suffering by its source, and the scheme is common to Samkhya, Vedanta and the Puranas — it opens the Samkhya Karika itself, which begins by asking how the threefold suffering may be ended.

TapaSourceContentExamples
AdhyatmikaFrom oneselfInternal to the body-mind complexSharirika: disease, injury, ageing, fatigue, organ dysfunction. Manasika: desire, anger, greed, fear, grief, envy, delusion
AdhibhautikaFrom other beingsCaused by other living creaturesHuman violence, exploitation, betrayal; animal attack; insect bite; infection by micro-organisms
AdhidaivikaFrom cosmic / natural forcesBeyond the control of any living agentEarthquake, flood, drought, lightning, extremes of heat and cold, epidemic, planetary influence

The subdivision that carries marks

Adhyatmika splits in twoSharirika (bodily) and Manasika (mental) — which means the scheme covers physical illness and psychological distress within a single category, rather than treating them as different kinds of thing. A candidate who can state this subdivision has demonstrated more than list-recall.

Why Shantih is chanted three times

Because there are three Tapas to be pacified. The closing invocation of every session is a request for peace from suffering arising from oneself, from other beings, and from cosmic forces. Section 4.6 covers the prayer; this section supplies its content. The connection is worth stating in a viva — it demonstrates that the syllabus has been read as a whole.

Which are amenable to yoga?

TapaYogic leverage
AdhyatmikaHigh. Directly addressed — asana and shatkarma for Sharirika, the whole psychological apparatus for Manasika
AdhibhautikaPartial. Conduct governed by the Yamas reduces the suffering one causes and, over time, some of what one attracts; the response to what remains can be trained
AdhidaivikaMinimal at the source. Nothing in yoga prevents an earthquake. What can be trained is the responseTitiksha, Samatvam, Dvandva-anabhighatah (PYS 2.48)

That honest gradation is the answer to the question "can yoga prevent all suffering?" The tradition's own answer is no: it can prevent much of one class, mitigate a second, and transform one's relation to the third.


The Kleshas: the yogic root cause

Where Tapatraya classifies suffering by source, the Kleshas explain its mechanism.

Avidya-asmita-raga-dvesha-abhiniveshah kleshah — PYS 2.3

KleshaDefinitionSutra
AvidyaTaking the impermanent for permanent, the impure for pure, the painful for pleasurable, the non-Self for the Self2.5
AsmitaIdentifying the power of seeing with the instrument of seeing2.6
RagaAttachment following upon pleasure2.7
DveshaAversion following upon pain2.8
AbhiniveshaClinging to life, flowing by its own force, present even in the learned2.9

PYS 2.4 makes the structural claim: Avidya kshetram uttaresham — Avidya is the field in which the other four grow. It is a field, not a first cause in a chain: the others are not caused by Avidya so much as they cannot exist without it.

The four operational states (PYS 2.4)

StateCondition
PrasuptaDormant — present as seed, awaiting conditions (as in a young child)
TanuAttenuated — thinned by Kriya Yoga; present but weak
VichchhinnaInterrupted — temporarily overridden by an opposing state (anger suspended while affection dominates)
UdaraFully active — operating in thought, speech and action

The clinical value of this scheme is that it explains relapse. A Klesha in the Tanu or Vichchhinna state has not gone; it is waiting. The practitioner who believes an attenuated Klesha is an eliminated one is precisely the practitioner it ambushes.

The pathway to disease

KleshasChitta-vikshepa (PYS 1.30) → Vikshepa-sahabhuva (1.31) → AdhiAdhija Vyadhi. Section 10.1 works the cascade through in detail.


Anatraya: mental and emotional ill-health

The syllabus's third heading covers the classification of mental and emotional ill-health specifically. Several classical frameworks answer to it, and a complete answer names more than one.

The Ayurvedic causes of mental disturbance

Ayurveda holds three general causes of all disease, and each has a mental form:

CauseMeaningMental form
PrajnaparadhaFailure of judgement — knowingly acting against what one knows to be rightThe primary cause of mental illness in Ayurveda: acting against one's own understanding
Asatmyendriyartha SamyogaUnwholesome contact of the senses with their objects — excessive, deficient or perverse useSensory overload, deprivation, or perverse sensory engagement
Parinama / KalaThe effect of time and seasonSeasonal and life-stage mood disturbance

Prajnaparadha is the concept worth learning properly, because it has no exact Western equivalent and is a strong viva answer. It names the specific failure in which knowledge is present but not acted on — the person who knows the practice helps and does not practise, who knows the food is harmful and eats it. Ayurveda treats this not as weakness but as the root disorder of the intellect, which is why the remedy is Satvavajaya — restraint of the mind — and Dhi-Dhriti-Smriti therapy: the restoration of intellect, retention and memory.

The mental doshas

Where the body has three doshas, the mind has two: Rajas and Tamas. Sattva is not a dosha — it is the healthy state. Mental disorder is therefore always excess Rajas (agitation, anxiety, mania) or excess Tamas (dullness, delusion, depression), or both.

The classical triggers

Ayurveda lists the emotional causes directly: Kama (desire), Krodha (anger), Lobha (greed), Moha (delusion), Mada (intoxication or pride), Matsarya (envy) — the Shadripu, six enemies — together with Shoka (grief), Bhaya (fear), Chinta (worry) and Irshya (jealousy).

The Gita's version of the same list is the three gates to hell at BG 16.21: Kama, Krodha, Lobha.

Bringing the frameworks together

FrameworkQuestion it answers
TapatrayaWhere does the suffering come from? — self, other beings, or nature
KleshasWhy does suffering arise at all? — Avidya and its four growths
Prajnaparadha / AnatrayaWhy do we act against our own good? — failure of judgement, unwholesome sensory contact, time
Adhi–VyadhiHow does mental disturbance become physical disease? — the Kosha cascade

A complete Level 3 answer on the causes of ill-health uses all four, and says which question each is answering.


Summary of Exam-Key Points

  • Tapatraya: Adhyatmika (from oneself; Sharirika + Manasika), Adhibhautika (from other beings), Adhidaivika (from cosmic forces).
  • Three Shantih = the three Tapas.
  • PYS 2.3 five Kleshas; PYS 2.4: Avidya kshetram uttaresham — Avidya is the field.
  • Four states: Prasupta, Tanu, Vichchhinna, Udara — which is why relapse happens.
  • Prajnaparadha = acting against one's own knowledge; the primary Ayurvedic cause of mental illness.
  • The mind has two doshas — Rajas and Tamas. Sattva is the healthy state, not a dosha.
  • Shadripu: Kama, Krodha, Lobha, Moha, Mada, Matsarya.
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Three frameworks for the causes of ill-health
Test Your Knowledge

Under the Tapatraya classification, into which category does an infectious illness fall?

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Test Your Knowledge

How does PYS 2.4 characterise the relationship between Avidya and the other four Kleshas?

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Test Your Knowledge

Why does the doctrine of the four states of the Kleshas explain relapse?

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Test Your Knowledge

What does Prajnaparadha mean in the Ayurvedic account of mental ill-health?

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Test Your Knowledge

How many doshas does Ayurveda recognise for the mind, and what is the status of Sattva?

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