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Ayurveda is grounded in a metaphysics of the "five great elements"
(Devanāgarī: [महा] पञ्चभूत; earth, water, fire, air and ether)—all of which
compose the Universe, including the human body. Chyle or plasma
(called rasa dhatu), blood (rakta dhatu), flesh (mamsa dhatu), fat
(medha dhatu), bone (asthi dhatu), marrow (majja dhatu), and semen or
female reproductive tissue (shukra dhatu) are held to be the seven
primary constituent elements (Devanāgarī: सप्तधातु) of the body.
Ayurveda deals elaborately with measures of healthful living during the
entire span of life and its various phases. Ayurveda stresses a balance of
three elemental energies or humors: vata (air & space – "wind"), pitta
(fire & water – "bile") and kapha (water & earth – "phlegm"). According to
ayurveda, these three regulatory principles— Doshas (literally that which
deteriorates - Devanāgarī: त्रिदोष)—are important for health, because when
they are in balanced state, the body is healthy, and when imbalanced, the
body has diseases. Ayurveda holds that each human possesses a unique
combination of Doshas. In ayurveda, the human body perceives
attributes of experiences as 20 Guna (Devanāgarī: गुण, meaning qualities).
 Surgery and surgical instruments are employed. It is believed that
building a healthy metabolic system, attaining good digestion, and proper
excretion leads to vitality. Ayurveda also focuses on exercise, yoga,
meditation, and massage. Thus, body, mind, and
spirit/consciousness need to be addressed both individually and in unison
for health to ensue