Charaka Samhita, Vimanasthana 5.9
Amashayah sarvam vamoparitistham cha moola Annavaha Srotasam — The stomach and all structures on the left upper side are the root of the Annavaha channels. When these channels are obstructed, food is not properly transformed into Rasa; when they function in the wrong direction, vomiting occurs.

Classical documentation

Roots: Amashaya (stomach) and left side of the body (where the stomach sits)

Primary Dosha: Vata and Kapha — Samana Vata governs the digestive movement; Kledaka Kapha provides the gastric moisture

Classical conditions: Ajirna (indigestion), Anaha (abdominal distension), Chardi (vomiting), Atisara (diarrhoea), Grahani (malabsorption — the most complex Annavaha Srotas condition)

How these channels are impaired

Eating before the previous meal is digested (Vishamasana); eating incompatible foods (Viruddha Ahara); suppression of hunger; excessive eating; eating while distressed or distracted — all documented as producing Annavaha Srotas Dushti

Classical significance

The Annavaha Srotas corresponds to the gastrointestinal tract from mouth to stomach. The classical documentation of Grahani (malabsorption) as a primary Annavaha Srotas condition corresponds to modern small intestinal conditions including IBS, Crohn's disease, and small intestinal bacterial overgrowth — where the channel function of nutrient absorption is impaired.

Primary herbs for this Srotas
Ginger (Agni kindling), Bilva (Grahi — absorptive, for malabsorption), Chitraka (Deepana), Trikatu
The four types of Srotas impairment
Charaka Samhita documents four ways any Srotas can be impaired: Atipravritta (excessive flow — too much output); Sanga (obstruction — blockage stopping normal flow); Vimarga Gamana (flow in wrong direction — reflux, bleeding upward, etc.); Siragranthi (knotting/constriction — localised channel narrowing). These four apply to every Srotas — the specific disease produced depends on which channel is impaired and in which of these four ways.