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Excessive use of cold/stale, irritant, hot, un-unctuous and dry food articles, diet with incompatible or unwholesome articles, indigestion, spoiled foods, irregular eating, imbibing spoiled and excessive wines, suppression of natural urges, fatigue, exercise in distorted postures, excessive sleep, carrying heavy loads, excessive wayfaring and excessive sex-activity are the etiological factors of internal abscess.  
 
Excessive use of cold/stale, irritant, hot, un-unctuous and dry food articles, diet with incompatible or unwholesome articles, indigestion, spoiled foods, irregular eating, imbibing spoiled and excessive wines, suppression of natural urges, fatigue, exercise in distorted postures, excessive sleep, carrying heavy loads, excessive wayfaring and excessive sex-activity are the etiological factors of internal abscess.  
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The ''dosha'' provoked by the above-mentioned factors, when it enters the flesh and  blood of the internal organs of the body, gives rise to deep-rooted nodule-like swellings with severe pain. It is a severe condition that occurs in the heart, pharynx (''kloma''), liver, spleen, stomach, kidney, navel, groin and bladder [91-94]
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The [[dosha]] provoked by the above-mentioned factors, when it enters the flesh and  blood of the internal organs of the body, gives rise to deep-rooted nodule-like swellings with severe pain. It is a severe condition that occurs in the heart, pharynx (''kloma''), liver, spleen, stomach, kidney, navel, groin and bladder [91-94]
 
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==== Etymology of ''vidradhi'' ====
 
==== Etymology of ''vidradhi'' ====
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Excessively provoked ''rakta'' causes quick softening and formation of pus. Owing to its quickly suppurating (''vidahi'') characteristic, it is called ''vidradhi'' [95]
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Excessively provoked [[rakta]] causes quick softening and formation of pus. Owing to its quickly suppurating (''vidahi'') characteristic, it is called ''vidradhi'' [95]
    
==== Three types of ''vidradhi'' ====
 
==== Three types of ''vidradhi'' ====
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All types of abscesses are very painful. Besides pain, the following symptoms may occur depending upon the ''dosha''.
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All types of abscesses are very painful. Besides pain, the following symptoms may occur depending upon the [[dosha]].
#''Vātaja vidradhi'': A ''vata'' type of an abscess is marked by a sensation of piercing or cutting pain. It can spread all over the body and exhibits various other symptoms such as giddiness, distension of abdomen, gurgling sound and throbbing.
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#[[Vata]]ja vidradhi: A [[vata]] type of an abscess is marked by a sensation of piercing or cutting pain. It can spread all over the body and exhibits various other symptoms such as giddiness, distension of abdomen, gurgling sound and throbbing.
#''Pittaja vidradhi'': Thirst, burning pain, stupefaction, intoxication and fever are the symptoms of ''pittaja vidradhi''.
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#[[Pitta]]ja vidradhi: Thirst, burning pain, stupefaction, intoxication and fever are the symptoms of [[pitta]]ja vidradhi.
#''Kaphaja vidradhi'': Yawning, retching, anorexia, rigidity and chills are the symptoms of ''kapha'' type of ''vidradhi'' [96-97]
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#[[Kapha]]ja vidradhi: Yawning, retching, anorexia, rigidity and chills are the symptoms of [[kapha]] type of vidradhi [96-97]
 
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==== Symptoms of ripened abscess ====
 
==== Symptoms of ripened abscess ====
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*In ''vata'' type of abscess, the discharge is thin, ununctuous, dusky-red and frothy.
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*In [[vata]] type of abscess, the discharge is thin, ununctuous, dusky-red and frothy.
*In ''pitta'' type of abscess, the discharge resembles decocted water of sesame, black-gram or horse-gram.
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*In [[pitta]] type of abscess, the discharge resembles decocted water of sesame, black-gram or horse-gram.
*In ''kapha'' type of abscess, the colour of the discharge is whitish, slimy, thick and profuse.  
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*In [[kapha]] type of abscess, the colour of the discharge is whitish, slimy, thick and profuse.  
*In ''sannipata'' type of ''vidradhi'' , a mix of symptoms of all the three ''dosha'' type can be found in the abscess [99-100]
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*In sannipata type of vidradhi , a mix of symptoms of all the three [[dosha]] type can be found in the abscess [99-100]
    
==== Symptoms of ''vidradhi'' according to organ involved ====
 
==== Symptoms of ''vidradhi'' according to organ involved ====
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The abscesses occurring in the heart, umbilicus and urinary bladder as well as of ''sannipātika'' type, if suppurated,  have bad prognosis and may lead to death. Remaining types of abscess ,if treated immediately by an expert physician, are curable.  
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The abscesses occurring in the heart, umbilicus and urinary bladder as well as of ''sannipātika'' type, if suppurated,  have bad prognosis and may lead to death. The remaining types of abscess, if treated immediately by an expert physician, are curable.  
    
Therefore immediately on appearance of the internal abscess, it should be managed promptly with effective measures that can act quickly, else it may harm just like an injury caused by a weapon, bite by a snake and burning by lightening or fire. These abscesses may be managed by oleation and purgation therapies as well as all the measures of ''gulma'' [103]
 
Therefore immediately on appearance of the internal abscess, it should be managed promptly with effective measures that can act quickly, else it may harm just like an injury caused by a weapon, bite by a snake and burning by lightening or fire. These abscesses may be managed by oleation and purgation therapies as well as all the measures of ''gulma'' [103]
 
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=== Possibility of ''Pidika'' without prameha ===
 
=== Possibility of ''Pidika'' without prameha ===
 
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