Chhardi Chikitsa: Difference between revisions

|data6 = Murthy A.R.V., Jani D.

|data8  = Singh G., Goyal M., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]

<p style='text-align:justify;'>''Chhardi'' (vomiting), is a common gastrointestinal disorder characterized by bouts of vomiting, nausea, pain and black outs. The causative factors of ''chhardi'' can be categorized under dietary, lifestyle and psychological factors. Dietary factors include excessive ''upavasa'' (starvation), over intake of ''vidahi'' or ''snigdha-guru dravya'' (drugs which are very acrid, unctuous and heavy to digest), etc. Lifestyle aspects include excessive exercise, ''divasvapna'' (day sleep), etc. whereas the psychological stressors like excess worries, grief, anger, fear can precipitate it. ''Amashaya'' (stomach) and ''rasayani'' (channels) are the sites of origin of ''chhardi''. Vitiated [[dosha]] accumulate in ''amashaya'' and ''rasayani'' and are thrown out forcefully from the upper part of body causing ''pida'' (pain) to ''urdhva avayavas'' (organs situated above supraclavicular region). Comprehensive management includes avoidance of etiological factors with pharmacological treatment through medicament as well as non-pharmacological methods.  

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=== [[Vata]]ja chhardi   ===

In a person extremely emaciated because of excess exercise, chronic disease, excessive intake of ''tikshna'' (sharply acting) medicines (of high potency), and indulging in grief, fear, excess fasting, etc. [[vata]] gets excessively aggravated in the ''maha-srotas'' (gastrointestinal tract), vitiates the local [[dosha]] and pushes them upwards. These [[dosha]] cause agitation in the ''amashaya'' (stomach), and after afflicting the ''marma'' (vital organs-heart) gives rise to ''chhardi'' (vomiting). This [[vata]]ja type of vomiting is characterized by the following signs and symptoms:  

=== [[Pitta]]ja chhardi   ===

As a result of indigestion, taking pungent, sour, ''vidahi'' (which cause burning sensation) and hot potency food, the [[pitta]] in the stomach gets aggravated. This aggravated [[pitta]] spreads through the ''rasayani'' (channels) and stresses the vital organs located in the upper part of the body which results in vomiting:   

=== [[Kapha]]ja chhardi   ===

As a result of the intake of unctuous, excessively heavy to digest, ''ama'' (raw/uncooked) and ''vidahi'' (causing burning sensation) food and because of excessive sleep and similar other factors, [[kapha]] gets excessively aggravated. This [[kapha]] occludes the chest, head, vital organs and all the (concerned) channels to cause ''chhardi'' (vomiting). The signs and symptoms of this [[kapha]]ja type of ''chhardi'' are as follows:

=== Tri[[dosha]]ja chhardi   ===

When the morbid [[vata]] occludes the channels carrying feces, sweat, urine and body fluids and moves upwards, then the morbid matter from the [[koshtha]] (gastrointestinal tract), gets incited to cause vomiting, that has the following characteristics:

=== Treatment of [[vata]]ja chhardi   ===

=== Treatment of [[pitta]]ja chhardi   ===

=== Treatment of [[kapha]]ja chhardi   ===

==== [[Vata]]ja chhardi   ====   

==== [[Pitta]]ja chhardi   ====

==== [[Kapha]]ja chhardi   ====

*[[Langhana]] becomes the first line of treatment in ''chhardi'' as ''shamana chikitsa'' (pacificatory treatment). ''Samshodha'' can be preferred where [[dosha]] are in ''utklishtha'' stage and ready to be expelled out. [[Vamana]] is recommended when [[dosha]] are accumulated in ''amashaya'' or ''amashayottha'' (originating from stomach or upper gastro-intestinal tract). Whereas [[virechana]] is recommended in case of post-''amashayottha'' (in lower gastro-intestinal tract) accumulated [[dosha]], considering nearest route of ''samshodhana''. The choice of drugs should be done as per the [[dosha]]nashakatva(capacity to subside the vitiated [[dosha]]) ( verse 20).

*In [[vata]]ja chhardi, ''laghu susanskrita mamsarasa'' (processed meat soup) is helpful in easy digestion and gives strength due to [[vata]] pacifying property. The ''yusha'' prepared from ''amlarasatmaka'' (sour taste) is not only [[vata]] pacifying but also stimulates the heart and leads to ''anulomana gati'' of [[vayu]]. ''Ghrita'' as ''sanskaranuvartana'' (synergistically increases the properties of associated drugs) [ Cha. Sa.[[Sutra Sthana]] 27/231-32] and [ Cha. Sa. [[Sutra Sthana]] 13/13] can be beneficial in [[vata]]ja hridroga.

*The ''vegakalina'' or chronic ''chhardi'', whether mild or severe,  involves constant irritation of involved body parts/systems which leads to poor nourishment of [[dhatu]] resulting in [[dhatu]]ksheenata. Such a long term [[dhatu]]kshaya (loss of [[dhatu]]) increases [[vata]] in the body. The management should be purely [[vata]]shamaka treatment especially [[stambhana]] (which restricts the [[vamana]] vega) in combination with [[brimhana]] (nourishment to [[dhatu]]).