Changes

The primary peritonitis caused by pyogenic gram positive bacteria like streptococci, and pneumococci matches with the symptom of ''pittaja udara''. Acute presentation of the illness with rapid progression into prominently exudative ascites justifies the contention of ''pittodara''. Microbiology study of ascitic fluid will reveal pathogens and will clinch the diagnosis<ref>Anthony S. Fauci, et al Editor. Harrison’s princnciples of internal medicine. 17th edition. New York. McGraw-Hills. 2008. p 2739.Pg no 1912</ref>.[28]

The primary peritonitis caused by pyogenic gram positive bacteria like streptococci, and pneumococci matches with the symptom of ''pittaja udara''. Acute presentation of the illness with rapid progression into prominently exudative ascites justifies the contention of ''pittodara''. Microbiology study of ascitic fluid will reveal pathogens and will clinch the diagnosis<ref>Anthony S. Fauci, et al Editor. Harrison’s princnciples of internal medicine. 17th edition. New York. McGraw-Hills. 2008. p 2739.Pg no 1912</ref>.[28]

==== Kaphodara ====

==== ''Kaphodara'' ====

Peritoneal tuberculosis is comparable to kaphodara. Chronic perpetuation of the illness with the co-morbidity of the respiratory illness justifies the same. Infection of peritoneum with Mycobacterium tuberculosis also causes peritonitis. Fever, anorexia, weakness, malaise, and weight loss are the initial constitutional manifestations. Abdominal distention then develops either because of partial intestinal obstruction or ascites. Doughy abdomen is regarded as most classic sign of tubercular peritonitis. In most of the cases it is possible to detect the primary focus of infection in the lungs. Abdominal tenderness associates the abdominal pain. Analysis of ascitic fluid confirms exudative ascites.<ref>Agnivesha. Charaka Samhita, elaborated by Charaka & Dridabala with Ayurveda Deepika commentary by Chakrapani Datta, Vaidya Jadavaji Trikamji ed., 2009 Edition, Varanasi , Chaukhambha Orientalia, Pp 738, Pg no 492</ref>[31]

Peritoneal tuberculosis is comparable to ''kaphodara''. Chronic perpetuation of the illness with the co-morbidity of the respiratory illness justifies the same. Infection of peritoneum with Mycobacterium tuberculosis also causes peritonitis. Fever, anorexia, weakness, malaise, and weight loss are the initial constitutional manifestations. Abdominal distention then develops either because of partial intestinal obstruction or ascites. Doughy abdomen is regarded as most classic sign of tubercular peritonitis. In most of the cases it is possible to detect the primary focus of infection in the lungs. Abdominal tenderness associates the abdominal pain. Analysis of ascitic fluid confirms exudative ascites.<ref>Agnivesha. [[Charaka Samhita]], elaborated by Charaka & Dridabala with Ayurveda Deepika commentary by Chakrapani Datta, Vaidya Jadavaji Trikamji ed., 2009 Edition, Varanasi , Chaukhambha Orientalia, Pp 738, Pg no 492</ref>[31]

==== Sannipātodara ====

==== Sannipātodara ====