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Among the above said list of etiological factors; variety of dietary factors like sweet and greasy foods that cause affliction of ''rakta dhatu'' is the cause of ''achyuta plihavriddhi''. All the other etiological factors are of ''chyuta plihavriddhi'' <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 493</ref> [35].

Among the above said list of etiological factors; variety of dietary factors like sweet and greasy foods that cause affliction of ''rakta dhatu'' is the cause of ''achyuta plihavriddhi''. All the other etiological factors are of ''chyuta plihavriddhi'' <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 493</ref> [35].

The Sanskrit term ''chyuta'' refers to the act to descend and the ''vriddhi'' implies abdominal enlargement. Descent of the spleen is said to happen due to the violent jerk that happens during different physical activities. Descended spleen causes abdominal enlargement. Further this is of four types based on causative morbidity of ''dosha'' as ''vataja, pittaja, kaphaja'' and ''sannipataja''. <ref name=ref31">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 493</ref>In Sanskrit, the word ''Achyuta'' refers to lack of downward displacement. ''Vriddhi'' refers to the abdominal enlargement. Put together, the word ''achyuta plihavriddhi'' refers to the abdominal enlargement due to splenic causes without its descending. The morbidity of the ''rakta dhatu'' causes enlargement of the spleen which in turn is responsible for the abdominal distension. Thus, the ''chyuta'' and ''achyuta'' type of ''plihodara'' together forms five types of ''plihodara''<ref name="ref31" /> [36].

The Sanskrit term ''chyuta'' refers to the act to descend and the ''vriddhi'' implies abdominal enlargement. Descent of the spleen is said to happen due to the violent jerk that happens during different physical activities. Descended spleen causes abdominal enlargement. Further this is of four types based on causative morbidity of ''dosha'' as ''vataja, pittaja, kaphaja'' and ''sannipataja''. <ref name="ref31">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 493</ref>In Sanskrit, the word ''Achyuta'' refers to lack of downward displacement. ''Vriddhi'' refers to the abdominal enlargement. Put together, the word ''achyuta plihavriddhi'' refers to the abdominal enlargement due to splenic causes without its descending. The morbidity of the ''rakta dhatu'' causes enlargement of the spleen which in turn is responsible for the abdominal distension. Thus, the ''chyuta'' and ''achyuta'' type of ''plihodara'' together forms five types of ''plihodara''<ref name="ref31" /> [36].

Febrile illness of mild degree is the symptom of ''plihodara''. Habitual consumption of food habits that cause burning sensation leads to the morbidity of ''rakta'' as well as ''pitta dosha''. Morbid ''pitta dosha'' and ''rakta dhatu'' cause mild fever. Further loss of appetite is a clinical symptom of ''plihodara''. Habitual consumption of ''abhishyandi'' foods causes morbidity of ''kapha'' which in turn is responsible for the impairment of ''agni''<ref>Sushruta, Sushruta samhita, with nibandha sangraha commentary of dhallahan & Nyayachandrika commentary of of gayadasa, yadavji trikamji , nirnaya sagar press, 1915, P713, Pgno 236</ref> [37-38].

Febrile illness of mild degree is the symptom of ''plihodara''. Habitual consumption of food habits that cause burning sensation leads to the morbidity of ''rakta'' as well as ''pitta dosha''. Morbid ''pitta dosha'' and ''rakta dhatu'' cause mild fever. Further loss of appetite is a clinical symptom of ''plihodara''. Habitual consumption of ''abhishyandi'' foods causes morbidity of ''kapha'' which in turn is responsible for the impairment of ''agni''<ref>Sushruta, Sushruta samhita, with nibandha sangraha commentary of dhallahan & Nyayachandrika commentary of of gayadasa, yadavji trikamji , nirnaya sagar press, 1915, P713, Pgno 236</ref> [37-38].