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===Udavarta as symptoms (lakshana) in following diseases===
===Udavarta as symptoms (lakshana) in following diseases===
# 1. Vataja plihodara (vata predominant plihodara i.e., abdominal swelling afflicted by splenomegaly) [Cha. Sa. Chikitsa Sthana 13/38]
#Vataja plihodara (vata predominant plihodara i.e., abdominal swelling afflicted by splenomegaly) [Cha. Sa. Chikitsa Sthana 13/38]
# 2. Vatodara (abdominal swelling afflicted by vata dosha) [Cha. Sa. Chikitsa Sthana 13/25]
#Vatodara (abdominal swelling afflicted by vata dosha) [Cha. Sa. Chikitsa Sthana 13/25]
# 3. Vataja gulma (vata predominant gulma/ phantom tumor) [Cha. Sa. Chikitsa Sthana 5/10]
#Vataja gulma (vata predominant gulma/ phantom tumor) [Cha. Sa. Chikitsa Sthana 5/10]
# 4. Sahaja arsha (congenital hemorrhoids) [Cha. Sa. Chikitsa Sthana 14/8]
#Sahaja arsha (congenital hemorrhoids) [Cha. Sa. Chikitsa Sthana 14/8]
# 5. Vataja arsha (vata predominant hemorrhoids) [Cha. Sa. Chikitsa Sthana 14/11]
#Vataja arsha (vata predominant hemorrhoids) [Cha. Sa. Chikitsa Sthana 14/11]
# 6. Vyana avruta apana (type of avarana (occlusion) where vyana vata obstructs the flow of apana vata) [Cha. Sa. Chikitsa Sthana 28/211]
#Vyana avruta apana (type of avarana (occlusion) where vyana vata obstructs the flow of apana vata) [Cha. Sa. Chikitsa Sthana 28/211]
# 7. Basti marma viddha (injury to bladder) [Cha. Sa. Siddhi Sthana 9/6]
#Basti marma viddha (injury to bladder) [Cha. Sa. Siddhi Sthana 9/6]
===Types of Udavarta===
===Types of Udavarta===
<p style="text-align:justify;"> Treatment principles for udavarta i.e., palliative therapy (shamana) or purification (shodhana) etc., can be selected based on stages of the disease and as well as on the condition of the patient. The treatment guidelines explained in Charaka Samhita are as follows: [Cha. Sa. Chikitsa Sthana 26/11]</p>
<p style="text-align:justify;"> Treatment principles for udavarta i.e., palliative therapy (shamana) or purification (shodhana) etc., can be selected based on stages of the disease and as well as on the condition of the patient. The treatment guidelines explained in Charaka Samhita are as follows: [Cha. Sa. Chikitsa Sthana 26/11]</p>
<p style="text-align:justify;">The patient suffering from udavarta should be given massage with hot oil described for the treatment of fever presented with cold extremities (sheeta jwara). Then fomentation therapy should be administered for the detachment of the adhered dosha in the tissue cells. This should be followed by the administration of suppository (varti), un-unctuous enema (niruha basti) and unctuous type of purgative (snigdha virechana). The patient should be given food which helps in the normal downward movement (anulomana) of apana vata.</p>
<p style="text-align:justify;">The patient suffering from udavarta should be given massage with hot oil described for the treatment of fever presented with cold extremities (sheeta jwara). Then fomentation therapy should be administered for the detachment of the adhered dosha in the tissue cells. This should be followed by the administration of suppository (varti), un-unctuous enema (niruha basti) and unctuous type of purgative (snigdha virechana). The patient should be given food which helps in the normal downward movement (anulomana) of apana vata.</p>
'''A) Unction therapy (snehana):''' <p style="text-align:justify;">Udavarta is produced due to aggravation of vata and sneha (lipids) is the best treatment for pacification of vata vata (shamana). Therefore, unction therapy (snehana) is indicated in udavarta. </p>
'''B) Fomentation therapy (swedana):''' <p style="text-align:justify;">After massage with oil, fomentation therapy should be administered for the detachment of the adhered dosha in the tissue cells.</p>
'''C) Suppository (varti):''' <p style="text-align:justify;">A suppository having the thickness of the thumb is to be prepared with drugs like Shyama Trivrita (Operculina turpethum), Vidanga (Embeila ribes), Kampillaka (Mallotus philippensis) etc., which should be triturated with gomutra (cow’s urine) or arka (Calotropis gigantea) latex (kshira) and made in to form of suppository (phala varti) by adding jaggery. This suppository should be inserted through anus for the downward movement of apana vata to relieve retention of stool, flatus and urine caused by udavarta.</p>
'''D) Palliative therapy (shamana):''' <p style="text-align:justify;">Shamana includes administration of internal medication such as dviruttara- hingvadi churna, hinguvachadi churna given with warm water as an anupana (co-administers with medicine) for correcting the upward movement of vata.</p>
'''E) Purification therapy (shodhana):'''<p style="text-align:justify;">When the disease is chronic and relief is not observed even by adopting above measures, then purification (shodhana) by non-unctuous enema (niruha basti) or purgation (virechana) is advised.</p>
'''F) Pathya ahara kalpana (wholesome diet):'''<p style="text-align:justify;">Intake of wholesome diet (pathya ahara) which helps in normal downward movement (anulomana) of apana vata whereas, intake of unwholesome diet (apathya ahara) should be avoided for better recovery. Generally, in all types of udavarta all measures for controlling vata should be adopted in order to restore it to its normal channels (srotasa). [Su. Sa. Uttara Sthana 55/ 19]</p>