Talk:Udavarta
Udavarta literally means the upward and repeated movements of vata. It is one of the important and commonly observed condition in clinical practice. It manifests with a number of clinical features which may lead to manifestation of other secondary diseases further. Udavarta is mentioned as one among the eighty diseases occurred primarily by the vitiated vata dosha (nanatmaja vata vyadhi). [Cha. Sa. Sutra Sthana 20/11] Udavarta (upward movement of vata) is very common now a days due to change in lifestyle of modern society. The change in dietary habits and due to hectic job schedule, suppression of natural urges (vegadharana) is also very common now a days. The two main cause of udavarta explained in classical texts are: suppression of natural urges (vegadharana) and faulty dietary habits (asatmya ahara sevana). Sushrut Samhita describes that suppression of natural urges (adharaniya vega) leads to manifestation of thirteen types of udavarta. Due to aggravating factors, vata dosha is aggravated, especially apana vata (one of the five subtypes of vata i.e., situated in the pelvic region) is affected. Generally, udavarta means upward movement of vata or apana vata, that results in retention of faeces, urine and flatus. However, the scope of udavarta extends to disturbance in normal functions of vata due to obstruction by metabolic wastes. This unique concept is not explained in any other contemporary sciences. So, understanding this concept and to provide better treatment for this disease is need of the society.
| Section/Chapter/topic | Concepts & Practices/Udavarta |
|---|---|
| Authors |
Dubey M.1, Deole Y.S.2 |
| Reviewer | Basisht G.3, |
| Editor | Basisht G.3 |
| Affiliations |
1Charak Samhita Research, Training and Development Centre, I.T.R.A., Jamnagar, India 2Department of Kayachikitsa, G. J. Patel Institute of Ayurvedic Studies and Research, New Vallabh Vidyanagar, Gujarat, India 3Rheumatologist, Orlando, Florida, U.S.A. |
| Correspondence emails |
dr.manish181@gmail.com, dryogeshdeole@gmail.com carakasamhita@gmail.com |
| Publisher | Charak Samhita Research, Training and Development Centre, I.T.R.A., Jamnagar, India |
| Date of publication: | November 03, 2023 |
| DOI | -- |
Nirukti (etymology)
The term udavarta is derived from Utt + Aavat i.e., “Ut + Ang + Vrut + Dhaya” to form word Udavarta. [ ] Udavarta is a Sanskrit word derived from 'Ut' verb root (dhatu) with 'Ang' and 'Vrut' preposition (upasarga), suffixed by ‘Dhaya’ pratyaya (suffix). “Ut” means upper side, (Urdhva) “Ang” means entirely and “Vrut” means to move (bhramana). Udavarta means upwards movement, to cause to go out, excrete, to secrete and to retain. Udavarta is a class of diseases marked by retention of the feces i.e., disease of the bowel so, in general urdhwa (upward direction) or pratiloma (moving in abnormal direction) movement of apana vata (one of the five subtypes of vata, situated in the pelvic region) is termed as udavarta.
Definition
‘Udavarta’ is that disease in which there is whirlpool movement (avartana) and upward movement (urdhva gamana) of vata is seen due to retention of vata, urine (mutra) and stool (purisha). The condition in which vata begins to move upwards is called as ‘udavarta’ and in this disease vata is the predominant dosha.
Etiopathogenesis
- Intake of deficient quantity of food causes udavarta. [Cha. Sa. Vimana Sthana 2/7]
- Intake of astringent, bitter, pungent and un-unctuous (dry) food and excessive fasting
- Withholding natural urges (vegadharana)
- Excessive indulgence in sexual activity. [Cha. Sa. Chikitsa Sthana 26/5-6]
Due to all above reasons the apana vata which resides in large intestine (pakvashaya) gets aggravated and further obstructs the downward movement of vata causing retention of movement of stool, urine and flatus. This leads to a dreadful disease named as udavarta. [Ca. Sa. Chikitsa Sthana 26/5-6]
Acharya Sushruta explained suppression of 13 urges leading to udavarta. [Su. Sa. Uttara Sthana 55/ 3-4] Thus, udavarta is caused by 2 main causes, one is suppression of natural urges and other one unwholesome eating. [Su. Sa. Uttara Sthana 55/ 6] Excess consumption of mudga (Phaseolus mungo), kodrava (Paspalum scrobiculatum Linn.), jurnahva (Sorghum vulgare/jowar), karira (Capparis decidua), chanaka (Cicer arietinum L.), etc. i.e., foods with property of dryness and causing constipation vitiate normal status of vata dosha in its own seat (large intestine). This vata becomes powerful and blocks the downward channels and produces severe obstruction in the movement of feces, flatus and urine leading to udavarta. [A. H. Nidana Sthana 7/46-52]