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Udara Chikitsa (view source)

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{{#seo:

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|title=Udara Chikitsa

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|titlemode=append

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|keywords=Udara roga, vatodara, pittodara, kaphodara, sannipatodara, plihodara, yakritodara, baddhodara, chidrodara, kshatodara, jalodara, intestinal perforation, splenomegaly, hepatomegaly, intestinal obstruction, ascites, ajatodakavastha, picchavastha, jatodakavastha, virechana, tapping

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|description=Chikitsa Sthana Chapter 13. Management of Udara (Generalized enlargement of Abdomen)

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}}

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<big>'''[[Chikitsa Sthana]] Chapter 13. Management of Udara (Generalized enlargement of Abdomen)</big>'''

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===Sanskrit text, Transliteration and English Translation===

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अथात उदरचिकित्सितं व्याख्यास्यामः||१||

इति ह स्माह भगवानात्रेयः||२||

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athāta Udara cikitsitaṁ vyākhyāsyāmaḥ||1||

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iti ha smAha bhagavAnAtreyaH||2||

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</div></div>

Now we shall expound upon the management of generalized enlargement of abdomen. Thus said Lord Atreya [1-2]

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−

सिद्धविद्याधराकीर्णे कैलासे नन्दनोपमे|

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सिद्धविद्याधराकीर्णे कैलासे नन्दनोपमे| <br />

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तप्यमानं तपस्तीव्रं साक्षाद्धर्ममिव स्थितम्||३||

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तप्यमानं तपस्तीव्रं साक्षाद्धर्ममिव स्थितम्||३|| <br />

−

आयुर्वेदविदां श्रेष्ठं भिषग्विद्याप्रवर्तकम्|

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आयुर्वेदविदां श्रेष्ठं भिषग्विद्याप्रवर्तकम्| <br />

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पुनर्वसुं जितात्मानमग्निवेशोऽब्रवीद्वचः||४||

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पुनर्वसुं जितात्मानमग्निवेशोऽब्रवीद्वचः||४|| <br />

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−

siddhavidyādharākīrṇē kailāsē nandanōpamē|

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siddhavidyādharākīrṇē kailāsē nandanōpamē| <br />

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tapyamānaṁ tapastīvraṁ sākṣāddharmamiva sthitam||3||

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tapyamānaṁ tapastīvraṁ sākṣāddharmamiva sthitam||3|| <br />

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āyurvēdavidāṁ śrēṣṭhaṁ bhiṣagvidyāpravartakam|

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āyurvēdavidāṁ śrēṣṭhaṁ bhiṣagvidyāpravartakam| <br />

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punarvasuṁ jitātmānamagnivēśō'bravīdvacaḥ||4||

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punarvasuṁ jitātmānamagnivēśō'bravīdvacaḥ||4|| <br />

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siddhavidyAdharAkIrNe kailAse nandanopame|

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siddhavidyAdharAkIrNe kailAse nandanopame| <br />

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tapyamAnaM tapastIvraM sAkShAddharmamiva sthitam||3||

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tapyamAnaM tapastIvraM sAkShAddharmamiva sthitam||3|| <br />

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[[Ayurveda]]vidAM shreShThaM bhiShagvidyApravartakam|

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[[Ayurveda]]vidAM shreShThaM bhiShagvidyApravartakam| <br />

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punarvasuM jitAtmAnamagnivesho~abravIdvacaH||4||

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punarvasuM jitAtmAnamagnivesho~abravIdvacaH||4|| <br />

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</div></div>

Sage Punarvasu was residing in Mount Kailasa (which is similar to ''Nandana Vana'') and was accompanied with ''Siddha'' (a group of highly skilled individuals possessing eight supernatural faculties) and ''Vidhyadara'' (the possessor of knowledge of science/super human personality is termed ''Vidyadhara''). In Mount Kailasa, Sage Punarvasu was seated like very embodiment of ''dharma'' (righteousness) and was engaged in practicing austerity. Sage Punarvasu is the foremost among those who are proficient in the knowledge of [[Ayurveda]] and involved in promulgating the science of medicine. Agnivesha spoke addressing to such self controlled great sage Punarvasu [3-4]

==== Description of patient of ''udara roga'' ====

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भगवन्नुदरैर्दुःखैर्दृश्यन्ते ह्यर्दिता नराः|

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भगवन्नुदरैर्दुःखैर्दृश्यन्ते ह्यर्दिता नराः| <br />

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शुष्कवक्त्राः कृशैर्गात्रैराध्मातोदरकुक्षयः||५||

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शुष्कवक्त्राः कृशैर्गात्रैराध्मातोदरकुक्षयः||५|| <br />

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प्रनष्टाग्निबलाहाराः सर्वचेष्टास्वनीश्वराः|

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प्रनष्टाग्निबलाहाराः सर्वचेष्टास्वनीश्वराः| <br />

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दीनाः प्रतिक्रियाभावाज्जहतोऽसूननाथवत्||६||

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दीनाः प्रतिक्रियाभावाज्जहतोऽसूननाथवत्||६||<br />

−

तेषामायतनं सङ्ख्यां प्राग्रूपाकृतिभेषजम्|

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तेषामायतनं सङ्ख्यां प्राग्रूपाकृतिभेषजम्| <br />

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यथावच्छ्रोतुमिच्छामि गुरुणा सम्यगीरितम्||७||

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यथावच्छ्रोतुमिच्छामि गुरुणा सम्यगीरितम्||७|| <br />

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bhagavannUdara irduḥkhairdr̥śyantē hyarditā narāḥ|

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bhagavannUdara irduḥkhairdr̥śyantē hyarditā narāḥ| <br />

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śuṣkavaktrāḥ kr̥śairgātrairādhmātōdarakukṣayaḥ||5||

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śuṣkavaktrāḥ kr̥śairgātrairādhmātōdarakukṣayaḥ||5|| <br />

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pranaṣṭāgnibalāhārāḥ sarvacēṣṭāsvanīśvarāḥ|

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pranaṣṭāgnibalāhārāḥ sarvacēṣṭāsvanīśvarāḥ| <br />

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dīnāḥ pratikriyābhāvājjahatō'sūnanāthavat||6||

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dīnāḥ pratikriyābhāvājjahatō'sūnanāthavat||6|| <br />

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tēṣāmāyatanaṁ saṅkhyāṁ prāgrūpākr̥tibhēṣajam|

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tēṣāmāyatanaṁ saṅkhyāṁ prāgrūpākr̥tibhēṣajam| <br />

−

yathāvacchrōtumicchāmi guruṇā samyagīritam||7||

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yathāvacchrōtumicchāmi guruṇā samyagīritam||7|| <br />

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bhagavannudarairduHkhairdRushyante hyarditA narAH|

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bhagavannudarairduHkhairdRushyante hyarditA narAH| <br />

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shuShkavaktrAH kRushairgAtrairAdhmAtodarakukShayaH||5||

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shuShkavaktrAH kRushairgAtrairAdhmAtodarakukShayaH||5|| <br />

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pranaShTAgnibalAhArAH sarvaceShTAsvanIshvarAH|

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pranaShTAgnibalAhArAH sarvaceShTAsvanIshvarAH| <br />

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dInAH pratikriyAbhAvAjjahato~asUnanAthavat||6||

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dInAH pratikriyAbhAvAjjahato~asUnanAthavat||6|| <br />

−

teShAmAyatanaM sa~gkhyAM prAgrUpAkRutibheShajam|

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teShAmAyatanaM sa~gkhyAM prAgrUpAkRutibheShajam| <br />

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yathAvacchrotumicchAmi guruNA samyagIritam||7||

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yathAvacchrotumicchAmi guruNA samyagIritam||7|| <br />

+

</div></div>

Sage Agnivesha addressing Punarvasu, said “Oh Lord!” it is observed that the patient of ''udara'' suffers from dryness of the mouth, emaciation of body, distension of abdomen and flanks, impaired digestion, loss of physical strength, inability to consume food, inability to perform any physical activities and depression; such patients sooner or later die due to the illness in the absence of treatment just like an orphan. I wish to hear the proper description of this disease from my teacher Lord Punarvasu in regards to its etiology, the number, the premonitory symptoms, clinical presentation and treatment [5-7]

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सर्वभूतहितायर्षिः शिष्येणैवं प्रचोदितः|

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सर्वभूतहितायर्षिः शिष्येणैवं प्रचोदितः| <br />

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सर्वभूतहितं वाक्यं व्याहर्तुमुपचक्रमे||८||

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सर्वभूतहितं वाक्यं व्याहर्तुमुपचक्रमे||८||<br />

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sarvabhūtahitāyarṣiḥ śiṣyēṇaivaṁ pracōditaḥ|

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sarvabhūtahitāyarṣiḥ śiṣyēṇaivaṁ pracōditaḥ| <br />

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sarvabhūtahitaṁ vākyaṁ vyāhartumupacakramē||8||

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sarvabhūtahitaṁ vākyaṁ vyāhartumupacakramē||8||<br />

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sarvabhUtahitAyarShiH shiShyeNaivaM pracoditaH|

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sarvabhUtahitAyarShiH shiShyeNaivaM pracoditaH| <br />

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sarvabhUtahitaM vAkyaM vyAhartumupacakrame||8||

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sarvabhUtahitaM vAkyaM vyAhartumupacakrame||8||<br />

+

</div></div>

Enthused by the student’s questioning, Lord Punarvasu spoke about the beneficial topics for the well being of human [8]

==== Pathogenesis of ''udara roga'' ====

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अग्निदोषान्मनुष्याणां रोगसङ्घाः पृथग्विधाः|

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अग्निदोषान्मनुष्याणां रोगसङ्घाः पृथग्विधाः| <br />

−

मलवृद्ध्या प्रवर्तन्ते विशेषेणोदराणि तु||९||

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मलवृद्ध्या प्रवर्तन्ते विशेषेणोदराणि तु||९|| <br />

−

मन्देऽग्नौ मलिनैर्भुक्तैरपाकाद्दोषसञ्चयः|

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मन्देऽग्नौ मलिनैर्भुक्तैरपाकाद्दोषसञ्चयः| <br />

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प्राणाग्न्यपानान् सन्दूष्य मार्गान्रुद्ध्वाऽधरोत्तरान्||१०||

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प्राणाग्न्यपानान् सन्दूष्य मार्गान्रुद्ध्वाऽधरोत्तरान्||१०|| <br />

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त्वङ्मांसान्तरमागम्य कुक्षिमाध्मापयन् भृशम्|

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त्वङ्मांसान्तरमागम्य कुक्षिमाध्मापयन् भृशम्| <br />

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जनयत्युदरं तस्य हेतुं शृणु सलक्षणम् ||११||

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जनयत्युदरं तस्य हेतुं शृणु सलक्षणम् ||११||<br />

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agnidōṣānmanuṣyāṇāṁ rōgasaṅghāḥ pr̥thagvidhāḥ|

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agnidōṣānmanuṣyāṇāṁ rōgasaṅghāḥ pr̥thagvidhāḥ| <br />

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malavr̥ddhyā pravartantē viśēṣēṇōdarāṇi tu||9||

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malavr̥ddhyā pravartantē viśēṣēṇōdarāṇi tu||9|| <br />

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mandē'gnau malinairbhuktairapākāddōṣasañcayaḥ|

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mandē'gnau malinairbhuktairapākāddōṣasañcayaḥ| <br />

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prāṇāgnyapānān sandūṣya mārgānruddhvā'dharōttarān||10||

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prāṇāgnyapānān sandūṣya mārgānruddhvā'dharōttarān||10|| <br />

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tvaṅmāṁsāntaramāgamya kukṣimādhmāpayan bhr̥śam|

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tvaṅmāṁsāntaramāgamya kukṣimādhmāpayan bhr̥śam| <br />

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janayatyUdara ṁ tasya hētuṁ śr̥ṇu salakṣaṇam||11||

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janayatyUdara ṁ tasya hētuṁ śr̥ṇu salakṣaṇam||11||<br />

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agnidoShAnmanuShyANAM rogasa~gghAH pRuthagvidhAH|

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agnidoShAnmanuShyANAM rogasa~gghAH pRuthagvidhAH| <br />

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malavRuddhyA pravartante visheSheNodarANi tu||9||

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malavRuddhyA pravartante visheSheNodarANi tu||9|| <br />

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mande~agnau malinairbhuktairapAkAddoShasa~jcayaH|

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mande~agnau malinairbhuktairapAkAddoShasa~jcayaH| <br />

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prANAgnyapAnAn sandUShya mArgAnruddhvA~adharottarAn||10||

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prANAgnyapAnAn sandUShya mArgAnruddhvA~adharottarAn||10|| <br />

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tva~gmAMsAntaramAgamya kukShimAdhmApayan bhRusham|

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tva~gmAMsAntaramAgamya kukShimAdhmApayan bhRusham| <br />

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janayatyudaraM tasya hetuM shRuNu salakShaNam||11||

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janayatyudaraM tasya hetuM shRuNu salakShaNam||11||<br />

+

</div></div>

Abnormalities of ''jatharagni'' (digestive power) leads to the morbid accumulation of the ''mala'' (''dosha'' and bodily wastes) and in turn tend to cause multiple diseases and particularly ''udara roga''. In the state of impaired ''jatharagni'' consumption of unhealthy foods further leads to indigestion and eventually causes accumulation of morbid substances. Thus formed morbidity afflicts the functioning of ''prana vata, agni'' as well as ''apana vata'' which in turn obliterates the channels tending upwards and downwards. Due to this obliteration of channels, finally the morbid ''dosha'' tend to divulge and penetrate the space between the skin and flesh and gets accumulated there. This accumulation leads severe distention of the abdomen and causes serious disease ''udara roga''. Hereafter etiology and clinical symptoms of the same have been narrated [9-11]

==== Etiology of ''udara roga'' ====

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अत्युष्णलवणक्षारविदाह्यम्लगराशनात्|

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अत्युष्णलवणक्षारविदाह्यम्लगराशनात्| <br />

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मिथ्यासंसर्जनाद्रूक्षविरुद्धाशुचिभोजनात्||१२||

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मिथ्यासंसर्जनाद्रूक्षविरुद्धाशुचिभोजनात्||१२|| <br />

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प्लीहार्शोग्रहणीदोषकर्शनात् कर्मविभ्रमात्|

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प्लीहार्शोग्रहणीदोषकर्शनात् कर्मविभ्रमात्| <br />

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क्लिष्टानामप्रतीकाराद्रौक्ष्याद्वेगविधारणात्||१३||

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क्लिष्टानामप्रतीकाराद्रौक्ष्याद्वेगविधारणात्||१३|| <br />

−

स्रोतसां दूषणादामात् सङ्क्षोभादतिपूरणात्|

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स्रोतसां दूषणादामात् सङ्क्षोभादतिपूरणात्| <br />

−

अर्शोबालशकृद्रोधादन्त्रस्फुटनभेदनात्||१४||

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अर्शोबालशकृद्रोधादन्त्रस्फुटनभेदनात्||१४|| <br />

−

अतिसञ्चितदोषाणां पापं कर्म च कुर्वताम्|

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अतिसञ्चितदोषाणां पापं कर्म च कुर्वताम्| <br />

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उदराण्युपजायन्ते मन्दाग्नीनां विशेषतः||१५||

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उदराण्युपजायन्ते मन्दाग्नीनां विशेषतः||१५||<br />

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atyuṣṇalavaṇakṣāravidāhyamlagarāśanāt|

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atyuṣṇalavaṇakṣāravidāhyamlagarāśanāt| <br />

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mithyāsaṁsarjanādrūkṣaviruddhāśucibhōjanāt||12||

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mithyāsaṁsarjanādrūkṣaviruddhāśucibhōjanāt||12|| <br />

−

plīhārśōgrahaṇīdōṣakarśanāt karmavibhramāt|

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plīhārśōgrahaṇīdōṣakarśanāt karmavibhramāt| <br />

−

kliṣṭānāmapratīkārādraukṣyādvēgavidhāraṇāt||13||

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kliṣṭānāmapratīkārādraukṣyādvēgavidhāraṇāt||13|| <br />

−

srōtasāṁ dūṣaṇādāmāt saṅkṣōbhādatipūraṇāt|

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srōtasāṁ dūṣaṇādāmāt saṅkṣōbhādatipūraṇāt| <br />

−

arśōbālaśakr̥drōdhādantrasphuṭanabhēdanāt||14||

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arśōbālaśakr̥drōdhādantrasphuṭanabhēdanāt||14|| <br />

−

atisañcitadōṣāṇāṁ pāpaṁ karma ca kurvatām|

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atisañcitadōṣāṇāṁ pāpaṁ karma ca kurvatām| <br />

−

udarāṇyupajāyantē mandāgnīnāṁ viśēṣataḥ||15||

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udarāṇyupajāyantē mandāgnīnāṁ viśēṣataḥ||15||<br />

−

atyuShNalavaNakShAravidAhyamlagarAshanAt|

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atyuShNalavaNakShAravidAhyamlagarAshanAt| <br />

−

mithyAsaMsarjanAdrUkShaviruddhAshucibhojanAt||12||

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mithyAsaMsarjanAdrUkShaviruddhAshucibhojanAt||12|| <br />

−

plIhArshograhaNIdoShakarshanAt karmavibhramAt|

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plIhArshograhaNIdoShakarshanAt karmavibhramAt| <br />

−

kliShTAnAmapratIkArAdraukShyAdvegavidhAraNAt||13||

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kliShTAnAmapratIkArAdraukShyAdvegavidhAraNAt||13|| <br />

−

srotasAM dUShaNAdAmAt sa~gkShobhAdatipUraNAt|

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srotasAM dUShaNAdAmAt sa~gkShobhAdatipUraNAt| <br />

−

arshobAlashakRudrodhAdantrasphuTanabhedanAt||14||

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arshobAlashakRudrodhAdantrasphuTanabhedanAt||14|| <br />

−

atisa~jcitadoShANAM pApaM karma ca kurvatAm|

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atisa~jcitadoShANAM pApaM karma ca kurvatAm| <br />

−

udarANyupajAyante mandAgnInAM visheShataH||15||

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udarANyupajAyante mandAgnInAM visheShataH||15||<br />

+

</div></div>

Consumption of foods that are excessively hot in property, excessive consumption of salty foods, excessive intake of foods containing solutions of ''kshara'' (alkali obtained from ash of herbs), excessive intake of foods that cause burning sensation on digestion, excessive consumption of foods that are sour in taste, consumption of ''garavisha'' (intentional application of poison or poison synthesized by combination of nontoxic substances), erroneous dietary management following ''shodhana'' treatment, excessive consumption of foods having ''ruksha'' (dry) property, intake of ''viruddha ahara'' (combination of foods having mutually contradictory properties), consumption of unhealthy foods, emaciation due to splenic enlargement, emaciation due to ''arshas'' (mass per rectum), emaciation due to ''grahani roga'' (malabsorption), improper administration of [[Panchakarma]], ignorance of persistent illness without treatment, dryness of the body, withholding the naturally manifesting urges, morbidity of body channels, illness of ''ama'' (undigested food), psychological irritation, excessive consumption of foods, obstruction of the ano-rectal canal by the ''arshas'' (mass per rectum), impaction of hair within the lumen of the intestines, impaction of hardened stools within the intestines, perforation or rupture of intestines, excessive accumulation of morbidity, indulging in sinful activities, these causes will lead to development of ''udara roga'' and among these more particularly the impairment of ''jatharagni'' [12-15]

==== Premonitary symptoms ====

+

−

क्षुन्नाशः स्वाद्वतिस्निग्धगुर्वन्नं पच्यते चिरात्|

+

क्षुन्नाशः स्वाद्वतिस्निग्धगुर्वन्नं पच्यते चिरात्| <br />

−

भुक्तं विदह्यते सर्वं जीर्णाजीर्णं न वेत्ति च||१६||

+

भुक्तं विदह्यते सर्वं जीर्णाजीर्णं न वेत्ति च||१६|| <br />

−

सहते नातिसौहित्यमीषच्छोफश्च पादयोः|

+

सहते नातिसौहित्यमीषच्छोफश्च पादयोः| <br />

−

शश्वद्बलक्षयोऽल्पेऽपि व्यायामे श्वासमृच्छति||१७||

+

शश्वद्बलक्षयोऽल्पेऽपि व्यायामे श्वासमृच्छति||१७|| <br />

−

वृद्धिः पुरीषनिचयो रूक्षोदावर्तहेतुका|

+

वृद्धिः पुरीषनिचयो रूक्षोदावर्तहेतुका| <br />

−

बस्तिसन्धौ रुगाध्मानं वर्धते पाट्यतेऽपि च||१८||

+

बस्तिसन्धौ रुगाध्मानं वर्धते पाट्यतेऽपि च||१८|| <br />

−

आतन्यते च जठरमपि लघ्वल्पभोजनात्|

+

आतन्यते च जठरमपि लघ्वल्पभोजनात्| <br />

−

राजीजन्म वलीनाश इति लिङ्गं भविष्यताम्||१९||

+

राजीजन्म वलीनाश इति लिङ्गं भविष्यताम्||१९||<br />

+

−

kṣunnāśaḥ svādvatisnigdhagurvannaṁ pacyatē cirāt|

+

kṣunnāśaḥ svādvatisnigdhagurvannaṁ pacyatē cirāt| <br />

−

bhuktaṁ vidahyatē sarvaṁ jīrṇājīrṇaṁ na vētti ca||16||

+

bhuktaṁ vidahyatē sarvaṁ jīrṇājīrṇaṁ na vētti ca||16|| <br />

−

sahatē nātisauhityamīṣacchōphaśca pādayōḥ|

+

sahatē nātisauhityamīṣacchōphaśca pādayōḥ| <br />

−

śaśvadbalakṣayō'lpē'pi vyāyāmē śvāsamr̥cchati||17||

+

śaśvadbalakṣayō'lpē'pi vyāyāmē śvāsamr̥cchati||17|| <br />

−

vr̥ddhiḥ purīṣanicayō rūkṣōdāvartahētukā|

+

vr̥ddhiḥ purīṣanicayō rūkṣōdāvartahētukā| <br />

−

bastisandhau rugādhmānaṁ vardhatē pāṭyatē'pi ca||18||

+

bastisandhau rugādhmānaṁ vardhatē pāṭyatē'pi ca||18|| <br />

−

ātanyatē ca jaṭharamapi laghvalpabhōjanāt|

+

ātanyatē ca jaṭharamapi laghvalpabhōjanāt| <br />

−

rājījanma valīnāśa iti liṅgaṁ bhaviṣyatām||19||

+

rājījanma valīnāśa iti liṅgaṁ bhaviṣyatām||19||<br />

kShunnAshaH svAdvatisnigdhagurvannaM pacyate cirAt|

bhuktaM vidahyate sarvaM jIrNAjIrNaM na vetti ca||16||

−

sahate nAtisauhityamIShacchophashca pAdayoH|

+

sahate nAtisauhityamIShacchophashca pAdayoH| <br />

−

shashvadbalakShayo~alpe~api vyAyAme shvAsamRucchati||17||

+

shashvadbalakShayo~alpe~api vyAyAme shvAsamRucchati||17|| <br />

−

vRuddhiH purIShanicayo [1] rUkShodAvartahetukA|

+

vRuddhiH purIShanicayo [1] rUkShodAvartahetukA| <br />

−

bastisandhau rugAdhmAnaM vardhate pATyate~api ca||18||

+

bastisandhau rugAdhmAnaM vardhate pATyate~api ca||18||<br />

−

Atanyate ca jaTharamapi [2] laghvalpabhojanAt|

+

Atanyate ca jaTharamapi [2] laghvalpabhojanAt| <br />

−

rAjIjanma valInAsha iti li~ggaM bhaviShyatAm||19||

+

rAjIjanma valInAsha iti li~ggaM bhaviShyatAm||19||<br />

+

</div></div>

Loss of appetite, delayed digestion of foods that are sweet, greasy and heavy for digestion, food consumed causing burning sensation, inability to appreciate the digestion and indigestion of the food, intolerance to over eating, slight edema in the feet, constant reduction in the physical strength, breathlessness even on slight exertion, abdominal distension due to accumulation of fecal matter resulting due to dryness or ''udavarta'' (abnormal upward course of ''vata''), abdominal pain, fullness of the abdomen, distension of the abdomen or bursting type of abdominal pain at the site where bladder meets the surrounding, distension of the stomach even after small meals, appearance of distended veins and loss of normal skin folds are the premonitory symptoms of ''udara roga'' [16-19]

==== General pathogenesis of ''udara roga'' ====

+

−

रुद्ध्वा स्वेदाम्बुवाहीनि दोषाः स्रोतांसि सञ्चिताः|

+

रुद्ध्वा स्वेदाम्बुवाहीनि दोषाः स्रोतांसि सञ्चिताः| <br />

−

प्राणाग्न्यपानान् सन्दूष्य जनयन्त्युदरं नृणाम्||२०||

+

प्राणाग्न्यपानान् सन्दूष्य जनयन्त्युदरं नृणाम्||२०|| <br />

+

−

ruddhvā svēdāmbuvāhīni dōṣāḥ srōtāṁsi sañcitāḥ|

+

ruddhvā svēdāmbuvāhīni dōṣāḥ srōtāṁsi sañcitāḥ| <br />

−

prāṇāgnyapānān sandūṣya janayantyUdaraṁ nr̥ṇām||20||

+

prāṇāgnyapānān sandūṣya janayantyUdaraṁ nr̥ṇām||20|| <br />

−

ruddhvA svedAmbuvAhIni doShAH srotAMsi sa~jcitAH|

+

ruddhvA svedAmbuvAhIni doShAH srotAMsi sa~jcitAH| <br />

−

prANAgnyapAnAn sandUShya janayantyudaraM nRuNAm||20||

+

prANAgnyapAnAn sandUShya janayantyudaraM nRuNAm||20||<br />

+

</div></div>

Morbid ''dosha'' by obstructing the channels of ''sweda'' (sweat) and ''udaka'' (body fluid) and afflicting the ''prana vata, agni'' and ''apana vata'' causes ''udara roga'' [20]

==== General Symptoms of ''udara roga'' ====

+

−

कुक्षेराध्मानमाटोपः शोफः पादकरस्य च|

+

कुक्षेराध्मानमाटोपः शोफः पादकरस्य च| <br />

−

मन्दोऽग्निः श्लक्ष्णगण्डत्वं कार्श्यं चोदरलक्षणम्||२१||

+

मन्दोऽग्निः श्लक्ष्णगण्डत्वं कार्श्यं चोदरलक्षणम्||२१|| <br />

+

−

kukṣērādhmānamāṭōpaḥ śōphaḥ pādakarasya ca|

+

kukṣērādhmānamāṭōpaḥ śōphaḥ pādakarasya ca| <br />

−

mandō'gniḥ ślakṣṇagaṇḍatvaṁ kārśyaṁ cōdaralakṣaṇam||21||

+

mandō'gniḥ ślakṣṇagaṇḍatvaṁ kārśyaṁ cōdaralakṣaṇam||21|| <br />

−

kukSherAdhmAnamATopaH shophaH pAdakarasya ca|

+

kukSherAdhmAnamATopaH shophaH pAdakarasya ca| <br />

−

mando~agniH shlakShNagaNDatvaM kArshyaM codaralakShaNam||21||

+

mando~agniH shlakShNagaNDatvaM kArshyaM codaralakShaNam||21|| <br />

+

</div></div>

Distension and gurgling sound in the abdomen, edema of hands and feet, impaired digestion, smooth shiny cheeks and emaciation are the common symptoms of ''udara roga'' [21]

==== Classification of ''udara roga'' ====

+

−

पृथग्दोषैः समस्तैश्च प्लीहबद्धक्षतोदकैः|

+

पृथग्दोषैः समस्तैश्च प्लीहबद्धक्षतोदकैः| <br />

−

सम्भवन्त्युदराण्यष्टौ तेषां लिङ्गं पृथक् शृणु||२२||

+

सम्भवन्त्युदराण्यष्टौ तेषां लिङ्गं पृथक् शृणु||२२||<br />

+

−

pr̥thagdōṣaiḥ samastaiśca plīhabaddhakṣatōdakaiḥ|

+

pr̥thagdōṣaiḥ samastaiśca plīhabaddhakṣatōdakaiḥ| <br />

−

sambhavantyudarāṇyaṣṭau tēṣāṁ liṅgaṁ pr̥thak śr̥ṇu||22||

+

sambhavantyudarāṇyaṣṭau tēṣāṁ liṅgaṁ pr̥thak śr̥ṇu||22||<br />

−

pRuthagdoShaiH samastaishca plIhabaddhakShatodakaiH|

+

pRuthagdoShaiH samastaishca plIhabaddhakShatodakaiH| <br />

−

sambhavantyudarANyaShTau teShAM li~ggaM pRuthak shRuNu||22||

+

sambhavantyudarANyaShTau teShAM li~ggaM pRuthak shRuNu||22||<br />

+

</div></div>

Three types of ''udara'' caused by each morbid ''dosha'', one type of ''udara'' caused by morbidity of all three ''dosha, plihodara'' (splenomegaly), ''baddhodara'' (enlargement of abdomen due to gastrointestinal obstruction), ''kshatodara'' (abdominal enlargement due to intestinal perforation) and ''udakodara'' (enlargement of abdomen due to collection of fluid) are the eight types of ''udara''. Listen to the characteristic symptoms each of these types of ''udara roga'' [22].

==== Etiology of ''vatodara'' ====

+

रूक्षाल्पभोजनायासवेगोदावर्तकर्शनैः|

+

rūkṣālpabhōjanāyāsavēgōdāvartakarśanaiḥ|

rUkShAlpabhojanAyAsavegodAvartakarshanaiH|

+

</div></div>

Among the etiological factors of ''udara roga'' is intake of dry food articles, consumption of inadequate amount of food, exertion, suppression of naturally manifesting urges, abnormal upward course of ''vata'' and weight reducing activities like walking or lifting weight causes ''vatodara'' [23]

==== Pathogenesis of ''vatodara'' ====

+

वायुः प्रकुपितः कुक्षिहृद्बस्तिगुदमार्गगः||२३||

−

हत्वाऽग्निं कफमुद्धूय तेन रूद्धगतिस्ततः|

+

हत्वाऽग्निं कफमुद्धूय तेन रूद्धगतिस्ततः| <br />

−

आचिनोत्युदरं जन्तोस्त्वङ्मांसान्तरमाश्रितः||२४||

+

आचिनोत्युदरं जन्तोस्त्वङ्मांसान्तरमाश्रितः||२४|| <br />

+

vāyuḥ prakupitaḥ kukṣihr̥dbastigudamārgagaḥ||23||

−

hatvā'gniṁ kaphamuddhūya tēna rūddhagatistataḥ|

+

hatvā'gniṁ kaphamuddhūya tēna rūddhagatistataḥ| <br />

−

ācinōtyUdara ṁ jantōstvaṅmāṁsāntaramāśritaḥ||24||

+

ācinōtyUdara ṁ jantōstvaṅmāṁsāntaramāśritaḥ||24||<br />

vAyuH prakupitaH kukShihRudbastigudamArgagaH||23||

−

hatvA~agniM kaphamuddhUya tena rUddhagatistataH|

+

hatvA~agniM kaphamuddhUya tena rUddhagatistataH| <br />

−

AcinotyudaraM jantostva~gmAMsAntaramAshritaH||24||

+

AcinotyudaraM jantostva~gmAMsAntaramAshritaH||24|| <br />

+

</div></div>

Due to the etiological factors ''vata'' gets aggravated which assumes abnormal course and reaches the ''kukshi'' (lower abdomen), ''hridaya'' (chest), ''basti'' (pelvis) and ''gudamarga'' (rectum). Again the morbid ''vata'' further impairs the ''agni'' (digestive enzymes) and draws out the ''kapha''. Thus morbid ''kapha'' in turn obstructs the morbid ''vata''. Eventually the obstructed ''vata'' gets diverged in to the space between the skin and visceral tissues in the abdomen leading to distension of the abdomen and ''udara roga'' [23-24]

==== Symptoms of ''vatodara'' ====

+

तस्य रूपाणि- कुक्षिपाणिपादवृषणश्वयथुः, उदरविपाटनम्, अनियतौ च वृद्धिह्रासौ,कुक्षिपार्श्वशूलोदावर्ताङ्गमर्दपर्वभेदशुष्ककासकार्श्यदौर्बल्यारोचकाविपाकाः, अधोगुरुत्वं, वातवर्चोमूत्रसङ्गः, श्यावारुणत्वं चनखनयनवदनत्वङ्मूत्रवर्चसाम्, अपि चोदरं तन्वसितराजीसिरासन्ततम्, आहतमाध्मातदृतिशब्दवद्भवति,वायुश्चोर्ध्वमधस्तिर्यक् च सशूलशब्दश्चरति, एतद्वातोदरमिति विद्यात्||२५||

+

tasya rūpāṇi-kukṣipāṇipādavr̥ṣaṇaśvayathuḥ, Udara vipāṭanam, aniyatau ca vr̥ddhihrāsau,kukṣipārśvaśūlōdāvartāṅgamardaparvabhēdaśuṣkakāsakārśyadaurbalyārōcakāvipākāḥ, adhōgurutvaṁ,vātavarcōmūtrasaṅgaḥ, śyāvāruṇatvaṁ ca nakhanayanavadanatvaṅmūtravarcasām, api cōdaraṁtanvasitarājīsirāsantatam, āhatamādhmātadr̥tiśabdavadbhavati, vāyuścōrdhvamadhastiryak casaśūlaśabdaścarati, ētadvātōdaramiti vidyāt||25||

tasya rUpANi- kukShipANipAdavRuShaNashvayathuH, udaravipATanam, aniyatau ca vRuddhihrAsau,kukShipArshvashUlodAvartA~ggamardaparvabhedashuShkakAsakArshyadaurbalyArocakAvipAkAH,adhogurutvaM, vAtavarcomUtrasa~ggaH, shyAvAruNatvaM ca nakhanayanavadanatva~gmUtravarcasAm,api codaraM tanvasitarAjIsirAsantatam, AhatamAdhmAtadRutishabdavadbhavati,vAyushcordhvamadhastiryak ca sashUlashabdashcarati, etadvAtodaramiti vidyAt||25||

+

</div></div>

The symptoms of ''vatodara'' include distension of abdomen, edema of the hands, legs and scrotum, splitting type of pain in abdomen, undue increase and decrease of abdominal distension, abdominal pain, pain in the sides of the abdomen, abnormal upward course of ''vata'' within abdomen, body ache, pain in phalangeal joints, dry cough, emaciation, debility, lack of taste in mouth, indigestion, heaviness in the lower abdomen, obstructed flatus, constipation, retention of the urine, brown or reddish black discoloration of the nails, brown or reddish black discoloration of the conjunctiva, buccal mucosa, dermis, urine and fecal matter; abdominal wall possessing thin, blackish stretch lines and vessels, tympanic note on percussion similar to the sound produced on tapping air filled leather bag or bladder and upward, downward and lateral painful movement of ''vata'' with gurgling sound within the abdomen [25]

==== Etiology of ''pittodara'' ====

+

−

कट्वम्ललवणात्युष्णतीक्ष्णाग्न्यातपसेवनैः|

+

कट्वम्ललवणात्युष्णतीक्ष्णाग्न्यातपसेवनैः| <br />

−

विदाह्यध्यशनाजीर्णैश्चाशु पित्तं समाचितम्||२६||

+

विदाह्यध्यशनाजीर्णैश्चाशु पित्तं समाचितम्||२६|| <br />

+

−

kaṭvamlalavaṇātyuṣṇatīkṣṇāgnyātapasēvanaiḥ|

+

kaṭvamlalavaṇātyuṣṇatīkṣṇāgnyātapasēvanaiḥ| <br />

−

vidāhyadhyaśanājīrṇaiścāśu pittaṁ samācitam||26||

+

vidāhyadhyaśanājīrṇaiścāśu pittaṁ samācitam||26|| <br />

−

kaTvamlalavaNAtyuShNatIkShNAgnyAtapasevanaiH|

+

kaTvamlalavaNAtyuShNatIkShNAgnyAtapasevanaiH| <br />

−

vidAhyadhyashanAjIrNaishcAshu pittaM samAcitam||26||

+

vidAhyadhyashanAjIrNaishcAshu pittaM samAcitam||26|| <br />

+

</div></div>

Etiological factors of ''pittodara'' are excessive consumption of foods having pungent taste ans sour taste, salty foods, foods having ''ushna'' (hot) and ''tikshna'' (sharply acting) properties, exposure the heat of fire place, exposure to sunshine, consumption of foods that cause burning sensation whilst getting digested, pre-digestion meals and indigestion [26]

==== Pathogenssis of ''pittodara'' ====

+

−

प्राप्यानिलकफौ रुद्ध्वा मार्गमुन्मार्गमास्थितम्|

+

प्राप्यानिलकफौ रुद्ध्वा मार्गमुन्मार्गमास्थितम्| <br />

−

निहन्त्यामाशये वह्निं जनयत्युदरं ततः||२७||

+

निहन्त्यामाशये वह्निं जनयत्युदरं ततः||२७|| <br />

+

−

prāpyānilakaphau ruddhvā mārgamunmārgamāsthitam|

+

prāpyānilakaphau ruddhvā mārgamunmārgamāsthitam| <br />

−

nihantyāmāśayē vahniṁ janayatyUdaraṁ tataḥ||27||

+

nihantyāmāśayē vahniṁ janayatyUdaraṁ tataḥ||27|| <br />

−

prApyAnilakaphau ruddhvA mArgamunmArgamAsthitam|

+

prApyAnilakaphau ruddhvA mArgamunmArgamAsthitam| <br />

−

nihantyAmAshaye vahniM janayatyudaraM tataH||27||

+

nihantyAmAshaye vahniM janayatyudaraM tataH||27|| <br />

+

</div></div>

Due to the etiological factors pitta gets aggravated, which assumes abnormal upward course and obstructs the ''vata'' and ''kapha''. Further the morbid ''pitta'' by suppressing the ''agni'' situated in stomach causes ''pittodara'' [27]

==== Symptoms of ''pittodara'' ====

+

तस्य रूपाणि- दाहज्वरतृष्णामूर्च्छातीसारभ्रमाः, कटुकास्यत्वं, हरितहारिद्रत्वं [१] च नखनयनवदनत्वङ्मूत्रवर्चसाम्, अपि चोदरंनीलपीतहारिद्रहरितताम्रराजीसिरावनद्धं, दह्यते, दूयते, धूप्यते, ऊष्मायते, स्विद्यते, क्लिद्य, मृदुस्पर्शं क्षिप्रपाकं चभवति; एतत् पित्तोदरमिति विद्यात्||२८||

+

tasya rūpāṇi- dāhajvaratr̥ṣṇāmūrcchātīsārabhramāḥ, kaṭukāsyatvaṁ, haritahāridratvaṁ [1] canakhanayanavadanatvaṅmūtravarcasām, api cōdaraṁ nīlapītahāridraharitatāmrarājīsirāvanaddhaṁ,dahyatē, dūyatē, dhūpyatē, ūṣmāyatē, svidyatē, klidyatē, mr̥dusparśaṁ kṣiprapākaṁ ca bhavati; ētatpittōdaramiti vidyāt||28||

tasya rUpANi- dAhajvaratRuShNAmUrcchAtIsArabhramAH, kaTukAsyatvaM, haritahAridratvaM [1] canakhanayanavadanatva~gmUtravarcasAm, api codaraM nIlapItahAridraharitatAmrarAjIsirAvanaddhaM,dahyate, dUyate, dhUpyate, UShmAyate, svidyate, klidyate, mRudusparshaM kShiprapAkaM ca bhavati;etat pittodaramiti vidyAt||28||

+

</div></div>

The symptoms of ''pittodara'' are burning sensation, fever, excessive thirst, transient loss of consciousness, diarrhea, giddiness, abnormal pungent taste in mouth, abnormal green or yellowish discoloration of nails, conjunctiva, mouth, dermis, urine and feces, abdominal wall covered with bluish, yellowish, greenish or coppery stretch marks and distended veins, burning sensation of the abdominal wall, abdomen becoming warm, subjective symptoms of smoke emitting from the abdomen, subjective feeling of abdominal warmth as if fire in near place, abdominal sweating, moistening of the abdomen, abdomen appears soft on palpation and the illness rapidly progressing to ascites [28].

==== Etiology of ''kaphodara'' ====

+

−

अव्यायामदिवास्वप्नस्वाद्वतिस्निग्धपिच्छिलैः|

+

अव्यायामदिवास्वप्नस्वाद्वतिस्निग्धपिच्छिलैः| <br />

−

दधिदुग्धौदकानूपमांसैश्चाप्यतिसेवितैः||२९||

+

दधिदुग्धौदकानूपमांसैश्चाप्यतिसेवितैः||२९|| <br />

+

−

avyāyāmadivāsvapnasvādvatisnigdhapicchilaiḥ|

+

avyāyāmadivāsvapnasvādvatisnigdhapicchilaiḥ| <br />

−

dadhidugdhaudakānūpamāṁsaiścāpyatisēvitaiḥ||29||

+

dadhidugdhaudakānūpamāṁsaiścāpyatisēvitaiḥ||29|| <br />

−

avyAyAmadivAsvapnasvAdvatisnigdhapicchilaiH|

+

avyAyAmadivAsvapnasvAdvatisnigdhapicchilaiH| <br />

−

dadhidugdhaudakAnUpamAMsaishcApyatisevitaiH||29||

+

dadhidugdhaudakAnUpamAMsaishcApyatisevitaiH||29|| <br />

+

</div></div>

Indulgence in the factors such as lack of physical exercise, day sleep, excessive consumption of sweet, greasy and slimy foods, curds, milk, liquids and meat of wet land animals causes ''kaphodara'' [29].

==== Pathogenesis of ''kaphodara'' ====

+

−

क्रुद्धेन श्लेष्मणा स्रोतःस्वावृतेष्वावृतोऽनिलः|

+

क्रुद्धेन श्लेष्मणा स्रोतःस्वावृतेष्वावृतोऽनिलः| <br />

−

तमेव पीडयन् कुर्यादुदरं बहिरन्त्रगः [१] ||३०||

+

तमेव पीडयन् कुर्यादुदरं बहिरन्त्रगः [१] ||३०|| <br />

+

−

kruddhēna ślēṣmaṇā srōtaḥsvāvr̥tēṣvāvr̥tō'nilaḥ|

+

kruddhēna ślēṣmaṇā srōtaḥsvāvr̥tēṣvāvr̥tō'nilaḥ| <br />

−

tamēva pīḍayan kuryādUdaraṁ bahirantragaḥ [1] ||30||

+

tamēva pīḍayan kuryādUdaraṁ bahirantragaḥ [1] ||30|| <br />

−

kruddhena shleShmaNA srotaHsvAvRuteShvAvRuto~anilaH|

+

kruddhena shleShmaNA srotaHsvAvRuteShvAvRuto~anilaH| <br />

−

tameva pIDayan kuryAdudaraM bahirantragaH [1] ||30||

+

tameva pIDayan kuryAdudaraM bahirantragaH [1] ||30||<br />

+

</div></div>

The etiological factors lead to the morbidity of ''kapha'' which obstructs the body channels that include obliteration of the passage of ''vata''. Thus obstructed ''vata'' expels the morbid ''kapha'' out of the intestines causing distension of the abdomen [30].

==== Symptoms of ''kaphodara'' ====

+

तस्य रूपाणि- गौरवारोचकाविपाकाङ्गमर्दाः, सुप्तिः, पाणिपादमुष्कोरुशोफः, उत्क्लेशनिद्राकासश्वासाः, शुक्लत्वं चनखनयनवदनत्वङ्मूत्रवर्चसाम्; अपि चोदरं शुक्लराजीसिरासन्ततं, गुरु, स्तिमितं, स्थिरं, कठिनं च भवति;एतच्छ्लेष्मोदरमिति विद्यात्||३१||

+

tasya rūpāṇi-gauravārōcakāvipākāṅgamardāḥ, suptiḥ, pāṇipādamuṣkōruśōphaḥ, utklēśanidrākāsaśvāsāḥ,śuklatvaṁ ca nakhanayanavadanatvaṅmūtravarcasām; api cōdaraṁ śuklarājīsirāsantataṁ, guru, stimitaṁ,sthiraṁ, kaṭhinaṁ ca bhavati; ētacchlēṣmōdaramiti vidyāt||31||

tasya rUpANi- gauravArocakAvipAkA~ggamardAH, suptiH, pANipAdamuShkorushophaH,utkleshanidrAkAsashvAsAH, shuklatvaM ca nakhanayanavadanatva~gmUtravarcasAm; api codaraMshuklarAjIsirAsantataM, guru, stimitaM, sthiraM, kaThinaM ca bhavati; etacchleShmodaramiti vidyAt||31||

+

</div></div>

The symptoms of ''kaphodara'' are heaviness of the body, lack of taste in the mouth, indigestion, body ache, numbness, edema of the hands, feet, scrotum and thighs, nausea due to morbid ''dosha'' located in the chest, sleepiness, cough, dyspnea, whitish discoloration of nails, conjunctiva, mouth, skin, urine and feces, abdominal wall covered with whitish stretch marks, whitish distended veins, subjective feeling of heaviness and stillness of the abdomen, unwavering abdomen with hardness of the abdomen [31].

==== Etiology of ''sannipatodara'' ====

+

−

दुर्बलाग्नेरपथ्यामविरोधिगुरुभोजनैः|

+

दुर्बलाग्नेरपथ्यामविरोधिगुरुभोजनैः| <br />

−

स्त्रीदत्तैश्च रजोरोमविण्मूत्रास्थिनखादिभिः||३२||

+

स्त्रीदत्तैश्च रजोरोमविण्मूत्रास्थिनखादिभिः||३२|| <br />

विषैश्च मन्दैर्वाताद्याः कुपिताः सञ्चयं त्रयः|

+

−

durbalāgnērapathyāmavirōdhigurubhōjanaiḥ|

+

durbalāgnērapathyāmavirōdhigurubhōjanaiḥ| <br />

−

strīdattaiśca rajōrōmaviṇmūtrāsthinakhādibhiḥ||32||

+

strīdattaiśca rajōrōmaviṇmūtrāsthinakhādibhiḥ||32|| <br />

viṣaiśca mandairvātādyāḥ kupitāḥ sañcayaṁ trayaḥ|

−

durbalAgnerapathyAmavirodhigurubhojanaiH|

+

durbalAgnerapathyAmavirodhigurubhojanaiH| <br />

−

strIdattaishca rajoromaviNmUtrAsthinakhAdibhiH||32||

+

strIdattaishca rajoromaviNmUtrAsthinakhAdibhiH||32|| <br />

viShaishca mandairvAtAdyAH kupitAH sa~jcayaM trayaH|

+

</div></div>

The etiological factors such as person with impaired ''agni'' (digestive power) indulging in unhealthy food habits and consuming foods that are inadequately cooked, taking food articles having mutually contradictory properties, eating foods that are heavy for digestion, consumption of food adulterated with dust, hair, feces, urine, bone and nails which is offered by a wicked lady and slow poisoning by the intake of ''dushivisha'' (chronic poisoning) cause ''sannipatodara'' [32].

==== Pathogenesis of ''sannipatodara'' ====

+

शनैः कोष्ठे प्रकुर्वन्तो जनयन्त्युदरं नृणाम्||३३||

+

śanaiḥ kōṣṭhē prakurvantō janayantyUdaraṁ nr̥ṇām||33||

shanaiH koShThe prakurvanto janayantyudaraM nRuNAm||33||

+

</div></div>

Exposure to the etiological factors lead to morbidity of all three ''dosha'', which gradually accumulates in the abdomen causing ''sannipatodara'' [33]

==== Symptoms of ''sannipatodara'' ====

+

तस्य रूपाणि-सर्वेषामेव दोषाणां समस्तानि लिङ्गान्युपलभ्यन्ते, वर्णाश्च सर्वे नखादिषु, उदरमपि नानावर्णराजीसिरासन्ततंभवति; एतत् सन्निपातोदरमिति विद्यात्||३४||

+

tasya rūpāṇi- sarvēṣāmēva dōṣāṇāṁ samastāni liṅgānyupalabhyantē, varṇāśca sarvē nakhādiṣu,Udara mapi nānāvarṇarājīsirāsantataṁ bhavati; ētat sannipātōdaramiti vidyāt||34||

tasya rUpANi- sarveShAmeva doShANAM samastAni li~ggAnyupalabhyante, varNAshca sarve nakhAdiShu,udaramapi nAnAvarNarAjIsirAsantataM bhavati; etat sannipAtodaramiti vidyAt||34||

+

</div></div>

The symptoms of ''sannipatodara'' are manifestation of symptoms pathognomonic of all three ''dosha'', variegated abnormal coloration of nails and other body parts pathognomonic of all three ''dosha'' and appearance of stretch marks and veins having variegated color pathognomonic of morbidity of all three ''dosha''. This illness is regarded as ''sannipatodara'' [34].

==== Etiology of ''plihodara'' ====

+

−

अशितस्यातिसङ्क्षोभाद्यानयानातिचेष्टितैः|

+

अशितस्यातिसङ्क्षोभाद्यानयानातिचेष्टितैः| <br />

−

अतिव्यवायभाराध्ववमनव्याधिकर्शनैः||३५||

+

अतिव्यवायभाराध्ववमनव्याधिकर्शनैः||३५|| <br />

+

−

aśitasyātisaṅkṣōbhādyānayānāticēṣṭitaiḥ|

+

aśitasyātisaṅkṣōbhādyānayānāticēṣṭitaiḥ| <br />

−

ativyavāyabhārādhvavamanavyādhikarśanaiḥ||35||

+

ativyavāyabhārādhvavamanavyādhikarśanaiḥ||35|| <br />

−

ashitasyAtisa~gkShobhAdyAnayAnAticeShTitaiH|

+

ashitasyAtisa~gkShobhAdyAnayAnAticeShTitaiH| <br />

−

ativyavAyabhArAdhvavamanavyAdhikarshanaiH||35||

+

ativyavAyabhArAdhvavamanavyAdhikarshanaiH||35|| <br />

+

</div></div>

The ''plihodara'' is caused by activities like travelling excessively in vibrating vehicle, heavy exercises that involve violent jerky movements of the body and are done immediately after the meals, excessive sex, lifting heavy objects, indulging in heavy walking, excessive vomiting and emaciation due to chronic illness [35].

==== ''Samprapti'' of ''plihodara'' ====

+

−

वामपार्श्वाश्रितः प्लीहा च्युतः स्थानात् प्रवर्धते|

+

वामपार्श्वाश्रितः प्लीहा च्युतः स्थानात् प्रवर्धते| <br />

−

शोणितं वा रसादिभ्यो विवृद्धं तं विवर्धयेत्||३६||

+

शोणितं वा रसादिभ्यो विवृद्धं तं विवर्धयेत्||३६|| <br />

+

−

vāmapārśvāśritaḥ plīhā cyutaḥ sthānāt pravardhatē|

+

vāmapārśvāśritaḥ plīhā cyutaḥ sthānāt pravardhatē| <br />

−

śōṇitaṁ vā rasādibhyō vivr̥ddhaṁ taṁ vivardhayēt||36||

+

śōṇitaṁ vā rasādibhyō vivr̥ddhaṁ taṁ vivardhayēt||36|| <br />

−

vAmapArshvAshritaH plIhA cyutaH sthAnAt pravardhate|

+

vAmapArshvAshritaH plIhA cyutaH sthAnAt pravardhate| <br />

−

shoNitaM vA rasAdibhyo vivRuddhaM taM vivardhayet||36||

+

shoNitaM vA rasAdibhyo vivRuddhaM taM vivardhayet||36|| <br />

+

</div></div>

Afflicted by the jerky movements of the body etc, the spleen located in the left side(flank or left hypochondriac region) enlarges and descends to cause enlargement of the abdomen; or else, a variety of dietary factors leading to increment and morbidity of ''rasa, rakta'' etc. which in turn causes enlargement of the spleen. Enlarged spleen distends the abdomen causing ''plihodara'' [36].

==== Symptoms of ''plihodara'' and ''yakritodara'' ====

+

तस्य प्लीहा कठिनोऽष्ठीलेवादौ वर्धमानः कच्छपसंस्थान उपलभ्यते; स चोपेक्षितः क्रमेण कुक्षिं जठरमग्न्यधिष्ठानं चपरिक्षिपन्नुदरमभिनिर्वर्तयति||३७||

Line 441: Line 521:

दौर्बल्यारोचकाविपाकवर्चोमूत्रग्रहतमःप्रवेशपिपासाङ्गमर्दच्छर्दिमूर्च्छाङ्गसाद-कासश्वासमृदुज्वरानाहाग्निनाशकार्श्यास्यवैरस्यपर्वभेदकोष्ठवातशूलानि, अपि चोदरमरुणवर्णं विवर्णं वानीलहरितहारिद्रराजिमद्भवति; एवमेव यकृदपि दक्षिणपार्श्वस्थं कुर्यात्, तुल्यहेतुलिङ्गौषधत्वात्तस्य प्लीहजठर एवावरोधइति; एतत् प्लीहोदरमिति विद्यात्||३८||

+

tasya plīhā kaṭhinō'ṣṭhīlēvādau vardhamānaḥ kacchapasaṁsthāna upalabhyatē; sa cōpēkṣitaḥ kramēṇakukṣiṁ jaṭharamagnyadhiṣṭhānaṁ ca parikṣipannUdara mabhinirvartayati||37||

Line 453: Line 534:

daurbalyArocakAvipAkavarcomUtragrahatamaHpraveshapipAsA~ggamardacchardimUrcchA~ggasAda-kAsashvAsamRudujvarAnAhAgninAshakArshyAsyavairasyaparvabhedakoShThavAtashUlAni, apicodaramaruNavarNaM vivarNaM vA nIlaharitahAridrarAjimadbhavati; evameva yakRudapidakShiNapArshvasthaM kuryAt, tulyahetuli~ggauShadhatvAttasya plIhajaThara evAvarodha iti; etatplIhodaramiti vidyAt||38||

+

</div></div>

Patient suffers from progressive enlargement of the spleen. Initially the enlarged spleen is palpable as a hard mass identical to the oval metal ball used by blacksmiths. The surface of the spleen appears smooth similar to the dorsum of the tortoise. If left untreated the enlarging spleen encroach the whole abdomen including the abode of ''agni'' [37].

Line 461: Line 543:

==== Etiology of ''baddhodara'' ====

+

−

पक्ष्मबालैः सहान्नेन भुक्तैर्बद्धायने गुदे|

+

पक्ष्मबालैः सहान्नेन भुक्तैर्बद्धायने गुदे| <br />

−

उदावर्तैस्तथाऽर्शोभिरन्त्रसम्मूर्च्छनेन वा||३९||

+

उदावर्तैस्तथाऽर्शोभिरन्त्रसम्मूर्च्छनेन वा||३९|| <br />

+

−

pakṣmabālaiḥ sahānnēna bhuktairbaddhāyanē gudē|

+

pakṣmabālaiḥ sahānnēna bhuktairbaddhāyanē gudē| <br />

−

udāvartaistathā'rśōbhirantrasammūrcchanēna vā||39||

+

udāvartaistathā'rśōbhirantrasammūrcchanēna vā||39|| <br />

−

pakShmabAlaiH sahAnnena bhuktairbaddhAyane gude|

+

pakShmabAlaiH sahAnnena bhuktairbaddhAyane gude| <br />

−

udAvartaistathA~arshobhirantrasammUrcchanena vA||39||

+

udAvartaistathA~arshobhirantrasammUrcchanena vA||39|| <br />

+

</div></div>

''Baddhodara'' is caused by the obliteration of the passage of stools due to consumption of the food admixed with feathers of birds or human hair, ''udavarta'' (reversed course of ''vata'' in abdomen), due to ''arshas'' (ano-rectal mass lesion) and intussusception of the intestines [39].

==== Pathogenesis of ''baddhagudodara'' ====

+

−

अपानो मार्गसंरोधाद्धत्वाऽग्निं कुपितोऽनिलः|

+

अपानो मार्गसंरोधाद्धत्वाऽग्निं कुपितोऽनिलः| <br />

−

वर्चःपित्तकफान् रुद्ध्वा जनयत्युदरं ततः||४०||

+

वर्चःपित्तकफान् रुद्ध्वा जनयत्युदरं ततः||४०|| <br />

+

−

apānō mārgasaṁrōdhāddhatvā'gniṁ kupitō'nilaḥ|

+

apānō mārgasaṁrōdhāddhatvā'gniṁ kupitō'nilaḥ| <br />

−

varcaḥpittakaphān ruddhvā janayatyUdara ṁ tataḥ||40||

+

varcaḥpittakaphān ruddhvā janayatyUdara ṁ tataḥ||40|| <br />

−

apAno mArgasaMrodhAddhatvA~agniM kupito~anilaH|

+

apAno mArgasaMrodhAddhatvA~agniM kupito~anilaH| <br />

−

varcaHpittakaphAn ruddhvA janayatyudaraM tataH||40||

+

varcaHpittakaphAn ruddhvA janayatyudaraM tataH||40|| <br />

+

</div></div>

Obliteration of the passage of colon leads to morbidity of ''apana vata'' which in turn impairs the functioning of the agni as well as obstructs the excretion of stools and obliterates the movement of ''pitta'' and ''kapha''. Eventually the patient suffers from the ''baddhagudodara'' [40].

==== Symptoms of ''baddhagudodara'' ====

+

तस्य रूपाणि-

तृष्णादाहज्वरमुखतालुशोषोरुसादकासश्वासदौर्बल्यारोचकाविपाक-वर्चोमूत्रसङ्गाध्मानच्छर्दिक्षवथुशिरोहृन्नाभिगुदशूलानि, अपि चोदरं मूढवातं स्थिरमरुणं नीलराजि सिरावनद्धराजिकं वा प्रायोनाभ्युपरि गोपुच्छवदभिनिर्वर्तत इति; एतद्बद्धगुदोदरमिति विद्यात्||४१||

+

tasya rūpāṇi-

Line 499: Line 589:

tRuShNAdAhajvaramukhatAlushoShorusAdakAsashvAsadaurbalyArocakAvipAka-varcomUtrasa~ggAdhmAnacchardikShavathushirohRunnAbhigudashUlAni, api codaraM mUDhavAtaMsthiramaruNaM nIlarAji sirAvanaddharAjikaM vA prAyo nAbhyupari gopucchavadabhinirvartata iti;etadbaddhagudodaramiti vidyAt||41||

+

</div></div>

Symptoms of ''baddhagudodara'' are excessive thirst, burning sensation, fever, dryness of the mouth, dryness of the palate, tiredness in the thighs, cough, breathlessness, debility, lack of taste in mouth, indigestion, constipation, retention of the urine, abdominal distention, vomiting, sneezing, headache, chest pain, pain in the umbilical region and rectum, absence of gurgling sound in the abdomen, abdominal wall covered with pinkish and bluish stretch marks, visible veins, probably the stretch marks and visible veins occur above the umbilicus in the shape of cow tail, or else there may not be any stretch marks [41].

==== Causes of ''chhidrodara'' ====

+

−

शर्करातृणकाष्ठास्थिकण्टकैरन्नसंयुतैः|

+

शर्करातृणकाष्ठास्थिकण्टकैरन्नसंयुतैः| <br />

−

भिद्येतान्त्रं यदा भुक्तैर्जृम्भयाऽत्यशनेन वा||४२||

+

भिद्येतान्त्रं यदा भुक्तैर्जृम्भयाऽत्यशनेन वा||४२|| <br />

+

−

śarkarātr̥ṇakāṣṭhāsthikaṇṭakairannasaṁyutaiḥ|

+

śarkarātr̥ṇakāṣṭhāsthikaṇṭakairannasaṁyutaiḥ| <br />

−

bhidyētāntraṁ yadā bhuktairjr̥mbhayā'tyaśanēna vā||42||

+

bhidyētāntraṁ yadā bhuktairjr̥mbhayā'tyaśanēna vā||42|| <br />

−

sharkarAtRuNakAShThAsthikaNTakairannasaMyutaiH|

+

sharkarAtRuNakAShThAsthikaNTakairannasaMyutaiH| <br />

−

bhidyetAntraM yadA bhuktairjRumbhayA~atyashanena vA||42||

+

bhidyetAntraM yadA bhuktairjRumbhayA~atyashanena vA||42|| <br />

+

</div></div>

Consumption of food contaminated with sand particles, straw, pieces of wood, bone and thorn, or else yawing with stretching of the body as well as excessive intake of food causes injury to intestine lead to ''chhidrodara'' [42].

==== Pathogenesis of ''chhidrodara'' ====

+

−

पाकं गच्छेद्रसस्तेभ्यश्छिद्रेभ्यः प्रस्रवद्बहिः|

+

पाकं गच्छेद्रसस्तेभ्यश्छिद्रेभ्यः प्रस्रवद्बहिः| <br />

−

पूरयन् गुदमन्त्रं च जनयत्युदरं ततः||४३||

+

पूरयन् गुदमन्त्रं च जनयत्युदरं ततः||४३|| <br />

+

−

pākaṁ gacchēdrasastēbhyaśchidrēbhyaḥ prasravadbahiḥ|

+

pākaṁ gacchēdrasastēbhyaśchidrēbhyaḥ prasravadbahiḥ| <br />

−

pūrayan gudamantraṁ ca janayatyUdara ṁ tataḥ||43||

+

pūrayan gudamantraṁ ca janayatyUdara ṁ tataḥ||43|| <br />

−

pAkaM gacchedrasastebhyashchidrebhyaH prasravadbahiH|

+

pAkaM gacchedrasastebhyashchidrebhyaH prasravadbahiH| <br />

−

pUrayan gudamantraM ca janayatyudaraM tataH||43||

+

pUrayan gudamantraM ca janayatyudaraM tataH||43|| <br />

+

</div></div>

Contaminated food causes perforation of the intestines, which undergoes suppuration. Or else the suppuration of the intestines may happen due to yawing or excessive food which in turn leads to perforation. Perforation of the intestines further causes leaking out of the chyle from the intestines, which tends to move into the dependent parts of the abdomen filling the intestinal and rectal parts. Eventually the accumulation of the fluids in the lower abdomen manifests in ''chhidrodara'' [43].

==== Symptoms of ''chhidrodara'' ====

+

तस्य रूपाणि-तदधो नाभ्याः प्रायोऽभिवर्धमानमुदकोदरं भवति, यथाबलं च दोषाणां रूपाणि दर्शयति, अपि चातुरः सलोहितनीलपीतपिच्छिलकुणपगन्ध्यामवर्च उपवेशते, हिक्काश्वासकासतृष्णाप्रमेहारोचकाविपाकदौर्बल्यपरीतश्च भवति;एतच्छिद्रोदरमिति विद्यात्||४४||

+

tasya rūpāṇi- tadadhō nābhyāḥ prāyō'bhivardhamānamudakōdaraṁ bhavati, yathābalaṁ ca dōṣāṇāṁrūpāṇi darśayati, api cāturaḥ salōhitanīlapītapicchilakuṇapagandhyāmavarca upavēśatē,hikkāśvāsakāsatr̥ṣṇāpramēhārōcakāvipākadaurbalyaparītaśca bhavati; ētacchidrōdaramiti vidyāt||44||

tasya rUpANi- tadadho nAbhyAH prAyo~abhivardhamAnamudakodaraM bhavati, yathAbalaM cadoShANAM rUpANi darshayati, api cAturaH salohitanIlapItapicchilakuNapagandhyAmavarca upaveshate,hikkAshvAsakAsatRuShNApramehArocakAvipAkadaurbalyaparItashca bhavati; etacchidrodaramitividyAt||44||

+

</div></div>

The symptoms include distension of the abdomen mostly below the umbilicus due to accumulation of the fluids. Patient may suffer from a variety of symptoms according to the degree of morbidity of each ''dosha''. Patient excretes reddish, bluish, yellowish, mucous mixed with foul smelling and unformed stools. Patient suffers from hiccough, cough, breathlessness, thirst, altered state of consciousness, tastelessness in mouth, indigestion and debility. These are indicative of ''chhidrodara'' [44].

==== Etiopathogenesis of ''jalodara'' ====

+

−

स्नेहपीतस्य मन्दाग्नेः क्षीणस्यातिकृशस्य वा|

+

स्नेहपीतस्य मन्दाग्नेः क्षीणस्यातिकृशस्य वा| <br />

−

अत्यम्बुपानान्नष्टेऽग्नौ मारुतः क्लोम्नि संस्थितः||४५||

+

अत्यम्बुपानान्नष्टेऽग्नौ मारुतः क्लोम्नि संस्थितः||४५|| <br />

−

स्रोतःसु रुद्धमार्गेषु कफश्चोदकमूर्च्छितः|

+

स्रोतःसु रुद्धमार्गेषु कफश्चोदकमूर्च्छितः| <br />

−

वर्धयेतां तदेवाम्बु स्वस्थानादुदराय तौ||४६||

+

वर्धयेतां तदेवाम्बु स्वस्थानादुदराय तौ||४६|| <br />

+

−

snēhapītasya mandāgnēḥ kṣīṇasyātikr̥śasya vā|

+

snēhapītasya mandāgnēḥ kṣīṇasyātikr̥śasya vā| <br />

−

atyambupānānnaṣṭē'gnau mārutaḥ klōmni saṁsthitaḥ||45||

+

atyambupānānnaṣṭē'gnau mārutaḥ klōmni saṁsthitaḥ||45|| <br />

−

srōtaḥsu ruddhamārgēṣu kaphaścōdakamūrcchitaḥ|

+

srōtaḥsu ruddhamārgēṣu kaphaścōdakamūrcchitaḥ| <br />

−

vardhayētāṁ tadēvāmbu svasthānādudarāya tau||46||

+

vardhayētāṁ tadēvāmbu svasthānādudarāya tau||46|| <br />

−

snehapItasya mandAgneH kShINasyAtikRushasya vA|

+

snehapItasya mandAgneH kShINasyAtikRushasya vA| <br />

−

atyambupAnAnnaShTe~agnau mArutaH klomni saMsthitaH||45||

+

atyambupAnAnnaShTe~agnau mArutaH klomni saMsthitaH||45|| <br />

−

srotaHsu ruddhamArgeShu kaphashcodakamUrcchitaH|

+

srotaHsu ruddhamArgeShu kaphashcodakamUrcchitaH| <br />

−

vardhayetAM tadevAmbu svasthAnAdudarAya tau||46||

+

vardhayetAM tadevAmbu svasthAnAdudarAya tau||46|| <br />

+

</div></div>

Excessive consumption of water on occasions like oral medication with medicated ghee, impaired state of ''agni'', debility and emaciation causes destruction of digestive power and vitiation of ''vata'' situated at ''kloma''. [45].

Line 563: Line 666:

==== Symptoms of ''udakodara'' ====

+

तस्य रूपाणि-

अनन्नकाङ्क्षापिपासागुदस्रावशूलश्वासकासदौर्बल्यानि, अपि चोदरंनानावर्णराजिसिरासन्ततमुदकपूर्णदृतिक्षोभसंस्पर्शं भवति, एतदुदकोदरमिति विद्यात्||४७||

+

tasya rūpāṇi-

Line 575: Line 680:

anannakA~gkShApipAsAgudasrAvashUlashvAsakAsadaurbalyAni, api codaraMnAnAvarNarAjisirAsantatamudakapUrNadRutikShobhasaMsparshaM bhavati, etadudakodaramitividyAt||47||

+

</div></div>

The symptoms of ''udakodara'' (''jalodara'') includes lack of interest to take food, excessive thirst, mucus discharge from anus, abdominal pain, breathlessness, cough, debility, abdomen with stretch marks and distended variegated veins, fluid thrill and dull percussion note identical to the one seen in leather bag filled with water [47].

==== Consequences of not treating ''jalodara'' at early stage ====

+

तत्र अचिरोत्पन्नमनुपद्रवमनुदकमप्राप्तमुदरं त्वरमाणश्चिकित्सेत्; उपेक्षितानां ह्येषां दोषाः स्वस्थानादपवृत्तापरिपाकाद्द्रवीभूताः सन्धीन् स्रोतांसि चोपक्लेदयन्ति, स्वेदश्च बाह्येषु स्रोतःसुप्रतिहतगतिस्तिर्यगवतिष्ठमानस्तदेवोदकमाप्याययति; तत्र पिच्छोत्पत्तौ मण्डलमुदरं गुरु स्तिमितमाकोठितमशब्दंमृदुस्पर्शमपगतराजीकमाक्रान्तं नाभ्यामेवोपसर्पति| ततोऽनन्तरमुदकप्रादुर्भावः|

Line 587: Line 694:

तदाऽऽतुरमुपद्रवाः स्पृशन्तिछर्द्यतीसारतमकतृष्णाश्वासकासहिक्कादौर्बल्यपार्श्वशूलारुचिस्वरभेदमूत्रसङ्गादयः;तथाविधमचिकित्स्यं विद्यादिति||४९||

+

tatra acirōtpannamanupadravamanudakamaprāptamUdara ṁ tvaramāṇaścikitsēt; upēkṣitānāṁ hyēṣāṁdōṣāḥ svasthānādapavr̥ttā paripākāddravībhūtāḥ sandhīn srōtāṁsi cōpaklēdayanti, svēdaśca bāhyēṣusrōtaḥsu pratihatagatistiryagavatiṣṭhamānastadēvōdakamāpyāyayati; tatra picchōtpattaumaṇḍalamUdara ṁ guru stimitamākōṭhitamaśabdaṁ mr̥dusparśamapagatarājīkamākrāntaṁnābhyāmēvōpasarpati| tatō'nantaramudakaprādurbhāvaḥ|

Line 606: Line 714:

chardyatIsAratamakatRuShNAshvAsakAsahikkAdaurbalyapArshvashUlArucisvarabhedamUtrasa~ggAdayaH;tathAvidhamacikitsyaM vidyAditi||49||

+

</div></div>

''Udara roga'' of recent origin having no complications and without signs of fluid accumulation should be immediately treated. If left untreated, the morbid ''dosha'' gets displaced and liquefied, moistens the joints as well as body channels, obstructs the external channels and thus mobilizes the fluid into the abdomen.

Line 616: Line 725:

==== Prognosis of ''udara roga'' ====

+

भवन्ति चात्र-

−

वातात्पित्तात्कफात् प्लीह्नः सन्निपातात्तथोदकात्|

+

वातात्पित्तात्कफात् प्लीह्नः सन्निपातात्तथोदकात्| <br />

−

परं परं कृच्छ्रतरमुदरं भिषगादिशेत्||५०||

+

परं परं कृच्छ्रतरमुदरं भिषगादिशेत्||५०|| <br />

−

पक्षाद्बद्धगुदं तूर्ध्वं सर्वं जातोदकं तथा|

+

पक्षाद्बद्धगुदं तूर्ध्वं सर्वं जातोदकं तथा| <br />

−

प्रायो भवत्यभावाय च्छिद्रान्त्रं चोदरं नृणाम्||५१||

+

प्रायो भवत्यभावाय च्छिद्रान्त्रं चोदरं नृणाम्||५१|| <br />

−

शूनाक्षं कुटिलोपस्थमुपक्लिन्नतनुत्वचम्|

+

शूनाक्षं कुटिलोपस्थमुपक्लिन्नतनुत्वचम्| <br />

−

बलशोणितमांसाग्निपरिक्षीणं च वर्जयेत्||५२||

+

बलशोणितमांसाग्निपरिक्षीणं च वर्जयेत्||५२|| <br />

−

श्वयथुः सर्वमर्मोत्थः श्वासो हिक्काऽरुचिः सतृट्|

+

श्वयथुः सर्वमर्मोत्थः श्वासो हिक्काऽरुचिः सतृट्| <br />

−

मूर्च्छा च्छर्दिरतीसारो निहन्त्युदरिणं नरम्||५३||

+

मूर्च्छा च्छर्दिरतीसारो निहन्त्युदरिणं नरम्||५३|| <br />

−

जन्मनैवोदरं सर्वं प्रायः कृच्छ्रतमं मतम्|

+

जन्मनैवोदरं सर्वं प्रायः कृच्छ्रतमं मतम्| <br />

−

बलिनस्तदजाताम्बु यत्नसाध्यं नवोत्थितम्||५४||

+

बलिनस्तदजाताम्बु यत्नसाध्यं नवोत्थितम्||५४||<br />

+

bhavanti cātra-

−

vātātpittātkaphāt plīhnaḥ sannipātāttathōdakāt|

+

vātātpittātkaphāt plīhnaḥ sannipātāttathōdakāt| <br />

−

paraṁ paraṁ kr̥cchrataramUdara ṁ bhiṣagādiśēt||50||

+

paraṁ paraṁ kr̥cchrataramUdara ṁ bhiṣagādiśēt||50|| <br />

−

pakṣādbaddhagudaṁ tūrdhvaṁ sarvaṁ jātōdakaṁ tathā|

+

pakṣādbaddhagudaṁ tūrdhvaṁ sarvaṁ jātōdakaṁ tathā| <br />

−

prāyō bhavatyabhāvāya cchidrāntraṁ cōdaraṁ nr̥ṇām||51||

+

prāyō bhavatyabhāvāya cchidrāntraṁ cōdaraṁ nr̥ṇām||51||<br />

−

śūnākṣaṁ kuṭilōpasthamupaklinnatanutvacam|

+

śūnākṣaṁ kuṭilōpasthamupaklinnatanutvacam| <br />

−

balaśōṇitamāṁsāgniparikṣīṇaṁ ca varjayēt||52||

+

balaśōṇitamāṁsāgniparikṣīṇaṁ ca varjayēt||52|| <br />

−

śvayathuḥ sarvamarmōtthaḥ śvāsō hikkā'ruciḥ satr̥ṭ|

+

śvayathuḥ sarvamarmōtthaḥ śvāsō hikkā'ruciḥ satr̥ṭ| <br />

−

mūrcchā cchardiratīsārō nihantyudariṇaṁ naram||53||

+

mūrcchā cchardiratīsārō nihantyudariṇaṁ naram||53|| <br />

−

janmanaivōdaraṁ sarvaṁ prāyaḥ kr̥cchratamaṁ matam|

+

janmanaivōdaraṁ sarvaṁ prāyaḥ kr̥cchratamaṁ matam| <br />

−

balinastadajātāmbu yatnasādhyaṁ navōtthitam||54||

+

balinastadajātāmbu yatnasādhyaṁ navōtthitam||54||<br />

bhavanti cAtra-

−

vAtAtpittAtkaphAt plIhnaH sannipAtAttathodakAt|

+

vAtAtpittAtkaphAt plIhnaH sannipAtAttathodakAt| <br />

−

paraM paraM kRucchrataramudaraM bhiShagAdishet||50||

+

paraM paraM kRucchrataramudaraM bhiShagAdishet||50|| <br />

−

pakShAdbaddhagudaM tUrdhvaM sarvaM jAtodakaM tathA|

+

pakShAdbaddhagudaM tUrdhvaM sarvaM jAtodakaM tathA| <br />

−

prAyo bhavatyabhAvAya cchidrAntraM codaraM nRuNAm||51||

+

prAyo bhavatyabhAvAya cchidrAntraM codaraM nRuNAm||51||<br />

−

shUnAkShaM kuTilopasthamupaklinnatanutvacam|

+

shUnAkShaM kuTilopasthamupaklinnatanutvacam| <br />

−

balashoNitamAMsAgniparikShINaM ca varjayet||52||

+

balashoNitamAMsAgniparikShINaM ca varjayet||52|| <br />

−

shvayathuH sarvamarmotthaH shvAso hikkA~aruciH satRuT|

+

shvayathuH sarvamarmotthaH shvAso hikkA~aruciH satRuT| <br />

−

mUrcchA cchardiratIsAro nihantyudariNaM naram||53||

+

mUrcchA cchardiratIsAro nihantyudariNaM naram||53|| <br />

−

janmanaivodaraM sarvaM prAyaH kRucchratamaM matam|

+

janmanaivodaraM sarvaM prAyaH kRucchratamaM matam| <br />

−

balinastadajAtAmbu yatnasAdhyaM navotthitam||54||

+

balinastadajAtAmbu yatnasAdhyaM navotthitam||54||<br />

+

</div></div>

Among the list of ''vatodara, pittodara, kaphodara, plihodara, sannipatodara'' and ''jalodara'' (ascites); the later ones are more and more difficult to cure. After a fortnight the ''baddhodara'' (enlargement of abdomen due to gastrointestinal obstruction) and ''udara'' that presents with accumulation of fluid are incurable. Mostly ''chhidrodara'' (enlargement of abdomen due to intestinal perforation) is fatal. The treatment should be avoided in patients of ''udara'' presenting with peri-orbital edema, distorted genitalia, moistening and thinning of the skin, severe reduction in the physical strength, severe depletion in the blood, severe wasting of the body flesh and severe impairment in the ''agni''.

Line 675: Line 787:

==== Symptoms of ''ajatodaka udara roga'' ====

+

−

अजातशोथमरुणं सशब्दं नातिभारिकम्|

+

अजातशोथमरुणं सशब्दं नातिभारिकम्| <br />

−

सदा गुडगुडायच्च सिराजालगवाक्षितम्||५५||

+

सदा गुडगुडायच्च सिराजालगवाक्षितम्||५५|| <br />

−

नाभिं विष्टभ्य पायौ तु वेगं कृत्वा प्रणश्यति|

+

नाभिं विष्टभ्य पायौ तु वेगं कृत्वा प्रणश्यति| <br />

−

हृन्नाभिवङ्क्षणकटीगुदप्रत्येकशूलिनः||५६||

+

हृन्नाभिवङ्क्षणकटीगुदप्रत्येकशूलिनः||५६|| <br />

−

कर्कशं सृजतो वातं नातिमन्दे च पावके|

+

कर्कशं सृजतो वातं नातिमन्दे च पावके| <br />

−

लोलस्याविरसे चास्ये मूत्रेऽल्पे संहते विषि||५७||

+

लोलस्याविरसे चास्ये मूत्रेऽल्पे संहते विषि||५७|| <br />

−

अजातोदकमित्येतैर्लिङ्गैर्विज्ञाय तत्त्वतः|

+

अजातोदकमित्येतैर्लिङ्गैर्विज्ञाय तत्त्वतः| <br />

−

उपाक्रमेद्भिषग्दोषबलकालविशेषवित्||५८||

+

उपाक्रमेद्भिषग्दोषबलकालविशेषवित्||५८||<br />

+

−

ajātaśōthamaruṇaṁ saśabdaṁ nātibhārikam|

+

ajātaśōthamaruṇaṁ saśabdaṁ nātibhārikam| <br />

−

sadā guḍaguḍāyacca sirājālagavākṣitam||55||

+

sadā guḍaguḍāyacca sirājālagavākṣitam||55|| <br />

−

nābhiṁ viṣṭabhya pāyau tu vēgaṁ kr̥tvā praṇaśyati|

+

nābhiṁ viṣṭabhya pāyau tu vēgaṁ kr̥tvā praṇaśyati|<br />

−

hr̥nnābhivaṅkṣaṇakaṭīgudapratyēkaśūlinaḥ||56||

+

hr̥nnābhivaṅkṣaṇakaṭīgudapratyēkaśūlinaḥ||56|| <br />

−

karkaśaṁ sr̥jatō vātaṁ nātimandē ca pāvakē|

+

karkaśaṁ sr̥jatō vātaṁ nātimandē ca pāvakē| <br />

−

lōlasyāvirasē cāsyē mūtrē'lpē saṁhatē viṣi||57||

+

lōlasyāvirasē cāsyē mūtrē'lpē saṁhatē viṣi||57|| <br />

−

ajātōdakamityētairliṅgairvijñāya tattVātaḥ|

+

ajātōdakamityētairliṅgairvijñāya tattVātaḥ| <br />

−

upākramēdbhiṣagdōṣabalakālaviśēṣavit||58||

+

upākramēdbhiṣagdōṣabalakālaviśēṣavit||58||<br />

−

ajAtashothamaruNaM [1] sashabdaM nAtibhArikam|

+

ajAtashothamaruNaM [1] sashabdaM nAtibhArikam| <br />

−

sadA guDaguDAyacca [2] sirAjAlagavAkShitam||55||

+

sadA guDaguDAyacca [2] sirAjAlagavAkShitam||55|| <br />

−

nAbhiM viShTabhya pAyau [3] tu vegaM kRutvA praNashyati|

+

nAbhiM viShTabhya pAyau [3] tu vegaM kRutvA praNashyati| <br />

−

hRunnAbhiva~gkShaNakaTIgudapratyekashUlinaH||56||

+

hRunnAbhiva~gkShaNakaTIgudapratyekashUlinaH||56|| <br />

−

karkashaM sRujato vAtaM nAtimande ca pAvake|

+

karkashaM sRujato vAtaM nAtimande ca pAvake| <br />

−

lolasyAvirase [4] cAsye mUtre~alpe saMhate viShi||57||

+

lolasyAvirase [4] cAsye mUtre~alpe saMhate viShi||57|| <br />

−

ajAtodakamityetairli~ggairvij~jAya tattvataH|

+

ajAtodakamityetairli~ggairvij~jAya tattvataH| <br />

−

upAkramedbhiShagdoShabalakAlavisheShavit||58||

+

upAkramedbhiShagdoShabalakAlavisheShavit||58||<br />

+

</div></div>

State of ''ajatodaka'' (initial phase of distension of abdomen without fluid accumulation) of the ''udara'' is presents with symptoms such as pink coloration of distended abdomen, increased gurgling sound, comparatively less heaviness of the abdomen, persistent gurgling sound, abdomen covered with network of distended veins, the flatus frequently generates urges to pass with distention of the umbilical region and then fades away with of farting, pain in the cardiac region, umbilical region, groin, sacral region and anal part, passing of flatus with loud sound, less severe impairment of digestion, tastelessness in the mouth, reduced urination and constipation. This state of ''ajatodaka'' should be treated with the due consideration of degree of morbidity of ''dosha'' as well as time [55-58].

==== Treatment of ''vatodara'' ====

+

−

वातोदरं बलमतः पूर्वं स्नेहैरुपाचरेत्|

+

वातोदरं बलमतः पूर्वं स्नेहैरुपाचरेत्| <br />

−

स्निग्धाय स्वेदिताङ्गाय दद्यात् स्नेहविरेचनम्||५९||

+

स्निग्धाय स्वेदिताङ्गाय दद्यात् स्नेहविरेचनम्||५९|| <br />

−

हृते दोषे परिम्लानं वेष्टयेद्वाससोदरम्|

+

हृते दोषे परिम्लानं वेष्टयेद्वाससोदरम्| <br />

−

तथाऽस्यानवकाशत्वाद्वायुर्नाध्मापयेत् पुनः||६०||

+

तथाऽस्यानवकाशत्वाद्वायुर्नाध्मापयेत् पुनः||६०|| <br />

+

−

vātōdaraṁ balamataḥ pūrvaṁ snēhairupācarēt|

+

vātōdaraṁ balamataḥ pūrvaṁ snēhairupācarēt| <br />

−

snigdhāya svēditāṅgāya dadyāt snēhavirēcanam||59||

+

snigdhāya svēditāṅgāya dadyāt snēhavirēcanam||59|| <br />

−

hr̥tē dōṣē parimlānaṁ vēṣṭayēdvāsasōdaram|

+

hr̥tē dōṣē parimlānaṁ vēṣṭayēdvāsasōdaram| <br />

−

tathā'syānavakāśatvādvāyurnādhmāpayēt punaḥ||60||

+

tathā'syānavakāśatvādvāyurnādhmāpayēt punaḥ||60||<br />

−

vAtodaraM balamataH pUrvaM snehairupAcaret|

+

vAtodaraM balamataH pUrvaM snehairupAcaret| <br />

−

snigdhAya sveditA~ggAya dadyAt snehavirecanam||59||

+

snigdhAya sveditA~ggAya dadyAt snehavirecanam||59|| <br />

−

hRute doShe parimlAnaM veShTayedvAsasodaram|

+

hRute doShe parimlAnaM veShTayedvAsasodaram| <br />

−

tathA~asyAnavakAshatvAdvAyurnAdhmApayet punaH||60||

+

tathA~asyAnavakAshatvAdvAyurnAdhmApayet punaH||60|| <br />

+

</div></div>

Patient of ''vatodara'' who is physically strong should be initially treated with unctuous medications. Then after the ''snehana'' is completed, ''abhyanga'' (unctuous massage) and ''sweda'' (sudation) is done. Then the ''sneha virechana'' (purgation with unctuous purgatives) should be given. After elimination of ''dosha'' with ''shodhana'' (purification procedure) the abdomen should be tightly bandaged so that no space is left in the abdomen for the morbid ''vata'' to cause distension of the abdomen again [59-60].

==== Post ''virechana'' regimen ====

+

−

दोषातिमात्रोपचयात् स्रोतोमार्गनिरोधनात्|

+

दोषातिमात्रोपचयात् स्रोतोमार्गनिरोधनात्| <br />

−

सम्भवत्युदरं तस्मान्नित्यमेव विरेचयेत्||६१||

+

सम्भवत्युदरं तस्मान्नित्यमेव विरेचयेत्||६१|| <br />

−

शुद्धं संसृज्य च क्षीरं बलार्थं पाययेत्तु तम्|

+

शुद्धं संसृज्य च क्षीरं बलार्थं पाययेत्तु तम्| <br />

−

प्रागुत्क्लेशान्निवर्त्यं च बले लब्धे क्रमात् पयः||६२||

+

प्रागुत्क्लेशान्निवर्त्यं च बले लब्धे क्रमात् पयः||६२|| <br />

यूषै रसैर्वा मन्दाम्ललवणैरेधितानलम्|

+

−

dōṣātimātrōpacayāt srōtōmārganirōdhanāt|

+

dōṣātimātrōpacayāt srōtōmārganirōdhanāt| <br />

−

sambhavatyUdaraṁ tasmānnityamēva virēcayēt||61||

+

sambhavatyUdaraṁ tasmānnityamēva virēcayēt||61|| <br />

−

śuddhaṁ saṁsr̥jya ca kṣīraṁ balārthaṁ pāyayēttu tam|

+

śuddhaṁ saṁsr̥jya ca kṣīraṁ balārthaṁ pāyayēttu tam| <br />

−

prāgutklēśānnivartyaṁ ca balē labdhē kramāt payaḥ||62||

+

prāgutklēśānnivartyaṁ ca balē labdhē kramāt payaḥ||62|| <br />

yūṣai rasairvā mandāmlalavaṇairēdhitānalam|

−

doShAtimAtropacayAt srotomArganirodhanAt|

+

doShAtimAtropacayAt srotomArganirodhanAt| <br />

−

sambhavatyudaraM tasmAnnityameva virecayet||61||

+

sambhavatyudaraM tasmAnnityameva virecayet||61|| <br />

−

shuddhaM saMsRujya ca kShIraM balArthaM pAyayettu tam|

+

shuddhaM saMsRujya ca kShIraM balArthaM pAyayettu tam| <br />

−

prAgutkleshAnnivartyaM ca bale labdhe kramAt payaH||62||

+

prAgutkleshAnnivartyaM ca bale labdhe kramAt payaH||62|| <br />

yUShai rasairvA mandAmlalavaNairedhitAnalam|

+

</div></div>

''Udara'' is caused due to the obliteration of the body channels leading to accumulation of morbid ''dosha''. Hence ''udara'' should be treated by regular ''virechana'' (therapeutic purgation). After the purgation, with an intention to improve the physical strength and to relieve the strain of purgation, the patient should be given milk. Gradually as the patient regains strength by the intake of milk, his functioning of the ''agni'' should be improved by giving ''yusha'' (cereal soup) or meat soup added with little salt [61-62].

==== Role of ''asthapana basti'' ====

+

सोदावर्तं पुनः स्निग्धं स्विन्नमास्थापयेन्नरम्||६३||

स्फुरणाक्षेपसन्ध्यस्थिपार्श्वपृष्ठत्रिकार्तिषु|

+

sōdāvartaṁ punaḥ snigdhaṁ svinnamāsthāpayēnnaram||63||

Line 777: Line 900:

sphuraNAkShepasandhyasthipArshvapRuShThatrikArtiShu|

+

</div></div>

If the patient has ''udavarta'' (reversed course of ''vata'' in the abdomen), ''sphurana'' (fasciculation), ''akshepa'' (involuntary movements), pain in the joints, bone, sides of the abdomen, back and sacral region; then again after performing oleation and sudation ''asthapana basti'' (decoction enema) is given [63].

==== Role of ''anuvasana basti'' ====

+

दीप्ताग्निं बद्धविड्वातं रूक्षमप्यनुवासयेत्||६४||

+

dīptāgniṁ baddhaviḍvātaṁ rūkṣamapyanuvāsayēt||64||

dIptAgniM baddhaviDvAtaM rUkShamapyanuvAsayet||64||

+

</div></div>

If the patient has strong digestive power and suffers from obstructed bowel movement and flatus as well as with dryness of the body; then he should be treated by ''anuvasana basti'' (oily enema) [64]

==== ''Dashamula niruha basti'' ====

+

तीक्ष्णाधोभागयुक्तोऽस्य निरूहो दाशमूलिकः|

+

tīkṣṇādhōbhāgayuktō'sya nirūhō dāśamūlikaḥ|

tIkShNAdhobhAgayukto~asya nirUho dAshamUlikaH|

+

</div></div>

''Niruha basti'' (decoction enema) prepared with ''dashamula'' (''bilva'' (Aegle marmelos Corr), ''agnimantha'' (Clerodendrum phlomidis Linn. f), ''shyonaka'' (Oroxylum indicum Vent), ''kashmari'' (Gmelina arborea), ''patala'' (Stereospermum suaveolens), ''shalaparni'' (Desmodium gangeticum DC), ''prishniparni'' (Uraria picta Desv), ''brihati'' (Solanum indicum Linn), ''kantakari'' (Solanum surattense Burm. f) and g''okshura'' (Tribulus terrestris Linn)) added with potent purgatives should be given to the patients.[65]

+

वातघ्नाम्लशृतैरण्डतिलतैलानुवासनम्||६५||

+

vātaghnāmlaśr̥tairaṇḍatilatailānuvāsanam||65||

vAtaghnAmlashRutairaNDatilatailAnuvAsanam||65||

+

</div></div>

''Anuvasana basti'' (oily enema) should be given with ''eranda taila'' (castor oil) or ''tila taila'' (sesame oil) processed with sour and anti ''vata'' drugs [65].

==== Indications for palliative (''shamana'') treatment ====

+

−

अविरेच्यं तु यं विद्याद्दुर्बलं स्थविरं शिशुम्|

+

अविरेच्यं तु यं विद्याद्दुर्बलं स्थविरं शिशुम्| <br />

−

सुकुमारं प्रकृत्याऽल्पदोषं वाऽथोल्बणानिलम्||६६||

+

सुकुमारं प्रकृत्याऽल्पदोषं वाऽथोल्बणानिलम्||६६|| <br />

−

तं भिषक् शमनैः सर्पिर्यूषमांसरसौदनैः|

+

तं भिषक् शमनैः सर्पिर्यूषमांसरसौदनैः| <br />

−

बस्त्यभ्यङ्गानुवासैश्च क्षीरैश्चोपाचरेद्बुधः||६७||

+

बस्त्यभ्यङ्गानुवासैश्च क्षीरैश्चोपाचरेद्बुधः||६७||<br />

+

−

avirēcyaṁ tu yaṁ vidyāddurbalaṁ sthaviraṁ śiśum|

+

avirēcyaṁ tu yaṁ vidyāddurbalaṁ sthaviraṁ śiśum| <br />

−

sukumāraṁ prakr̥tyā'lpadōṣaṁ vā'thōlbaṇānilam||66||

+

sukumāraṁ prakr̥tyā'lpadōṣaṁ vā'thōlbaṇānilam||66|| <br />

−

taṁ bhiṣak śamanaiḥ sarpiryūṣamāṁsarasaudanaiḥ|

+

taṁ bhiṣak śamanaiḥ sarpiryūṣamāṁsarasaudanaiḥ| <br />

−

bastyabhyaṅgānuvāsaiśca kṣīraiścōpācarēdbudhaḥ||67||

+

bastyabhyaṅgānuvāsaiśca kṣīraiścōpācarēdbudhaḥ||67||<br />

−

avirecyaM tu yaM vidyAddurbalaM sthaviraM shishum|

+

avirecyaM tu yaM vidyAddurbalaM sthaviraM shishum| <br />

−

sukumAraM prakRutyA~alpadoShaM vA~atholbaNAnilam||66||

+

sukumAraM prakRutyA~alpadoShaM vA~atholbaNAnilam||66|| <br />

−

taM bhiShak shamanaiH sarpiryUShamAMsarasaudanaiH|

+

taM bhiShak shamanaiH sarpiryUShamAMsarasaudanaiH| <br />

−

bastyabhya~ggAnuvAsaishca kShIraishcopAcaredbudhaH||67||

+

bastyabhya~ggAnuvAsaishca kShIraishcopAcaredbudhaH||67||<br />

+

</div></div>

The patient who is debilitated, aged, children, having delicate constitution, minimal morbidity of ''dosha'' and dominant vitiation of ''vata'' and unfit for ''virechana karma'' (therapeutic purgation) should be treated by palliative (''shamana'') measures. ''Shamana'' treatment comprises use of medicated ghee, meat soup, rice, oil massage and milk. Such patients may also be given ''anuvasana basti'' (oily enema).[66-67]

==== Treatment of ''pittodara'' ====

+

पित्तोदरे तु बलिनं पूर्वमेव विरेचयेत्|

+

pittōdarē tu balinaṁ pūrvamēva virēcayēt|

pittodare tu balinaM pUrvameva virecayet|

+

</div></div>

Physically strong patients suffering from ''pittodara'' should be treated by ''virechana karma'' (therapeutic purgation) at the outset [68].

+

दुर्बलं त्वनुवास्यादौ शोधयेत् क्षीरबस्तिना||६८||

सञ्जातबलकायाग्निं पुनः स्निग्धं विरेचयेत्|

+

durbalaṁ tvanuvāsyādau śōdhayēt kṣīrabastinā||68||

Line 851: Line 992:

sa~jjAtabalakAyAgniM punaH snigdhaM virecayet|

+

</div></div>

If the patient of ''pittodara'' is physically weak then he should be treated by purification by adapting ''kshirabasti'' (decoction enema consisting of milk as predominant ingredient). By this treatment when the patient regains physical strength, and improved digestive power, once again the patient should be treated by ''virechana'' (therapeutic purgation) [68-69]

+

पयसा सत्रिवृत्कल्केनोरुबूकशृतेन वा||६९||

−

सातलात्रायमाणाभ्यां शृतेनारग्वधेन वा|

+

सातलात्रायमाणाभ्यां शृतेनारग्वधेन वा| <br />

−

सकफे वा समूत्रेण सवाते तिक्तसर्पिषा||७०||

+

सकफे वा समूत्रेण सवाते तिक्तसर्पिषा||७०|| <br />

+

payasā satrivr̥tkalkēnōrubūkaśr̥tēna vā||69||

−

sātalātrāyamāṇābhyāṁ śr̥tēnāragvadhēna vā|

+

sātalātrāyamāṇābhyāṁ śr̥tēnāragvadhēna vā| <br />

−

sakaphē vā samūtrēṇa savātē tiktasarpiṣā||70||

+

sakaphē vā samūtrēṇa savātē tiktasarpiṣā||70|| <br />

payasA satrivRutkalkenorubUkashRutena vA||69||

−

sAtalAtrAyamANAbhyAM shRutenAragvadhena vA|

+

sAtalAtrAyamANAbhyAM shRutenAragvadhena vA| <br />

−

sakaphe vA samUtreNa savAte tiktasarpiShA||70||

+

sakaphe vA samUtreNa savAte tiktasarpiShA||70|| <br />

+

</div></div>

''Virechana'' be performed by administering paste of ''trivrita'' (Operculina turpethum) with milk; decoction of ''urubuka'' (Ricinus communis), decoction of ''satala'' (Euphorbia Tirucalli) and ''trayamana'' (Gentiana kurrhoa) or decoction of ''aragvadha'' (Cassia fistula). Again, if the dominance of ''kapha'' is present then in the above preparation cow’s urine may be added. If the dominance of ''vata'' is present, then in the above medicines for ''virechana'' (therapeutic purgation) medicated ghee prepared with bitter herbs should be given [69-70]

+

−

पुनः क्षीरप्रयोगं च बस्तिकर्म विरेचनम्|

+

पुनः क्षीरप्रयोगं च बस्तिकर्म विरेचनम्| <br />

−

क्रमेण ध्रुवमातिष्ठन् युक्तः पित्तोदरं जयेत्||७१||

+

क्रमेण ध्रुवमातिष्ठन् युक्तः पित्तोदरं जयेत्||७१||<br />

+

−

punaḥ kṣīraprayōgaṁ ca bastikarma virēcanam|

+

punaḥ kṣīraprayōgaṁ ca bastikarma virēcanam| <br />

−

kramēṇa dhruvamātiṣṭhan yuktaḥ pittōdaraṁ jayēt||71||

+

kramēṇa dhruvamātiṣṭhan yuktaḥ pittōdaraṁ jayēt||71||<br />

−

punaH kShIraprayogaM ca bastikarma virecanam|

+

punaH kShIraprayogaM ca bastikarma virecanam| <br />

−

krameNa dhruvamAtiShThan yuktaH pittodaraM jayet||71||

+

krameNa dhruvamAtiShThan yuktaH pittodaraM jayet||71||<br />

+

</div></div>

Oral treatment with milk, ''basti karma'' (medicated enema) and ''virechana'' (therapeutic purgation) should be repeated in ''pittodara''; by this patient is gradually stabilized and the illness gets cured [71].

==== Treatment of ''kaphodara'' ====

+

−

स्निग्धं स्विन्नं विशुद्धं तु कफोदरिणमातुरम्|

+

स्निग्धं स्विन्नं विशुद्धं तु कफोदरिणमातुरम्| <br />

−

संसर्जयेत् कटुक्षारयुक्तैरन्नैः कफापहैः||७२||

+

संसर्जयेत् कटुक्षारयुक्तैरन्नैः कफापहैः||७२|| <br />

+

−

snigdhaṁ svinnaṁ viśuddhaṁ tu kaphōdariṇamāturam|

+

snigdhaṁ svinnaṁ viśuddhaṁ tu kaphōdariṇamāturam| <br />

−

saṁsarjayēt kaṭukṣārayuktairannaiḥ kaphāpahaiḥ||72||

+

saṁsarjayēt kaṭukṣārayuktairannaiḥ kaphāpahaiḥ||72|| <br />

−

snigdhaM svinnaM vishuddhaM tu kaphodariNamAturam|

+

snigdhaM svinnaM vishuddhaM tu kaphodariNamAturam| <br />

−

saMsarjayet kaTukShArayuktairannaiH kaphApahaiH||72||

+

saMsarjayet kaTukShArayuktairannaiH kaphApahaiH||72||<br />

+

</div></div>

In patients suffering from ''kaphodara, shodhana'' (eliminative therapy) is done after preparing with oleation and sudation. In ''samsarjana krama'' (gradual diet schedule) pungent, ''kshara'' and ''anti-kapha'' diet is prescribed [72].

+

−

गोमूत्रारिष्टपानैश्च चूर्णायस्कृतिभिस्तथा|

+

गोमूत्रारिष्टपानैश्च चूर्णायस्कृतिभिस्तथा| <br />

−

सक्षारैस्तैलपानैश्च शमयेत्तु कफोदरम्||७३||

+

सक्षारैस्तैलपानैश्च शमयेत्तु कफोदरम्||७३||<br />

+

−

gōmūtrāriṣṭapānaiśca cūrṇāyaskr̥tibhistathā|

+

gōmūtrāriṣṭapānaiśca cūrṇāyaskr̥tibhistathā| <br />

−

sakṣāraistailapānaiśca śamayēttu kaphōdaram||73||

+

sakṣāraistailapānaiśca śamayēttu kaphōdaram||73||<br />

−

gomUtrAriShTapAnaishca cUrNAyaskRutibhistathA|

+

gomUtrAriShTapAnaishca cUrNAyaskRutibhistathA| <br />

−

sakShAraistailapAnaishca shamayettu kaphodaram||73||

+

sakShAraistailapAnaishca shamayettu kaphodaram||73||<br />

+

</div></div>

''Shamana'' (palliative) treatment is done in ''kaphodara'' by oral intake of ''gomutra'' (cow’s urine), ''arishta'' (fermented decoctions), drug powder, ''ayaskriti'' (medically processed iron) and sesame oil added with ''kshara'' (alkali obtained from ash of herbs) [73].

==== Treatment of ''sannipatodara'' ====

+

−

सन्निपातोदरे सर्वा यथोक्ताः कारयेत् क्रियाः|

+

सन्निपातोदरे सर्वा यथोक्ताः कारयेत् क्रियाः|<br />

−

सोपद्रवं तु निर्वृत्तं प्रत्याख्येयं विजानता|७४|

+

सोपद्रवं तु निर्वृत्तं प्रत्याख्येयं विजानता|७४|<br />

+

−

sannipātōdarē sarvā yathōktāḥ kārayēt kriyāḥ|

+

sannipātōdarē sarvā yathōktāḥ kārayēt kriyāḥ| <br />

−

sōpadravaṁ tu nirvr̥ttaṁ pratyākhyēyaṁ vijānatā|74|

+

sōpadravaṁ tu nirvr̥ttaṁ pratyākhyēyaṁ vijānatā|74|<br />

−

sannipAtodare sarvA yathoktAH kArayet kriyAH|

+

sannipAtodare sarvA yathoktAH kArayet kriyAH| <br />

−

sopadravaM tu nirvRuttaM pratyAkhyeyaM vijAnatA|74|

+

sopadravaM tu nirvRuttaM pratyAkhyeyaM vijAnatA|74|<br />

+

</div></div>

''Sannipatodara'' should be treated by the combination of treatment mentioned for ''doshaja udara'' depending upon the requirement [74].

Line 922: Line 1,079:

==== Predominant symptoms of ''dosha'' in ''plihodara'' (splenomegaly) ====

+

−

उदावर्तरुजानाहैर्दाहमोहतृषाज्वरैः|

+

उदावर्तरुजानाहैर्दाहमोहतृषाज्वरैः| <br />

−

गौरवारुचिकाठिन्यैश्चानिलादीन् यथाक्रमम्||७५||

+

गौरवारुचिकाठिन्यैश्चानिलादीन् यथाक्रमम्||७५|| <br />

−

लिङ्गैः प्लीह्न्यधिकान् [१] दृष्ट्वा रक्तं चापि स्वलक्षणैः|

+

लिङ्गैः प्लीह्न्यधिकान् [१] दृष्ट्वा रक्तं चापि स्वलक्षणैः| <br />

−

चिकित्सां सम्प्रकुर्वीत यथादोषं यथाबलम्||७६||

+

चिकित्सां सम्प्रकुर्वीत यथादोषं यथाबलम्||७६|| <br />

+

−

udāvartarujānāhairdāhamōhatr̥ṣājvaraiḥ|

+

udāvartarujānāhairdāhamōhatr̥ṣājvaraiḥ| <br />

−

gauravārucikāṭhinyaiścānilādīn yathākramam||75||

+

gauravārucikāṭhinyaiścānilādīn yathākramam||75|| <br />

−

liṅgaiḥ plīhnyadhikān [1] dr̥ṣṭvā raktaṁ cāpi svalakṣaṇaiḥ|

+

liṅgaiḥ plīhnyadhikān [1] dr̥ṣṭvā raktaṁ cāpi svalakṣaṇaiḥ| <br />

−

cikitsāṁ samprakurvīta yathādōṣaṁ yathābalam||76||

+

cikitsāṁ samprakurvīta yathādōṣaṁ yathābalam||76|| <br />

−

udAvartarujAnAhairdAhamohatRuShAjvaraiH|

+

udAvartarujAnAhairdAhamohatRuShAjvaraiH| <br />

−

gauravArucikAThinyaishcAnilAdIn yathAkramam||75||

+

gauravArucikAThinyaishcAnilAdIn yathAkramam||75|| <br />

−

~~li~ggaiH plIhnyadhikAn [1] dRuShTvA raktaM cApi svalakShaNaiH|~~

−

~~cikitsAM samprakurvIta yathAdoShaM yathAbalam||76||~~

+

li~ggaiH plIhnyadhikAn [1] dRuShTvA raktaM cApi svalakShaNaiH| <br />

+

cikitsAM samprakurvIta yathAdoShaM yathAbalam||76|| <br />

+

</div></div>

+

Association of symptoms like ''udavarta'' (anti peristalsis), abdominal pain and flatulence indicate dominance of ''vata'' in the ''plihodara''. Symptoms like burning sensation, delirious state, excessive thirst and fever suggests dominance of ''pitta''.

Line 946: Line 1,106:

==== Treatment of ''plihodara'' ====

+

−

स्नेहं स्वेदं विरेकं च निरूहमनुवासनम्|

+

स्नेहं स्वेदं विरेकं च निरूहमनुवासनम्| <br />

−

समीक्ष्य कारयेद्बाहौ वामे वा व्यधयेत् सिराम्||७७||

+

समीक्ष्य कारयेद्बाहौ वामे वा व्यधयेत् सिराम्||७७||<br />

+

−

snēhaṁ svēdaṁ virēkaṁ ca nirūhamanuvāsanam|

+

snēhaṁ svēdaṁ virēkaṁ ca nirūhamanuvāsanam| <br />

−

samīkṣya kārayēdbāhau vāmē vā vyadhayēt sirām||77||

+

samīkṣya kārayēdbāhau vāmē vā vyadhayēt sirām||77|| <br />

−

snehaM svedaM virekaM ca nirUhamanuvAsanam|

+

snehaM svedaM virekaM ca nirUhamanuvAsanam| <br />

−

samIkShya kArayedbAhau vAme vA vyadhayet sirAm||77||

+

samIkShya kArayedbAhau vAme vA vyadhayet sirAm||77|| <br />

+

</div></div>

With the due analysis of the pathogenesis, ''plihodara'' should be treated by measures like oral medication of ''sneha'' (medicated unctuous substance), sudation, ''virechana'' (therapeutic purgation), ''niruha'' (decoction enema) and ''anuvasana basti'' (oil enema) and ''raktamokshana'' (blood-letting) by sectioning the vein located in the left arm [77].

+

−

षट्पलं पाययेत् सर्पिः पिप्पलीर्वा प्रयोजयेत्|

+

षट्पलं पाययेत् सर्पिः पिप्पलीर्वा प्रयोजयेत्| <br />

−

सगुडामभयां वाऽपि क्षारारिष्टगणांस्तथा||७८||

+

सगुडामभयां वाऽपि क्षारारिष्टगणांस्तथा||७८|| <br />

+

−

ṣaṭpalaṁ pāyayēt sarpiḥ pippalīrvā prayōjayēt|

+

ṣaṭpalaṁ pāyayēt sarpiḥ pippalīrvā prayōjayēt| <br />

−

saguḍāmabhayāṁ vā'pi kṣārāriṣṭagaṇāṁstathā||78||

+

saguḍāmabhayāṁ vā'pi kṣārāriṣṭagaṇāṁstathā||78|| <br />

−

ShaTpalaM pAyayet sarpiH pippalIrvA prayojayet|

+

ShaTpalaM pAyayet sarpiH pippalIrvA prayojayet| <br />

−

saguDAmabhayAM vA~api kShArAriShTagaNAMstathA||78||

+

saguDAmabhayAM vA~api kShArAriShTagaNAMstathA||78|| <br />

+

</div></div>

Patient of plihodara is treated by oral medication of ''shatpala ghrita, pippali'' (Piper longum), combination of molasses and ''haritaki'' (Emblica officinalis), ''kshara'' (alkali obtained from ash of herbs) or ''arishta'' (fermented decoctions)[78]

+

एष क्रियाक्रमः प्रोक्तो योगान् संशमनाञ्छृणु|

+

ēṣa kriyākramaḥ prōktō yōgān saṁśamanāñchr̥ṇu|

eSha kriyAkramaH prokto yogAn saMshamanA~jchRuNu|

+

</div></div>

Thus is the description of principles of treatment of ''plihodara''; now listen to the medications [79]

==== ''Pippalyadi churna'' ====

+

पिप्पली नागरं दन्ती चित्रकं द्विगुणाभयम्||७९||

विडङ्गांशयुतं चूर्णमेतदुष्णाम्बुना पिबेत्|

+

pippalī nāgaraṁ dantī citrakaṁ dviguṇābhayam||79||

Line 990: Line 1,161:

viDa~ggAMshayutaM cUrNametaduShNAmbunA pibet|

+

</div></div>

Take one part each of the fine sieved powder of ''pippali'' (Piper longum), ''nagara'' (Zingiber officinale), ''danti'' (Baliospermum montanum), ''chitraka'' (Plumbago zeylanica) and ''vidanga'' (Embelia ribes), and add it to two parts of ''abhaya'' (Terminalia chebula). It is to be orally given with warm water [79]

==== ''Vidangadi kshara'' ====

+

विडङ्गं चित्रकं शुण्ठीं सघृतां सैन्धवं वचाम्||८०||

दग्ध्वा कपाले पयसा गुल्मप्लीहापहं पिबेत्|

+

viḍaṅgaṁ citrakaṁ śuṇṭhīṁ saghr̥tāṁ saindhavaṁ vacām||80||

Line 1,006: Line 1,180:

dagdhvA kapAle payasA gulmaplIhApahaM pibet|

+

</div></div>

Take powder of ''vidanga'' (Embelia ribes), ''chitraka'' (Plumbago zeylanica), ''shunthi'' (Zingiber officinale Rosc), ''saindhava'' (rock salt) and ''vacha'' (Acorus calamus) and fry with ghee in an earthen pan and administer orally. This is curative of ''gulma'' (abdominal lump) and ''plihodara'' [80]

==== ''Rohitakadi yoga'' ====

+

रोहीतकलतानां तु काण्डकानभयाजले||८१||

−

मूत्रे वा सुनुयात्तच्च सप्तरात्रस्थितं पिबेत्|

+

मूत्रे वा सुनुयात्तच्च सप्तरात्रस्थितं पिबेत्| <br />

−

कामलागुल्ममेहार्शःप्लीहसर्वोदरक्रिमीन्||८२||

+

कामलागुल्ममेहार्शःप्लीहसर्वोदरक्रिमीन्||८२|| <br />

स हन्याज्जाङ्गलरसैर्जीर्णे स्याच्चात्र भोजनम्|

+

rōhītakalatānāṁ tu kāṇḍakānabhayājalē||81||

−

mūtrē vā sunuyāttacca saptarātrasthitaṁ pibēt|

+

mūtrē vā sunuyāttacca saptarātrasthitaṁ pibēt|<br />

−

kāmalāgulmamēhārśaḥplīhasarvōdarakrimīn||82||

+

kāmalāgulmamēhārśaḥplīhasarvōdarakrimīn||82|| <br />

−

sa hanyājjāṅgalarasairjīrṇē syāccātra bhōjanam|

+

sa hanyājjāṅgalarasairjīrṇē syāccātra bhōjanam|

+

rohItakalatAnAM tu kANDakAnabhayAjale||81||

−

mUtre vA sunuyAttacca saptarAtrasthitaM pibet|

+

mUtre vA sunuyAttacca saptarAtrasthitaM pibet| <br />

−

kAmalAgulmamehArshaHplIhasarvodarakrimIn||82||

+

kAmalAgulmamehArshaHplIhasarvodarakrimIn||82|| <br />

sa hanyAjjA~ggalarasairjIrNe syAccAtra bhojanam|

+

</div></div>

The course powder of stem of ''rohitaka'' (Tecomella undulate) is soaked in a decoction of ''abhaya'' (Terminalia chebula) or cow’s urine for seven days and given to the patient to drink. Once the medicine gets digested the patient is asked to have meat soup of dry land animals in meals. This regimen cures ''kamala'' (jaundice), ''gulma'' (abdominal lump), ''prameha'' (frequent turbid urination), ''arsha'' (mass per rectum), ''plihodara'', all types of ''udara roga'' and ''krimi'' (worm infestation) [81-82].

==== ''Rohitaka ghrita'' ====

+

रोहीतकत्वचः कृत्वा पलानां पञ्चविंशतिम्||८३||

−

कोलद्विप्रस्थसंयुक्तं कषायमुपकल्पयेत्|

+

कोलद्विप्रस्थसंयुक्तं कषायमुपकल्पयेत्| <br />

−

पलिकैः पञ्चकोलैस्तु तैः सर्वैश्चापि तुल्यया||८४||

+

पलिकैः पञ्चकोलैस्तु तैः सर्वैश्चापि तुल्यया||८४|| <br />

−

रोहीतकत्वचा पिष्टैर्घृतप्रस्थं विपाचयेत्|

+

रोहीतकत्वचा पिष्टैर्घृतप्रस्थं विपाचयेत्| <br />

−

प्लीहाभिवृद्धिं शमयत्येतदाशु प्रयोजितम्||८५||

+

प्लीहाभिवृद्धिं शमयत्येतदाशु प्रयोजितम्||८५|| <br />

तथा गुल्मोदरश्वासक्रिमिपाण्डुत्वकामलाः|

+

rōhītakatvacaḥ kr̥tvā palānāṁ pañcaviṁśatim||83||

−

kōladviprasthasaṁyuktaṁ kaṣāyamupakalpayēt|

+

kōladviprasthasaṁyuktaṁ kaṣāyamupakalpayēt| <br />

−

palikaiḥ pañcakōlaistu taiḥ sarvaiścāpi tulyayā||84||

+

palikaiḥ pañcakōlaistu taiḥ sarvaiścāpi tulyayā||84|| <br />

−

rōhītakatvacā piṣṭairghr̥taprasthaṁ vipācayēt|

+

rōhītakatvacā piṣṭairghr̥taprasthaṁ vipācayēt| <br />

−

plīhābhivr̥ddhiṁ śamayatyētadāśu prayōjitam||85||

+

plīhābhivr̥ddhiṁ śamayatyētadāśu prayōjitam||85|| <br />

tathā gulmōdaraśvāsakrimipāṇḍutvakāmalāḥ|

+

rohItakatvacaH kRutvA palAnAM pa~jcaviMshatim||83||

−

koladviprasthasaMyuktaM kaShAyamupakalpayet|

+

koladviprasthasaMyuktaM kaShAyamupakalpayet| <br />

−

palikaiH pa~jcakolaistu taiH sarvaishcApi tulyayA||74||

+

palikaiH pa~jcakolaistu taiH sarvaishcApi tulyayA||74|| <br />

−

rohItakatvacA piShTairghRutaprasthaM vipAcayet|

+

rohItakatvacA piShTairghRutaprasthaM vipAcayet| <br />

−

plIhAbhivRuddhiM shamayatyetadAshu prayojitam||85||

+

plIhAbhivRuddhiM shamayatyetadAshu prayojitam||85|| <br />

tathA gulmodarashvAsakrimipANDutvakAmalAH|

+

</div></div>

Twenty five ''pala'' (1200g) of bark of ''rohitaka'' (Tecomella Undulate) and two ''prastha'' (1536g) of ''kola'' (jujube) are added in eight times water and boiled to get the decoction. Then the paste prepared from 48g each of fruit and root of ''pippali'' (Piper longum), ''chavya'' (Piper retrofractum), ''chitraka'' (Plumbago zeylanica), ''nagara'' (Zingiber officinale) and equal to this 240g of bark of ''rohitaka'' and to this mixture 768g of cow’s ghee is added and boiled to get the medicated ghee. Oral medication with this medicated ghee will immediately cure ''plihodara, gulma'' (abdominal lump), ''udara roga'', dyspnea, ''krimi'' (worm infestation), anemia and jaundice [83-85].

==== ''Agnikarma'' (cauterization) ====

+

अग्निकर्म च कुर्वीत भिषग्वातकफोल्बणे||८६||

+

agnikarma ca kurvīta bhiṣagvātakaphōlbaṇē||86||

agnikarma ca kurvIta bhiShagvAtakapholbaNe||86||

+

</div></div>

The ''vata'' and ''kapha'' dominated ''plihodara'' should be treated by ''agnikarma'' (cauterization)[86].

==== Treatment of ''pitta'' dominated ''plihodara''(splenomegaly) ====

+

−

पैत्तिके जीवनीयानि सर्पींषि क्षीरबस्तयः|

+

पैत्तिके जीवनीयानि सर्पींषि क्षीरबस्तयः| <br />

−

रक्तावसेकः संशुद्धिः क्षीरपानं च शस्यते||८७||

+

रक्तावसेकः संशुद्धिः क्षीरपानं च शस्यते||८७|| <br />

−

यूषैर्मांसरसैश्चापि दीपनीयसमायुतैः|

+

यूषैर्मांसरसैश्चापि दीपनीयसमायुतैः| <br />

−

यकृति प्लीहवत् सर्वं तुल्यत्वाद्भेषजं मतम्||८८||

+

यकृति प्लीहवत् सर्वं तुल्यत्वाद्भेषजं मतम्||८८|| <br />

लघून्यन्नानि संसृज्य दद्यात् प्लीहोदरे भिषक्|

+

−

paittikē jīvanīyāni sarpīṁṣi kṣīrabastayaḥ|

+

paittikē jīvanīyāni sarpīṁṣi kṣīrabastayaḥ| <br />

−

raktāvasēkaḥ saṁśuddhiḥ kṣīrapānaṁ ca śasyatē||87||

+

raktāvasēkaḥ saṁśuddhiḥ kṣīrapānaṁ ca śasyatē||87|| <br />

−

yūṣairmāṁsarasaiścāpi dīpanīyasamāyutaiḥ|

+

yūṣairmāṁsarasaiścāpi dīpanīyasamāyutaiḥ| <br />

−

yakr̥ti plīhavat sarvaṁ tulyatvādbhēṣajaṁ matam||88||

+

yakr̥ti plīhavat sarvaṁ tulyatvādbhēṣajaṁ matam||88|| <br />

laghūnyannāni saṁsr̥jya dadyāt plīhōdarē bhiṣak|

−

paittike jIvanIyAni sarpIMShi kShIrabastayaH|

+

paittike jIvanIyAni sarpIMShi kShIrabastayaH| <br />

−

raktAvasekaH saMshuddhiH kShIrapAnaM ca shasyate||87||

+

raktAvasekaH saMshuddhiH kShIrapAnaM ca shasyate||87|| <br />

−

yUShairmAMsarasaishcApi dIpanIyasamAyutaiH|

+

yUShairmAMsarasaishcApi dIpanIyasamAyutaiH| <br />

−

yakRuti plIhavat sarvaM tulyatvAdbheShajaM matam||88||

+

yakRuti plIhavat sarvaM tulyatvAdbheShajaM matam||88|| <br />

laghUnyannAni saMsRujya dadyAt plIhodare bhiShak|

+

</div></div>

''Plihodara'' with dominance of ''pitta'' is treated by oral administration of ghee medicated with ''jivaniya'' herbs (''Jeevaka'' (Malaxis acuminta), ''rishbhaka'' (Microstylis muscifera), ''meda'' (Polygonatum verticillatum), ''mahameda'' (Polygonatum cirrhifolium), ''kakoli'' (Roscoea procera), ''kshirakakoli'' (Lilium polphyllum), ''riddhi'' (Habenaria edgeworthii), ''vriddhi'' (Habenaria intermedia), ''kshara'' ''basti'' (decoction enema consisting of alkali obtained from ash of herbs), ''raktavaseka'' (blood letting), ''shodhana'' (purification measures) and oral intake of milk. Patient is asked to take ''yusha'' (cereal soup) or meat soup processed with ''dipaniya'' (herbs augmenting the digestive power) drugs and light food. Since the etiology and symptomatology of ''plihodara'' (splenomegaly) and ''yakritodara'' (hepatomegaly) are same, so all the treatment mentioned for ''plihodara'' should be adopted in ''yakritodara'' [87-88].

==== Treatment of ''baddhagudodara'' ====

+

स्विन्नाय बद्धोदरिणे मूत्रतीक्ष्णौषधान्वितम्||८९||

−

सतैललवणं दद्यान्निरूहं सानुवासनम्|

+

सतैललवणं दद्यान्निरूहं सानुवासनम्| <br />

−

परिस्रंसीनि चान्नानि तीक्ष्णं चैव विरेचनम्||९०||

+

परिस्रंसीनि चान्नानि तीक्ष्णं चैव विरेचनम्||९०|| <br />

उदावर्तहरं कर्म कार्यं वातघ्नमेव च|

+

svinnāya baddhōdariṇē mūtratīkṣṇauṣadhānvitam||89||

−

satailalavaṇaṁ dadyānnirūhaṁ sānuvāsanam|

+

satailalavaṇaṁ dadyānnirūhaṁ sānuvāsanam| <br />

−

parisraṁsīni cānnāni tīkṣṇaṁ caiva virēcanam||90||

+

parisraṁsīni cānnāni tīkṣṇaṁ caiva virēcanam||90|| <br />

−

udāvartaharaṁ karma kāryaṁ vātaghnamēva ca|

+

udāvartaharaṁ karma kāryaṁ vātaghnamēva ca| <br />

−

svinnAya baddhodariNe mUtratIkShNauShadhAnvitam||89||

+

svinnAya baddhodariNe mUtratIkShNauShadhAnvitam||89|| <br />

−

satailalavaNaM dadyAnnirUhaM sAnuvAsanam|

+

satailalavaNaM dadyAnnirUhaM sAnuvAsanam| <br />

−

parisraMsIni cAnnAni tIkShNaM caiva virecanam||90||

+

parisraMsIni cAnnAni tIkShNaM caiva virecanam||90|| <br />

udAvartaharaM karma kAryaM vAtaghnameva ca|

+

</div></div>

Patient suffering from ''baddhodara'' (enlargement of abdomen due to gastrointestinal obstruction) should be initially treated by sudation followed by ''niruha basti'' (decoction enema) consisting of potent medicines, cow’s urine, ''saindhava'' (rock salt) and oil. After ''niruha basti'' (decoction enema), oil processed with same drugs should be given in the form of ''anuvasana basti'' (unctuous enema). Food that induces laxation should be given. Strong purgation is also indicated in the ''baddhodara''. All measures that cure ''udavarta'' as well as morbidity of ''vata'' should be done in ''baddhodara'' [89-90].

==== Treatment of ''Chhidrodara'' ====

+

छिद्रोदरमृते स्वेदाच्छ्लेष्मोदरवदाचरेत्||९१||

−

जातं जातं जलं स्राव्यमेवं तद्यापयेद्भिषक्|

+

जातं जातं जलं स्राव्यमेवं तद्यापयेद्भिषक्| <br />

−

तृष्णाकासज्वरार्तं तु क्षीणमांसाग्निभोजनम्||९२||

+

तृष्णाकासज्वरार्तं तु क्षीणमांसाग्निभोजनम्||९२|| <br />

वर्जयेच्छ्वासिनं तद्वच्छूलिनं दुर्बलेन्द्रियम्|

+

chidrōdaramr̥tē svēdācchlēṣmōdaravadācarēt||91||

−

jātaṁ jātaṁ jalaṁ srāvyamēvaṁ tadyāpayēdbhiṣak|

+

jātaṁ jātaṁ jalaṁ srāvyamēvaṁ tadyāpayēdbhiṣak| <br />

−

tr̥ṣṇākāsajvarārtaṁ tu kṣīṇamāṁsāgnibhōjanam||92||

+

tr̥ṣṇākāsajvarārtaṁ tu kṣīṇamāṁsāgnibhōjanam||92|| <br />

varjayēcchvāsinaṁ tadvacchūlinaṁ durbalēndriyam|

+

chidrodaramRute svedAcchleShmodaravadAcaret||91||

−

jAtaM jAtaM jalaM srAvyamevaM tadyApayedbhiShak|

+

jAtaM jAtaM jalaM srAvyamevaM tadyApayedbhiShak| <br />

−

tRuShNAkAsajvarArtaM tu kShINamAMsAgnibhojanam||92||

+

tRuShNAkAsajvarArtaM tu kShINamAMsAgnibhojanam||92|| <br />

varjayecchvAsinaM tadvacchUlinaM durbalendriyam|

+

</div></div>

''Chhidrodara'' (enlargement of abdomen due to intestinal perforation) is treated by all measures of ''kaphodara'' except sudation. The patient should be maintained by repeated aspiration of the abdominal fluid as and when it gets collected. The treatment should be avoided in patient of ''chhidrodara'' if he suffers from symptoms like excessive thirst, cough, fever, emaciation, impairment of ''agni'', reduced food intake, dyspnea, abdominal pain and week cognition [91-92]

==== Treatment of ''jalodara'' ====

+

अपां दोषहराण्यादौ प्रदद्यादुदकोदरे||९३||

Line 1,161: Line 1,358:

द्रवेभ्यश्चोदकादिभ्यो नियच्छेदनुपूर्वशः|

+

apāṁ dōṣaharāṇyādau pradadyādudakōdarē||93||

Line 1,177: Line 1,375:

dravebhyashcodakAdibhyo niyacchedanupUrvashaH|

+

</div></div>

Initially all measure to eliminate the effect of fluid should be done in the treatment of ''jalodara'' (enlargement of abdomen due to collection of fluid). Oral administration of different strong ''kshara'' (alkali obtained from ash of herbs) added with cow’s urine should be done. Foods that alleviate ''kapha'' and augments digestion should be given to the patient. Patient should gradually reduce the intake of fluids [93-94].

+

सर्वमेवोदरं प्रायो दोषसङ्घातजं मतम्||९५||

तस्मात्त्रिदोषशमनीं क्रियां सर्वत्र कारयेत्|

+

sarvamēvōdaraṁ prāyō dōṣasaṅghātajaṁ matam||95||

Line 1,191: Line 1,392:

tasmAttridoShashamanIM kriyAM sarvatra kArayet|

+

</div></div>

All types of ''udara'' (enlargement of abdomen) are mostly due to the imbalance of all the three ''doshas'', hence treatment that alleviate all three ''dosha'' should be adapted in all types of udara [95].

+

दोषैः कुक्षौ हि सम्पूर्णे वह्निर्मन्दत्वमृच्छति||९६||

तस्माद्भोज्यानि भोज्यानि दीपनानि लघूनि च|

+

dōṣaiḥ kukṣau hi sampūrṇē vahnirmandatvamr̥cchati||96||

Line 1,205: Line 1,409:

tasmAdbhojyAni bhojyAni dIpanAni laghUni ca|

+

</div></div>

Accumulation of the ''dosha'' in the abdomen lowers digestive power (''agnimandya''), hence light foods that augments the digestion (''agni'') should be given to the patient [96].

==== Healthy diet for ''udara roga'' ====

+

रक्तशालीन् यवान्मुद्गाञ्जाङ्गलांश्च मृगद्विजान्||९७||

−

पयोमूत्रासवारिष्टान्मधुसीधुं तथा सुराम्|

+

पयोमूत्रासवारिष्टान्मधुसीधुं तथा सुराम्| <br />

−

यवागूमोदनं वाऽपि यूषैरद्याद्रसैरपि||९८||

+

यवागूमोदनं वाऽपि यूषैरद्याद्रसैरपि||९८|| <br />

मन्दाम्लस्नेहकटुभिः पञ्चमूलोपसाधितैः|

+

raktaśālīn yavānmudgāñjāṅgalāṁśca mr̥gadvijān||97||

−

payōmūtrāsavāriṣṭānmadhusīdhuṁ tathā surām|

+

payōmūtrāsavāriṣṭānmadhusīdhuṁ tathā surām| <br />

−

yavāgūmōdanaṁ vā'pi yūṣairadyādrasairapi||98||

+

yavāgūmōdanaṁ vā'pi yūṣairadyādrasairapi||98|| <br />

mandāmlasnēhakaṭubhiḥ pañcamūlōpasādhitaiḥ|

+

raktashAlIn yavAnmudgA~jjA~ggalAMshca mRugadvijAn||97||

−

payomUtrAsavAriShTAnmadhusIdhuM tathA surAm|

+

payomUtrAsavAriShTAnmadhusIdhuM tathA surAm| <br />

−

yavAgUmodanaM vA~api yUShairadyAdrasairapi||98||

+

yavAgUmodanaM vA~api yUShairadyAdrasairapi||98|| <br />

mandAmlasnehakaTubhiH pa~jcamUlopasAdhitaiH|

+

</div></div>

Food comprising ''rakta shali'' (Oryza sativa), ''yava'' (Hordeum vulgare), ''mudga'' (Phaseolus radiatus), meat soup of dry land animals, milk, cow’s urine, ''asava'' (fermented infusions), ''arishtha'' (fermented decoctions), honey, ''sidhu'' (alcoholic preparation from sugarcane juice) and ''sura'' (alcoholic preparation made by fermenting a mixture of water, flour of rice and jaggery). ''Yavagu'' (rise gruel) and ''odana'' (rice) should be given along with cereal soup, or meat soup that are prepared by adding mild sour tasting drugs, small amount of ghee, pungent tasting drugs and ''panchamula'' (''bilva'' (Aegle marmelos), ''agnimantha'' (Clerodendrum phlomidis), ''shyonaka'' (Oroxylum indicum), ''kashmari'' (Gmelina arborea) and ''patala'' (Stereospermum suaveolens)).[97-98]

====Do’s and Don’ts ====

+

औदकानूपजं मांसं शाकं पिष्टकृतं तिलान्||९९||

−

व्यायामाध्वदिवास्वप्नं यानयानं च वर्जयेत्|

+

व्यायामाध्वदिवास्वप्नं यानयानं च वर्जयेत्| <br />

−

तथोष्णलवणाम्लानि विदाहीनि गुरूणि च||१००||

+

तथोष्णलवणाम्लानि विदाहीनि गुरूणि च||१००|| <br />

नाद्यादन्नानि जठरी तोयपानं च वर्जयेत्|

+

audakānūpajaṁ māṁsaṁ śākaṁ piṣṭakr̥taṁ tilān||99||

−

vyāyāmādhvadivāsvapnaṁ yānayānaṁ ca varjayēt|

+

vyāyāmādhvadivāsvapnaṁ yānayānaṁ ca varjayēt| <br />

−

tathōṣṇalavaṇāmlāni vidāhīni gurūṇi ca||100||

+

tathōṣṇalavaṇāmlāni vidāhīni gurūṇi ca||100|| <br />

nādyādannāni jaṭharī tōyapānaṁ ca varjayēt|

Line 1,250: Line 1,461:

audakAnUpajaM mAMsaM shAkaM piShTakRutaM tilAn||99||

−

vyAyAmAdhvadivAsvapnaM yAnayAnaM ca varjayet|

+

vyAyAmAdhvadivAsvapnaM yAnayAnaM ca varjayet| <br />

−

tathoShNalavaNAmlAni vidAhIni gurUNi ca||100||

+

tathoShNalavaNAmlAni vidAhIni gurUNi ca||100|| <br />

nAdyAdannAni jaTharI toyapAnaM ca varjayet|

+

</div></div>

Patient of ''udara'' (enlargement of abdomen) should avoid meat of aquatic and wetland animals, leafy vegetables, ''pishtakrita'' (cake and pastries made of flour; dough of rice flour), ''tila'' (Sesamum indicum), exercise, prolonged walking, day sleep, traveling, ''ushna ahara'' (hot foods), salty and sour foods, ''vidahi'' foods (foods that cause burning sensation on consumption), foods that are heavy for digestion and water [99-100].

==== Therapeutic use of ''takra'' (buttermilk) in ''udara roga'' ====

+

नातिसान्द्रं हितं पाने स्वादु तक्रमपेलवम्||१०१||

−

त्र्यूषणक्षारलवणैर्युक्तं तु निचयोदरी|

+

त्र्यूषणक्षारलवणैर्युक्तं तु निचयोदरी| <br />

−

वातोदरी पिबेत्तक्रं पिप्पलीलवणान्वितम्||१०२||

+

वातोदरी पिबेत्तक्रं पिप्पलीलवणान्वितम्||१०२|| <br />

−

शर्करामधुकोपेतं स्वादु पित्तोदरी पिबेत्|

+

शर्करामधुकोपेतं स्वादु पित्तोदरी पिबेत्| <br />

−

यवानीसैन्धवाजाजीव्योषयुक्तं कफोदरी||१०३||

+

यवानीसैन्धवाजाजीव्योषयुक्तं कफोदरी||१०३|| <br />

−

पिबेन्मधुयुतं तक्रं कवोष्णं नातिपेलवम्|

+

पिबेन्मधुयुतं तक्रं कवोष्णं नातिपेलवम्| <br />

−

मधुतैलवचाशुण्ठीशताह्वाकुष्ठसैन्धवैः||१०४||

+

मधुतैलवचाशुण्ठीशताह्वाकुष्ठसैन्धवैः||१०४|| <br />

−

युक्तं प्लीहोदरी जातं सव्योषं तूदकोदरी|

+

युक्तं प्लीहोदरी जातं सव्योषं तूदकोदरी| <br />

−

बद्धोदरी तु हपुषायवान्यजाजिसैन्धवैः ||१०५||

+

बद्धोदरी तु हपुषायवान्यजाजिसैन्धवैः ||१०५|| <br />

−

पिबेच्छिद्रोदरी तक्रं पिप्पलीक्षौद्रसंयुतम्|

+

पिबेच्छिद्रोदरी तक्रं पिप्पलीक्षौद्रसंयुतम्| <br />

−

गौरवारोचकार्तानां समन्दाग्न्यतिसारिणाम्||१०६||

+

गौरवारोचकार्तानां समन्दाग्न्यतिसारिणाम्||१०६|| <br />

तक्रं वातकफार्तानाममृतत्वाय कल्पते|

+

nātisāndraṁ hitaṁ pānē svādu takramapēlavam||101||

−

tryūṣaṇakṣāralavaṇairyuktaṁ tu nicayōdarī|

+

tryūṣaṇakṣāralavaṇairyuktaṁ tu nicayōdarī| <br />

−

vātōdarī pibēttakraṁ pippalīlavaṇānvitam||102||

+

vātōdarī pibēttakraṁ pippalīlavaṇānvitam||102|| <br />

+

śarkarāmadhukōpētaṁ svādu pittōdarī pibēt| <br />

+

yavānīsaindhavājājīvyōṣayuktaṁ kaphōdarī||103|| <br />

−

~~śarkarāmadhukōpētaṁ svādu pittōdarī pibēt~~|

+

pibēnmadhuyutaṁ takraṁ kavōṣṇaṁ nātipēlavam| <br />

−

~~yavānīsaindhavājājīvyōṣayuktaṁ kaphōdarī~~||~~103~~||

+

madhutailavacāśuṇṭhīśatāhvākuṣṭhasaindhavaiḥ||104|| <br />

−

~~pibēnmadhuyutaṁ takraṁ kavōṣṇaṁ nātipēlavam~~|

+

yuktaṁ plīhōdarī jātaṁ savyōṣaṁ tūdakōdarī| <br />

−

~~madhutailavacāśuṇṭhīśatāhvākuṣṭhasaindhavaiḥ~~||~~104~~||

+

baddhōdarī tu hapuṣāyavānyajājisaindhavaiḥ ||105|| <br />

−

~~yuktaṁ plīhōdarī jātaṁ savyōṣaṁ tūdakōdarī~~|

+

pibēcchidrōdarī takraṁ pippalīkṣaudrasaṁyutam| <br />

−

~~baddhōdarī tu hapuṣāyavānyajājisaindhavaiḥ~~ ||~~105~~||

+

gauravārōcakārtānāṁ samandāgnyatisāriṇām||106|| <br />

−

~~pibēcchidrōdarī~~ takraṁ ~~pippalīkṣaudrasaṁyutam|~~

+

takraṁ vātakaphārtānāmamr̥tatvāya kalpatē|<br />

−

~~gauravārōcakārtānāṁ samandāgnyatisāriṇām||106|~~|

−

~~takraṁ vātakaphārtānāmamr̥tatvāya kalpatē|~~

nAtisAndraM hitaM pAne svAdu takramapelavam||101||

−

tryUShaNakShAralavaNairyuktaM tu nicayodarI|

+

tryUShaNakShAralavaNairyuktaM tu nicayodarI| <br />

−

vAtodarI pibettakraM pippalIlavaNAnvitam||102||

+

vAtodarI pibettakraM pippalIlavaNAnvitam||102|| <br />

−

sharkarAmadhukopetaM [1] svAdu pittodarI pibet|

+

sharkarAmadhukopetaM [1] svAdu pittodarI pibet| <br />

−

yavAnIsaindhavAjAjIvyoShayuktaM kaphodarI||103||

+

yavAnIsaindhavAjAjIvyoShayuktaM kaphodarI||103|| <br />

−

pibenmadhuyutaM takraM kavoShNaM [2] nAtipelavam|

+

pibenmadhuyutaM takraM kavoShNaM [2] nAtipelavam| <br />

−

madhutailavacAshuNThIshatAhvAkuShThasaindhavaiH||104||

+

madhutailavacAshuNThIshatAhvAkuShThasaindhavaiH||104|| <br />

−

yuktaM plIhodarI jAtaM savyoShaM tUdakodarI|

+

yuktaM plIhodarI jAtaM savyoShaM tUdakodarI| <br />

−

baddhodarI tu hapuShAyavAnyajAjisaindhavaiH [3] ||105||

+

baddhodarI tu hapuShAyavAnyajAjisaindhavaiH [3] ||105|| <br />

−

pibecchidrodarI takraM pippalIkShaudrasaMyutam|

+

pibecchidrodarI takraM pippalIkShaudrasaMyutam| <br />

−

gauravArocakArtAnAM samandAgnyatisAriNAm||106||

+

gauravArocakArtAnAM samandAgnyatisAriNAm||106|| <br />

takraM vAtakaphArtAnAmamRutatvAya kalpate|

+

</div></div>

Patient of ''sannipatodara'' (abdominal enlargement due to morbidity of all three ''dosha'') should drink butter milk which is neither excessively thick, nor fatty, and while drinking it should be added with ''triushana'' (combination of three pungent elements that include ''pippali'' (Piper longum), ''shunthi'' (Zingiber officinale) and ''maricha'' (Piper nigrum)], ''kshaira'' (alkali obtained from ash of herbs) and rock salt.

Line 1,330: Line 1,546:

==== Use of milk in ''udara roga'' ====

+

शोफानाहार्तितृण्मूर्च्छापीडिते कारभं पयः||१०७||

शुद्धानां क्षामदेहानां गव्यं छागं समाहिषम्|

+

śōphānāhārtitr̥ṇmūrcchāpīḍitē kārabhaṁ payaḥ||107||

Line 1,342: Line 1,560:

shuddhAnAM kShAmadehAnAM gavyaM chAgaM samAhiSham|

+

</div></div>

The patient of ''udara'' (enlargement of abdomen) if develops symptoms like edema, distension of abdomen, abdominal pain and transient loss of consciousness then camel’s milk should be given to drink. If the patient’s physique reduces after the ''shodhana'' (purification measures) then he should be given cow’s milk, goat’s milk or buffalo’s milk to drink.[107]

==== Application of paste on abdomen ====

+

देवदारुपलाशार्कहस्तिपिप्पलिशिग्रुकैः||१०८||

साश्वगन्धैः सगोमूत्रैः प्रदिह्यादुदरं समैः|

+

dēvadārupalāśārkahastiPippaliśigrukaiḥ||108||

Line 1,358: Line 1,579:

sAshvagandhaiH sagomUtraiH pradihyAdudaraM samaiH|

+

</div></div>

The paste prepared from ''devadaru'' (Cedrus deodara), ''palasha'' (Butea monosperma), ''arka'' (Calotropis procera), ''hastipippali'' (Scindapsus officinalis), ''shigru'' (Moringa oleifera) and ''ashvagandha'' (Withania somnifera) added with cow’s urine should be applied on the abdomen as ''pradeha'' (paste) [108].

==== ''Parisheka'' in ''udara roga'' ====

+

वृश्चिकालीं वचां कुष्ठं पञ्चमूलीं पुनर्नवाम्||१०९||

Line 1,370: Line 1,593:

मूत्राण्यष्टावुदरिणां सेके पाने च योजयेत्|

+

vr̥ścikālīṁ vacāṁ kuṣṭhaṁ pañcamūlīṁ punarnavām||109||

Line 1,386: Line 1,610:

mUtrANyaShTAvudariNAM seke pAne ca yojayet|

+

</div></div>

Abdomen should be treated with ''parisheka'' (pouring medicated liquids on body parts) by using decoction prepared from ''vrishchikali'' (Tragia involucrata), ''vacha'' (Acorus calamus), ''kushtha'' (Saussurea lappa), ''bilva'' (Aegle marmelos), ''agnimantha'' (Clerodendrum phlomidis), ''shyonaka'' (Oroxylum indicum), ''kashmari'' (Gmelina arborea), ''patala'' (Stereospermum suaveolens), ''punarnava'' (Boerhaavia diffusa), ''bhutika'' (Cymbopogon jvarancusha), ''nagara'' (Zingiber officinale) and ''dhanyaka'' (Coriandrum sativum). In the same way the decoction prepared from ''palasha'' (Butea monosperma), ''kattruna'' (Cymbopogon citratus) and ''rasna'' (Pluchea lanceolata) may be used for ''parisheka'' (pouring medicated liquids on body parts). In general the eight types of urine (urine of human being, cow, goat, sheep, camel and buffalo) may be used in the form of drink or ''parisheka'' (pouring medicated liquids on body parts) in patients suffering from ''udara'' (enlargement of abdomen tending ascites) [109-110].

+

रूक्षाणां बहुवातानां तथा संशोधनार्थिनाम्||१११||

दीपनीयानि सर्पींषि जठरघ्नानि चक्ष्महे|११२|

+

rūkṣāṇāṁ bahuvātānāṁ tathā saṁśōdhanārthinām||111||

Line 1,400: Line 1,627:

dIpanIyAni sarpIMShi jaTharaghnAni cakShmahe|

+

</div></div>

From here onward, the medicated ghee will be discussed that are curative of ''udara'' (enlargement of abdomen) and indicated in patients who exhibit dryness of the body, who have dominance of morbid ''vata'' and also the patients who will undergo ''shodhana'' (purification measures) [111-112].

==== ''Panchakola ghrita'' ====

+

पिप्पलीपिप्पलीमूलचव्यचित्रकनागरैः||११२||

Line 1,414: Line 1,643:

श्वयथुं वातविष्टम्भं गुल्मार्शांसि च नाशयेत्||११४||

+

pippalīpippalīmūlacavyacitrakanāgaraiḥ||112||

Line 1,434: Line 1,664:

shvayathuM vAtaviShTambhaM gulmArshAMsi ca nAshayet||114||

+

</div></div>

Take powder of ''pippali'' (Piper longum Linn), ''pippali mula'' (Piper longum), ''chavya'' (Piper retrofractum), ''chitraka'' (Plumbago zeylanica), ''nagara'' (Zingiber officinale) and ''kshara'' (alkali obtained from ash of herbs) half ''pala'' (24g) of each in quantity. This is added with ''ardha-tula'' (2400g) decoction of ''dashamula'' (roots of 10 drugs) and two ''prastha'' (1536g) of cow’s ghee and processed to get the medicated ghee. This ghee when orally administered along with ''dadhi manda'' (watery portion of curds) cures all types of ''udara, shvayathu'' (''anasaraka'') ''vata vishtambha'' (obstructed ''vata'' in the abdomen), ''gulma'' (abdominal lump) and ''arshas'' (mass per rectum) [112-114].

==== ''Nagaraadi ghrita'' ====

+

−

नागरत्रिफलाप्रस्थं घृततैलात्तथाऽऽढकम्|

+

नागरत्रिफलाप्रस्थं घृततैलात्तथाऽऽढकम्| <br />

−

मस्तुनः साधयित्वैतत् पिबेत् सर्वोदरापहम्||११५||

+

मस्तुनः साधयित्वैतत् पिबेत् सर्वोदरापहम्||११५|| <br />

कफमारुतसम्भूते गुल्मे चैतत् प्रशस्यते|

+

−

nāgaratriphalāprasthaṁ ghr̥tatailāttathā''ḍhakam|

+

nāgaratriphalāprasthaṁ ghr̥tatailāttathā''ḍhakam| <br />

−

mastunaḥ sādhayitvaitat pibēt sarvōdarāpaham||115||

+

mastunaḥ sādhayitvaitat pibēt sarvōdarāpaham||115|| <br />

kaphamārutasambhūtē gulmē caitat praśasyatē|

−

nAgaratriphalAprasthaM ghRutatailAttathA~a~aDhakam|

+

nAgaratriphalAprasthaM ghRutatailAttathA~a~aDhakam| <br />

−

mastunaH sAdhayitvaitat pibet sarvodarApaham||115||

+

mastunaH sAdhayitvaitat pibet sarvodarApaham||115|| <br />

kaphamArutasambhUte gulme caitat prashasyate|

+

</div></div>

One ''prastha'' (768g) of powder of ''nagara'' (Zingiber officinale), ''haritaki'' (Terminalia chebula), ''vibhitaki'' (Terminalia belerica) and ''amalaki'' (Emblica officinalis) is added with 1/2 ''adhaki'' (1536g) of cow’s ghee, 1/2 ''adhaki'' (1536g) of ''taila'' (oil extracted from seeds of Sesamum indicum) and 1 ''adhaki'' (3073g) of ''mastu'' (liquid separated from curd ). This combination is processed in to medicated ghee. Oral administration of this ghee is effective in all types of ''udara'' (enlargement of abdomen) as well as ''kapha vataja gulma'' (abdominal lump) [115].

==== ''Chitraka ghrita'' ====

+

चतुर्गुणे जले मूत्रे द्विगुणे चित्रकात् पले||११६||

कल्के सिद्धं घृतप्रस्थं सक्षारं जठरी पिबेत्|

+

caturguṇē jalē mūtrē dviguṇē citrakāt palē||116||

Line 1,469: Line 1,705:

kalke siddhaM ghRutaprasthaM sakShAraM jaTharI pibet|

+

</div></div>

The powder prepared from each 1 ''pala'' (48g) of ''chitraka'' (Plumbago zeylanica) and ''kshara'' (alkali obtained from ash of herbs) is added with 1 ''prastha'' (768g) cow’s ghee, 2 ''prastha'' (1536 g) of cow’s urine and 4 ''prastha'' (3073g) of water. The combination is processed into medicated ghee and is orally administered in patients suffering from ''udara'' (enlargement of abdomen). [116]

==== ''Yavadi ghrita'' ====

+

यवकोलकुलत्थानां पञ्चमूलरसेन च||११७||

सुरासौवीरकाभ्यां च सिद्धं वाऽपि पिबेद्घृतम्|

+

yavakōlakulatthānāṁ pañcamūlarasēna ca||117||

Line 1,485: Line 1,724:

surAsauvIrakAbhyAM ca siddhaM vA~api pibedghRutam|

+

</div></div>

The powders of ''yava'' (Hordeum vulgare), ''kola'' (Zizypus jujuba) and ''kulattha'' (Vigna unquiculata) is added with decoction of ''brihat panchamula'' (roots of five big plants), ''sura'' (alcoholic preparation made by fermenting a mixture of water, flour of rice and jaggery) and ''sauviraka'' (alcoholic beverage prepared from dehusked barley either raw or cooked) and ghee. This combination is processed into medicated ghee and is orally given in patients suffering from ''udara roga'' [117].

==== ''Virechana'' ====

+

एभिः स्निग्धाय सञ्जाते बले शान्ते च मारुते||११८||

स्रस्ते दोषाशये दद्यात् कल्पदिष्टं विरेचनम्|११९|

+

ēbhiḥ snigdhāya sañjātē balē śāntē ca mārutē||118||

Line 1,501: Line 1,743:

sraste doShAshaye dadyAt kalpadiShTaM virecanam|119|

+

</div></div>

After the oral medication of this medicated ghee, once the patient regains the physical strength, morbid ''vata'' gets alleviated and ''dosha'' has been mobilized into the ''koshtha''; the patient is treated with ''virechana'' (therapeutic purgation) by administering purgatives mentioned in the [[Kalpa Sthana]]. [118-119]

==== ''Patoāldi churna'' ====

+

पटोलमूलं रजनीं विडङ्गं त्रिफलात्वचम्||११९||

−

कम्पिल्लकं नीलिनीं च त्रिवृतां चेति चूर्णयेत्|

+

कम्पिल्लकं नीलिनीं च त्रिवृतां चेति चूर्णयेत्| <br />

−

षडाद्यान् कार्षिकानन्त्यांस्त्रींश्च द्वित्रिचतुर्गुणान्||१२०||

+

षडाद्यान् कार्षिकानन्त्यांस्त्रींश्च द्वित्रिचतुर्गुणान्||१२०|| <br />

−

कृत्वा चूर्णमतो मुष्टिं गवां मूत्रेण ना पिबेत्|

+

कृत्वा चूर्णमतो मुष्टिं गवां मूत्रेण ना पिबेत्| <br />

−

विरिक्तो मृदु भुञ्जीत भोजनं जाङ्गलै रसैः||१२१||

+

विरिक्तो मृदु भुञ्जीत भोजनं जाङ्गलै रसैः||१२१|| <br />

−

मण्डं पेयां च पीत्वा ना सव्योषं षडहं पयः|

+

मण्डं पेयां च पीत्वा ना सव्योषं षडहं पयः| <br />

−

शृतं पिबेत्ततश्चूर्णं पिबेदेवं पुनः पुनः||१२२||

+

शृतं पिबेत्ततश्चूर्णं पिबेदेवं पुनः पुनः||१२२|| <br />

−

हन्ति सर्वोदराण्येतच्चूर्णं जातोदकान्यपि|

+

हन्ति सर्वोदराण्येतच्चूर्णं जातोदकान्यपि| <br />

−

कामलां पाण्डुरोगं च श्वयथुं चापकर्षति||१२३||

+

कामलां पाण्डुरोगं च श्वयथुं चापकर्षति||१२३|| <br />

पटोलाद्यमिदं चूर्णमुदरेषु प्रपूजितम्|

+

paṭōlamūlaṁ rajanīṁ viḍaṅgaṁ triphalātvacam||119||

−

kampillakaṁ nīlinīṁ ca trivr̥tāṁ cēti cūrṇayēt|

+

kampillakaṁ nīlinīṁ ca trivr̥tāṁ cēti cūrṇayēt| <br />

−

ṣaḍādyān kārṣikānantyāṁstrīṁśca dvitricaturguṇān||120||

+

ṣaḍādyān kārṣikānantyāṁstrīṁśca dvitricaturguṇān||120|| <br />

−

kr̥tvā cūrṇamatō muṣṭiṁ gavāṁ mūtrēṇa nā pibēt|

+

kr̥tvā cūrṇamatō muṣṭiṁ gavāṁ mūtrēṇa nā pibēt| <br />

−

viriktō mr̥du bhuñjīta bhōjanaṁ jāṅgalai rasaiḥ||121||

+

viriktō mr̥du bhuñjīta bhōjanaṁ jāṅgalai rasaiḥ||121|| <br />

−

maṇḍaṁ pēyāṁ ca pītvā nā savyōṣaṁ ṣaḍahaṁ payaḥ|

+

maṇḍaṁ pēyāṁ ca pītvā nā savyōṣaṁ ṣaḍahaṁ payaḥ| <br />

−

śr̥taṁ pibēttataścūrṇaṁ pibēdēvaṁ punaḥ punaḥ||122||

+

śr̥taṁ pibēttataścūrṇaṁ pibēdēvaṁ punaḥ punaḥ||122|| <br />

−

hanti sarvōdarāṇyētaccūrṇaṁ jātōdakānyapi|

+

hanti sarvōdarāṇyētaccūrṇaṁ jātōdakānyapi| <br />

−

kāmalāṁ pāṇḍurōgaṁ ca śvayathuṁ cāpakarṣati||123||

+

kāmalāṁ pāṇḍurōgaṁ ca śvayathuṁ cāpakarṣati||123|| <br />

paṭōlādyamidaṁ cūrṇamudarēṣu prapūjitam|

+

paTolamUlaM rajanIM viDa~ggaM triphalAtvacam||119||

−

kampillakaM nIlinIM ca trivRutAM ceti cUrNayet|

+

kampillakaM nIlinIM ca trivRutAM ceti cUrNayet| <br />

−

ShaDAdyAn kArShikAnantyAMstrIMshca dvitricaturguNAn||120||

+

ShaDAdyAn kArShikAnantyAMstrIMshca dvitricaturguNAn||120|| <br />

−

kRutvA cUrNamato muShTiM gavAM mUtreNa nA pibet|

+

kRutvA cUrNamato muShTiM gavAM mUtreNa nA pibet| <br />

−

virikto mRudu bhu~jjIta bhojanaM jA~ggalai rasaiH||121||

+

virikto mRudu bhu~jjIta bhojanaM jA~ggalai rasaiH||121|| <br />

−

maNDaM peyAM ca pItvA nA savyoShaM ShaDahaM payaH|

+

maNDaM peyAM ca pItvA nA savyoShaM ShaDahaM payaH| <br />

−

shRutaM pibettatashcUrNaM pibedevaM punaH punaH||122||

+

shRutaM pibettatashcUrNaM pibedevaM punaH punaH||122|| <br />

−

hanti sarvodarANyetaccUrNaM jAtodakAnyapi|

+

hanti sarvodarANyetaccUrNaM jAtodakAnyapi| <br />

−

kAmalAM pANDurogaM ca shvayathuM cApakarShati||123||

+

kAmalAM pANDurogaM ca shvayathuM cApakarShati||123|| <br />

paTolAdyamidaM cUrNamudareShu prapUjitam|

+

</div></div>

The powder is prepared from each one ''karsha'' (12g) each powder of root of ''patola'' (Trichosanthes dioica), ''rajani'' (Curcuma longa), ''vidanga'' (Embelia ribes.), barks of ''haritaki'' (Terminalia chebula), ''vibhitaki'' (Terminalia belerica) and ''amalaki'' (Emblica officinalis), two ''karsha'' (24g) of ''kampilla'' (Mallotus philippinensis), three ''karsha'' (36g) of ''nilini'' (Indigofera tinctoria) and four ''karsha'' (48g) of ''trivrita'' (Operculina turpethum). This powder is orally administered in a dose of one ''pala'' (48g) along with cow’s urine to induce purgation. After the purgation, the patient is advised to have light food consisting of meat soup of dry land animals. Or else, after the intake of ''manda'' (gruel water) and ''peya'' (liquid rice gruel), the patient is given milk processed with ''pippali'' (Piper longum), ''shunthi'' (Zingiber officinale) and ''maricha'' (Piper nigrum) for six days. The repeated administration of this regimen cures all the types of ''udara'' including the stage of ''jatodaka'' (enlargement of abdomen with fluid accumulation), jaundice, anemia and ''anasaraka''. This powder named as ''patoladi churna'' is well appreciated for the cure of ''udara'' (enlargement of abdomen) [119-123]

==== ''Gavakshyadi churna'' ====

+

गवाक्षीं शङ्खिनीं दन्तीं तिल्वकस्य त्वचं वचाम्||१२४||

पिबेद्द्राक्षाम्बुगोमूत्रकोलकर्कन्धुसीधुभिः|

+

gavākṣīṁ śaṅkhinīṁ dantīṁ tilvakasya tvacaṁ vacām||124||

Line 1,568: Line 1,817:

pibeddrAkShAmbugomUtrakolakarkandhusIdhubhiH|

+

</div></div>

Powder prepared from equal amounts of ''gavakshi'' (Citrullus colocynthis), ''shankhini'' (Clitoria terneata), ''danti'' (Baliospermum montanum), bark of ''tilvaka'' (Symplocos cochinchinensis/Jatropha curcas) and ''vacha'' (Acorus calamus) is orally administered with juice of grapes, cow’s urine, decoction of ''kola'' (Zizypus jujuba), decoction of ''karkandhu'' (Zizyphus sativa) and ''sidhu'' (alcoholic preparation from unboiled/boiled sugarcane juice) [124]

==== ''Narayana churna'' ====

+

यवानी हपुषा धान्यं त्रिफला चोपकुञ्चिका||१२५||

−

कारवी पिप्पलीमूलमजगन्धा शटी वचा|

+

कारवी पिप्पलीमूलमजगन्धा शटी वचा| <br />

−

शताह्वा जीरकं व्योषं स्वर्णक्षीरी सचित्रका||१२६||

+

शताह्वा जीरकं व्योषं स्वर्णक्षीरी सचित्रका||१२६|| <br />

−

द्वौ क्षारौ पौष्करं मूलं कुष्ठं लवणपञ्चकम्|

+

द्वौ क्षारौ पौष्करं मूलं कुष्ठं लवणपञ्चकम्| <br />

−

विडङ्गं च समांशानि दन्त्या भागत्रयं तथा||१२७||

+

विडङ्गं च समांशानि दन्त्या भागत्रयं तथा||१२७|| <br />

−

त्रिवृद्विशाले द्विगुणे सातला स्याच्चतुर्गुणा|

+

त्रिवृद्विशाले द्विगुणे सातला स्याच्चतुर्गुणा| <br />

−

एतन्नारायणं नाम चूर्णं रोगगणापहम्||१२८||

+

एतन्नारायणं नाम चूर्णं रोगगणापहम्||१२८|| <br />

−

नैनत् प्राप्यातिवर्तन्ते रोगा विष्णुमिवासुराः|

+

नैनत् प्राप्यातिवर्तन्ते रोगा विष्णुमिवासुराः| <br />

−

तक्रेणोदरिभिः पेयं गुल्मिभिर्बदराम्बुना||१२९||

+

तक्रेणोदरिभिः पेयं गुल्मिभिर्बदराम्बुना||१२९|| <br />

−

आनद्धवाते सुरया वातरोगे प्रसन्नया|

+

आनद्धवाते सुरया वातरोगे प्रसन्नया| <br />

−

दधिमण्डेन विट्सङ्गे दाडिमाम्बुभिरर्शसैः||१३०||

+

दधिमण्डेन विट्सङ्गे दाडिमाम्बुभिरर्शसैः||१३०|| <br />

−

परिकर्ते सवृक्षाम्लमुष्णाम्बुभिरजीर्णके|

+

परिकर्ते सवृक्षाम्लमुष्णाम्बुभिरजीर्णके| <br />

−

भगन्दरे पाण्डुरोगे श्वासे कासे गलग्रहे||१३१||

+

भगन्दरे पाण्डुरोगे श्वासे कासे गलग्रहे||१३१|| <br />

−

हृद्रोगे ग्रहणीदोषे कुष्ठे मन्देऽनले ज्वरे|

+

हृद्रोगे ग्रहणीदोषे कुष्ठे मन्देऽनले ज्वरे| <br />

−

दंष्ट्राविषे मूलविषे सगरे कृत्रिमे विषे||१३२||

+

दंष्ट्राविषे मूलविषे सगरे कृत्रिमे विषे||१३२|| <br />

यथार्हं स्निग्धकोष्ठेन पेयमेतद्विरेचनमिति नारायणचूर्णम्

+

yavānī hapuṣā dhānyaṁ triphalā cōpakuñcikā||125||

−

kāravī pippalīmūlamajagandhā śaṭī vacā|

+

kāravī pippalīmūlamajagandhā śaṭī vacā| <br />

−

śatāhvā jīrakaṁ vyōṣaṁ svarṇakṣīrī sacitrakā||126||

+

śatāhvā jīrakaṁ vyōṣaṁ svarṇakṣīrī sacitrakā||126|| <br />

−

dvau kṣārau pauṣkaraṁ mūlaṁ kuṣṭhaṁ lavaṇapañcakam|

+

dvau kṣārau pauṣkaraṁ mūlaṁ kuṣṭhaṁ lavaṇapañcakam| <br />

−

viḍaṅgaṁ ca samāṁśāni dantyā bhāgatrayaṁ tathā||127||

+

viḍaṅgaṁ ca samāṁśāni dantyā bhāgatrayaṁ tathā||127|| <br />

−

trivr̥dviśālē dviguṇē sātalā syāccaturguṇā|

+

trivr̥dviśālē dviguṇē sātalā syāccaturguṇā| <br />

−

ētannārāyaṇaṁ nāma cūrṇaṁ rōgagaṇāpaham||128||

+

ētannārāyaṇaṁ nāma cūrṇaṁ rōgagaṇāpaham||128|| <br />

−

nainat prāpyātivartantē rōgā viṣṇumivāsurāḥ|

+

nainat prāpyātivartantē rōgā viṣṇumivāsurāḥ| <br />

−

takrēṇōdaribhiḥ pēyaṁ gulmibhirbadarāmbunā||129||

+

takrēṇōdaribhiḥ pēyaṁ gulmibhirbadarāmbunā||129|| <br />

−

ānaddhavātē surayā vātarōgē prasannayā|

+

ānaddhavātē surayā vātarōgē prasannayā| <br />

−

dadhimaṇḍēna viṭsaṅgē dāḍimāmbubhirarśasaiḥ||130||

+

dadhimaṇḍēna viṭsaṅgē dāḍimāmbubhirarśasaiḥ||130|| <br />

−

parikartē savr̥kṣāmlamuṣṇāmbubhirajīrṇakē|

+

parikartē savr̥kṣāmlamuṣṇāmbubhirajīrṇakē| <br />

−

bhagandarē pāṇḍurōgē śvāsē kāsē galagrahē||131||

+

bhagandarē pāṇḍurōgē śvāsē kāsē galagrahē||131||<br />

−

hr̥drōgē grahaṇīdōṣē kuṣṭhē mandē'nalē jvarē|

+

hr̥drōgē grahaṇīdōṣē kuṣṭhē mandē'nalē jvarē| <br />

−

daṁṣṭrāviṣē mūlaviṣē sagarē kr̥trimē viṣē||132||

+

daṁṣṭrāviṣē mūlaviṣē sagarē kr̥trimē viṣē||132|| <br />

yathārhaṁ snigdhakōṣṭhēna pēyamētadvirēcanamiti nārāyaṇacūrṇam

Line 1,625: Line 1,877:

yavAnI hapuShA dhAnyaM triphalA copaku~jcikA||125||

−

kAravI pippalImUlamajagandhA shaTI vacA|

+

kAravI pippalImUlamajagandhA shaTI vacA| <br />

−

shatAhvA jIrakaM vyoShaM svarNakShIrI sacitrakA||126||

+

shatAhvA jIrakaM vyoShaM svarNakShIrI sacitrakA||126|| <br />

−

dvau kShArau pauShkaraM mUlaM kuShThaM lavaNapa~jcakam|

+

dvau kShArau pauShkaraM mUlaM kuShThaM lavaNapa~jcakam| <br />

−

viDa~ggaM ca samAMshAni dantyA bhAgatrayaM tathA||127||

+

viDa~ggaM ca samAMshAni dantyA bhAgatrayaM tathA||127|| <br />

−

trivRudvishAle dviguNe sAtalA syAccaturguNA|

+

trivRudvishAle dviguNe sAtalA syAccaturguNA| <br />

−

etannArAyaNaM nAma cUrNaM rogagaNApaham||128||

+

etannArAyaNaM nAma cUrNaM rogagaNApaham||128|| <br />

−

nainat prApyAtivartante rogA viShNumivAsurAH|

+

nainat prApyAtivartante rogA viShNumivAsurAH| <br />

−

takreNodaribhiH peyaM gulmibhirbadarAmbunA||129||

+

takreNodaribhiH peyaM gulmibhirbadarAmbunA||129|| <br />

−

AnaddhavAte surayA vAtaroge prasannayA|

+

AnaddhavAte surayA vAtaroge prasannayA| <br />

−

dadhimaNDena viTsa~gge dADimAmbubhirarshasaiH||130||

+

dadhimaNDena viTsa~gge dADimAmbubhirarshasaiH||130|| <br />

−

parikarte savRukShAmlamuShNAmbubhirajIrNake|

+

parikarte savRukShAmlamuShNAmbubhirajIrNake| <br />

−

bhagandare pANDuroge shvAse kAse galagrahe||131||

+

bhagandare pANDuroge shvAse kAse galagrahe||131|| <br />

−

hRudroge grahaNIdoShe kuShThe mande~anale jvare|

+

hRudroge grahaNIdoShe kuShThe mande~anale jvare| <br />

−

daMShTrAviShe mUlaviShe sagare kRutrime viShe||132||

+

daMShTrAviShe mUlaviShe sagare kRutrime viShe||132|| <br />

yathArhaM snigdhakoShThena peyametadvirecanamiti nArAyaNacUrNam

+

</div></div>

Take one part each of ''yavani'' (Trachyspermum ammi), ''hapusha'' (Juniperus communis), ''dhanyaka'' (Coriandrum sativum), ''haritaki'' (Terminalia chebula Retz), ''vibhitaki'' (Terminalia belerica), ''amalaki'' (Emblica officinalis), ''upakunchika'' (Nigella sativa), ''kaavi'' (Apium leptophyllum), root of ''pippali'' (Piper longum), ''ajagandha'' (Withania somnifera), ''shati'' (Hedychium spicatum), ''vacha'' (Acorus calamus), ''shatahva'' (Anethum sowa), ''jiraka'' (Cuminum cyminum), ''pippali'' (Piper longum), ''shunthi'' (Zingiber officinale), ''maricha'' (Piper nigrum), ''svarnakshiri'' (Argemone mexicana), ''chitraka'' (Plumbago zeylanica), ''sarjakshara'' (Sodii carbonas impura), ''yava kshara'' (alkali from awns of barley), ''pushkaramula'' (Inula racemosa), ''kushtha'' (Saussurea lappa), rock salt (saindhava), ''sauvarchala lavana'' (Unaqua sodium chloride), ''vida lavana'' (ammonium salt; salt obtained from animal’s excreta-feces/ urine), ''samudra lavana'' (Sodi muris), ''audbida lavana'' (salt obtained from earth) and ''vidanga'' (Embelia ribes). To this, three parts of ''danti'' (Baliospermum montanum), two parts of ''trivrita'' (Operculina turpethum), two parts of ''vishala'' (Citrulus colocynthis) and four parts of ''satala'' (Euphorbia tirucalli) are added and powdered. This powder is known as ''narayana churna'' and is effective in curing horde of diseases. Quite similar to the Lord Vishnu killing the demon; this ''churna'' on consumption kills the diseases. Patient suffering from ''udara roga'' should take this powder with butter milk. The patients suffering from ''gulma'' (abdominal lump) should be prescribed with decoction of ''badara'' (Ziziphus zizyphus). In case of ''anaddha vata'' (obstructed ''vata'' in the abdomen) this ''narayana churna'' should be given with ''sura'' (alcoholic preparation made by fermenting a mixture of water, flour of rice, jaggery). ''Vata roga'' is treated by administering this powder with ''prasanna'' (supernatant clear portion of alcoholic preparation; upper portion of ''madya''). Constipation is treated by giving this ''churna'' with ''dadhi manda'' (watery portion of curds). ''Arsha'' (piles) is treated by administering this powder with juice of ''dadima'' (Punica granatum). ''Parikartka'' (cutting pain in the anal region) may be treated by giving this medicine with ''vrikshamla'' (Garcinia indica). This powder, if given with lukewarm water cures indigestion. Also this powder is orally administered with relevant ''anupana'' (liquid adjunct) after oral oleation measure and to induce ''virechana'' (therapeutic purgation) in patients suffering from diseases like bhagandara (fistula in ano), anaemia, dyspnea, cough, throat irritation, cardiac disease, ''grahanidosha'' (malabsorption), ''kushtha'' (obstinate skin diseases), impaired appetite, fever, venomous bite, toxic tubers, ''garavisha'' (mild poisoning) and ''kritrima visha'' (poisoning with synthesized poison)[125-132]

==== ''Hapushadya churna'' ====

+

हपुषां काञ्चनक्षीरीं त्रिफलां कटुरोहिणीम्||१३३||

−

नीलिनीं त्रायमाणां च सातलां त्रिवृतां वचाम्|

+

नीलिनीं त्रायमाणां च सातलां त्रिवृतां वचाम्| <br />

−

सैन्धवं काललवणं पिप्पलीं चेति चूर्णयेत्||१३४||

+

सैन्धवं काललवणं पिप्पलीं चेति चूर्णयेत्||१३४|| <br />

−

दाडिमत्रिफलामांसरसमूत्रसुखोदकैः|

+

दाडिमत्रिफलामांसरसमूत्रसुखोदकैः| <br />

−

पेयोऽयं सर्वगुल्मेषु प्लीह्नि सर्वोदरेषु च||१३५||

+

पेयोऽयं सर्वगुल्मेषु प्लीह्नि सर्वोदरेषु च||१३५|| <br />

−

श्वित्रे कुष्ठे सरुजके सवाते विषमाग्निषु|

+

श्वित्रे कुष्ठे सरुजके सवाते विषमाग्निषु| <br />

−

शोथार्शःपाण्डुरोगेषु कामलायां हलीमके||१३६||

+

शोथार्शःपाण्डुरोगेषु कामलायां हलीमके||१३६|| <br />

−

वातं पित्तं कफं चाशु विरेकात् सम्प्रसाधयेतिति

+

वातं पित्तं कफं चाशु विरेकात् सम्प्रसाधयेतिति <br />

−

हपुषाद्यं चूर्ण

+

हपुषाद्यं चूर्ण <br />

+

hapuṣāṁ kāñcanakṣīrīṁ triphalāṁ kaṭurōhiṇīm||133||

−

nīlinīṁ trāyamāṇāṁ ca sātalāṁ trivr̥tāṁ vacām|

+

nīlinīṁ trāyamāṇāṁ ca sātalāṁ trivr̥tāṁ vacām| <br />

−

saindhavaṁ kālalavaṇaṁ pippalīṁ cēti cūrṇayēt||134||

+

saindhavaṁ kālalavaṇaṁ pippalīṁ cēti cūrṇayēt||134|| <br />

−

dāḍimatriphalāmāṁsarasamūtrasukhōdakaiḥ|

+

dāḍimatriphalāmāṁsarasamūtrasukhōdakaiḥ| <br />

−

pēyō'yaṁ sarvagulmēṣu plīhni sarvōdarēṣu ca||135||

+

pēyō'yaṁ sarvagulmēṣu plīhni sarvōdarēṣu ca||135|| <br />

−

śvitrē kuṣṭhē sarujakē savātē viṣamāgniṣu|

+

śvitrē kuṣṭhē sarujakē savātē viṣamāgniṣu| <br />

−

śōthārśaḥpāṇḍurōgēṣu kāmalāyāṁ halīmakē||136||

+

śōthārśaḥpāṇḍurōgēṣu kāmalāyāṁ halīmakē||136|| <br />

−

vātaṁ pittaṁ kaphaṁ cāśu virēkāt samprasādhayētiti

+

vātaṁ pittaṁ kaphaṁ cāśu virēkāt samprasādhayētiti <br />

−

hapuṣādyaṁ cūrṇam

+

hapuṣādyaṁ cūrṇam <br />

hapuShAM kA~jcanakShIrIM triphalAM kaTurohiNIm||133||

−

nIlinIM trAyamANAM ca sAtalAM trivRutAM vacAm|

+

nIlinIM trAyamANAM ca sAtalAM trivRutAM vacAm| <br />

−

saindhavaM kAlalavaNaM pippalIM ceti cUrNayet||134||

+

saindhavaM kAlalavaNaM pippalIM ceti cUrNayet||134|| <br />

−

dADimatriphalAmAMsarasamUtrasukhodakaiH|

+

dADimatriphalAmAMsarasamUtrasukhodakaiH| <br />

−

peyo~ayaM sarvagulmeShu plIhni sarvodareShu ca||135||

+

peyo~ayaM sarvagulmeShu plIhni sarvodareShu ca||135|| <br />

−

shvitre kuShThe sarujake savAte viShamAgniShu|

+

shvitre kuShThe sarujake savAte viShamAgniShu| <br />

−

shothArshaHpANDurogeShu kAmalAyAM halImake||136||

+

shothArshaHpANDurogeShu kAmalAyAM halImake||136|| <br />

−

vAtaM pittaM kaphaM cAshu virekAt samprasAdhayetiti

+

vAtaM pittaM kaphaM cAshu virekAt samprasAdhayetiti <br />

−

hapuShAdyaM cUrNam

+

hapuShAdyaM cUrNam <br />

+

</div></div>

Prepare fine powder from ''hapusha'' (Juniperus communis), ''svarnakshiri'' (Argemone mexicana), ''haritaki'' (Terminalia chebula), ''vibhitaki'' (Terminalia belerica), ''amalaki'' (Emblica officinalis), ''katurohini'' (Picrorhiza kurroa), ''nilini'' (Indigofera tinctoria), ''trayamana'' (Gentiana kurrhoa), ''satala'' (Euphorbia Tirucalli), ''trivrita'' (Operculina turpethum), ''vacha'' (Acorus calamus), rock salt, ''kala lavana'' (black salt) and ''pippali'' (Piper longum). This powder should be orally given with juice of ''dadima'' (Punica granatum), decoction of ''triphala'' (three fruits), meat soup, cow’s urine or warm water. This medication induces purgation, eliminates ''vata, pitta and kapha''; and is effective in curing diseases that include ''shvitra'' (leukoderma), ''kushtha'' (obstinate skin diseases), pain due to morbid ''vata, vishamagni'' (irregular digestion), ''anasaracha'', ''arshas'' (piles), anemia, jaundice and ''halimaka'' (chlorosis) [133-136]

==== ''Nilinyadi churna'' ====

+

नींलिनीं निचुलं व्योषं द्वौ क्षारौ लवणानि च||१३७||

चित्रकं च पिबेच्चूर्णं सर्पिषोदरगुल्मनुतिति नीलिन्याद्यं चूर्णम्||

+

nīlinīṁ niculaṁ vyōṣaṁ dvaukṣārau lavaṇāni ca||137||

Line 1,709: Line 1,967:

citrakaM ca pibeccUrNaM sarpiShodaragulmanutiti nIlinyAdyaM cUrNam

+

</div></div>

The ''nililnyadi churna'' is prepared from the powders of ''nilini'' (Indigofera tinctoria), ''nichula'' (Barringtonia acutangula), pippali (Piper longum), ''shunthi'' (Zingiber officinale), ''maricha'' (Piper nigrum), ''svarajika kshara'' (Sodii carbonas impura), ''yava kshara'' (alkali from awns of barley), ''sauvarchala lavana'' (unaqua sodium chloride), ''vida lavana'' (ammonium salt), ''audbhida lavana'' (salt obtained from earth), rock salt (''saindhava''), ''samudra lavana'' (Sodi muris) and ''chitraka'' (Plumbago zeylanica). This powder is orally administered with ghee and is curative of all types ''udara roga'' as well as ''gulma'' (abdominal lump) [137]

==== ''Snuhi kshira ghrita'' ====

+

क्षीरद्रोणं सुधाक्षीरप्रस्थार्धसहितं दधि||१३८||

−

जातं विमथ्य तद्युक्त्या त्रिवृत्सिद्धं पिबेद्घृतम्|

+

जातं विमथ्य तद्युक्त्या त्रिवृत्सिद्धं पिबेद्घृतम्| <br />

−

तथा सिद्धं घृतप्रस्थं पयस्यष्टगुणे पिबेत्||१३९||

+

तथा सिद्धं घृतप्रस्थं पयस्यष्टगुणे पिबेत्||१३९|| <br />

−

स्नुक्क्षीरपलकल्केन त्रिवृताषट्पलेन च|

+

स्नुक्क्षीरपलकल्केन त्रिवृताषट्पलेन च| <br />

−

गुल्मानां गरदोषाणामुदराणां च शान्तये||१४०||

+

गुल्मानां गरदोषाणामुदराणां च शान्तये||१४०|| <br />

इति स्नुहीक्षीरघृतम्

+

kṣīradrōṇaṁ sudhākṣīraprasthārdhasahitaṁ dadhi||138||

−

jātaṁ vimathya tadyuktyā trivr̥tsiddhaṁ pibēdghr̥tam|

+

jātaṁ vimathya tadyuktyā trivr̥tsiddhaṁ pibēdghr̥tam| <br />

−

tathā siddhaṁ ghr̥taprasthaṁ payasyaṣṭaguṇē pibēt||139||

+

tathā siddhaṁ ghr̥taprasthaṁ payasyaṣṭaguṇē pibēt||139|| <br />

−

snukkṣīrapalakalkēna trivr̥tāṣaṭpalēna ca|

+

snukkṣīrapalakalkēna trivr̥tāṣaṭpalēna ca| <br />

−

gulmānāṁ garadōṣāṇāmudarāṇāṁ ca śāntayē||140||

+

gulmānāṁ garadōṣāṇāmudarāṇāṁ ca śāntayē||140|| <br />

iti snuhīkṣīraghr̥tam

Line 1,736: Line 1,997:

kShIradroNaM sudhAkShIraprasthArdhasahitaM dadhi||138||

−

jAtaM vimathya tadyuktyA trivRutsiddhaM pibedghRutam|

+

jAtaM vimathya tadyuktyA trivRutsiddhaM pibedghRutam| <br />

−

tathA siddhaM ghRutaprasthaM payasyaShTaguNe pibet||139||

+

tathA siddhaM ghRutaprasthaM payasyaShTaguNe pibet||139|| <br />

−

snukkShIrapalakalkena trivRutAShaTpalena ca|

+

snukkShIrapalakalkena trivRutAShaTpalena ca| <br />

−

gulmAnAM garadoShANAmudarANAM ca shAntaye||140||

+

gulmAnAM garadoShANAmudarANAM ca shAntaye||140|| <br />

iti snuhIkShIraghRutam

+

</div></div>

Curd is prepared from the mixture of one ''drona'' (12228g) of milk and half ''prastha'' (384g) of ''snuhi kshira'' (latex of Euphorbia neriifolia). This curd is churned properly to extract the butter. Thus obtained butter is boiled to get the ghee. Further this ghee is processed with ''trivrita'' (Operculina turpethum) to get the ''snuhi kshira ghrita''. Alternatively one can take one ''prastha'' (768g) of cow’s ghee, mixed with eight ''prastha'' (6144g) of milk; and to this paste prepared from one ''pala'' (48g) of ''snuhi kshira'' (latex of Euphorbia neriifolia) and eight ''pala'' (384g) of ''trivrita'' (Operculina turpethum) is added. This is then processed to get the medicated ghee. This ''snuhi kshira ghrita'' is effective in alleviating the ''gulma'' (abdominal lump), ''garadosha'' (poison synthesized by combination of non toxic substances) and all types of ''udara''. Thus is described ''snuhi kshira ghrita'' [138-140].

+

−

दधिमण्डाढके सिद्धात् स्नुक्क्षीरपलकल्कितात्|

+

दधिमण्डाढके सिद्धात् स्नुक्क्षीरपलकल्कितात्| <br />

−

घृतप्रस्थात् पिबेन्मात्रां तद्वज्जठरशान्तये||१४१||

+

घृतप्रस्थात् पिबेन्मात्रां तद्वज्जठरशान्तये||१४१|| <br />

एषां चानु पिबेत् पेयां पयो वा स्वादु वा रसम्|

+

−

dadhimaṇḍāḍhakē siddhāt snukkṣīrapalakalkitāt|

+

dadhimaṇḍāḍhakē siddhāt snukkṣīrapalakalkitāt| <br />

−

ghr̥taprasthāt pibēnmātrāṁ tadvajjaṭharaśāntayē||141||

+

ghr̥taprasthāt pibēnmātrāṁ tadvajjaṭharaśāntayē||141|| <br />

ēṣāṁ cānu pibēt pēyāṁ payō vā svādu vā rasam|

−

dadhimaNDADhake siddhAt snukkShIrapalakalkitAt|

+

dadhimaNDADhake siddhAt snukkShIrapalakalkitAt| <br />

−

ghRutaprasthAt pibenmAtrAM tadvajjaTharashAntaye||141||

+

ghRutaprasthAt pibenmAtrAM tadvajjaTharashAntaye||141|| <br />

eShAM cAnu pibet peyAM payo vA svAdu vA rasam|

+

</div></div>

Take one ''adhaka'' (3073g) of ''dadhi manda'' (liquid portion of curds), one ''pala'' (48g) paste of ''snuhi kshara'' (latex of Euphorbia neriifolia) and one ''prastha'' (768g) of ghee and process it into medicated ''ghrita''. Its oral administeration in a proper dose to patients suffering from ''udara roga'' with ''peya'' (liquid rice gruel), sweetened milk or sweet tasting meat soup cures ''udara roga'' [141].

==== Management following ''virechana'' ====

+

घृते जीर्णे विरिक्तस्तु कोष्णं नागरकैः शृतम्||१४२||

−

पिबेदम्बु ततः पेयां यूषं कौलत्थकं ततः|

+

पिबेदम्बु ततः पेयां यूषं कौलत्थकं ततः| <br />

−

पिबेद्रूक्षस्त्र्यहं त्वेवं भूयो [१] वा प्रतिभोजितः||१४३||

+

पिबेद्रूक्षस्त्र्यहं त्वेवं भूयो [१] वा प्रतिभोजितः||१४३|| <br />

−

पुनः पुनः पिबेत् सर्पिरानुपूर्व्या तयैव च|

+

पुनः पुनः पिबेत् सर्पिरानुपूर्व्या तयैव च| <br />

−

घृतान्येतानि सिद्धानि विदध्यात् कुशलो भिषक्||१४४||

+

घृतान्येतानि सिद्धानि विदध्यात् कुशलो भिषक्||१४४|| <br />

गुल्मानां गरदोषाणामुदराणां च शान्तये|

+

ghr̥tē jīrṇē viriktastu kōṣṇaṁ nāgarakaiḥ śr̥tam||142||

−

pibēdambu tataḥ pēyāṁ yūṣaṁ kaulatthakaṁ tataḥ|

+

pibēdambu tataḥ pēyāṁ yūṣaṁ kaulatthakaṁ tataḥ| <br />

−

pibēdrūkṣastryahaṁ tvēvaṁ bhūyō [1] vā pratibhōjitaḥ||143||

+

pibēdrūkṣastryahaṁ tvēvaṁ bhūyō [1] vā pratibhōjitaḥ||143|| <br />

−

punaḥ punaḥ pibēt sarpirānupūrvyā tayaiva ca|

+

punaḥ punaḥ pibēt sarpirānupūrvyā tayaiva ca| <br />

−

ghr̥tānyētāni siddhāni vidadhyāt kuśalō bhiṣak||144||

+

ghr̥tānyētāni siddhāni vidadhyāt kuśalō bhiṣak||144|| <br />

−

gulmānāṁ garadōṣāṇāmudarāṇāṁ ca śāntayē|

+

gulmānāṁ garadōṣāṇāmudarāṇāṁ ca śāntayē| <br />

−

ghRute jIrNe viriktastu koShNaM nAgarakaiH shRutam||142||

+

ghRute jIrNe viriktastu koShNaM nAgarakaiH shRutam||142|| <br />

−

pibedambu tataH peyAM yUShaM kaulatthakaM tataH|

+

pibedambu tataH peyAM yUShaM kaulatthakaM tataH| <br />

−

pibedrUkShastryahaM tvevaM bhUyo [1] vA pratibhojitaH||143||

+

pibedrUkShastryahaM tvevaM bhUyo [1] vA pratibhojitaH||143|| <br />

−

punaH punaH pibet sarpirAnupUrvyA tayaiva ca|

+

punaH punaH pibet sarpirAnupUrvyA tayaiva ca| <br />

−

ghRutAnyetAni siddhAni vidadhyAt kushalo bhiShak||144||

+

ghRutAnyetAni siddhAni vidadhyAt kushalo bhiShak||144|| <br />

gulmAnAM garadoShANAmudarANAM ca shAntaye|

+

</div></div>

''Virechana karma'' (therapeutic purgation) should be undertaken after the digestion of the orally administrated medicated ghee. After the ''virechana'', the patient is advised to take decoction of ''nagaraa'' (Zingiber officinale). Then the patient is given ''peya'' (liquid rice gruel) and ''yusha'' (cereal soup) prepared of ''kulattha'' (Vigna unquiculata). If the patient suffers from the state of dryness in his body then he should be given rice with milk for three days. On regaining the physical strength the patient should be repeatedly and alternatively treated with medicated ghee and nourishing diet. In this way ''gulma'' (abdominal lump), ''garavisha'' (poison synthesized by combination of nontoxic substances) and ''udara'' (enlargement of abdomen tending ascites) should be treated [142-144].

+

पीलुकल्कोपसिद्धं वा घृतमानाहभेदनम्||१४५||

गुल्मघ्नं नीलिनीसर्पिः स्नेहं वा मिश्रकं पिबेत्|

+

pīlukalkōpasiddhaṁ vā ghr̥tamānāhabhēdanam||145||

Line 1,807: Line 2,077:

gulmaghnaM nIlinIsarpiH snehaM vA mishrakaM pibet|

+

</div></div>

The patient suffering from ''anaha'' (distented abdomen) should be treated with ghee processed with paste of ''pilu'' (Salvadora persica). The medicated ghee prepared from ''nilini'' (Indigofera tinctoria) or ''mishraka ghrita'' which is curative of ''gulma'' (abdominal lump) may also be prescribed to cure ''udara roga'' [145]

==== ''Shamana'' (palliative) treatment ====

+

क्रमान्निर्हृतदोषाणां जाङ्गलप्रतिभोजिनाम् ||१४६||

दोषशेषनिवृत्त्यर्थं योगान् वक्ष्याम्यतः परम्|

+

kramānnirhr̥tadōṣāṇāṁ jāṅgalapratibhōjinām ||146||

Line 1,823: Line 2,096:

doShasheShanivRuttyarthaM yogAn vakShyAmyataH param|

+

</div></div>

After the methodical elimination of ''dosha'' followed by proper nutrition by the intake of meat soup of dry land animals; the patient should be treated with oral medications to alleviate the remaining ''dosha''. Such medications are discussed here onwards [146]

+

चित्रकामरदारुभ्यां कल्कं क्षीरेण ना पिबेत्||१४७||

मासं युक्तस्तथा हस्तिपिप्पली विश्वभेषजम्|

+

citrakāmaradārubhyāṁ kalkaṁ kṣīrēṇa nā pibēt||147||

Line 1,837: Line 2,113:

mAsaM yuktastathA hastipippalI vishvabheShajam|

+

</div></div>

The fine powder of ''chitraka'' (Plumbago zeylanica) and ''devadaru'' (Cedrus deodara) should be orally given with milk for one month. Or else the powder of ''hastipippali'' and ''shunthi'' (Zingiber officinale) should be given orally with milk for one month [147].

+

विडङ्गं चित्रकं दन्ती चव्यं व्योषं च तैः पयः||१४८||

कल्कैः कोलसमैः पीत्वा प्रवृद्धमुदरं जयेत्|

+

viḍaṅgaṁ citrakaṁ dantī cavyaṁ vyōṣaṁ ca taiḥ payaḥ||148||

Line 1,851: Line 2,130:

kalkaiH kolasamaiH pItvA pravRuddhamudaraM jayet|

+

</div></div>

Take one ''kola'' (12g) each of ''vidanga'' (Embelia ribes), ''chitraka'' (Plumbago zeylanica), ''danti'' (Baliospermum montanum), ''chavya'' (Piper retrofractum), ''pippali'' (Piper longum), ''shunthi'' (Zingiber officinale) and ''maricha'' (Piper nigrum) and powder. This powder is added with milk and processed. The patient should take this medicated milk to cure of ''udara roga'' [148]

+

पिबेत् कषायं त्रिफलादन्तीरोहितकैः शृतम्||१४९||

व्योषक्षारयुतं जीर्णे रसैरद्यात्तु जाङ्गलैः|

+

pibēt kaṣāyaṁ triphalādantīrōhitakaiḥ śr̥tam||149||

Line 1,865: Line 2,147:

vyoShakShArayutaM jIrNe rasairadyAttu jA~ggalaiH|

+

</div></div>

Decoction is prepared from drugs taken in equal amounts that includes ''haritaki'' (Terminalia chebula), ''vibhitaki'' (Terminalia belerica), ''amalaki'' (Emblica officinalis), ''danti'' (Baliospermum montanum) and ''rohitaka'' (Tecomella Undulate). This is added with powder of ''pippali'' (Piper longum), ''shunthi'' (Zingiber officinale), ''maricha'' (Piper nigrum) and ''kshara'' (alkali obtained from ash of herbs). Patient is asked to take this medicine, and on its digestion meat soup of dry land animals is given [149].

+

मांसं वा भोजनं भोज्यं सुधाक्षीरघृतान्वितम्||१५०||

−

क्षीरानुपानां गोमूत्रेणाभयां वा प्रयोजयेत्|

+

क्षीरानुपानां गोमूत्रेणाभयां वा प्रयोजयेत्| <br />

−

सप्ताहं माहिषं मूत्रं क्षीरं चानन्नभुक् पिबेत्||१५१||

+

सप्ताहं माहिषं मूत्रं क्षीरं चानन्नभुक् पिबेत्||१५१|| <br />

−

मासमौष्ट्रं पयश्छागं त्रीन्मासान् व्योषसंयुतम्|

+

मासमौष्ट्रं पयश्छागं त्रीन्मासान् व्योषसंयुतम्| <br />

−

हरीतकीसहस्रं वा क्षीराशी वा शिलाजतु||१५२||

+

हरीतकीसहस्रं वा क्षीराशी वा शिलाजतु||१५२|| <br />

−

शिलाजतुविधानेन गुग्गुलुं वा प्रयोजयेत्|

+

शिलाजतुविधानेन गुग्गुलुं वा प्रयोजयेत्| <br />

−

शृङ्गवेरार्द्रकरसः पाने क्षीरसमो हितः||१५३||

+

शृङ्गवेरार्द्रकरसः पाने क्षीरसमो हितः||१५३|| <br />

−

तैलं रसेन तेनैव सिद्धं दशगुणेन वा|

+

तैलं रसेन तेनैव सिद्धं दशगुणेन वा| <br />

−

दन्तीद्रवन्तीफलजं तैलं दूष्योदरे हितम्||१५४||

+

दन्तीद्रवन्तीफलजं तैलं दूष्योदरे हितम्||१५४|| <br />

−

शूलानाहविबन्धेषु मस्तुयूषरसादिभिः|

+

शूलानाहविबन्धेषु मस्तुयूषरसादिभिः|<br />

−

सरलामधुशिग्रूणां बीजेभ्यो मूलकस्य च||१५५||

+

सरलामधुशिग्रूणां बीजेभ्यो मूलकस्य च||१५५|| <br />

−

तैलान्यभ्यङ्गपानार्थं शूलघ्नान्यनिलोदरे|

+

तैलान्यभ्यङ्गपानार्थं शूलघ्नान्यनिलोदरे| <br />

−

स्तैमित्यारुचिहृल्लासे मन्देऽग्नौ मद्यपाय च||१५६||

+

स्तैमित्यारुचिहृल्लासे मन्देऽग्नौ मद्यपाय च||१५६|| <br />

अरिष्टान् दापयेत् क्षारान् कफस्त्यानस्थिरोदरे|

+

māṁsaṁ vā bhōjanaṁ bhōjyaṁ sudhākṣīraghr̥tānvitam||150||

−

kṣīrānupānāṁ gōmūtrēṇābhayāṁ vā prayōjayēt|

+

kṣīrānupānāṁ gōmūtrēṇābhayāṁ vā prayōjayēt| <br />

−

saptāhaṁ māhiṣaṁ mūtraṁ kṣīraṁ cānannabhuk pibēt||151||

+

saptāhaṁ māhiṣaṁ mūtraṁ kṣīraṁ cānannabhuk pibēt||151|| <br />

+

māsamauṣṭraṁ payaśchāgaṁ trīnmāsān vyōṣasaṁyutam| <br />

+

harītakīsahasraṁ vā kṣīrāśī vā śilājatu||152|| <br />

−

~~māsamauṣṭraṁ payaśchāgaṁ trīnmāsān vyōṣasaṁyutam~~|

+

śilājatuvidhānēna gugguluṁ vā prayōjayēt| <br />

−

~~harītakīsahasraṁ vā kṣīrāśī vā śilājatu~~||~~152~~||

+

śr̥ṅgavērārdrakarasaḥ pānē kṣīrasamō hitaḥ||153|| <br />

−

~~śilājatuvidhānēna gugguluṁ~~ vā ~~prayōjayēt~~|

+

tailaṁ rasēna tēnaiva siddhaṁ daśaguṇēna vā| <br />

−

~~śr̥ṅgavērārdrakarasaḥ pānē kṣīrasamō hitaḥ~~||~~153~~||

+

dantīdravantīphalajaṁ tailaṁ dūṣyōdarē hitam||154|| <br />

−

~~tailaṁ rasēna tēnaiva siddhaṁ daśaguṇēna vā~~|

+

śūlānāhavibandhēṣu mastuyūṣarasādibhiḥ| <br />

−

~~dantīdravantīphalajaṁ tailaṁ dūṣyōdarē hitam~~||~~154~~||

+

saralāmadhuśigrūṇāṁ bījēbhyō mūlakasya ca||155|| <br />

−

~~śūlānāhavibandhēṣu mastuyūṣarasādibhiḥ~~|

+

tailānyabhyaṅgapānārthaṁ śūlaghnānyanilōdarē| <br />

−

~~saralāmadhuśigrūṇāṁ bījēbhyō mūlakasya~~ ca||~~155~~||

+

staimityārucihr̥llāsē mandē'gnau madyapāya ca||156|| <br />

−

~~tailānyabhyaṅgapānārthaṁ śūlaghnānyanilōdarē|~~

+

ariṣṭān dāpayēt kṣārān kaphastyānasthirōdarē| <br />

−

~~staimityārucihr̥llāsē mandē'gnau madyapāya ca||156|~~|

−

~~ariṣṭān dāpayēt kṣārān kaphastyānasthirōdarē|~~

+

mAMsaM vA bhojanaM bhojyaM sudhAkShIraghRutAnvitam||150|| <br />

−

mAMsaM vA bhojanaM bhojyaM sudhAkShIraghRutAnvitam||150||

−

kShIrAnupAnAM gomUtreNAbhayAM vA prayojayet|

+

kShIrAnupAnAM gomUtreNAbhayAM vA prayojayet| <br />

−

saptAhaM mAhiShaM mUtraM kShIraM cAnannabhuk pibet||151||

+

saptAhaM mAhiShaM mUtraM kShIraM cAnannabhuk pibet||151|| <br />

−

mAsamauShTraM payashchAgaM trInmAsAn vyoShasaMyutam|

+

mAsamauShTraM payashchAgaM trInmAsAn vyoShasaMyutam| <br />

−

harItakIsahasraM vA kShIrAshI vA shilAjatu||152||

+

harItakIsahasraM vA kShIrAshI vA shilAjatu||152|| <br />

−

shilAjatuvidhAnena gugguluM vA prayojayet|

+

shilAjatuvidhAnena gugguluM vA prayojayet| <br />

−

shRu~ggaverArdrakarasaH pAne kShIrasamo hitaH||153||

+

shRu~ggaverArdrakarasaH pAne kShIrasamo hitaH||153|| <br />

−

tailaM rasena tenaiva siddhaM dashaguNena vA|

+

tailaM rasena tenaiva siddhaM dashaguNena vA| <br />

−

dantIdravantIphalajaM tailaM dUShyodare hitam||154||

+

dantIdravantIphalajaM tailaM dUShyodare hitam||154|| <br />

−

shUlAnAhavibandheShu mastuyUSharasAdibhiH|

+

shUlAnAhavibandheShu mastuyUSharasAdibhiH| <br />

−

saralAmadhushigrUNAM bIjebhyo mUlakasya ca||155||

+

saralAmadhushigrUNAM bIjebhyo mUlakasya ca||155|| <br />

−

tailAnyabhya~ggapAnArthaM shUlaghnAnyanilodare|

+

tailAnyabhya~ggapAnArthaM shUlaghnAnyanilodare| <br />

−

staimityArucihRullAse mande~agnau madyapAya ca||156||

+

staimityArucihRullAse mande~agnau madyapAya ca||156|| <br />

ariShTAn dApayet kShArAn kaphastyAnasthirodare|

+

</div></div>

Or the patient is given medicated ghee prepared with snuhikshira (latex of Euphorbia neriifolia) along with meat in food. The combination of ''abhaya'' (Terminalia chebula) and cow’s urine may be orally administered with milk. Patient may be treated with buffalo urine for one week along with milk as food avoiding rice.

Line 1,938: Line 2,225:

==== ''Pippalyadi lavana'' ====

+

श्लेष्मणो विलयार्थं तु दोषं वीक्ष्य भिषग्वरः||१५७||

−

पिप्पलीं तिल्वकं हिङ्गु नागरं हस्तिपिप्पलीम्|

+

पिप्पलीं तिल्वकं हिङ्गु नागरं हस्तिपिप्पलीम्| <br />

−

भल्लातकं शिग्रुफलं त्रिफलां कटुरोहिणीम्||१५८||

+

भल्लातकं शिग्रुफलं त्रिफलां कटुरोहिणीम्||१५८|| <br />

−

देवदारु हरिद्रे द्वे सरलातिविषे वचाम् |

+

देवदारु हरिद्रे द्वे सरलातिविषे वचाम् | <br />

−

कुष्ठं मुस्तं तथा पञ्च लवणानि प्रकल्प्य च||१५९||

+

कुष्ठं मुस्तं तथा पञ्च लवणानि प्रकल्प्य च||१५९|| <br />

−

दधिसर्पिर्वसामज्जतैलयुक्तानि दाहयेत्|

+

दधिसर्पिर्वसामज्जतैलयुक्तानि दाहयेत्| <br />

−

अन्नादूर्ध्वमतः क्षाराद्बिडालकपदं पिबेत्||१६०||

+

अन्नादूर्ध्वमतः क्षाराद्बिडालकपदं पिबेत्||१६०|| <br />

−

मदिरादधिमण्डोष्णजलारिष्टसुरासवैः|

+

मदिरादधिमण्डोष्णजलारिष्टसुरासवैः| <br />

−

हृद्रोगं श्वयथुं गुल्मं प्लीहार्शोजठराणि च||१६१||

+

हृद्रोगं श्वयथुं गुल्मं प्लीहार्शोजठराणि च||१६१||<br />

विसूचिकामुदावर्तं वाताष्ठीलां च नाशयेत्|

+

ślēṣmaṇō vilayārthaṁ tu dōṣaṁ vīkṣya bhiṣagvaraḥ||157||

−

pippalīṁ tilvakaṁ [3] hiṅgu nāgaraṁ hastipippalīm|

+

pippalīṁ tilvakaṁ [3] hiṅgu nāgaraṁ hastipippalīm| <br />

−

bhallātakaṁ śigruphalaṁ triphalāṁ kaṭurōhiṇīm||158||

+

bhallātakaṁ śigruphalaṁ triphalāṁ kaṭurōhiṇīm||158||<br />

−

dēvadāru haridrē dvē saralātiviṣē vacām [4] |

+

dēvadāru haridrē dvē saralātiviṣē vacām [4] | <br />

−

kuṣṭhaṁ mustaṁ tathā pañca lavaṇāni prakalpya ca||159||

+

kuṣṭhaṁ mustaṁ tathā pañca lavaṇāni prakalpya ca||159|| <br />

+

dadhisarpirvasāmajjatailayuktāni dāhayēt| <br />

+

annādūrdhvamataḥ kṣārādbiḍālakapadaṁ pibēt||160|| <br />

−

~~dadhisarpirvasāmajjatailayuktāni dāhayēt~~|

+

madirādadhimaṇḍōṣṇajalāriṣṭasurāsavaiḥ| <br />

−

~~annādūrdhvamataḥ kṣārādbiḍālakapadaṁ pibēt~~||~~160~~||

+

hr̥drōgaṁ śvayathuṁ gulmaṁ plīhārśōjaṭharāṇi ca||161|| <br />

−

~~madirādadhimaṇḍōṣṇajalāriṣṭasurāsavaiḥ|~~

+

visūcikāmudāvartaṁ vātāṣṭhīlāṁ ca nāśayēt| <br />

−

~~hr̥drōgaṁ śvayathuṁ gulmaṁ plīhārśōjaṭharāṇi~~ ca|~~|161||~~

−

~~visūcikāmudāvartaṁ vātāṣṭhīlāṁ ca nāśayēt|~~

+

shleShmaNo vilayArthaM tu doShaM vIkShya bhiShagvaraH||157|| <br />

−

shleShmaNo vilayArthaM tu doShaM vIkShya bhiShagvaraH||157||

−

pippalIM tilvakaM [3] hi~ggu nAgaraM hastipippalIm|

+

pippalIM tilvakaM [3] hi~ggu nAgaraM hastipippalIm| <br />

−

bhallAtakaM shigruphalaM triphalAM kaTurohiNIm||158||

+

bhallAtakaM shigruphalaM triphalAM kaTurohiNIm||158|| <br />

−

devadAru haridre dve saralAtiviShe vacAm [4] |

+

devadAru haridre dve saralAtiviShe vacAm [4] | <br />

−

kuShThaM mustaM tathA pa~jca lavaNAni prakalpya ca||159||

+

kuShThaM mustaM tathA pa~jca lavaNAni prakalpya ca||159|| <br />

−

dadhisarpirvasAmajjatailayuktAni dAhayet|

+

dadhisarpirvasAmajjatailayuktAni dAhayet| <br />

−

annAdUrdhvamataH kShArAdbiDAlakapadaM pibet||160||

+

annAdUrdhvamataH kShArAdbiDAlakapadaM pibet||160|| <br />

−

madirAdadhimaNDoShNajalAriShTasurAsavaiH|

+

madirAdadhimaNDoShNajalAriShTasurAsavaiH| <br />

−

hRudrogaM shvayathuM gulmaM plIhArshojaTharANi ca||161||

+

hRudrogaM shvayathuM gulmaM plIhArshojaTharANi ca||161|| <br />

visUcikAmudAvartaM vAtAShThIlAM ca nAshayet|

+

</div></div>

With the due consideration of morbid ''dosha'', the physician should prescribe ''pippalyadi lavana'' for liquefying the ''kapha''. The ingredients of ''pippalyadi lavana'' are ''pippali'' (Piper longum), ''tilvaka'' (Symplocos cochinchinensis/Jatropha curcas), ''hingu'' (Ferula foetida), ''nagaraa'' (Zingiber officinale), ''hastipippali'' (Scindapsus officinalis), ''bhallataka'' (Semecarpus anacardium), fruits of ''shigru'' (Moringa oleifera), ''haritaki'' (Terminalia chebula), ''vibhitaki'' (Terminalia belerica), ''amalaki'' (Emblica officinalis), ''katukarohini'' (Picrorhiza kurroa Royle), ''devadaru'' (Cedrus deodara), ''haridra'' (Curcuma longa), ''daruharidra'' (Berberis aristata), ''sarala'' (Pinus roxburghii), ''ativisha'' (Aconitum heterophyllum), ''vacha'' (Acorus calamus), ''kushtha'' (Saussurea lappa), ''musta'' (Cyperus rotundus), ''sauvarchala lavana'' (unaqua sodium chloride), ''vida lavana'' (ammonium salt), ''audbida lavana'' (salt obtained from earth), rock salt (''saindhava'') and ''samudra lavana'' (Sodi muris). The course powder of these drugs is added with curd/yogurt, cow’s ghee, ''vasa'' (animal fat), ''majja'' (bone marrow) and ''taila'' (oil extracted from seeds of Sesamum indicum) and then is burnt to get the ''kshara'' (alkali obtained from ash of herbs). This ''kshara'' is orally administered after the meals in a dose of one ''karsha'' (12g). The ''anupana'' (adjunct) for it is any one of madirā (alcoholic beverage), dadhimanda (liquid portion of curds), warm water, arishta (fermented decoctions), surā (alcoholic preparation made by fermenting a mixture of water, flour of rice, jaggery) and ''asava'' (fermented infusions). This medication effectively cures ''hridroga'' (cardiac disease), ''anasaraka, gulma'' (abdominal lump), ''plihodara'' (splenomegaly), ''arshas'' (piles), ''udara roga, visuchika'' (illness characterized by vomiting and diarrhea), ''udavarta'' (reversed course of ''vata'' in the abdomen) and ''vatashtila'' (mass obliterating the urinary and rectal passage)[157-161].

==== ''Kshara vatika'' ====

+

क्षारं चाजकरीषाणां स्रुतं मूत्रैर्विपाचयेत्||१६२||

−

कार्षिकं पिप्पलीमूलं पञ्चैव लवणानि च|

+

कार्षिकं पिप्पलीमूलं पञ्चैव लवणानि च| <br />

−

पिप्पलीं चित्रकं शुण्ठीं त्रिफलां त्रिवृतां वचाम्||१६३||

+

पिप्पलीं चित्रकं शुण्ठीं त्रिफलां त्रिवृतां वचाम्||१६३|| <br />

−

द्वौ क्षारौ सातलां दन्तीं स्वर्णक्षीरीं विषाणिकाम्|

+

द्वौ क्षारौ सातलां दन्तीं स्वर्णक्षीरीं विषाणिकाम्| <br />

−

कोलप्रमाणां वटिकां पिबेत् सौवीरसंयुताम्||१६४||

+

कोलप्रमाणां वटिकां पिबेत् सौवीरसंयुताम्||१६४|| <br />

श्वयथावविपाके च प्रवृद्धे च दकोदरे|

+

kṣāraṁ cājakarīṣāṇāṁ srutaṁ mūtrairvipācayēt||162||

−

kārṣikaṁ pippalīmūlaṁ pañcaiva lavaṇāni ca|

+

kārṣikaṁ pippalīmūlaṁ pañcaiva lavaṇāni ca|<br />

−

pippalīṁ citrakaṁ śuṇṭhīṁ triphalāṁ trivr̥tāṁ vacām||163||

+

pippalīṁ citrakaṁ śuṇṭhīṁ triphalāṁ trivr̥tāṁ vacām||163|| <br />

+

dvau kṣārau sātalāṁ dantīṁ svarṇakṣīrīṁ viṣāṇikām| <br />

+

kōlapramāṇāṁ vaṭikāṁ pibēt sauvīrasaṁyutām||164|| <br />

−

~~dvau kṣārau sātalāṁ dantīṁ svarṇakṣīrīṁ viṣāṇikām|~~

+

śvayathāvavipākē ca pravr̥ddhē ca dakōdarē| <br />

−

~~kōlapramāṇāṁ vaṭikāṁ pibēt sauvīrasaṁyutām||164|~~|

−

~~śvayathāvavipākē ca pravr̥ddhē ca dakōdarē|~~

+

kShAraM cAjakarIShANAM srutaM mUtrairvipAcayet||162|| <br />

−

kShAraM cAjakarIShANAM srutaM mUtrairvipAcayet||162||

−

kArShikaM pippalImUlaM pa~jcaiva lavaNAni ca|

+

kArShikaM pippalImUlaM pa~jcaiva lavaNAni ca| <br />

−

pippalIM citrakaM shuNThIM triphalAM trivRutAM vacAm||163||

+

pippalIM citrakaM shuNThIM triphalAM trivRutAM vacAm||163|| <br />

−

dvau kShArau sAtalAM dantIM svarNakShIrIM viShANikAm|

+

dvau kShArau sAtalAM dantIM svarNakShIrIM viShANikAm| <br />

−

kolapramANAM vaTikAM pibet sauvIrasaMyutAm||164||

+

kolapramANAM vaTikAM pibet sauvIrasaMyutAm||164|| <br />

shvayathAvavipAke ca pravRuddhe ca dakodare|

+

</div></div>

''Kshara'' is prepared by burning goat’s dung processed with cow’s urine and it is added with 1 karsha (12g) each of root of ''pippali'' (Piper longum), ''sauvarchala lavana'' (unaqua sodium chloride), ''vida lavana'' (ammonium salt), ''audbida lavana'' (salt obtained from earth), ''saindhava'' (Sodi chloriduium), ''samudra lavana'' (Sodi muris), ''pippali'' (Piper longum), ''chitraka'' (Plumbago zeylanica), ''shunthi'' (Zingiber officinale), ''haritaki'' (Terminalia chebula), ''vibhitaki'' (Terminalia belerica), ''amalaki'' (Emblica officinalis), ''trivrita'' (Operculina turpethum), ''vacha'' (Acorus calamus), ''sarjikashara'' (Sodii carbonas impura), ''yava kshara'' (alkali from awns of barley), ''satala'' (Euphorbia Tirucalli), ''danti'' (Baliospermum montanum), ''svarnakshiri'' (Argemone mexicana ) and ''vishanika'' (Euphorbia fusiformis). This formulation is rolled into a pill of the size one ''kola'' (6g). This is orally administered in a dose of one ''kola'' (6g) with ''sauvira'' (alcoholic beverage prepared from dehusked barley either raw or cooked) and is effective in ''shvayathu'' (''anasaraka''), ''avipaka'' (indigestion) and advanced stage of ''udara roga'' [162-164].

==== ''Yavagu'' for treatment of ''udara roga'' ====

+

भावितानां गवां मूत्रे षष्टिकानां तु तण्डुलैः||१६५||

−

यवागूं पयसा सिद्धां प्रकामं भोजयेन्नरम्|

+

यवागूं पयसा सिद्धां प्रकामं भोजयेन्नरम्| <br />

−

पिबेदिक्षुरसं चानु जठराणां निवृत्तये||१६६||

+

पिबेदिक्षुरसं चानु जठराणां निवृत्तये||१६६||<br />

स्वं स्वं स्थानं व्रजन्त्येवं तथा पित्तकफानिलाः|

+

bhāvitānāṁ gavāṁ mūtrē ṣaṣṭikānāṁ tu taṇḍulaiḥ||165||

−

yavāgūṁ payasā siddhāṁ prakāmaṁ bhōjayēnnaram|

+

yavāgūṁ payasā siddhāṁ prakāmaṁ bhōjayēnnaram| <br />

−

pibēdikṣurasaṁ cānu jaṭharāṇāṁ nivr̥ttayē||166||

+

pibēdikṣurasaṁ cānu jaṭharāṇāṁ nivr̥ttayē||166|| <br />

+

svaṁ svaṁ sthānaṁ vrajantyēvaṁ tathā pittakaphānilāḥ| <br />

−

~~svaṁ svaṁ sthānaṁ vrajantyēvaṁ tathā pittakaphānilāḥ|~~

+

bhAvitAnAM gavAM mUtre ShaShTikAnAM tu taNDulaiH||165|| <br />

−

bhAvitAnAM gavAM mUtre ShaShTikAnAM tu taNDulaiH||165||

−

yavAgUM payasA siddhAM prakAmaM bhojayennaram|

+

yavAgUM payasA siddhAM prakAmaM bhojayennaram| <br />

−

pibedikShurasaM cAnu jaTharANAM nivRuttaye||166||

+

pibedikShurasaM cAnu jaTharANAM nivRuttaye||166|| <br />

svaM svaM sthAnaM vrajantyevaM tathA pittakaphAnilAH|

+

</div></div>

The rice that grows in 60 days is processed with cow’s urine and is used for the preparation of ''yavagu'' (rice gruel) added with milk. Patient is allowed to consume stomach full of this ''yavagu'' followed along with ample intake of sugar cane juice. This will cure the ''udara roga'' and the morbid ''vata, pitta'' as well ''kapha'' and help in regaining their natural abode [165-66].

==== Treatment of constipation ====

+

शङ्खिनीस्नुक्त्रिवृद्दन्तीचिरबिल्वादिपल्लवैः||१६७||

−

शाकं गाढपुरीषाय प्राग्भक्तं दापयेद्भिषक् |

+

शाकं गाढपुरीषाय प्राग्भक्तं दापयेद्भिषक् | <br />

−

ततोऽस्मै शिथिलीभूतवर्चोदोषाय शास्त्रवित्||१६८||

+

ततोऽस्मै शिथिलीभूतवर्चोदोषाय शास्त्रवित्||१६८|| <br />

दद्यान्मूत्रयुतं क्षीरं दोषशेषहरं शिवम्|

+

śaṅkhinīsnuktrivr̥ddantīcirabilvādipallavaiḥ||167||

−

śākaṁ gāḍhapurīṣāya prāgbhaktaṁ dāpayēdbhiṣak |

+

śākaṁ gāḍhapurīṣāya prāgbhaktaṁ dāpayēdbhiṣak | <br />

−

tatō'smai śithilībhūtavarcōdōṣāya śāstravit||168||

+

tatō'smai śithilībhūtavarcōdōṣāya śāstravit||168|| <br />

+

dadyānmūtrayutaṁ kṣīraṁ dōṣaśēṣaharaṁ śivam| <br />

−

~~dadyānmūtrayutaṁ kṣīraṁ dōṣaśēṣaharaṁ śivam|~~

sha~gkhinIsnuktrivRuddantIcirabilvAdipallavaiH||167||

−

shAkaM gADhapurIShAya prAgbhaktaM dApayedbhiShak [5] |

+

shAkaM gADhapurIShAya prAgbhaktaM dApayedbhiShak [5] | <br />

−

tato~asmai shithilIbhUtavarcodoShAya shAstravit||168||

+

tato~asmai shithilIbhUtavarcodoShAya shAstravit||168|| <br />

−

dadyAnmUtrayutaM kShIraM [6] doShasheShaharaM shivam|

+

dadyAnmUtrayutaM kShIraM [6] doShasheShaharaM shivam| <br />

+

</div></div>

The knowledgeable physician should give the patients the food prepared with adding leaves of ''shankhini'' (Clitoria terneata), ''snuhi'' (Euphorbia neriifolia), ''trivrita'' (Operculina turpethum), ''danti'' (Baliospermum montanum) and ''chirabilva'' (Holoptelea integrifolia). This will soften the fecal matter and helps in emptying the bowels. If some amount of ''dosha'' is left unexpeled, then the patient is allowed to drink milk added with cow’s urine [167-168]

==== Treatment of ''parshva shula'' ====

+

पार्श्वशूलमुपस्तम्भं हृद्ग्रहं चापि मारुतः||१६९||

जनयेद्यस्य तं तैलं बिल्वक्षारेण पाययेत्|

+

pārśvaśūlamupastambhaṁ hr̥dgrahaṁ cāpi mārutaḥ||169||

janayēdyasya taṁ tailaṁ bilvakṣārēṇa pāyayēt|

+

pArshvashUlamupastambhaM hRudgrahaM cApi mArutaH||169||

janayedyasya taM tailaM bilvakShAreNa pAyayet|

+

</div></div>

Patient of ''udara'' if develops ''parshvashula'' (pain in the sides), ''upastambha'' (paresis and ''paresthesia'' of lower limbs due to entrapment of ''vata''), ''hridgraha'' (congestion in cardiac region) due to morbidity of ''vata'', it should be treated by oral administration of ''taila'' (oil extracted from seeds of Sesamum indicum), added with ''bilva kshāra'' (alkali obtained from ash of Aegle marmelos) [169].

==== ''Kshara taila'' ====

+

तथाऽग्निमन्थस्योनाकपलाशतिलनालजैः||१७०||

−

बलाकदल्यपामार्गक्षारैः प्रत्येकशः स्रुतैः|

+

बलाकदल्यपामार्गक्षारैः प्रत्येकशः स्रुतैः| <br />

−

तैलं पक्त्वा भिषग्दद्यादुदराणां प्रशान्तये||१७१||

+

तैलं पक्त्वा भिषग्दद्यादुदराणां प्रशान्तये||१७१|| <br />

निवर्तते चोदरिणां हृद्ग्रहश्चानिलोद्भवः|१७२|

+

tathā'gnimanthasyōnākapalāśatilanālajaiḥ||170||

−

balākadalyapāmārgakṣāraiḥ pratyēkaśaḥ srutaiḥ|

+

balākadalyapāmārgakṣāraiḥ pratyēkaśaḥ srutaiḥ| <br />

−

tailaṁ paktvā bhiṣagdadyādudarāṇāṁ praśāntayē||171||

+

tailaṁ paktvā bhiṣagdadyādudarāṇāṁ praśāntayē||171|| <br />

nivartatē cōdariṇāṁ hr̥dgrahaścānilōdbhavaḥ|172|

Line 2,102: Line 2,411:

tathA~agnimanthasyonAkapalAshatilanAlajaiH||170||

−

balAkadalyapAmArgakShAraiH pratyekashaH srutaiH|

+

balAkadalyapAmArgakShAraiH pratyekashaH srutaiH| <br />

−

tailaM paktvA bhiShagdadyAdudarANAM prashAntaye||171||

+

tailaM paktvA bhiShagdadyAdudarANAM prashAntaye||171|| <br />

nivartate codariNAM hRudgrahashcAnilodbhavaH|172|

+

</div></div>

Oil is prepared successively with each of the ''kshara'' of ''agnimantha'' (Clerodendrum phlomidis), ''shyonaka'' (Oroxylum indicum), ''palasha'' (Butea monosperma), stalk of ''tila'' (Sesamum indicum), ''bala'' (Sida cordifolia), ''kadali'' (Musa paradisiaca) and ''apamarga'' (Achyranthes aspera). This is orally given to cure the ''udara roga''. This medicated oil also relieves cardiac arrest (''hridgraha'') caused by morbid ''vata'' in patient of ''udara'' [170-172]

==== ''Eranda taila'' in ''avarana'' ====

+

कफे वातेन पित्तेन ताभ्यां वाऽप्यावृतेऽनिले||१७२||

−

बलिनः स्वौषधयुतं तैलमेरण्डजं हितम्|

+

बलिनः स्वौषधयुतं तैलमेरण्डजं हितम्| <br />

−

सुविरिक्तो नरो यस्तु पुनराध्मापितो भवेत्||१७३||

+

सुविरिक्तो नरो यस्तु पुनराध्मापितो भवेत्||१७३|| <br />

−

सुस्निग्धैरम्ललवणैर्निरूहैस्तमुपाचरेत्|

+

सुस्निग्धैरम्ललवणैर्निरूहैस्तमुपाचरेत्| <br />

−

सोपस्तम्भोऽपि वा वायुराध्मापयति यं नरम्||१७४||

+

सोपस्तम्भोऽपि वा वायुराध्मापयति यं नरम्||१७४|| <br />

तीक्ष्णैः सक्षारगोमूत्रैर्बस्तिभिस्तमुपाचरेत्|१७५|

+

kaphē vātēna pittēna tābhyāṁ vā'pyāvr̥tē'nilē||172||

−

balinaḥ svauṣadhayutaṁ tailamēraṇḍajaṁ hitam|

+

balinaḥ svauṣadhayutaṁ tailamēraṇḍajaṁ hitam| <br />

−

suviriktō narō yastu punarādhmāpitō bhavēt||173||

+

suviriktō narō yastu punarādhmāpitō bhavēt||173|| <br />

−

susnigdhairamlalavaṇairnirūhaistamupācarēt|

+

susnigdhairamlalavaṇairnirūhaistamupācarēt| <br />

−

sōpastambhō'pi vā vāyurādhmāpayati yaṁ naram||174||

+

sōpastambhō'pi vā vāyurādhmāpayati yaṁ naram||174|| <br />

tīkṣṇaiḥ sakṣāragōmūtrairbastibhistamupācarēt|175|

Line 2,133: Line 2,445:

kaphe vAtena pittena tAbhyAM vA~apyAvRute~anile||172||

−

balinaH svauShadhayutaM tailameraNDajaM hitam|

+

balinaH svauShadhayutaM tailameraNDajaM hitam| <br />

−

suvirikto naro yastu punarAdhmApito bhavet||173||

+

suvirikto naro yastu punarAdhmApito bhavet||173|| <br />

−

susnigdhairamlalavaNairnirUhaistamupAcaret|

+

susnigdhairamlalavaNairnirUhaistamupAcaret| <br />

−

sopastambho~api vA vAyurAdhmApayati yaM naram||174||

+

sopastambho~api vA vAyurAdhmApayati yaM naram||174|| <br />

tIkShNaiH sakShAragomUtrairbastibhistamupAcaret|175|

+

</div></div>

In condition where ''kapha'' is afflicted with morbid ''vata'' and ''pitta'' or where ''vata'' is overlaid by ''kapha'' and ''pitta'', it should be treated by oral medication of ''eranda taila'' (oil of Ricinus communis) processed with relevant herbs that cure the morbid ''dosha''.

Line 2,148: Line 2,461:

==== Use of ''venum'' in the treatment of ''sannipatodara'' ====

+

क्रियातिवृत्ते जठरे त्रिदोषे चाप्रशाम्यति||१७५||

−

ज्ञातीन् ससुहृदो दारान् ब्राह्मणान्नृपतीन् गुरून्|

+

ज्ञातीन् ससुहृदो दारान् ब्राह्मणान्नृपतीन् गुरून्| <br />

−

अनुज्ञाप्य भिषक् कर्म विदध्यात् संशयं ब्रुवन्||१७६||

+

अनुज्ञाप्य भिषक् कर्म विदध्यात् संशयं ब्रुवन्||१७६|| <br />

−

अक्रियायां ध्रुवो मृत्युः क्रियायां संशयो भवेत्|

+

अक्रियायां ध्रुवो मृत्युः क्रियायां संशयो भवेत्| <br />

−

एवमाख्याय तस्येदमनुज्ञातः सुहृद्गणैः||१७७||

+

एवमाख्याय तस्येदमनुज्ञातः सुहृद्गणैः||१७७|| <br />

−

पानभोजनसंयुक्तं विषमस्मै प्रयोजयेत्|

+

पानभोजनसंयुक्तं विषमस्मै प्रयोजयेत्| <br />

−

यस्मिन् वा कुपितः सर्पो विसृजेद्धि फले विषम्||१७८||

+

यस्मिन् वा कुपितः सर्पो विसृजेद्धि फले विषम्||१७८|| <br />

−

भोजयेत्तदुदरिणं प्रविचार्य भिषग्वरः|

+

भोजयेत्तदुदरिणं प्रविचार्य भिषग्वरः| <br />

−

तेनास्य दोषसङ्घातः स्थिरो लीनो विमार्गगः||१७९||

+

तेनास्य दोषसङ्घातः स्थिरो लीनो विमार्गगः||१७९|| <br />

−

विषेणाशुप्रमाथित्वादाशु भिन्नः प्रवर्तते|

+

विषेणाशुप्रमाथित्वादाशु भिन्नः प्रवर्तते| <br />

−

विषेण हृतदोषं तं शीताम्बुपरिषेचितम्||१८०||

+

विषेण हृतदोषं तं शीताम्बुपरिषेचितम्||१८०|| <br />

−

पाययेत भिषग्दुग्धं यवागूं वा यथाबलम्|

+

पाययेत भिषग्दुग्धं यवागूं वा यथाबलम्| <br />

−

त्रिवृन्मण्डूकपर्ण्योश्च शाकं सयववास्तुकम्||१८१||

+

त्रिवृन्मण्डूकपर्ण्योश्च शाकं सयववास्तुकम्||१८१|| <br />

−

भक्षयेत् कालशाकं वा स्वरसोदकसाधितम् |

+

भक्षयेत् कालशाकं वा स्वरसोदकसाधितम् | <br />

−

निरम्ललवणस्नेहं स्विन्नास्विन्नमनन्नभुक्||१८२||

+

निरम्ललवणस्नेहं स्विन्नास्विन्नमनन्नभुक्||१८२|| <br />

−

मासमेकं ततश्चैव तृषितः स्वरसं पिबेत्|

+

मासमेकं ततश्चैव तृषितः स्वरसं पिबेत्| <br />

−

एवं विनिर्हृते दोषे शाकैर्मासात् परं ततः||१८३||

+

एवं विनिर्हृते दोषे शाकैर्मासात् परं ततः||१८३|| <br />

दुर्बलाय प्रयुञ्जीत प्राणभृत् कारभं पयः|१८४|

+

kriyātivr̥ttē jaṭharē tridōṣē cāpraśāmyati||175||

−

jñātīn sasuhr̥dō dārān brāhmaṇānnr̥patīn gurūn|

+

jñātīn sasuhr̥dō dārān brāhmaṇānnr̥patīn gurūn| <br />

−

anujñāpya bhiṣak karma vidadhyāt saṁśayaṁ bruvan||176||

+

anujñāpya bhiṣak karma vidadhyāt saṁśayaṁ bruvan||176|| <br />

−

akriyāyāṁ dhruvō mr̥tyuḥ kriyāyāṁ saṁśayō bhavēt|

+

akriyāyāṁ dhruvō mr̥tyuḥ kriyāyāṁ saṁśayō bhavēt| <br />

−

ēvamākhyāya tasyēdamanujñātaḥ suhr̥dgaṇaiḥ||177||

+

ēvamākhyāya tasyēdamanujñātaḥ suhr̥dgaṇaiḥ||177|| <br />

−

pānabhōjanasaṁyuktaṁ viṣamasmai prayōjayēt|

+

pānabhōjanasaṁyuktaṁ viṣamasmai prayōjayēt| <br />

−

yasmin vā kupitaḥ sarpō visr̥jēddhi phalē viṣam||178||

+

yasmin vā kupitaḥ sarpō visr̥jēddhi phalē viṣam||178|| <br />

−

bhōjayēttadudariṇaṁ pravicārya bhiṣagvaraḥ|

+

bhōjayēttadudariṇaṁ pravicārya bhiṣagvaraḥ| <br />

−

tēnāsya dōṣasaṅghātaḥ sthirō līnō vimārgagaḥ||179||

+

tēnāsya dōṣasaṅghātaḥ sthirō līnō vimārgagaḥ||179|| <br />

−

viṣēṇāśupramāthitvādāśu bhinnaḥ pravartatē|

+

viṣēṇāśupramāthitvādāśu bhinnaḥ pravartatē| <br />

−

viṣēṇa hr̥tadōṣaṁ taṁ śītāmbupariṣēcitam||180||

+

viṣēṇa hr̥tadōṣaṁ taṁ śītāmbupariṣēcitam||180|| <br />

−

pāyayēta bhiṣagdugdhaṁ yavāgūṁ vā yathābalam|

+

pāyayēta bhiṣagdugdhaṁ yavāgūṁ vā yathābalam| <br />

−

trivr̥nmaṇḍūkaparṇyōśca śākaṁ sayavavāstukam||181||

+

trivr̥nmaṇḍūkaparṇyōśca śākaṁ sayavavāstukam||181|| <br />

−

bhakṣayēt kālaśākaṁ vā svarasōdakasādhitam |

+

bhakṣayēt kālaśākaṁ vā svarasōdakasādhitam | <br />

−

niramlalavaṇasnēhaṁ svinnāsvinnamanannabhuk||182||

+

niramlalavaṇasnēhaṁ svinnāsvinnamanannabhuk||182|| <br />

−

māsamēkaṁ tataścaiva tr̥ṣitaḥ svarasaṁ pibēt|

+

māsamēkaṁ tataścaiva tr̥ṣitaḥ svarasaṁ pibēt| <br />

−

ēvaṁ vinirhr̥tē dōṣē śākairmāsāt paraṁ tataḥ||183||

+

ēvaṁ vinirhr̥tē dōṣē śākairmāsāt paraṁ tataḥ||183|| <br />

−

durbalāya prayuñjīta prāṇabhr̥t kārabhaṁ payaḥ|184|

+

durbalāya prayuñjīta prāṇabhr̥t kārabhaṁ payaḥ|184| <br />

−

kriyAtivRutte jaThare tridoShe cAprashAmyati||175||

+

kriyAtivRutte jaThare tridoShe cAprashAmyati||175|| <br />

−

j~jAtIn sasuhRudo dArAn brAhmaNAnnRupatIn gurUn|

+

j~jAtIn sasuhRudo dArAn brAhmaNAnnRupatIn gurUn| <br />

−

anuj~jApya bhiShak karma vidadhyAt saMshayaM bruvan||176||

+

anuj~jApya bhiShak karma vidadhyAt saMshayaM bruvan||176|| <br />

−

akriyAyAM dhruvo mRutyuH kriyAyAM saMshayo bhavet|

+

akriyAyAM dhruvo mRutyuH kriyAyAM saMshayo bhavet| <br />

−

evamAkhyAya tasyedamanuj~jAtaH suhRudgaNaiH||177||

+

evamAkhyAya tasyedamanuj~jAtaH suhRudgaNaiH||177|| <br />

−

pAnabhojanasaMyuktaM viShamasmai prayojayet|

+

pAnabhojanasaMyuktaM viShamasmai prayojayet| <br />

−

yasmin vA kupitaH sarpo visRujeddhi phale viSham||178||

+

yasmin vA kupitaH sarpo visRujeddhi phale viSham||178|| <br />

−

bhojayettadudariNaM pravicArya bhiShagvaraH|

+

bhojayettadudariNaM pravicArya bhiShagvaraH| <br />

−

tenAsya doShasa~gghAtaH sthiro lIno vimArgagaH||179||

+

tenAsya doShasa~gghAtaH sthiro lIno vimArgagaH||179|| <br />

−

viSheNAshupramAthitvAdAshu bhinnaH pravartate|

+

viSheNAshupramAthitvAdAshu bhinnaH pravartate| <br />

−

viSheNa hRutadoShaM taM shItAmbupariShecitam||180||

+

viSheNa hRutadoShaM taM shItAmbupariShecitam||180|| <br />

−

pAyayeta bhiShagdugdhaM yavAgUM vA yathAbalam|

+

pAyayeta bhiShagdugdhaM yavAgUM vA yathAbalam| <br />

−

trivRunmaNDUkaparNyoshca shAkaM sayavavAstukam||181||

+

trivRunmaNDUkaparNyoshca shAkaM sayavavAstukam||181|| <br />

−

bhakShayet kAlashAkaM vA svarasodakasAdhitam [2] |

+

bhakShayet kAlashAkaM vA svarasodakasAdhitam [2] | <br />

−

niramlalavaNasnehaM svinnAsvinnamanannabhuk||182||

+

niramlalavaNasnehaM svinnAsvinnamanannabhuk||182|| <br />

−

mAsamekaM tatashcaiva tRuShitaH svarasaM pibet|

+

mAsamekaM tatashcaiva tRuShitaH svarasaM pibet| <br />

−

evaM vinirhRute doShe shAkairmAsAt paraM tataH||183||

+

evaM vinirhRute doShe shAkairmAsAt paraM tataH||183|| <br />

−

durbalAya prayu~jjIta prANabhRut kArabhaM payaH|184|

+

durbalAya prayu~jjIta prANabhRut kArabhaM payaH|184| <br />

+

</div></div>

If patient suffering from ''udara'' does not respond to usual treatment due to morbidity of three ''dosha'', then the physician should inform the critical state to the relative of the patient and start treating with venom of cobra after obtaining consent from the patients friends, spouse, brahmins, king as well as teacher. The physician should win the confidence of these people after clearly stating that the patient will not survive if the treatment with venom is not made, and patient may survive if this treatment is done. After obtaining the consent, the physician should mix the venom in food and drink and administer it to the patient.

Line 2,238: Line 2,554:

==== Surgical measures ====

+

इदं तु शल्यहर्तॄणां कर्म स्याद्दृष्टकर्मणाम्||१८४||

−

वामं कुक्षिं मापयित्वा नाभ्यधश्चतुरङ्गुलम्|

+

वामं कुक्षिं मापयित्वा नाभ्यधश्चतुरङ्गुलम्| <br />

−

मात्रायुक्तेन शस्त्रेण पाटयेन्मतिमान् भिषक्||१८५||

+

मात्रायुक्तेन शस्त्रेण पाटयेन्मतिमान् भिषक्||१८५|| <br />

−

विपाट्यान्त्रं ततः पश्चाद्वीक्ष्य बद्धक्षतान्त्रयोः|

+

विपाट्यान्त्रं ततः पश्चाद्वीक्ष्य बद्धक्षतान्त्रयोः| <br />

−

सर्पिषाऽभ्यज्य केशादीनवमृज्य विमोक्षयेत्||१८६||

+

सर्पिषाऽभ्यज्य केशादीनवमृज्य विमोक्षयेत्||१८६|| <br />

−

मूर्च्छनाद्यच्च सम्मूढमन्त्रं तच्च विमोक्षयेत्|

+

मूर्च्छनाद्यच्च सम्मूढमन्त्रं तच्च विमोक्षयेत्| <br />

−

छिद्राण्यन्त्रस्य तु स्थूलैर्दंशयित्वा पिपीलिकैः||१८७||

+

छिद्राण्यन्त्रस्य तु स्थूलैर्दंशयित्वा पिपीलिकैः||१८७|| <br />

−

बहुशः सङ्गृहीतानि ज्ञात्वा च्छित्वा पिपीलिकान्|

+

बहुशः सङ्गृहीतानि ज्ञात्वा च्छित्वा पिपीलिकान्| <br />

−

प्रतियोगैः [२] प्रवेश्यान्त्रं प्रेयैः [३] सीव्येद्व्रणं ततः||१८८||

+

प्रतियोगैः [२] प्रवेश्यान्त्रं प्रेयैः [३] सीव्येद्व्रणं ततः||१८८||<br />

+

idaṁ tu śalyahartr̥̄ṇāṁ karma syāddr̥ṣṭakarmaṇām||184||

−

vāmaṁ kukṣiṁ māpayitvā nābhyadhaścaturaṅgulam|

+

vāmaṁ kukṣiṁ māpayitvā nābhyadhaścaturaṅgulam| <br />

−

mātrāyuktēna śastrēṇa pāṭayēnmatimān bhiṣak||185||

+

mātrāyuktēna śastrēṇa pāṭayēnmatimān bhiṣak||185|| <br />

−

vipāṭyāntraṁ tataḥ paścādvīkṣya baddhakṣatāntrayōḥ|

+

vipāṭyāntraṁ tataḥ paścādvīkṣya baddhakṣatāntrayōḥ| <br />

−

sarpiṣā'bhyajya kēśādīnavamr̥jya vimōkṣayēt||186||

+

sarpiṣā'bhyajya kēśādīnavamr̥jya vimōkṣayēt||186|| <br />

−

mūrcchanādyacca sammūḍhamantraṁ tacca vimōkṣayēt|

+

mūrcchanādyacca sammūḍhamantraṁ tacca vimōkṣayēt| <br />

−

chidrāṇyantrasya tu sthūlairdaṁśayitvā pipīlikaiḥ||187||

+

chidrāṇyantrasya tu sthūlairdaṁśayitvā pipīlikaiḥ||187|| <br />

−

bahuśaḥ saṅgr̥hītāni jñātvā cchitvā pipīlikān|

+

bahuśaḥ saṅgr̥hītāni jñātvā cchitvā pipīlikān| <br />

−

pratiyōgaiḥ [2] pravēśyāntraṁ prēyaiḥ [3] sīvyēdvraṇaṁ tataḥ||188||

+

pratiyōgaiḥ [2] pravēśyāntraṁ prēyaiḥ [3] sīvyēdvraṇaṁ tataḥ||188||<br />

−

idaM tu shalyahartRUNAM karma syAddRuShTakarmaNAm||184||

+

idaM tu shalyahartRUNAM karma syAddRuShTakarmaNAm||184|| <br />

−

vAmaM kukShiM mApayitvA nAbhyadhashcatura~ggulam|

+

vAmaM kukShiM mApayitvA nAbhyadhashcatura~ggulam| <br />

−

mAtrAyuktena shastreNa pATayenmatimAn bhiShak||185||

+

mAtrAyuktena shastreNa pATayenmatimAn bhiShak||185|| <br />

−

vipATyAntraM tataH pashcAdvIkShya baddhakShatAntrayoH|

+

vipATyAntraM tataH pashcAdvIkShya baddhakShatAntrayoH| <br />

−

sarpiShA~abhyajya keshAdInavamRujya vimokShayet||186||

+

sarpiShA~abhyajya keshAdInavamRujya vimokShayet||186|| <br />

−

mUrcchanAdyacca sammUDhamantraM tacca vimokShayet|

+

mUrcchanAdyacca sammUDhamantraM tacca vimokShayet| <br />

−

chidrANyantrasya tu sthUlairdaMshayitvA pipIlikaiH||187||

+

chidrANyantrasya tu sthUlairdaMshayitvA pipIlikaiH||187|| <br />

−

bahushaH sa~ggRuhItAni j~jAtvA cchitvA pipIlikAn|

+

bahushaH sa~ggRuhItAni j~jAtvA cchitvA pipIlikAn| <br />

−

pratiyogaiH [2] praveshyAntraM preyaiH [3] sIvyedvraNaM tataH||188||

+

pratiyogaiH [2] praveshyAntraM preyaiH [3] sIvyedvraNaM tataH||188||<br />

+

</div></div>

Surgical intervention should be done by an expert surgeon. A proper incision is made on the left side of the abdomen about fpur figure (7.8cm) below the umbilicus by an efficient surgeon. From this incision intestinal loops are drawn out and carefully looked for foreign substances causing ''chidrodara'' or ''baddhodara''. Ghee is applied on the affected loop of the intestines. Then the foreign substances like hair and others are then removed from the intestinal loop. Any torsion or intussusception of the loops of intestines if present is opened. By the surgical procedure if large rend happens in the intestines then edges of rend is anchored by making the small ants to bite and hold the edges together. Once the ants properly anchor the opposing edges of rend, the body of the ants is separated and thrown. Intestinal loops are then properly inserted into the abdomen and the incised area is sutured. Then wound management is done [184-188].

==== Surgical Intervention in ''jalodara'' ====

+

−

तथा जातोदकं सर्वमुदरं व्यधयेद्भिषक्|

+

तथा जातोदकं सर्वमुदरं व्यधयेद्भिषक्| <br />

−

वामपार्श्वे त्वधो नाभेर्नाडीं दत्त्वा च गालयेत्||१८९||

+

वामपार्श्वे त्वधो नाभेर्नाडीं दत्त्वा च गालयेत्||१८९|| <br />

−

विस्राव्य च विमृद्यैतद्वेष्टयेद्वाससोदरम्|

+

विस्राव्य च विमृद्यैतद्वेष्टयेद्वाससोदरम्| <br />

−

तथा बस्तिविरेकाद्यैर्म्लानं सर्वं च वेष्टयेत्||१९०||

+

तथा बस्तिविरेकाद्यैर्म्लानं सर्वं च वेष्टयेत्||१९०|| <br />

−

निःस्रुते लङ्घितः पेयामस्नेहलवणां पिबेत्|

+

निःस्रुते लङ्घितः पेयामस्नेहलवणां पिबेत्| <br />

−

अतः परं तु षण्मासान् क्षीरवृत्तिर्भवेन्नरः||१९१||

+

अतः परं तु षण्मासान् क्षीरवृत्तिर्भवेन्नरः||१९१|| <br />

−

त्रीन् मासान् पयसा पेयां पिबेत्त्रींश्चापि भोजयेत्|

+

त्रीन् मासान् पयसा पेयां पिबेत्त्रींश्चापि भोजयेत्| <br />

−

श्यामाकं कोरदूषं वा क्षीरेणालवणं लघु||१९२||

+

श्यामाकं कोरदूषं वा क्षीरेणालवणं लघु||१९२|| <br />

−

नरः संवत्सरेणैवं जयेत् प्राप्तं जलोदरम्|

+

नरः संवत्सरेणैवं जयेत् प्राप्तं जलोदरम्| <br />

+

−

tathā jātōdakaṁ sarvamUdaraṁ vyadhayēdbhiṣak|

+

tathā jātōdakaṁ sarvamUdaraṁ vyadhayēdbhiṣak| <br />

−

vāmapārśvē tvadhō nābhērnāḍīṁ dattvā ca gālayēt||189||

+

vāmapārśvē tvadhō nābhērnāḍīṁ dattvā ca gālayēt||189|| <br />

−

visrāvya ca vimr̥dyaitadvēṣṭayēdvāsasōdaram|

+

visrāvya ca vimr̥dyaitadvēṣṭayēdvāsasōdaram| <br />

−

tathā bastivirēkādyairmlānaṁ sarvaṁ ca vēṣṭayēt||190||

+

tathā bastivirēkādyairmlānaṁ sarvaṁ ca vēṣṭayēt||190|| <br />

−

niḥsrutē laṅghitaḥ pēyāmasnēhalavaṇāṁ pibēt|

+

niḥsrutē laṅghitaḥ pēyāmasnēhalavaṇāṁ pibēt| <br />

−

ataḥ paraṁ tu ṣaṇmāsān kṣīravr̥ttirbhavēnnaraḥ||191||

+

ataḥ paraṁ tu ṣaṇmāsān kṣīravr̥ttirbhavēnnaraḥ||191|| <br />

−

trīn māsān payasā pēyāṁ pibēttrīṁścāpi bhōjayēt|

+

trīn māsān payasā pēyāṁ pibēttrīṁścāpi bhōjayēt| <br />

−

śyāmākaṁ kōradūṣaṁ vā kṣīrēṇālavaṇaṁ laghu||192||

+

śyāmākaṁ kōradūṣaṁ vā kṣīrēṇālavaṇaṁ laghu||192|| <br />

−

naraḥ saṁvatsarēṇaivaṁ jayēt prāptaṁ jalōdaram|

+

naraḥ saṁvatsarēṇaivaṁ jayēt prāptaṁ jalōdaram| <br />

−

tathA jAtodakaM sarvamudaraM vyadhayedbhiShak|

+

tathA jAtodakaM sarvamudaraM vyadhayedbhiShak| <br />

−

vAmapArshve [1] tvadho nAbhernADIM dattvA ca gAlayet||189||

+

vAmapArshve [1] tvadho nAbhernADIM dattvA ca gAlayet||189|| <br />

−

visrAvya ca vimRudyaitadveShTayedvAsasodaram|

+

visrAvya ca vimRudyaitadveShTayedvAsasodaram| <br />

−

tathA bastivirekAdyairmlAnaM sarvaM ca veShTayet||190||

+

tathA bastivirekAdyairmlAnaM sarvaM ca veShTayet||190|| <br />

−

niHsrute la~gghitaH peyAmasnehalavaNAM pibet|

+

niHsrute la~gghitaH peyAmasnehalavaNAM pibet| <br />

−

ataH paraM tu ShaNmAsAn kShIravRuttirbhavennaraH||191||

+

ataH paraM tu ShaNmAsAn kShIravRuttirbhavennaraH||191|| <br />

−

trIn mAsAn payasA peyAM pibettrIMshcApi bhojayet|

+

trIn mAsAn payasA peyAM pibettrIMshcApi bhojayet| <br />

−

shyAmAkaM [2] koradUShaM vA kShIreNAlavaNaM laghu||192||

+

shyAmAkaM [2] koradUShaM vA kShIreNAlavaNaM laghu||192|| <br />

−

naraH saMvatsareNaivaM jayet prAptaM jalodaram|

+

naraH saMvatsareNaivaM jayet prAptaM jalodaram| <br />

+

</div></div>

In all conditions of ''udara'' with accumulation of fluid, the fluid should be aspirated by inserting a cannula into the abdomen just below the umbilicus on the left side. While aspirating, compress the abdomen and after the aspiration the abdomen is tightly wrapped with a cloth. This wrapping should also be done in cases where reduction of the abdomen is achieved by other methods like ''niruha basti'' (decoction enema) and ''virechana'' (therapeutic purgation). After the removal of the fluid patient is treated with ''langhana'' (reducing regimen) and is given ''peya'' (liquid rice gruel) with little or no addition of ''sneha'' (dietary fat) and salt. After this the patient is kept on only milk diet for six months. For another three months patient is allowed to take ''peya'' (liquid rice gruel) along with milk. Following this for another three months the patients is given rice prepared with shyāmaka (Echinochloa frumentacea) or ''koradusha'' (Paspalum scorbiculatum) added with milk. This light diet should be without salt altogether. By managing the patient in this manner for one year one can get cured of ''jalodara'' [189-192]

==== Importance of milk diet ====

+

प्रयोगाणां च सर्वेषामनु क्षीरं प्रयोजयेत्||१९३||

Line 2,335: Line 2,658:

दोषानुबन्धरक्षार्थं बलस्थैर्यार्थमेव च|

−

प्रयोगापचिताङ्गानां हितं ह्युदरिणां पयः|

+

प्रयोगापचिताङ्गानां हितं ह्युदरिणां पयः| <br />

−

सर्वधातुक्षयार्तानां देवानाममृतं यथा||१९४||

+

सर्वधातुक्षयार्तानां देवानाममृतं यथा||१९४||<br />

+

prayōgāṇāṁ ca sarvēṣāmanu kṣīraṁ prayōjayēt||193||

Line 2,342: Line 2,666:

dōṣānubandharakṣārthaṁ balasthairyārthamēva ca|

−

prayōgāpacitāṅgānāṁ hitaṁ hyudariṇāṁ payaḥ|

+

prayōgāpacitāṅgānāṁ hitaṁ hyudariṇāṁ payaḥ| <br />

−

sarvadhātukṣayārtānāṁ dēvānāmamr̥taṁ yathā||194||

+

sarvadhātukṣayārtānāṁ dēvānāmamr̥taṁ yathā||194||<br />

prayogANAM ca sarveShAmanu kShIraM prayojayet||193||

Line 2,349: Line 2,673:

doShAnubandharakShArthaM balasthairyArthameva ca|

−

prayogApacitA~ggAnAM hitaM hyudariNAM payaH|

+

prayogApacitA~ggAnAM hitaM hyudariNAM payaH| <br />

−

sarvadhAtukShayArtAnAM devAnAmamRutaM yathA||194||

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sarvadhAtukShayArtAnAM devAnAmamRutaM yathA||194||<br />

+

</div></div>

To prevent the perpetuation of morbid ''dosha'' and to regain the physical strength, milk should be included in all prescriptions for the patients suffering from ''udara''. The physique of the patients of ''udara'' which is reduced due to medications is best recuperated by milk diet, and milk is regarded as best remedy identical to the nectar for gods in all patients suffering from depletion of all ''dhatu'' [193-194]

==== Summary of the chapter ====

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तत्र श्लोकौ-

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हेतुं प्राग्रूपमष्टानां लिङ्गं व्याससमासतः|

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हेतुं प्राग्रूपमष्टानां लिङ्गं व्याससमासतः| <br />

−

उपद्रवान् गरीयस्त्वं साध्यासाध्यत्वमेव च||१९५||

+

उपद्रवान् गरीयस्त्वं साध्यासाध्यत्वमेव च||१९५|| <br />

−

जाताजाताम्बुलिङ्गानि चिकित्सां चोक्तवानृषिः|

+

जाताजाताम्बुलिङ्गानि चिकित्सां चोक्तवानृषिः| <br />

−

समासव्यासनिर्देशैरुदराणां चिकित्सिते||१९६||

+

समासव्यासनिर्देशैरुदराणां चिकित्सिते||१९६||<br />

+

tatra ślōkau-

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hētuṁ prāgrūpamaṣṭānāṁ liṅgaṁ vyāsasamāsataḥ|

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hētuṁ prāgrūpamaṣṭānāṁ liṅgaṁ vyāsasamāsataḥ| <br />

−

upadravān garīyastvaṁ sādhyāsādhyatvamēva ca||195||

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upadravān garīyastvaṁ sādhyāsādhyatvamēva ca||195|| <br />

−

jātājātāmbuliṅgāni cikitsāṁ cōktavānr̥ṣiḥ|

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jātājātāmbuliṅgāni cikitsāṁ cōktavānr̥ṣiḥ| <br />

−

samāsavyāsanirdēśairudarāṇāṁ cikitsitē||196||

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samāsavyāsanirdēśairudarāṇāṁ cikitsitē||196||<br />

tatra shlokau-

−

hetuM prAgrUpamaShTAnAM li~ggaM vyAsasamAsataH|

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hetuM prAgrUpamaShTAnAM li~ggaM vyAsasamAsataH| <br />

−

upadravAn garIyastvaM sAdhyAsAdhyatvameva ca||195||

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upadravAn garIyastvaM sAdhyAsAdhyatvameva ca||195|| <br />

−

jAtAjAtAmbuli~ggAni cikitsAM coktavAnRuShiH|

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jAtAjAtAmbuli~ggAni cikitsAM coktavAnRuShiH| <br />

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samAsavyAsanirdeshairudarANAM cikitsite||196||

+

samAsavyAsanirdeshairudarANAM cikitsite||196||<br />

+

</div></div>

Thus the etiology, premonitory symptoms, general and individual symptoms of eight types of ''udara'', complications of ''udara'', seriousness of the illness, prognosis, symptoms of stages of ''udara'' as non accumulation and accumulation of fluid, and the specific as well as general treatment of ''udara roga'' are described by the sage Punarvasu in this chapter of [[Chikitsa Sthana]] [195-196].

Agnivesha

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