Changes

In day time due to various activities and fatigue ''vata'' gets increased leading to increase in the edema. From modern point of view, cardiac edema increases in the evening which is ''vata kala'' due to the day activities. ''Vata shotha'' is pitting on pressure but on removing the pressure it immediately takes its original shape.

In day time due to various activities and fatigue ''vata'' gets increased leading to increase in the edema. From modern point of view, cardiac edema increases in the evening which is ''vata kala'' due to the day activities. ''Vata shotha'' is pitting on pressure but on removing the pressure it immediately takes its original shape.

''Pitta sopha'' begins from middle parts of the body and then spreads to the other parts and has yellow-reddish color (Ashtangahridaya Nidana 13/33). Yellowish coloration indicates involvement of liver. Inflammatory swelling is related to ''pittaja shotha'' .  

''Pitta sopha'' begins from middle parts of the body and then spreads to the other parts and has yellow-reddish color<ref>Vagbhata. Nidana Sthana, Cha.13 Pandurogasophavisarpa Nidana Adhyaya verse 33. In: Harishastri Paradkar Vaidya, Editors. Ashtanga Hridayam. 1st ed. Varanasi: Krishnadas Academy;2000.p.4. </ref>. Yellowish coloration indicates involvement of liver. Inflammatory swelling is related to ''pittaja shotha'' .  

    

    

''Kapha Shotha'' slightly pits on pressure but takes long time to attain its original position after removing the pressure and increases at night. It develops slowly and also takes long time to subside. ''Kapha shotha'' occurs in upper part of the body and the treatment of edema occurring on the upper part is ''vamana'' i.e. of ''kapha''. On this basis it can be said that which mainly includes face. Renal edema occurs on the face in the morning (noticed on awakening though increased in the night). Other important sign is it is hard and the serous discharge comes out on scratching the skin (Ashtangahridaya Nidana 13/35-36). This indicates that hard non-pitting edema of elephantiasis may also be included under it. Other symptom mentioned for ''kaphaja shotha'' that the patient like warm touch indicates towards edema found in hypothyroidism (14).

''Kapha Shotha'' slightly pits on pressure but takes long time to attain its original position after removing the pressure and increases at night. It develops slowly and also takes long time to subside. ''Kapha shotha'' occurs in upper part of the body and the treatment of edema occurring on the upper part is ''vamana'' i.e. of ''kapha''. On this basis it can be said that which mainly includes face. Renal edema occurs on the face in the morning (noticed on awakening though increased in the night). Other important sign is it is hard and the serous discharge comes out on scratching the skin <ref>Vagbhata. Nidana Sthana, Cha.13 Pandurogasophavisarpa Nidana Adhyaya verse 35-36. In: Harishastri Paradkar Vaidya, Editors. Ashtanga Hridayam. 1st ed. Varanasi: Krishnadas Academy;2000.p.4.</ref>. This indicates that hard non-pitting edema of elephantiasis may also be included under it. Other symptom mentioned for ''kaphaja shotha'' that the patient like warm touch indicates towards edema found in hypothyroidism (14).

=== Complications ===

=== Complications ===