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iti ha smAha bhagavAnAtreyaH ||2||

iti ha smAha bhagavAnAtreyaH ||2||

Lord Atreya said, we shall now present the chapter on treatment pertaining to the disorders to the three ''marma'' (vital organs) [1-2]

We shall now expound the chapter on “management of the disorders of the three ''marma'' (vital organs)”.  Thus, said Lord Atreya. [1-2]

सप्तोत्तरंमर्मशतंयदुक्तंशरीरसङ्ख्यामधिकृत्यतेभ्यः|  

सप्तोत्तरंमर्मशतंयदुक्तंशरीरसङ्ख्यामधिकृत्यतेभ्यः|  

The vital organs (''marma'') are mentioned as 107 in number while enumerating different body parts in [[Samkhya Sharira]]. As per the specialists of the subjects, three vital organs, viz, ''basti'' (urinary bladder), ''hridayam'' (heart) and ''shira'' (head) are considered supreme among themselves, because they possess life (prāna) in them. Their suffering due to ''vata'', etc. also troubles/ endangers life (''prana''). Hence to protect these vital organs, the method of protection from the attack of diseases, and their management will be discussed which you may listen (addressed to Agnivesha) [3-4]

The vital organs (''marma'') are mentioned as 107 in number while enumerating different body parts in [[Samkhya Sharira]]. As per the specialists of the subjects, three vital organs, viz, ''basti'' (urinary bladder), ''hridayam'' (heart) and ''shira'' (head) are considered supreme among themselves, because they possess life (prāna) in them. Their suffering due to ''vata'', etc. also troubles/ endangers life (''prana''). Hence to protect these vital organs, the method of protection from the attack of diseases, and their management will be discussed which you may listen (addressed to Agnivesha) [3-4]

==== Etiology and pathogenesis, signs and symptoms of ''udavarta'' (abnormal upward movement of vata) ====

==== Etiology and pathogenesis, signs and symptoms of ''udavarta'' (abnormal upward movement of ''vata'') ====

कषायतिक्तोषणरूक्षभोज्यैः

कषायतिक्तोषणरूक्षभोज्यैः

cikitsitaM cAsya yathAvadUrdhvaM pravakShyate tacchRuNu cAgnivesha! ||10||

cikitsitaM cAsya yathAvadUrdhvaM pravakShyate tacchRuNu cAgnivesha! ||10||

Excessive consumption of astringent, bitter, pungent, dry/ ununctuous food, suppression of natural urges, starvation, and excess indulgence of sex excessively aggravates ''apana vata'' in the colon. This obstructs downward moving channels and gradually obstructs the movement of stool, urine and the flatus causing ''udavarta'', the serious trouble. [5]

 

Due to the indulgence of astringent, bitter, pungent, dry/ un unctuous food consumption and indulgence of sex without proper food intake, strongly aggravates ''apana vata'' in colon which obstructs downward moving channels and gradually obstructs the movement of stool, urine and the flatus causing ''udavarta'', the serious trouble. [5]

===== Signs and symptoms of ''udavarta'' =====

===== Signs and symptoms of ''udavarta'' =====

Intense and frequent pain in urinary bladder, cardiac region, pelvis, abdomen, and also severe pain in back and sides of chest; flatulence, nausea, cutting pain, piercing pain, indigestion, inflammation of urinary bladder; retention of stool, appearance of nodules in the abdomen, abnormal upward movement of ''vata'', delayed and difficulty in evacuation of dry stool; body becomes  rough, ununctuous, and cold and consequently disorders such as fever, dysuria, ''pravahika'' (spurious feeling of the need to evacuate stools with straining), cardiac disorders, ''grahani'' disorder (malabsorption syndrome), vomiting, blindness, deafness, burning sensation in head, ''vatodara'' (affliction of abdomen due to vata), ''asthila'' (stony hard tumours), psychological disorders, thirst, hemorrhagic disorders, anorexia, ''gulma'' (lump like feeling), cough, dyspnea, rhinitis, facial paralysis and chest pain arise. Many other severe ''vata'' disorders are caused by ''udavarta''. Treatment of these ailments will be described hereafter you may listen Agnivesha.

Intense and frequent pain in urinary bladder, cardiac region, pelvis, abdomen, and also severe pain in back and sides of chest; flatulence, nausea, cutting pain, piercing pain, indigestion, inflammation of urinary bladder; retention of stool, appearance of nodules in the abdomen, abnormal upward movement of ''vata'', delayed and difficulty in evacuation of dry stool; body becomes  rough, ununctuous, and cold and consequently disorders such as fever, dysuria, ''pravahika'' (spurious feeling of the need to evacuate stools with straining), cardiac disorders, ''grahani'' disorder (malabsorption syndrome), vomiting, blindness, deafness, burning sensation in head, ''vatodara'' (affliction of abdomen due to vata), ''asthila'' (stony hard tumours), psychological disorders, thirst, hemorrhagic disorders, anorexia, ''gulma'' (lump like feeling), cough, dyspnea, rhinitis, facial paralysis and chest pain arise. Many other severe ''vata'' disorders are caused by ''udavarta''. Treatment of these ailments will be described hereafter you may listen Agnivesha.[5-10]

==== Treatment of ''udavarta'' ====

==== Treatment of ''udavarta'' ====