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DEFENITION The imbalanced dosas accumulated in the abdomen and thereby increase the size of abdomen. Hence, it is called udara vyadhi. The verbal meaning of udara is abdomen. NIDANA : : A.H.Ni.12/1 Mandagni-Hypofunctioning of the digestive fire Ajeerna-Indigestion Malasanchaya-Accumulation of mala Ahara Athyushna,lavana kshara vidahya amla garaashanathHot,alkaline,saline,burning,sour and poisoned food Rooksha virudha asuchi bhojanath-Intake of rough, antagonistic and unclean food. Intake of irritating foods and drinks Vihara Mithyasamsarjanath- improper dietic rejimen after evacuation procedure Pleeha arsho grahani dosha karshanath-emaciation due to spleenomegaly,piles, and grahani rogas

Improper administration of shodana. Suppression of natural urges. POORVAROOPA Talu oshta shosha - Dryness of palate and lips Hasta paada shopha - Swelling of upper and lower limbs Ashakti -Weakness Agnimandhya -Loss of apetite Chirat pacanam -Delayed digestion Distension of abdomen even after having light, little meals Dourbalyam - Decreased body strength shakrt vriddhi, shakrt rodhana- Increased and obstructed passage of stools Formation of lines over abdomen Vidaham- Burning sensation Alasyam Laziness SAMANYA ROOPA
CONSTITUTIONAL SYMPTOMS

- Inability to walk - Weakness : - Oedema - Lassitude - Burning sensation Drowsiness

GIT

- Distension of abdomen - Weak digestive fire - Sluggish passage of flatus & faeces

SAMPRAPTI : : Ch.Chi.13/20
Etiology Reduced digestive power Production of ama Obstruction in digestive system Diverted movements Accumulation of fluid in peritoneum of abdomen

SAMPRAPTI GHATAKA
Dosa : Tridosajam Vata Prana, Apana, Samana Dushya : Dhatu Upadhatu -Rasa, Rakta, Mamsa -Tvaca, Vasa

Saririka mala -Mutra,Purisha Dhatu mala -Sveda Agni : Jataragni, Dhatvagni Agnidushti : Mandata Srotas : Sveda vaha, Ambu vaha, Rasa vaha, Rakta vaha, Mamsa vaha, Anna vaha. Srotodushti : Sanga, Vimarga gamana Udbhava sthana : Aamashayotha, Koshta Vyakta sthana : Udara, Yakrt, Pleeha Rogamarga : Abhyantara Sanchara sthana : Sira Svabhava : Chirakari Roga bheda : 8 types

UDARA BHEDA 1. Vatodara 2. Pittodara 3. Sleshmodara 4. Sannipaatodara 5. Plihodara 6. Baddagudodara 7. Parisravyudara / Kshatodara 8. Udakodara
STAGES OF UDARA 1. Ajatodakavastha without accumulation of fluid 2. Picchaavastha with slight accumulation of fluid 3. jatodakavastha with excess accumulation of fluid

VATODARAM ( Non ulcer dyspepsia with mal nutrition )

CONSTITUTIONAL SYMPTOMS Body ache Heaviness all over the body Dry cough Oedema over the hands,feet,umbilical region and flanks Black and reddish discoloration of the skin Pain in the lumbar region, abdomen, pelvis and the back Breaking type of pain in the small joints of the hand and feet

GIT

Accumulation of faeces Sudden distension or decrease in the size of abdomen. Pricking and tearing pain in the abdomen On percussion, sound like that of a distended leather bag Gurgling sound

PITTODARAM (Peritonitis/colitis)
CONSTITUTIONAL SYMPTOMS Fever Fainting Burning sensation Dizziness Yellowish discoloration of skin Abdomen covered with greenish yellow or coppery blood vessels

GIT

Perspiration Warmth Burning sensation Feeling as if chocked with blood Soft to touch Matures quickly Painful

Thirst Acrid taste in mouth Diarrhoea Yellowish discoloration of stools

SLESHMODARAM (Moderate ascitis with hypoprotenemia)

CONSTITUTIONAL SYMPTOMS

Lassitude Numbness Oedema Heaviness Sleepiness Dyspnoea Cough Whitish discoloration of the skin Abdomen is felt as if covered with a wet cloth is glossy full of whitish lines looks big takes long time for full enlargement

hard cold to touch heavy fixed GIT Nausea Anorexia SANNIPATODARAM / DUSYODARAM (Acute/Chronic peritonitis)
CONSTITUTIONAL SYMPTOMS

Symptoms of all the three doshas Burning sensation especially during extreme cold,windy and cloudy weather Repeated fainting Pale Emaciation GIT Dryness of mouth due to thirst PLEEHODARAM (Spleenomegaly)
CONSTITUTIONAL SYMPTOMS

Enlargement of spleen Fatigue Mild fever Symptoms of kapaha and pitta vitiation Loss of strength

Severe anemia GIT Weak digestion

BADDAGUDODARAM (Intestinal Obstruction) Distension of the abdomen between epigastrium and umbilicus PARISRAVYUDARAM / KSHATODARAM (Intestinal Perforation)
CONSTITUTIONAL SYMPTOMS

Distension of the abdomen below the umbilicus Severe pain Tearing sensation GIT Water like exudation flows out of rectum JALODARAM (Ascitis) Glossy abdomen Big and distended as if full of water Everted umbilicus It fluctuates,vibrates and produces sounds similar to leather bag containing water UPADRAVA

Vomitting Diarrhoea Feeling of darkness Thirst Dyspnoea Cough Hiccup Debility Pain in sides Anorexia Hoarseness of voice Retention of urine

SADHYASADHYATHA Badhagudodara and parisravi udara are incurable Vataja, Pittaja, Kaphaja, Sannipataja are bheshaja sadhya Remaining are shastra sadhya.