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

रो�गा�: सर्वे� अपि मन्दे� अग्नौ� स�तरो�म� उदेरो�णि� च ।अजी����नौ� मलि�नौ श्च अनौ : जी�यन्त� म� सन्चय�त� ।। A.H.Ni.12/1

Mandagni-Hypofunctioning of the digestive fire Ajeerna-Indigestion Malasanchaya-Accumulation of mala

Ahara Athyushna,lavana kshara vidahya amla garaashanath-

Hot,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.

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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

गामनौ� अशलि$ - Inability to walk

दे�र्ब�ल्य' - Weakness

श�थ: - Oedema

अङ्गा�नौ' सदेनौ' - Lassitude

दे�ह - Burning sensation

तन्द्र – Drowsiness

GIT

आध्म�नौ' - Distension of abdomen

दुर्ब�� अग्निग्नौ - Weak digestive fire

सङ्गा� र्वे�त �रो�ष - Sluggish passage of flatus & faeces

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SAMPRAPTI

रुदे�ध्र्वे� स्र्वे�दे�म्र्ब�र्वे�ह�पिनौ दे�ष�: स्रो�त�'लिस स'लिचत�: ।प्रा���ग्न्य�नौ�नौ� स'दूष्य जीनौयन्तिन्त उदेरो' नौ:��म� ।। 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 -Rasa, Rakta, Mamsa Upadhatu -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.

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Srotodushti : Sanga, Vimarga gamanaUdbhava sthana : Aamashayotha, Koshta

Vyakta sthana : Udara, Yakrt, Pleeha

Rogamarga : Abhyantara

Sanchara sthana : Sira

Svabhava : Chirakari

Roga bheda : 8 types

UDARA BHEDA1. Vatodara2. Pittodara3. Sleshmodara4. Sannipaatodara5. Plihodara6. Baddagudodara7. Parisravyudara / Kshatodara8. Udakodara

STAGES OF UDARA

1. Ajatodakavastha – without accumulation of fluid2. Picchaavastha – with slight accumulation of fluid3. jatodakavastha – with excess accumulation of fluid

VATODARAM ( Non ulcer dyspepsia with mal nutrition )

CONSTITUTIONAL SYMPTOMS Body ache Heaviness all over the body

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

GIT Thirst Acrid taste in mouth

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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

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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

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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

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

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