UDARA ROGA w s r to JALODARA Dr

UDARA ROGA w. s. r. to JALODARA Dr. Harish Bhakuni M. D. Kayachikitsa Assistant Professor P. G. Department of Kayachiktsa N. I. A. Jaipur

Difinition � Accumulation of fluid in between the tvac and mamsa of udara. � Type of udara roga. � Can be advancement of other seven udara roga varients. � Charecterised by distension of abdomen because of the accumulation of the fluid.

Etiology � Can be of two types based on etiological factors 1. Swatantra 2. Partantra

Samprapti � Accumulation of fluid in between tvac and mamsa is because of the vimarg gamana. � Vimarg gamana can take place by two ways 1. Perforation or trauma to the channels. 2. Srotorodha(sanga). First possibility is of relevant only for chidrodara. Second one is more of our concern.

Contd. . . � Srotorodha 1. 2. or sanga can be of two types- Antomical Physiological Anatomical one is not meant for charaka school of medicine, so second one is more relevant.

Physiological stagnation � It can be because of either dosha or dushya. � As udaka is being liquid it can not obstruct the channels, so it can be due to doshas. � In tripods of doshas only kapaha has guru property but it can not obstruct channels in natural form unless it become picchilla. � This paicchilya property of kapaha is attribute of sama kapha which is because of the agnimandya. � The role of other two dohas can be understood accordingly.

Contd. . . Various etiological factors Agnimandya Formation of ama kapha+ama Picchila kapha khavaigunya Udakavaha srotosanga Jalodara Vimarga gaman

Pathogenesis of paratantra jalodara ruddhva. . . . . Udaram nrinam (ca. Ci. 13: 20). � First line is more concerned with swatantra jalodara. � Second line is more precised for paratantra jalodara why 1. Seat of prana is hridaya – - mula of rasavaha srotas � Ascitis due to cardiac causes 2. Agni vikriti – pitta dosha – related with yakrit Ascitis due to hepatic causes 3. Apana vikriti – formation rgulation and exrition of urine Ascitis due to renal causes � Other due the advancement of other udara varients.

Clinical menifestations � Annakanksha � Pipasa – anorexia � Gudasrava � Sula � Swasa- kasa � Daurbalya � Nanavarnarajisirasantata � Kuksheratimatravriddhi � Siraantardhanagamanam � udakapurnadritisankshobha � Parivritta nabhi

� Chardi complications � Atisara � Tamaka � Trisna � Swasa � Kasa � Hikka � Daurbalya � Parsvasula � Aruchi � Swarabheda � mutrasanga

Management of jalodara General management includes— Ø Tridoha pecifying management plan Ø Deepana Ø Nityameva virechayeta Ø Treatment of causative disease

Specific management plan Apa doshaharanadou– � Various � Tikshna mutra � Kshara � Deepaniya � kapha pecifying Visravana karma

Drugs � Panchkola ghrita � Narayana churna � Kshara vati � Jalodarari rasa � Icchbhedi rasa � Punarnavadi kwath � Arogyavardhini vati � Pippali vardhmana rasayana � Kaumaryasava � Sothari Lauha � Selection of drug according to the causative disease.

Ascitis due to cardiac cause � Hridayarnava Rasa � Arjuna Kshirapaka � Punarnavashtaka Kwath � Nagarjunabhra � Arjunarishta

Ascitis Due to Renal cause �Chandraprabha vati �Punarnava Mandoor �Shilajatwadi vati �Punarnavarishta �Gokshuradi Gugglu �Mahanimba kashaya �Shweta parpati

Ascitis due to Hepatic cause � Arogyavardhini � Jalodarari vati Rasa � Loknath Rasa � Rohitakarishta � Kaumaryasava � Phalatrikadi kwath � Loknath Rasa � Yakritaplihari Lauha

Thanks for patient hearing………