Abstract

A SINGLE-CASE STUDY OF MANAGEMENT OF JALODARA WITH SPECIAL REFERENCE TO ASCITES

Dr. Vanita G. Rathod*, Dr. Ganesh S. Barahate and Dr. Uday K. Neralkar

Abstract

Udararoga is one among the Astamahagada described in Ayurveda. It is mentioned in all the three Brihatraee texts (Charak samhita, Sushrata samhita, Asthang Hridaya). In which there is Swedavaha and Ambuvaha srotasdusti having Kukshiadhmanatopa (Abdominal distension), Shophapadasya (Swelling on ankle, feet & hand), Mandagni(Indigestion and loss of appetite), Pandu(anemia & jaundice), Karshya(Lean and thin body), Mandajwara(Mild fever), shinbala (Weakness), Udakapurnadrutishodhasansparsha (fluid thrill)etc symptoms and signs are quite similar to ascitis. Ascitis is a accumulation of free fluid within the peritoneal cavity. Small amounts of ascites are asymptomatic, but with larger accumulations of fluid i.e > 1 litre there is abdominal distension, fullness in the flanks, shifting dullness on percussion etc. A case of 29 years aged male patient presenting with Udarvriddhi (abdominal distention), Adhmana, Kshudhamandya(decreased appetite), Udar shoola, Sarvanga Shotha, Dourbalya(general weakness) disgnosed as Udarvyadhi (Ascites). Patient was treated with an integrated approach of Ayurveda and Allopathy medications (which were simultaneously withdrawaled). Ayurvedic management with drugs such as provocation of digestion, Nitya virechana with Godugdha and Pathya- Apathy palana-only milk diet that acts on root of pathology of Ascites and by breaking down of pathogenesis gives good result in Udarvyadhi. Appreciable results were observed in the form of reduction in abdominal girth, Decreased Edema, Increased Appetite, Increased Strength and significant changes in investigation.

Keywords: Jalodara, Ascitis, Ayurvedic management-Shaman chikitsa, Virechana.