Abstract

ASSESSMENT OF PROGNOSTIC ASPECTS OF ASCITES(JALODAR) BY TAILA BINDU PARIKSHA

Dr. Avinash C. Rathod* and Dr. Pramod F. Garje

Abstract

The taila bindu pariksha which is a part of the Mutra pariksha helps in assessing the prognosis of a disease. In Taila Bindu Pariksha, urine is taken in a glass vessel over which an oil drop is dropped and behaviour of oil is noted down. Ascites is defined as the accumulation of fluid in the peritoneal cavity. It is a common clinical finding, with various extraperitoneal and peritoneal causes, but it most often results from liver cirrhosis. It is a symptom of numerous medical conditions and has a broad differential diagnosis. Ascites can be classified by the underlying pathophysiological mechanism: portal hypertension, peritoneal disease, hypo albuminemia and miscellaneous disorders. An adequate diagnosis is necessary for successful treatment. This review aims to provide a comprehensive overview of the current diagnostic approach to ascites and also discusses recent developments in ascites research. Present study of Mutra Taila bindu pariksha, a simple and cost-effective method; aims at finding whether it is still valid to consider as one of the prognostic tools in the critically ill patients like ascites and is there any pattern specificity present between ascites patients. Results of taila bindu pariksha shows highest percentage of sadhya (curable) prognosis ascites patients which contradict with the modern text. The Ayurvedic system’s core strength is its holistic approach to health and disease using natural remedies derived from medicinal plants and minerals. Ayurveda and modern medicine are derived from different epistemological and ontological premises. Therefore, the approach to diagnosis and prognosis of diseases differs.

Keywords: Taila bindu pariksha, Ascites, prognosis.