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AcinotyudaraM jantostva~gmAMsAntaramAshritaH||24||  

AcinotyudaraM jantostva~gmAMsAntaramAshritaH||24||  

Due to the etiological factors ''vata'' gets aggravated which assumes abnormal course and reaches the kukshi (lower abdomen), hridaya (chest), basti (pelvis) and gudamārga (rectum). Again the morbid vāta further impairs the Agni (digestive enzymes) and draws out the Kapha. Thus morbid Kapha in turn obstructs the morbid vāta. Eventually the obstructed vāta gets diverged in to the space between the skin and visceral tissues in the abdomen leading to distension of the abdomen and udara roga [23-24].

Due to the etiological factors ''vata'' gets aggravated which assumes abnormal course and reaches the ''kukshi'' (lower abdomen), ''hridaya'' (chest), ''basti'' (pelvis) and ''gudamarga'' (rectum). Again the morbid ''vata'' further impairs the ''agni'' (digestive enzymes) and draws out the ''kapha''. Thus morbid ''kapha'' in turn obstructs the morbid ''vata''. Eventually the obstructed ''vata'' gets diverged in to the space between the skin and visceral tissues in the abdomen leading to distension of the abdomen and ''udara roga'' [23-24]

 

तस्य रूपाणि- कुक्षिपाणिपादवृषणश्वयथुः, उदरविपाटनम्, अनियतौ च वृद्धिह्रासौ,कुक्षिपार्श्वशूलोदावर्ताङ्गमर्दपर्वभेदशुष्ककासकार्श्यदौर्बल्यारोचकाविपाकाः, अधोगुरुत्वं, वातवर्चोमूत्रसङ्गः, श्यावारुणत्वं चनखनयनवदनत्वङ्मूत्रवर्चसाम्, अपि चोदरं तन्वसितराजीसिरासन्ततम्, आहतमाध्मातदृतिशब्दवद्भवति,वायुश्चोर्ध्वमधस्तिर्यक् च सशूलशब्दश्चरति, एतद्वातोदरमिति विद्यात्||२५||

तस्य रूपाणि- कुक्षिपाणिपादवृषणश्वयथुः, उदरविपाटनम्, अनियतौ च वृद्धिह्रासौ,कुक्षिपार्श्वशूलोदावर्ताङ्गमर्दपर्वभेदशुष्ककासकार्श्यदौर्बल्यारोचकाविपाकाः, अधोगुरुत्वं, वातवर्चोमूत्रसङ्गः, श्यावारुणत्वं चनखनयनवदनत्वङ्मूत्रवर्चसाम्, अपि चोदरं तन्वसितराजीसिरासन्ततम्, आहतमाध्मातदृतिशब्दवद्भवति,वायुश्चोर्ध्वमधस्तिर्यक् च सशूलशब्दश्चरति, एतद्वातोदरमिति विद्यात्||२५||

tasya rūpāṇi-kukṣipāṇipādavr̥ṣaṇaśvayathuḥ, Udara vipāṭanam, aniyatau ca vr̥ddhihrāsau,kukṣipārśvaśūlōdāvartāṅgamardaparvabhēdaśuṣkakāsakārśyadaurbalyārōcakāvipākāḥ, adhōgurutvaṁ,vātavarcōmūtrasaṅgaḥ, śyāvāruṇatvaṁ ca nakhanayanavadanatvaṅmūtravarcasām, api cōdaraṁtanvasitarājīsirāsantatam, āhatamādhmātadr̥tiśabdavadbhavati, vāyuścōrdhvamadhastiryak casaśūlaśabdaścarati, ētadvātōdaramiti vidyāt||25||

tasya rūpāṇi-kukṣipāṇipādavr̥ṣaṇaśvayathuḥ, Udara vipāṭanam, aniyatau ca vr̥ddhihrāsau,kukṣipārśvaśūlōdāvartāṅgamardaparvabhēdaśuṣkakāsakārśyadaurbalyārōcakāvipākāḥ, adhōgurutvaṁ,vātavarcōmūtrasaṅgaḥ, śyāvāruṇatvaṁ ca nakhanayanavadanatvaṅmūtravarcasām, api cōdaraṁtanvasitarājīsirāsantatam, āhatamādhmātadr̥tiśabdavadbhavati, vāyuścōrdhvamadhastiryak casaśūlaśabdaścarati, ētadvātōdaramiti vidyāt||25||

tasya rUpANi- kukShipANipAdavRuShaNashvayathuH, udaravipATanam, aniyatau ca vRuddhihrAsau,kukShipArshvashUlodAvartA~ggamardaparvabhedashuShkakAsakArshyadaurbalyArocakAvipAkAH,adhogurutvaM, vAtavarcomUtrasa~ggaH, shyAvAruNatvaM ca nakhanayanavadanatva~gmUtravarcasAm,api codaraM tanvasitarAjIsirAsantatam, AhatamAdhmAtadRutishabdavadbhavati,vAyushcordhvamadhastiryak ca sashUlashabdashcarati, etadvAtodaramiti vidyAt||25||

tasya rUpANi- kukShipANipAdavRuShaNashvayathuH, udaravipATanam, aniyatau ca vRuddhihrAsau,kukShipArshvashUlodAvartA~ggamardaparvabhedashuShkakAsakArshyadaurbalyArocakAvipAkAH,adhogurutvaM, vAtavarcomUtrasa~ggaH, shyAvAruNatvaM ca nakhanayanavadanatva~gmUtravarcasAm,api codaraM tanvasitarAjIsirAsantatam, AhatamAdhmAtadRutishabdavadbhavati,vAyushcordhvamadhastiryak ca sashUlashabdashcarati, etadvAtodaramiti vidyAt||25||

The symptoms of vātodara include distension of abdomen, edema of the hands, legs and scrotum, splitting type of pain in abdomen, undue increase and decrease of abdominal distension, abdominal pain, pain in the sides of the abdomen, abnormal upward course of vāta within abdomen, body ache, pain in phalangeal joints, dry cough, emaciation, debility, lack of taste in mouth, indigestion, heaviness in the lower abdomen, obstructed flatus, constipation, retention of the urine, brown or reddish black discoloration of the nails, brown or reddish black discoloration of the conjunctiva, buccal mucosa, dermis, urine and fecal matter; abdominal wall possessing thin, blackish stretch lines and vessels, tympanic note on percussion similar to the sound produced on tapping air filled leather bag or bladder and upward, downward and lateral painful movement of vāta with gurgling sound within the abdomen [25].

 

Etiology of pittodara:

The symptoms of vātodara include distension of abdomen, edema of the hands, legs and scrotum, splitting type of pain in abdomen, undue increase and decrease of abdominal distension, abdominal pain, pain in the sides of the abdomen, abnormal upward course of vāta within abdomen, body ache, pain in phalangeal joints, dry cough, emaciation, debility, lack of taste in mouth, indigestion, heaviness in the lower abdomen, obstructed flatus, constipation, retention of the urine, brown or reddish black discoloration of the nails, brown or reddish black discoloration of the conjunctiva, buccal mucosa, dermis, urine and fecal matter; abdominal wall possessing thin, blackish stretch lines and vessels, tympanic note on percussion similar to the sound produced on tapping air filled leather bag or bladder and upward, downward and lateral painful movement of vāta with gurgling sound within the abdomen [25]

 

==== Etiology of ''pittodara'' ====

 

कट्वम्ललवणात्युष्णतीक्ष्णाग्न्यातपसेवनैः|  

कट्वम्ललवणात्युष्णतीक्ष्णाग्न्यातपसेवनैः|  

विदाह्यध्यशनाजीर्णैश्चाशु पित्तं समाचितम्||२६||  

विदाह्यध्यशनाजीर्णैश्चाशु पित्तं समाचितम्||२६||