Changes

If patient suffering from ''udara'' does not respond to usual treatment due to morbidity of three ''dosha'', then the physician should inform the critical state to the relative of the patient and start treating with venom of cobra after obtaining consent from the patients friends, spouse, brahmins, king as well as teacher. The physician should win the confidence of these people after clearly stating that the patient will not survive if the treatment with venom is not made, and patient may survive if this treatment is done. After obtaining the consent, the physician should mix the venom in food and drink and administer it to the patient.  

If patient suffering from ''udara'' does not respond to usual treatment due to morbidity of three ''dosha'', then the physician should inform the critical state to the relative of the patient and start treating with venom of cobra after obtaining consent from the patients friends, spouse, brahmins, king as well as teacher. The physician should win the confidence of these people after clearly stating that the patient will not survive if the treatment with venom is not made, and patient may survive if this treatment is done. After obtaining the consent, the physician should mix the venom in food and drink and administer it to the patient.  

Alternatively the angry serpent is made to release the venom while biting the fruit. Patient is allowed to consume this venomous fruit after proper analysis by the physician. This treatment immediately liquefies the infiltrating displaced morbid ''dosha'' by virtue of its ''pramathi'' (clearing the channels adhered with ''dosha'') property and eliminates from the body. Once the ''dosha'' is cleared from the body by the action of venom patient is treated with cold water ''parishechana'' (pouring of medicated liquids on body parts). Depending upon the physical strength, the patient is allowed to drink milk or yavāgu (rice gruel). The food prepared from leafy vegetables that include trivrit (Operculina turpethum) mandukaparni (Centella asiatica), yava  (Hordeum vulgare), vāstuka (Chenopodium murale) and kālashāka (Corchorus capsularis) processed with juice of same leafy vegitables should be given to the patient but without adding amla (sour), lavana (salty) and sneha (unctuous substance). This food may be served with or without steaming and during this food rice is avoided. This regimen should be continued for one month. During this course if the patient is thirsty then the juice extracted from these leafy vegetables should be given to the patient. By this method once in one month all the morbid dosha is cleared from the body and the patient is advised to drink milk to improve the physical strength [175-184]

Alternatively the angry serpent is made to release the venom while biting the fruit. Patient is allowed to consume this venomous fruit after proper analysis by the physician. This treatment immediately liquefies the infiltrating displaced morbid ''dosha'' by virtue of its ''pramathi'' (clearing the channels adhered with ''dosha'') property and eliminates from the body. Once the ''dosha'' is cleared from the body by the action of venom patient is treated with cold water ''parishechana'' (pouring of medicated liquids on body parts). Depending upon the physical strength, the patient is allowed to drink milk or yavāgu (rice gruel). The food prepared from leafy vegetables that include ''trivrita'' (Operculina turpethum), ''mandukaparni'' (Centella asiatica), ''yava'' (Hordeum vulgare), ''vastuka'' (Chenopodium murale) and ''kalashaka'' (Corchorus capsularis) processed with juice of same leafy vegetables should be given to the patient but without adding ''amla'' (sour), ''lavana'' (salty) and ''sneha'' (unctuous substance). This food may be served with or without steaming and during this food rice is avoided. This regimen should be continued for one month. During this course if the patient is thirsty then the juice extracted from these leafy vegetables should be given to the patient. By this method once in one month all the morbid ''dosha'' is cleared from the body and the patient is advised to drink milk to improve the physical strength [175-184]

==== Surgical measures ====

==== Surgical measures ====