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→General causes of endogenous swellings
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Nija shotha i.e. endogenous swelling could be caused due to any of the following factors:
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#'''Iatrogenic factors''': Improper administration of ''snehana'' (oleation), ''swedana'' (sudation), ''vamana'' (therapeutic emesis), ''virechana'' (therapeutic purgation), ''asthapana basti'' (non-unctuous enema), ''anuvasana basti'' (unctuous enema), ''shirovirechana'' (nasal errhines) and/or ''samsarjana krama'' (dietetic regimen after purification therapy).
#'''Iatrogenic factors''': Improper administration of [[snehana]](oleation), [[swedana]](sudation), [[vamana]](therapeutic emesis), [[virechana]](therapeutic purgation), asthapana [[basti]] (non-unctuous enema), anuvasana [[basti]](unctuous enema), shirovirechana(nasal errhines) and/or samsarjana krama(dietetic regimen after purification therapy).
#'''Complication of other diseases''': It can also result as complication of ''chhardi'' (vomiting), ''alasaka'' (delayed and obstructive digestive process), ''visuchika'' (cholera), ''shwasa'' (dyspnoea), ''kasa'' (cough), ''atisara'' (diarrhea), ''shosha'' (tuberculosis or pthysis ), ''pandu roga'' (anemia), ''udara roga'' (abdominal diseases including ascitis), ''jwara'' (pyrexia), ''pradara'' (excessive vaginal discharge), ''bhagandara'' (fistula-in-ano), ''arsha'' (piles) excessive emaciation, skin disorders, worm infestation, ''pidika'' (boils) etc.
#'''Complication of other diseases''': It can also result as complication of ''chhardi'' (vomiting), ''alasaka'' (delayed and obstructive digestive process), ''visuchika'' (cholera), ''shwasa'' (dyspnoea), ''kasa'' (cough), ''atisara'' (diarrhea), ''shosha'' (tuberculosis or pthysis ), ''pandu roga'' (anemia), ''udara roga'' (abdominal diseases including ascitis), ''jwara'' (pyrexia), ''pradara'' (excessive vaginal discharge), ''bhagandara'' (fistula-in-ano), ''arsha'' (piles) excessive emaciation, skin disorders, worm infestation, ''pidika'' (boils) etc.
#'''Lifestyle''': It may be due to suppression of natural urges like vomiting, sneezing, belching, ejaculation, flatus, micturition, defecation, excessive weakness caused by therapeutic purification procedures, chronic diseases, fasting, and excessive walking.
#'''Lifestyle''': It may be due to suppression of natural urges like vomiting, sneezing, belching, ejaculation, flatus, micturition, defecation, excessive weakness caused by therapeutic purification procedures, chronic diseases, fasting, and excessive walking.