Changes

Peritoneal tuberculosis is comparable to ''kaphodara''. Chronic perpetuation of the illness with the co-morbidity of the respiratory illness justifies the same. Infection of peritoneum with Mycobacterium tuberculosis also causes peritonitis. Fever, anorexia, weakness, malaise, and weight loss are the initial constitutional manifestations. Abdominal distention then develops either because of partial intestinal obstruction or ascites. Doughy abdomen is regarded as most classic sign of tubercular peritonitis. In most of the cases it is possible to detect the primary focus of infection in the lungs. Abdominal tenderness associates the abdominal pain. Analysis of ascitic fluid confirms exudative ascites.<ref>Agnivesha. [[Charaka Samhita]], elaborated by Charaka & Dridabala with Ayurveda Deepika commentary by Chakrapani Datta, Vaidya Jadavaji Trikamji ed., 2009 Edition, Varanasi , Chaukhambha Orientalia, Pp 738, Pg no 492</ref>[31]

Peritoneal tuberculosis is comparable to ''kaphodara''. Chronic perpetuation of the illness with the co-morbidity of the respiratory illness justifies the same. Infection of peritoneum with Mycobacterium tuberculosis also causes peritonitis. Fever, anorexia, weakness, malaise, and weight loss are the initial constitutional manifestations. Abdominal distention then develops either because of partial intestinal obstruction or ascites. Doughy abdomen is regarded as most classic sign of tubercular peritonitis. In most of the cases it is possible to detect the primary focus of infection in the lungs. Abdominal tenderness associates the abdominal pain. Analysis of ascitic fluid confirms exudative ascites.<ref>Agnivesha. [[Charaka Samhita]], elaborated by Charaka & Dridabala with Ayurveda Deepika commentary by Chakrapani Datta, Vaidya Jadavaji Trikamji ed., 2009 Edition, Varanasi , Chaukhambha Orientalia, Pp 738, Pg no 492</ref>[31]

==== Sannipātodara ====

==== ''Sannipatodara'' ====

Dushyodara is another name of sannipātodara. This is not the ninth type of udara and the total number of udara remains eight23.

''Dushyodara'' is another name of ''sannipatodara''. This is not the ninth type of ''udara'' and the total number of ''udara'' remains eight<ref>Anthony S. Fauci, et al Editor. Harrison’s principles of internal medicine. 17th edition. New York. McGraw-Hills. 2008. p 2739.Pg no 1912</ref>.

Literally the term dushya refers to the pathology of affliction. Since the illness occurs due to the affliction of rakta; it is termed as dushyodara. Or else, the mutual affliction of dosha is characteristic of sannipātodara hence is termed as dushyodara24.

Wicked ladies with an intention of subjugating male partners or winning love, likely to offer food mixed with poison treated substances like menstrual blood, body dirt, hair, excreta, urine bone and nails. Person unaware of the mischief of ladies likely to consume the adulterated food offered by them and suffer from sannipātodara. Even enemies may practice adulterating the food with poison treated substances. Unknowingly, consuming such food also leads to the sannipātodara25.

Probably the slow poisoning is attempted by the enemies. The poisons having reduced potency due to the act of environmental factors is known as dushivisha. The enemies may contaminate the food with such dushivisha. Person consuming such contaminated food suffers from sannipātodara26 [32].

Literally the term ''dushya'' refers to the pathology of affliction. Since the illness occurs due to the affliction of ''rakta''; it is termed as ''dushyodara''. Or else, the mutual affliction of ''dosha'' is characteristic of ''sannipatodara'' hence is termed as ''dushyodara''<ref>Anthony S. Fauci, et al Editor. Harrison’s principles of internal medicine. 17th edition. New York. McGraw-Hills. 2008. p 2739.Pg no 1912</ref>.

Intra abdominal malignancy spreading into the peritoneum causes malignant ascites. Usually it is the endometrial, colonic, gastric and pancreatic carcinoma, which may progress into peritoneal carcinomatosis. Even extra gastro intestinal malignancies like carcinoma of the breast, melanoma and lung carcinoma can cause peritoneal spread. Characteristically ascites happens in this condition in the absence of portal hypertension, tuberculosis, or right heart failure. Diagnostic paracentesis is confirmatory in this condition. More to add, the development of malignant ascites is always indicator of poor prognosis. This peritoneal carcinomatosis presenting with plethora of symptoms that matches with the symptoms pathognomonic of morbid vāta, pitta and kapha dosha, and its prognosis substantiates the consideration of sannipātodara in such cases27 [33-34].

 

 

Intra-abdominal malignancy spreading into the peritoneum causes malignant ascites. Usually it is the endometrial, colonic, gastric and pancreatic carcinoma, which may progress into peritoneal carcinomatosis. Even extra gastro intestinal malignancies like carcinoma of the breast, melanoma and lung carcinoma can cause peritoneal spread. Characteristically ascites happens in this condition in the absence of portal hypertension, tuberculosis, or right heart failure. Diagnostic paracentesis is confirmatory in this condition. More to add, the development of malignant ascites is always indicator of poor prognosis. This peritoneal carcinomatosis presenting with plethora of symptoms that matches with the symptoms pathognomonic of morbid ''vata, pitta'' and ''kapha dosha'', and its prognosis substantiates the consideration of ''sannipatodara'' in such cases<ref>Agnivesha. Charaka Samhita, elaborated by Charaka & Dridabala with Jalpakalpataru commentary by gangadhara, 3rd part, kaviraja shri narendranathasen gupta; kaviraja shri balayichandrasen gupta, ed., 1st Edition, Culcutta, C.K.Sen and company ltd, Pp3828, Pg no. 2820</ref> [33-34].

==== ''Plihodara'' and ''Yakritodara'' ====

==== ''Plihodara'' and ''Yakritodara'' ====