Changes

In this pathogenesis, the morbidity of ''pitta'' is most predominant than that of ''vata'' and ''kapha''. It is worth mentioning here that suppression of the ''agni'' in this context implies the suppression of ''dhatvagni''<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> [27].

In this pathogenesis, the morbidity of ''pitta'' is most predominant than that of ''vata'' and ''kapha''. It is worth mentioning here that suppression of the ''agni'' in this context implies the suppression of ''dhatvagni''<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> [27].

The primary peritonitis caused by pyogenic gram positive bacteria like streptococci, and pneumococci matches with the symptom of ''pittaja udara''. Acute presentation of the illness with rapid progression into prominently exudative ascites justifies the contention of ''pittodara''. Microbiology study of ascitic fluid will reveal pathogens and will clinch the diagnosis<ref>Anthony S. Fauci, et al Editor. Harrison’s princnciples of internal medicine. 17th edition. New York. McGraw-Hills. 2008. p 2739.Pg no 1912</ref>.[28]

The primary peritonitis caused by pyogenic gram positive bacteria like streptococci, and pneumococci matches with the symptom of ''pittaja udara''. Acute presentation of the illness with rapid progression into prominently exudative ascites justifies the contention of ''pittodara''. Microbiology study of ascitic fluid will reveal pathogens and will clinch the diagnosis<ref name="ref21" />[28]

==== ''Kaphodara'' ====

==== ''Kaphodara'' ====