Changes

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

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

''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>.

''Dushyodara'' is another name of ''sannipatodara''. This is not the ninth type of ''udara'' and the total number of ''udara'' remains eight<ref>Sushruta, sushruta samhita with nabandha sangraha commentary by dhallahana, edited by yadavaji trikamji , nirnaya sagar press, 1915, p 711, pg no 236</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 ''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>.

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>Madhavakara, Madhavanidham with Madhukosha Sanskrit comantary of Vijayarakshitha and Shrikantadutta, edited by vaidya yadavaji trikamji, Pandurang jawaji, nirnayasagar press, Page no. 495 with page 269</ref>.

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 ''sannipatodara''. Even enemies may practice adulterating the food with poison treated substances. Unknowingly, consuming such food also leads to the ''sannipatodara''<ref>Sushruta, sushruta samhita with nabandha sangraha commentary by dhallahana, edited by yadavaji trikamji , nirnaya sagar press, 1915, p 711, pg no 236</ref>.

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 ''sannipatodara''. Even enemies may practice adulterating the food with poison treated substances. Unknowingly, consuming such food also leads to the ''sannipatodara''<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>.

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 ''sannipatodara''<ref>Madhavakara, Madhavanidham with Madhukosha Sanskrit comantary of Vijayarakshitha and Shrikantadutta, edited by vaidya yadavaji trikamji, Pandurang jawaji, nirnayasagar press, Page no. 495 with page 269</ref> [32].

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 ''sannipatodara''<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> [32].

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].

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 name="ref21" />[33-34].

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

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