Changes

स्निग्धं स्विन्नं विशुद्धं तु कफोदरिणमातुरम्|  

स्निग्धं स्विन्नं विशुद्धं तु कफोदरिणमातुरम्|  

संसर्जयेत् कटुक्षारयुक्तैरन्नैः कफापहैः||७२||  

संसर्जयेत् कटुक्षारयुक्तैरन्नैः कफापहैः||७२||  

snigdhaṁ svinnaṁ viśuddhaṁ tu kaphōdariṇamāturam|  

snigdhaṁ svinnaṁ viśuddhaṁ tu kaphōdariṇamāturam|  

saṁsarjayēt kaṭukṣārayuktairannaiḥ kaphāpahaiḥ||72||  

saṁsarjayēt kaṭukṣārayuktairannaiḥ kaphāpahaiḥ||72||  

snigdhaM svinnaM vishuddhaM tu kaphodariNamAturam|  

snigdhaM svinnaM vishuddhaM tu kaphodariNamAturam|  

saMsarjayet kaTukShArayuktairannaiH kaphApahaiH||72||

saMsarjayet kaTukShArayuktairannaiH kaphApahaiH||72||

In patients suffering from kaphodara, shodhana (eliminative therapy) is done after preparing with oleation and sudation. In samsarjana krama (gradual diet schedule) pungent, kshāra and anti kapha diet is prescribed [72].

In patients suffering from ''kaphodara, shodhana'' (eliminative therapy) is done after preparing with oleation and sudation. In ''samsarjana krama'' (gradual diet schedule) pungent, ''kshara'' and ''anti-kapha'' diet is prescribed [72].

गोमूत्रारिष्टपानैश्च चूर्णायस्कृतिभिस्तथा|  

गोमूत्रारिष्टपानैश्च चूर्णायस्कृतिभिस्तथा|  

सक्षारैस्तैलपानैश्च शमयेत्तु कफोदरम्||७३||

सक्षारैस्तैलपानैश्च शमयेत्तु कफोदरम्||७३||

gōmūtrāriṣṭapānaiśca cūrṇāyaskr̥tibhistathā|  

gōmūtrāriṣṭapānaiśca cūrṇāyaskr̥tibhistathā|  

sakṣāraistailapānaiśca śamayēttu kaphōdaram||73||

sakṣāraistailapānaiśca śamayēttu kaphōdaram||73||

gomUtrAriShTapAnaishca cUrNAyaskRutibhistathA|  

gomUtrAriShTapAnaishca cUrNAyaskRutibhistathA|  

sakShAraistailapAnaishca shamayettu kaphodaram||73||

sakShAraistailapAnaishca shamayettu kaphodaram||73||

Shamana (palliative) treatment is done in kaphodara by oral intake of gomutra (cow’s urine), arishta (fermented decoctions), drug powder, ayaskriti (medically processed iron) and sesame oil added with kshāra (alkali obtained from ash of herbs) [73].

 

Treatment of sannipātodara:

''Shamana'' (palliative) treatment is done in ''kaphodara'' by oral intake of ''gomutra'' (cow’s urine), ''arishta'' (fermented decoctions), drug powder, ''ayaskriti'' (medically processed iron) and sesame oil added with ''kshara'' (alkali obtained from ash of herbs) [73].

 

==== Treatment of ''sannipatodara'' ====

 

सन्निपातोदरे सर्वा यथोक्ताः कारयेत् क्रियाः|  

सन्निपातोदरे सर्वा यथोक्ताः कारयेत् क्रियाः|  

सोपद्रवं तु निर्वृत्तं प्रत्याख्येयं विजानता|७४|

सोपद्रवं तु निर्वृत्तं प्रत्याख्येयं विजानता|७४|

sannipātōdarē sarvā yathōktāḥ kārayēt kriyāḥ|  

sannipātōdarē sarvā yathōktāḥ kārayēt kriyāḥ|  

sōpadravaṁ tu nirvr̥ttaṁ pratyākhyēyaṁ vijānatā|74|

sōpadravaṁ tu nirvr̥ttaṁ pratyākhyēyaṁ vijānatā|74|

sannipAtodare sarvA yathoktAH kArayet kriyAH|  

sannipAtodare sarvA yathoktAH kArayet kriyAH|  

sopadravaM tu nirvRuttaM pratyAkhyeyaM vijAnatA|74|

sopadravaM tu nirvRuttaM pratyAkhyeyaM vijAnatA|74|

Sannipatodara should be treated by the combination of treatment mentioned for doshaja udara depending upon the requirement [74].

 

If the patient presents with all the complications of udara   then the physician should avoid treating such patients considering it as pratyakhyeya (near to death)-[74].

''Sannipatodara'' should be treated by the combination of treatment mentioned for ''doshaja udara'' depending upon the requirement [74].

Predominent symptoms of dosha in plihodara (splenomegaly):

 

If the patient presents with all the complications of ''udara'' then the physician should avoid treating such patients considering it as ''pratyakhyeya'' (near death) [74].

 

==== Predominant symptoms of ''dosha'' in ''plihodara'' (splenomegaly) ====

 

उदावर्तरुजानाहैर्दाहमोहतृषाज्वरैः|  

उदावर्तरुजानाहैर्दाहमोहतृषाज्वरैः|  

गौरवारुचिकाठिन्यैश्चानिलादीन् यथाक्रमम्||७५||  

गौरवारुचिकाठिन्यैश्चानिलादीन् यथाक्रमम्||७५||  

लिङ्गैः प्लीह्न्यधिकान् [१] दृष्ट्वा रक्तं चापि स्वलक्षणैः|  

लिङ्गैः प्लीह्न्यधिकान् [१] दृष्ट्वा रक्तं चापि स्वलक्षणैः|  

चिकित्सां सम्प्रकुर्वीत यथादोषं यथाबलम्||७६||  

चिकित्सां सम्प्रकुर्वीत यथादोषं यथाबलम्||७६||  

udāvartarujānāhairdāhamōhatr̥ṣājvaraiḥ|  

udāvartarujānāhairdāhamōhatr̥ṣājvaraiḥ|  

gauravārucikāṭhinyaiścānilādīn yathākramam||75||  

gauravārucikāṭhinyaiścānilādīn yathākramam||75||  

liṅgaiḥ plīhnyadhikān [1] dr̥ṣṭvā raktaṁ cāpi svalakṣaṇaiḥ|  

liṅgaiḥ plīhnyadhikān [1] dr̥ṣṭvā raktaṁ cāpi svalakṣaṇaiḥ|  

cikitsāṁ samprakurvīta yathādōṣaṁ yathābalam||76||  

cikitsāṁ samprakurvīta yathādōṣaṁ yathābalam||76||  

udAvartarujAnAhairdAhamohatRuShAjvaraiH|  

udAvartarujAnAhairdAhamohatRuShAjvaraiH|  

gauravArucikAThinyaishcAnilAdIn yathAkramam||75||  

gauravArucikAThinyaishcAnilAdIn yathAkramam||75||  

li~ggaiH plIhnyadhikAn [1] dRuShTvA raktaM cApi svalakShaNaiH|  

li~ggaiH plIhnyadhikAn [1] dRuShTvA raktaM cApi svalakShaNaiH|  

cikitsAM samprakurvIta yathAdoShaM yathAbalam||76||  

cikitsAM samprakurvIta yathAdoShaM yathAbalam||76||  

Association of symptoms like udāvarta (anti peristalsis), abdominal pain and flatulence indicate dominance of vāta in the plihodara. Symptoms like burning sensation, delirious state, excessive thirst and fever suggests dominance of pitta. Predominance of kapha is judged by the symptoms like heaviness, lack of taste in the mouth and hardness of the abdomen. Presence of symptoms indicative of morbidity of rakta as mentioned in Vidhishonitiya chapter point towards the dominance of morbid rakta in the pathogenesis of plihodara. Hence, plihodara should be treated according to the dominance of dosha involved [75-76].

Association of symptoms like ''udavarta'' (anti peristalsis), abdominal pain and flatulence indicate dominance of ''vata'' in the ''plihodara''. Symptoms like burning sensation, delirious state, excessive thirst and fever suggests dominance of ''pitta''.  

Treatment of plihodara:

 

Predominance of ''kapha'' is judged by the symptoms like heaviness, lack of taste in the mouth and hardness of the abdomen. Presence of symptoms indicative of morbidity of ''rakta'' as mentioned in [[Vidhishonitiya]] point towards the dominance of morbid ''rakta'' in the pathogenesis of ''plihodara''. Hence, ''plihodara'' should be treated according to the dominance of ''dosha'' involved [75-76].

 

==== Treatment of ''plihodara'' ====

 

स्नेहं स्वेदं विरेकं च निरूहमनुवासनम्|  

स्नेहं स्वेदं विरेकं च निरूहमनुवासनम्|  

समीक्ष्य कारयेद्बाहौ वामे वा व्यधयेत् सिराम्||७७||

समीक्ष्य कारयेद्बाहौ वामे वा व्यधयेत् सिराम्||७७||