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'''E) Purification therapy (shodhana):'''<p style="text-align:justify;">When the disease is chronic and relief is not observed even by adopting above measures, then purification (shodhana) by non-unctuous enema (niruha basti) or purgation (virechana) is advised.</p>
'''E) Purification therapy (shodhana):'''<p style="text-align:justify;">When the disease is chronic and relief is not observed even by adopting above measures, then purification (shodhana) by non-unctuous enema (niruha basti) or purgation (virechana) is advised.</p>
'''F) Pathya ahara kalpana (wholesome diet):'''<p style="text-align:justify;">Intake of wholesome diet (pathya ahara) which helps in normal downward movement (anulomana) of apana vata whereas, intake of unwholesome diet (apathya ahara) should be avoided for better recovery. Generally, in all types of udavarta all measures for controlling vata should be adopted in order to restore it to its normal channels (srotasa). [Su. Sa. Uttara Sthana 55/ 19]</p>
'''F) Pathya ahara kalpana (wholesome diet):'''<p style="text-align:justify;">Intake of wholesome diet (pathya ahara) which helps in normal downward movement (anulomana) of apana vata whereas, intake of unwholesome diet (apathya ahara) should be avoided for better recovery. Generally, in all types of udavarta all measures for controlling vata should be adopted in order to restore it to its normal channels (srotasa). [Su. Sa. Uttara Sthana 55/ 19]</p>
<p style="text-align:justify;">Complications of udavarta, flatulence (adhmana) and other diseases should be managed with respective measures according to condition. [Su. Sa. Uttara Sthana 55/34-35] For example when vayu in abdomen (koshtha) is aggravated by rough, pungent, bitter and astringent food, it immediately produces udavarta owing to which the channels (srotasa) carrying flatus, feces, urine, blood, kapha and adipose tissue (medas), move in upward direction and harden the feces too much. This results in manifestation of symptoms such as pain in cardiac and pelvic region, heaviness, anorexia, passing of urine, flatus and feces with difficulty. The person gets afflicted with many other disorders caused by aggravation of vata such as dyspnoea, (shwasa), cough (kasa), hiccoup (hikka), thirst (trishna), coryza (pratishyaya), burning sensation (daha), mental confusion (moha), vomiting (chhardi), fever (jwara), diseases of head and abnormalities of mind and ears. [Su. Sa. Uttara Sthana 55/2] </p>
<p style="text-align:justify;">One should advise non-unctuous enema (niruha basti) after the patient is massaged with oil mixed with salt and sudation; then after feces are eliminated, he should be advised to take food followed by administration of unctuous enema (anuvasana basti) according to the dosha involvement. If by above procedures, still no relief found then in severe cases of udavarta, patient is advised to undergo repeated unction therapy (snehana) and fomentation therapy (swedana) and then undergo unctuous purgation (snigdha virechana). [Su. Sa. Uttara Sthana 55/40-41]</p>
===Different treatments of udavarta===
<p style="text-align:justify;">1) Saturating drink (mantha) prepared with sugarcane product (phanita), roasted grain flour (saktu), ghee, curd water and vinegar (amla kanji) alleviate udavarta. [Cha. Sa. Sutra Sthana 23/37]</p>
<p style="text-align:justify;">2) 96 gm (2 pala) of dehusked tila (Sesamum indicum Linn.), 48 gm (1 pala) of jaggery and 24 gm (half pala) of nagara (Zingiber officinale) should be made into a paste and taken along with hot milk helps in udavarta. [Cha. Sa. Chikitsa Sthana 5/91-92] </p>
<p style="text-align:justify;">3) Milk cooked with Allum sativum (Lashuna kshirapaka): Garlic cooked with milk by adding water and reducing to the quantity of milk, cures udavarta immediately [Cha. Sa. Chikitsa Sthana 5/94] </p>
<p style="text-align:justify;">4) Alkali prepared from pippali (Piper longum) and other ingredients (Pippalyadi kshara) used in udavarta [Cha. Sa. Chikitsa Sthana 13/159-161] </p>