Abstract

AN AYURVEDIC APPROACH IN THE MANAGEMENT OF JALODARA (ASCITES): A CASE STUDY

Pooja Giri*, Sachin Chandaliya and Samir Girde

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Abstract

Ascites is the consequence of chronic liver failure. In modern point of view, Ascites can be compared with Udara. Ascites in cirrhotic patients is produced by a complicated sequence of pathophysiological processes, including portal hypertension and increasing vascular dysfunction. Generalized abdominal distension is the presenting feature in all type of Udara. The ultimate outcome of all Udara roga is Jalodara (Ascites). Mandagni is the main cause of Udara roga. Dietary restriction is a key component of this condition's treatment. Long standing mandagni, ajirna are the causes behind it. Vitiated Vata plays an important role in etiology. This causes vitiation of Prana, Agni & Apana and obstruction of the upward and downward channels of circulation. A case study of a 54-year-old male patient having complaints of abdominal distensions, inverted umbilicus, edema on both lower extremities, breathlessness on walking and climbing stairs, decrease frequency of micturition, anorexia, constipation, liver cirrhosis etc. He was taking modern medications and undergoes Ascites fluid tapping 4000ml approximately for 2 times before admission to Panchakarma IPD. He was administered Nitya Virechana (daily therapeutic purgation) with Ichhabhedi rasa with Indravaruni + Nishottar + Triphala Kashaya. Gomutra pana, Punarnava Kashaya, Pippalyasava were given along with tablet dytor plus and lasilactone. Also Vardhaman pipali rasayan was added to promote the rejuvenation of liver. A strict diet of Dugdhapan was followed. Patient was hospitalized for 54 days. After 15 Days of treatment marked improvement in patient's symptoms are observed. Significant improvement was noted in ultrasonographical findings of ascites fluid and Liver function test. Ayurvedic treatment is helpful in giving significant relief in signs and symptoms of Ascites.

Keywords: Udara, Abdominal distension, Ayurvedic management.