﻿{"id":3922,"date":"2022-12-01T15:54:42","date_gmt":"2022-12-01T10:24:42","guid":{"rendered":"https:\/\/ayurvedanetworkbhu.com\/?p=3922"},"modified":"2023-02-17T15:59:31","modified_gmt":"2023-02-17T10:29:31","slug":"lecture-note-prameha-and-diseases-of-udakavaha-srotas-part-7-by-prof-muralidhar-sharma","status":"publish","type":"post","link":"https:\/\/ayurvedanetworkbhu.com\/?p=3922","title":{"rendered":"Lecture Note: \u201dPrameha and Diseases of Udakavaha Srotas\u201d (Part-7) by-Prof. Muralidhar Sharma"},"content":{"rendered":"<h1 class=\"entry-title\" style=\"text-align: center;\"><strong><span style=\"color: #993366;\">Prameha and Diseases of Udakavaha Srotas<\/span><br \/>\n<\/strong>(Part-7)<\/h1>\n<p style=\"text-align: center;\"><strong>Prof. Muralidhar Sharma<br \/>\nbased on the lecture available at\u2013<\/strong><span style=\"color: #00ccff;\"><a style=\"color: #00ccff;\" href=\"https:\/\/ayurvedanetworkbhu.com\/lecture-on-prameha-and-diseases-of-udakavaha-srotas-by-dr-muralidhara-sharma\/\"><strong>Prameha and Diseases of Udakavaha Srota<\/strong>s<\/a><\/span><\/p>\n<h6 style=\"text-align: center;\"><span style=\"color: #ff9900;\"><strong><br \/>\n&#8220;\u0937\u094b\u092d\u093e\u0926\u094d\u092d\u092f\u093e\u091a\u094d\u091b\u094d\u0930\u092e\u093e\u0926\u092a\u093f \u0936\u094b\u0915\u093e\u0924\u094d\u0915\u094d\u0930\u094b\u0927\u093e\u0926\u094d\u0935\u093f\u0932\u0919\u094d\u0918\u0928\u093e\u0928\u094d\u092e\u0926\u094d\u092f\u093e\u0924\u094d|<br \/>\n<\/strong><\/span><span style=\"color: #ff9900;\"><strong>\u0915\u094d\u0937\u093e\u0930\u093e\u092e\u094d\u0932\u0932\u0935\u0923\u0915\u091f\u0941\u0915\u094b\u0937\u094d\u0923\u0930\u0942\u0915\u094d\u0937\u0936\u0941\u0937\u094d\u0915\u093e\u0928\u094d\u0928\u0938\u0947\u0935\u093e\u092d\u093f\u0903||<br \/>\n<\/strong><\/span><span style=\"color: #ff9900;\"><strong>\u0927\u093e\u0924\u0941\u0915\u094d\u0937\u092f\u0917\u0926\u0915\u0930\u094d\u0937\u0923\u0935\u092e\u0928\u093e\u0926\u094d\u092f\u0924\u093f\u092f\u094b\u0917\u0938\u0942\u0930\u094d\u092f\u0938\u0928\u094d\u0924\u093e\u092a\u0948\u0903|<br \/>\n<\/strong><\/span><span style=\"color: #ff9900;\"><strong>\u092a\u093f\u0924\u094d\u0924\u093e\u0928\u093f\u0932\u094c \u092a\u094d\u0930\u0935\u0943\u0926\u094d\u0927\u094c \u0938\u094c\u092e\u094d\u092f\u093e\u0928\u094d\u0927\u093e\u0924\u0942\u0902\u0936\u094d\u091a \u0936\u094b\u0937\u092f\u0924\u0903||<br \/>\n<\/strong><\/span><span style=\"color: #ff9900;\"><strong>\u0930\u0938\u0935\u093e\u0939\u093f\u0928\u0940\u0936\u094d\u091a \u0928\u093e\u0932\u0940\u0930\u094d\u091c\u093f\u0939\u094d\u0935\u093e\u092e\u0942\u0932\u0917\u0932\u0924\u093e\u0932\u0941\u0915\u0915\u094d\u0932\u094b\u092e\u094d\u0928\u0903l<br \/>\n<\/strong><\/span><span style=\"color: #ff9900;\"><strong>\u0938\u0902\u0936\u094b\u0937\u094d\u092f \u0928\u0943\u0923\u093e\u0902 \u0926\u0947\u0939\u0947 \u0915\u0941\u0930\u0941\u0924\u0938\u094d\u0924\u0943\u0937\u094d\u0923\u093e\u0902 \u092e\u0939\u093e\u092c\u0932\u093e\u0935\u0947\u0924\u094c|<br \/>\n<\/strong><\/span><span style=\"color: #ff9900;\"><strong>\u092a\u0940\u0924\u0902 \u092a\u0940\u0924\u0902 \u0939\u093f \u091c\u0932\u0902 \u0936\u094b\u0937\u092f\u0924\u0938\u094d\u0924\u093e\u0935\u0924\u094b \u0928 \u092f\u093e\u0924\u093f \u0936\u092e\u092e\u094d|<br \/>\n<\/strong><\/span><span style=\"color: #ffcc00;\"><strong><span style=\"color: #ff9900;\">\u0918\u094b\u0930\u0935\u094d\u092f\u093e\u0927\u093f\u0915\u0943\u0936\u093e\u0928\u093e\u0902 \u092a\u094d\u0930\u092d\u0935\u0924\u094d\u092f\u0941\u092a\u0938\u0930\u094d\u0917\u092d\u0942\u0924\u093e \u00a0\u0938\u093e||<br \/>\n<\/span><span style=\"color: #000000;\">Ch.Chi22\/4,5,6,7<\/span><\/strong><\/span><\/h6>\n<p style=\"text-align: justify;\">Trishna is considered to be disease of Udakvah srotas and its literal translation\u00a0 suggests thirst . Thirst is not a disease. When the word Trishna indicates thirst when translated as it is. Thrishna is not disease but when to consider it as disease and when to consider it as symptom is debating issue. I would just say that whenever there is a gross fluid and electrolyte imbalance,<\/p>\n<p style=\"text-align: justify;\">It is to be consider as Trishna Vyadhi.<\/p>\n<p style=\"text-align: justify;\"><strong>Vataja Trishna:<\/strong> <strong>Hyponatremia<\/strong><\/p>\n<p style=\"text-align: justify;\">\u0936\u0941\u0937\u094d\u0915\u093e\u0938\u094d\u092f\u0924\u093e \u092e\u093e\u0930\u0941\u0924\u0938\u092e\u094d\u092d\u0935\u093e\u092f\u093e\u0902 \u0924\u094b\u0926\u0938\u094d\u0924\u0925\u093e \u0936\u0919\u094d\u0916\u0936\u093f\u0930\u0903\u0938\u0941 \u00a0\u091a\u093e\u092a\u093f |<\/p>\n<p style=\"text-align: justify;\">\u0938\u094d\u0930\u094b\u0924\u094b\u0928\u093f\u0930\u094b\u0927\u094b \u0935\u093f\u0930\u0938\u0902 \u091a \u0935\u0915\u094d\u0924\u094d\u0930\u0902 \u0936\u0940\u0924\u093e\u092d\u093f\u0930\u0926\u094d\u092d\u093f\u0936\u094d\u091a \u0935\u093f\u0935\u0943\u0926\u094d\u0927\u093f\u092e\u0947\u0924\u093f ||Su. Ut 48\/8<\/p>\n<p style=\"text-align: justify;\">Signs described by Sushruta are exactly similar with signs of dehydration. Management of the dehydration is simply identification of the cause and of course providing water in the form of Sheet Panak or Manth or oral rehydration solution. Charka has suggested Prachardhan, but it is odd issue, it could be beneficial in very sever condition<\/p>\n<p style=\"text-align: justify;\">In a patient typical of that hypernatremia, there are certain conditions where patients requires prolonged treatment. Particularly in patients with renal abnormalities tend to develop hyponatremia. Incidence of the hypernatremia is increasing very rapidly these days. Since past five years I have come across patients of hyponatremia more than what I have seen in the past 35 years. I don&#8217;t know the reason. But many of the patients particularly patient who is admitted in the hospital with drowsy sensorium their serum electrolytes report suggests hypornatremia. When serum sodium falls below the 120mmol\/lit then it is difficult to manage it with oral medicine, it has to be managed with intravenous supplements. In the last five years I have given intravenous injections more than what I have been in the last 35 years. I don&#8217;t know the real reason but there is some dramatic change in the total presentation of chronic disorders. Any other a disease, any stroke patients or any other severely ill patient \u00a0is developing hypernatremia very significantly. But beyond that kind of hyponatremia of chronically ill patients, chronic adrenal deficiency patients developing hyponatremia, also called as Washer man syndrome. It is seen very occasionally but it can be managed with Raj Yapan Basti and Madiphal Rasayan.<\/p>\n<p style=\"text-align: justify;\">Madiphala Rasayana<\/p>\n<p style=\"text-align: justify;\">Rajayapana basti<\/p>\n<p style=\"text-align: justify;\">\u00a0That\u2019s the sequel of Vataprakopa and can be managed with Madiphala Rasayana and Rajayapana basti.\u00a0 There would be very few number of patients, but some of the other day they have to come to Ayurvedic treatment because there is no other satisfactory treatment elsewhere. Madiphala Rasayana is treatment of Kaphavritta Vata.<\/p>\n<p style=\"text-align: justify;\"><strong>Pittaja Trishna &#8211; Hypokalemia<\/strong><\/p>\n<p style=\"text-align: justify;\">\u092e\u0942\u0930\u094d\u091a\u094d\u091b\u093e\u092a\u094d\u0930\u0932\u093e\u092a\u093e\u0930\u0941\u091a\u093f\u0935\u0915\u094d\u0924\u094d\u0930\u0936\u094b\u0937\u093e\u0903 \u092a\u0940\u0924\u0947\u0915\u094d\u0937\u0923\u0924\u094d\u0935\u0902 \u092a\u094d\u0930\u0924\u0924\u0936\u094d\u091a \u0926\u093e\u0939\u0903 |<\/p>\n<p style=\"text-align: justify;\">\u0936\u0940\u0924\u093e\u092d\u093f\u0915\u093e\u0919\u094d\u0915\u094d\u0937\u093e \u092e\u0941\u0916\u0924\u093f\u0915\u094d\u0924\u0924\u093e \u091a \u092a\u093f\u0924\u094d\u0924\u093e\u0924\u094d\u092e\u093f\u0915\u093e\u092f\u093e\u0902 \u092a\u0930\u093f\u0927\u0942\u092a\u0928\u0902 \u091a ||Su.Ut 48\/9<\/p>\n<p style=\"text-align: justify;\">\u00a0 It has almost every feature of the hypokalemia. The potassium level being reduced being reduced is the exact clinical symptom of the Pittaja Trishna. When potassium levels reduced to critical level that is below 3, then it has to be replaced by potassium supplements. Potassium replacement is not very critical issue, need to give intravenously and can be replaced well with oral route. \u00a0So I don&#8217;t say that I have a good experience with Ayurveda formulations in cases of hypokalaemia. But certain of the patients who tend to have a persistent hypokalaemia along with the potassium when Sariva is given then it show some benefit. It is about the Rakta dushti lakshnas. It&#8217;s from that point of view.\u00a0 In Pittaja and Raktaja vyadhi \u2018Sariva\u2019 is better, Sariva show some resilience. In certain of patients even after providing potassium orally for sustained period, they tend to develop hypokalaemia. There are very few number of patients found in this category .In such cases Sarivadyasav along potassium supplements is useful.<\/p>\n<p style=\"text-align: justify;\">Otherwise in classical hypokalemia , oral supplements of potassium are cheap, easily available\u00a0 and\u00a0 easy to give orally.<\/p>\n<p style=\"text-align: justify;\"><strong>Kaphaja Trishna \u2013 Dehydration<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0915\u092b\u093e\u0935\u0943\u0924\u093e\u092d\u094d\u092f\u093e\u092e\u0928\u093f\u0932\u093e\u0928\u0932\u093e\u092d\u094d\u092f\u093e\u0902 \u0915\u092b\u094b\u093d\u092a\u093f \u0936\u0941\u0937\u094d\u0915\u0903 \u092a\u094d\u0930\u0915\u0930\u094b\u0924\u093f \u0924\u0943\u0937\u094d\u0923\u093e\u092e\u094d \u00a0<\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0928\u093f\u0926\u094d\u0930\u093e \u0917\u0941\u0930\u0941\u0924\u094d\u0935\u0902 \u092e\u0927\u0941\u0930\u093e\u0938\u094d\u092f\u0924\u093e \u091a \u0924\u092f\u093e\u093d\u0930\u094d\u0926\u093f\u0924\u0903 \u00a0\u0936\u0941\u0937\u094d\u092f\u0924\u093f \u091a\u093e\u0924\u093f\u092e\u093e\u0924\u094d\u0930\u092e\u094d <\/strong><strong>||<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0915\u0923\u094d\u0920\u094b\u092a\u0932\u0947\u092a\u094b \u092e\u0941\u0916\u092a\u093f\u091a\u094d\u091b\u093f\u0932\u0924\u094d\u0935\u0902 \u0936\u0940\u0924\u091c\u094d\u0935\u0930\u0936\u094d\u091b\u0930\u094d\u0926\u093f\u0930\u0930\u094b\u091a\u0915\u0936\u094d\u091a <\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0915\u092b\u093e\u0924\u094d\u092e\u093f\u0915\u093e\u092f\u093e\u0902 \u0917\u0941\u0930\u0941\u0917\u093e\u0924\u094d\u0930\u0924\u093e \u091a \u0936\u093e\u0916\u093e\u0938\u0941 \u0936\u094b\u092b\u0938\u094d\u0924\u094d\u0935\u0935\u093f\u092a\u093e\u0915 \u090f\u0935 <\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u090f\u0924\u093e\u0928\u093f \u0930\u0942\u092a\u093e\u0923\u093f \u092d\u0935\u0928\u094d\u0924\u093f \u0924\u0938\u094d\u092f\u093e\u0902 \u0924\u092f\u093e\u093d\u0930\u094d\u0926\u093f\u0924\u0903 \u0915\u093e\u0919\u094d\u0915\u094d\u0937\u0924\u093f \u0928\u093e\u0924\u093f \u091a\u093e\u092e\u094d\u092d\u0903 <\/strong><strong>||Su.ut 48\/10,11<\/strong><\/p>\n<p style=\"text-align: justify;\">There is not much of a complex issue of the treatment, not as complex as mentioned in our samhita and comparatively the whole treatment is simpler. Occasionally you may have to use intravenous \u00a0\u00a0fluids also.<\/p>\n<p style=\"text-align: justify;\"><strong>\u00a0<\/strong><strong>Udara<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0930\u0941\u0926\u094d\u0927\u094d\u0935\u093e \u0938\u094d\u0935\u0947\u0926\u093e\u092e\u094d\u092c\u0941\u0935\u093e\u0939\u0940\u0928\u093f \u0926\u094b\u0937\u093e\u0903 \u0938\u094d\u0930\u094b\u0924\u093e\u0902\u0938\u093f \u0938\u091e\u094d\u091a\u093f\u0924\u093e\u0903<\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u092a\u094d\u0930\u093e\u0923\u093e\u0917\u094d\u0928\u094d\u092f\u092a\u093e\u0928\u093e\u0928\u094d \u0938\u0928\u094d\u0926\u0942\u0937\u094d\u092f \u091c\u0928\u092f\u0928\u094d\u0924\u094d\u092f\u0941\u0926\u0930\u0902 \u0928\u0943\u0923\u093e\u092e\u094d<\/strong><strong>||<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0915\u0941\u0915\u094d\u0937\u0947\u0930\u093e\u0927\u094d\u092e\u093e\u0928\u092e\u093e\u091f\u094b\u092a\u0903 \u0936\u094b\u092b\u0903 \u092a\u093e\u0926\u0915\u0930\u0938\u094d\u092f \u091a<\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u092e\u0928\u094d\u0926\u094b\u093d\u0917\u094d\u0928\u093f\u0903 \u0936\u094d\u0932\u0915\u094d\u0937\u094d\u0923\u0917\u0923\u094d\u0921\u0924\u094d\u0935\u0902 \u0915\u093e\u0930\u094d\u0936\u094d\u092f\u0902 \u091a\u094b\u0926\u0930\u0932\u0915\u094d\u0937\u0923\u092e\u094d<\/strong><strong>||<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u092a\u0943\u0925\u0917\u094d\u0926\u094b\u0937\u0948\u0903 \u0938\u092e\u0938\u094d\u0924\u0948\u0936\u094d\u091a \u092a\u094d\u0932\u0940\u0939\u092c\u0926\u094d\u0927\u0915\u094d\u0937\u0924\u094b\u0926\u0915\u0948\u0903<\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0938\u092e\u094d\u092d\u0935\u0928\u094d\u0924\u094d\u092f\u0941\u0926\u0930\u093e\u0923\u094d\u092f\u0937\u094d\u091f\u094c \u0924\u0947\u0937\u093e\u0902 \u0932\u093f\u0919\u094d\u0917\u0902 \u092a\u0943\u0925\u0915\u094d \u0936\u0943\u0923\u0941<\/strong><strong>|| Ch.chi13 \/20,21,22<\/strong><\/p>\n<p style=\"text-align: justify;\">Basically Ambuvaha Srotas is involved in development Udara. Among all abdominal Udaras it\u2019s mainly the Jalodara where Udakvah srotas is involved.<\/p>\n<p style=\"text-align: justify;\"><strong>Vataja Udara \u2013 Intestinal colic<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0938\u0919\u094d\u0917\u0943\u0939\u094d\u092f \u092a\u093e\u0930\u094d\u0936\u094d\u0935\u094b\u0926\u0930\u092a\u0943\u0937\u094d\u0920\u0928\u093e\u092d\u0940\u0930\u094d\u092f\u0926\u094d\u0935\u0930\u094d\u0927\u0924\u0947 \u0915\u0943\u0937\u094d\u0923\u0938\u093f\u0930\u093e\u0935\u0928\u0926\u094d\u0927\u092e\u094d <\/strong><strong>||<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0938\u0936\u0942\u0932\u092e\u093e\u0928\u093e\u0939\u0935\u0926\u0941\u0917\u094d\u0930\u0936\u092c\u094d\u0926\u0902 \u0938\u0924\u094b\u0926\u092d\u0947\u0926\u0902 \u092a\u0935\u0928\u093e\u0924\u094d\u092e\u0915\u0902 \u0924\u0924\u094d <\/strong><strong>|Su. Ni 7\/8,9<\/strong><\/p>\n<p style=\"text-align: justify;\">It is basically about unspecified abdominal pain. Unspecified pain is standard clinical diagnosis which is accepted by international code of diagnosis, ICD 10 \u2013R10.9. One of the standard diagnosis is unspecific abdominal pain which is quite common and it&#8217;s like it could be around 30% in Children and 10% in adults. \u00a0Vataja Udar is not undiagnosed condition. It&#8217;s often considered abdomen as Pandora&#8217;s Box. Even after all the investigations, you&#8217;ll have plenty of patients where abdominal pain is persistent but the real causes not known. \u00a0Many times it is considered as psychosomatic and so on. But there are certain conditions where causes are not found and need to have a symptomatic treatment. In such condition my treatment would be Nabhi vati, Jeerkadyarishta with Ajamodarka. Any unspecified abdominal pain is to be considered as Vataja Udar, only when all the other possibilities of abdominal pain are ruled out. \u00a0Once a specific condition is idedentified\u00a0 , naturally treatment would be different.<\/p>\n<p style=\"text-align: justify;\"><strong>Treatment Of Vataja Udara<\/strong> \u2013 Nabhi vati<\/p>\n<p style=\"text-align: justify;\">Jeerkadyarishta + Ajamodarka<\/p>\n<p style=\"text-align: justify;\"><strong>Key points<\/strong>:<\/p>\n<ul style=\"text-align: justify;\">\n<li>ICD 10 \u2013R10.9 Unspecified abdominal pain<\/li>\n<li>Incidence -30 % in children,10% in adults<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">(Incidence of non-specific abdominal pain in children during school term: population survey based on discharge diagnoses Nigel Williams, Di Jackson, Paul C Lambert, J Michael Johnstone BMJ. 1999 May 29; 318(7196): 1455)<\/p>\n<p style=\"text-align: justify;\"><strong>Pittaja Udara \u2013 Peritonitis<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u092f\u091a\u094d\u091a\u094b\u0937\u0924\u0943\u0937\u094d\u0923\u093e\u091c\u094d\u0935\u0930\u0926\u093e\u0939\u092f\u0941\u0915\u094d\u0924\u0902 \u092a\u0940\u0924\u0902 \u0938\u093f\u0930\u093e \u092d\u093e\u0928\u094d\u0924\u093f \u091a \u092f\u0924\u094d\u0930 \u092a\u0940\u0924\u093e\u0903 <\/strong><strong>||<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u092a\u0940\u0924\u093e\u0915\u094d\u0937\u093f\u0935\u093f\u0923\u094d\u092e\u0942\u0924\u094d\u0930\u0928\u0916\u093e\u0928\u0928\u0938\u094d\u092f \u092a\u093f\u0924\u094d\u0924\u094b\u0926\u0930\u0902 \u0924\u0924\u094d\u0924\u094d\u0935\u091a\u093f\u0930\u093e\u092d\u093f\u0935\u0943\u0926\u094d\u0927\u093f <\/strong><strong>| Su. Ni 7\/9,10<\/strong><\/p>\n<p style=\"text-align: justify;\">In Pittaja Udara signs described in texts resembles with signs of peritonitis. Peritonitis cannot be managed only with Ayurvedic treatment virtually there is no scope for Ayurveda treatment in case of peritonitis.<\/p>\n<p style=\"text-align: justify;\"><strong>Key points<\/strong><\/p>\n<p style=\"text-align: justify;\">Thorough evaluation is necessary<\/p>\n<p style=\"text-align: justify;\">Majority of conditions require hospitalization and acute care.<\/p>\n<p style=\"text-align: justify;\"><strong>Kaphaja Udara \u2013 Intra-abdominal masses and lesions<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u092f\u091a\u094d\u091b\u0940\u0924\u0932\u0902 \u0936\u0941\u0915\u094d\u0932\u0938\u093f\u0930\u093e\u0935\u0928\u0926\u094d\u0927\u0902 \u0917\u0941\u0930\u0941 \u0938\u094d\u0925\u093f\u0930\u0902 \u0936\u0941\u0915\u094d\u0932\u0928\u0916\u093e\u0928\u0928\u0938\u094d\u092f <\/strong><strong>||<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0938\u094d\u0928\u093f\u0917\u094d\u0927\u0902 \u092e\u0939\u091a\u094d\u091b\u094b\u092b\u092f\u0941\u0924\u0902 \u0938\u0938\u093e\u0926\u0902 \u0915\u092b\u094b\u0926\u0930\u0902 \u0924\u0924\u094d\u0924\u0941 \u091a\u093f\u0930\u093e\u092d\u093f\u0935\u0943\u0926\u094d\u0927\u093f <\/strong><strong>|Su,Ni 7\/10,11<\/strong><\/p>\n<p style=\"text-align: justify;\">\u00a0It is about intra-abdominal masses and lesions. Abdominal masses also is one of the areas where ethically you have you have to have a thorough evaluation and a protocol of management will be as to be followed in the contemporary situation. We may not have much of a scope from Ayurveda point of view.<\/p>\n<p style=\"text-align: justify;\"><strong>Dooshi Udara \u2013 Nonspecific mesenteric lymphadenit<\/strong>is<\/p>\n<p style=\"text-align: justify;\">\u0938\u094d\u0924\u094d\u0930\u093f\u092f\u094b\u093d\u0928\u094d\u0928\u092a\u093e\u0928\u0902 \u0928\u0916\u0930\u094b\u092e\u092e\u0942\u0924\u094d\u0930\u0935\u093f\u0921\u093e\u0930\u094d\u0924\u0935\u0948\u0930\u094d\u092f\u0941\u0915\u094d\u0924\u092e\u0938\u093e\u0927\u0941\u0935\u0943\u0924\u094d\u0924\u093e\u0903 ||<\/p>\n<p style=\"text-align: justify;\">\u092f\u0938\u094d\u092e\u0948 \u092a\u094d\u0930\u092f\u091a\u094d\u091b\u0928\u094d\u0924\u094d\u092f\u0930\u092f\u094b \u0917\u0930\u093e\u0902\u0936\u094d\u091a \u0926\u0941\u0937\u094d\u091f\u093e\u092e\u094d\u092c\u0941\u0926\u0942\u0937\u0940\u0935\u093f\u0937\u0938\u0947\u0935\u0928\u093e\u0926\u094d\u0935\u093e |<\/p>\n<p style=\"text-align: justify;\">\u0924\u0947\u0928\u093e\u0936\u0941 \u0930\u0915\u094d\u0924\u0902 \u0915\u0941\u092a\u093f\u0924\u093e\u0936\u094d\u091a \u0926\u094b\u0937\u093e\u0903 \u0915\u0941\u0930\u094d\u0935\u0928\u094d\u0924\u093f \u0918\u094b\u0930\u0902 \u091c\u0920\u0930\u0902 \u0924\u094d\u0930\u093f\u0932\u093f\u0919\u094d\u0917\u092e\u094d ||<\/p>\n<p style=\"text-align: justify;\">\u0924\u091a\u094d\u091b\u0940\u0924\u0935\u093e\u0924\u093e\u092d\u094d\u0930\u0938\u092e\u0941\u0926\u094d\u092d\u0935\u0947\u0937\u0941 \u00a0\u0935\u093f\u0936\u0947\u0937\u0924\u0903 \u0915\u0941\u092a\u094d\u092f\u0924\u093f \u0926\u0939\u094d\u092f\u0924\u0947 \u091a \u0938 \u091a\u093e\u0924\u0941\u0930\u094b \u092e\u0942\u0930\u094d\u091a\u094d\u091b\u0924\u093f \u0938\u092e\u094d\u092a\u094d\u0930\u0938\u0915\u094d\u0924\u0902 \u092a\u093e\u0923\u094d\u0921\u0941\u0903 \u0915\u0943\u0936\u0903 \u0936\u0941\u0937\u094d\u092f\u0924\u093f \u0924\u0943\u0937\u094d\u0923\u092f\u093e \u091a ||\u092a\u094d\u0930\u0915\u0940\u0930\u094d\u0924\u093f\u0924\u0902 \u0926\u0942\u0937\u094d\u092f\u0941\u0926\u0930\u0902 \u0924\u0941 \u0918\u094b\u0930\u0902 &#8230; | Su.Ni 7\/11,12,13,14<\/p>\n<p style=\"text-align: justify;\">\u00a0That&#8217;s the cumulative toxicity issues. I will consider that as usually chronic colitis conditions. You need all the other investigational tools to make the diagnosis. My usual prescription would be particularly for nonspecific lympheniditis. Nonspecific lympheniditis mimics like appendicitis. Patient may have all the clinical signs of appendicitis but there may not be tenderness at iliac fossa. This condition does not require surgery, rather surgery can complicate it. My prescription would be Agnitundi, Anandabhairava and Jeerkadyarishta<\/p>\n<p style=\"text-align: justify;\"><strong>Key points<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u00a0<\/strong>Vague abdominal pain<\/p>\n<p style=\"text-align: justify;\">Reduced appetite<\/p>\n<p style=\"text-align: justify;\">Weight loss<\/p>\n<p style=\"text-align: justify;\">USG \u2013 to confirm the diagnosis<\/p>\n<p style=\"text-align: justify;\"><strong>Pleehodara \u2013 Splenomegaly<\/strong><\/p>\n<p style=\"text-align: justify;\">It is complex issue, causes could be many and thorough clinically evaluation is necessary.<\/p>\n<p style=\"text-align: justify;\">Virtually we have a very little scope for Ayurveda management. The major work is to rule out the exact cause has to be assessed and majority of those causes may require more energetic treatment.<\/p>\n<p style=\"text-align: justify;\"><strong>Key points<\/strong><\/p>\n<p style=\"text-align: justify;\">Clinical algorithm of assessment of splenomegaly<\/p>\n<p style=\"text-align: justify;\">Cause specific management<\/p>\n<p style=\"text-align: justify;\"><strong>Baddha gudodara \u2013 Intestinal obstruction<\/strong><\/p>\n<p style=\"text-align: justify;\">\u092a\u094d\u0932\u0940\u0939\u094b\u0926\u0930\u0902 \u0915\u0940\u0930\u094d\u0924\u092f\u0924\u094b \u0928\u093f\u092c\u094b\u0927 |<\/p>\n<p style=\"text-align: justify;\">\u0935\u093f\u0926\u093e\u0939\u094d\u092f\u092d\u093f\u0937\u094d\u092f\u0928\u094d\u0926\u093f\u0930\u0924\u0938\u094d\u092f \u091c\u0928\u094d\u0924\u094b\u0903 \u092a\u094d\u0930\u0926\u0941\u0937\u094d\u091f\u092e\u0924\u094d\u092f\u0930\u094d\u0925\u092e\u0938\u0943\u0915\u094d \u0915\u092b\u0936\u094d\u091a ||\u0967\u096a||<\/p>\n<p style=\"text-align: justify;\">\u092a\u094d\u0932\u0940\u0939\u093e\u092d\u093f\u0935\u0943\u0926\u094d\u0927\u093f\u0902 \u0938\u0924\u0924\u0902 \u0915\u0930\u094b\u0924\u093f \u092a\u094d\u0932\u0940\u0939\u094b\u0926\u0930\u0902 \u0924\u0924\u094d \u092a\u094d\u0930\u0935\u0926\u0928\u094d\u0924\u093f \u0924\u091c\u094d\u091c\u094d\u091e\u093e\u0903 |<\/p>\n<p style=\"text-align: justify;\">\u0935\u093e\u092e\u0947 \u091a \u092a\u093e\u0930\u094d\u0936\u094d\u0935\u0947 \u092a\u0930\u093f\u0935\u0943\u0926\u094d\u0927\u093f\u092e\u0947\u0924\u093f \u0935\u093f\u0936\u0947\u0937\u0924\u0903 \u0938\u0940\u0926\u0924\u093f \u091a\u093e\u0924\u0941\u0930\u094b\u093d\u0924\u094d\u0930 ||\u0967\u096b||<\/p>\n<p style=\"text-align: justify;\">\u092e\u0928\u094d\u0926\u091c\u094d\u0935\u0930\u093e\u0917\u094d\u0928\u093f\u0903 \u0915\u092b\u092a\u093f\u0924\u094d\u0924\u0932\u093f\u0919\u094d\u0917\u0948\u0930\u0941\u092a\u0926\u094d\u0930\u0941\u0924\u0903 \u0915\u094d\u0937\u0940\u0923\u092c\u0932\u094b\u093d\u0924\u093f\u092a\u093e\u0923\u094d\u0921\u0941\u0903 |Su.Ni 7\/14,15,16<\/p>\n<p style=\"text-align: justify;\">\u00a0It requires a surgical evaluation or conservative management may be needed.<\/p>\n<p style=\"text-align: justify;\"><strong>Parisravi udara \u2013 Visceral perforation<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0924\u0924\u0903 \u092a\u0930\u093f\u0938\u094d\u0930\u093e\u0935\u094d\u092f\u0941\u0926\u0930\u0902 \u0928\u093f\u092c\u094b\u0927 <\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0936\u0932\u094d\u092f\u0902 \u092f\u0926\u0928\u094d\u0928\u094b\u092a\u0939\u093f\u0924\u0902 \u0924\u0926\u0928\u094d\u0924\u094d\u0930\u0902 \u092d\u093f\u0928\u0924\u094d\u0924\u093f \u092f\u0938\u094d\u092f\u093e\u0917\u0924\u092e\u0928\u094d\u092f\u0925\u093e \u0935\u093e <\/strong><strong>||<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0924\u0938\u094d\u092e\u093e\u0924\u094d \u0938\u094d\u0930\u0941\u0924\u094b\u093d\u0928\u094d\u0924\u094d\u0930\u093e\u0924\u094d \u0938\u0932\u093f\u0932\u092a\u094d\u0930\u0915\u093e\u0936\u0903 \u0938\u094d\u0930\u093e\u0935\u0903 \u0938\u094d\u0930\u0935\u0947\u0926\u094d\u0935\u0948 \u0917\u0941\u0926\u0924\u0938\u094d\u0924\u0941 \u092d\u0942\u092f\u0903 <\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0928\u093e\u092d\u0947\u0930\u0927\u0936\u094d\u091a\u094b\u0926\u0930\u092e\u0947\u0924\u093f \u0935\u0943\u0926\u094d\u0927\u093f\u0902 \u0928\u093f\u0938\u094d\u0924\u0941\u0926\u094d\u092f\u0924\u0947\u093d\u0924\u0940\u0935 \u0935\u093f\u0926\u0939\u094d\u092f\u0924\u0947 \u091a <\/strong><strong>||<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u090f\u0924\u0924\u094d \u092a\u0930\u093f\u0938\u094d\u0930\u093e\u0935\u094d\u092f\u0941\u0926\u0930\u0902 \u092a\u094d\u0930\u0926\u093f\u0937\u094d\u091f\u0902&#8230; <\/strong><strong>|<\/strong><strong>Su. Ni 7\/<\/strong><strong>19,20,21<\/strong><\/p>\n<p style=\"text-align: justify;\">It is an surgical emergency condition.<\/p>\n<p style=\"text-align: justify;\"><strong>Jalodara \u2013 Ascitis<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0926\u0915\u094b\u0926\u0930\u0902 \u0915\u0940\u0930\u094d\u0924\u092f\u0924\u094b \u0928\u093f\u092c\u094b\u0927 <\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u092f\u0903 \u0938\u094d\u0928\u0947\u0939\u092a\u0940\u0924\u094b\u093d\u092a\u094d\u092f\u0928\u0941\u0935\u093e\u0938\u093f\u0924\u094b \u0935\u093e \u0935\u093e\u0928\u094d\u0924\u094b \u0935\u093f\u0930\u093f\u0915\u094d\u0924\u094b\u093d\u092a\u094d\u092f\u0925\u0935\u093e \u0928\u093f\u0930\u0942\u0922\u0903 <\/strong><strong>||<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u092a\u093f\u092c\u0947\u091c\u094d\u091c\u0932\u0902 \u0936\u0940\u0924\u0932\u092e\u093e\u0936\u0941 \u0924\u0938\u094d\u092f \u0938\u094d\u0930\u094b\u0924\u093e\u0902\u0938\u093f \u0926\u0941\u0937\u094d\u092f\u0928\u094d\u0924\u093f \u0939\u093f \u0924\u0926\u094d\u0935\u0939\u093e\u0928\u093f <\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0938\u094d\u0928\u0947\u0939\u094b\u092a\u0932\u093f\u092a\u094d\u0924\u0947\u0937\u094d\u0935\u0925\u0935\u093e\u093d\u092a\u093f \u0924\u0947\u0937\u0941 \u0926\u0915\u094b\u0926\u0930\u0902 \u092a\u0942\u0930\u094d\u0935\u0935\u0926\u092d\u094d\u092f\u0941\u092a\u0948\u0924\u093f <\/strong><strong>||<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0938\u094d\u0928\u093f\u0917\u094d\u0927\u0902 \u092e\u0939\u0924\u094d \u0938\u092e\u094d\u092a\u0930\u093f\u0935\u0943\u0924\u094d\u0924\u0928\u093e\u092d\u093f \u092d\u0943\u0936\u094b\u0928\u094d\u0928\u0924\u0902 \u092a\u0942\u0930\u094d\u0923\u092e\u093f\u0935\u093e\u092e\u094d\u092c\u0941\u0928\u093e \u091a <\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u092f\u0925\u093e \u0926\u0943\u0924\u093f\u0903 \u0915\u094d\u0937\u0941\u092d\u094d\u092f\u0924\u093f \u0915\u092e\u094d\u092a\u0924\u0947 \u091a \u0936\u092c\u094d\u0926\u093e\u092f\u0924\u0947 \u091a\u093e\u092a\u093f \u0926\u0915\u094b\u0926\u0930\u0902 [\u0924\u0924\u094d <\/strong><strong>||<\/strong><strong>Su. Ni 7\/<\/strong><strong>21,22,23<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: justify;\">\u00a0 \u00a0Huge variety of the causes are seen and a thorough evaluation is necessary. The list of causes of ascites enlisted below is not complete. List of causes mentioned under section of good scope for Ayurvedic management where we can have definite results.<\/p>\n<p style=\"text-align: justify;\"><strong>\u0905\u0928\u094d\u0924\u0947 \u0938\u0932\u093f\u0932\u092d\u093e\u0935\u0902 \u0939\u093f \u092d\u091c\u0928\u094d\u0924\u0947 \u091c\u0920\u0930\u093e\u0923\u093f \u0924\u0941 <\/strong><strong>|<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>\u0938\u0930\u094d\u0935\u093e\u0923\u094d\u092f\u0947\u0935 \u092a\u0930\u0940\u092a\u093e\u0915\u093e\u0924\u094d\u0924\u0926\u093e \u0924\u093e\u0928\u093f \u00a0\u0935\u093f\u0935\u0930\u094d\u091c\u092f\u0947\u0924\u094d <\/strong><strong>||<\/strong><strong> Su. Ni 7\/<\/strong><strong>25<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\" width=\"406\">Summarized list of common\u00a0 causes of ascites<\/td>\n<\/tr>\n<tr>\n<td width=\"203\"><strong>Less scope for Ayurvedic management\u00a0 <\/strong><\/td>\n<td width=\"203\">\u00a0<strong>Good scope for Ayurvedic management\u00a0 <\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"203\">Acute Liver Failure<\/td>\n<td width=\"203\">Alcoholic Hepatitis<\/p>\n<p>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td width=\"203\">Biliary Disease<\/td>\n<td width=\"203\">Cirrhosis<\/td>\n<\/tr>\n<tr>\n<td width=\"203\">Budd-Chiari Syndrome<\/td>\n<td width=\"203\">Dilated Cardiomyopathy<\/td>\n<\/tr>\n<tr>\n<td width=\"203\">Familial Mediterranean Fever<\/p>\n<p>&nbsp;<\/td>\n<td width=\"203\">Nephrotic Syndrome<\/td>\n<\/tr>\n<tr>\n<td width=\"203\">Hepatocellular Adenoma<\/td>\n<td width=\"203\">Viral Hepatitis<\/td>\n<\/tr>\n<tr>\n<td width=\"203\">Hepatorenal Syndrome<\/td>\n<td width=\"203\"><\/td>\n<\/tr>\n<tr>\n<td width=\"203\">Hepatocellular Adenoma<\/td>\n<td width=\"203\"><\/td>\n<\/tr>\n<tr>\n<td width=\"203\">Portal Hypertension<\/td>\n<td width=\"203\"><\/td>\n<\/tr>\n<tr>\n<td width=\"203\">Primary Biliary Cirrhosis<\/td>\n<td width=\"203\"><\/td>\n<\/tr>\n<tr>\n<td width=\"203\">Protein-Losing Enteropathy<\/td>\n<td width=\"203\"><\/td>\n<\/tr>\n<tr>\n<td width=\"203\">Restrictive Cardiomyopathy<\/td>\n<td width=\"203\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: justify;\"><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: justify;\">.<\/p>\n<p style=\"text-align: justify;\">Ayurvedic management of particular conditions is given in following table.<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"259\"><strong>Hepatic pathology<\/strong><\/p>\n<p><strong>Pittaja , Pittakapahaja<\/strong><\/td>\n<td width=\"155\"><strong>Nephrotic syndrome<\/strong><\/p>\n<p><strong>Kaphaja<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/td>\n<td width=\"201\"><strong>Cardiomyopathy<\/strong><\/p>\n<p><strong>Vatakaphaja<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"259\">Arogyavardhini<\/p>\n<p>Punarnavamandoora<\/p>\n<p>Kumari Asava<\/p>\n<p>Gomutra + Triphala choorna<\/td>\n<td width=\"155\">Chandraprabha vati<\/p>\n<p>Mrityunjaya Rasa \/Punarnava mandora<\/p>\n<p>Amritarishta \/Punarnavasava<\/p>\n<p>Saptaprna quatha<\/td>\n<td width=\"201\">Prabhakara vati<\/p>\n<p>Punarnavamandoora<\/p>\n<p>Arjunarishta \/<\/p>\n<p>Punarnavasava<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: justify;\">If fresh and best quality Gomutra is used, it produces fantastic results in case of ascites particularly in alcoholic hepatitis patients. Gomutra arka doesn\u2019t produce the same results.<\/p>\n<p style=\"text-align: justify;\">So when I prescribe Gomutra I will always keep the patient in the ward for one week to observe if there is any peritonitis is developing or not . Peritonitis developing in patient of ascites can be very critical and many times fatal, so you have to be careful. In the patient who doesn&#8217;t develop peritonitis and continued with Gomutra for a quite a long period, there are many patients who have shown dramatic results. Unbelievable changes can be observed where by the whole shape and clinical picture has become total altered and sustained for years together, many times lifetime. So there is no question of the complete cure in that. But with Arogyavardhini, Punarnavamandoora,Kumari selective patients can show dramatic results. But at the same time, there are certain conditions where the patient may worsen immediately after starting Gomutra. So it&#8217;s always better to keep the patient under observation at least for week once started \u00a0on Gomutra. If patient would develop symptoms of peritonitis like abdominal pain, vomiting then it is better to stop Gomutra.<\/p>\n<p style=\"text-align: justify;\"><strong>Nephrotic syndrome: <\/strong><\/p>\n<p style=\"text-align: justify;\">Thorough treatment of Nephrotic syndrome has been already discussed in previous section. Brief details are provided in the above table.<\/p>\n<p style=\"text-align: justify;\"><strong>Cardiomyopathy:<\/strong><\/p>\n<p style=\"text-align: justify;\">In this patients primary contemporary drugs have to be maintained. Along with that Prabhakar Vati, Poonarnava mandoor. If patient is having severe dyspnoea I prefer Arjunarishta and if patient has oedema I prefer Punarnavasava. Patient can be managed satisfactorily with drugs but other primary drugs have to be maintained.<\/p>\n<p style=\"text-align: justify;\"><strong>Carry home points<\/strong><\/p>\n<ul style=\"text-align: justify;\">\n<li>To name diabetes mellitus as Madhumeha is technically a mis nomenclature<\/li>\n<li>So called famine genes are a myth<\/li>\n<li>Indian heritage is of spartan living<\/li>\n<li>Diabetes mellitus is preventable<\/li>\n<li>Complications of DM can be effectively managed with Ayurvedic regime.<\/li>\n<li>Gestational diabetes to be assessed with a different outlook.<\/li>\n<li>Trishna are fluid and electrolyte imbalances.<\/li>\n<li>Practical assessment and management of Udara Vyadhi<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">\n","protected":false},"excerpt":{"rendered":"<p>Prameha and Diseases of Udakavaha Srotas (Part-7) Prof. Muralidhar Sharma based on the lecture available at\u2013Prameha and Diseases of Udakavaha Srotas &#8220;\u0937\u094b\u092d\u093e\u0926\u094d\u092d\u092f\u093e\u091a\u094d\u091b\u094d\u0930\u092e\u093e\u0926\u092a\u093f \u0936\u094b\u0915\u093e\u0924\u094d\u0915\u094d\u0930\u094b\u0927\u093e\u0926\u094d\u0935\u093f\u0932\u0919\u094d\u0918\u0928\u093e\u0928\u094d\u092e\u0926\u094d\u092f\u093e\u0924\u094d| \u0915\u094d\u0937\u093e\u0930\u093e\u092e\u094d\u0932\u0932\u0935\u0923\u0915\u091f\u0941\u0915\u094b\u0937\u094d\u0923\u0930\u0942\u0915\u094d\u0937\u0936\u0941\u0937\u094d\u0915\u093e\u0928\u094d\u0928\u0938\u0947\u0935\u093e\u092d\u093f\u0903|| \u0927\u093e\u0924\u0941\u0915\u094d\u0937\u092f\u0917\u0926\u0915\u0930\u094d\u0937\u0923\u0935\u092e\u0928\u093e\u0926\u094d\u092f\u0924\u093f\u092f\u094b\u0917\u0938\u0942\u0930\u094d\u092f\u0938\u0928\u094d\u0924\u093e\u092a\u0948\u0903| \u092a\u093f\u0924\u094d\u0924\u093e\u0928\u093f\u0932\u094c \u092a\u094d\u0930\u0935\u0943\u0926\u094d\u0927\u094c \u0938\u094c\u092e\u094d\u092f\u093e\u0928\u094d\u0927\u093e\u0924\u0942\u0902\u0936\u094d\u091a \u0936\u094b\u0937\u092f\u0924\u0903|| \u0930\u0938\u0935\u093e\u0939\u093f\u0928\u0940\u0936\u094d\u091a \u0928\u093e\u0932\u0940\u0930\u094d\u091c\u093f\u0939\u094d\u0935\u093e\u092e\u0942\u0932\u0917\u0932\u0924\u093e\u0932\u0941\u0915\u0915\u094d\u0932\u094b\u092e\u094d\u0928\u0903l \u0938\u0902\u0936\u094b\u0937\u094d\u092f \u0928\u0943\u0923\u093e\u0902 \u0926\u0947\u0939\u0947 \u0915\u0941\u0930\u0941\u0924\u0938\u094d\u0924\u0943\u0937\u094d\u0923\u093e\u0902 \u092e\u0939\u093e\u092c\u0932\u093e\u0935\u0947\u0924\u094c| \u092a\u0940\u0924\u0902 \u092a\u0940\u0924\u0902 \u0939\u093f \u091c\u0932\u0902 \u0936\u094b\u0937\u092f\u0924\u0938\u094d\u0924\u093e\u0935\u0924\u094b \u0928 \u092f\u093e\u0924\u093f \u0936\u092e\u092e\u094d| \u0918\u094b\u0930\u0935\u094d\u092f\u093e\u0927\u093f\u0915\u0943\u0936\u093e\u0928\u093e\u0902 \u092a\u094d\u0930\u092d\u0935\u0924\u094d\u092f\u0941\u092a\u0938\u0930\u094d\u0917\u092d\u0942\u0924\u093e \u00a0\u0938\u093e|| Ch.Chi22\/4,5,6,7 Trishna is considered to be disease of [&hellip;]<\/p>\n","protected":false},"author":20,"featured_media":3927,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[70,55,1],"tags":[],"class_list":["post-3922","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-prof-muralidhara-sharma","category-text","category-uncategorized"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"Prameha and Diseases of Udakavaha Srotas (Part-7) Prof. Muralidhar Sharma based on the lecture available at\u2013Prameha and Diseases of Udakavaha Srotas 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content=\"Prameha and Diseases of Udakavaha Srotas (Part-7) Prof. Muralidhar Sharma based on the lecture available at\u2013Prameha and Diseases of Udakavaha Srotas &quot;\u0937\u094b\u092d\u093e\u0926\u094d\u092d\u092f\u093e\u091a\u094d\u091b\u094d\u0930\u092e\u093e\u0926\u092a\u093f \u0936\u094b\u0915\u093e\u0924\u094d\u0915\u094d\u0930\u094b\u0927\u093e\u0926\u094d\u0935\u093f\u0932\u0919\u094d\u0918\u0928\u093e\u0928\u094d\u092e\u0926\u094d\u092f\u093e\u0924\u094d| \u0915\u094d\u0937\u093e\u0930\u093e\u092e\u094d\u0932\u0932\u0935\u0923\u0915\u091f\u0941\u0915\u094b\u0937\u094d\u0923\u0930\u0942\u0915\u094d\u0937\u0936\u0941\u0937\u094d\u0915\u093e\u0928\u094d\u0928\u0938\u0947\u0935\u093e\u092d\u093f\u0903|| \u0927\u093e\u0924\u0941\u0915\u094d\u0937\u092f\u0917\u0926\u0915\u0930\u094d\u0937\u0923\u0935\u092e\u0928\u093e\u0926\u094d\u092f\u0924\u093f\u092f\u094b\u0917\u0938\u0942\u0930\u094d\u092f\u0938\u0928\u094d\u0924\u093e\u092a\u0948\u0903| 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\u0918\u094b\u0930\u0935\u094d\u092f\u093e\u0927\u093f\u0915\u0943\u0936\u093e\u0928\u093e\u0902 \u092a\u094d\u0930\u092d\u0935\u0924\u094d\u092f\u0941\u092a\u0938\u0930\u094d\u0917\u092d\u0942\u0924\u093e \u0938\u093e|| Ch.Chi22\/4,5,6,7 Trishna is considered to be disease of\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/ayurvedanetworkbhu.com\/?p=3922\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2022-12-01T10:24:42+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2023-02-17T10:29:31+00:00\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"Lecture Note: \u201dPrameha and Diseases of Udakavaha Srotas\u201d (Part-7) by-Prof. Muralidhar Sharma - Ayurveda Network, Banaras Hindu University\" \/>\n\t\t<meta name=\"twitter:description\" content=\"Prameha and Diseases of Udakavaha Srotas (Part-7) Prof. Muralidhar Sharma based on the lecture available at\u2013Prameha and Diseases 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\u0938\u094c\u092e\u094d\u092f\u093e\u0928\u094d\u0927\u093e\u0924\u0942\u0902\u0936\u094d\u091a \u0936\u094b\u0937\u092f\u0924\u0903|| \u0930\u0938\u0935\u093e\u0939\u093f\u0928\u0940\u0936\u094d\u091a \u0928\u093e\u0932\u0940\u0930\u094d\u091c\u093f\u0939\u094d\u0935\u093e\u092e\u0942\u0932\u0917\u0932\u0924\u093e\u0932\u0941\u0915\u0915\u094d\u0932\u094b\u092e\u094d\u0928\u0903l \u0938\u0902\u0936\u094b\u0937\u094d\u092f \u0928\u0943\u0923\u093e\u0902 \u0926\u0947\u0939\u0947 \u0915\u0941\u0930\u0941\u0924\u0938\u094d\u0924\u0943\u0937\u094d\u0923\u093e\u0902 \u092e\u0939\u093e\u092c\u0932\u093e\u0935\u0947\u0924\u094c| \u092a\u0940\u0924\u0902 \u092a\u0940\u0924\u0902 \u0939\u093f \u091c\u0932\u0902 \u0936\u094b\u0937\u092f\u0924\u0938\u094d\u0924\u093e\u0935\u0924\u094b \u0928 \u092f\u093e\u0924\u093f \u0936\u092e\u092e\u094d| \u0918\u094b\u0930\u0935\u094d\u092f\u093e\u0927\u093f\u0915\u0943\u0936\u093e\u0928\u093e\u0902 \u092a\u094d\u0930\u092d\u0935\u0924\u094d\u092f\u0941\u092a\u0938\u0930\u094d\u0917\u092d\u0942\u0924\u093e \u0938\u093e|| Ch.Chi22\/4,5,6,7 Trishna is considered to be disease of","inLanguage":"en-US","isPartOf":{"@id":"https:\/\/ayurvedanetworkbhu.com\/#website"},"breadcrumb":{"@id":"https:\/\/ayurvedanetworkbhu.com\/?p=3922#breadcrumblist"},"author":{"@id":"https:\/\/ayurvedanetworkbhu.com\/?author=20#author"},"creator":{"@id":"https:\/\/ayurvedanetworkbhu.com\/?author=20#author"},"image":{"@type":"ImageObject","url":"https:\/\/ayurvedanetworkbhu.com\/wp-content\/uploads\/2022\/12\/p7.jpg","@id":"https:\/\/ayurvedanetworkbhu.com\/?p=3922\/#mainImage","width":1920,"height":942},"primaryImageOfPage":{"@id":"https:\/\/ayurvedanetworkbhu.com\/?p=3922#mainImage"},"datePublished":"2022-12-01T15:54:42+05:30","dateModified":"2023-02-17T15:59:31+05:30"},{"@type":"WebSite","@id":"https:\/\/ayurvedanetworkbhu.com\/#website","url":"https:\/\/ayurvedanetworkbhu.com\/","name":"Ayurveda Network, 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\u0936\u094b\u0915\u093e\u0924\u094d\u0915\u094d\u0930\u094b\u0927\u093e\u0926\u094d\u0935\u093f\u0932\u0919\u094d\u0918\u0928\u093e\u0928\u094d\u092e\u0926\u094d\u092f\u093e\u0924\u094d| \u0915\u094d\u0937\u093e\u0930\u093e\u092e\u094d\u0932\u0932\u0935\u0923\u0915\u091f\u0941\u0915\u094b\u0937\u094d\u0923\u0930\u0942\u0915\u094d\u0937\u0936\u0941\u0937\u094d\u0915\u093e\u0928\u094d\u0928\u0938\u0947\u0935\u093e\u092d\u093f\u0903|| \u0927\u093e\u0924\u0941\u0915\u094d\u0937\u092f\u0917\u0926\u0915\u0930\u094d\u0937\u0923\u0935\u092e\u0928\u093e\u0926\u094d\u092f\u0924\u093f\u092f\u094b\u0917\u0938\u0942\u0930\u094d\u092f\u0938\u0928\u094d\u0924\u093e\u092a\u0948\u0903| \u092a\u093f\u0924\u094d\u0924\u093e\u0928\u093f\u0932\u094c \u092a\u094d\u0930\u0935\u0943\u0926\u094d\u0927\u094c \u0938\u094c\u092e\u094d\u092f\u093e\u0928\u094d\u0927\u093e\u0924\u0942\u0902\u0936\u094d\u091a \u0936\u094b\u0937\u092f\u0924\u0903|| \u0930\u0938\u0935\u093e\u0939\u093f\u0928\u0940\u0936\u094d\u091a \u0928\u093e\u0932\u0940\u0930\u094d\u091c\u093f\u0939\u094d\u0935\u093e\u092e\u0942\u0932\u0917\u0932\u0924\u093e\u0932\u0941\u0915\u0915\u094d\u0932\u094b\u092e\u094d\u0928\u0903l \u0938\u0902\u0936\u094b\u0937\u094d\u092f \u0928\u0943\u0923\u093e\u0902 \u0926\u0947\u0939\u0947 \u0915\u0941\u0930\u0941\u0924\u0938\u094d\u0924\u0943\u0937\u094d\u0923\u093e\u0902 \u092e\u0939\u093e\u092c\u0932\u093e\u0935\u0947\u0924\u094c| \u092a\u0940\u0924\u0902 \u092a\u0940\u0924\u0902 \u0939\u093f \u091c\u0932\u0902 \u0936\u094b\u0937\u092f\u0924\u0938\u094d\u0924\u093e\u0935\u0924\u094b \u0928 \u092f\u093e\u0924\u093f \u0936\u092e\u092e\u094d| \u0918\u094b\u0930\u0935\u094d\u092f\u093e\u0927\u093f\u0915\u0943\u0936\u093e\u0928\u093e\u0902 \u092a\u094d\u0930\u092d\u0935\u0924\u094d\u092f\u0941\u092a\u0938\u0930\u094d\u0917\u092d\u0942\u0924\u093e \u0938\u093e|| Ch.Chi22\/4,5,6,7 Trishna is considered to be disease 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\u0938\u0902\u0936\u094b\u0937\u094d\u092f \u0928\u0943\u0923\u093e\u0902 \u0926\u0947\u0939\u0947 \u0915\u0941\u0930\u0941\u0924\u0938\u094d\u0924\u0943\u0937\u094d\u0923\u093e\u0902 \u092e\u0939\u093e\u092c\u0932\u093e\u0935\u0947\u0924\u094c| \u092a\u0940\u0924\u0902 \u092a\u0940\u0924\u0902 \u0939\u093f \u091c\u0932\u0902 \u0936\u094b\u0937\u092f\u0924\u0938\u094d\u0924\u093e\u0935\u0924\u094b \u0928 \u092f\u093e\u0924\u093f \u0936\u092e\u092e\u094d| \u0918\u094b\u0930\u0935\u094d\u092f\u093e\u0927\u093f\u0915\u0943\u0936\u093e\u0928\u093e\u0902 \u092a\u094d\u0930\u092d\u0935\u0924\u094d\u092f\u0941\u092a\u0938\u0930\u094d\u0917\u092d\u0942\u0924\u093e \u0938\u093e|| Ch.Chi22\/4,5,6,7 Trishna is considered to be disease 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