The document provides treatment guidelines for various types of Udara Roga (abdominal diseases) according to Charaka, Sushruta and Vagbhata. It discusses the etiology and symptoms of Udara. For Vataja Udara, the treatment involves snehana, swedana, virechana and anuvasana basti. For Pittaja and Kaphaja Udara, treatments aim to pacify the respective doshas. Specific treatments are outlined for conditions like Pleeha Udara and Udakodara. Therapies may include panchakarma procedures, medicines and dietary modifications tailored to the dosha involved.

3. Content
 Introduction
 Ethiology
 Samanya Lakshana
 Samprapthi
 Panchakarma in Udara
 Yogas
 Discussion
 Conclusion
 References

4. INTRODUCTION
 Udara roga is one among the astamahagada.
उदरोत्सेद साधम्यार्द् उदरम्
 Because of Utseda Sadharmya it is considered as a type of Shotha.
अत्रोदरस्थो रोगो अपि उदर शब्देन उच्यते
 Disease which manifest in Udara is termed as Udara Roga

5. अग्ननदोषान्मनुष्याणाां रोगसङ्ााः िृथग्निधााः|
मलिृर्द्या प्रित्न्ते पिशेषेणोदराणण तु||९||
मन्देऽननौ मललनैर्ु्क्तैरिाकार्ददोषसञ्चयाः|
प्राणानन्यिानान् सन्दूष्य मागा्न्रुर्द्िाऽधरोत्तरान्||१०||
त्िङमाांसान्तरमागम्य कु क्षिआ्माियन् र्ृशम्|
जनयत्युदरां तस्य हेतुां शृणु सलिणम्||११|

6.  All diseases are produced by Mandagni specially so the Udara Roga
Agnidosha
Reasons for Udara
Mala Vruddhi
 If there is suppression of Agni , and if the person takes Polluted food, this
leads to indigestion as a result of which Doshas get accumulated.
 This causes vitiation of Prana , Agni, Apana and obstruction to the upward and
downward channels of circulation.Thereafter, the vitiated Doshas get lodged
between the skin and the muscle tissue and cause extensive distension of lower
part of abdomen this gives rise to Udara.

7.  निदाि
अत्युष्ण लिण िार पिदाह्यम्लगराशनात्|
लमथ्या सांसज्नाद्रूि पिरुर्दध अशुचच र्ोजनात्||१२||
प्लीहाशो ग्रहणी दोष कश्नात् कम्पिभ्रमात्|
ग्क्लष्टानाम प्रतीकाराद्रौक्ष्यार्दिेगपिधारणात्||१३||
स्रोतसाां दूषणादामात् सङिोर्ादततिूरणात्|
अशोबालशकृ द्रोधादन्त्रस्फु टनर्ेदनात्||१४||
अततसग्ञ्चतदोषाणाां िािां कम् च कु ि्ताम्|

8.  Udara Samana Lakshana
कु िेरा्मानमाटोिाः शोफाः िादकरस्य च|
मन्दोऽग्ननाः श्लक्ष्णगण्डत्िां काश्यं चोदरलिणम्||

11. Samanya chikithsa
 दोषाततमात्रोिचयात् स्रोतोमाग्तनरोधनात्|
सम्र्ित्युदरां तस्माग्न्नत्यमेि पिरेचयेत्
( च चच १३/६१)

12. According To Charaka
Treatment for Vatodara
 If the patient is बलवान then in the begning स्नेहन and स्वेदन should be done
 After that he should undergo ववरेचन with स्नेह द्रव्य
 If the patient suffer from उदवर्त then again he should under go स्नेहन & स्वेदन followed
by अस्थापन
 if the patient is suffering from ithching, cramps, pain in joints,bones , side of the
chest etc, if he has strong अवनन if there is retention of मल then even with out स्नेहन the
patient should be given अनुवासन.

13.  दशमूल कषाय can be used as वनरूह
 For Anuvasana we can use eranda Thailam
 If the patient is contraindicated to Virechana, Sukumara, Bala , Vridha
etc then the vaidya should treat him with Basthi, Abhyanga , Anuvasana
etc.

14. Pithodara Treatment
पित्तोदरे तु बललनां िूि्मेि पिरेचयेत्|
दुब्लां त्िनुिास्यादौ शोधयेत् िीरबग्स्तना
सञ्जातबलकायाग्ननां िुनाः ग्स्ननधां पिरेचयेत्
सकफे िा समूत्रेण सिाते ततक्तसपि्षा
िुनाः िीरप्रयोगां च बग्स्तकम् पिरेचनम्

15. Kaphodara Treatment
ग्स्ननधां ग्स्िन्नां पिशुर्दधां तु कफोदररणमातुरम्|
सांसज्येत् कटु िार युक्तैरन्नैाः कफािहैाः||

16. Sannipatodara Treatment
सग्न्निातोदरे सिा् यथोक्तााः कारयेत् क्रियााः
सोिद्रिां तु तनिृ्त्तां प्रत्याख्येयां पिजानता
Treatment of Pleehodara and Yakrudodara
 The patient is given Snehana, Swedana, Virechana, Niruha Basti, and Anuvasana Basti,
as suitable.
 The patient can also be given Siravyadha treatment on the left arm.
 If there is predominance of aggravated Vayu and Kapha Agni Karma

17.  Pitta is aggravated िीरबस्तयाः, रक्तािसेकाः
 In Yakrdudara all the therapies prescribed for Plihodara is administered
because of the similarity between these 2 conditions.
Baddhodara Treatment
 At first Swedana is given thereafter, Niruha and Anuvasana is given
by adding गोमुत्र, drugs having Tiksna attributes, तैल and सैन्धि.
 तीक्ष्ण पिरेचनम् indicated for Udavarta and such other therapies which are
responsible for alleviation of Vayu are administrated.

18. Chidrodara Treatment
 Chidrodara is treated on the lines suggested for Kaphodara .
 Swedana is not administered to the patient.
Udakodara Treatment
 In Udakodara the patient is given therapies to correct the defects of the Apam
Doshaharani in the beginning.
 The patient is given therapies containing गोमुत्र , drugs having तीक्ष्ण attributes and
different types of क्षार . He is given food which is digestive stimulant and which
alleviates Kapha. Gradually, the patient is prohibited to take water and other liquids

19. According to Sushutha
Vatodara treatment
 स्नेहन with Vidari gandhadi Sidha Sarpi
 अनुलोमन with Tilvaka Pakva Sarpi
 A compound made of Chitraka Taila mixed with the Kashaya of Vidari Gandadhi
group should be used as Asthapana and Anuvasana.
 Salavana Upanaha should be applied over abdomen.
 अभीक्ष्णं स्वेदयेर््

20. Pithodara Treatment
 पिरेचन त्रत्रफला & त्रत्रिृत
 अस्थािन/अनुिासन Nyagrodadi kashaya , sharkara, madhu ,gritha
 स्नेहन मधुर गण पििक्ि सपि्

21. Kaphodara Treatment
 पिरेचन स्नुहह िीर processed with ्ृत
 अनुिासन/ अस्थािन त्रत्रकटु +गोमूत्र+ यििार+तैल+ मुष्ककाहद कषाय
Dusyodara Treatment
 पिरेचन सप्तल सांणितन स्िरस + लसधा सपि्

22. Plihodra Treatment
 स्नेहन & स्िेदन कम्
 लसराव्यध िामबाहो कु ि्र अभ्यन्तर
Badha Gudodara
 स्नेहन & स्िेदन कम्
Then shastra karma is indicated

23. Parisravi Udara Treatment
 अिगाह तैल / सपि्
Udakodara Treatment
 अभ्यङग िातहर तैल & उष्णोदक स्िेदन

24. According to Vagbhata
Vatodara treatment
 If the Patient is Balavan पिदय्हदश्रुतम् ्ृतम् स्नेहन & स्िेदन
पिरेचन with ततल्िक / लमश्रक ्ृतम ् in higher quantity
 If Udavartha is persisting स्नेहन & स्िेदन दशमुललक बग्स्त
 if the patient is suffering from स्फु रण, आिेि, pain in सग्न्ध, अग्स्थ , िाश्ि् , िृष्ट ,
त्रत्रक,रुि बर्दधाकृ र्दितां and the patient have दीप्ताग्नन अनुिासन (ततल तैल etc)

25. Pithaja Udara Treatment
 If the Patient is Balavan स्नेहन पिरेचन
 तनरूह न्यग्रोधाहद कषाय + लसता+ मधु + ्ृता
 स्नेह बग्स्त
 If the person is weak first Anuvasana and then Shodhana ( ksheera Basthi)
 After attaining Agni Bala repeated Virechana (ksheera+trivrith+satala+aragvadha)
 If Pitha is associated with kapha the above mentioned dravya with gomutra

26. Kaphaja Udara Treatment
 स्नेहन ित्सकाहद + स्नेह + सपि् स्िेदन पिरेचन
सांसज्नकम्
 तनरूह गोमूत्र + त्रयुषण +तैल
 स्नेह बग्स्त मुष्ककाहद + ्ृता
Sannipataja Udara Treatment
 स्नेह िाना तैल ( दग्न्त + द्रिग्न्त फल )

27. Plihodara Treatment
 स्नेहन & स्िेदन
 लसराव्यध िाम बाहु
 After gaining strength स्नेह िाना शोधन
 if by these methods, the disease does not subside then Agnikarma should be done
 If it is Pitha origin then Ksheera basthi and Raktha avaseka ( raktha mokshana )
should be done

28.  In Yakrudodara the treatment is same as Plihodara
दक्षिणे तु र्ुजो लसराम ् (blood letting in right arm)
Baddhodara Treatment
 स्नेहन followed by तनरूह (Gomutra +Tikshna Dravya + Taila + Saindhava )
 अनुिासन
Chidrodara Treatment
same treatment explained in Kaphodara except Swedana should be adopted

30. चरक कल्प स्थाि
 Virechana
3 Shana of Trivrith + 1 Shana of Triphala , Vidanga, Pippali,
and Kshara (Choorna)+ Ghritha and Madhu Modhaka + Guda
 Kalyanaka Guda (Virechana)

31. चरक सिद्धि स्थाि
 रास्नाहद तनरूह बग्स्त
 बलाहद यािन बग्स्त
 मधु तैलहद बग्स्त

32. तैल योग
 ततल तैल
 एरण्ड तैल
 लशुन तैल
 नागराहद तैल

33. घृत योग
 हरीतकी ्ृत
 महा िृि ्ृत
 चव्यहद ्ृत
 नागराहद ्ृत
 दशमूल षट्िल ्ृत
 त्रबन्दु ्ृत
 चचत्रक ्ृत
 स्नुहह िीर ्ृत
 महा त्रबन्दु ्ृत
 दशमूलाष्टक ्ृत

34. चूर्ण
 िटोलाहद चूण्
 नारायण चूण्
 देिद्रुमाहद चूण्
 िुनन्िहद चूण्

35. Bhaishajya Ratnavali
 िररषेक अष्ट मूत्र प्रयोग
इच्छार्ेहद रस
र्दपितीय इच्छार्ेहद रस
बृहत् इच्छार्ेहद रस
 पिरेचन जलोदराहद रस
र्दपितीय जलोदराहद रस
महािह्नी रस

36. Discussion
 While mentioning Nidanas, Acharya have given very much important
to Agni Dushya, It plays main role in causing Udara
 Chikitsa Sidhanta for Udara Vyadhi
तनत्यां एि पिरेचयेत्
 Virechana helps in normalising the Jataragni & Dhathuvagni and has
the Anulomana action which helps to eliminate the aggeravated Dosha
 Virechana possesses Hepato protective and Liver stimulant action
there for it is useful in reducing Shotha and Udara .

37.  अनुिासन & तनरूह are the next mode of treatment explained by
Acharyas .
 It also helps in enhancing the Agni
 रक्त मोिण
Pitta prakopa Raktha dushti

38. Conclusion
 The chikithsa sootra is based on Dosha ,Dushya , Amshamsha
Vikalpana which when employed at appropriate time or stage gives
us better approach in managing Udara.
 Acharyas had explained Pancakarma as a line of treatment in
Udara especially Virechana because of the involvement of Agni .
 As said that Dosha Nirharana should be done from the nearest
root hence Basthi and Virechana are most appropriate therapies

39. Reference
 Charaka Samhitha
 Sushrutha Samhita
 Ashtanga Sangraha
 Ashtanga Hridaya
 Chakradatta
 Bhaishajya Rathnavali
 Bhavaprakasha
 Sharangadhara Samhitha
 Gada Nigraha