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कुक्षेराध्मानमाटोपः शोफः पादकरस्य च| मन्दोऽग्निः श्लक्ष्णगण्डत्वं कार्श्यं चोदरलक्षणम् ||२१||

[General Symptoms of udara roga] Distension and gurgling sound in the abdomen, edema of hands and feet, impaired digestion, smooth shiny cheeks and emaciation are the common symptoms of udara roga.

english translation

kukSerAdhmAnamATopaH zophaH pAdakarasya ca| mando'gniH zlakSNagaNDatvaM kArzyaM codaralakSaNam ||21||

hk transliteration by Sanscript

पृथग्दोषैः समस्तैश्च प्लीहबद्धक्षतोदकैः| सम्भवन्त्युदराण्यष्टौ तेषां लिङ्गं पृथक् शृणु ||२२||

[Classification of udara roga] Three types of udara caused by each morbid dosha, one type of udara caused by morbidity of all three dosha, plihodara (splenomegaly), baddhodara (enlargement of abdomen due to gastrointestinal obstruction), kshatodara (abdominal enlargement due to intestinal perforation) and udakodara (enlargement of abdomen due to collection of fluid) are the eight types of udara. Listen to the characteristic symptoms each of these types of udara roga.

english translation

pRthagdoSaiH samastaizca plIhabaddhakSatodakaiH| sambhavantyudarANyaSTau teSAM liGgaM pRthak zRNu ||22||

hk transliteration by Sanscript

रूक्षाल्पभोजनायासवेगोदावर्तकर्शनैः वायुः प्रकुपितः कुक्षिहृद्बस्तिगुदमार्गगः ||२३|||

[Etiology of vatodara] Among the etiological factors of udara roga is intake of dry food articles, consumption of inadequate amount of food, exertion, suppression of naturally manifesting urges, abnormal upward course of vata and weight reducing activities like walking or lifting weight causes vatodara. [Pathogenesis of vatodara] Due to the etiological factors [vata]] gets aggravated which assumes abnormal course and reaches the kukshi (lower abdomen), hridaya (chest), basti (pelvis) and gudamarga (rectum).

english translation

rUkSAlpabhojanAyAsavegodAvartakarzanaiH vAyuH prakupitaH kukSihRdbastigudamArgagaH ||23|||

hk transliteration by Sanscript

हत्वाऽग्निं कफमुद्धूय तेन रूद्धगतिस्ततः| आचिनोत्युदरं जन्तोस्त्वङ्मांसान्तरमाश्रितः ||२४||

Again the morbid vata further impairs the agni (digestive enzymes) and draws out the kapha. Thus morbid kapha in turn obstructs the morbid vata. Eventually the obstructed vata gets diverged in to the space between the skin and visceral tissues in the abdomen leading to distension of the abdomen and udara roga.

english translation

hatvA'gniM kaphamuddhUya tena rUddhagatistataH| AcinotyudaraM jantostvaGmAMsAntaramAzritaH ||24||

hk transliteration by Sanscript

तस्य रूपाणि- कुक्षिपाणिपादवृषणश्वयथुः, उदरविपाटनम्, अनियतौ च वृद्धिह्रासौ,कुक्षिपार्श्वशूलोदावर्ताङ्गमर्दपर्वभेदशुष्ककासकार्श्यदौर्बल्यारोचकाविपाकाः, अधोगुरुत्वं, वातवर्चोमूत्रसङ्गः, श्यावारुणत्वं चनखनयनवदनत्वङ्मूत्रवर्चसाम्, अपि चोदरं तन्वसितराजीसिरासन्ततम्, आहतमाध्मातदृतिशब्दवद्भवति,वायुश्चोर्ध्वमधस्तिर्यक् च सशूलशब्दश्चरति, एतद्वातोदरमिति विद्यात् ||२५||

[Symptoms of vatodara] The symptoms of vatodara include distension of abdomen, edema of the hands, legs and scrotum, splitting type of pain in abdomen, undue increase and decrease of abdominal distension, abdominal pain, pain in the sides of the abdomen, abnormal upward course of vata within abdomen, body ache, pain in phalangeal joints, dry cough, emaciation, debility, lack of taste in mouth, indigestion, heaviness in the lower abdomen, obstructed flatus, constipation, retention of the urine, brown or reddish black discoloration of the nails, brown or reddish black discoloration of the conjunctiva, buccal mucosa, dermis, urine and fecal matter; abdominal wall possessing thin, blackish stretch lines and vessels, tympanic note on percussion similar to the sound produced on tapping air filled leather bag or bladder and upward, downward and lateral painful movement of vata with gurgling sound within the abdomen.

english translation

tasya rUpANi- kukSipANipAdavRSaNazvayathuH, udaravipATanam, aniyatau ca vRddhihrAsau,kukSipArzvazUlodAvartAGgamardaparvabhedazuSkakAsakArzyadaurbalyArocakAvipAkAH, adhogurutvaM, vAtavarcomUtrasaGgaH, zyAvAruNatvaM canakhanayanavadanatvaGmUtravarcasAm, api codaraM tanvasitarAjIsirAsantatam, AhatamAdhmAtadRtizabdavadbhavati,vAyuzcordhvamadhastiryak ca sazUlazabdazcarati, etadvAtodaramiti vidyAt ||25||

hk transliteration by Sanscript