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Jalodra (Ascites)
Written by Osuman Kumar

Jalodra (Ascites)

Introduction : Ascites refers to the collection of excess fluid in the peritoneal cavity. It usually becomes clinically detectable when at least 500ml of fluid has accumulated, but many liters of fluid may collect and cause massive abdominal distention.

Ascites is described under 8 types of Udar rogas. Udar means organs of abdominal cavity, stomach, large intestine, small intestine, liver, spleen, kidney and peritoneum.

Nidan/Aetiology

  • Ascites due to hepatic cirrhosis and portal hypertension.
  • Ascities of renal origin.
  • Ascites of cardiac origin.
  • Tubercular peritonitis
  • Ascites due to cancer.
  • Ascites due to hypoproteinaemia.
  • Ascites due to retention of flatus, stool and water.
  • In take of cold water immediate after panchkarma therapy Snehan Vasti
  • Disturbance in Agni (i.e. digestive power)
  • As a end result of other abdominal diseases
  • Blockage of channels with sneha

Signs and Symptoms

  • Anorexia
  • Poly dipsia
  • Pain
  • Cough
  • Appearance of dilated veins around umblicus (caput medusae).
  • Distension of abdomen
  • Feeling of fullness on palpation.
  • Fluid thrill.
  • Shifting dullness
  • Puddle sign

Management in Ascites

Line of treatment

  • Practice of regular sanshodhna (Virechana)
  • After proper sanshodhna and sansarjan karma regular intake of milk which will enhance the power of body. (val)
  • Asthapna and Niruh vasti should be given to the patients
  • In Jalodra after enhancement of val the patients should be treated with tikshan dravyas along with gomutra.
  • Deepniya and Kaph nashak food should be given

Shastra Karma in Jalodra

  • Firstly below the umbilicus on left side an incision should be made and Nadi Yanta (cannula) is inserted in the abdomen in order to remove extra fluid from peritoneal cavity.
  • During process of removal of fluid, abdomen should be gently massaged with the palm of hand, after this a cloth should be tightened around the girth of abdomen. This will prevent the further accumulation of fluid.
  • After this process when the fluid and doshas are removed from the abdomen patient is kept on langhna and salt , sneh less diet
  • Patient should be kept on milk diet upto six month, then milk and peya for 3 month and for next 6 month kodo, sawa and milk should be given to patient

Various Yogas described under Jalodar Chikitsa

Churan kalp

Ghrit kalp

  • Rohitakadi Ghrit
  • Panch Kal Ghrit
  • Deepniya Ghrit
  • Nagaradi Ghrit
  • Chitrakadi Ghrit
  • Yavadi Ghrit
  • Sanuthi Ksheer Ghrit
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Other yogas

  • Punarnavadi kwath
  • Devdaryadi lep
  • Arogyavardhini vati
  • Ichabhedi ras
  • Rohitakad yog
  • Vidangadi Yog
  • Chitrakadi yog
  • Vidangadi Kshara
  • Triphla Kwath
  • Piplyadi Lavan
  • Kshar Vtica
  • Erand taila
  • Jalodradi ras

Prognosis

All other udar rogas if not treated properly on time ultimately gets converted into Jalodra which is said incurable and often lead to death of patient.

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