EFFECT OF PANCHAKARMA IN THE MANAGEMENT OF JALODARA (ASCITES): A SINGLE CASE STUDY

Dr. Pradeep Nayak*, Dr. Shilpasree, Dr. Doddabasayya, Dr. Santosh L. Yadahalli

ABSTRACT

Background:
Classical Ayurvedic texts including those of Charaka , S ushruta , and Vagbhata classify Udara among
the Mahagada , highlighting its chronic complex nature. Yakritodara is one among eight types of Udara where
main cause being Mandagni , which leads to Jalodara in later stages. Jalodara closely resembles Ascites, wh ich is
defined as the pathological accumulation of fluid in the peritoneal cavity. Aim: To evaluate the role of Ayurvedic
treatment in Jalodara Material and Methods: A 60 year old male presented to the OPD with complaints of
abdominal distention, anorexia , sour belching, and occasional respiratory distress. The patient was managed
according to the Samanya Chikitsa Sutra of Udara roga . Initial treatment focused on Agni Deepana using
Ajamodadi Churna , followed by Nitya Virechana with Gomutra Haritaki for 7 d ays & Udara Lepa with Gomutra
Haritaki for 10 days was also done. The patient was also advised to follow a diet regimen including Ksheera Paana
as part of Pathya Ahara Result: All presenting symptoms showed marked improvement following treatment. The
abdo minal girth at the umbilical level, which measured 89 cm prior to intervention, reduced to 73 cm after
treatment and during follow up. Additionally, abdominal ultrasonography findings that initially indicated mild
ascites and splenomegaly showed complete r esolution in the post treatment USG assessment. Discussion &
Conclusion: As Agnimandhya is considered as primary etiological factor in this condition, initial management was
focused on Agnideepana . This was followed by Nitya Virechana , which facilitated th e elimination of Pitta Dosha ,
Raktaprasadana , Vataanulomana . Udara Lepa contributed to the reduction of accumulated fluid. Additionally,
Nitya Ksheera Sevanam which possesses Rechaka properties, supported the therapeutic process.

Keywords: Jalodara , Ascit es , Nitya Udara lepa, Yakrit vikara, Udara roga.