Digestive system 2

Question 1

Udara roga

Answer 1

abdominal pain; generalized for a wide variety of painful problems that lead to abdominal enlargement

Question 2

Types of udara roga (5)

Answer 2

Pliodhara-splenic disease
Yakridhalayudara-liver disease
Baddhodara- Intestinal obstruction
Chidrodara-perforated intestine
Udakodara- ascites

Question 3

Udara Roga

Purva Rupa

Answer 3

those of ajirna such as weak and sluggish digestion along with burning sensations. slight swelling of the legs, shortness of breath, constipation, belching, pain and distension

Question 4

Udara roga Samprapti

Answer 4

Agnidosha: faulty agni; Weakness in the dosha leads to the formation of ama (amadosha). ama obstructs the svedavaha srota and the ambuvaha srota resulting in ascites

Question 5

Ascites

Answer 5

‘udakodara’ accumulation of serous fluid in the abdominal cavity

Question 6

signs of udara roga poor prognosis

Answer 6

‘condition is difficult to treat’

• extensive fluid in the abdomen
• heavy abdomen
• abnormal coloration to abdomen
• percussion is dull in abdomen
• inability to eliminate gas
• excessive urination and loose stools
• lack of normal bowel sounds

Question 7

udara roga nidana vata (5)

Answer 7

dry foods, fasting, over exertion, belching, suppressing natural urges

Question 8

Udara roga nidana Pitta (4)

Answer 8

excess sour, salty and pungent foods, excess sun exposure, over heating from exercise, alcoholism

Question 9

udara roga nidana Kapha (4)

Answer 9

Excess cold, excss oily or heavy foods, excess sweet, sour, and salty tastes, too much day sleep

Question 10

Udara Roga Comparative Rupa

Answer 10

Vata- distention, belching, constipation, alternating diarrhea/consitpation
Pitta- burning indigestion, RUQ pain, diarrhea
Kapha- nausea &anorexia, hard heavy cold abdomen

Question 11

Udara Roga Samprapti

Answer 11

Vata-vata moving sideways pushes Kapha to contain it; Anaha (trapped air) between muscles and skin
Pitta- vitiation of pachaka and ranjaka pitta
Kapha- vitiatied bodhaka and kledaka with low agni; kapha is obstructing vata

Question 12

Udara roga Chikitsa VPK

Answer 12

V-pancha karma w/ virechana and basti followed by abdominal wrap to restore apana vayu; herbs triphala, trikatu, hingwastika; takra with salt and pippali
P-PK with virechana to remove heat from small intestine; diet of mung dal soup, purgatives like senna; takra of licorice and sugar
K-PK with no vamana, purgation with niruhavasana basti to clear any blockages in large intestine; light diet to bring up agni; takra with trikatu

Question 13

vatodara
western diseases (2)

Answer 13

vata in the abdomen
diverticulosis- V-when the diverticule forms; diverticulitis- VP-the presence of pouches in the large intestine that become inflamed

Question 14

Diverticulitis Nidana

Answer 14

medical- unknown, but considers low fiber diet as possible cause
ayurveda-vata vitiating diet- pungent, bitter, astringent tastes weaken the rasa, creating dry.hard stool, damaging the purishavaha srota

Question 15

diverticulits rupa

Answer 15

left lower quadrant pain
bloating, fever, nausea, vomiting
possible blood in the stools

Question 16

diverticulitis samprapti

Answer 16

vata pushing pitta
vata relocates in the purishavaha srota and blocks downward flow resulting in sideways movement of vata (vyana vitiation)
Lt and acute constipation>pockets (diverticulosis)vyana in the mamsa of purishavaha srota>inflammation and bleeding (diverticulitis) pitta in the rasa, rakta, mamsa of the purishavaha srota.

Question 17

Diverticulitis chikitsa

Answer 17

reverse the nidana (constipation, improve stool quality and colon tone), soften the stool using salts and laxatives, tone the wall of the colon, reduce bleeding and inflammation;
diet - increase oil and salt; light diet
herbs- bowel tonic-triphala
laxatives as needed-triphala, cascara
antimicrobials-turmeric,goldenseal
anti-inflammatory-turmeric, gaduchi
dipanas to rasise and stabilize agni
niruha and anuvasana basti

Question 18

Pittodara (2)

Answer 18

pitta driven abdominal disease; cholelithiasis-gall stones; celiac disease

Question 19

symptoms of gallbladder disfunction

Answer 19

pale, fatty stools that float
foul smelling stools
abdominal distention, bloating
chronic belching 30 min after eating
chronic itching from bile salts entering the blood stream
RUQ abdominal pain-most acute 45-60 min after a meal.
sometimes pain in the right shoulder

Question 20

gallstones

Answer 20

cholelithiasis- bile becomes supersaturated with cholesterol; stones mix with calcium, bilirubin, uric acid

Question 21

signs and symptoms of gallstones

Answer 21

pain in RUQ
bloating and belching immediately after eating
worse with fat intake
tenderness upon palpation
4Fs- fat,  fertile, female, 40

Question 22

Gallstones Ayurvedic nidana/rupa

Answer 22

Pitta-fried foods, intensity, anger raise pitta which dries out the bile, leaving stones; RUQ pain is severe with some indigestion leading to distention and belching
Pitta/Kapha-fried foods, anger, intensity, sedentary, overweight; moderate RUQ pain with greater nausea, oily stools, obesity

Question 23

Gallstones Samprapti

Answer 23

high acidity in the blood leads to high acidity in the bile;
gallstones and inflammation -ranjaka-rakta in raktavaha srota
gallstones-kapha-rakta raktavaha srota
obesity-avalambaka, medas, medovaha

Question 24

gallstone chikitsa

Answer 24

reverse the nidana- alkalize the diet, start exercising, decrease animal protein intake
diet- light with lots of green veggie juices; limit fat intake to good quality fats
herbs: lithotropes-pashana bheda, gravel root, dandelion root; cholegogues- dandelion, milk thistle, kutki, chrysanthemum;
lekhanas- guggul
purgatives to flush the gall bladder and reduce pitta;
cool nervine sedatives- reduce anger, brahmi, chrysanthemum, rose.

Question 25

Pashana Bheda

Answer 25

``` Saxifraga ligulata, Bergenia ligulata: pashana: stone, bhedana: crack or break rasa: astringent/bitter virya: cool vipaka: pungent gunas: light, oily, sharp VPK_ lithotrope stone destruction, mainly in the bladder ```

Question 26

gravel root

Answer 26

``` Eupatorium purpureum rasa: bitter/pungent virya: cool vipaka:pungent gunas: light, dry doshaPK- lithotrope, diuretic stone destruction, mainly in the bladder ```

Question 27

Peppermint

Answer 27

mentha pipereta: oil acts as a cholegogue and dipana, may be a lithotrope

Question 28

Celiac disease

Answer 28

small intestinal disease caused by gluten sensitivity genetic made worse by stress the body makes antibodies to the gluten that cross react with the villi of the sm intestine causing inflammation leading to malabsorption

Question 29

Celiac disease Rupa (symptoms)

Answer 29

``` gas bloating constipation and/or diarrhea mucousy stools weight loss nutritional deficiencies causing widespread symptoms children may fail to thrive ```

Question 30

Celiac disease | Ayurvedic view

Answer 30

V/P condition Pitta: inflammation, diarrhea vata: malabsorption, gas, bloating, craping agni is variable or low ojas is low kapha only involved when there is mucous in the stools

Question 31

Celiac comparative nidana

Answer 31

Vata stress: anxiety, worry, fear, excess travel, physical trauma, loss, worn out Pitta: anger, intensity, jealousy, deadlines, physical trauma, competition and drive, burned out

Question 32

celiac chikitsa

Answer 32

reduce stress, regulate agni, build ojas, avoid gluten, use herbs to reduce symptoms, proper eating habits, VP reducing diet

Question 33

kaphodara

Answer 33

Candida: yeast overgrowth that results in inflammation of the mucous membranes

Question 34

candida rupa

Answer 34

white patches of growth on mucous membranes; sluggish digestion, mucusy stools, swelling and distention of the abdomen

Question 35

candida samprapti

Answer 35

primarily due to kapha vitiation and/or ama low ojas high acidity in the body destroys pro-biotic population

Question 36

Candida chikitsa

Answer 36

avoid sugar, starch, alcohol, fermented foods take probiotics strong patients with ama -pk samsarjana krama-slow reintroduction of fruit and other sugars after 3 months herbs: musta, paud'arco, neem, oregon grape, garlic, echinacea, goldenseal

Question 37

``` musta part used rasa virya vipaka guna dosha action indication ```

Answer 37

``` Cyperus rotundus part used: tuber rasa: bitter, pungent, astringent virya: cool vipaka: pungent gunas: light dosha: KP-V+ actions: pachana, dipana, krimighna, vulnerary lekhana indications: parasites, low agni, ulcers, ulcerative colitis, obesity, swelling, diarrhea, fever ```

Question 38

sannipattikodara classical nidana rupa samprapti chikitsa

Answer 38

nidana: intake of toxins in a patient who has weak agni rupa: reflects all 3 doshas; symptoms quickly become severe; enlarged, swollen abodomen samprapti: all three doshas along with rakta become aggravated and localized in the abdomen chikitsa: PK; weak patients should eat light but nourishing diet and take tonifying herbs

Question 39

signs of dehydration

Answer 39

``` extreme lethargy dry mouth low urine volume dizziness failure to produce tears when crying rapid heartbeat sunken eyes poor skin tension ```

Question 40

complications of dehydration(3) | refer to doctor(4)

Answer 40

complications: seizures, brain damage, death refer: diarrhea continues beyond 5 days for adults, 3 days child; vomiting more than 24 hours adult, 12 hours child; inability to keep down fluids after 8 hours ; fever above 101.5 accompanies the illness;

Question 41

Krimi (2 types)

Answer 41

parasites Internal: Abhyantra krimi External: Bahaya krimi

Question 42

3 types of abhyantara krimi

Answer 42

Raktaja: blood borne Kaphaja: stomach Purishaja: large intestinal

Question 43

ajirna

Answer 43

indigestion