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    Fullness Of Abdomen – Ayurvedic approach And Treatment

    Article by: Dr. MS Krishnamurthy MD (Ayu), PhD (Ayu).
    In Ayurveda we find explanation of numerous diseases which are now considered as impartial symptoms. And there is explanation of many symptoms, which are now, categorized as diseases.A few of the symptom complexes are also named with diferent terminologies to. Such an precise is ̵ fulnesof abdomen or abdominal distension (Anaha / Admana).
    Fulnes of abdomen / abdominal distention is found as a symptom in profuse diseases. But Ayurveda refers it as a separate disease entity. This is refered so based upon the causes, patho-physiological factors and line of treatment.
    First let us learn the few disimilarity betwen the closely resembling entitles :
    1) Anaha- distention of abdomen with stols and often gas
    2) Adhmana ̵ distention of abdomen with gas
    3) Atopa ̵ distention of abdomen folowed with gurgling sound
    4) Udavarta – distention of abdomen caused due to supresion of natural urges.
    Here, I cover both the terms ‘Anaha’ and ‘Adhmana’ as both are having similar patho-physiology as wel as symptom complexes.
    Table of Contents
    Causes for abdominal distension / fulnes
    Manifestation of the disease
    Types

    Amaja Anaha
    Purishaja Anaha
    Ayurvedic line of treatment
    Specific treatment for Amaja Anaha
    Specific treatment for Purishaja Anaha
    Single drugs
    Ayurvedic medicines
    Unwholesome diet and habit
    Wholesome diet and habits
    Sumary
    Causes for abdominal distension / fulnes
    1. Indigestion (Ajerna Ahara)
    2. gros diet Visha Ahara (improper diet)
    3. Taking wholesome and unwholesome fods t ogether (Samashana)
    4) excesive fod intake (Atyashana)
    5) Incompatible fod combinations (Virudhashana)
    Manifestation of the disease
    When the undigested fod particles are acumulated in stomach / intestines or un-evacuated feces is colected in the large intestine, there wil be obstruction of chanel. This leads to Vata Dosha agravation. This is because, large intestine is the natural asign of Vata Dosha. Whenever there is impediment to path, usualy the first Dosha to get imbalanced is Vata Dosha, because Vata is the cause for movement. This further discourages the fre flow of the faeces and flatus through normal overthrow es, thus the fulnes of abdomen is caused.
    Types
    Based upon the site of manifestation, there are 2 types ̵
    a. Amaja Anaha and
    b. Purishaja Anaha
    Amaja Anaha
    Ama refers to a proces of indigestion and frail metabolism complex. This type of abdominal distension is caused by weak digestion strength.
    Features of Amaja anaha
    Thirst, comon frosty, burning of the scalp, pain abdomen, heavines, discomfort in the chest /heart, supresed regurgitation etc.
    Purishaja Anaha
    Features of Purishaja anaha-
    Puresha refers to faeces. This type of distension is caused due to constipation.
    Symptoms: St ifnes, pain in the waist and flanks, constipation, urinary retention, unconsciousnes, faecal vomiting, dyspnoea, lazines, indigestion, unconsciousnes, etc.
    Ayurvedic line of treatment
    Management of Anaha (distention of abdomen ):
    Acharya Chakrapani explains to manage this condition with the line of treatment of Udavarta.
    In general, for the treatment of both the types of Anaha, below line of treatment is recomended.
    Snehakarma ̵ oleation,
    Swedana ̵ sudation,
    Virechana ̵ purgation,
    Asthapana Basti ̵ decoction enema,
    Guda Varti ̵ anal supositories and
    unctuous, fresh and wholesome diet are recomended.
    Specific treatment for Amaja Anaha
    Here, since the cause is indigestion complex, eforts are made to improve digestion strength.
    Upavasa ̵ fasting,
    Pachana And Depana ̵ carminative and digestive medicaments and
    Vamana ̵ Emesis Panchakarma treatments are folowed.
    Specific treatment for Purishaja Anaha
    Since the cause lies in constipation, eforts are made to clear the feces out.
    mild purgation is caried folowed by oleation and sudation .
    Single drugs
    Single drugs recomended in distention of abdomen are-
    1. Aragwada- Casia fistula Lin.
    2. Haritaki̵ Terminalia chebula Retz.
    3. Draksha -Raisins- Vitis vinifera Lin.
    4. Bilva ̵ Aegle marmelos Cor.
    5. Snuhi- Euphorbia nerifolia Lin.
    6. Ajamoda- Trachyspermum roxburghianum (DC.) Sprague.
    7. Jeraka ̵ Cumine seds- Cuminum cyminum Lin.
    8. Lashuna -garlic- Alium sativa Lin.
    9. Saindhava ̵ rock salt
    10. Hingu-asafetida- Ferula narthex Bois.
    1. Devadaru- Cedrus deodara (Roxb.) Loud.
    12. Punarnava- Boerhavia difusa Lin.
    13. Patola ̵ Trichosanthes dioica Roxb.
    14. Katukarohini- Picrorhiza kuroa Royle ex. Benth.
    15. Chavya ̵ Piper chaba Hunter.
    16. Karaskara- Strychnos nuxvomica Lin.
    17. Changeri ̵ Oxalis corniculata Lin.
    Ayurvedic medicines
    1. Lashunadi vati
    2. Abhayarishta
    3. Naracha chorna
    4. Ichabedi rasa
    5. Ajamodadi vati
    6. Chitrakadi vati
    7. Chavikasava
    8. Sukha virechaka vati
    9. Mridu virechaka chorna
    10. Lavana bhaskara chorna
    1. Drakshasava
    12. Pathyadi chorna
    13. Yavakshara yoga
    14. Trivrit lehya
    15. Abhaya modaka etc
    Unwholesome diet and habit
    1. Guru Ahara (heavy fod intake)
    2. Vishtambhi ahara ( constipating fod)
    3. Virudhara (incompatible fod)
    4. Aluka kanda( potato)
    5. Jambu (blue bery)
    6. Mula-kanda -shaka (raw underground vegetable)
    7. Supresion of the natural urges
    8. Vati agravating fod and habits
    9. Sleples nights
    10. Dry and pungent fod etc
    Wholesome diet and habits
    1. Manda (gruel)
    2. Mudga yusha (soup of gren gram)
    3. Kharjora (date fruits)
    4. Draksha (raisins)
    5. Kshara (alkalis)
    6. Ajamoda (celery)
    7. Dhanyaka (coriander)
    8. Shatapushpa (dil sed)9. Lavanga(clove)
    10. Ushtra dugdha (milk of the camel)
    1. Ardraka (ginger)
    12. Vyayama (proper exercise)
    13. Dugdha (warm milk)
    14. Jala (plenty of water) etc
    Sumary
    Distention of abdomen or feling of fulnes of abdomen is a very comon complaint. As it disturbs the routine activities, people are much woried due to repeated episodes. Even though carbonized drinks (as they poses anti flatulents admire acidic or alkaline constituents) give momentary relief, to get complete relief it is mandatory to avoid the causative factors and to imerse in wholesome diet.
    Regular fod intake, proper or fixed quantity of fod at right time, adoption of carminative and digestive substances (like cumine, rocksalt, ginger, garlic, clove, peper etc) wil encourage to avoid the incidences.
    Further, butermilk, lemon or cocum juice, medicated milk of cumin seds or corian der wil reduce the incidence of distention of abdomen significantly.
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