E-ISSN:2456-3110

Case Report

Udavarta

Journal of Ayurveda and Integrated Medical Sciences

2022 Volume 7 Number 10 November
Publisherwww.maharshicharaka.in

An understanding of Udavarta as an underlying cause for Multi Systemic Medical Conditions - A Case Study

Chaudhary V.1*
DOI:

1* Vishal Chaudhary, Intern, Shiva Ayurvedic Medical College and Hospital, Chandpur, Bilaspur, Himachal Pradesh, India.

Udavarta is one of the most common and surprisingly most neglected and misinterpreted clinical condition. The concept of Udavarta takes various stances-sometimes as a Nidana, sometimes as an event of Samprapti and sometimes a Vyadhi. But all the three are somehow interrelated. Vegadharana, Adhyasana, Viruddhasana has become a routine, leading to disturbed Agni either in the form of Mandagni or Vishamagni and Prakupita Apana Vata leads to disease Udavarta. There is no permanent solution has yet in the modern science for such problem. Udavarta itself becomes Nidana of various diseased condition with the time. An attempt has been made to show the illustration of how Udavarta Vyadhi act as a Nidana of various diseased conditions.

Keywords: Udavarta, Vegsandharana, Trimarmas, Anulomana

Corresponding Author How to Cite this Article To Browse
Vishal Chaudhary, Intern, , Shiva Ayurvedic Medical College and Hospital, Chandpur, Bilaspur, Himachal Pradesh, India.
Email: 		Vishal Chaudhary, An understanding of Udavarta as an underlying cause for Multi Systemic Medical Conditions - A Case Study. J Ayu Int Med Sci. 2022;7(10):226-228.
Available From
https://www.jaims.in/jaims/article/view/2137

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2022-09-28 2022-09-30 2022-10-07 2022-10-14 2022-10-21
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 18%

© 2022by Vishal Chaudharyand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

Journal of Ayurveda and Integrated Medical Sciences 2022;7(10)226
Chaudhary V: Udavarta as an underlying cause for Multi Systemic Medical Conditions

Introduction

Ayurveda is an established system of medicine that aims at preventing and promoting health along with managing of diseased conditions. Tridosha alignment being the state of health and their derangement being the state of disease, are the fundamentals pertaining to Ayurveda medical science. The vitiation in the state of doshas their evolution or progression leads to the process of disease manifestation.

Udavarta as a unique concept of disease manifestation and disease condition itself has been mentioned only in the Ayurveda classical text. Trimarmas (Vital points) of our Shareera (body) are Shiras, Hridaya and Basthi as they are the Asraya (abode) of Prana (life). When these will get affected by the different Nidanas (Reasons), Vatadi Dosha Prakopa (Vitiation of Vata etc. Doshas) will occur and will finally lead to Prana Nasha (Destruction of the life). Among different diseases related to these vital points, Udavarta is one of the important disease. Normally due to the obstruction in the normal path of Vata Dosha will result in the reverse movement of the Vata Dosha.

Methodology

Ayurveda Samhitas (Charaka Samhita and Ashtanga Hridya Samhita primarily), reference books, peer reviewed research articles and journals on Ayurveda were referred for carrying out this work.

Review of Literature

कषायतिक्तोष्णरूक्षभोज्यै: संधारणाभोजनमैथुनश्च ।

पक्वाशये कुप्यति चेदपानः स्रोतांस्यधोगानि बली स रुद्ध्वा ||

करोति विण्मारुतमूत्रसङ्गं क्रमादुदावर्तमतः सुघोरम् | (C.Chi.26.5)

Charaka Samhita mentioned a separate concept of Udavartam in the Trimarmeeyachikitsa Adhyaya 26 as a Vyadhi due to vitiation of Apana Vayu that afflicts Adhovaha Srotas of body hence creation a Sughoram condition or Vyadhi Vishesha paving way for other systemic Vyadhies like Shwasa, Kasa, Jwara, Mutrakricchra, Grahani etc.

Ashtanga Hridayam in Arshonidanam 7 mentioned the Udavarta as the major factor for Arsha Vyadhi Also mentioned it as causative factor for Adhmana, Arsha, Hridroga, Gulma, Mutrasanga, Peenasa, Manovikaras etc.

Case Study

  • Name of the Patient: xyz
  • Age / Sex: 69 years Male
  • Janma Kala Sthana: 1952, Delhi, India
  • Vyadhi Vyadhi Udhbahva: Kala Sthana Baddhavitakta, 1992, Rampur, Himachal Pradesh
  • Updrava Vyadhi Updrava Kala: Amlodgara Adhmana 1994, Kasa 1996, Sushka Arshas 2005, Ashmari 2009, Shwasaroga 2014, Hypertension 2017.
  • Ahara: Mixed (Veg and Non-Veg), 3 times/day, 3-4 L water intake
  • Nidra: 5 6 hours/night, 30 min 1 hr / Nidra bhanga
  • Mala: 1 time/day constipated Mutra 5 6 times/day 400 500 ml/day
  • Vyasana: Smoking since1964, Alcohol since 1974; Regular consumption
  • Occupation: Bus Conductor

Analysis of the case: According to patient he was apparently asymptomatic before 1992. When he first complained of Adhamana, Vitvata Sanga and Amlodgara. On enquiry patient revealed the Nidanas as Vega Sandharana (Mala, Mutra and Adhovata predominantly), Rooksha and Vishma Aahara, Vishama Asana and Ratri Jagarana, being a bus conductor by profession. The mentioned Nidanas lead to Doshakopa causing Apana Vayu vitiation in the Pakwashaya (Swasthana of Vata). Taking into account the Srotas involvement, due to Margavarodha of Vayu Adhahsrotas of body are involved due to which Kupita Vayu take Sthan Samshraya in the Koshtha (predominantly Pakwashaya). The vitiated Apana caused Adhamana and Vitavata Sanga. Involving Samana Vayu it also caused the Amlodgara condition. Taking lead forward the Vayu Kopa lead to development of Vataja Kasa that aggravated immediately after food and in the night in 1996. Vyadhi progressed and taking Sthana in Guda Sthana, caused Shushka Arshas (non-bleeding with itching) of Vata-Kaphaja nature. Moreover, the same Kupita Vayu after involving the Mutravaha Srotas caused Ashmari on 2009, measuring 06 mm in size. Also taking place in the Pranavaha Srotas it caused Shwasaroga, a known case of chronic pulmonary obstructive


Journal of Ayurveda and Integrated Medical Sciences 2022;7(10)227
Chaudhary V: Udavarta as an underlying cause for Multi Systemic Medical Conditions

disease, involving Vata and Kapha majorly. Also affecting the Rasa and Raktavaha Srotas there was Lakshanas of hypertension, atrial dystrophy and ECG abnormalities seen in 2017. Moreover, being in old age there is very fast depletion of the Dhatu indicating Sarva Dhatu Kshaya, understanding as its Updrava Swaroop. The Udavarta, as a Swatantra Vyadhi has reached Chirkari, Daruna and Jeerna Awastha. The disease and the pathologies along side have become Kricchrasadhya or Yapya in nature. Since, the Nidana Sevana like smoking, alcohol and non-veg diet are being consumed by the patient regularly, the Vyadhis and condition of Udavarta again aggravate the condition further continuing the cycle of Vayu Vaigunya.

Discussion

Udavarta (reverse movement of Apana Vata) is one among the most common and surprisingly most neglected and mis-interpreted clinical condition. The concept of Udavarta takes various stances – sometimes as a Nidana (etiology), sometimes as an event of Samprapti (pathogenesis) and also as a Vyadhi (disease). But all the three are somehow interrelated. It a unique concept of disease manifestation majorly involves the vitiation of Apana Vayu, further involving the other Vayus, Pancha Pitta and Pancha Kapha afflicting the Prana Agni Apana Axis on the front, hence paving the way for multi systemic Vyadhis or disease conditions.

Conclusion

Vatanulomanam and Vatashamanam along with Amapachanam Agnideepanam are the therapeutic measures of choice in such conditions. Internal and External Sneha usage and Basti Prayoga could also be utilised to the fullest. As Acharya Sharangdhara said, Vayu is the chief component responsible for maintaining the entire Karma of Tridoshas in optimal level, hence keeping Vayu in its Samyavastha is the only measure for prevention and treatment of Udavarta and Udavarta spectrum disorders.

Reference

1. Charaka Samhita of Agnivesha with Ayurveda Deepika Commentary of Chakrapani, Chikitsa Chikitsa, Chapter 26


2. Charaka Samhita of Agnivesha with Ayurveda Deepika Commentary of Chakrapani, Chikitsa Sthana, Chapter 13

3. Acharya Yadavji Trikamji, Charaka Samhita of Agnivesha, Varanasi: Chaukamba Prakashan, Sutrasthana, Trimarmiya Chikitsa Adhyaya, 26


Journal of Ayurveda and Integrated Medical Sciences 2022;7(10)228