A History of Indian Medical Literature v1.c13.92

v1.c13.92

The chapter describes the pathogenesis of udara (13.9–11); the aetiology (13.12–15);³⁴⁰ the prodromes (13.16–19);³⁴¹ pathogenesis again (13.20);³⁴² the general symptoms of udara (13.21);³⁴³ the eight types of udara: by each of the three doṣas and all three together (samnipāta), pīthodara, baddhodara, kṣatodara, and udakodara (13.22);³⁴⁴ the aetiology, pathogenesis and symptomatology of vātodara (13.23–26),³⁴⁵ pittodara (13.26–28),³⁴⁶ kaphodara (13.29–31),³⁴⁷ samnipātodara (13.32–34),³⁴⁸ pīthodara (splenomegalia)³⁴⁹ and a similar disorder affecting the liver (yakṛt)³⁵⁰ (13.35–38), baddhagudodara³⁵¹ (13.39–41),³⁵² chidrodara,³⁵³ which may develop into udakodara³⁵⁴ (13.42–44), udakodara (ascites, i.e. dropsy) (13.45–47);³⁵⁵ the way in which udakodara develops, its two stages³⁵⁶ and their symptoms (13.48); complications (upadrava), indicating incurability (13.49);³⁵⁷ vātodara, pittodara, kaphodara, pīthodara, samnipātodara and udakodara are in this order of increasing severity; baddhagudodara usually becomes incurable after a fortnight; udakodara in its jātodaka stage and chidrāntrodara³⁵⁸ are generally incurable right from the beginning (13.50–51);³⁵⁹ signs indicating incurability and a fatal outcome (13.52–53); the cure of all types of udara is generally very difficult (kṛcchratama), but, under a number of specified conditions, the efforts at treatment may be successful (13.54);³⁶⁰ the symptoms of the type of udara called jātodaka (13.55–58); the treatment of the various types of udara (13.59–95ab)³⁶¹ and udara in general³⁶² (13.95cd–146ab);³⁶³ treatment after the elimination of the doṣas (13.146cd–175ab);³⁶⁴ treatment of refractory cases of udara with snake venom (13.175cd–184ab);³⁶⁵ surgical treatment (13.184cd–188); draining of the fluid accumulated in the abdominal cavity by means of a trocar (nāḍī), applicable in all types of udara which have reached the jātodaka stage (13.189–190); treatment subsequent on draining (13.191–193ab); after-treatment in general (13.193cd–194).³⁶⁶