Abstract
CONCEPT IN PATHOGENESIS OF JALODARA WITH SPECIAL REFERENCE TO PORTAL HYPERTENSION

*Dr. Piyush Verma- MD(Ay)

ABSTRACT

Jalodara is one of the eight types of udar roga described in Ayurveda. It is mentioned in all three brihatrae texts (Charaka Samhita, Susruta Samhita and Astang Hridaya).[1,2,6] Jalodara / Dakodar is formed due to accumulation of jala (body fluid) in udara (abdomen). Mandagni is claimed to be the main factor behind its pathogenesis.[5] In all the three texts there is involvement of udak vaha srotas or salil srotas or ambu srotas with respect to jalodara pathology. Udak vaha srotas has its moola (base) which are talu and kloma. Kloma is a controversial subject in ayurveda. Some authors compare it to pancreas. It is mentioned that dusti (defect) of udak vaha srotas or kloma is leading to jalodara. So if we compare kloma to pancreas and look for the anatomical relations of pancreas then we will see that there is portal vein forming behind neck of pancreas. In modern science it is proved that pathology in portal vein which is portal hypertension is the cause for development of ascites. So here if for the term kloma, the related and associated structures to pancreas are taken then by studying the Portal vein, jalodara is well explained.

Keywords: Jalodara, udak vahi srotas, kloma, pancreas, portal vein, portal hypertension, ascites.


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