Professional Documents
Culture Documents
*
Junior Resident, Department of Vikriti Vigyan, Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu University,
Varanasi-221005.
**
Assistant Professor, Department of Vikriti Vigyan, Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu
University, Varanasi-221005.
***
Professor, Department of Vikriti Vigyan, Faculty of Ayurveda, Institute of Medical Sciences, Banaras Hindu University,
Varanasi-221005.
Correspondence to: Dr P S Byadgi, Department of Vikriti Vigyan, Faculty of Ayurveda, Institute of Medical Sciences, Banaras
Hindu University, Varanasi -221005.
E-mail Id: psbyadgi@rediffmail.com
Udara (abdomen), Gatra Avasada (flaccidity or (intestine) by vata and breaks the Purisha due to its
emaciation) of the body, Vitsanga (obstruction of Ushna, Drava and Sara properties and manifests
flatus and feces), Adhmana (distension of abdomen) pittaja pravahika. It facilitates the invasion of E.
and Avipaka (indigestion).3 histolytica due to the above properties resulting into
irritation, inflammation, abrasion, etc, and along
Vishesha (Specific to Dosha): No Vishesha with accumulated Kapha with Vata, causes
Purvarupas have been described in the texts. Pravahika.
J. Adv. Res. Ayur. Yoga Unani Sidd. Homeo. 2015; 2(2): 22-24. ISSN: 2394-6547
Dubey N et al. 24
Antretara (Extra Intestinal) Complications Krimi in the bowels to apply the term amoebiasis.
The understanding of all the aspects of the disease is
Yakrit (Liver) necessary before proceeding to treatment. The
treatment must aim at Samprapti Vighatana
Hepatitis: Early stage of liver abscess, swinging (dissociation of pathogenesis).
temperature and pain are associated.
References
Amoebic Liver Abscess:7 The involvement of liver
by Krimi through intestines and causing its 1. Shastri Ambikadutta. Sushrut samhita of
suppuration. Liver abscess may occur after a longer sushruta. Sutra sthana, chapter 21, Verse no. 36.
period of the infection of E. histolytica. It may take 13th edition. Chaukhambha Publications:
even years. The cause of such long latent period is Varanasi, 2002: 121.
not fully known. The occurrence after years appears 2. International Travel and Health. Amoebiasis.
to be the coincidence of contributory factors Available from: http://www.who.int/ith/
decreased Vyadhikshamatva (decreased immunity), diseases/amoebiasis/en.
preceding pre-existing liver damage. The amoeba 3. Shastri Ambikadutta. Sushrut samhita of
reaches the liver by portal system. Necrosis occurs sushruta, Uttara tantra, chapter 40, Verse no. 9.
in liver cells at the centers of the lobules, tending to 13th edition. Chaukhambha Publications:
enlarge and coalesce. Liver enlarges as abscess Varanasi, 2002: 275.
develops. The necrotic area liquefies farming 4. Shastri Ambikadutta. Sushrut samhita of
cavities full of chocolate brown thick pus. The sushruta, Uttara tantra, chapter 40, Verse no.
abscess may be single or multiple, usually in the 139. 13th edition. Chaukhambha Publications:
right lobe. The abscess pushes up the diaphragm and Varanasi, 2002: 215.
may burst in pleural cavity, lung may infect 5. Upadhyaya Yadunandana, Madhava Nidanam
pericardium. The clinical features may be varied. of Madhavakara. Chapter 3, Verse no. 22.
Feeling of heaviness in the right hypochondrium Edition reprint 2006. Chaukhambha
during Pravahika or with or without history of Publications: Varanasi, 2006: 177.
Pravahika or amoebiasis is the first feature in some 6. Shastri Ambikadutta. Sushrut samhita of
cases. Pain in liver region enhances during cough. sushruta, Uttara tantra, chapter 40, Verse no.
Pain may occur suddenly or may gradually extend to 167. 13th edition. Chaukhambha Publications:
chest increased by breathing. Liver is tender with Varanasi, 2002: 305.
more concentrated tenderness in a spot. 7. Medscape. Available from: http://www.
emedicine.medscape.com/article/183920-
Conclusion overview.
8. Purushothamacharyulu G. Pravahika, 2nd
It can be concluded that Pravahika or amoebiasis is edition. Arya Vaidya Sala Publications:
characterized by defecation of Mala (feces) Kottakala, 2011.
containing small quantity of Sleshma (mucus) or 9. Byadgi PS. Pravahika. Parameswarappa’s
Rakta (if pitta is associated repeatedly) accompanied Ayurvediya Vikriti Vigyan & Roga Vigyan. 1st
by tenesmus or Pravahana. The Purisa (stool) must edition. Volume II. Varanasi, Chaukhambha
contain Krimis i.e. active E. histolytica or Sanskrit Sansthan, 2009: 447.
trophozoites (or cysts) indicating the harboring of
ISSN: 2394-6547 J. Adv. Res. Ayur. Yoga Unani Sidd. Homeo. 2015; 2(2): 22-24.