UNDERSTANDING JALODARA: ASCITES IN AYURVEDA – A COMPREHENSIVE ANALYSIS

Abstract

Jalodara is a disease afflicting Udakavaha srotas. In Ayurveda, Ascites aligns with the concept of Jalodara. Ascites, characterized by the accumulation of free fluid in the peritoneal cavity, is commonly observed in decompensated cirrhotic states. Despite contemporary medical treatments offering temporary relief, ascitic pathology remains largely unresolved. Ayurvedic approaches present a promising alternative for managing ascites, particularly through the lens of Jalodara, a subtype of Udara roga. According to Ayurveda, the management involves Nitya Virechana (purgative therapy), deepana-pachana (enhancing digestive fire), bala vriddhi (strengthening), and correction of hepatic and splenic functions, coupled with dietary regimens. Generalized abdominal distension, a hallmark of Udara roga, is attributed to imbalances in Saman vayu, Apana vayu, Pachak pitta, Ranjak pitta, and Kledaka Kapha, primarily stemming from Mandagni (weak digestive fire). Notably, the progression of Udara roga into Jalodara underscores the significance of addressing underlying factors. While liver dysfunction remains a leading cause of ascites, Ayurvedic principles emphasize the pivotal role of dietary discipline, with milk (Kshira) being advocated as a Pathya-Ahara (therapeutic food) for Jalodara. Integrating Ayurvedic strategies alongside conventional treatments may offer a holistic approach to managing ascites, providing both symptomatic relief and addressing underlying pathology.