Ayurvedic Management of Udara Roga: A Case Study

Udara Roga, one among the Ashtamahagada, is a Tridoshaja Vyadhi predominantly caused by Agnimandya, leading to Mala Sanchaya and distension of the abdomen. Among its eight types, Jalodara closely resembles ascites and is characterized by Kukshi Adhmana (abdominal enlargement), Karapada Shopha (pedal edema), Mandagni or Atyanta Nastagni, and Krushagatra (emaciation). The pathology involves vitiation of Udakavaha Srotas, with Talu and Kloma described as its Moola Sthana in classical texts such as Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya. Ascites, commonly associated with liver cirrhosis and other systemic disorders, presents with fluid accumulation in the peritoneal cavity and has a high recurrence rate with conventional management. Ayurveda emphasizes correction of the underlying pathogenesis through Agni Deepana, Nitya Virechana for Dosha-Dushya Sammurchana Vighatana, and strict Pathya Ahara. This case study of a 34-year-old male diagnosed with ascites demonstrated significant clinical improvement following Ayurvedic management including daily therapeutic purgation, digestive stimulants, and regulated diet. The approach addressed the root cause by restoring Agni, regulating Strotasa, and reducing fluid accumulation, highlighting the potential of Ayurvedic intervention in the management of Udara Roga.