By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
The phrase kukshi generally encompasses ‘hole cavity’ contained in the physique. However on this context kukshi is take into account as stomach. Kukshi shula explains ‘diffuse ache within the stomach’.
Kukshi – stomach, belly cavity
Shula – colic, ache.
It is usually known as Kukshishoola.
Learn – Shoola Varieties, Signs, Remedy, Medicines, Cures
Causes
Extreme consumption of vata aggravating meals and publicity to actions and seasons resulting in aggravation of vata will result in pathological vitiation of vata within the physique.
Learn – Completely different Causes For Vata Dosha Imbalance, Improve
Pathogenesis
- Because of the consumption of extra meals and getting uncovered to the actions and seasons which trigger vitiation of vata, the vata will get aggravated.
- This aggravated vata strikes to the seat of agni i.e. digestive system (abdomen and small gut) and causes diminution of digestive fireplace.
- This vata will get additional aggravated within the belly cavity and causes stagnation of meals resulting in its indigestion.
- Consequentially there’s construct up of ama and mala (excreta) within the intestine.
- The stagnated meals, indigestion, and extreme accumulation of ama and excreta repeatedly trigger ache within the stomach.
- This illness attributable to vitiated vata together with ama and excreta is known as kukshishula.
Signs
- Bhojana upastambham – consumed meals would get stagnated
- Bhojanam na pachyate – meals doesn’t get digested correctly
- Muhuh shulah – ache within the stomach happens repeatedly
- Krichchra shwasa – respiration problem
- Na asane labhate sukham – doesn’t discover consolation sitting
- Na shayane labhate sukham – doesn’t discover consolation sleeping
- Na tishtane labhate sukham – doesn’t discover consolation standing
Learn – Parinama Shoola : Definition, Varieties, Remedy, Medicines
Sanskrit Verses
Remedy of KukshiShoola
Rules
Vamana or Langhana – Therapeutic emesis or lightening therapies are the therapies of selection in treating ache or colic within the stomach. These therapies ought to be applied after having thought-about the power of the doshas and their depth of vitiation.
Dipana Pachana – Powder of medicines which kindle digestion and digest ama like asafetida, rock salt and Panchakola ought to be combined in buttermilk or contemporary juice of pomegranate and given to drink together with samsarga pachana i.e. gruels.
Learn – Deepaneeya Gana Herbs Of Charaka: Evaluate, Advantages, Formulations
Virechana – Therapeutic purgation is likely one of the finest therapies to take care of belly ache. A selected formulation defined by Grasp Sushruta will function an excellent purgative in addition to illness particular treatment by way of assuaging ache within the stomach. The formulation is known as Vachadi Churna. It’s ready with the beneath talked about elements.
Vacha – Acorus calamus
Sauvarchala – Sauchal salt
Hingu – Asafetida
Kushta – Saussurea lappa
Ativisha – Aconitum heterophyllum
Abhaya – Terminalia chebula
Kutaja Bija – seeds of Holarrhena antidysenterica
This formulation ought to be administered after contemplating the power of the doshas.
Vasti – enema with natural oils and decoctions ought to be given to alleviate ache stomach. The doshas which have gathered ought to be flushed out of the intestine. This won’t solely assist in relieving ache but additionally will forestall recurrences. For this function Erandadi Taila or Higvadi Ghrta ought to be used for unctuous enema. Decoction enemas ready with the identical herbs can also be administered.
Nagaradi Kwatha
Decoction ought to be ready with the beneath talked about elements –
Ginger – Zingiber officinale
Dipyaka – Trachyspermum ammi
Chavya – Piper retrofractum
Hingu – asafetida
Sauvarchala – sauchal salt
Vida – vid salt
Matulunga bija – seeds of Citrus medica
Shyama bija – seeds of Operculina turpethum
Urubuka bija – seeds of Ricinus communis (castor plant)
Brhati – Solanum indicum
Kantakari – Solanum xanthocarpum
The decotion ought to be ready and powder of asafetida, sauchal salt and vid salt ought to be sprinkled or combined on the finish and the decoction ought to be served contemporary for consuming. This might relieve belly ache or colic.
Different efficient measures
The beneath talked about measures could also be included within the remedy of belly ache –Upanaha – natural poultices ought to be administered over the painful a part of the stomach.
Sneha – oleation / exterior and inner lubrication will assist in relieving ache.
Seka – showering or stream pouring of medicinal liquids on the stomach.
Dhanyamla parishechana – showering of bitter fermented medicinal liquid over the stomach
Avagaha – sitting in a bath stuffed with decoctions ready with vata assuaging herbs
Anyad hitam – some other measure which alleviates belly ache shall be used as treatment.
Different efficient formulations
Indukantham Kashayam
Gandharvahastadi Kashayam
Chitrakagrandhikadi Kashayam
Sukumaram Kashayam
Abhayarishtam
Jeerakarishtam
Putikaranjasavam
Putikasavam
Dwirutharam Churnam
Hinguvachadi Churnam
Induppukanam Churnam
Panchakola churna
Chitrakadi Vati
Kankayana Vati (Gulma)
Dashamula Haritaki
Sukumara Rasayanam
Vilwadi Leham
Different remedy inclusions
KukshiShoola can be handled on the traces of treating
Shula – colic
Gulma – belly tumors related to ache in flanks, coronary heart, navel and urinary bladder
Learn – Understanding Digestion Course of From An Ayurveda View
Fashionable Correlation
In kukshi shoola we see that the situation is manifested on the backdrop of imbalance of digestive energy. This results in formation of ama i.e. intermediate merchandise of improper digestion, indigestion of vata origin and constipation. The particular person will be unable to clear the faeces and there may also be accumulation of undigested meals within the intestine. The occasions are taking place within the abdomen, small gut and enormous gut. Sluggish digestive fireplace and weak digestion and formation of ama and stagnation of undigested meals are the occasions going down within the abdomen and small gut. On the similar time constipation takes place because of the faeces not being cleared simply within the colon. This can result in strain within the intestines and extreme ache. From the attitude of contemporary drugs all these occasions could be put collectively and known as ‘intestinal colic’ since ache within the stomach is a very powerful symptom of this illness. We will make it extra exact and name it ‘intestinal colic triggered as a result of weak digestion, stagnation of undigested meals and constipation’. This can rule out different situations which might trigger ache within the stomach.
Intestinal colic
It’s a cramp like ache. It originates within the small or massive gut. It’s attributable to a blockage within the gut. This in flip retains meals and liquids stagnated and prevents them from passing by the physique to the skin.
The blockage can happen as a result of totally different causes which embrace –
- Impacted faeces / constipation
- Inflammatory illnesses of the gut like Crohn’s illness
- Formation of scar tissue within the intestines (from earlier surgical procedures associated to stomach and pelvis)
- Irritation or an infection of diverticula
- Cancerous tumours
Signs
Stomach ache
Lack of urge for food
Vomiting
Lack of or lessened bowel motion
Lack of ability to fart (move out the gases)
Distension of stomach
Parshva Shoola and Kukshi Shoola
Parsva Shula is a sort of colic or ache manifested within the flanks – sides of the physique (chest and stomach). This situation is defined by Grasp Sushruta amongst various kinds of ache or colic.
The time period ‘parsva’ is most frequently taken as ‘urah parshva’ i.e. ‘sides of the chest wall’ in scientific observe. So parsva shula confined to the ache within the sides of the chest cavity. However the sides of the stomach are additionally thought-about within the sides of the physique or trunk. Until specified parsva means each – sides of the chest and sides of the stomach. Sides of the stomach could be thought-about as udara parsva, udara stands for stomach.
Learn – Shoola Varieties, Signs, Remedy, Medicines, Cures
So there’s a confusion as to what we must always take into account by ‘parsva shula’ – ache within the sides of the chest or ‘ache within the sides of the chest in addition to sides of the stomach’?
Learn associated: Parsva Shula Causes, Signs, Pathogenesis, Remedy, Fashionable View
Why this doubt?
We get this doubt as a result of within the description of pathogenesis of parsva shula, Grasp Sushruta has additionally talked about the obstruction of vata by kapha in kukshi i.e. stomach and parsva i.e. sides of the chest and stomach. Right here using each phrases ‘kukshi’ and ‘parsva’ results in confusion.
1. Is the ache within the stomach and sides of each chest and stomach?
2. Is the ache within the stomach and sides of the chest?
3. Is the ache within the kukshi-parsva (if each phrases are taken collectively) i.e. sides of the stomach?
If case 3 is taken into account then what was the necessity of explaining one other painful situation known as ‘kukshi shula’ which implies belly ache or ‘intestinal colic’ by Grasp Sushruta instantly after explaining parsva shula?
Why would Sushruta clarify ‘ache within the sides of the stomach’ earlier than ‘ache within the stomach’?
Learn – Parinama Shoola : Definition, Varieties, Remedy, Medicines
Ought to we take into account Parsva Shula defined by Sushruta as ache in sides of chest or ache within the sides of stomach?
The pathogenesis and signs of parsva shula as defined by Grasp Sushruta directs us to know that this situation is triggered each within the sides of the chest in addition to stomach. There are some signs associated to the involvement of stomach like distension, gurgling sounds in stomach, and anorexia. On the similar time we get to see the signs pointing in direction of the involvement of sides of the chest like problem in respiration. Pricking ache has not been particularly talked about in order to the place it happens. We will infer that this ache happens each within the sides of the chest in addition to stomach. Sleeplessness could also be triggered as a result of ache in each side of the chest and stomach.
Ache could also be predominant in stomach or chest or in each locations. However the separate rationalization of ‘kukshi shula’ drives us to restrict the that means of parsva shula as ‘ache within the sides of the chest’.
Learn – Fullness Of Stomach – Ayurvedic Strategy And Remedy
Variations between Parsva Shula and Kukshi Shula
Grasp Sushruta has additionally defined Kukshi Shula in the identical chapter. Kukshi means stomach. We could get a doubt in order to why Grasp Sushruta has as soon as once more defined belly ache or colic individually after contemplating belly ache within the context of parsva shula a number of paragraphs earlier than kukshi shula. We will infer that –
Parsva shula is ache within the sides of the stomach and in addition related to ache within the sides of the chest. Parsva Shula is attributable to vitiated kapha and vata.
Kukshi shula is ache within the stomach, i.e. total stomach and isn’t restricted to the perimeters of the stomach. Kukshi shula is attributable to vitiated vata. This situation has its personal pathogenesis and signs totally different from that of parsva shula.
Briefly –
- Parsva shula is predominantly a situation presenting with ache within the sides of the chest and consists of belly signs
- Kukshi shula is predominantly a situation presenting with ache within the stomach together with its websites and consists of chest situations / signs
We will see breathlessness in each situations. In parsva shula it’s because of the involvement of the lungs and in kukshi shula it’s because of the ache referred from the intestines to the perimeters of the chest wall.
Learn – Completely different Causes For Vata Dosha Imbalance, Improve
Subdivisions of Parsva Shula
Relying on the place of manifestation of ache / colic, parsva shula could be categorized as –
Udara Parsva Shula – Ache within the sides of the stomach
Urah Parsva Shula – Ache within the sides of the chest
2nd perspective of understanding parsva shula by understanding the time period kukshi
The time period ‘kukshi’ most frequently refers to stomach or belly cavity. Kukshi can be thought-about to have the beneath talked about meanings –
Womb
Cavity
If kukshi is taken into account a cavity it additionally consists of the house contained in the chest or thoracic cavity. On this sense the kukshi parsva talked about within the pathogenesis of the illness by Grasp Sushruta could be thought-about as ‘sides of the chest cavity’.
- Adhmana could be thought-about as growth of the chest cavity attributable to vitiated kapha and vata.
- Gudagudayana could be thought-about as irregular chest sounds triggered as a result of friction.
- Suchibhiriva nistoda refers to pricking ache within the sides of the chest.
The belly complaints and sleeplessness could be because of the impact of lengthy standing ache within the sides of the chest and in addition because of the strain imparted by the expanded chest over the belly organs and organs of digestion.
Within the ‘kukshi shula’ defined by Grasp Sushruta ‘problem in respiration’ has been talked about among the many signs. This can be as a result of lengthy standing belly ache and imparting strain over the chest and inflicting respiration hassle. In kukshi shula if there’s ache within the stomach triggered as a result of pathology of intestines the ache is probably not restricted to central ache but additionally could embrace sides of the stomach. On this approach udara parsva shula i.e. ‘ache within the sides of the stomach’ can be a symptom of kukshi shula.
In parsva shula ache can be first manifested within the chest sides and later would come with sides of the stomach. In kukshi shula ache will first manifest within the stomach together with its sides and later will embrace sides of the chest.
Contemplating all these factors we will take into account that parsva shula is a proof of ‘ache within the sides of the chest cavity’ together with belly complaints or referred belly ache. On this context we’ll take into account parsva shula as ache within the sides of the chest.
Learn – Vedanasthapana Gana – Ache Relieving Group Of Herbs Evaluate, Advantages
Different fascinating factors about Parsva Shula
Parsva Shula and Rajayakshma – Parsva shula is likely one of the signs of Rajayakshma (tuberculosis, phthisis) illness talked about by each Grasp Charaka and Sushruta. This point out clearly factors in direction of ache within the sides of the chest quite than ache within the sides of the stomach.
Defining Parsva shula pathogenesis in Rajayakshma illness Grasp Charaka tells that this situation is characterised by sankocha i.e. constriction and ayama i.e. distension or strain manifested in an unsure / irregular approach. In parsva shula generally there’s constriction and generally there’s growth. Constriction is because of predominance of vata and growth is because of predominance of kapha within the pathogenesis. Subsequently the character of ache can be unpredictable and unsure.
Parsva Shula in Gulma – Ache in Gulma – Gulma is a illness whereby ache manifests in 5 totally different areas because of the presence of an belly tumor or an enlargement therein. Ache is current in –
- Parsva – sides of the physique / flanks / sides of chest and stomach
- Hridaya – central chest (area of coronary heart)
- Nabhi – central a part of the stomach across the navel
- Vasti – decrease a part of the stomach / area of the urinary bladder
Even in Gulma there’s ache in flanks which embrace ache within the sides of chest in addition to stomach. It’s because the central chest has been included in ‘hridaya’ and central stomach within the time period ‘nabhi’ and decrease stomach within the time period ‘vasti’. However this ache is because of the presence of a tumor like swelling or cystic swelling in between the center and navel i.e. within the stomach. Right here parsva shula is a symptom of gulma. In parsva shula and kukshi shula there isn’t any tumor or mass within the stomach or chest cavities.
Learn – Gulma- Stomach Tumor- A Distinctive Illness In Ayurveda
Parsva shula as ‘ache within the sides of the chest’
Because of the beneath talked about causes parsva shula ought to strictly be thought-about as ‘ache within the sides of the thorax – chest wall’.
Sushruta has defined kukshi shula instantly after parsva shula. Kukshi shula is ‘ache in tummy – intestinal colic’ whereby the ache is situated not solely within the central a part of the stomach but additionally in its sides.
Parsva Shula talked about by grasp Charaka within the context of ‘signs of Rajayakshma illness’ signs and remedy of parsva shula therein explains ‘ache within the sides of the perimeters of the chest wall’.
Stomach signs of parsva shula could also be manifested because of the impact of the ‘ache within the sides of the chest wall’ over the stomach. Sleeplessness too could also be because of the impact of fixed and ongoing chest wall ache.
The phrases which denote signs of belly illness i.e. adhmana, gudagudayanam, suchibhiriva nistodam talked about as signs of parsva shula ought to be thought-about as associated to the chest and never in relation to the stomach.
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