By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
The phrase kukshi normally encompasses ‘hole cavity’ contained in the physique. However on this context kukshi is think about as stomach. Kukshi shula explains ‘diffuse ache within the stomach’.
Kukshi – stomach, stomach cavity
Shula – colic, ache.
It’s also referred to as Kukshishoola.
Learn – Shoola Sorts, Signs, Remedy, Medicines, Treatments
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
- As a result of 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 stomach 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, Sorts, Remedy, Medicines
Sanskrit Verses
Remedy of KukshiShoola
Ideas
Vamana or Langhana – Therapeutic emesis or lightening therapies are the remedies of selection in treating ache or colic within the stomach. These remedies must be applied after having thought of the energy 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 must 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: Evaluation, Advantages, Formulations
Virechana – Therapeutic purgation is among the greatest remedies to take care of stomach ache. A particular formulation defined by Grasp Sushruta will function an excellent purgative in addition to illness particular treatment when it comes to assuaging ache within the stomach. The formulation is known as Vachadi Churna. It’s ready with the under 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 must be administered after contemplating the energy of the doshas.
Vasti – enema with natural oils and decoctions must be given to alleviate ache stomach. The doshas which have gathered must be flushed out of the intestine. This is not going to solely assist in relieving ache but in addition will stop recurrences. For this function Erandadi Taila or Higvadi Ghrta must be used for unctuous enema. Decoction enemas ready with the identical herbs can also be administered.
Nagaradi Kwatha
Decoction must be ready with the under 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 must be ready and powder of asafetida, sauchal salt and vid salt must be sprinkled or combined on the finish and the decoction must be served contemporary for consuming. This might relieve stomach ache or colic.
Different efficient measures
The under talked about measures could also be included within the therapy of stomach ache –Upanaha – natural poultices must be administered over the painful a part of the stomach.
Sneha – oleation / exterior and inside 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 bathtub full of decoctions ready with vata assuaging herbs
Anyad hitam – every other measure which alleviates stomach 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 therapy inclusions
KukshiShoola may also be handled on the strains of treating
Shula – colic
Gulma – stomach 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 identical time constipation takes place because of the faeces not being cleared simply within the colon. It will result in strain within the intestines and extreme ache. From the attitude of contemporary drugs all these occasions may be put collectively and referred to as ‘intestinal colic’ since ache within the stomach is an important symptom of this illness. We are able to make it extra exact and name it ‘intestinal colic prompted because of weak digestion, stagnation of undigested meals and constipation’. It will 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 giant gut. It’s attributable to a blockage within the gut. This in flip retains meals and liquids stagnated and prevents them from passing by means of the physique to the skin.
The blockage can happen because of completely 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
Belly ache
Lack of urge for food
Vomiting
Lack of or lessened bowel motion
Lack of ability to fart (go out the gases)
Distension of stomach
Parshva Shoola and Kukshi Shoola
Parsva Shula is a kind of colic or ache manifested within the flanks – sides of the physique (chest and stomach). This situation is defined by Grasp Sushruta amongst several types of ache or colic.
The time period ‘parsva’ is most frequently taken as ‘urah parshva’ i.e. ‘sides of the chest wall’ in medical follow. So parsva shula confined to the ache within the sides of the chest cavity. However the sides of the stomach are additionally thought of within the sides of the physique or trunk. Except specified parsva means each – sides of the chest and sides of the stomach. Sides of the stomach may be thought of as udara parsva, udara stands for stomach.
Learn – Shoola Sorts, Signs, Remedy, Medicines, Treatments
So there’s a confusion as to what we should always think about 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 the usage of 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 referred to as ‘kukshi shula’ which implies stomach 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, Sorts, Remedy, Medicines
Ought to we think about 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 grasp that this situation is prompted 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 identical time we get to see the signs pointing in the 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 are able to infer that this ache happens each within the sides of the chest in addition to stomach. Sleeplessness could also be prompted because of ache in either side of the chest and stomach.
Ache could also be predominant in stomach or chest or in each locations. However the separate clarification 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 stomach ache or colic individually after contemplating stomach ache within the context of parsva shula just a few paragraphs earlier than kukshi shula. We are able to infer that –
Parsva shula is ache within the sides of the stomach and likewise 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. whole 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 completely different from that of parsva shula.
Briefly –
- Parsva shula is predominantly a situation presenting with ache within the sides of the chest and contains stomach signs
- Kukshi shula is predominantly a situation presenting with ache within the stomach together with its websites and contains chest situations / signs
We are able to 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 may 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 stomach cavity. Kukshi can also be thought of to have the under talked about meanings –
Womb
Cavity
If kukshi is taken into account a cavity it additionally contains the area contained in the chest or thoracic cavity. On this sense the kukshi parsva talked about within the pathogenesis of the illness by Grasp Sushruta may be thought of as ‘sides of the chest cavity’.
- Adhmana may be thought of as growth of the chest cavity attributable to vitiated kapha and vata.
- Gudagudayana may be thought of as irregular chest sounds prompted because of friction.
- Suchibhiriva nistoda refers to pricking ache within the sides of the chest.
The stomach complaints and sleeplessness may be because of the impact of lengthy standing ache within the sides of the chest and likewise because of the strain imparted by the expanded chest over the stomach 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 because of lengthy standing stomach ache and imparting strain over the chest and inflicting respiration bother. In kukshi shula if there’s ache within the stomach prompted because of pathology of intestines the ache might not be restricted to central ache but in addition could embrace sides of the stomach. On this method udara parsva shula i.e. ‘ache within the sides of the stomach’ can also be a symptom of kukshi shula.
In parsva shula ache will probably 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 are able to think about that parsva shula is an evidence of ‘ache within the sides of the chest cavity’ together with stomach complaints or referred stomach ache. On this context we’ll think about parsva shula as ache within the sides of the chest.
Learn – Vedanasthapana Gana – Ache Relieving Group Of Herbs Evaluation, Advantages
Different attention-grabbing factors about Parsva Shula
Parsva Shula and Rajayakshma – Parsva shula is among the signs of Rajayakshma (tuberculosis, phthisis) illness talked about by each Grasp Charaka and Sushruta. This point out clearly factors in the 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 method. In parsva shula typically there’s constriction and typically 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 will probably be unpredictable and unsure.
Parsva Shula in Gulma – Ache in Gulma – Gulma is a illness whereby ache manifests in 5 completely different areas because of the presence of an stomach 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 guts and navel i.e. within the stomach. Right here parsva shula is a symptom of gulma. In parsva shula and kukshi shula there is no such thing as a tumor or mass within the stomach or chest cavities.
Learn – Gulma- Belly Tumor- A Distinctive Illness In Ayurveda
Parsva shula as ‘ache within the sides of the chest’
As a result of under talked about causes parsva shula ought to strictly be thought of 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 in addition in its sides.
Parsva Shula talked about by grasp Charaka within the context of ‘signs of Rajayakshma illness’ signs and therapy of parsva shula therein explains ‘ache within the sides of the perimeters of the chest wall’.
Belly 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 stomach illness i.e. adhmana, gudagudayanam, suchibhiriva nistodam talked about as signs of parsva shula must be thought of as associated to the chest and never in relation to the stomach.
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