
By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Vit shula is a sort of colic / belly ache defined by Grasp Sushruta amongst numerous sorts of shula. Because the identify suggests the ache is precipitated attributable to impaction of feces within the colon.
Vit = feces, Shoola = ache within the stomach
Learn – Shoola Sorts, Signs, Remedy, Medicines, Treatments

Causes
Extreme consumption of dry meals and getting uncovered to actions which result in dryness within the physique are an important causes of vit shoola.
Pathogenesis
- On account of extreme consumption of dry meals vata will get severely aggravated within the stomach
- This aggravated vata causes obstruction of feces (Vata will increase dryness within the colon, this elevated dryness brings about dryness within the feces and this dried feces doesn’t get excreted simply and will get obstructed within the colon)
- After obstructing the feces. the aggravated vata causes diminution of digestive fireplace
- The identical vata additionally envelopes and obstructs all of the channels within the stomach
- After having obstructed the feces, diminishing the digestive fireplace and obstructing the channels, the aggravated vata causes extreme ache both within the left or proper aspect of the stomach
- This vata will increase in extreme proportions, strikes round all by way of the stomach and shortly spreads making sounds and occupies all corners of the stomach
- This consequently causes extreme thirst, giddiness and unconsciousness within the affected person
- The affected person feels no aid even after defecation and urination
- This severely troublesome and painful situation of the stomach precipitated attributable to stagnation of feces is named as vit shoola
Learn – Kukshi Shula Causes, Signs, Pathogenesis, Remedy
Signs
Mala Avarodha – constipation
Mandikritya cha pavakam – diminished digestion
Tivra Shoola – extreme ache within the stomach both within the left half or proper a part of the stomach
Srotorodha – obstruction of passages and channels within the stomach
Sarvatra vardhate kshipram bhramannatha saghoshavan – the vata strikes all over the place within the stomach in a short time making gurgling sounds within the stomach
Tivra Pipasa – extreme thirst
Bhrama – giddiness
Murcha – fainting
Uncharito mutrito na shantim adhigachchati – no aid in ache even after expulsion of feces and urine
Prognosis
If not handled at correct time this situation will get difficult and turn into tough to deal with.
Sanskrit Verses

Learn – Annadrava Shoola: Definition, Remedy, Treatments
Remedy
Kshipra Doshahara Karya – the doctor who’s knowledgeable in understanding the pathological variations and vitiation of doshas, pathogenesis and numerous sides of the identical and numerous types of interventions to be carried out ought to first plan the therapies and strategies to expel the doshas. This ought to be of prime precedence for the doctor.
The next therapies ought to be thought-about on this path and ought to be skillfully chosen as per severity of dosha and situation of the affected person –
Swedanam – sweating remedy
Vamanam – therapeutic emesis
Niruha – enema with medicated decoction
Sneha vasti – enema with medicated oils / ghee or each
Koshta shodhana yogas – formulations like powders, decoction and many others ready with herbs having intestine cleaning properties / motion
Udavartahara Kriya – all remedies and medicines used to deal with udavarta
Sarvah sukhavah kriya – all therapies, meals and life actions which might present aid from ache shall be used