EFFECTIVENESS OF SHODHANA AND SHAMANA THERAPIES IN UDAR VIKAR: INSIGHTS FROM A CASE STUDY

In Ayurveda, Udar Vikar (Udar Roga) encompasses generalized abdominal disorders characterized by distension, ranging from gaseous bloating to fluid accumulation (Jalodara), with pathogenesis involving impaired digestive fire (Mandagni), accumulation of undigested toxins (Ama), and vitiation of Vata, Pitta, and Kapha in the abdominal Srotas. A 62-year-old female presented to Jeena Sikho Lifecare Limited Hospital, Karol Bagh, India, with abdominal pain, bloating, body pain, constipation, and mild nausea. Clinical evaluation and ultrasound revealed Grade I fatty infiltration of the liver, suspected fundal adenomyomatosis of the gall bladder, and a small polyp (3-4 mm), with other abdominal organs within normal limits. She was treated with a combination of Ayurvedic interventions including Shodhana therapies, Shamana regimens, Deepana Pachana drugs, and supportive diet and lifestyle modifications. Following treatment, the patient exhibited marked improvement in symptoms: abdominal pain and body pain resolved completely(3/10-0/10), bloating subsided, bowel movements normalized,and nausea disappeared.Follow-up ultrasound demonstrated resolution of the gall bladder polyp and adenomyomatosis, with only subtle diffuse fatty infiltration of the liver remaining. Incidental findings of right proximal ureteric calculus with mild hydroureteronephrosis and bilateral renal concretions were noted but were unrelated to the primary diagnosis.