A CASE DISCUSSION ON BIPEDEL OEDEMA (SHOTHA)

*Vd. Ujwala V. Pawar and Vd. Yasmin F. Shaikh

ABSTRACT

Oedema is explained as Shotha or Shopha in Ayurveda. We come across the edema conditions in different local areas such as face, feet, throught the body or half of the body. Even though it usually appears as a symptom, in so many diseases related to vital organs like kidney, liver, heart, lungs, brain etc. It is condition which is characterized by fluid retention in body’s tissues which results in swelling.[4] Painless swelling of feet & ankles is common problem. Abnormal build up of fluid in ankles, feet & legs can cause swelling. This fluid build up swelling called Oedema. The patient came to us with complaints of bipedal pitting oedema, loss of appetite, Indigestion, General weakness & Dyspnoea on exertion. By modern therapy aims to treated oedema with drugs that expels excess fluid in the form of urine (diuretic).[4] Long term management typically focused on treating underlying causes of swelling. So, the treatment like Shamana chikitsa drugs- Punarnava, Gokshura, Shunthi Kashaya act as a diuretic action (mutral), reduced oedema (Shothaghna), improve appetite (as a Deepan & Aampachan ).[8] This treatment was selected in present case. The result replicated the original study and showed substantial improvement in the patient.

Keywords: Bipedel (pitting) Oedema, Shotha, Appetizer ,Shothaghana, Mutravirechniya(diuretic).