Clinical Evaluation of Udar Roga Treated with Ayurvedic Internal Medicine and External Therapies

Abstract

Background: Udara Roga is a serious abdominal disorder described in Ayurveda and included under Ashtamahagada. Impairment of Agni, Doshic imbalance, and abnormal fluid accumulation are central to its pathogenesis. Aim: To assess the effect of an integrated Ayurvedic treatment approach in the management of Udara Roga. Case Summary: A 59-year-old male with a long history of alcohol consumption presented with abdominal distension, pedal oedema, constipation, reduced appetite, and dyspnoea in the supine position. Based on clinical features and investigations, the condition was diagnosed as Udara roga. Intervention and Outcome: The treatment included Nitya Virechana, supportive Shamana Aushadhi, external mud therapy, and strict dietary regulation (excluding milk). Significant improvements were observed in abdominal girth, pedal oedema, liver function parameters, and overall clinical condition. Conclusion: The integrated Ayurvedic approach with mud therapy, which is a form of naturopathy, showed encouraging results in this case of Udara Roga, indicating its potential role in effective management.