Anthar Vidradhi
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Transcript of Anthar Vidradhi
Definition
“ Dushta rakta atimatratvat sa vai seeghram vidahyate tatah seeghra vidahitvat vidradhi ityabhidheeyate l “ ( Ca. su 17/ 95)
Due to an excessive vitiation of rakta, abscess gets suppurated quickly. This is called vidradhi because of vidaha.
Bahya and abhyantara.
Abhyantara vidradhi is further divided into 4 different types:
Vatiki, paittiki slaishmiki and sannipatiki.
o Excessive intake of food which is seetaka,vidahi, ushna,
ruksha, viruddha, ajirna, samklishta,vishama and asatmya.
o Intake of vyapanna madya.o Excessive intake of madya.o Vegasandharana, srama, jihma vyayama, shayana,
atibhara,atyadhwa, atimaidhuna
Antahshareere mamsaasruk aavishanti yadaa malaa ….
Malas reaching the mamsa and asrk of antahshareera giving rise to granthi which is fatal.
SITES• Hrudaya• Kloma• Yakrut• Pleeha• Kukshi• Vrkka• Nabhi• Vankshana• Vasti
Vidradhi of kloma results in pipasa, mukhasosha and galagraha.
Vidradhi of kukshi causes sula in kukshi,parsva and amsa.
o Sannipathiki maranaaya.o Chirothitha vidradhi is like sastra, sarpa, vidyut
and agni.o So it should be treated very quickly.
1. Gallstones (30-60 %)
2. Alcohol (15-30 %)
3. Hypertriglyceridemia ( 1.3-3.8 %)• Serum triglyceride> 11.3 mmol/L• Derangement in lipid metabolism unrelated to
pancreas.• Diabetes mellitus / who are on certain medications also
develop high triglyceride levels.
4. ERCP ( Endoscopic Retrograde Cholangio Pancreatography ) 5-20 %
5. Drug related 2-5 % Either by hypersensitivity rection or by generation
of a toxic metabolite.6. Sphincter of Oddi dysfunction7. Trauma especially blunt abdominal trauma
UNCOMMON CAUSES
1. Vascular causes and vasculitis.2. Connectivse tissue disorders and thrombotic
thrombocytopenic purpura( TTP )
1. Cancer of pancreas.2. Hypercalcemia.3. Periampullary diverticulum.4. Pancreas divisum.5. Hereditary pancreatitis.6. Cystic fibrosis7. Renal failure
RARE CAUSES10. Infection ( Mumps, coxsackie virus, cytomegalovirus,
parasites)11. Autoimmune ( eg: Sjögren’s Syndrome )
PANCREATITIS
Causes: Infection Improperly treated Obstruction acute pancreatitis Incompletely treated acute pancreatitis
ACUTE CHRONIC
Inflammation of pancreas
hypersecretion of pancreatic juice
Autodigestion of pancretic tissue
Collection of serous material in the pancretic duct and peritoneal covering
Septicemia leading to hypovolemic shock
Acute circulatory failure Coma andDEATH
Obstruction below the level of pancreatic duct
Stasis of pancretic juice
Autodigestion of the pancreas
Collection of serous fluid in the peritoneal sac
Hypovolemia
Shock, coma and Death
o Abdominal paino Burning and pricking type of pain in the
epigastric regiono Fever in case of infectiono Obstructive jaundice, itching, clay coloured
stools in case of obstructiono Nausea, vomitting, abdominal distensiono Increased pulse,decreased BP,Tachypnoeao Cullen’s sign,Turner’s sign
Haemoglobin TC ,DC[increases in infection] ESR [increases in infection] LFT[increases in obstruction] Serum amylase ( Normal- within 200 units/dl ) USG,CT,MRI,ERCP[in case of chronic
pseudopanceatic cyst can be seen] In chronic Fbs,Rbs,PPbs increases
Chronic abdominal pain Decreased appetite Low protein digestion Jaundice
HARRISON’S PRINCIPLES OF INTERNAL MEDICINE CHARAKA SAMHITA CURRENT SURGERY – Dr. J.C.PAL CONCISE MEDICAL PHYSIOLOGY- CHAUDHARI INTERACTIVE WORKSHOP ON AYURVEDA
(HEPATOLOGICAL DISORDERS) 30 - 31 JAN. 2007,NEW DELHI ESSENTIALS OF MEDICAL PHYSIOLOGY - JAYPEE
Dr.SIVA RAMA PRASAD.K Dr. KRISHNA KUMAR