Chhardi

Introduction
Hetu (causes)
Roopa (clinical features)
Treatment
Commonly used drugs

Introduction
It is the combination of two words namely, Chhad meaning to cover / enclose / fill and Ard means Pain / discomfort thus giving the whole term he meaning of discomfort due to vomiting. During vomiting, the vomitus covers / fills the mouth completely & causes immense discomfort to the body. Classification

Vataja
Pittaja
Kaphaja
Sannipataja
Dwistharthaja (contact with digesting object)

Poorvaroopa

Utklesha- means nausea.
Kapha praseko- excessive salivation.
Dwesho ashaneya- aversion to food.

Hetu (causes)

Atidrava- excessive intake of liquids
Atisnighda- excessive intake of unctuous food
Ahridya- something that does not suit one's taste
Atilavan- Excessive salty food
Akale
Atimatra- Untimely intake of food & over eating
Asatyma Bhojan- incompatible food / allergies to certain foods
Shrama- fatigue
Bhaya- fear
Shoka- grief
Udveg- anger
Ajeerna- Indigestion
Krimidoshata- worm infestation
Naaryascha Aapannasatva- vomiting of pregnancy
Atidrutamashnata- to gulp down food without chewing it properly
Vibhistdarshana- contact with digesting object

Roopa (clinical features)

Vataja Chhardi
- Pain in cardiac region, head & navel
- Dryness of mouth
- Cough
- Hoarseness of voice
- Priking pain
- Loud sound of eructation while vomiting
- Vomitus is frothy, broken up, black color, thin & astringent, little in quantity. Vomiting is with great difficulty but with severe impulse & great distress.
Pittaja Chhardi
- Fainting
- Thirst
- Dryness of mouth
- Burning in head, palate & eyes
- Feeling of darkness & giddiness
- Vomitus is yellow, green, hot, bitter & smoky.
Kaphaja Chhardi
- Drowsiness
- Sweetness in the mouth
- Excessive salivation
- Contentment
- Sleep
- Anorexia
- Heaviness
- Vomitus is unctuous, solid (concentrated), sweet & white & vomiting is accompanied by horripilation.
Sannipataja
- Severe pain in abdomen
- Indigestion
- Anorexia
- Burning
- Thirst
- Dyspnoea & fainting
- Vomitus is salty, sour, blue, viscous, hot & red.
Dwisthaarthaja
- The person when stressed psychologically by factors, which inflict the psyche such as smell, vision, or eating, disgusting, antagonistic, unclean, putrefied objects vomits.

Treatment

Langhana (fasting) is indicated in the beginning itself, except in vomit caused by vata.
For those who are strong, have great increase of doshas and who continue to vomit large quantities repeatedly a vamana (emesis) is to be administered.
In vireka (purgation) wine, fruit juices or milk (as adjuvant to the purgative drug) should be used
For those, who are dry and debilitated, samana ausadhas (drugs which mitigate the doshas) only should be administered.
Ghee mixed with saindhava, made warm and drunk cures vomiting caused by vata especially, also cough and palpitation; or that (ghee) mixed with more of trikatu and trilavan or that prepared with the
For vomiting arising from pitta, in order to produce purgation (powder of trivrit mixed with juice of drksha and iksu or tailvaka sarpi should be administered.

Decoction

Decoction of dadima with sunthi, dadhi (curds) and dhanya.
Milk mixed with equal quantity of water or juice of sour fruits mixed with more of saindhava and ghee or foods which are mixed with fat and prepared from sunthi, dadhi (curds) and dadima, warm and added with salt or also lubricant purgatives are ideal.
Decoction of tender leaves of jambu and amra, mixed with honey consumed warm or cold cures vomiting, fever, diarrhea, fainting and thirst.
Licking (the powder of) manashila, krishna and maricha in the juice of bijapuraka or kapittha and mixed with honey cures vomiting. Kapittha along with vyosha, or duralabha with honey should be eaten; (powder of) maricha, coca, ela, honey should be licked.
Appropriate, comforting methods relieve Vomiting caused by dislikes. By the bouts of vomiting, resulting in depletion of dhatus (tissues) matarisva (vata) undergoes increase inevitably.Hence, therapies such as sthambhana (with holding the expulsion of fluids from the body) and bramhana (nourishing) mentioned in excess bouts of emesis therapy is recommended in this condition.
In case of psychic stress, favorite talk, consolation, exhilaration, common stories, friends and amorous movements are useful. Favorite odors such as of earth, flower, fermented beverage, sour fruits etc., vegetables, edibles, syrups, well-processed shadava, raga and leha (types of pickles), vegetable and meat-soups, kambalika, khada, meat, parched grains, various chewable, fruits, roots endowed with smell, color and taste control the vomiting. Whatever smell, taste, touch, sound and vision is liked by the patient, though unsuitable, should be provided. This helps to control the disease easily.

Commonly used drugs

Bbhasma
- Shankha (Siddha yog Sangraha)
- Kapardik (Siddha yog Sangraha)
- Jahar Mohara Khatai (Ayurved Saar Sangraha)
- Praval (Ayurved Saar Sangraha)
- Mayur Chandrika (Siddha yog Sangraha)
- Swarnamakshik (Rasendra Saar Sangraha)
Rasa Kalpa
- Sutsekhar (Ayurved Saar Sangraha)
- Arogyavardhini (Ras Ratna Samucchaya)
- Kamadudha (Ayurved Saar Sangraha)
- Mahashankha Vati (Bhaishajya Ratnavali)
Lauha
- Amlapittantak (Bhaishajya Ratnavali)
- Dhatri Lauha (Bhaishajya Ratnavali)
Churna
- Talisadi (Bhaishajya Ratnavali)
- Avipattikar (Bhaishajya Ratnavali)
- Sitopaladi (Bhaishajya Ratnavali)
Avleha
- Chyavan Prasha ( Sharangdhar Samhita)

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