🔺CASE STUDY : NO 47 🔺 PART NO :2 🔺 PLIHA ROGAS( SPLEEN DISORDERS) 🔺DIFFERENTIAL DIAGNOSIS OF SPLENIC DISEASES 📌Infectious mononucleosis Fever, sore throat, lymphadenopathy, splenomegaly 📌Malaria:Cyclical fever, anemia, splenomegaly, parasitemia 📌Typhoid fever:Step-ladder fever, abdominal symptoms, mild splenomegaly 📌Kala-azar (Visceral leishmaniasis):Massive splenomegaly, pancytopenia, hyperpigmentation 📌Portal Hypertension Splenomegaly with ascites and esophageal varices 📌Hemolytic anemia:Jaundice, pallor, reticulocytosis, splenomegaly 📌Leukemia/Lymphoma Systemic symptoms (fever, weight loss, night sweats), lymphadenopathy, massive spleen 📌Splenic Abscess:Fever, LUQ pain, tenderness, leukocytosis 📌Splenic Infarct: Sudden LUQ pain, tenderness, fever, elevated LDH 📌Gaucher’s Disease Hepatosplenomegaly, anemia, bone pain in children/young adults 📌Sarcoidosis or Amyloidosis Systemic features, splenomegaly on imaging, tissue biopsy needed 🔺 SAMPRAPTI (PATHOGENESIS) -The pathogenesis involves Vata dosha and Rakta dhatu. Vitiated Vata enters and vitiates Pliha leading to: -Dosha: Predominantly Vata, secondarily Rakta and Pitta -Dushya: Rakta, Rasa, Mamsa, Meda -Srotas: Raktavaha Srotas -Srotodushti: Sanga (obstruction), Atipravritti (excess flow) -Udbhava Sthana: Amashaya -Adhisthana: Pliha -Vyadhi Swabhava: Chirakari (chronic), Kashtasadhya 🔺UPASHAYA (PALLIATIVE / RELIEVING FACTORS) -Tikta (bitter), Kashaya (astringent), Laghu (light) diet -Mild swedana (sudation) -Deepana and Pachana drugs (appetizers and digestives) -Proper elimination therapy (Mridu Virechana or Basti) -Use of medicated ghrita with Vata-pacifying herbs 🔺 ANUPASHAYA (AGGRAVATING FACTORS) -Intake of Guru, Snigdha, and Abhishyandi ahara (heavy, unctuous, clogging food) -Diwaswapna (day sleep) -Suppression of natural urges -Physical exertion or trauma -Alcohol consumption 🔺SAMANYA CHIKITSA (GENERAL LINE OF TREATMENT) -The general approach includes -Vata-Rakta pacification -Agni Deepana -Shodhana (cleansing) -Raktaprasadana. *Main Principles: -Agni Deepana and Aama -Pachana: Use of Trikatu, Chitrak, Musta, and Pippalimula -Srotoshodhana: Trivrit, Haritaki -Virechana: Using Trivrit Lehya, Draksha, Aragvadha -Basti Chikitsa: For Vata predominance – Eranda Taila, Dashamoola Niruha Basti -Rakta Shodhana: Use of Manjistha, Guduchi, Daruharidra -Rasayana: Use of Amalaki, Guduchi, Bhumyamalaki 🔺Vishesha Chikitsa (Specific Treatment For Pliha Roga) - Herbal Remedies & Formulations: -Plihodara specific preparations: -Plihari Churna – Used traditionally in splenic disorders -Punarnavadi Mandura – Corrects anemia and reduces swelling -Triphala Guggulu – Anti-inflammatory and digestive -Pippalyasava – Enhances liver and spleen function *Virechana yogas: -Trivrit Lehya -Danti haritaki -Eranda Taila *Kwathas (Decoctions): -Dashamoola kwatha -Pathyadi kwatha -Punarnavashtaka kwatha *Other useful drugs: -Punarnava – Diuretic, anti-inflammatory -Bhringaraja – Hepato-splenic tonic -Bhumyamalaki – Supports liver and spleen * panchakarma therapies: -Mridu Virechana (Purgation) -Niruha Basti with Dashamoola -Anuvasana Basti with Eranda Taila 🛑https://chat.whatsapp.com/JtHGdxv7A5SA9bAe8ZNIS2