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Chapter 65 – Sutikaroga Nidanam

The 65th chapter of Madhava Nidana is Sutikaroga Nidana which deals with Puerperal Diseases.

अङ्गमर्दो ज्वरः कम्पः पिपासा गुरुगात्रता |
शोथः शूलातिसारौ च सूतिकारोगलक्षणम् || १ ||

aṅgamardō jvaraḥ kampaḥ pipāsā gurugātratā |
śōthaḥ śūlātisārau ca sūtikārōgalakṣaṇam || 1 ||

The following are the symptoms and signs of puerperal disorders:

  • General Malaise
  • Fever
  • Tremors
  • Thirst
  • feeling of heaviness in the body
  • Swelling
  • Pain in the stomach and
  • Diarrhoea. 1

Etiology

मिथ्योपचारात् सङ्क्लेशाद्विषमाजीर्णभोजनात् |
सूतिकायाश्च ये रोगा जायन्ते दारुणास्तु ते || २ ||

mithyōpacārāt saṅklēśādviṣamājīrṇabhōjanāt |
sūtikāyāśca yē rōgā jāyantē dāruṇāstu tē || 2 ||

When one, soon after delivery, indulges in unhealthy activities, physical strain, improper eatables and drinks and use of uncooked eatables these diseases arise. 2

Puerperal Disorders

ज्वरातिसार – शोथाश्च शूलानहा – बलक्षयाः |
तन्द्रारुचि – प्रसेकाध्याः कफ – वातामयोद्भवाः || ३ ||

jvarātisāra – śōthāśca śūlānahā – balakṣayāḥ |
tandrāruci – prasēkādhyāḥ kapha – vātāmayōdbhavāḥ || 3 ||

The diseases which come under the classification of Sutika Rogas or which may even appear as complications relating to child birth include the following:

  • Fever
  • Diarrhoea
  • Oedema
  • Pain
  • Distension of the stomach
  • debility
  • Stupor
  • Loss of appetite
  • Excessive salivation. 3

Prognosis

कृच्छ्रसाध्या हि ते रोगाः क्षीणमांस – बलाग्नितः |
ते सर्वे सूतिकानाम्ना रोगास्ते चाप्युपद्रवाः || ४ ||

kr̥cchrasādhyā hi tē rōgāḥ kṣīṇamānsa – balāgnitaḥ |
tē sarvē sūtikānāmnā rōgāstē cāpyupadravāḥ || 4 ||

Moreover, the symptoms caused due to morbid increase in kapha and vata also manifest after child delivery. These are difficult to treat in view of poor strength of the body and of the digestive activity. 4

इति श्रीमाधवकरविरचिते माधवनिदाने सूतिकारोगनिदानं समाप्तम् || ६५ ||

iti śrīmādhavakaraviracitē mādhavanidānē sūtikārōganidānaṁ samāptam || 65 ||

Thus concludes the chapter on Sutika Roga.