Udarshool: a review of ayurvedic and modern perspectives on abdominal pain

Abstract

Udarshool refers to abdominal pain according to Ayurvedic medicine. This condition can manifest as acute or chronic pain and is often associated with various doshic imbalances (Vata, Pitta, Kapha). Udarshool is commonly observed in infants and adults, and it may be symptomatic of various systemic diseases. Ayurveda classifies Udarshool into types like Vataja (Vataja Udarshool), characterized by spasmodic, shifting pain; Pittaja (Pittaja Udarshool), characterized by burning, sharp pain; Kaphaja (Kaphaja Udarshool), characterized by heavy, dull pain; Sannipataja, indicating mixed dosha symptoms; and Krimija, caused by worm infestation. Diagnosis involves both Ayurvedic methods (Nadi Pariksha, Jihva, Mala, Mutra, Sparsha, Darshana) and modern investigations (CBC, LFT, USG). Management focuses on Deepana-Pachana (digestive stimulants) and dosha-specific treatments, complemented by specific Pathya (recommended) and Apathya (avoided) practices.