This article explains Madava nidana 65th chapter “Sutikaroga Nidanam”. Causes, pathology and symptoms of Sutikaroga are explained in this chapter. Sutikaroga means puerperal fever.
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Symptoms of disease of puerperium
The symptoms of Sutikaroga (puerperal disorders) are – pain in the body parts / general malaise, fever, tremors, thirst, feeling of heaviness of the body, swelling, pain in the abdomen and diarrhoea. (1)
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Etiological factors of Sutikaroga
Improper management of puerperium i.e., woman indulging in unhealthy foods and activities soon after delivery, consumption of foods which would increase the doshas or mental strain, consumption of improper foods and drinks and uncooked foods (consumption of foods in the presence of indigestion) lead to the manifestation of many kinds of diseases in the woman in puerperium, which are dreadful (difficult to cure). These diseases are called as sutikaroga – puerperal diseases. (2)
Fever, diarrhoea, oedema, pain in the abdomen (colic) and flatulence (distension of the abdomen), debility, stupor, loss of taste / appetite, excessive salivation and other disorders caused by increase of kapha and vāta manifest in the puerperal period.
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The above-mentioned diseases become difficult to treat in those who have weak muscles, strength and digestive strength (activity). These diseases are called sutika rogas – puerperal diseases. There may also occur many complications of these diseases. These diseases will also be called by the name sutikarogas. (2-7)
Thus ends the chapter on Sutikaroga Nidanam in Madhava Nidana text written by Acharya Madhavakara.