Mahavatham is a disease in which the Vatham is deranged extensively. I had seen 100 patients of Mahavatham in O.P.D. Among 100 cases 30 cases are taken for study. Out of 30 cases, 21 cases are observed in OPD and 9 cases in IPD of Ayothidoss Pandithar Hospital, National Institute of Siddha. Chennai – 47.
86.3% of female cases and 56.7% of Vegetarians are documented 53.3% of cases acquired the disease during Kaba kaalam ie; 1-33 years.
In Mahavatham the Panbhu of Naadi is Puranadai and Kalathal. 86.7% of cases have Illaithal and Azhunthal. 83.3% of cases have the Naadi Nadai of Valiazhal. 16.7% cases have Azhal vali.
The tongue may have maa padinthirutthal or vedippu. 90% of cases have black pigmentation in their tongue along with either redness or pallorness. 83.3% of cases have
occasional pulippu taste in their tongue. 70% of cases have increased vaineer ooral.
This study reveals most of the Mahavatham patients ie: 87% of cases have kalichchal. In this 70% of cases have seetham in kalichchal. 77% of cases have the past H/o. prolonged constipation.
Neerkuri study reveals that 70% cases have venmai nira urine 76.7% of cases have slow spread in their Neikuri.
100% of cases have deranged Pranan, Abanan, Samanan, Viyanan, Kiruharan Vatham. 100% of cases have deranged Analam and Ranjaga Pitham. 100% of cases have deranged Avalambagam, Kilethagam and Pothaga Kabam.
100% of cases have deranged Saarum and Cheneer. 46.7% cases are document under Midunam Raasi. 26.6% of cases are documents under Thiruvathirai Natchathiram.
46.7% of cases have the Hb within the range of 11 – 11.9 gms%. In peripheral smear study of blood, 63.3% of cases have Macrocytic red blood cells, 37% of cases have
poikilocytosis ie; Microcytic and Macrocytic red blood cell. The symptoms of Mahavatham may be correlated with Macrocytic anaemia.
According to Theraiyar yamakam, Vatha diseases occur in the land neithal. This study also reveals 67% of cases from neithal land.
54% of cases have developed the symptoms of Mahavatham at Kaarkalam in which the vali is extensively deranged.
30% of cases have 9½ V.K. and 26.6% of cases have 10 V.K. alavu of Manikadai nool.
This study reveals that vali humour is extensively deranged in Mahavatham. But vali derangement is not alone. It also accompanies Azhal and Iyyam and results in derangement of all the three humour.
The basic constituents of human body ie; 96 thathuvam also gets derangement.
In Iymbootham, all the bootham gets dearangement results in upper abdominal tenderness, reduced appetite, fear, laziness, poorly nourished blood, increased frequency
of defecation, reduced lust, increased anger.
In Gnanenthariyam the tongue gets derangement results in altered taste ie; presence of pulippu or kaippu taste. Mei gets derangement results in upper abdominal tenderness.
In Kanmentheriyam, the Eruvai gets derangement results in either constipation or diarrhoea.
In Mahavatham, there is increased frequency of micturition , but the enjal (alavu) of urine is not altered.
The yellowish discoloration of skin occurs in Mahavatham is different from Azhal Iyya Manjal Noi.
Azhal Iyya Manjal Noi is acute onset, the first symptom is yellowish discoloration of skin. In later stage only increased frequency of defecation and abdominal distension
occurs. Where as in Mahavatham the abdominal distension and increased frequency of defecation occurs first. If not treated it will produce yellowish discoloration of skin in the later stage.
CONCLUSION:
It was apparent from the study that Mahavatham occurs mostly in Females and Vegetarians. Mahavatham occurs mostly in Kaba kaalam of individual ie: 1-33 years.
The tongue of the most of Mahavatham patients have redness with black pigmentation associated with vedippu and increased vai neer ooral.
Most of Mahavatham patients have 9 ½ V.K. alavu of manikadainool.
Mahavatham occurs mostly in Neithal land the symptoms of the disease also developed mostly in Kaarkaalam.
Neikuri study reveals that 76.7% of cases have slow spread in their neikuri, which indicates that this disease will be curable.
We can afford to make it a practice to intake specific amount of all taste, water and some food in our daily routine, to be disease resistant. If any of the taste are taken in high proportion in random without specification, would lead to disorder. It’s like the old adage about too much of a good thing being bad.
Here increased intake of kaippu thuvarppu, kaarppu, pullippu taste, palaya saatham, naei (ghee), kezhlvaragu and water, increased anger and increased starvation will produce Mahavatham.
Though it is a vatha disease, the malam indicates the precence of kapham. It is controversial to the literature, which mentioned that malam is black in colour and hard in
consistency in vatha disease. But in Mahavatham, seetham is present in stool which indicates kapham.
Due to increased intake of vali producing diet and vali prone activities, vali increased in its level in the abdomen, lower part of the back of the trunk, umbilicus and
rectum (where the vatham dwells) results in abdominal distension, abdominal pain, low back pain and constipation. If it is not treated, it alters the udal thee ie; Manthakini is produced.
Manthakini (kiletha kabam) alters digestion results in reduced intake of food.
Seetham formed in the gastro intestinal tract by kiletha kabam is pushed downwards along with stool by Abana vayu which is increased in quantum due to obstruction of
feces
