In Ayurveda terms , swelling is called as Shotha or Shopha. Shotha (Odema or swelling) are of two types : Nija and Agantuja . Nija shotha is due to internal causes within the body i.e. vitiation of doshas first and then brings about pain. On the other hand Agaantuja Shotha is due to external factors and starts with pain first , then brings about the vitiation of doshas. Here emphasis was given on Nija Shotha . As per the aetiology of Shotha various fifteen diseases (vyadhis ) described in Charaka Samhita sutra sthana Adhyaya 12 as the causative factor of Shotha are due to Agni vikruti and Srotorodha . Root cause of All these shotha causing diseases is Agnimandya which further leads to Srotorodha and Shotha utpatti. Hence a formulation having ushna, tikshna, laghu, rukshaguna, katutikta rasa, katuvipaka & ushnavirya. kaphavatashamaka, dipana, pachana, rochana, lekhana, srotovishodhana, shothahar, stholyahara and rasayana properties is effective in Samprapti Vighattan ( breaking the pathogenesis) of Shotha. All the drugs/herbs mentioned in the Pathyaadikwatha taken from yogratnaakara (Shotha Chikitsa Prakarana Uttrardha) are having Deepana, Paachana, Shothahara, Stholyahara, Rasaayana, Ushana, Tikshana, Katutiktarasa, Agnivardhaka, Lekhana and Vatakaphashaamka
Key Words : Shotha , Agnimandya , Srotorodha , Pathyaadikwatha.