Pareeksha is the tool for examination in Ayurveda. The three-fold examination or trividha pareeksha includes darshana, sparshana and prashna. Udara, one among the eight serious illnesses is manifested because of low digestive fire. Here an effort is made to demonstrate the utilization of these tools of examination with a case of Jalodara (ascitis). The patient aged 60 years presented with edema in both lower limbs, severe distension of the abdomen, yellowish discoloration of conjunctiva and urine, hematemesis and weight loss. Based on trividha pareeksha, it was diagnosed as 'Jatodaka' stage of jalodara (ascitis). It was managed based on the treatment principles like agnideepana (increasing digestive fire), nitya virechana (daily purgation), shodhahara (anti inflammatory) Rasayana and external therapies. The patient showed considerable improvement in the presenting complaints. The proper knowledge of the stage or condition helped in better prognosis and planning of treatment in this case .This was possible only with ' pareeksha' or tools for examination.
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