Channels which carry the purisha is called purishawaha srotas. It is also termed as varchovaha srotas. Purishavaha srotas originates from pakvashaya i.e. large intestine and sthula guda i.e. anus. The following factor brings vitiation in purishavaha srotasa.

• Suppression of urge for stools
• Consumption of large quantity of food
• Eating during indigestion
• Whose agni is weak
• Who is emaciated
• Injury

Due to vitiation in purishavaha srotas the following symptoms will appear.

• Patient passes stool with difficulty in little quantity associated with pain n sound
• Passing of excess watery stools or mucus

Atisara, visuchika, ajirna, pravahika, grahani, malavrodha etc are the few examples of diseases of purishavaha srotas. Atisara is a very commonly observed disease in the community due to various causes.

Gudapaka

Gudapaka is one of the common complication of atisara. It may be known as excoriation of anus or referred as nappy rash in paediatric age group.

Synonyms – Gudapaka, ahiputana, Gudakutta, anamika, pristharu etc.

Dosha – Kapha, Pitta

Dusya – Rakta, Twak

Hetu – Katu, amla, lavan, kshara yukta ahar, increased frequency of watery or mucus stools, improper cleaning of anus, unhygienic conditions, excessive sweating, irregular bathing etc.

Roop / symptoms – Redness at anal region, burning sensation, itching, wet discharge, rash and pustules.

Samprapti –

Hetusevana (Aharaj, Viharaj, Manas) (Pitta Sanchaya)

Vitiation of Pitta (Pachak Pitta – Dravagunadhikya) (Pitta Prakopa)

Jatharagnimandya

Pakwashaya / Purishashaya Visrutataa (Prasara)
+
Malabhedana (Increased Drava, Ushna & Sara guna of Pitta)

Purishavaha Srotasa (Sthansanshraya)

Bahudravsaranam through Guda (Vyakti)

Pitta Atisara (Bheda)

Due to Ushna & Tikshna guna of vitiated Pitta & Increased frequency of stools there is local Twakadarana

Gudapaka

Chikitsa –

Along with treatment for atisara co-therapy for gudapaka should be given as follows –

Rasanjana is the choice of drug used orally and locally
Also local application of kasisa, rasona, yashti, shankhabhasma.
Orally kamdudha and other pittaghna yoga.
Ghritpan – Patoladi ghrit etc.
If needed raktamokshan with jalauka.
Cleaning the site with triphala or khadir kashaya.
Baby and mother to be treated in paediatric cases. Dhatri stanyashodhan is recommended.
Contraindication – Local Cleaning with cold water, rubbing.