Daivagnya Siromani

O V N Murthy, M.Com. FCS.

Company Secretary
Nizam Sugars Limited,
I Floor, Shakkar Bhavan, Basheerbagh,
Hyderabad 500004 AP
Ph. Off. 23232212 Res. 27405975
Mobile : 94417-78427

Email: ovnmurthy@gmail.com
www.saibhavishyavani.com
& Sri Raghavender Kumar MSc.B.Ed.

Astro Diagnosis Virgo

OM GAJAANANAM NAMAMYAHAM

This Article on Astro Diagnosis is continuing from Jan 2010 issue as a series of 12
Zodiac signs till December 2010 in this Astrovision. Medical Anatomy of the Body
& Natal Charts (Courtesy: Dr. Bhamidipati Satyanarayana, MD KPAF Member &
Source: Astrodatabank). Sri K Raghavendra Kumar M.Sc. B.Ed, Member of KPAF
Hyderabad was extended his assistance in preparing this article.

Virgo

In Medical Astrology 6th Cusp of

Natal Chart represents
Virgo rules the abdominal &
Umbilical Regions, Bowls, the large
and small intestines, the lower
lobes of the liver, and the spleen,
therefore
afflictions
in
Virgo
produce peritonitis, malnutrition,
interference with the absorption of
the chyle, typhoid fever, cholera,
and appendicitis, Lose motions,
Vitamin
B
Deficiency.
Nerves
System. Tape worm, Round worm,
Hook worm,

Mercury as Lord of Virgo represents Veins, Lungs, Tongue, Arms, Mouth, Hair,
Nervous System, Chest, Skin, Naval, Nose, Spinal System & Gall Bladder.
Disease of Chest, Nerves, Nose, disease from poison Itches, Mental disease of aII
kinds, Madness, disease of Gall Bladder, Paralysis, Fits, Ulcers, Indigestion,
Cholera, disease of Mouth & Skin, Neuromas, Leucoderma, Impotence, Vertigo
deafness and skin diseases.

Virgo is a feminine and negative sign, the second of the earthy triplicity, and has
less power of resistance that the fixed sign of Leo. Virgo may stand considerable
strain, however, being of a nervous and wiry temperament; still when the
Virgoan gives up, he finds it very hard to rise and shake off an illness. Being of a
negative disposition he is apt to let circumstances rule him, and does not assert
his will power to overcome. Virgo is the natural sixth house sign, the house which
has rule over sickness; hence when Virgo people once get into the clutches of
sickness, they are apt to become chronic invalids. Therefore though such people
make excellent nurses, they should be advised against this vocation and avoid
sick rooms and hospitals, for they are like sponges and every ready to take on
the disease of their patients.
Virgo rules the abdominal region, intestines (Moon/Rahu/Kethu), the lower lobes
of the liver, the spleen, the duodenum (Moon), and the sympathetic nervous
system.
The afflictions which may be classed under the sign of Virgo are determined
largely by the planets which may be afflicted in this sign. Cramps in the intestines
(Moon), wind, colic (Moon), malnutrition, diarrhoea (Moon/Mars), constipation,
peritonitis (Sun/Moon/Mars), cholera (Mercury/Mars), dysentery, worms
(Venus/Mars), catarrh of the bowels, and appendicitis (Moon/Mars/Saturn) may
result from afflictions in Virgo.
Virgo contains Uttara Phalguni 2-4, Hasta & Chitta 1-2 pada who rules the
following anatomy of the body:
Uttara 2-4: Intestines (Moon), Bowels & Liver, Obstructions, Stomach disorder
(Sun), Sore Throat and swelling in Neck. Tumours in the Bowels.
Hastha: Bowels, Intestines (Moon), Secreting Glands, Enzymes. Vitamin B
deficiency, Gas formation, Loose Bowels, Pain & disorders in Bowels,
Obstructions, short breath, Worms, Mucui, Cholera, Diarrohea (Moon), Typhoid
(Sun/Moon/Mars), Amoebic, Dysentery, Fear Complex, Hysteria and Mental
diseases.
Chitra: Belly (Sun), Lower Part. Ulcers (Mercury), Sharp & Acute pains, Worms
(Venus), Irritation & itching, Legs pain, Dry gripping pain, wounds from Insects
Mercury rules Gemini and Virgo, therefore his afflictions manifest in diseases
related to these signs, as bronchitis, pulmonary and respiratory troubles. He also
rules the right cerebral hemisphere, the motor segment of the spinal cord, and
the vocal cords, hence locomotor ataxia and nervous and vocal disorders are
among his manifestations; so is deafness.
Mercury in Aries gives a tendency to brain fever, nervous headache, vertigo,
neuralgia, and, by reflex action in Libra, nervous disorders of the kidneys, and
lumbago.
Mercury in Taurus gives a tendency to stuttering, hoarseness and deafness, and
by reflex action in Scorpio, nervous affections of the genito-urinary system.
Mercury in Gemini gives a tendency to gout in head, arms, and shoulders,
bronchitis, asthma, asphyxiation, pleurisy, and, by reflex action in Sagittarius,
nervous pains in the hips.

Mercury afflicted in Cancer gives a tendency to nervous indigestion, phlegm,

flatulence, and drunkenness.
Mercury in Leo gives a tendency to pain in the back, fainting, and palpitation of
the heart.
Mercury in Virgo gives a tendency to flatulence, wind colic, short breath, and
nervous debility.
Mercury in Libra gives a tendency to suppression of urine, renal paroxysms,
lumbago, and, by reflex action in Aries, vertigo, nervous headaches and eye
trouble.
Mercury in Scorpio gives a tendency to pains in bladder and genitals, menstrual
trouble, and, by reflex action in Taurus, stuttering or hoarseness and deafness.
Mercury in Sagittarius gives a tendency to pain in the hips and thighs. By reflex
action in Gemini, cough, asthma and pleurisy.
Mercury in Capricorn gives a tendency to rheumatism, especially in the knees;
pains in the back, skin diseases, melancholy; by reflex action in Cancer, nervous
indigestion, flatulence.
Mercury in Aquarius gives a tendency to shooting or gnawing pains in the whole
body, varicose veins, corrupt blood and, by reflex action in Leo, palpitation, and
neuralgia of the heart.
Mercury in Pisces gives a tendency to gout in the feet, or they are tender and
subject to cramp, or, by reflex action in Virgo, a general weakness, lassitude,
worry, and sometimes tuberculosis, deafness.
Sun in Virgo gives a tendency to interference with the assimilation, peritonitis,
typhoid fever, and dysentery.
Venus in Virgo gives a tendency to weakened peristaltic action of the intestines,
tumors, tapeworm, and worms in children.
Moon in Virgo gives a tendency to disorders in the bowels, abdominal tumors,
dysentery, and peritonitis.
Saturn in Virgo gives a tendency to weakened peristalsis of the intestines, abated
absorption of chyle, obstruction of the ileum caecum and transverse colon,
appendicitis.
Jupiter in Virgo gives a tendency to enlarged liver, often ulcerated, jaundice.
Mars in Virgo gives a tendency to typhoid, inflammation of the bowels, peritonitis,
worms, diarrhoea, cholera, and ventral hernia, appendicitis.
Uranus in Virgo gives a tendency to flatulence, and abdominal cramps.

In this issue we are discussing elaborately the concerned medical anatomy and
diseases that are connected with Virgo Sign (Kanya Rasi). As this sign is 6th in
Natural Zodiac Ruler Mercury represents.
Seven different varieties of Diseases (Abdomen/Belly, Intestines, Crohans
Disease, Typhoid, Peritonitis, Diarrhoea /Cholera/Worms, and Appendicitis) were
taken up with supporting natal charts both from the Members of KPAF,
Hyderabad and Astrodata Bank. Hence the Article seems to be very elaborate
like a Research Paper and readers are requested to offer their suggestions and
also any natal charts to the email id: ovnmurthy@gmail.com to include their
views also in the coming articles on this medical subject and the natal charts
given by them would be included at the appropriate topic.
Some of the topics on Medical Astrology were previously written by me published
in Ezine of Ahmadabad by Sri Kanak Bosmia on Appendix are again revisited with
new example charts of Westerns also in this Virgo sign as they represent the
same.
I

Virgo Ailments:
a.
b.
c.
d.
e.
f.
g.

Abdomen/Belly
Jajunam (Small Intestines),
Crohans Disease
Typhoid
Peritonitis
Diarrhoea/Cholera/Worms
Appendicitis

a. Abdomen/Belly:
Abdomen: The belly, that part of the body that contains all of the structures
between the chest and the pelvis. The abdomen is separated anatomically from
the chest by the diaphragm, the powerful muscle spanning the body cavity below
the lungs. The abdomen includes a host of organs including the stomach, small
intestine, colon,rectum, liver, spleen, pancreas, kidneys, appendix, gallbladder,
and bladder. The word "abdomen" has a curious story behind it. It comes from
the Latin "abdodere", to hide. The idea was that whatever was eaten was hidden
in the abdomen.
In vertebrates such as mammals the
body between the thorax (chest)
abdomen is termed the abdominal
section of the body which lies behind

abdomen (belly) constitutes the part of the

and pelvis. The region enclosed by the
cavity. In arthropods it is the most distal
the thorax or cephalothorax.

The human abdomen (also called the belly) is the part of the body between the
pelvis and the thorax. Anatomically, the abdomen stretches from the thorax at
the thoracic diaphragm to the pelvis at the pelvic brim. The pelvic brim stretches
from the lumbosacral angle (the intervertebral disk between L5 and S1) to the
pubic symphysis and is the edge of the pelvic inlet. The space above this inlet
and under the thoracic diaphragm is termed the abdominal cavity. The boundary
of the abdominal cavity is the abdominal wall in the front and the peritoneal
surface at the rear.

In vertebrates, the abdomen is a large cavity enclosed by the abdominal

muscles, ventrally and laterally, and by the vertebral column dorsally. Lower ribs
can also enclose ventral and lateral walls. The abdominal cavity is continuous
with the pelvic cavity. It is separated from the thoracic cavity by the diaphragm.
Structures such as the aorta, inferior vena cava and esophagus pass through the
diaphragm. Both the abdominal and pelvic cavities are lined by a serous
membrane known as the parietal peritoneum. This membrane is continuous with
the visceral peritoneum lining the organs. The abdomen in vertebrates contains a
number of organs belonging, for instance, to the digestive tract and urinary
system.
Abdominal organs

Digestive tract: Stomach, small intestine, large intestine with cecum and
appendix
Accessory organs of the digestive tract: Liver, gallbladder and
pancreas
Urinary system: Kidneys and ureters
Other organs: Spleen

The human rectus abdominis muscle of the

human abdomen
Functionally, the human abdomen is where most of the alimentary tract is
placed and so most of the absorption and digestion of food occurs here.
The alimentary tract in the abdomen consists of the lower esophagus, the
stomach, the duodenum, the jejunum, ileum, the cecum and the
appendix, the ascending, transverse and descending colons, the sigmoid
colon and the rectum. Other vital organs inside the abdomen include the
liver, the kidneys, the pancreas and the spleen.
The abdominal wall is split into the posterior (back), lateral (sides) and anterior
(front) walls.

The transversus abdominis muscle is flat and triangular, with its fibers running
horizontally. It lies between the inner oblique and the underlying transversalis
fascia. It originates from Poupart's ligament, the inner lip of the ilium, the lumbar
fascia and the inner surface of the cartilages of the six lower ribs. It inserts into
the linea alba behind the rectus abdominis.
The rectus abdominis muscles are long and flat. The muscle is crossed by three
tendinous intersections called the linae transversae. The rectus abdominis is
enclosed in a thick sheath formed, as described above, by fibers from each of the
three muscles of the lateral abdominal wall. They originate at the pubic bone, run
up the abdomen on either side of the linea alba, and insert into the cartilages of
the fifth, sixth, and seventh ribs.
The pyramidalis muscle is small and triangular. It is located in the lower
abdomen in front of the rectus abdominis. || It originates at the pubic bone and
is inserted into the linea alba half way up to the umbilicus.
The abdomen contains most of the tubelike
organs of the digestive tract, as well as
several solid organs. Hollow abdominal organs
include the stomach, the small intestine, and
the colon with its attached appendix. Organs
such as the liver, its attached gallbladder, and
the pancreas function in close association with
the digestive tract and communicate with it
via ducts. The spleen, kidneys, and adrenal
glands also lie within the abdomen, along with
many blood vessels including the aorta and
inferior vena cava. Anatomists may consider
the urinary bladder, uterus, fallopian tubes,
and ovaries as either abdominal organs or as
pelvic organs. Finally, the abdomen contains an

The relations of the viscera and large

vessels of the abdomen, seen from
behind.

extensive membrane called the peritoneum. A fold of

peritoneum may completely cover certain organs,
whereas it may cover only one side of organs that
usually lie closer to the abdominal wall. Anatomists
call the latter type of organs retroperitoneal.

Surface landmarks:
In the mid-line a slight furrow extends from the ensiform cartilage/xiphoid
process above to the symphysis pubis below, representing the linea alba in the
abdominal wall. At about its midpoint sits the umbilicus or navel. On each side of
it the broad recti muscles stand out in muscular people. The outline of these
muscles is interrupted by three or more transverse depressions indicating the
lineae transversae. There is usually one about the ensiform cartilage, one at the
umbilicus, and one between. It is the combination of the linea alba and the linea
transversae which form the abdominal "six-pack" sought after by many people.
The upper lateral limit of the abdomen is the subcostal margin formed by the
cartilages of the false ribs (8, 9, 10) joining one another. The lower lateral limit is
the anterior crest of the ilium and Poupart's ligament, which runs from the
anterior superior spine of the ilium to the spine of the pubis. These lower limits
are marked by visible grooves. Just above the pubic spines on either side are the
external abdominal rings, which are openings in the muscular wall of the
abdomen through which the spermatic cord emerges in the male, and through
which an inguinal hernia may rupture.
One method by which the location of the abdominal contents can be appreciated
is to draw three horizontal and two vertical lines.
Horizontal lines

Front of abdomen, showing surface markings for duodenum, pancreas, and kidneys.
The highest of the former is the transpyloric line of C. Addison, which is situated
half-way between the suprasternal notch and the top of the symphysis pubis, and
often cuts the pyloric opening of the stomach an inch to the right of the mid-line.
The hilum of each kidney is a little below it, while its left end approximately
touches the lower limit of the spleen. It corresponds to the first lumbar vertebra
behind.
The second line is the subcostal line, drawn from the lowest point of the subcostal
arch (tenth rib). It corresponds to the upper part of the third lumbar vertebra, and
it is an inch or so above the umbilicus. It indicates roughly the transverse colon,
the lower ends of the kidneys, and the upper limit of the transverse (3rd) part of
the duodenum.
The third line is called the intertubercular line, and runs across between the two
rough tubercles, which can be felt on the outer lip of the crest of the ilium about
two and a half inches (60 mm) from the anterior superior spine. This line
corresponds to the body of the fifth lumbar vertebra, and passes through or just
above the ileo-caecal valve, where the small intestine joins the large.

Vertical lines
The two vertical or mid-Poupart lines are drawn from the point midway between
the anterior superior spine and the pubic symphysis on each side, vertically
upward to the costal margin.

The right one is the most valuable, as the ileo-caecal valve is situated where it
cuts the intertubercular line. The orifice of the vermiform appendix lies an inch
lower, at McBurney's point. In its upper part, the vertical line meets the
transpyloric line at the lower margin of the ribs, usually the ninth, and here the
gallbladder is situated.

The left mid-Poupart line corresponds in its upper three-quarters to the inner edge
of the descending colon.

The right subcostal margin corresponds to the lower limit of the liver, while the
right nipple is about half an inch above the upper limit of this viscus.

Regions: 9-region scheme

Surface lines of the front of the thorax and abdomen.

These three horizontal and two vertical lines divide the abdomen into nine "regions."
(Note that "hypo" means "below" and "epi" means "above", while "chond" means
"cartilage" (in this case, the cartilage of the rib) and "gast" means stomach. The reversal
of "left" and "right" is intentional, because the anatomical designations reflect the
position on the patient. )
right
hypochondriac/hypochondrium

epigastric/epigastrium

left
hypochondriac/hypochondrium

right lumbar/flank/latus/lateral

umbilical

left lumbar/flank/lateral

right inguinal/iliac

hypogastric/pubic

left inguinal/iliac

4-region scheme
Another way of dividing the abdomen is by using 4 quadrants:
right upper quadrant (RUQ) left upper quadrant (LUQ)
right lower quadrant (RLQ) left lower quadrant (LLQ)

(Courtesy: Dr. Bhadmidipati Satyanarayana, MD KPAF Member)

ANALYSIS:
1 Jack Kerouac
Date 12/03/1922 Time 17:00:00EST Place Lowell MA Day
Sunday, Lat
42:38:00 N Long
71:19:00 W
Zone
75:00:00 West Time Corr 0:14:44, KP-NA 22:40:36 Birth
Star: Pubba-3 Rasi: Leo
Asc. :Leo 20:33:26.
VI,XII, Pisces &Virgo CSL Me(1,9,12) in Ra(10); VIII CSL &
Scorpio Sa(2,4,5) in Me(as above); During Mo-Ve (Jan
1914) Mr. Gandhi suffered with acute appendicitis, both Mo
and Ve are connected Me-Ju. All the above rules are
compiled.

2 Franco Moschino
Date 27/02/1950 Time 14:20:00 MET Place Abbiategrasso
Italy Day Monday, Lat 45:24:00 N Long 8:54:00 E TZ
15:00:00 East Time Corr - 0:24:24, KP-NA 23:04:01 Birth
Star: Arudra-3 Rasi: Gemini, Asc.: Can 3:22:01.

3 Scott Hamilton M:
Date 28/08/1958 Time 09:00:00 EST Place Toledo OH
Day Thursday, Lat
41:39:00 N Long
83:33:00 W TZ
75:00:00 W Time Corr - 0:34:12, KP-NA 23:11:08 Birth
Star: Dhanista-4 Rasi: Aquarius Asc. : Vir 16:49:25

b. Jajunam (Small Intestines),

The jejunum is the middle section of the small intestine in most higher
vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the
small intestine are not as clear and the terms middle intestine or mid-gut may
be used instead of jejunum.
The jejunum lies between the duodenum and the ileum. The change from the
duodenum to the jejunum is usually defined as the ligament of Treitz.
In adult humans, the small intestine is usually between 5.5-6m long, 2.5m of
which is the jejunum.
The pH in the jejunum is usually between 7 and 9 (neutral or slightly alkaline).
If the jejunum is impacted by blunt force the emesis reflex will be initiated.
The jejunum and the ileum are suspended by mesentery which gives the bowel
great mobility within the abdomen. It also is wrapped by smooth muscle that
helps to move food along by a process known as peristalsis.

Small intestine

Internal structure
The inner surface of the jejunum, its mucous membrane, is covered in
projections called villi, which increase the surface area of tissue available to
absorb nutrients from the gut contents. The epithelial cells which line these villi
possess even larger numbers of microvilli. The transport of nutrients across
epithelial cells through the jejunum and ileum includes the passive transport of
sugar fructose and the active transport of amino acids, small peptides, vitamins,
and most glucose. The villi in the jejunum are much longer than in the duodenum
or ileum.
The jejunum contains very few Brunner's glands (found in the duodenum) or
Peyer's patches (found in the ileum). Instead, it has many large circular folds in

its submucosa called plicae circulares which increase the surface area for nutrient
absorption.

Ileum

Small intestine

The ileum is the final section of the small intestine in most higher vertebrates,
including mammals, reptiles, and birds. In fish, the divisions of the small
intestine are not as clear and the terms posterior intestine or distal intestine
may be used instead of ileum.
The ileum follows the duodenum and jejunum and is separated from the cecum
by the ileocecal valve (ICV). In humans, the ileum is about 2-4 m long, and the
pH is usually between 7 and 8 (neutral or slightly alkaline).

Function: The function of the ileum is mainly to absorb vitamin B12 and bile salts
and whatever products of digestion were not absorbed by the jejunum. The wall
itself is made up of folds, each of which has many tiny finger-like projections
known as villi on its surface. In turn, the epithelial cells which line these villi
possess even larger numbers of microvilli. Therefore the ileum has an extremely
large surface area both for the adsorption (attachment) of enzyme molecules and
for the absorption of products of digestion. The DNES (diffuse neuroendocrine
system) cells of the ileum secrete various hormones (gastrin, secretin,
cholecystokinin) into the blood. Cells in the lining of the ileum secrete the
protease and carbohydrase enzymes responsible for the final stages of protein
and carbohydrate digestion into the lumen of the intestine. These enzymes are
present in the cytoplasm of the epithelial cells.
The villi contain large numbers of capillaries which take the amino acids and
glucose produced by digestion to the hepatic portal vein and the liver. Lacteals
are small lymph vessels, and are present in villi. They absorb fatty acid and
glycerol, the products of fat digestion. Layers of circular and longitudinal smooth
muscle enable the digested food to be pushed along the ileum by waves of
muscle contractions called peristalsis.
Differences between jejunum and ileum

There is no line of demarcation between the jejunum and the ileum. There
are, however, subtle differences between the two.

The ileum has more fat inside the mesentery than the jejunum.
The ileum is a paler color, and tends to be of a smaller caliber as well.
While the length of the intestinal tract contains lymphoid tissue, only the
ileum has abundant Peyer's patches, unencapsulated lymphoid nodules
that contain large numbers of lymphocytes and other cells of the immune
system.

Diseases
An ileal carcinoid tumor is a carcinoid tumor of the ileum.

Carcinoid

Picture of a carcinoid tumour that encroaches

into lumen of the small bowel (centre of image).
Pathology specimen. The prominent folds are
plicae circulares, a characteristic of small bowel.

Primary site of a carcinoid cancer of gut

Carcinoid (also carcinoid tumour) is a slow-growing type of neuroendocrine
tumour, originating in the cells of the neuroendocrine system.
Gastrointestinal
Carcinoid tumours are apudomas that arise from the enterochromaffin cells
throughout the gut. Over two-thirds of carcinoid tumors are found in the
gastrointestinal tract. Some sources list the appendix as the most common site.
Other sites / metastases
In cases of metastases it can lead to carcinoid syndrome. This is due to the overproduction of many substances, including serotonin, which is released into the
systemic circulation, and which can lead to symptoms of cutaneous flushing,
diarrhea, bronchoconstriction and right-sided cardiac valve disease. It is
estimated that less than 10% of carcinoid patients will develop carcinoid
syndrome. Carcinoid tumors are also found in the lungs.
Symptoms
Most carcinoids are asymptomatic through the natural lifetime and are discovered
only upon surgery for unrelated reasons; these are called coincidental carcinoids.
But all carcinoids are considered to have malignant potential.
About 10% of carcinoids secrete excessive levels of a range of hormones, most
notably serotonin causing:

Flushing
Diarrhea
Wheezing
Abdominal cramping
Peripheral edema

Carcinoid tumors are the most common malignant tumor of the appendix, but
they are most commonly associated with the small intestine, and they can also
be found in the rectum and stomach. They are known to grow in the liver, but
this finding is usually a manifestation of metastatic disease from a primary
carcinoid occurring elsewhere in the body. They have a very slow growth rate
compared to most malignant tumors.

Small intestine cancer

Endoscopic image of adenocarcinoma of duodenum seen in the post-bulbar

duodenum.
In oncology, small intestine cancer, also small bowel cancer and cancer of
the small bowel, is a cancer of the small intestine. It is relatively rare
compared to other gastrointestinal malignancies such as gastric cancer (stomach
cancer) and colorectal cancer.
Small intestine cancer can be subdivided into duodenal cancer (the first part of
the small intestine) and cancer of the jejunum and ileum (the later two parts of
the small intestine). Duodenal cancer has more in common with stomach cancer,
while cancer of the jejunum and ileum have more in common with colorectal
cancer.
Several different subtypes of small intestine cancer exist. These include:

adenocarcinoma
gastrointestinal stromal tumor
lymphoma
ileal carcinoid tumor

Risk factors for small intestine cancer include.

Crohn's disease
Celiac disease
Radiation exposure
Hereditary GI cancer syndromes: familial adenomatous polyposis, hereditary
nonpolyposis colorectal cancer, Peutz-Jeghers syndrome

Benign tumours and conditions that may be mistaken for cancer of the small
bowel:

Hamartoma
Tuberculosis

Ileus
Ileus or gastrointestinal atony is a disruption of the normal propulsive gastrointestinal
motor activity due to non-mechanical causes. In contrast, motility disorders that result
from structural abnormalities are termed mechanical bowel obstruction. Some mechanical
obstructions are misnomers, such as gallstone ileus and meconium ileus, and are not true
examples of ileus by the classic definition.

Postoperative Ileus: It is a temporary paralysis of a portion of the intestines typically

after an abdominal surgery. Since the intestinal content of this portion is unable to move
forward, food or drink should be avoided until peristaltic sound is heard from auscultation
of the area where this portion lies.

Paralytic Ileus: Paralysis of the intestine. To be termed "paralytic ileus," the intestinal
paralysis need not be complete, but it must be sufficient to prohibit the passage of food
through the intestine and lead to intestinal blockage.
Paralytic ileus is a common side effect of some types of surgery. It can also result from
certain drugs and from various injuries and illnesses. Paralytic ileus causes constipation
and bloating. On listening to the abdomen with a stethoscope, no bowel sounds are heard
because the bowel is inactive.

Acute colonic pseudoobstruction

Gangrenous ileum.
Inhibitory neural reflexes
Inflammation: Ileus may increase adhesion formation, because intestinal segments have
more prolonged contact, allowing fibrous adhesions to form, and intestinal distention
causes serosal injury and ischemia. Intestinal distention has been shown to cause
adhesions in foals. Some respondents also mentioned the importance of walking horses
postoperatively to stimulate motility. Repeat celiotomy to decompress chronically
distended small intestine and remove fibrinous adhesions is also a useful method of
treating ileus and reducting adhesions, and it has been associated with a good outcome.

Symptoms: Symptoms of ileus include, but are not limited to:

moderate, diffuse abdominal discomfort

constipation
abdominal distension
nausea/vomiting, especially after meals
lack of bowel movement and/or flatulence
excessive belching

Coeliac disease (spelled celiac disease in North America is an autoimmune

disorder of the small intestine that occurs in genetically predisposed people of all
ages from middle infancy onward. Symptoms include chronic diarrhoea, failure to
thrive (in children), and fatigue, but these may be absent, and symptoms in
other organ systems have been described. A growing portion of diagnoses are
being made in asymptomatic persons as a result of increased screening. Coeliac
disease is caused by a reaction to gliadin, a prolamin (gluten protein) found in
wheat, and similar proteins found in the crops of the tribe Triticeae (which
includes other cultivars such as barley and rye). Upon exposure to gliadin, and
certain other prolamins, the enzyme tissue transglutaminase modifies the
protein, and the immune system cross-reacts with the small-bowel tissue,
causing an inflammatory reaction. That leads to a truncating of the villi lining the
small intestine (called villous atrophy). This interferes with the absorption of
nutrients, because the intestinal villi are responsible for absorption. The only
known effective treatment is a lifelong gluten-free diet. While the disease is
caused by a reaction to wheat proteins, it is not the same as wheat allergy.
Severe coeliac disease leads to the characteristic symptoms of pale, loose and
greasy stool (steatorrhoea), weight loss or failure to gain weight (in young
children). People with milder coeliac disease may have symptoms that are much
more subtle and occur in other organs rather than the bowel itself. Finally, it is
possible to have coeliac disease without any symptoms whatsoever. Many adults
with subtle disease only have fatigue or anaemia.

Gastrointestinal
The diarrhoea that is characteristic of coeliac disease is (chronic)pale, voluminous
and malodorous. Abdominal pain and cramping, bloatedness with abdominal
distension (thought to be due to fermentative production of bowel gas) and mouth
ulcers may be present. As the bowel becomes more damaged, a degree of lactose
intolerance may develop. Frequently, the symptoms are ascribed to irritable bowel
syndrome (IBS), only later to be recognised as coeliac disease; a small proportion
of patients with symptoms of IBS have underlying coeliac disease, and screening
for coeliac disease is recommended for those with IBS symptoms.

Endoscopy

Blood HLA tests for coeliac disease

Test
sensitivity specificity
HLA-DQ2
94%
73%
HLA-DQ8
12%
81%

Endoscopic still of duodenum of patient with coeliac disease showing scalloping of folds
Meckel's diverticulum:
A Meckel's diverticulum, a true congenital diverticulum, is a small bulge in the
small intestine present at birth. It is a vestigial remnant of the
omphalomesenteric duct (also called the vitelline duct or yolk stalk), and is the
most frequent malformation of the gastrointestinal tract. It is present in
approximately 2% of the population, with males more frequently experiencing
symptoms.
Meckel's diverticulum is located in the distal ileum, usually within about 60-100
cm (2 feet) of the ileocecal valve. It is typically 3-5 cm long, runs
antimesenterically and has its own blood supply. It is a remnant of the
connection from the yolk-sac to the small intestine present during embryonic
development.
It can also be present as an indirect hernia, typically on the right side, where it is
known as a "Hernia of Littre". A case report of strangulated umbilical hernia with
meckel's diverticulum has also been published in the literature. Furthermore, it
can be attached to the umbilical region by the vitelline ligament, with the
possibility of vitelline cysts, or even a patent vitelline canal forming a vitelline
fistula when the umbilical cord is cut. Torsions of intestine around the intestinal
stalk may also occur, leading to obstruction, ischemia, and necrosis.

Symptoms: The majority of people afflicted with Meckel's diverticulum are

asymptomatic If symptoms do occur, they typically appear before the age of two.
The most common presenting symptom is painless rectal bleeding such as
melaena-like black offensive stools, followed by intestinal obstruction, volvulus
and intussusception. Occasionally, Meckel's diverticulitis may present with all the
features of acute appendicitis. Also, severe pain in the upper abdomen is
experienced by the patient along with bloating of the stomach region. At times,
the symptoms are so painful such that they may cause sleepless nights with
extreme pain in the abdominal area.
Treatment is surgical. :In patients with bleeding, strangulation of bowel, bowel
perforation or bowel obstruction, treatment involves surgical resection of both
the Meckel's diverticulum itself along with the adjacent bowel segment. In
patients without any of the aforementioned complications, treatment involves
surgical resection of the Meckel's diverticulum only.
Gastric dumping syndrome
Gastric dumping syndrome, or rapid gastric emptying is a condition where
ingested foods bypass the stomach too rapidly and enter the small intestine
largely undigested. It happens when the upper end of the small intestine, the
duodenum, expands too quickly due to the presence of hyperosmolar
(substances with increased osmolarity) food from the stomach. "Early" dumping
begins concurrently or immediately succeeding a meal. Symptoms of early
dumping include nausea, vomiting, bloating, cramping, diarrhea, dizziness and
fatigue. "Late" dumping happens 1 to 3 hours after eating. Symptoms of late
dumping include weakness, sweating, and dizziness. Many people have both
types. The syndrome is most often associated with gastric surgery.
It is speculated that "early" dumping is associated with difficulty digesting fats
while "late" dumping is associated with carbohydrates. Rapid loading of the small
intestine with hypertonic stomach contents can lead to rapid entry of water into
the intestinal lumen. Osmotic diarrhea, distension of the small bowel (leading to
crampy abdominal pain), and hypovolemia can result. In addition, people with
this syndrome often suffer from low blood sugar, or hypoglycemia, because the
rapid "dumping" of food triggers the pancreas to release excessive amounts of
insulin into the bloodstream. This type of hypoglycemia is referred to as
"alimentary hypoglycemia".
Mesenteric ischemia:
This article concerns ischemia of the small bowel. See ischemic colitis for
ischemia of the large bowel. Mesenteric ischemia (Mesenteric ischaemia - British
English) is a medical condition in which inflammation and injury of the small
intestine result from inadequate blood supply. Causes of the reduced blood flow
can include changes in the systemic circulation (e.g. low blood pressure) or local
factors such as constriction of blood vessels or a blood clot. It is more common in
the elderly. Three progressive phases of ischemic colitis have been described:

A hyper active occurs first, in which the primary symptoms are severe abdominal pain and
the passage of bloody stools. Many patients get better and do not progress beyond this
phase.

A paralytic phase can follow if ischemia continues; in this phase, the abdominal pain
becomes more widespread, the belly becomes more tender to the touch, and bowel motility
decreases, resulting in abdominal bloating, no further bloody stools, and absent bowel
sounds on exam.

Finally, a shock phase can develop as fluids start to leak through the damaged colon lining.
This can result in shock and metabolic acidosis with dehydration, low blood pressure, rapid
heart rate, and confusion. Patients who progress to this phase are often critically ill and
require intensive care.

Short bowel syndrome:

Short bowel syndrome (SBS, also short gut syndrome or simply short gut) is a
malabsorption disorder caused by the surgical removal of the small intestine, or
rarely due to the complete dysfunction of a large segment of bowel. Most cases
are acquired, although some children are born with a congenital short bowel. It
usually does not develop unless a person has lost more than two thirds of their
small intestine.
The symptoms of short bowel syndrome can include:

Abdominal pain
Diarrhea and steatorrhea (oily or sticky stool, which can be malodorous)
Fluid retention
Weight loss and malnutrition
Fatigue

Short bowel syndrome in adults is usually caused by surgery for:

Crohn's disease, an inflammatory disorder of the digestive tract

Volvulus, a spontaneous twisting of the small intestine that cuts off the blood supply and
leads to tissue death
Tumors of the small intestine
Injury or trauma to the small intestine
Necrotizing enterocolitis (premature newborn)
Bypass surgery to treat obesity, a now commonly performed surgical procedure
Surgery to remove diseases or damaged portion of the small intestine

Uttara 2-4:
Intestines, Bowels & Liver. Tumours in the Bowels,
Obstructions, Stomach disorder.

ANALYSIS:
4 Edwin E Steinbrecher:
Date 11/02/1906 Time 16:45:00 CST Place Chicago IL
Day Sunday, Lat
41:51:00 N Long
87:39:00 W TZ
90:00:00 W Time Corr 0:09:24, KP-NA 22:27:08 Birth
Star: Uttaraphalguni-3 Rasi: Virgo
Asc. : Can 24:26:23
VI,XII, Pisces &Virgo CSL Me(1,9,12) in Ra(10); VIII CSL &
Scorpio Sa(2,4,5) in Me(as above); During Mo-Ve (Jan
1914) Mr. Gandhi suffered with acute appendicitis, both Mo
and Ve are connected Me-Ju. All the above rules are
compiled.
5 Edith Custer:
Date 05/01/1923 Time 13:00:00 EST Place Whitestone NY Day Friday
Lat 40:47:00 N Long 73:49:00 W TZ 75:00:00 W Time Corr 0:04:44
KP-NA 22:41:17 Birth Star: Ashlesha-3 Rasi: Cancer Asc. : Ari 25:54:42
6 Sam Mills:
Date 03/06/1959 Time 08:27:00 EST Place Neptune NJ
Day Wednesday, Lat 40:13:00 N Long 74:02:00 W TZ
75:00:00 W Time Corr - 0:56:08, KP-NA 23:11:46 Birth
Star: Bharani-1 Rasi: Aries Asc. : Gem 28:37:03

7 Eric Turner CI Gem:

Date 20/09/1968 Time 00:29:00 PST Place Ventura CA
Day Friday, Lat
34:16:00 N Long 119:17:00 W TZ
120:00:00 W Time Corr - 0:57:08, KP-NA 23:19:33 Birth
Star: Makha-3 Rasi: Leo Asc. : Gem 15:06:20

8 Lovecraft:
Date 20/08/1890 Time 09:00:00 EST Place Providence RI
Day Wednesday, Lat
41:50:00 N Long
71:25:00 W TZ
75:00:00 W Time Corr 0:14:20; KP-NA 22:14:10 Birth
Star: Chitra-2 Rasi: Virgo, Asc. : Vir 21:26:39.
VI,XII, Pisces &Virgo CSL Me(1,9,12) in Ra(10); VIII CSL &
Scorpio Sa(2,4,5) in Me(as above); During Mo-Ve (Jan
1914) Mr. Gandhi suffered with acute appendicitis, both Mo
and Ve are connected Me-Ju. All the above rules are
compiled.
9 Willy Brandt:
Date 18/12/1913 Time 12:45:00 MET Place Lubeck Germany
Day Thursday, Lat
53:52:00 N
Long
10:40:00 E
TZ
15:00:00 E
Time Corr - 0:17:20; KP-NA 22:33:42 Birth
Star: Makha-2 Rasi: Leo
Asc. : Pis 16:31:31

10 Claude Dauphin:
Date
19/08/1903
Time
14:10:00
MET
Place
Corbeilessonnes France Day Wednesday, Lat
48:36:00 N
Long 2:29:00 E TZ 2:15:00 E Time Corr 0:00:56
KP-NA 22:25:03 Birth Star: Arudra-4 Rasi: Gemini Asc. :
Sco 12:53:17

11 Frank Sinatra:
Date 12/12/1915 Time 03:00:00 EST Place Hoboken NJ
Day Sunday, Lat
40:44:00 North Long
74:02:00 West
Zone 75:00:00 West Time Corr 0:03:52; KP-NA 22:35:22
Birth Star: Satabisham-2 Rasi: Aquarius Asc. : Lib 5:47:01

12 Alan Alda:
Date 28/01/1936 Time 05:07:00 EST Place Manhattan NY
Day Tuesday, Lat 40:45:00 N Long 73:59:00 W TZ
75:00:00 W Time Corr 0:04:04; KP-NA 22:52:13 Birth Star:
Uttarabadhra-3 Rasi: Pisces, Asc. : Sag 9:16:49

13 Colin Clive:
Date 20/01/1900 Time 01:51:00 GMT Place St. Malo France
Day Saturday, Lat 48:39:00 N Long 2:01:00 W TZ 0:00:00
East Time Corr - 0:08:04; KP-NA 22:22:04 Birth Star:
Bharani-4 Rasi: Leo Asc. : Lib 17:22:03

c. Crohans Disease

Crohns disease is an ongoing disorder that causes inflammation of the digestive tract
or GI tract. Crohns disease can affect any area of the GI tract, from the mouth to the
anus and mostly affects the lower part of the small intestine. Crohn's disease is
an autoimmune disease and classified as a type of inflammatory bowel disease. It
primarily causes abdominal pain, diarrhea, vomiting or weight loss but may also cause
complications such as skin rashes, arthritis and inflammation of the eye. The symptoms
of Crohns disease are similar to other intestinal disorders, such as irritable bowel
syndrome and ulcerative colitis.
Afflicted Aries and Virgo signs create abdominal problems. In stars, last quarter of
Punarvasu and Pushya create abdominal troubles. Uttra and Hastha stars control the
intestines. Sun controls stomach pain, intestine troubles, diarrhea and other stomach
problems.

The three most common sites of intestinal involvement in

Crohn's disease are ileal, ileocolic and colonic.

Crohn's disease (also known as granulomatous, and colitis) is an

inflammatory disease of the intestines that may affect any part of the
gastrointestinal tract from mouth to anus, causing a wide variety of symptoms. It
primarily causes abdominal pain, diarrhea (which may be bloody), vomiting, or
weight loss, but may also cause complications outside of the gastrointestinal
tract such as skin rashes, arthritis, inflammation of the eye, tiredness, and lack
of concentration.

Crohn's disease is thought to be an autoimmune disease, in which the body's

immune system attacks the gastrointestinal tract, causing inflammation; it is
classified as a type of inflammatory bowel disease. There has been evidence of a
genetic link to Crohn's disease, putting individuals with siblings afflicted with the
disease at higher risk. It is understood to have a large environmental component
as evidenced by the higher number of cases in western industrialized nations.
Males and females are equally affected. Smokers are three times more likely to
develop Crohn's disease.
Crohn's disease is one type of inflammatory bowel disease (IBD). It affects the
gastrointestinal tract and can be categorized by the area of the gastrointestinal
tract which it affects. Ileocolic Crohn's disease, which affects both the ileum (the
last part of the small intestine that connects to the large intestine) and the large
intestine, accounts for fifty percent of cases. Crohn's ileitis, affecting the ileum
only, accounts for thirty percent of cases, and Crohn's colitis, affecting the large
intestine, accounts for the remaining twenty percent of cases and may be
particularly difficult to distinguish from ulcerative colitis. Gastroduodenal Crohn's
disease causes inflammation in the stomach and first part of the small intestine,
called the duodenum. Jejunoileitis causes spotty patches of inflammation in the
top half of the small intestine, called the jejunum (MedlinePlus 2010). The
disease can attack any part of the digestive tract, from mouth to anus. However,
individuals affected by the disease rarely fall outside these three classifications,
being affected in other parts of the gastrointestinal tract such as the stomach
and esophagus.

Gastrointestinal symptoms

Endoscopy image of colon showing serpiginous ulcer, a classic finding in Crohn's

disease.

Abdominal pain may be the initial symptom of Crohn's disease. It is often

accompanied by diarrhea, especially in those who have had surgery. The diarrhea
may or may not be bloody. People who have had surgery or multiple surgeries
often end up with short bowel syndrome of the gastrointestinal tract. The nature
of the diarrhea in Crohn's disease depends on the part of the small intestine or
colon that is involved. Ileitis typically results in large-volume watery feces. Colitis
may result in a smaller volume of feces of higher frequency. Fecal consistency
may range from solid to watery. In severe cases, an individual may have more
than 20 bowel movements per day and may need to awaken at night to defecate.
Visible bleeding in the feces is less common in Crohn's disease than in ulcerative
colitis, but may be seen in the setting of Crohn's colitis. Bloody bowel movements
are typically intermittent, and may be bright or dark red in colour. In the setting
of severe Crohn's colitis, bleeding may be copious. Flatulence and bloating may
also add to the intestinal discomfort.
Extraintestinal symptoms

Erythema nodosum on the back of a person with

Crohn's disease.

Endoscopic image of colon cancer identified in

the sigmoid colon on screening colonoscopy for
Crohn's disease.

Crohn's disease can lead to several mechanical complications within the

intestines, including obstruction, fistulae, and abscesses. Obstruction typically
occurs from strictures or adhesions which narrow the lumen, blocking the
passage of the intestinal contents. Fistulae can develop between two loops of
bowel, between the bowel and bladder, between the bowel and vagina, and
between the bowel and skin. Abscesses are walled off collections of infection,
which can occur in the abdomen or in the perianal area in Crohn's disease
sufferers.

Crohn's disease also increases the risk of cancer in the area of inflammation. For
example, individuals with Crohn's disease involving the small bowel are at higher
risk for small intestinal cancer. Similarly, people with Crohn's colitis have a
relative risk of 5.6 for developing colon cancer. Screening for colon cancer with
colonoscopy is recommended for anyone who has had Crohn's colitis for at least
eight years. Some studies suggest that there is a role for chemoprotection in the
prevention of colorectal cancer in Crohn's involving the colon; two agents have
been suggested, folate and mesalamine preparations. Individuals with Crohn's
disease are at risk of malnutrition for many reasons, including decreased food
intake and malabsorption. Crohn's disease can cause significant complications
including bowel obstruction, abscesses, free perforation and hemorrhage.

Endoscopic image of Crohn's colitis showing

deep ulceration

Crohn's disease can mimic ulcerative colitis on endoscopy. This endoscopic image
is of Crohn's colitis showing diffuse loss of mucosal architecture, friability of
mucosa in sigmoid colon and exudate on wall, all of which can be found with
ulcerative colitis.

14 Thomas Menino
Date 27/12/1942 Time 03:18:00 EST Place Boston MA
Day Sunday, Lat 42:21:00 N Long 71:03:00 W TZ
75:00:00 W Time Corr - 0:44:12; KP-NA 22:58:01 Birth
Star: Makha-1 Rasi:Leo Asc. : Lib 10:54:36

15 Robin Kaplan:
Date 15/05/1968 Time 08:23:00 EST Place Boston MA Day Wednesday
Lat 42:21:00 N Long 71:03:00 W TZ 75:00:00 W Time Corr - 0:44:12
KP-NA 23:19:16 Birth Star: Purvashada-1 Rasi: Sagittarius Asc. : Gem 16:38:22

16 Mary Ann Mobley:

Date 17/02/1937 Time 16:00:00 CST Place Biloxi MS
Day Wednesday, Lat 30:23:00 N Long 88:53:00 W TZ
90:00:00 W Time Corr 0:04:28; KP-NA 22:53:06 Birth
Star: Krittika-3 Rasi: Taurus Asc. : Can 14:32:13.

d. Typhoid
Typhoid fever

Rose spots on the chest of a patient with typhoid fever due to the
bacterium Salmonella Typhi

Typhoid fever, also known as Salmonella typhi or commonly just typhoid, is a

common worldwide illness, transmitted by the ingestion of food or water contaminated
with the feces of an infected person. The bacteria then perforate through the intestinal
wall and are phagocytosed by macrophages. It is caused by the bacterium Salmonella
typhi The organism is a Gram-negative short bacillus that is motile due to its peritrichous
flagella. The bacterium grows best at 37 C/99 F human body temperature. This fever
received various names, such as gastric fever, abdominal typhus, infantile
remittant fever, slow fever, nervous fever, pythogenic fever, etc. The name of "
typhoid " was given by Louis in 1829, as a derivative from typhus.
Typhoid fever is characterized by a slowly progressive fever as high as 40 C (104 F),
profuse sweating, gastroenteritis, and nonbloody diarrhea. Less commonly, a rash of flat,
rose-colored spots may appear. Classically, the course of untreated typhoid fever is
divided into four individual stages, each lasting approximately one week. In the first
week, there is a slowly rising temperature with relative bradycardia, malaise, headache
and cough. A bloody nose (epistaxis) is seen in a quarter of cases and abdominal pain is
also possible. There is leukopenia, a decrease in the number of circulating white blood
cells, with eosinopenia and relative lymphocytosis, a positive diazo reaction and blood
cultures are positive for Salmonella typhi or paratyphi. The classic Widal test is negative
in the first week.
In the second week of the infection, the patient lies prostrate with high fever in plateau
around 40 C (104 F) and bradycardia (sphygmothermic dissociation), classically with a
dicrotic pulse wave. Delirium is frequent, frequently calm, but sometimes agitated. This
delirium gives to typhoid the nickname of "nervous fever". Rose spots appear on the
lower chest and abdomen in around a third of patients. There are rhonchi in lung bases.
The abdomen is distended and painful in the right lower quadrant where borborygmi can
be heard. Diarrhea can occur in this stage: six to eight stools in a day, green with a
characteristic smell, comparable to pea soup. However, constipation is also frequent. The
spleen and liver are enlarged (hepatosplenomegaly) and tender, and there is elevation of
liver transaminases. The Widal reaction is strongly positive with antiO and antiH
antibodies. Blood cultures are sometimes still positive at this stage. (The major symptom
of this fever is the fever usually rises in the afternoon up to the first and second week.)
In the third week of typhoid fever, a number of complications can occur:

Intestinal hemorrhage due to bleeding in congested Peyer's patches; this can be very
serious but is usually not fatal.
Intestinal perforation in the distal ileum: this is a very serious complication and is
frequently fatal. It may occur without alarming symptoms until septicaemia or diffuse
peritonitis sets in.
Encephalitis
Metastatic abscesses, cholecystitis, endocarditis and osteitis

The fever is still very high and oscillates very little over 24 hours. Dehydration ensues
and the patient is delirious (typhoid state). By the end of third week the fever has started
reducing (defervescence). This carries on into the fourth and final week.
17 Raymond Radiquet Alpa:
Date 18/06/1903 Time 16:41:00 GMT Place St. Maur Des Fosses France
Thursday, Lat 48:48:00 N Long 2:30:00 E TZ 0:00:00 E Time Corr 0:10:00
KP-NA 22:24:55 Birth Star; Uttarabhadhra-2 Rasi: Pisces Asc. : Lib 27:12:55

18 Albert Prince of England:

Date 26/08/1819 Time 06:00:00 LMT Place Rosenau
Germany
Day Thursday, Lat
50:31:00 N
Long
10:59:00 E TZ 10:59:00 East Time Corr 0:00:00 KP-NA
21:14:44 Birth Star: Swathi-2 Rasi: Libra Asc. : Leo
19:57:17.

19 Joe Sacramento
Date 14/07/1874 Time 15:00:00LMT Place Cincinnati OH Day Tuesday
Lat 39:09:00 N Long 84:27:00 W TZ 84:27:00 W Time Corr 0:00:00
KP-NA 22:00:42 Birth Star: Pushyami-4 Rasi: Cancer Asc. : Sco 1:51:47

20 Arnold Bennett:
Date 27/05/1867 Time 10:30:00 GMT Place Hanley England Day Monday
Lat 53:00:00 N Long 2:10:00 W TZ 0:00:00 E Time Corr - 0:08:40
KP-NA 21:54:43 Birth Star: Purvabhadhra-1 Rasi: Aquarius Asc. : Leo 3:33:42

Day

e. Peritonitis
Peritonitis is an inflammation of the peritoneum, the serous membrane which lines part
of the abdominal cavity and viscera. Peritonitis may be localized or generalized, and may
result from infection (often due to rupture of a hollow organ as may occur in abdominal
trauma or appendicitis) or from a non-infectious process.
Abdominal pain and tenderness
The main manifestations of peritonitis are acute abdominal pain, abdominal
tenderness, and abdominal guarding, which are exacerbated by moving the
peritoneum, e.g. coughing (forced cough may be used as a test), flexing one's hips, or
eliciting the Blumberg sign (a.k.a. rebound tenderness, meaning that pressing a hand on
the abdomen elicits less pain than releasing the hand abruptly, which will aggravate the
pain, as the peritoneum snaps back into place). The presence of these signs in a patient
is sometimes referred to as peritonism. The localization of these manifestations depends
on whether peritonitis is localized (e.g. appendicitis or diverticulitis before perforation), or
generalized to the whole abdomen. In either case pain typically starts as a generalized
abdominal pain (with involvement of poorly localizing innervation of the visceral
peritoneal layer), and may become localized later (with the involvement of the
somatically innervated parietal peritoneal layer). Peritonitis is an example of an acute
abdomen.
Collateral manifestations

Diffuse abdominal rigidity ("washboard abdomen") is often present, especially in

generalized peritonitis
Fever
Sinus tachycardia
Development of ileus paralyticus (i.e. intestinal paralysis), which also causes
nausea and vomiting

Complications

Sequestration of fluid and electrolytes, as revealed by decreased central venous

pressure, may cause electrolyte disturbances, as well as significant hypovolemia,
possibly leading to shock and acute renal failure.
A peritoneal abscess may form (e.g. above or below the liver, or in the lesser
omentum
Sepsis may develop, so blood cultures should be obtained.
The fluid may push on the diaphragm, causing splinting and subsequent breathing
difficulties.

Infected peritonitis:

Perforation of part of the gastrointestinal tract is the most common cause of

peritonitis. Examples include perforation of the distal oesophagus (Boerhaave
syndrome), of the stomach (peptic ulcer, gastric carcinoma), of the duodenum
(peptic ulcer), of the remaining intestine (e.g. appendicitis, diverticulitis, Meckel
diverticulum, inflammatory bowel disease (IBD), intestinal infarction, intestinal
strangulation, colorectal carcinoma, meconium peritonitis), or of the gallbladder
(cholecystitis). Other possible reasons for perforation include abdominal trauma,
ingestion of a sharp foreign body (such as a fish bone, toothpick or glass shard),
perforation by an endoscope or catheter, and anastomotic leakage. The latter
occurrence is particularly difficult to diagnose early, as abdominal pain and ileus
paralyticus are considered normal in patients who just underwent abdominal

surgery. In most cases of perforation of a hollow viscus, mixed bacteria are

isolated; the most common agents include Gram-negative bacilli (e.g. Escherichia
coli) and anaerobic bacteria (e.g. Bacteroides fragilis). Fecal peritonitis results
from the presence of faeces in the peritoneal cavity. It can result from abdominal
trauma and occurs if the large bowel is perforated during surgery.

Disruption of the peritoneum, even in the absence of perforation of a hollow

viscus, may also cause infection simply by letting micro-organisms into the
peritoneal cavity. Examples include trauma, surgical wound, continuous
ambulatory peritoneal dialysis, intra-peritoneal chemotherapy. Again, in most
cases mixed bacteria are isolated; the most common agents include cutaneous
species such as Staphylococcus aureus, and coagulase-negative staphylococci, but
many others are possible, including fungi such as Candida.

Spontaneous bacterial peritonitis (SBP) is a peculiar form of peritonitis

occurring in the absence of an obvious source of contamination. It occurs in
patients with ascites, particularly in children. See the article on spontaneous
bacterial peritonitis for more information.
Intra-peritoneal dialysis predisposes to peritoneal infection (sometimes named
"tertiary peritonitis" in this context).
Systemic infections (such as tuberculosis) may rarely have a peritoneal
localisation.

Hastha: Bowels, Intestines, Secreting Glands, Enzymes. Gas formation, Loose

Bowels, Pain &disorders in Bowels, Obstructions, Worms, Mucui, Cholera,
Diarrohea, Typhoid, Amoebic, Dysentery.
21 Ebert Friedrich
Date 04/02/1871 Time 11:54:00 LMT Place Heidelborg, Germany
Day Saturday, Lat 49:25:00 N Long 8:43:00 E TZ 8:43:00
E Time Corr 0:00:00; KP-NA 21:57:49 Birth Star:Pushyami-3
Rasi: Cancer; Asc. : Tau 20:51:05.

22 Enrico Caruso:
Date 27/02/1873 Time 02:10:00 GMT Place Naples Italy
Day
Thursday, Lat 40:51:00 N Long 14:17:00 E TZ 0:00:00
East
Time Corr
0:57:08, KP-NA 21:59:33
Birth Star:
Shatabisham-3 Rasi: Aquarius Asc. : Sag 9:36:30

23 Harry Houdini:
Date 05/04/1874 Time 04:00:00LMT Place Budapest Day
Sunday, Lat 47:30:00 N Long 19:05:00 E Zone 19:05:00
E Time Corr 0:00:00, KP-NA 22:00:28 Birth Star: Visakha-3
Rasi: Libra Asc. : Aqua 4:59:28

24 Rudolph Valentino:
Date 06/05/1895 Time 15:00:00 MET Place Castellaneta Italy
Day Monday, Lat 40:37:00 N Long 16:57:00 E TZ
15:00:00 E Time Corr 0:07:48; KP-NA 22:18:07 Birth Star:
Hasta-4 Rasi: Virgo Asc. : Vir 8:35:25

25 James Joyce:
Date 02/02/1882 Time 06:24:00 GMT Place Dublin Ireland
Day Thursday, Lat 53:20:00 N Long 6:15:00 W TZ
0:00:00 E Time Corr - 0:25:00; KP-NA 22:07:01 Birth Star:
Pushyami-3 Rasi: Cancer Asc. : Sag 14:03:33

f. Diarrhoea/Cholera/Worms

Cholera:

Scanning Electron Microscope image of Vibrio cholerae

Cholera is a severe bacterial infection caused by the bacteria Vibrio cholerae, which
primarily affects the small intestine and the main symptoms include production of profuse
watery diarrhea and vomiting. Transmission is primarily by the acquisition of the
pathogen through contaminated drinking water or infected food. The severity of the
diarrhea and associated vomiting can lead to rapid dehydration (hypohydration) and
electrolyte loss. If these are not replaced then death may follow.
Aside from continuing to be a major cause of death in the world, study of cholera has
been used as an example of early epidemiology. Study of the V. cholerae bacterium has
also shed light on many of the mechanisms used by bacteria to infect and survive in their
hosts.
The primary symptom of cholera is profuse diarrhea, severe dehydration and abdominal
pain. Cholera may also cause vomiting. These symptoms start suddenly, usually one to
five days after infection, and are the result of a toxin produced by the vibrio cholerae
bacterium that compels profuse amounts of fluid from the blood supply into the small and
large intestines. An untreated cholera patient may produce several gallons of diarrhoeal

fluid a day. If fluid is not replaced, the patient may die within several hours.

Ascariasis:

Ascaris lumbricoides

Ascariasis is a human disease caused by the parasitic roundworm Ascaris

lumbricoides. Perhaps as many as one quarter of the world's people are infected,
and ascariasis is particularly prevalent in tropical regions and in areas of poor
hygiene. Other species of the genus Ascaris are parasitic and can cause disease
in domestic animals.
Infection occurs through ingestion of food contaminated with feces containing
Ascaris eggs. The larvae hatch, burrow through the intestine, reach the lungs,
and finally migrate up the respiratory tract. From there they are then
reswallowed and mature in the intestine, growing up to 30 cm (12 in.) in length
and anchoring themselves to the intestinal wall.
Infections are usually asymptomatic, especially if the number of worms is small.
They may however be accompanied by inflammation, fever, and diarrhea, and
serious problems may develop if the worms migrate to other parts of the body.

Signs and symptoms

Patients can remain asymptomatic for very long periods of time. As larval stages
travel through the body, they may cause visceral damage, peritonitis and
inflammation, enlargement of the liver or spleen, toxicity, and pneumonia. A
heavy worm infestation may cause nutritional deficiency; other complications,
sometimes fatal, include obstruction of the bowel by a bolus of worms (observed
particularly in children) and obstruction of the bile or pancreatic duct. More than
796 Ascaris lumbricoides worms weighing up to 550 g [19 ounces] were
recovered at autopsy from a 2-year-old South African girl. The worms had
caused torsion and gangrene of the ileum, which was interpreted as the cause of
death.

Life cycle

Adult worms (1) live in the lumen of the small intestine. A female may produce
approximately 200,000 eggs per day, which are passed with the feces (2).
Unfertilized eggs may be ingested but are not infective. Fertile eggs embryonate
and become infective after 18 days to several weeks (3), depending on the
environmental conditions (optimum: moist, warm, shaded soil). After infective
eggs are swallowed (4), the larvae hatch (5), invade the intestinal mucosa, and
are carried via the portal, then systemic circulation and/or lymphatics to the
lungs . The larvae mature further in the lungs (6) (10 to 14 days), penetrate the
alveolar walls, ascend the bronchial tree to the throat, and are swallowed (7).
Upon reaching the small intestine, they develop into adult worms (8). Between 2
and 3 months are required from ingestion of the infective eggs to oviposition by
the adult female. Adult worms can live 1 to 2 years.
First appearance of eggs in stools is 6070 days. In larval ascariasis, symptoms
occur 416 days after infection. The final symptoms are gastrointestinal
discomfort, colic and vomiting, fever, and observation of live worms in stools.
Some patients may have pulmonary symptoms or neurological disorders during
migration of the larvae. However there are generally few or no symptoms. A
bolus of worms may obstruct the intestine; migrating larvae may cause
pneumonitis and eosinophilia.

Tapeworm infection:
Tapeworm infestation is the infection of the digestive tract by adult parasitic
flatworms called cestodes or tapeworms. Live tapeworm larvae are sometimes
ingested by consuming undercooked food. Once inside the digestive tract, a larva
can grow into a very large adult tapeworm. Additionally, many tapeworm larvae
cause symptoms in an intermediate host. For example, cysticercosis is a disease
of humans involving larval tapeworms in the human body.
Among the most common tapeworms in humans are the pork tapeworm (T.
solium), the beef tapeworm (T. saginata), the fish tapeworm (Diphyllobothrium
spp.), and the dwarf tapeworm (Hymenolepis spp.). Infections involving the pork
and beef tapeworms are also called taeniasis. Tapeworms of the genus
Echinococcus also infect animals and humans, and cause the most harm to
intermediate hosts such as sheep and cattle. Infection with this type of tapeworm
is referred to as Echinococcosis or hydatid disease. Symptoms vary widely, as do
treatment options, and these issues are discussed in detail in the individual
articles on each worm. With a few notable exceptions like the fish tapeworm,
most cestodes that infect humans and livestock are cyclophyllids, and can be
identified as such by the presence of four suckers on their scolex or head.
Tapeworm infestation does not usually cause any symptoms. Infection is
generally recognized when the infected person passes segments of proglottids in
the stool (looks like white worms), especially if a segment is moving. Some
report abdominal discomfort, diarrhea, and loss of appetite. Anemia may develop
in people with the fish tapeworm.
Rarely, worms may cause obstruction of the intestine. And very rarely, T. solium
larvae can migrate to the brain causing severe headaches, seizures and other
neurological problems. This condition is called neurocysticercosis. It can take
years of development before the patient has those symptoms of the brain.
Treatment:
Tapeworms are treated with medications taken by mouth, usually in a single
dose. The drug of choice for tapeworm infections is niclosamide. Praziquantel and
albendazole can also be used. In Homoeopathy the Drug is Cina30.

Hastha: Bowels, Intestines, Secreting Glands, Enzymes. Gas formation, Loose

Bowels, Pain &disorders in Bowels, Obstructions, Worms, Mucui, Cholera,
Diarrohea, Typhoid, Amoebic, Dysentery.
Chithra 1-2
Belly, Lower Part. Ulcers, Sharp & Acute pains, Worms,
Irritation & itching.
26 Kadali: Cholera
Date 12/03/1981 Time 22:13:00 Place Bagh Amberpet Day Thursday
Lat 17:23:00 North Long 78:30:00 East Zone 82:30:00 East Time Corr 0:16:00; KP-NA 23:30:00 Birth Star: Mrigasira-1 Rasi: Taurus Asc. :
23:02:28
27 Nagu: Worms
Date 31/12/1975 Time 04:44:00 Place Bagh Amberpet Day Wednesday
Lat 17:23:00 North Long 78:30:00 East Zone 82:30:00 East Time Corr 0:16:00; KP-Second Ayanamsa 23:25:39 Birth Star: Jyesta-3 Rasi: Scorpio
Asc. : 16:42:41

28 Guido Verbeck: Cholera

Date 23/01/1830
Time 00:30:00 MET
Place Zeist
Netherlands
Day Saturday, Lat
52:05:00 N
Long
5:15:00 E TZ 4:50:00 E Time Corr 0:01:40; KP-NA
21:23:27 Birth Star: Purvashada-2 Rasi: Sagittarius Asc. :
Lib 6:20:14

g. Appendicitis

Vermiform appendix:

Arteries of cecum and vermiform appendix. (Appendix

visible at lower right, labeled as "vermiform process").

Normal location of the appendix relative to other organs

of the digestive system (frontal view).

In human anatomy, the appendix (or vermiform appendix; also cecal (or
caecal) appendix; also vermix) is a blind-ended tube connected to the cecum
(or caecum), from which it develops embryologically. The cecum is a pouchlike
structure of the colon. The appendix is located near the junction of the small
intestine and the large intestine.
The term "vermiform" comes from Latin and means "worm-shaped".
The appendix averages 10 cm in length, but can range from 2 to 20 cm. The
diameter of the appendix is usually between 7 and 8 mm. The longest appendix
ever removed measured 26 cm from a patient in Zagreb, Croatia. The appendix
is located in the lower quadrant of the abdomen, or, more specifically, the right
iliac fossa. Its position within the abdomen corresponds to a point on the surface
known as McBurney's point (see below). While the base of the appendix is at a
fairly constant location, 2 cm below the ileocaecal valve, the location of the tip of
the appendix can vary from being retrocaecal (74%) to being in the pelvis to
being extraperitoneal. In rare individuals with situs inversus, the appendix may
be located in the lower left side.

Vermiform appendix

Vestigiality

Apparent function of the human vermiform appendix in the recovery from

diarrhea. Although more than 2 million children die each year in developing
countries as a result of diarrhea, children living in those countries face an
estimated 1.4 billion cases of diarrhea each year.
Appendicitis (or epityphlitis) is a condition characterized by inflammation of the
appendix. Pain often begins in the center of the abdomen, corresponding to the
appendix's development as part of the embryonic midgut. This pain is typically a
dull, poorly localised, visceral pain.
As the inflammation progresses, the pain begins to localise more clearly to the
right lower quadrant, as the peritoneum becomes inflamed. This peritoneal
inflammation, or peritonitis, results in rebound tenderness (pain upon removal of
pressure rather than application of pressure). In particular, it presents at
McBurney's point, 1/3 of the way along a line drawn from the Anterior Superior

Iliac Spine to the Umbilicus. Typically, point (skin) pain is not present until the
parietal peritoneum is inflamed as well. Fever and an immune system response
are also characteristic of appendicitis.
Many cases of appendicitis require removal of the inflamed appendix, either by
laparotomy or laparoscopy. Untreated, the appendix may rupture, leading to
peritonitis, followed by shock, and, if still untreated, death.
The surgical removal of the vermiform appendix is called an appendicectomy.
This removal is normally performed as an emergency procedure when the patient
is suffering from acute appendicitis. In the absence of surgical facilities,
intravenous antibiotics are used to delay or avoid the onset of sepsis; it is now
recognized that many cases will resolve when treated non-operatively. In some
cases the appendicitis resolves completely; more often, an inflammatory mass
forms around the appendix. This is a relative contraindication to surgery.

Appendicitis: Appendicitis is a condition characterized by inflammation of the

appendix. It is classified as a medical emergency and many cases require
removal of the inflamed appendix, either by laparotomy or laparoscopy.
Untreated, mortality is high, mainly because of peritonitis and shock. Reginald
Fitz first described acute and chronic appendicitis in 1886, and it has been
recognized as one of the most common causes of severe acute abdominal pain
worldwide. A correctly diagnosed non-acute form of appendicitis is known as
"rumbling appendicitis.
Causes: On the basis of experimental evidence, acute appendicitis seems to be
the end result of a primary obstruction of the appendix lumen. Once this
obstruction occurs the appendix subsequently becomes filled with mucus and
swells, increasing pressures within the lumen and the walls of the appendix,
resulting in thrombosis and occlusion of the small vessels, and stasis of
lymphatic flow. Rarely, spontaneous recovery can occur at this point. As the
former progresses, the appendix becomes ischemic and then necrotic. As
bacteria begin to leak out through the dying walls, pus forms within and around
the appendix (suppuration). The end result of this cascade is appendiceal rupture
(a 'burst appendix') causing peritonitis, which may lead to septicemia and
eventually death.

Among the causative agents, such as foreign bodies, trauma, intestinal worms,
lymphadenitis, and calcified deposits known as appendicoliths, the occurrence
of an obstructing fecalith has attracted attention. The prevalence of fecaliths in
patients with appendicitis is significantly higher in developed than in developing
countries, and an appendiceal fecalith is commonly associated with complicated
appendicitis. Also, fecal stasis and arrest may play a role, as demonstrated by a
significantly lower number of bowel movements per week in patients with acute
appendicitis compared with healthy controls. The occurrence of a fecalith in the
appendix seems to be attributed to a right sided fecal retention reservoir in the
colon and a prolonged transit time. From epidemiological data it has been stated
that diverticular disease and adenomatous polyps were unknown and colon
cancer exceedingly rare in communities exempt for appendicitis. Also, acute
appendicitis has been shown to occur antecedent to cancer in the colon and
rectum. Several studies offer evidence that a low fiber intake is involved in the
pathogenesis of appendicitis. This is in accordance with the occurrence of a right
sided fecal reservoir and the fact that dietary fiber reduces transit time.
Diagnosis is based on patient history (symptoms) and physical examination
backed by an elevation of neutrophilic white blood cells. Histories fall into two
categories, typical and atypical. Typical appendicitis usually includes abdominal
pain beginning in the region of the umbilicus for several hours, associated with
anorexia, nausea or vomiting. The pain then "settles" into the right lower
quadrant, where tenderness develops. Atypical histories lack this typical
progression and may include pain in the right lower quadrant as an initial
symptom. Atypical histories often require imaging with ultrasound and/or CT
scanning. A pregnancy test is vital in all women of child bearing age, as ectopic
pregnancies and appendicitis present with similar symptoms. The consequences
of missing an ectopic pregnancy are serious, and potentially life threatening.
Furthermore the general principles of approaching abdominal pain in women (in
so much that it is different from the approach in men) should be appreciated.
(Courtesy: Dr. Bhadmidipati Satyanarayana, MD KPAF Member)

In Medical Astrology and as per the Medical Astrology for All written by Sri K
Subramaniam S/o Sri KSK Guruji, regarding Appendix indicted the following
information. Natural Zodiac (Kalapursha) the location of this part of the body is
ruled by 6th sign Virgo /6th house from Ascendant. Mars is the chief planet for
appendicitis. Mars if afflicted by Saturn of Rahu in Virgo or Scorpio may give
rise to this disease. Mars desires to eliminate wastes and injurious substances
from human body, by causing inflammation, fever etc. Mercury is concerned
with those organs which carry out-ward things within the body, and tries to
retain them without any consideration of their beneficial or injurious effect.
The sign Gemini, Virgo, Scorpio and Pisces are prominent appendicitis signs. The
6th, 8th, 12th houses are relevant to the disease. Mercury and Mars are vital
appendicitis planets. The Saturn in 5th house makes a person voracious eater
with consequent disease of over eating, and disease like appendicitis are caused.
Uttara 2-4:
Intestines, Bowels & Liver. Tumours in the Bowels, Obstructions,
Stomach disorder.
Hastha: Bowels, Intestines, Secreting Glands, Enzymes. Gas formation, Loose
Bowels, Pain &disorders in Bowels, Obstructions, Worms, Mucui, Cholera,
Diarrohea, Typhoid, Amoebic, Dysentery.
Chithra 1-2
& itching.

Belly, Lower Part. Ulcers, Sharp & Acute pains, Worms, Irritation

109 sub Sun-Mercury: Appendix (t. of large & small intestines)

Mars: Blood disease, Fevers, Tissue breakages, Burns, Itches, Cuts (surgary)
and wounds, Bone Fractures, Urine diseases, Boils, CANCER, Piles, Ulcer,
Rectum, Plague, Small/chicken pox, Messels, Mumps, Fistula, Haemorrhage,
Typhoid, Hernia, Malaria, Abortion, Bleeding, Muscular rheumatism, Septic,
Tetanus.
Mercury: Disease of Nerves, Nose, disease from poison Itches, disease of Gall
Bladder, Paralysis, Fits, Ulcers, Indigestion, Cholera, disease of Mouth & Skin,
Neuromas, Leucoderma, Impotence, Vertigo deafness and skin diseases.
As the Appendix is attached to the Caesium near its junction with the large
intestine shown by the star Hastha (bowels and intestine). Chita, (loose bowels,
pain and disorder in his bowels, mucous, diarrhoea etc) any malefic planet in the
above constellation will show this disease. As the function of appendix is more
or less similar to tonsils, the planets on Rohini star (tonsils) at times contribute
to this disease, also.
Mars is the Karaka for all raptures, inflammations tumours, abscess, boils etc.
Its desire is to eliminate waste and injurious substances, from the body through
the above process. So in the case of appendicitis whether Mars is essential or
not, it has to be appear to bring about the inflammations of appendix, fever,
pain etc., besides the surgical treatment.
Mercury rules Ulcers; the most of this disease is sudden and unexpected
including death also.

As Sun is the Karaka for bowels while Moon denotes colon, these two planets
may also be connected to with this disease. As Venus is the Karaka for throat
disease like Tonsils, Pharyngitis, Diphtheria etc there is no wonder if Venus is
seen among the planets appendicitis more or less similar to the same.
Generally the 6th, 8th and 12th houses or lords of the above houses are
relevant to this disease as the 6th denotes disease besides the house of location
of disease. 8th house is the house of surgery, while the 12th is house of
hospitalization, surgical treatment besides the location of disease, the houses
12, 8, 6 have to be taken into account besides the Lagna. Therefore the
following signs in the zodiac, Pisces, Scorpio, and Virgo besides Gemini are
prominent Appendicitis signs.
It has found that Jupiter, Mars, Mercury & Venus are relevant for this
Appendicitis.
ANALYSIS:
29 Jack Kramer CI Gem
Date 01/08/1921 Time 01:45:00 PST Place LAS VEGAS *
Day Monday, Lat 36:10:00 N Long 115:05:00 W TZ
120:00:00 W Time Corr 0:19:40, KP-NA 22:40:05 Birth
Star: Arudra-2 Rasi: Gemini Asc. : Gem 6:30:48

30 Edwin Hubble
Date 20/11/1889 Time 23:45:00 CST Place Marshfield MO
Day Wednesday, Lat 37:20:00 N Long 92:54:00 W TZ
90:00:00 W Time Corr - 0:11:36; KP-NA 22:13:33 Birth
Star: Swathi-2 Rasi: Libra Asc. : Leo 8:15:11.

31 Thomas Ring
Date 28/11/1892 Time 18:00:00 MET Place Nuremberg Germany Day Monday
Lat 49:27:00 N Long 11:04:00 E TZ15:00:00 E Time Corr - 0:15:44
KP-NA 22:16:05 Birth Star: Purvabhadhra-4 Rasi: Pisces Asc. : Gem 11:51:01

Conclusion: From the analysis of the above 3 charts for Appendicitis we can
conclude that 6th 8th and 12th CSLs connection to Me, Ma, Ju, Ve Virgo, Scorpio
and Pisces signs. In all the above cases 6 th cusp happens to play vital role in this
disease. Extra finding is that 5 n 7 cusps also plays vital role in recovery or fatal.

Pranams to Guru Prof. KSK.