Causes, Development and Symptoms:
Excess Kapha in the sides of the body blocks Váyu, causing abdominal distention and intestinal
rumbling. Persons experience pricking pain in the ribs, heart, and bladder; insomnia, no ppetite,
difficult and painful breathing. This condition is caused by excess Váyu and Kapha.

Hing, rock salt, and tumburu are taken in a barley decoction. Castor oil and drákshá (medicated grape wine) are also effective.

Source: The Áyurveda Encyclopedia