Category: Digestive Health

January 23, 2025

Ayurvedic Treatment for Irritable Bowel Syndrome with Herbal Remedies

ABSTRACT

Irritable Bowel Syndrome (IBS) is the most prevalent functional gastrointestinal disorder noted in the general population worldwide. It is a chronic condition that can substantially reduce quality of life and work productivity. It is characterized by recurrent abdominal discomfort in association with alternate episodes of diarrhea and constipation. Its chronic nature, signs and symptoms which vary periodically from mild to severe have many negative effects on the quality of life. The exact cause of IBS is not known. IBS is a disorder that is not confirmed by a specific test. Instead, diagnosis is based on specific symptoms. The symptoms occur with no structural pathology of the Gastrointestinal tract. Physiological, behavioral and psychosocial factors are responsible for IBS. Herbal Ayurvedic medicines have been used widely in the treatment of irritable bowel syndrome (IBS) patients. Ayurveda emphasizes the use of herbal remedies for IBS management and dietary changes. In this article we will discuss the IBS causes, symptoms, and ayurvedic approach to Irritable bowel syndrome (IBS).

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INTRODUCTION

IBS (Irritable Bowel Syndrome) is a chronic gastrointestinal disorder and also psychosomatic disorder that affects so many people worldwide. People with IBS experience symptoms such as abdominal pain and cramps. With IBS, you may also have frequent diarrhea, constipation or both. IBS doesn’t cause tissue damage in your GI (gastrointestinal) tract. The diagnosis of irritable bowel syndrome can be made by performing a careful review of the patient’s symptoms, taking a thoughtful history (e.g., diet, medication, medical, surgical, and psychological history). In 1988, a group of international experts met in Rome to discuss functional gastrointestinal disorders (FGIDs), and introduced the Rome criteria for diagnosis of functional gastrointestinal disorders (FGIDs). In 2016 Rome criteria IV was released with some specific key changes. Rome IV described IBS as a functional disorder of bowel in which abdominal pain is associated with defecation and changes in bowel habits.

TYPES OF IRRITABLE BOWEL SYNDROME (IBS)

Rome IV describes IBS with its subtypes, they are as follow:

  1. Constipation Predominant (IBS-C) – It is characterized primarily by chronic constipation. With associated symptoms of abdominal pain and discomfort, chronic constipation, bloating and gas, straining during bowel movements, incomplete evacuation.
  2. Diarrhea Predominant (IBS-D) – It is characterized primarily by chronic diarrhea. Its symptoms are frequent, loose, or watery stools, abdominal pain and cramping, urgency, bloating, bowel movement frequency.
  3. Mixed or alternating pattern (IBS-M) – It is defined as alternating episodes of constipation and diarrhea, with people experiencing both symptoms over time. Its symptoms are abdominal pain and cramping, alternating bowel habits between constipation and diarrhea, incomplete evacuation, mucus in stool.
  4. Unclassified (IBS-U) – It is a subtype of IBS that’s diagnosed when symptoms don’t fit into the other three subtypes.
  5. Post-Infectious (PI) IBS – This occurs after an episode of infectious gastroenteritis. The symptoms are similar to IBS.
  6. Tympanitis Predominant IBS – In this type of IBS, the clinical symptoms are rumbling sounds heard in the abdomen and increased bowel movements with lots of undigested food particles.

CAUSES OF IRRITABLE BOWEL SYNDROME

The exact cause of IBS isn’t known. These conditions, also called disorders of the gut-brain interaction. Although what causes IBS is not known, multiple factors have been proposed to lead to the condition. Such as alterations in gut motility, infections including small intestinal bacterial overgrowth, stressful life event, or an intestinal infection.

SYMPTOMS OF IRRITABLE BOWEL SYNDROME

Symptoms of IBS can appear frequently. Or, they may occur during flare-ups. In other words, you don’t always experience symptoms. Instead, symptoms may go away (and you’ll have normal bowel movements). At other times, symptoms may return.

Symptoms of IBS include:

  • Diarrhea, constipation or alternating between the two.
  • Excess gas and bloating.
  • Abdominal pain or cramps.
  • Mucus in stool.
  • Some extra intestinal symptoms can be there, such as sleep disturbance, anxiety, depression, fatigue, pain during menstruation.
  • Discomfort in the upper stomach area.
  • Feeling like you haven’t finished a bowel movement.

COMPLICATIONS OF IRRITABLE BOWEL SYNDROME

Complications of irritable bowel syndrome (IBS) can include:

  • Hemorrhoids
  • Malnutrition
  • Sleep disturbances
  • Migraine headaches
  • Depression and anxiety

DIAGNOSIS OF IRRITABLE BOWEL SYNDROME

The exact diagnosis of IBS has proved extremely difficult. IBS can be diagnosed based on a good understanding of the symptoms. Some criteria to diagnose IBS are as follow:

  • The Rome IV diagnostic criteria for IBS states that those with IBS have certain symptoms that must have been present for the past three (3) months and started at least six (6) months before.
  • Blood Tests: IBSchek and IBS-Smart – these tests are done for the diagnosis of irritable bowel syndrome with mixed bowel habits (IBS-M) or with predominant diarrhea (IBS-D) in adults.
  • Stool Tests: To check for bacterial infections and inflammation, a stool sample is taken.
  • Additional tests to diagnose IBS can include:
    1. Colonoscopy
    2. CT scan
    3. Upper endoscopy

All these imaging tests are done to evaluate the possibility of some other underlying disease.

TREATMENT OF IRRITABLE BOWEL SYNDROME

There are several medications that can be used in the treatment of IBS, such as:

  • Antidiarrheal medications
  • Laxatives
  • Low-dose antidepressants
  • Probiotics

Some therapies can be used such as:

  • Psychotherapy
  • Therapeutic massage
  • Meditation
  • Yoga

The goal of IBS treatment is to provide relief from the symptoms.

AYURVEDIC CONCEPT

In Ayurveda, Irritable bowel syndrome (IBS) can be correlated with Grahani on the basis of its clinical manifestation. Grahani is a disease of the gastrointestinal tract which is produced due to weakness of Agni (digestive fire), causing food to be partially digested, leading to the formation of Ama (toxins). Irritable bowel syndrome (IBS) can be managed by managing the agni (Digestive fire) and ama (toxins) in the body. It is the derangement of dosha (humor) that causes different diseases based on the site of their aggravation and localization. In Ayurvedic classical texts, we get references for Grahani as Agni Adhishtana (position of digestive fire), which is the site for Agni (Digestive fire). The word Grahani is taken from Grahana which means to hold or to retain something. Thus it does the karma (action) of Annagrahana (the process of retaining uncooked food). The function of Grahani is similar to the functions of stomach and duodenum. The basic pathophysiology (Samprapthi) is found at the Grahani and Pakwasaya levels, due to Agnidushti (disturbance in digestive fire). Therefore, medicines that contain Deepana (appetizer), Pachana (digestant), Anulomana (regulation of movement), or Grahi (hold ingested food) qualities are ideal for the treatment of IBS (Grahani). Psychological issues are also involved, therefore the Satwavajaya Chikitsa (psychotherapy) is beneficial, as well as exercises and relaxation techniques, and can help with management.

TYPES OF GRAHANI (IBS)

IBS is mainly a functional motility disorder, and the movements and the absorption are mainly undertaken by vata dosha. In the Atisara phase (diarrhea) of IBS, the chala (moving), laghu (light) gunas of vata and sara (mobility), drava (liquid) gunas of pitta are involved. In the Vibandha (constipated) phase of IBS, the ruksha (dry) and sita (cold) gunas of vata are mainly involved. Due to the imbalance of three doshas (vata, pitta, kapha), Grahani (IBS) is divided into different types. They are as follows:

  • Vataj Grahani – Frequent attacks of pain in the sides, thighs, groins and the neck, dryness of throat, gastrointestinal irritation, emaciation, craving for all kinds of tastes, bloating which increases on an empty stomach and relieved by taking food, dyspnoea and cough.
  • Pittaja Grahani: Yellow colored loose stool containing undigested food material, burning sensation in the cardiac region and throat, excessive thirst and anorexia.
  • Kaphaja Grahani – Chronic rhinitis, nausea, vomiting, sweet taste in the mouth, cough, numbness and heaviness in the abdomen, low libido, eructation with foul smell and sweet taste, no emaciation but feeling of weakness.
  • Tridoshaja Grahani – The mixed symptoms of Vataja, Pittaja and Kaphaja Grahani can be seen.
  • Amaja Grahani – Constipation, pain, burning sensation, salivation, heaviness and anorexia are the associated symptoms of Grahani with Ama.
  • Sangraha Grahani – Liquid, solid, sticky stool passed with sound and mild pain, bowel irritation, symptoms appear with the gap of 1 month, 15 days, 10 days or daily, symptoms aggravates at day time while relieved at night time, difficult to treat and is chronic.
  • Ghatiyantra Grahani – A chronic type of irritable bowel syndrome (IBS) that produces sounds while passing stool, similar to pouring water from a pot.

AYURVEDIC PATHOPHYSIOLOGY OF IRRITABLE BOWEL SYNDROME (IBS)

Due to weak digestive fire, grahani releases the ingested food even in unripe condition. Agni (digestive fire) is deranged by fasting, overeating, eating during indigestion, irregularly eating, intake of unsuitable, heavy, cold, too rough and contaminated food, faulty adaptation to place, time and season, faulty administration of emesis and purgation. Thus deranged agni (digestive fire) becomes unable to digest even the light food and the food being undigested gets acidified and toxic. This Agnimandyamay (depletion of digestive fire) is due to psychological factors or local bowel factors. It leads to defective absorption of Rasa Dhatu (fluid content of the body). Due to this the function of other dhatus (elements) will be impaired. This will cause weakness in the body and it will create ama (toxic) condition in the body. Ama (toxins) disturbs the normal flora of GI tract and weakens the muscles and acid fluid configuration of GI tract. Thus leading to symptoms such as loss of appetite, chronic abdominal pain, incomplete evacuation, irregular bowel habit, constipation, diarrhea, etc. The factors which play a significant role in most of the digestive disorders are malfunctioning of Agni (digestive fire) and Vata Dosha along with psychological stress.

The samprapti (pathology) ghatak (components) of Grahani (IBS) are as follows:

  • Dosha (humors) – Sannipataja (mixed) (Vathadhikya)
  • Dushya (affected) – Rasa (nutrient fluid)
  • Agni (digestive fire) – Jatharagni (digestive fire)
  • Srotodushti (vitiated channel) – Atipravritti (excessive flow), Sanga (obstruction)
  • Srotas (channels) – Purishvahasrotas (channel carrying fecal matter)
  • Utbhavasthana (site of origin) – Pakvasaya (large intestine)

PREVENTION STEPS

Don’ts:

  • Avoid sleeping during the day and awakening at night.
  • Don’t take stress.
  • Avoid oily food, spicy food, sugary beverages.
  • Avoid dairy products.
  • Avoid eating soya bean, saga, kidney bean, sweet potato and potato.
  • Avoid citrus fruits like pineapple, mango, apple, etc.

Do’s:

  • Adequate sleep.
  • Drink lukewarm water.
  • Fruits like pomegranate juice, banana, ripe papaya.
  • Eat vegetables such as bottle gourd, pumpkin, round gourd, zucchini, carrots, etc.
  • Meditation.
  • Breathing exercises.

TYPES OF IRRITABLE BOWEL SYNDROME (IBS)

Rome IV describes IBS with its subtypes, they are as follow:

  1. Constipation Predominant (IBS-C) – It is characterized primarily by chronic constipation. With associated symptoms of abdominal pain and discomfort, chronic constipation, bloating and gas, straining during bowel movements, incomplete evacuation.
  2. Diarrhea Predominant (IBS-D) – It is characterized primarily by chronic diarrhea. Its symptoms are frequent, loose, or watery stools, abdominal pain and cramping, urgency, bloating, bowel movement frequency.
  3. Mixed or alternating pattern (IBS-M) – It is defined as alternating episodes of constipation and diarrhea, with people experiencing both symptoms over time. Its symptoms are abdominal pain and cramping, alternating bowel habits between constipation and diarrhea, incomplete evacuation, mucus in stool.
  4. Unclassified (IBS-U) – It is a subtype of IBS that’s diagnosed when symptoms don’t fit into the other three subtypes.
  5. Post-Infectious (PI) IBS – This occurs after an episode of infectious gastroenteritis. The symptoms are similar to IBS.
  6. Tympanitis Predominant IBS – In this type of IBS, the clinical symptoms are rumbling sounds heard in the abdomen and increased bowel movements with lots of undigested food particles.

AYURVEDIC TREATMENT OF IRRITABLE BOWEL SYNDROME (IBS)

In Ayurveda, the first step in the treatment of IBS is the reduction of Ama (undigested toxins). This will detoxify the body and bring doshas (humors) into balance. Here are a few therapies that can help:

Agnidipana

In this process, the regulation of the digestive fire (Jatharagni) is done by reducing ama (undigested toxins) from the digestive tract. Some herbs that help in Agni Deepana (stimulation of digestive fire) are Bilva (Aegle marmelos), Dhanyak (Coriandrum sativum), Jirak (Cuminum cyminum), Ela (Elettaria cardamomum), Musta (Cyperus rotundus), Twak (Cinnamomum zeylanicum), etc. These herbs have properties of Deepana (appetizer), Pachana (digestant), Grahi (hold ingested food), Vatanulomana (regulation of movement of vata in the right direction), and Vibandhahara (relief from constipation) which pacify the symptoms of IBS.

Vatanulomana

This process involves correction and balancing out Vata dosha. Some Vatanulomana (regulation of movement of Vata in the right direction) drugs that can be used in IBS are Sunthi (Zingiber officinale), Dhataki (Woodfordia fruticosa), Saunf (Foeniculum vulgare), Dhanyak (Coriandrum sativum), etc.

Manonukulata

In some cases, the symptoms of IBS flare up when people experience stress and undergo psychological issues. This process involves relaxing and calming mental stress.

Panchakarma Procedures

Panchakarma therapy for IBS includes:

  • Abhyanga: Abhyanga helps in pacifying excess doshas and loosening toxins.
  • Sarvang Vashpa Svedana: Svedana opens the pores to help sweat out all toxins from the body.
  • Shirodhara: It is a warm oil therapy on the head. This process helps in relaxing the body and mind, thus reducing stress.
  • Nirooha Basti and Anuvasan Basti: Basti is the introduction of herbal decoctions and medicated oils into the colon through the rectum. It fulfills the purpose of eliminating Dosha, and nourishing and rejuvenating Dhatu.

HERBAL REMEDIES FOR IRRITABLE BOWEL SYNDROME (IBS) BY PLANET AYURVEDA

Planet Ayurveda provides the best herbal remedies, such as the IBS Care Pack, for natural treatment of IBS. These herbal remedies are formulated using the best quality herbs and strictly follow the principles mentioned in Ayurveda. These are free from chemicals, additives, and preservatives. All these herbal remedies of Planet Ayurveda are natural, vegetarian, and 100% pure.

  1. Sanjivani Vati
  2. Pitta Balance
  3. Kutajghan Vati
  4. Digestion Support
Irritable Bowel Syndrome, IBS, Types of Irritable Bowel Syndrome, Causes of Irritable Bowel Syndrome, Symptoms of Irritable Bowel Syndrome, Treatment for Irritable Bowel Syndrome, Ayurvedic Treatment for Irritable Bowel Syndrome, Ayurvedic Overview, Herbal Remedies for Irritable Bowel Syndrome, Irritable Bowel Syndrome Ayurvedic Treatment, Irritable Bowel Syndrome Care Pack

Products Description

1. Sanjivani Vati

A herbal preparation made with 9 Ayurvedic herbs such as Vidanga (Embelia ribes), Pippali (Piper longum), Haritaki (Terminalia chebula), and Vacha (Acorus calamus). It has properties like Deepana (appetizer), Pachana (digestant), Anulomana (regulation of direction), and Amahara (removal of undigested toxins). It cures diseases caused by Mandagni (digestive impairment).

Dosage: 2 tablets, twice a day with lukewarm water after a meal.

2. Pitta Balance

Made of various herbs such as JaharMohra Pishti (Natural Calcium Compound), Giloy Satva (Tinospora cordifolia), and Mukta Pishti (Natural Calcium Compound from Pearls). It balances Pitta dosha and helps maintain good digestive health.

Dosage: 1 capsule, twice a day with lukewarm water after a meal.

3. Kutajghan Vati

Made of the herb Kutaja (Holarrhena antidysenterica), it is used for treating Atisara (diarrhea), Pravahika (amebiasis), and improving digestion.

Dosage: 2 tablets, twice a day with lukewarm water after a meal.

4. Digestion Support

Capsules made of 7 Ayurvedic herbs such as Haritaki (Terminalia chebula), Amla (Emblica officinalis), and Sounf (Foeniculum vulgare). It helps in stimulating the secretion of digestive juices and strengthens the digestive system.

Dosage: 1 capsule, twice a day with lukewarm water after a meal.

CONCLUSION

In this article, we have concluded about Irritable Bowel Syndrome (IBS), discussing its causes, symptoms, and Ayurvedic treatment. In Ayurveda, undigested food leads to the formation of Ama (undigested toxins), which is responsible for producing various disorders of the digestive system. Symptoms of IBS are correlated with those of Grahani. Due to our poor eating habits, Grahani Roga is related to food absorption and digestion. Weak digestion can lead to the accumulation of toxins (Ama). All major symptoms of IBS can result from these toxins. Ayurvedic treatments for IBS provide effective results. Treatment must consider various aspects like Agni, Ama, and psychiatric problems, along with Pathya and Apathya Ahara (food) and Vihara (lifestyle).

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January 22, 2025

Ayurvedic Treatment for Ulcerative Colitis with Herbal Remedies

ABSTRACT

Ulcerative colitis is a type of inflammatory bowel disease (IBD). Another type of IBD is Crohn’s disease. Ulcerative colitis (UC) is a chronic condition that happens when there is inflammation in the colon. Most people with UC experience symptom flare-ups followed by remission without symptoms. Signs and symptoms include diarrhea, bloody stools, abdominal cramping, and weight loss. Here we will discuss its Ayurvedic point of view and treatment.

Ulcerative Colitis, Types of Ulcerative Colitis, Cause of Ulcerative Colitis, Symptoms of Ulcerative Colitis, Treatment for Ulcerative Colitis, Ayurvedic Treatment for Ulcerative Colitis, Ayurvedic Overview, Herbal Remedies for Ulcerative Colitis, Ulcerative Colitis Ayurvedic Treatment

INTRODUCTION

Ulcerative colitis is a chronic inflammatory bowel disease (IBD) in which the abnormal reactions of the immune system cause inflammation and ulcers on the inner lining of your large intestine with relapsing nature. Ulcerative colitis incidence rate is 9 to 20 cases per 100,000 persons per year. No male or female predominance exists in UC. It affects the age group of 15-35 years and is less common in 50-75 years.

TYPES OF ULCERATIVE COLITIS

Ulcerative colitis is classified based on where the inflammation is in the colon. The inflammation usually starts in the rectum, which is close to the anus. The inflammation can spread and affect all or part of your colon. Types include:

  • Ulcerative Proctitis: In this type, inflammation affects the sigmoid colon and rectum. This condition mainly affects less than six inches of the rectum, and it is not associated with any risk of cancer.
  • Left-sided Colitis: Inflammation affects the left side of your colon. Inflammation begins at the rectum and extends as far into the colon as the splenic flexure, which is a bend in the colon near the spleen. Left-sided colitis also includes proctosigmoiditis, which affects the rectum and the lower segment of the colon located right above the rectum known as the sigmoid colon.
  • Pancolitis: Inflammation affects your entire colon. Continuous inflammation begins at the rectum and extends beyond the splenic flexure.

CAUSES OF ULCERATIVE COLITIS

The cause of ulcerative colitis is unknown. People with this condition have problems with their immune system. However, it is not clear if immune problems cause this illness. Stress and certain food can worsen the situation like:

  • Beverages with alcohol
  • Caffeinated drinks
  • Dairy products
  • Insoluble fiber food (raw vegetables, nuts, whole grain, fruits with skin on)
  • Greasy food
  • Spicy food

SYMPTOMS OF ULCERATIVE COLITIS

Main symptoms of ulcerative colitis are

  • Bloody diarrhea
  • Pus in stool
  • Rectal bleeding

Other Symptoms Include

  • Pain in the abdomen
  • Rectal pain
  • Urgency
  • Weight loss
  • Fatigue
  • Joint pain and swelling
  • Red burning and itchy eyes
  • Painful bumps
  • Rashes on the skin
  • Ulcers on the skin

COMPLICATIONS OF ULCERATIVE COLITIS

Ulcerative colitis can increase the risk of developing other conditions. These conditions include:

  • Anemia
  • Colon cancer
  • Primary sclerosing cholangitis
  • Growth and development issues in children

Some emergency complications that require immediate treatment in ER include:

  • Dehydration
  • Perforation
  • Severe Bleeding
  • Toxic Megacolon

DIAGNOSIS FOR ULCERATIVE COLITIS

The initial diagnostic workup for ulcerative colitis consists of a complete history and physical examinations with assessment of signs and symptoms, laboratory tests, and endoscopy. Specific testing may include:

  • Complete Blood Cells Count: It may show anemia and thrombocytosis (increased platelet count).
  • Kidney Function Test (KFT) and Electrolyte studies: Chronic diarrhea may be associated with hypomagnesemia and hypokalemia kidney injury.
  • Inflammatory Markers: Erythrocyte sedimentation rate and C-reactive protein.
  • Endoscopy: To evaluate the rectum, distal large intestine, or entire colon and end of the small intestine (colonoscopy) for ulcers and inflammation.

Some other tests may include:

  • Stool calprotectin
  • Barium anemia

Tests of the small intestine are needed to differentiate between ulcerative colitis and Crohn’s disease, including:

  • CT Scan
  • MRI
  • Upper endoscopy or capsule endoscopy
  • MR Enterography

TREATMENT FOR ULCERATIVE COLITIS

Ulcerative colitis treatment usually involves surgery or drug therapy. The type and category of medication depend upon the severity of the condition. It takes time to find the medication that helps because the medication that works well for some people may not work well for other patients.

Anti-inflammatory

The first step in the treatment of ulcerative colitis is anti-inflammatory drugs as they help many patients with their condition. These medications include:

  • Oral-5-aminosalicylates
  • Corticosteroids

Immunomodulators

These medicines also reduce inflammation. They do so by suppressing the immune system response that starts the process of inflammation. These medicines include:

  • Azathioprine and Mercaptopurine
  • Cyclosporine

Biologics

This class of therapies targets proteins made by the immune system. Types of biologics used to treat ulcerative colitis include:

  • Infliximab, Adulimumab, golimumab
  • Vedolizumab
  • Mirikizumab
  • Risankizumab

Other Medications

Additional medications are required to manage specific types of symptoms of ulcerative colitis. These medications include:

  • Antidiarrheal
  • Antispasmodic
  • Iron supplement
  • Pain relievers

Surgery

If medications are not working, then surgery is the option. 30% of ulcerative colitis patients need surgery at some point. There are two types of surgery, and they both involve proctocolectomy:

  1. Proctocolectomy and ileal pouch
  2. Proctocolectomy and ileostomy

AYURVEDIC OVERVIEW

The major symptoms of ulcerative colitis are diarrhea, rectal bleeding, passing of mucus, pain in abdomen. According to ayurveda these symptoms are correlated with Atisara (Diarrhea), some sub types of Atisara have similar symptoms. These symptoms can be correlated with Pittatisara (Diarrhea due to excess pitta) and Raktatisara (Diarrhea with blood) i.e Chronic stage of Pittatisara. According to Acharya Charak Raktatisara (Diarrhea with blood) can be caused due to intake of pitta vitiating drinks and food by the patient suffering from Pittatisara (Diarrhea due to excess pitta). Patients with Pittatisara have tendencies to develop Raktatisara if they do not follow pathya ahara vihara (Favorable food and routine). Due to an increased amount of blood in stool this condition is correlated with active ulcerative colitis.

CAUSES

According to Ayurveda Impaired Jatharagni (digestive fire) causes various kinds of gastrointestinal disease. According to Acharya Charak:

  • Intake of sour, salty, alkaline,pungent, hot and irritant things
  • Exposure to scorching sun, fire, hot wind
  • Stress
  • Anger
  • Envy

All of them cause Pittatisara. According to Acharya charak intake of pitta vitiating factor by pitta prakriti patients can cause raktatisara.

According to Acharya Sushruta

Understanding Pittatisara and Raktatisara According to Acharya Sushruta :

  • Intake of heavy, excessive fatty food
  • Incompatible food
  • Heavy food before digestion of previous
  • Improperly cooked
  • Contaminated food or drinks
  • Suppression of natural urges
  • Worm infestation

According to Acharya Madhavkar

Continuous and excessive intake of pitta increasing diet by pitta Prakriti patients can cause Raktatisara.

Samprapti Ghatak

  • Dosha: pitta dominant Tridosha
  • Dusya(involved tissue): Rasa (Plasma), Rakta (Blood)
  • Strotas(channel involved): PurishaVaha srotas (Channel that transport faeces), UdakaVaha srotas (Channel that transport water), Annavah satotas (Channel that transport food and liquid)
  • Sroto Dushti: Ati Pravarti (Excessive flow)
  • Agni: jatharagni (Digestive fire), Dhatvagni (Bodily tissue fire)
  • Utbhavasthana(placed involved): Pakvashya (Large intestine)

SIGNS AND SYMPTOMS

According to Acharya Charak

  1. In Pittatisara patients:
    • Green, yellow, blue, black coloured stool
    • Thirst
    • Burning sensation
    • Sweating
    • Fainting
  2. In Raktatisara patients:
    • Bloody diarrhea
    • Pain in abdomen
    • Burning sensation in abdomen
    • Inflammation in Anorectum

According to Acharya Sushrut

  1. In Pittatisara patients:
    • Hot faeces with bad smell
    • Thirst
    • Fainting
    • Fever with sweating
    • Ulceration in rectum and anus
    • Burning sensation in abdomen
  2. In Raktatisara patients:
    • Inflammation in Anorectum
    • Bloody diarrhea
    • Burning sensation
    • Fever

According to Acharya Vaghbata

  • In Pittatisara patients:
    • Yellow, black, turmeric-like or green feces
    • Foul smell from stool
    • Fainting
    • Perspiration
    • Pain in abdomen
    • Ulceration in abdomen

Continuous and excessive intake of pitta-increasing diet by pitta Prakriti patients can cause Raktatisara (Diarrhea with blood).

TREATMENT

Agnimandya (Low digestive fire) is the root cause of this disease. In any kind of Atisara (Diarrhea), Ama (Undigested food) and Pakva conditions should be determined first. This is the first-line treatment of Atisara. Keeping in mind the strength of the patient:

In Amavastha

  1. Langhan (fasting)
  2. Yavagu (thick gruel) is made with Deepan (Enhance digestive fire) and Pachan (Digestion) drugs like Shunthi, Chitrak, etc.

Grahi drugs should be avoided in Amavastha (Undigested food) because it can cause Pliha Vridhi (Splenomegaly), Pandu (Anemia), Anaha (Constipation), Prameh (Diabetes), Ghrani (IBS), Arsh (Piles), Shula (Pain), etc.

In Pakva condition

In this condition, Grahi (Absorb and retain fluids) medication can be given. Along with this, Shaman Chikitsa (Pacifying therapy) and Shodhan Chikitsa (Purifying therapy) are indicated.

In Raktatisara condition

Basti karma is indicated for Raktatisara. Pichha basti is considered to be the best treatment.

Shaman Chikitsa

Some Ayurvedic preparations mentioned in classical Ayurvedic texts for Raktatisara and Pittatisara are:

  1. Churan (Powder)
    • Madhukadi Powder: Powder of Madhuk, Katfal, Lodhra, Dadim. Take all their ingredients in equal parts with honey followed by Tandulodak (rice water). It is very helpful in Pittatisara.
    • Nagkesar Powder: Intake of 6gm of Nagkesar powder with Makhan or honey 2 times a day on an empty stomach. It has Raktastambhak properties, so it is helpful in Raktatisara.
    • Nilopladi Yoga: Take 3gm of Nilotpala, Mochrasa, Lajjalu, and Padhmakesar with goat’s milk. A diet of rice and milk is advised after the digestion of the drug.
  2. Ghrita Preparations
    • Shatavri Ghrita: Take Shatavari Ghrita with milk. A milk diet helps to overcome bloody diarrhea. It is helpful in Pittatisara, Raktatisara, and Ghrani. It is Balya (Increasing strength), Medhya (Intellect and cognitive power), and Rasayana (Rejuvenating). It also helps to heal ulcers.
    • Nyogradi Ghrita: Take Nayogradi Ghrita with honey and sugar. It helps in Raktatisara.
  4. Kwath (Decoction)
    • Cold decoction of Shalmali Vrinta with Yashtimadhu with honey. It helps to cure Pittatisara and Raktatisara.
    • Dadimadi Kwath: Take bark of Dadim and Kutaj fruit. It helps to cure bloody diarrhea.
    • Dhanya Panchak Kwath: It is used for pain in the abdomen and for controlling diarrhea.
    • Take Bilva Majja with Fadita followed by honey. It is helpful in Raktatisara.
  5. Kshir (Medicated Milk)

    6. Kutaja Kshira: Take goat’s milk and water in equal proportions. Add Yavkuta powder of Kutaj bark (12 gm) and boil it. Let all the water evaporate. The remaining portion is Kutaja Kshira. Intake of 6gm of this Kshira (Milk) is helpful in Raktatisara.

Shodhan Chikitsa

In Shodhan Chikitsa, Basti is indicated for Raktatisara:

  • Anuvasana Basti
  • Piccha Basti

Pathya (To be taken)

  • Dairy Products: Cow’s ghee, Goat’s milk
  • Fruits: Banana, apple, ripened papaya, bael fruit, muskmelon, watermelon
  • Vegetables: Potato, carrot, turnip, gourd
  • Pulses: All types of millets, moong dal with skin removed, rice
  • Oils: Cow’s ghee, mustard oil, olive oil, rice bran oil
  • Juices: Pomegranate juice, rose petal juice, marigold petal juice, coconut water, coriander leaves juice
  • Nuts: Overnight soaked nuts

Apathya (Not to be consumed)

  • Dairy Products: Milk, tea, ice cream, butter, and all others
  • Spices: Red chili, green chili, white salt
  • Fruits: All citrus fruits like orange, grapes, lemon, mango, pineapple
  • Vegetables: Peas, beans, garlic, brinjal, onions, cauliflower, ladyfingers, cucumber
  • Pulses: Kidney beans, black beans, black grams, chickpeas, red, black, yellow lentils
  • Oils: Hydrogenated oils, coconut oil, palm oil, soybean oil
  • Others: Aloe vera juice, pickles, fried food, baked food, alcohol, Triphala

HERBAL REMEDIES OF ULCERATIVE COLITIS BY PLANET AYURVEDA

Planet Ayurveda is a well established brand. It is a GMP certified and US-FDA registered company. Planet ayurveda uses best quality herbs and prepares medications by following proper ayurvedic principles. All these medicines are prepared under the supervision of MD scholars. Planet ayurveda has 100% pure medicine with no side effects. They have the best combination of herbs for ulcerative colitis and one of them is the Ulcerative Colitis Care Pack. These are safe to use as they have no side effects.

  1. Arjuna Capsules
  2. Vatsakadi Churna
  3. Pitta Balance
  4. Kutajghan Vati
Ulcerative Colitis, Types of Ulcerative Colitis, Cause of Ulcerative Colitis, Symptoms of Ulcerative Colitis, Treatment for Ulcerative Colitis, Ayurvedic Treatment for Ulcerative Colitis, Ayurvedic Overview, Herbal Remedies for Ulcerative Colitis, Ulcerative Colitis Ayurvedic Treatment

Products Description

1. Arjuna Capsules

It is in the form of capsules prepared using standardised extract of Arjuna’s (Terminalia arjuna) tree bark is a standardized extract and it is used to make this formulation. It acts as analgesics, anti-inflammatory, antioxidant and antidiarrheal. It is rich in minerals like magnesium, copper, zinc, and calcium. It helps to maintain tridosha (Vata, Pitta, Kapha). It is helpful in healing ulcers and increasing red blood cells in the body. So it is very beneficial in ulcerative colitis.

Dosage: 2 capsules twice a day with water after a meal.

2. Vatsakadi Churna

It is a powder that is a blend of many herbs. It consists of Kutaj (Holarrhena antidysenterica),Dhania (Coriandrum sativum), Saunf (Foeniculum vulgrea), Nagarmotha (Cyperus scariosus), Choti Elaichi (Cardamom), Bilva (Aegle marmelos), Anar (Pomegranate) and Jaiphal (Myristica fragrans). It works on the intestines. Kutaj It has been used to relieve dysentery, Bilva helps in relieving the digestive system disorders, Saunf has phytoestrogens which help in digestion, Choti elaichi is also good for the digestive system. It acts as a mouth refresher and helpful in respiratory disorders, Jaiphal acts as a stimulant, analgesic and moreover it is the best for the digestive system. Thus, all these herbs work amazingly in ulcerative colitis.

Dosage: 1 tsp twice a day with water after a meal.

3. Pitta Balance

It is in the form of a capsule. It consist of Praval pishti (Mentha spicata), Jahar mohra pishti (Serpentine stone), Akik pishti (Silicon dioxide), Kamdhenu ras (samadera indica), Mukti pishti, Giloy satva (tinospora indica). Our body consists of vata, Pitta and kapha. Pitta is responsible for digestion and metabolism of the body. In this formulation there is a calcium compound which helps in controlling bleeding and provides a cooling effect on the body. In ulcerative colitis it is very important to balance the pitta as it is primarily caused due to imbalance of pitta dosha in the body.

Dosage: 1 capsule twice a day with water after a meal.

4. Kutajghan Vati

It is in the form of tablets. It consists of the purest extract of Kutaj (Holarrhena antidysenterica) herb. Diarrhea and Dysentery can be cured by Kutajghan herbs. It is very useful in the functioning of the intestine. Thus it helps in managing ulcerative colitis.

Dosage: 2 tablets twice a day with water after a meal.

CONCLUSION

Ulcerative Colitis is a disease that can not be treated completely in all patients, but can be managed. Ayurvedic treatment provides various oral medications and panchkarma therapies like Piccha Basti and Planet Ayurveda’s Ulcerative Colitis Care Pack has been proved useful in alleviating symptoms and to reducing serious conditions. Ayurvedic treatment provides a better quality of life for patients.

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