Ayurveda Treatment For Ulcerative Colitis: A Case Study

By Jiva Ayurveda

Patient contacted Jiva Doctor with the chief complaints of loose motions 7-8 times per day, with associated complaints of weakness, mild pain around umblicus, along with gas, acidity, headache and reduced sleep even with medicines.Specific History (H/O Present Illness)Patient had been facing this issue since 10 years and was diagnosed as Ulcerative Colitis. She used to get sypmytomatic relief on & off and was dependent on allopathic steroidal drugs. But not at all satisfied by her allopathic treatment. Hence, she finally visited Jiva hoping for permanent and satisfactory relief.Physical/ Systemic FindingsBowels: 7-9/day, Loose, No blood, mucus +++, App: Normal, Gas: +++, Acidity: +++ Sleep: Disturbed even on taking medicine. Mind: Stressed++++H/O Past illness / Family HistoryNo H/O DM/HTN/Thyroid/No SurgeryMedical History: On Allopathic drugs including Steroids(dependent)Diagnosis: Ulcerative Colitis/Pittaj Grahani

Management Samprapti Ghataka

Dosha: Pitta Vata, Dushya: Anna Ras; Adhistan: Grahani & Manah; Srotas: Annavah, Manovah, Sroto Dusti: Atipravratti

Nidana: Agnimandyata karak Hetu & Chinta, Shoka

Chikitsa Sutra

• Nidan Parivarjanam- Diet & lifestyle modification

• Shaman Chikitsa Sutra- Deepan, Pachan, Grahi, Vran Ropan

• Shodhan Chikitsa Sutra.- Not advised

• Sattvavjay Chikitsa- Patient Education & Expectation Management

Churna Bilwadi Churna	Tablets Nripativallabh ras
Dadimastaka Churna	Kutajghan vati
Gangadhar Churna	Leela Vilas Ras
Shankh bhasma vishesh
Yastimadhu Compound	Digestol Tablets

Specific Advice:

Pathya: Buttermilk, Pomegranranate, Bel juice and Khichri (split moong + rice)

Outcome:

Patient got significant relief after taking four months of treatment. In patient’s own words, she got 95% relief and started normal diet.

Ulcerative colitis could be correlated with Grahani (Pittaj ) roga.

In all types of grahni roga mainly Vata dosha is involed. When vata involves pitta along with it shows ulcer formation in large intestines, which in turn shows symptoms of frequent, unformed stools sometimes mixed with blood and mucus, But in this case there were no symptoms of blood or too much mucus, this might have been controlled due to intake of steroids she was already taking.

Due to disturbed lifestyle and social stress Vata is affected in intestines. (Specifically, Samana type of Vata is affected.) It hinders digestion and absorption strength of intestines. Hence, the normal functioning of grahni (Anna grahan, Pachan, Vivechan & Mun chan) gets affected which increases the frequency /consistency of stool, and involvemnet of pitta dosha produces ulcers in intestine.

In this case Jiva Doctor planned medicines keeping in mind Grahani Chikitsa Sutra for symptomatic relief.

Bilwadi Churna: Grahi, Dadimastak Churna¬pachak, Yastimadhu: Pittashamak / VranRopak, Gangadhar Churna: Grahi, Shankh bhasm Vishesh : Amapachak/Stambhak/grahi

Leelavilas Ras: Pachak/Pittashamak

Nripati Vallabh Ras: Deepan/pachan/Stambhan, Kutaj ghan Vati: Grahi/ Stambhak, Digestol Tab: Pachak

Bilwadi Churna: Grahi, Dadimastak Churna-pachak, Yastimadhu: Pittashamak / VranRopak, Gangadhar Churna: Grahi, Shankh bhasm Vishesh : Amapachak/Stambhak/grahi Leelavilas Ras: Pachak/Pittashamak

Nripati Vallabh Ras: Deepan/pachan/Stambhan,

Kutaj ghan Vati: Grahi/ Stambhak, Digestol Tab: Pachak

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