Case Study Of Ayurveda For Gastritis

By Jiva Ayurveda

Patient had been suffering from indigestion problem for a couple of years when he consulted Jiva Ayurveda. He complained of bloating, distension, flatulence and discomfort in stomach that lessened after passing stool. Due to upward movement of obstructed gas, he generally suffered from heaviness and headache.Being a businessman, he had to face stressing interactions with customers. He was addicted to chewing tobacco and he drank four-five cups of tea a day. This situation led to weakening of his digestive power and mucous formation as an outcome of faulty metabolism. He also complained of general debility along with his problem of indigestion. Patient was diagnosed with HTN but he did not take medicines regularly. No case of DM or Thyroid was reported or diagnosed.Specific History (H/O Present Illness) Since last two years, patient observed further aggravation in his condition.Physical/ Systemic FindingsBowels: 3-4 times, hard and unclear; Appetite: low Gas: present; Acidity: no; Sleep: disturbed; Mind: stress; Digestion: weak; Urine: NormalH/O Past illness / Family HistoryNo specific medical history.

Samprapti Ghataka: Dosha: Vata-Pitta pradhan Dushya: Rasa; Srotas: Anna vaha, ras vaha, purisha vaha; Adhishthan: Amashaya-Pakvashaya

Nidana: Improper diet and life style, disturbed sleep, improper timing of meals, aging effect, stress, addiction etc factor.

Chikitsa Sutra

• Nidana parivarjan: Avoid things in diet and routine that accelerates progression of disease

• Shaman Chikitsa: Vata-Pitta shaman, deepan, pachan, vatanuloman, rechan

• Shodhan Chikitsa: Natural and easy methods are discussed that could be practiced at home

• Sattvavjay Chikitsa: Patient education, expectation

management and approach of treatment is shared

JIVA TREATMENT PLAN IN JUNE 2016

Churna Aampachak churna	Tablets Arogyadayini vati	Products Aragvadhadi kwath
Amlapittantak rasayan	Udaramrit vati
Shivakshar rasayan	Gaisantak vati
Bhudhatri rasayan
Triphala churna

Specific Advice:

Pathya: Patient was advised to practice regular walks after meals instead of sitting, increase water consumption, maintain proper gaps between meals that should not be more than three hours, drink coconut water, sweet fruits etc were advised.

Apathya: Avoid fried, oily, spicy and heavy foods, foods with hot potency things, tea-coffee, white flour products, potato, brinjal etc and foods that generally leads to formation of gas or constipation should be avoided.

Modifications/Changes made in prescription during course, Below changed medicines were given as per patient’s feedback:

In Aug 2016

In powder combination, Triphala churna was replaced with Guduchi churna, and in Tablets, Chandra prakash rasayan vati was given in place of Arogya dayini vati while Triphala supplement pack was added in products.

In Sept 2016

In powder, Amlapittantak rasayan and Guduchi churna was changed with Bilvadi churna and Kamdudha ras. In tablets, Gaisantak vati and Chandra prakash vati was changed to Soot shekhar ras and Trisiddha guggulu. In products, Maha Drakshadi syrup was added.

In Nov 2016

Panchsakar churna, Yakrida churna and Shankhpushpyadi churna was given in place of Aam pachak churna, shiva rasayan and kam dudha ras. Pachak vati was given instead of Udaramrit vati.

In Jan 2017

In tablet, Soot shekhar ras was replaced with Liver vati. In products, Mukti supplement pack was given.

Outcome

By following the combination of medicines, recommended diet and lifestyle modifications, patient gradually started to experience changes in his condition. He reported that relieving gas became comparatively easier after treatment that helped in reducing heaviness in his belly and that helped in reducing incidences of headache too. Mucous took long time to clear but once its formation stopped, it helped in relieving repeated urges of bowels, bloating, distension, heaviness and other nagging symptoms. Based on recovery, patient was advised to take medicines in tapered dose for some time to continue the health benefits.

Parameters before, during & after treatment

Symptoms	Jun, 2016	Aug, 2016	Sep, 2016	Oct, 2016	Nov, 2016	Dec, 2016	Jan, 2017
Unclear bowels	++++	++++	+++	+++	+	+/-	Normal
Gas	++++	++++	+++	++	+	Normal	Normal
Headache	++++	++++	+++	++	+	+/-	Normal
Appetite	++++	++++	++	++	+	Normal	Normal
Disturbed sleep	++++	++++	+++	++	+	+/-	Normal

Discussion:

When food is not digested properly, due to low jathragni, and most of the food is not converted into nutritious juice required for the sustenance of the body, it forms mucus-like substance which is ‘apakv ahar’. Very little of this substance gets converted in nutritious juice while a large part of it is converted into waste products. This excess of waste causes aggravation of vata, which disrupt