Patient presented with symptoms like recurrent abdominal pain associated with abdominal discomfort for 3 months. He was working in the IT sector and complained of acidity and irregular bowel habits as well. This condition, referred to as Irritable Bowel Syndrome in Modern medicine can be correlated with a disease called ‘Grahani’ in Ayurveda Classics. Grahani is an organ, which is said to be the seat of Agni or digestive fire. As per classical Ayurveda textbooks, the food we ingest is held in Grahani up to digestion and post digestion, all the nutrients are released. When there is a derangement of Doshas before digestion, the ingested material is released resulting in acidity and stomach pain. Nidana or Pathological factors causing IBS:· Intake of unsuitable, heavy, cold, too rough and contaminated food· Stress factors· Eating before the previous food is digested properly· Faulty adaptation to place, time and season· Improper administration of Vamana or Virechana· Lactose Intolerance/other food allergiesA close look and examination of the patient’s dietary habits and work atmosphere revealed that the patient was exposed to almost all the causative factors mentioned above. He had excessive work stress and undisciplined lifestyle.The patient was advised strict dietary and lifestyle recommendations along with medicines for 3 months.
Educating the patient: Stress and improper diet and regimen causes exacerbation of IBS.
Diet:
Avoid caffeinated diet and beverages. Completely avoid Alcohol.
Avoid/Reduce legumes, raw onions, cruciferous vegetables, grapes, plums, garlic etc. Include fiber rich foods. Avoid dairy, can include almond milk instead. Takra or butter milk is advised on a daily basis.
Pomegranate, Nutmeg, Old rice, dried ginger, hot water and adequate rest with proper sleep is advised
Practice Yoga postures like Ardhamatsyendrasana (half-seated spinal twist) and parigrahasana (gate pose)
Internal Medication (Treatment of Ama/Toxins with Amapachana):
Ashtachoorna (improves digestive fire) – 1 tsp. + 1 tsp. Honey before food thrice daily
Dashamoolarishtam + Jeerakarishtam (15ML each) Twice daily after food
Bilwadi lehya – 1 tbsp at bedtime ( Tridoshahara (pacifies all the three doshas and is deepana – pachana i.e. improves digestion and assimilation)
Once the digestion and assimilation were improved, the patient was administered Virechana (Therapeutic purgation) and was asked to continue internal medication for a period of 3 months.
After 3 months the patient showed remarkable changes for his Irritable Bowel Syndrome condition. Stomach pain and frequent bowel movements were completely relieved. He was suggested diet modifications and follow up again after 6 months.
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