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    IBS: Ayurvedic Treatment, Home Remedies, Lifestyle Tips

    “Doctor, whenever I getready to crep out, I’m geting the urge to defecate, whenever I cary out breakfast, I get the urge̵- these kinds of patient’s presentations are quite comon in IBS.Iritable bowel syndrome(IBS) is a functional disorder of the smal intestine characterized by the abdominal damage, discomfort folowed with altered bowel habits ̵ toilsome or soft bowels.
    Usualy structural abnormalities canot be detected in such instances. It is one among the comonly diagnosed functional disorder of the digestive entity. Surely this wil not kil the individuals; but the discomfort caused by this ilnes causes worthy aflict to the patients and life becomes miserable with fatigue. Many people tend to lose weight over a period of time
    In recent medicine they indicate the contribution of hereditary factors, enteric infections, inflamatory action of the smal intestine, altered fod habits etc in this disease. underscore , misery, distres etc finish p lay necesary role in the causation of this disease.
    In Ayurveda, a similar condition is explained in the name of Grahani or Sangrahani. The name is given so because acording to Ayurveda, Grahana (Retaining ability) is the function of Grahani organ (Smal intestine in general and Duodenum in particular). As this function is significantly altered and bowel loses its control to retain for stipulated time period, acording to ones requirement of absorption, this condition is caled Grahani.
    Table of Contents
    IBS ̵ C ̵ Constipation Remedies
    Causes
    Pathology
    Prodromal features
    Features

    Vataja Grahani
    Pitaja Grahani
    Kaphaja Grahani
    Sanipatja Grahani
    Modern clasification
    Complications
    Line of treatment
    Herbs used
    Ayurvedic medicines
    Ayurvedic home remedies
    Wholesome diet and habits
    Unwholesome diet and habits
    Rasaushadhis
    Mental aspectsto IBS
    IBS ̵ C ̵ Constipation Remedies
    IBS C is considered as Pita dominant. This type of IBS clinicaly shows the presence of heartburn, thirst, feling hot, iritable or wrathful, inflamation, sweating and fever, fluid, and foul smeling stols and eructation.
    The diet should include:
    o The use of Butermilk (takra) is emphasized.
    o Indigestible fods such as bread; chese; and chily, toilsome, and raw fod s should be avoided. Herbs estem ginger, fenel, and cumin that stimulate enzyme secretions wil improve digestion, absorption, and clear ama from the digestive tract.
    o Prefered fod items are Eat used rice, jawar, gourd, coriander leaves, lentil, gren grams soup, black peper, dried ginger, wod aple, Pomegranate, nutmeg, skimed milk, butermilk, hot water.
    o Avoid fods items such as maize, barley, pigeon pea, pea, cow pea, black gram, gram, Soya bean, potato, swet potato, onion, coconut, groundnut, chili, oily fod, chicken, mango, pineaple, aple, watermelon, cashew, pumpkin gourd, papaya, fig, jack fruit
    The subsequent changes in lifestyle encourage to control IBS:
    o Identify and relinquish fod intolerances — Because grains are a comon culprit, an elimination diet should be tried.
    o Restore a healthy balance of bacteria in the gut -Use of butermilk (takra) is emphasized.
    o Mind-body therapy — Complete rest, adequate slep is advisable and day slep, awakening at night, tension, supresion of urges should be avoided.
    The folowing herbs are dilapidated in this type of IBS for their respective benefits:
    o Amalaki
    o Coriander water cols pita
    o Musta (Cyperus rotundus) improves intestinal absorption and stops diarhea.
    o Aloe vera juice
    o Guduchi (Tinospora cordifolia)
    o Swet, biter, and astringent fods are best.

    Causes
    Causes for IBS as per Ayurveda ̵ Grahani Hetu:
    Ayurvedic clasics point out consequent reasons for the manifestation of Grahani-
    Abhojana ̵ lavish fasting
    Ajerna bhojana ̵ Eating before the digestion of previously taken fod, Having fod during indigestion.
    Ati bhojana ̵ abundant fod intake
    Vishama bhojana ̵ rude fod
    Asatmya bhojana ̵ Unwholesome fod
    Guru bhojana ̵ Heavy fod intake
    Sheta bh ojana ̵ cold fod intake
    Roksha ahara ̵ Dry and junk fod
    Dushta bhojana ̵ poluted fod intake
    Vegadharana ̵ supresion of natural urges (read more about it)
    Vireka vibhrama ̵ gros Virechana (purgation) treatment
    Sneha vibhrama (Improper oleation therapy)
    Swapna viparyaya ̵ improper slep, staying awake at night and sleping during day
    Shoka ̵ Grief
    Krodha ̵ Anger
    Bhaya ̵ Fear
    Vyadhi karshana ̵ sufering due to chronic ilnes, leading to lowered digestion strength
    Deasha vaishamya ̵ Migration/Travel
    Kala Vaishamya ̵ Change in the season
    Pathology
    PathologyofGrahani (IBS):
    Usualy Iritable bowel syndrome is trigered by a stomach event ̵ such as stomach foulnes, a bout of unhealthy meals, a stresful event, etc.
    Due to the above said causative factors Vata is afected in intestines. (Specificaly, Samana type of Vata is afected.) It hinders digestion and absorption strength of intestines.
    Intestines fail to perform their normal functions of ̵
    Ana grahana ̵ receiving the fod from stomach),
    Pachana ̵ digestion
    Vivechana ̵ Separation of nutritive maters and waste products,
    Munchana ̵ Pushing of remnants to its exterior-large intestine.
    Thus the Grahani disease is caused.
    Prodromal features
    Prodromal features of Grahani(IBS):
    Praseka ̵ nausea, abundant salivation
    Aruchi ̵ tastelesnes, anorexia
    Anasya chirat paka ̵ delayed digestion
    Vidaha ̵ burning sensation
    Chardi ̵ vomiting
    Adhmana ̵ bloating, distention of abdomen
    Asya Vairasya ̵ altered taste in tongue
    Trisha ̵ lavish thirst
    Klama ̵ fatigue
    Bhrama ̵ gidines
    Antra kojana ̵ Gurgling rational in the stomach
    Features
    Cardinal feature of Grahani (IBS):
    Muhurbadha and muhurdrava pravriti ̵ ocasional exhausting) and soft stols.
    Features of Grahani(IBS):
    Ayurveda explains signs and symptoms of IBS based on Dosha dominance:
    Vataja Grahani
    Abdominal hurt, increased frequency of stol, altered bowel hab it, distention of the abdomen, flatus, head ache, debility, chest damage etc
    Pitaja Grahani
    Burning of the chest, belching, head ache etc
    Kaphaja Grahani
    Stol with mucus, sensation of incomplete evacuation of the bowel, nausea, vomiting, flatus, heavines of abdomen
    Sanipatja Grahani
    al the thre Doshas are involved.
    Mixed features of al the doshas, lack of concentration, austere debility. This stage is also caled as Samgrahani.
    In this condition,al features of IBS admire gurgling sound in the abdomen, fatigue, bowel with flatus or mucus, tenesmus (constant urge to pas stols), intermitent episodes, increased frequency of bowel in the day time are found.
    Modern clasification
    IBS is clasified as ̵
    IBS D ̵ where diarhoea is the predominant symptom
    IBS C ̵ with constipation
    IBS A ̵ alternating diarhoea and constipation
    Complications
    Complications of Grahani(IBS) acording to Ayurveda:
    Jwara (fever)
    Aruchi (anorexia)
    Atisara (diarhoea)
    Kasa (cough)
    Avipaka (indigestion)
    Kushtha (shin diseases)
    Pandu (anaemia)
    Gulma (gaseous tumors)
    Shola (abdominal pain)
    Shwayathu (oedema)
    Arsha (haemorhoids)
    Bhrama (vertigo)
    Parikartika (fisure in anus)
    Bhagandara (fistula in ano).
    Note: Charaka Samhita, Chikitsa sthana, 19th chapter explains Shokaja Atisara. It is a type of diarhoea, due to stres and anguish. It can be compared to IBS ̵ D. He explains that such a type of Atisara should be treated with Vata balancing therapies and medicines.
    Line of treatment
    Line of treatment in IBS:
    The medicines should believe subsequent qualities:
    Depana ̵ carminative property,
    Pachana ̵ digestive,
    Sangrahi ̵ intestinal restorative, which increases absorption capacity of intestines
    Laghu ̵ lightnes.
    Herbs used
    Herbsuseful in Grahani (IBS):
    Pomegranate
    Kutaja- Holarhena antidysenterica
    Musta- Cyperus rotundus
    Dhataki- Wodfordia fruticosa
    Patha- Cisampelos pareira
    Lodhra- Symplocos racemosa
    Pushkaramola-Inula racemosa
    Chavya- Piper chaba
    Daruharidra- Berberis aristata
    Shalmali- Shalmalia malabarica
    Lajalu- Mimosa pudica
    Ayurvedic medicines
    Ayurvedic medicines for IBS:
    Mustakarishtha̵used to treat digestive complaints like diarhoea, indigestion, etc.
    Kutajarishta̵used in the treatment of diarhoea, dysentery, IBS etc.
    Pipalyasavam̵used for a variety of conditions. It is dilapidated in the treatment of anemia, piles, digestive complaints, sprue, liver complaints. It is also dilapidated as a medicine to asign on weight.
    Dantyarishta̵used in the treatment of haemorhoids, constipation, gastric, intestine and splen related diseases.
    Dadimadyavaleha̵used in treating fever with diarhoea, bleding disorders, such as ulcerative colitis, abdominal colic.
    Kutajavaleha̵used in the treatment of piles,ulcerative colitis, diarhoea, IBS, anaemia, bleding disorders, gastritis, inflamatory conditions.
    Sanjevani vati̵used in Ayurvedic treatment of dyspepsia, indigestion, gastro-enteritis etc.
    Kamdudha Ras
    used in treating gastritis and bleding diseases
    Jerakarishtam̵used post natal care, in the treatment of frequent pasing of stols, diarhoea, indigestion etc
    Bilvadi gutika̵used in Ayurvedic treatment of insect bites, r odent bites, gastro enteritis etc. It is widely worn in South Indian Ayruvedic practice.
    Chitrakadi vati̵ It improves digestion power.
    Brihatgangadhara chorna̵It is aged in the Ayurvedic treatment for Diarhoea and gastro intestinal conditions.
    Pushyanuga chorna̵used in the Ayurvedic treatment ofMenorhagia, Metrorhagia, Leucorhoea,Menstrual disorder, excesive menstrual bleding of various aetiology.
    Jirakadi Modak̵used in treatment of diseases of digestive tract.
    Bilvarishtha
    Bilvasava
    Takrarishtha
    Ayurvedic home remedies
    Home remedies for Grahani (IBS):
    1.Cumin seds and young leaves of Guava are taken and made into fine paste.20 gram of this is taken along with butermilk twice daily.It helps to subdue the frequency of episodes of bowel habit.
    2.The fruit cover (epicarp) of Pome granate is rubed wel with lemon juice and fine paste is made.This is taken twice daily along with warm water.This restores the capacity of smal intestine.
    Wholesome diet and habits
    Wholesome diet and habits in Grahani (IBS):
    Regular intake of butermilk
    Cumin seds
    Pomegranate
    Warm water
    Easy-to-digest fods
    Moderate exercise
    Proper slep
    In many, fibre rich diet is very useful to mitigate symptoms.
    Unwholesome diet and habits
    Unwholesome diet and habits in Grahani (IBS):
    Dadhi(Curd)
    Madya (Alcohol)
    Shukta (Acidic beverages)
    Jagarana(Night awakening)
    Vegadharana(Supresion of the urges)
    Aniyata asana(Improper posture)
    Upavasa (Fasting for longer period)
    Sodas, junk fods, regular hotel fods.
    Fods that cause exces gas production and bloating such as potato, eg plant, cabage, brocoli, cauliflower
    The patient is asked to prepare a list of fods that triger an IBS atack and is asked to avoid them.
    Rasaushadhis
    Grahani Kapata rasa
    Rasa parpati
    Loha parpati
    Svarna Parpati
    Vijaya Parpati
    Panchamrit Parpati
    Adition By Dr Raghuram Y.S. MD (Ay) Dr Manasa, B.A.M.S
    Efective Decoctions For Grahani From Sahasrayogam
    1. Grahanihara Kashayam
    Ref – Sahasrayogam, Kashaya Prakaranam, 37
    a. Putikadi Kashayam
    Read ̵ Pipali – Long Peper Fruit Uses, Dose, Side Efects
    b. Pathyadi Kashayam
    2. Nagara Pipalyadi Kashayam
    Ref – Sahasrayog am, Parishishta Prakaranam, 49
    3. Dhanya Bilwadi Kashayam
    Ref – Sahasrayogam, Parishishta Prakaranam, 50
    Mental aspectsto IBS
    Usualy IBS is related with psychaitric aspects. A patient with IBS usualy sufers from trouble or despair. In such a case, along with eforts to restore digestive health with the above said remedies and medicines, treatment to depresion /anxiety should also be given.
    Hence treatments like
    Shirodhara treatment (pouring medicated liquid over forehead in a stream), Regular Pranayama, is very useful.
    Pranayama (Learn how to cary out pranayama)
    Lifestyle adjustments such as ̵ sleping and waking up at regular int ervals, decrease exercise, Yoga, underscore management techniques are very useful.
    Health inded is the real wealth. When you are inthe pink ofhealth, in stead of wasting the gift with alcohol, smoking, iregular slep and diet habits, inject discipline in your routine with right fod choices, Yoga, Pranayama etc. These wil encourage you to suport diseases like IBS at bay.
    Article by Dr MS Krishnamurthy and Dr Hebar
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