CONSTIPATION AND AYURVEDA

AYURVEDA TREATMENT FOR CONSTIPATION

Constipation is known as Malbaddhata or vibandh in Ayurveda.The in which there is passing of very hard stool or inability to evacuate completely is known as constipation.

Now a days this is very common problem seen in every age. Near about 60% of population is suffering from this disease . Our sedentary life style and poor food habit is responsible for this.

Although constipation is often looked upon as a common problem, if not treated or if treatment is delayed, it can lead to further problems such as fissures, fistulas, piles, lack of appetite and indigestion.

Causes

• Inactive lifestyle
• Incorrect food habit
• Low fiber diet
• Eating of dry and heavy food items
• Less intake of fluids
• Long term sitting habit
• Suppression of urges
• Late night awakening
• Day sleeping
• Psychological factors like stress,fear,anxiety,sorrow,depression

Pathogenesis

Due to all above mentioned reason, the digestive power become sluggish which cause  incomplete digestion of the food, which is not expelled by the intestines and causes the formation of ama (mucus).This ama occult stool slowly and  accumulate in the stomach and large intestines respectively and impair VataDosha. Which  results in obstruction of the digestive tract. When the digestive tract is not clear, the body will not be able to facilitate proper bowel movement, thereby leading to the condition of constipation.

Symptoms

• Hard stool
• Straining during bowel movement
• Feeling of incomplete motioin
• Indigestion (dyspepsia)
• Abdominal pain
• Nausea
• Flatulence
• Pain at the anus while defecating
• Heaviness of body
• Lack of appetite
• Acid eructation (belching)

Treatment-

Diet

Warm water intake balances the cold guna of vatadosha.It also reduces andimandyata

Intake of ghee in diet-it lubricate the tissuesso that an appropriate amount of oil or fat can remain in the stool. It also subpresses dry guna of vatadosha

• Intake of fresh fruits
• Fruits are very fibrous in nature hence it loosen the stool.
• Pineapple juice and prune juice are particularly effective at moving excess vata in the colon.2 It is also fine to warm or dilute fruit juices with water.

Medicines

• Triphala,churna or triphala tablets
• Gandharvaharitaki tablet or gandharvahastyadikashayam
• Isabghol
• Avipattikarchurna
• Abhayarishta
• Trivruttaavleha
• Draksharishta
• Panchsakarchurna
• Icchabhedi rasa
• Sukhsarakavati

Panchakarma

• Internal oleation-Abhyantarsneha pan-Intake of medicated ghee in increasing order
• Bahyasnehana-Body massage with medicated oil
• BastiUpakarma-Alternate basti of neha and kashaya helps in constipation
• Virechana-Purgation by medicated cator oil causes the total cleasing of diagestive system.

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GASTRIC ULCER TREATMENT

Ayurvedic Treatment For Gastric Ulcer At Central India

About Gastric Ulcer

Peptic ulcer disease (PUD), is a break in the lining of the stomach, the first part of the small intestine, or occasionally the lower esophagus.An ulcer in the stomach is known as a gastric ulcer while that in the first part of the intestines is known as a duodenal ulcer. The most common symptoms of a duodenal ulcer are waking at night with upper abdominal pain or upper abdominal pain that improves with eating.With a gastric ulcer, the pain may worsen with eating. The pain is often described as a burning or dull ache.

Signs and symptoms of a Gastric Ulcer

• abdominal pain, classically epigastric strongly correlated to mealtimes. In case of duodenal ulcers the pain appears about three hours after taking a meal;
• bloating and abdominal fullness;
• waterbrash (rush of saliva after an episode of regurgitation to dilute the acid in the esophagus – although this is more associated with gastroesophageal reflux disease);
• nausea, and copious vomiting;
• loss of appetite and weight loss;
• hematemesis (vomiting of blood); this can occur due to bleeding directly from a gastric ulcer, or from damage to the esophagus from severe/continuing vomiting.
• melena (tarry, foul-smelling feces due to the presence of oxidized iron from hemoglobin);
• rarely, an ulcer can lead to a gastric or duodenal perforation, which leads to acute peritonitis, extreme, stabbing pain, and requires immediate surgery.

Ayurvedic Treatment For Gastric Ulcer At Central India

• Pitta Samanam
• use of tikta Madhura rasam
• sita virya dravyas

Ayurvedic Medicines For Gastric Ulcers

• Guduchyadi Kashayam:

Guduchyadi Kashayam is an Ayurvedic medicine in water decoction form. It is used in the treatment of fever with burning sensation, vomiting etc.

Guduchyadi Kwatha ingredients10 g coarse powder of each of
Guduchi – Indian Tinospora (stem) – Tinospora cordifolia
Dhanyaka – Coriander – Coriandrum sativum
Nimba – Neem – Azadirachta indica
Raktachandana – Pterocarpus santalinus
Padmaka – Wild Himalayan Cherry – Prunus cerasoides
All the ingredients are added to 16 parts of water, boiled and reduced to 1/4th part, filtered and used.

Reference: Sharangdhara Samhita Madhyamakhanda 2/8, Astanga Hridayam.

Dosage: 60ml morning before food

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• Shankh Vati Tablets:

Shankha Vati is a tablet, used in the Ayurvedic treatment of gastric conditions, dyspepsia, anorexia. It contains heavy metal ingredients and hence should only be used under strict medical supervision.

Shankh Bati ingredients:
48 g fine powder of each of
Kshara of Chincha – Tamarind – Tamarindus indica
Panchalavana –
Saindhava Lavana – Rock salt
Sauvarchala Lavana – Sochal salt
Samudra Lavana – Common salt
Vida Lavana – Vida salt
Romaka Lavana
Nimbu swarasa – Lemon juice – Quantity Sufficient.
Shankha Bhasma – Bhasma of Conch shell
Hingu – Asa foetida
Shunti – Ginger Rhizome – Zingiber officinalis
Maricha – Black pepper – Piper nigrum
Pippali – Long pepper fruit – Piper longum
Rasa – Herbal purified Mercury – 3 g
Vatsanabha – Aconitum ferox – 3 g
Shuddha Gandhaka – Herbal purified Sulphur – 3 g
The fine powder of solid ingredients is triturated with lemon juice to prepare a paste. From this paste, tablets are prepared, dried and stored.

Reference: Bhaishajya Ratnavali, Agnimandya Rogadhikara 182 – 183 AFI. Vol. 1.

Dosage: 2 tablets two times a day after food

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• Kamdudha Ras

Kamdudha Ras is an Ayurvedic medicine, with herbal and mineral ingredients, in tablet form. It is used in treating gastritis and bleeding diseases. This medicine is used more in North Indian Ayurvedic treatment method and should only be taken strictly under medical supervision.

 Kamdudha Ras ingredients:

• Amrutha Satwa (Giloya satva) – Water extract of Tinospora cordifolia – 40 grams
• Svarna Gairika – Red ochre – purified  – 10 grams
• Abhraka Bhasma – Silica Bhasma – 10 grams

Reference:

Ayurveda Sara Sangraha, Rasa Rasayana Prakarana, also mentioned in Rasa Yoga Sagara

Dosage: 360mg with honey

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• Manasamitra Vatakam

Manasamitra Vatakam is a tablet, used in the Ayurvedic treatment of psychiatric conditions, to improve intelligence, speech problems, etc. It is prepared from a combination of 73 ingredients. This medicine should only be taken under strict medical supervision. This medicine is formulated based on Kerala Ayurveda principles.

Manasamitra Vatakam ingredients, how to make:
10 g of each of
Bala – Country mallow (root) – Sida cordifolia
Nagabala – Grewia populifolia
Bilva – Bael (root) – Aegle marmelos
Prishniparni – Uraria picta
Pravala pishti – Coral
Shankhapushpi – Clitorea ternatea
Tamrachuda Padika
Swarna Bhasma
Pushkaramoola – Inula racemosa
Mrigashringa Bhasma  – Bhasma made of deer horn
Vacha – Acorus calamus
Tapya – Makshika Bhasma – Bhasma of Copper-Iron Pyrite
Chandana – Sandalwood – Santalum album
Raktachandana – Pterocarpus santalinus
Mukta Pishti – Paste prepared from Pearl
Loha Bhasma – Bhasma prepared from Iron
Madhuka – Licorice – Glycyrrhiza glabra
Twak – Cinnamon – Cinnamomum zeylanicum
Magadhi – Long pepper fruit – Piper longum
Ghanasara – Karpoora – Camphor – Cinnamomum camphora
Aileya – Prunus cerasus
Vishala – Citrullus cholocynthis
Arkaraga
Nirgundi – Vitex negundo
Plava – Nyctanthes arbor-tristis
Rasna – Pluchea lanceolata / Vanda roxburghi
Rajata Bhasma – Bhasma of silver
Shilajatu – Asphaltum
Gojihva – Onosma bracteatum
Padmakeshara – Lotus – Nelumbium speciosum
Jivaka –  Malaxis acuminata
Rishabhaka – Manilkara hexandra (Roxb.) Dubard / Mimusoops hexandra Roxb.
Kakoli – Fritillaria roylei
Kshira Kakoli – Roscoea purpurea
Brihati – Indian Nightshade (root) – Solanum indicum
Kantakari – Yellow berried nightshade (whole plant) – Solanum xanthcarpum
Shravani, Mahashravani – Sphaeranthus indicus
Bhunimba – The Creat (whole plant) – Andrographis paniculata
Kritamala – Cassia fistula
Parushaka – Grewia asiatica
Haritaki – Chebulic Myrobalan fruit rind – Terminalia chebula
Vibhitaki – Belliric Myrobalan fruit rind – Terminalia bellirica
Amalaki – Indian gooseberry fruit – Emblica officinalis Gaertn.
Amruta – Indian Tinospora (stem) – Tinospora cordifolia
Shweta and Krishnasariva – Indian Sarsaparila – Hemidesmus indicus
Jivanti – Leptadenia reticulata
Somavalli – Sarcostemma acidum
Ashwagandha – Winter cherry/ Indian Ginseng (root) – Withania somnifera (L.) Dunal.
Nisha – Turmeric (Rhizome) – Curcuma longa
Usheera – Khus Khus – Vetiveria zizanioides
Draksha – Raisin – Vitis vinifera
Yashti – Licorice – Glycyrrhiza glabra
Riddhi – Vigna cylindrica
Durva – Bermuda grass – Cynodon dactylon
Hamsapadi – Adiantum philippense Linn. / lunulatum
Bhadra – Sida cordifolia
Lavanga – Clove – Syzigium aromaticum
Tulasi – Holy Basil – Ocimum sanctum
Kasturi – Musk
Kumkuma – Saffron – Crocus sativus

Quantity Sufficient of each of  –
Juice extract of Trayamana – Gentiana kurroo
Water decoction of
Shankhapushpi – Clitorea ternatea
Vacha – Acorus calamus
Sariva – Indian Sarsaparila – Hemidesmus indicus
Lakshmana – Ipomoea sepiaria / Biophytum sensitivum
Bilva – Bael (root) – Aegle marmelos
Bala – Country mallow (root) – Sida cordifolia
Goksheera – Cow milk
Jiraka – Cumin – Cuminum cyminum
Somavalli – Sarcostemma acidum
Stanya – breast milk.

The fine powder of herbal powder mix is triturated with the liquids and a paste is prepared, which is made into tablet form, dried and preserved.

Reference of Manasamitra vadakam: Sahasrayoga Gutika prakarana 68, AFI Vol 1

Dosage: 2 tablets at night with milk for stress relief.

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AYURVEDIC DIARRHOEA TREATMENT

Pathya –Apathya for Atisaar(Diarrhoea)

Light food for eating is advisiable.

Eg. Peya (thin gruel without containing any grains prepared by boiling appropriate drugs or paddy) and Manda (that does not contain Siktha)

• Old Rice of variety Sali and Shashti is best.
•  Soup prepared from pigeon pea, meat soup of rabbit ,ain (black deer) lava bird, deer, (Partride) all kind of small fishes are advisiable.
• Cows and Goat milk and curd is best in atisaar.
• Intake of butter milk prevents the electolytes loss.
• Fresh banana fruits, Jambuphala(chestnut/ Eugenia jambolanaLam.), unripe Bilva(AegelmarmelosLinn.Conr)fruit, Jatiphala(Nutmeg/MyristicafragransHenlt.),Vijaya(Cannabis sativaLinn.) etc.are the stool binding hence give in Atisaar.
• Dadima(pomegranate), Cangeri(Indian sorrel/ Oxalis corniculataLinn), Hribera(ValerianawallichiiD.C.), Kustumbru, dried ginger, Mahanimba(MeliaazadarachLinn), cumin seeds, Kapitha(Wood apple), etc. are given in atisaar.
•  Fasting, day sleeping are beneficial in diarrhoea patients, as these measures are considered helpful in digesting the undigested food

Apathykarahaar-

• Heavy food should be avoided.
•  The grains like  wheat, barley, Urada(black gram), Nispava(flat bean/Dolichos lablab) should be avoided.
• Madhu(honey), Sigru(drumstick), mango  are avoided.

All kinds of leafy vegetables should be avoided.

Draksha(VitisviniferaLinn.), Amlaveta(GarciniapedunculataRoxb.), garlic pearls, Mastu(curd water), Amalaki(goose berry), all types of kshaar like Yavaksara should be avoided.

Do not drink contaminated water.

• Avoid emotions like anger,depression because it may cause suppression of diagestive fire.
• working upto late hours,night awakening should be avoided.

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