A Conceptual Study of Grahani Roga (Irritable Bowel Syndrome) and its Management Through Dietary Modification
DOI:
https://doi.org/10.48165/Keywords:
Ayurveda, Grahani, Dietary modificationAbstract
Irritable bowel syndrome (IBS) is one of the most frequent yet poorly understood disorders encountered in clinical practise. The symptoms of this illness are long-term, sometimes severe, and frequently do not respond well to treatment, leading in a lower quality of life. More than 40% of new referrals to gastroenterology outpatient clinics are due to IBS. The diagnosis is made using the Rome IV criteria. The aetiology and pathophysiology of this disease are unknown. It can be managed in Ayurveda using the notion of Grahani. The basic Samprapthi is found at the Grahani and Pakwasaya levels, as a result of Agnidushti. IBS has Tridoshaja symptoms with Vata predominance. As a result, medicines that contain Deepana, Pachana, Anulomana, or Grahi qualities are ideal. Because psychological issues are involved, Satwavajaya Chikitsa (psychotherapy) is beneficial. Because it is chronic and relapsing, dietary and lifestyle changes, as well as exercises and relaxation techniques, can help with management. The current article summarises the ayurvedic position on Grahani roga and how to treat it with Ayurvedic principles and a dietary pattern.
Downloads
References
Dorland WA. 28th ed. Philadelphia: Elsevier publication; 1997. Dorland's illustrated medical dictionary. [Google Scholar]
Available
from: http://www.bhj.org/journal/special_issue_tb/D PII_13.htm .
Availablefrom: http://www.digestive.niddk.nih.gov/d diseases/pubs/ibs
Masand PS, Keuthen NJ, Gupta S, Virk S, Yu-Siao B, Kaplan D. Prevalence of irritable bowel syndrome in obsessive-compulsive disorder. CNS Spectr. 2006;11:21–5
Available
from: https://www.ncbi.nlm.nih.gov/pmc/articles/P MC3968698/
Availablefrom: https://niimh.nic.in/ebooks/esushruta /index.php
Shastri AD; Sushrut Samhita; Sutrasthana, chapter 15, verse no.47; Chaukhambha Sanskrit Sansthan; Varanasi; 2011.
Sastri L. Vridda Jeevaka- Kashyapa Samhita (Vriddajeevaka Tantra) by -Sharma Hemaraj Pandit (Nepal Rajguru) revised by Vatsya with Sanskrit introduction and Vidyothini Hindi Commentary, Varanasi: Chaukhamba Sanskrit Sansthan.,1994.
Shashtri RL, Harita Samhita Edited with Asha Hindi Commentary, Varanasi: Prachya Prakashan., 1985. 10. Shastri K; Charak Samhita; Chikitsa Sthanam, chapter 15, verse no 51-52; Chaukhambha Bharati Academy; Varanasi; 2011.
Shastri K; Sushrut Samhita; Sutrasthana, chapter 15, verse no.48; Chaukhambha Sanskrit Sansthan; Varanasi; 2011.
Acharya YT, Charaka Samhita with Ayurveda Dipika Commentary of Chakrapanidatta, (Chikitsa Sthana 15, Verse 12) Varanasi; Chaukhambha Prakashan.2009.
Shastri K, Charak Samhita; Chikitsa Sthanam, chapter 15, verse no 51; Chaukhambha Bharati Academy; Varanasi; 2011.
Shastri AD; Sushrut Samhita; Uttaratantra, chapter 40, verse no.167; Chaukhambha Sanskrit Sansthan; Varanasi; 2011.
Shastri AD ,Sushrut Samhita; Sutrasthana, chapter 15, verse no.48; Chaukhambha Sanskrit Sansthan; Varanasi; 2011.
Shastri AD, Charak Samhita Chikitsasthan Chapter 15 Shalok 55 Chaukhambha Sanskrit Sansthan, Chikitsasthan Varanasi edition 2004.pp.388
Shastri AD, Charak Samhita Chikitsasthan Chapter 15 Shalok 55 Chaukhambha Sanskrit Sansthan Varanasi edition 2004.pp.388
Shastri AD Charak Samhita Chikitsasthan Chapter 15 Shloka 44 Chaukhambha Sanskrit Sansthan, Varanasi edition 2004 .pp. 386
World Gastroenterology Organization. Irritable bowel syndrome: a global perspective. World Gastroenterology Organisation Global Guideline 2009.
Hammer J, Eslick GD, Howell SC, Altiparmak E, Talley NJ. Diagnostic yield of alarm features in irritable bowel syndrome and functional dyspepsia. Gut. 2004;53:666–672.
Yang J, Deng Y, Chu H, et al. Prevalence and presentation of lactose intolerance and effects on dairy product intake in healthy subjects and patients with irritable bowel syndrome.Clin Gastroenterol Hepatol.2013;11(3):262-268.e1. doi: 10.1016/j.cgh.2012.11.034.
Vazquez-Roque MI, Camilleri M, Smyrk T, et al. A controlled trial of gluten-free diet in patients with irritable bowel syndrome-diarrhea: effects on bowel frequency and intestinal function.Gastroenterology.2013;144(5):903-911.e3.
doi: 10.1053/j.gastro.2013.01.049.
Moayyedi P, Quigley EM, Lacy BE, et al. The effect of fiber supplementation on irritable bowel syndrome: a systematic review and meta-analysis. Am J Gastroenterol.2014;109(9):1367-74.doi:
/ajg.2014.195.
Shastri K; Charak Samhita; Chikitsa Sthanam, chapter 15, verse no 85; Chaukhambha Bharati Academy; Varanasi; 2011.
Bhardwaj K et al: A Review Article On Diet In Grahani Roga. International Ayurvedic Medical Journal {online} 2020 {cited December, 2020} Available from: http://www.iamj.in/posts/images/upload/5395_5398.p df
Bhurke A, Bhurke L. GRAHANIROGA VIS-À-VIS IRRITABLE BOWEL SYNDROME: A REVIEW. International Journal of Innovation Science. 2016; 2(2).
Jain A et al: An Anatomical Study Of Pittadhara Kala - A Review Article. International Ayurvedic Medical Journal {online} 2020
Sorathiya A. P., Vyas, S. N., & Bhat, P. S. (2010). A clinical study on the role of ama in relation to Grahani Roga and its management by Kalingadi Ghanavati and Tryushnadi Ghrita. Ayu, 31(4), 451–455. https://doi.org/10.4103/0974-8520.82041