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CLINICAL EVALUATION OF MODIFIED SIRODHARA PROCEDURE & KUKSHI BASTI IN THE MANAGEMENT OF PAKVASAYAGATA VATA ROGA (IBS)

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Author(s): Tripathi J.S. | Byadgi P.S. | Pramod

Journal: International Journal of Research in Ayurveda and Pharmacy
ISSN 2229-3566

Volume: 2;
Issue: 5;
Start page: 1416;
Date: 2011;
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Keywords: IBS | Pakvasayagata vata vyadhi | jatiphaladi tail | medhya kasaya | Kukshi Basti | shirodhara.

ABSTRACT
Irritable Bowel Syndrome is a clinical entity recently identified with a set of symptoms related to gastrointestinal tract. These symptoms essentially pertain to the diathesis of gut motility disorder. The characteristic clinical features are abdominal pain, altered bowel habit, psychiatric symptoms such as anxiety or depression in the absence any detectable organic pathology. It is a persistent syndrome intractable to all kinds of treatment and presentation often appears intermingled with a range of personality factors. IBS seems to be apparently comparable to two classicals Ayurvedic syndromes described in Samhita texts of Ayurveda viz. (1) Vataja Grahani roga (2) Pakvasayagata vata. On further conceptual analysis, it may be concluded that IBS may not be truly comparable with Vatika Grahani roga because Grahni is a disease of “Grahani” organ, which relates to small bowel while IBS as known in Western modern medicine is predominantly a disease of colon. Further Grahni roga is essentially characterized by depletion of Agni i.e. Pachaka pitta while is case of IBS the basic pathology is not of digestive nature; rather it is more of psychoneurological nature. In view of this, it seems logical to correlate IBS with Pakvasayagata vata vyadhi as described in all Samhitas and is essentially psychoneurotic diatheses. However, there is a need of constructing the samprapti of this disease identifying its components like dosha, dushya and adhisthana etc. Present clinical study designed to know more about the aetiopathogical nature and clinical profile of Irritable Bowel Syndrome as seen in Indian settings. Hence, it was decided to launch an epidemiological and clinical study on IBS through the patients reporting for treatment at University Hospital, Banaras Hindu University. The Present study is based on randomly selected 45 patients. The Ayurvedic formulation, which was tried in these patients, with a view of their probable role as ENS sedative (jatiphaladi tail) and CNS sedative (medhya kasaya) effects. In addition to the systemic administration of the classical drug, it was considered useful to give a trial to a special Kukshi Basti along with shirodhara in this patients.The present trial, which is essentially an open clinical trial, has exhibited interesting results in terms of the therapeutic efficacy of the trial treatment given. Thus, the present study has been conducted entirely from a new angle and it yields interesting observations, which open never vistas of further investigation in this subject.

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