It is also known as spastic colon or irritable colon. This cause great distress to patient.Near about 40% of population are suffering from this disease.Women are more sufferer for these problem. Family history is also responsible for this disease.Patients suffering fom IBS have unusually sensitive intestines. This will cause abdominal pain or discomfort, bloating and alternation of bowl habits that an cause either diarrhoea or constipation to person,abdominal distension ,nausea and sensation of incomplete evacuation. It also accomplished with symptoms of the upper gastrointestinal tract (GI) like heartburn, chest pain and dysphagia. It had somatic and psychologicalsymptoms like fatigue, irritability, headache, anxiety, depression, and even urologic dysfunction and gynecologic symptoms.——- Concept of IBS in Ayurveda According to Sushruta the sixth kala is known as Grahanidharakala or pittadharakala. Which covers the part of gastro-intestinal tract which extends from lower part of stomach (pyloric part) to ileocaecal junction. It’s main function is to hold solid and liquid foods which is propelled from amashaya and on its way to the pakvashaya, for the proper action of digestive juice upon it. Pittadharakala function- 1) Digestion of food and 2) Absorption of digested substance. The food which we take is diagested by jatharagni and converted in to diajestive juice which helps in body formation. Due to mandagni food are not diadested properly which form apakvaahar rasa which is called as Ama.Thisama goes in to small channels causing stroto-avarodhi.e blockage of channels.And forming a disease called as Grahaniroga. Causes:the cause of disease is still unknown .It may be caused due to miscommunication between brain with intestinal tract which results in abnormal muscle contraction or spasms. the spasms may cause diarrhea or constipation Other causes are- 1) stress or psychological issues. 2) Hormonal changes like during menstrual cycle. 3) Some antibiotics can cause digestion problem 4) Infection of diagestive tract ex-salmonella 5) Family history Sign and symptoms : Muhurbadhammuhurdravam Stool become sometimes loose or constipated .It is combined with cramps and pain in stomach also Frequent Constipation (stool become dry and hard) Feeling of Incomplete bowel movement Frequent loose motion Alternating between diarrhea and constipation. Stool with mucus discharge Treatment Improvement of appetite dydeepaniyadravyas Digestion o Amadoshas by Pachaniyadravyas Rebuilding of Gastro-intestinal tract PanchakarmaTreatments Vaman-Doshas which are responsible for grahaniroga should be expelled out by vaman(emesis) Sangrahichikitsa-Intestinal restorative Langhan-Intake of light food Pachan-Digestion of Amadosha by using medicines like chitrak,sunthietc In case of Diarrhoea – Grahi / Anulommana (Medicines which binds and holds the stools) In case of constipation – And mild blaxative Medicines- Dadimbavaleha Dantyaristha Pippalyasava Kutajavaleha Kutajarishta Sanjivanivati Kamdudha rasa Chitrakadivati Bilvadigutika Pushyanugachurna Jeerakarishta Parijatak ayurveda
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