Ayurveda perspective
Ayurveda treatment of Crohn’s disease by prescribing illness specific medicinal herbs and dietary recommendations
Crohn’s disease is a disorder of the digestive system and it can be referred as a type of inflammatory bowel disease. Its very much different from ulcerative colitis which is related to colon and we shall here try to explain all information in depth. This disease is also closely related with regional enteritis and ileitis. Inflammations in our tissues are caused by high pitta factor and so if patient’s pitta dosha is aggresively high and imbalanced, certainly the probabilties of developing crohn’s disease are much higher.
In Ayurveda, Crohn’s disease can be understood through the lens of disrupted dosha balance, impaired agni (digestive fire), and the accumulation of ama (toxins) in the gastrointestinal tract. Ayurveda views health as a balance between the three doshas—Vata, Pitta, and Kapha. Crohn’s disease is often associated with an aggravated Pitta dosha, leading to inflammation and disruption of the natural functions of the digestive system.
Imbalanced Doshas:
- Pitta Aggravation: Crohn’s disease is considered a result of increased Pitta dosha. Pitta governs digestion and metabolism, and its aggravation can lead to inflammation, irritation, and compromised intestinal function.
Agni (Digestive Fire) Impairment:
- Weakened Agni: Ayurveda emphasizes the importance of strong agni for proper digestion and assimilation of nutrients. In Crohn’s disease, impaired agni leads to incomplete digestion, accumulation of undigested food, and the formation of ama in the digestive tract.
Accumulation of Ama (Toxins):
- Ama Formation: The incomplete digestion and weakened agni result in the formation of ama, which is a sticky, toxic substance. Ama accumulation in the gastrointestinal tract contributes to inflammation, compromises the absorption of nutrients, and disrupts the normal functioning of the intestines.
Vata Involvement:
- Vata Imbalance: While Pitta aggravation is prominent, Vata dosha may also play a role in Crohn’s disease. The aggravated Vata can cause dryness, irregular peristalsis, and contribute to the variability of symptoms seen in Crohn’s patients.
Individual Constitution (Prakriti) and Vikriti:
- Personalized Approach: Ayurveda recognizes the importance of individual constitution (Prakriti) and the current state of imbalance (Vikriti). Treatment approaches are personalized based on the unique constitution of the individual, considering factors like dominant doshas, digestive capacity, and overall health.
Ayurvedic Treatment Approaches:
- Pacifying Pitta: Cooling and Pitta-pacifying herbs are recommended to reduce inflammation. These may include herbs like aloe vera, licorice (Yashtimadhu), and Shatavari.
- Agni Restoration: Ayurvedic formulations and herbs that enhance agni, such as ginger (Adrak), cumin (Jeera), and fennel (Saunf), may be beneficial.
- Detoxification (Panchakarma): Panchakarma therapies, including Virechana (therapeutic purgation), are employed to eliminate accumulated ama and toxins from the body.
- Strengthening Digestive System: Herbs like Triphala, which consists of three fruits (Amalaki, Bibhitaki, and Haritaki), are used to tonify and strengthen the digestive system.
It’s crucial for individuals with Crohn’s disease to consult with an experienced Ayurvedic practitioner who can tailor the treatment plan based on their specific imbalances and needs. Ayurveda aims not only to alleviate symptoms but also to address the root cause and restore balance to the entire system. Additionally, individuals should continue to work closely with their conventional healthcare providers for comprehensive management of Crohn’s disease.
While Ayurveda can provide supportive measures for individuals with Crohn’s disease, it’s essential to note that this condition requires professional medical attention. Ayurvedic home remedies can be used as complementary approaches to ease symptoms and support overall well-being. Always consult with your healthcare provider before incorporating new remedies, especially if you are undergoing conventional medical treatments. Here are some Ayurvedic home remedies for Crohn’s disease:
Dietary Guidelines:
- Easy-to-Digest Foods: Consume easily digestible, cooked foods. Favor well-cooked grains like rice and oats, and cooked vegetables to ease the digestive process.
- Herbal Teas: Drink soothing herbal teas such as chamomile or licorice tea to help calm the digestive system.
Aloe Vera Juice:
- Fresh Aloe Vera Juice: Aloe vera has anti-inflammatory properties and can be beneficial for digestive health. Drink a small amount of fresh aloe vera juice diluted in water.
Ginger and Turmeric:
- Ginger Tea: Prepare ginger tea by boiling fresh ginger slices in water. Ginger has anti-inflammatory properties that may help soothe the digestive tract.
- Turmeric Milk (Golden Milk): Turmeric contains curcumin, known for its anti-inflammatory properties. Mix turmeric with warm milk and consume before bedtime.
Triphala Churna:
- Triphala Infusion: Mix Triphala powder in warm water and drink the infusion. Triphala helps in detoxification and supports digestive health.
Fennel Seeds:
- Chew Fennel Seeds: Fennel seeds can help alleviate digestive discomfort. Chew a small amount of fennel seeds after meals.
Mint Leaves:
- Fresh Mint Infusion: Boil fresh mint leaves in water to make a soothing infusion. Mint can help ease digestive symptoms and reduce inflammation.
Ayurvedic Formulations:
- Licorice (Yashtimadhu) Powder: Consume Yashtimadhu powder with honey. Licorice has anti-inflammatory properties and may help in managing symptoms.
- Bilva (Bael) Juice: Drink fresh Bilva juice, which is known for its digestive benefits.
Yoga and Meditation:
- Gentle Yoga Poses: Practice gentle yoga poses to promote relaxation and reduce stress. Avoid strenuous exercises during flare-ups.
- Meditation and Deep Breathing: Incorporate meditation and deep-breathing exercises to manage stress, which can trigger or exacerbate symptoms.
Probiotics:
- Curd (Yogurt): Consume homemade curd (yogurt) with live cultures to support gut health. Probiotics can help maintain a healthy balance of gut bacteria.
Hydration:
- Coriander Water (Dhania Water): Boil coriander seeds in water and drink the infused water. Coriander is known for its digestive properties.
It’s crucial to monitor your symptoms and consult with both your Ayurvedic practitioner and conventional healthcare provider to ensure a comprehensive and personalized approach to managing Crohn’s disease. Ayurvedic remedies can be integrated into a broader treatment plan to support overall health and well-being.
Symptoms
Symptoms of Crohn’s disease:
The varied symptoms in patients of Crohn’s disease are as follows:
- cramps in the lower abdomen / discomfort
- lacking in energy as there happens loss of body fluids
- mild to moderate fever
- blood in the stools
- fissues of anal origin
- heaviness in the abdomen, even if patient is not eating anything
- sudden loss / drop in weight of the patient
- ulcers in the oral cavity
- development of fistula in the anal region
- excessive salivation
- lack of appetite
- mouth ulcers / sores which are painful as well so patient feels difficulty in eating food
- belching, bad smell in mouth, flatulence
Ayurveda views Crohn’s disease as a manifestation of aggravated doshas (especially Pitta and Vata), impaired agni (digestive fire), and the accumulation of ama (toxins) in the gastrointestinal tract. The symptoms of Crohn’s disease in Ayurveda are often seen through the lens of doshic imbalances and disruptions in the natural functions of the digestive system. Keep in mind that Ayurvedic perspectives on Crohn’s disease are holistic, considering the mind-body connection and individual constitution (Prakriti). Here’s an exploration of symptoms from an Ayurvedic standpoint:
Pitta Dosha Imbalance:
- Inflammation (Pitta): Pitta dosha governs heat and inflammation. In Crohn’s disease, aggravated Pitta manifests as inflammation in the digestive tract, leading to pain, redness, and heat in the abdomen.
- Loose Stools with Blood: Pitta imbalance can cause bleeding in the intestines, leading to the passage of loose stools mixed with blood.
Vata Dosha Involvement:
- Irregular Bowel Movements (Vata): Vata dosha, when imbalanced, can contribute to irregular peristalsis, leading to diarrhea or constipation in individuals with Crohn’s disease.
- Abdominal Cramps (Vata): Increased Vata can cause abdominal cramps and discomfort.
Agni (Digestive Fire) Disturbance:
- Impaired Digestion: Crohn’s disease often involves compromised agni, resulting in incomplete digestion, bloating, and the formation of ama in the digestive tract.
- Nutrient Malabsorption: Agni disturbance may lead to poor absorption of nutrients, contributing to nutritional deficiencies.
Ama Formation:
- Toxic Buildup (Ama): Incomplete digestion and weakened agni contribute to the accumulation of ama, a sticky, toxic substance. Ama in the gastrointestinal tract can exacerbate inflammation and disrupt the normal functioning of the intestines.
Pain and Discomfort:
- Abdominal Pain: Pitta and Vata imbalances can lead to varying degrees of abdominal pain and discomfort. The pain may be crampy and intermittent.
Weight Loss and Fatigue:
- Malnutrition (Ama): Ama accumulation and impaired nutrient absorption can lead to weight loss and fatigue in individuals with Crohn’s disease.
Variable Symptoms:
- Fluctuating Symptoms: Ayurveda recognizes the variability of symptoms in Crohn’s disease, considering the influence of doshic imbalances, dietary habits, and lifestyle factors.
Mind-Body Connection:
- Stress and Emotional Factors: Ayurveda acknowledges the mind-body connection, and emotional stress is considered a contributing factor to the aggravation of doshas in Crohn’s disease.
Individual Constitution (Prakriti):
- Personalized Symptoms: Ayurveda emphasizes the importance of understanding an individual’s constitution (Prakriti), which can influence the manifestation and severity of symptoms in Crohn’s disease.
It’s essential to approach Crohn’s disease with a holistic perspective, addressing not only the physical symptoms but also considering mental and emotional well-being. Ayurvedic treatments aim to restore doshic balance, strengthen agni, and eliminate ama through personalized approaches that may include diet, herbs, lifestyle modifications, and stress management techniques. Individuals with Crohn’s disease should work closely with both Ayurvedic practitioners and conventional healthcare providers for comprehensive care.
Causes
Causes of Crohn’s disease:
The prime reason leading to development of Crohn’s disease is vitiation in the digestive fire “jathragni” which leads to imbalance in the pitta dosha and the causes can be as follows:
- both irregular dietary and irregular lifestyle regimen are one of the leading causes which can imbalance the digestive physiology and not only these are the leading causes but also these are the aggravating factors which can complicate the signs / symptoms if a healthy regimen is not encouraged.
- heredity also is a factor which enhances the probability.
- wrong triggering of the immune behavior and because immunity (ojas) is also related with pitta dosha so any vitiation in the pitta dosha can complicate the path of normal cellular physiology and result in the development of crohn’s disease.
due to the factors listed above and many others as well which carries the tendency to vitiate the digestive fire, it leads to vitiation in the immune response mechanism and that forms the root cause of Crohn’s disease.
In Ayurveda, Crohn’s disease is understood as a result of imbalances in the doshas (especially Pitta and Vata), impaired agni (digestive fire), and the accumulation of ama (toxins) in the gastrointestinal tract. Ayurvedic philosophy views the causes of Crohn’s disease as multifactorial, encompassing both internal and external factors. It’s essential to note that Ayurvedic perspectives on the causes of Crohn’s disease are holistic and consider the interplay of various influences. Here’s an exploration of the causes from an Ayurvedic standpoint:
Aggravation of Pitta Dosha:
- Dietary Factors: The consumption of excessively spicy, hot, and acidic foods can aggravate Pitta dosha. Over time, this can lead to inflammation and irritation in the gastrointestinal tract, contributing to the development of Crohn’s disease.
Vata Dosha Imbalance:
- Irregular Eating Habits: Irregular eating patterns and skipping meals can disturb Vata dosha, leading to imbalances in the digestive system. This, in turn, may contribute to the irregular peristalsis and digestive disturbances observed in Crohn’s disease.
Agni (Digestive Fire) Impairment:
- Toxic Buildup (Ama): Weak agni results in incomplete digestion, leading to the accumulation of ama in the digestive tract. Ama, being a sticky, toxic substance, can irritate the intestines and trigger inflammation associated with Crohn’s disease.
Stress and Emotional Factors:
- Psychological Stress: Ayurveda acknowledges the mind-body connection, emphasizing the impact of stress and emotional factors on the doshas. Chronic stress can contribute to the aggravation of Pitta and Vata, potentially playing a role in the onset or exacerbation of Crohn’s disease.
Environmental Toxins:
- Toxic Overload: Exposure to environmental toxins, pollutants, and poor air quality can contribute to a toxic overload in the body. This may disturb the balance of doshas and contribute to the formation of ama in the gastrointestinal tract.
Incompatible Food Combinations:
- Viruddha Ahara (Incompatible Food): Consuming incompatible food combinations, such as mixing dairy with fruits or consuming contradictory tastes in a single meal, can disrupt the digestive process and lead to doshic imbalances.
Genetic Predisposition:
- Prakriti (Constitution): Ayurveda recognizes the influence of an individual’s constitution (Prakriti). Some individuals may have a genetic predisposition that makes them more susceptible to imbalances, contributing to the development of Crohn’s disease.
Dietary Lifestyle Factors:
- Excessive Consumption of Cold or Raw Foods: Ayurveda advises against excessive intake of cold or raw foods, as they can hinder the digestive process and contribute to the accumulation of ama.
Infections and Toxins:
- Infections and Exposure to Toxins: Infections and exposure to environmental toxins can disturb the balance of doshas, weaken agni, and contribute to the development of Crohn’s disease.
Ayurvedic approaches to managing Crohn’s disease aim to address the root causes by restoring doshic balance, strengthening agni, and eliminating ama. Personalized treatment plans may include dietary modifications, lifestyle changes, stress management techniques, and herbal formulations tailored to an individual’s unique constitution and imbalances. It’s crucial for individuals with Crohn’s disease to work closely with both Ayurvedic practitioners and conventional healthcare providers for comprehensive care and management.
illness specific herbs used in preparing ayurveda medications
Illness specific herbs used in preparing ayurveda medications for Crohn’s disease:
The primary medicinal herbs which are used as ingredients in the ayurveda formulation for the treatment protocol of Crohn’s disease patient are as follows:
- Agnimanth (Premna mucronata)
- Draksha (Vitis vinifera)
- Amalki (Emblica officinalis)
- Haritaki (Terminalia chebula)
- Danti (Baliospermum montanum)
- Dhanyak (Coriandrum sativum)
- Jyotishmati (Celastrus panniculatus)
- Guduchi (Tinospora cordifolia)
- Agaru (Aquilaria agallocha)
- Brahmi (Bacopa monnieri)
- Kanchnaar (Bauhinia variegata)
- Manjistha (Rubia cordifolia)
- Mustak (Cyperus rotundus)
- kumari (aloe vera)
- Nagkeshar (Mesua ferrea)
- Vasa (Adhatoda vasaca)
- Saariva (Hemidesmus indicus)
- Tulasi (Ocimum sanctum)
- Shirish (Albizzia lebbeck)
- Brihati (Solanum indicum)
- Trivrit (Operculina terpethum)
- Chitrak (Plumbago zeylanica)
- Vidari (Pueraria tuberosa)
Ayurveda utilizes various medicinal plants to address the symptoms and underlying imbalances associated with Crohn’s disease. It’s important to note that Ayurvedic treatments are often personalized based on an individual’s unique constitution and specific imbalances. Here are some Ayurvedic medicinal plants that may be considered for managing Crohn’s disease:
Aloe Vera (Aloe barbadensis):
- Use: Aloe vera has cooling and anti-inflammatory properties. It is often used to soothe and heal the gastrointestinal tract.
- Form: Fresh aloe vera gel or juice.
Licorice (Glycyrrhiza glabra – Yashtimadhu):
- Use: Licorice is known for its anti-inflammatory and soothing effects on the digestive system. It helps in reducing inflammation and supporting the healing of the intestinal lining.
- Form: Licorice root powder or decoction.
Triphala (A combination of Amalaki, Bibhitaki, and Haritaki):
- Use: Triphala is a traditional Ayurvedic formulation that aids in digestion, detoxification, and balancing the doshas. It supports overall gastrointestinal health.
- Form: Triphala churna (powder) or infusion.
Ginger (Zingiber officinale – Adrak):
- Use: Ginger has anti-inflammatory properties and helps in improving digestion. It may alleviate symptoms like abdominal pain and discomfort.
- Form: Fresh ginger or ginger tea.
Turmeric (Curcuma longa – Haridra):
- Use: Turmeric contains curcumin, known for its potent anti-inflammatory and antioxidant properties. It supports the reduction of inflammation in the digestive tract.
- Form: Turmeric powder or turmeric milk (golden milk).
Shatavari (Asparagus racemosus):
- Use: Shatavari is traditionally used to support the digestive system and has anti-inflammatory properties. It may help in reducing inflammation and promoting healing.
- Form: Shatavari powder or decoction.
Bilva (Aegle marmelos):
- Use: Bilva is considered beneficial for digestive disorders. It may help in managing symptoms like diarrhea and abdominal cramps.
- Form: Bilva fruit or Bilva juice.
Coriander (Coriandrum sativum – Dhania):
- Use: Coriander is known for its cooling properties and may help in reducing inflammation in the digestive tract.
- Form: Coriander seeds or coriander water infusion.
Fennel (Foeniculum vulgare – Saunf):
- Use: Fennel seeds have digestive and carminative properties. They may help in relieving bloating and gas.
- Form: Chewed fennel seeds or fennel tea.
Mint (Mentha spp. – Pudina):
- Use: Mint has soothing properties and can help alleviate digestive discomfort. It may be beneficial for reducing inflammation.
- Form: Fresh mint leaves or mint tea.
It’s crucial to consult with an experienced Ayurvedic practitioner before using these medicinal plants, as individual responses may vary, and the appropriate dosage and combination depend on the specific needs of the individual. Additionally, these herbs should be considered as part of a comprehensive approach that includes dietary modifications, lifestyle changes, and stress management techniques.
Ayurveda medications prescribed
Over the counter ayurveda medications prescribed for Crohn’s disease:
- Chywanaprash
- Pippalayadi choorna
- giloy satva
- Duralabhadya kashya
- avipatikar churna
- Kshara gutika
- vasavaleham
- Nagardaya choorna
- amalki rasayanam
- Panchamuladya ghrita
- sukumara ghritam
- Dashamuladya ghrita
- chitrakadi vati
- Arogyavardhani vati
- tikhtam kashayam
- guduchyadi kashayam
- Kutajghan vati
- Kutajarshta
- Bilwadi lehyam
- sutshekhara rasa
Ayurveda often employs a holistic approach to address Crohn’s disease, focusing on restoring balance to the doshas, strengthening agni (digestive fire), and promoting overall well-being. Ayurvedic treatments are typically personalized based on an individual’s constitution (Prakriti) and specific imbalances. While Ayurveda doesn’t prescribe standardized medications, there are Ayurvedic formulations and herbs that practitioners may recommend. Here are some Ayurvedic formulations and herbs that might be considered for managing Crohn’s disease:
Kutajarishta:
- Use: Kutajarishta is an Ayurvedic fermented liquid preparation made from the bark of the Kutaja tree (Holarrhena antidysenterica). It is traditionally used for digestive disorders and may help manage symptoms of Crohn’s disease.
Vatsakadi Churna:
- Use: Vatsakadi Churna is a herbal powder blend containing ingredients like Kutaja (Holarrhena antidysenterica), Bilva (Aegle marmelos), and Saunf (Foeniculum vulgare). It is believed to support gastrointestinal health and manage symptoms like diarrhea and abdominal pain.
Pittashekhar Rasa:
- Use: Pittashekhar Rasa is a classical Ayurvedic formulation that contains ingredients like Shuddha Gandhaka (purified sulfur) and Mukta Bhasma (pearl ash). It is used to balance Pitta dosha and may have anti-inflammatory effects on the digestive system.
Kamdudha Rasa:
- Use: Kamdudha Rasa is another classical Ayurvedic formulation that includes ingredients like Mukta Bhasma, Pravala Bhasma (coral ash), and Gairika (red ochre). It is traditionally used to cool and soothe the digestive tract.
Musta (Cyperus rotundus):
- Use: Musta is an herb with anti-inflammatory properties that may help in managing inflammation in the gastrointestinal tract. It is traditionally used to support digestive health.
Bilva (Aegle marmelos):
- Use: Bilva, commonly known as Bael, is valued in Ayurveda for its digestive benefits. It may help alleviate symptoms like diarrhea and abdominal cramps.
Amalaki (Emblica officinalis):
- Use: Amalaki, also known as Indian Gooseberry, is rich in Vitamin C and antioxidants. It supports the immune system and digestive health, making it a potentially beneficial herb for individuals with Crohn’s disease.
Haritaki (Terminalia chebula):
- Use: Haritaki is one of the three fruits in the Triphala formulation. It is believed to have mild laxative and detoxifying properties, supporting overall gastrointestinal function.
Shatavari (Asparagus racemosus):
- Use: Shatavari is an adaptogenic herb that supports the digestive system and may help in reducing inflammation. It is traditionally used for various gastrointestinal issues.
Guduchi (Tinospora cordifolia):
- Use: Guduchi is known for its immune-modulating properties. It may support the immune system and help in managing symptoms associated with inflammatory conditions like Crohn’s disease.
It’s crucial to consult with a qualified Ayurvedic practitioner to determine the most appropriate formulations and herbs based on individual needs, constitution, and the specific imbalances associated with Crohn’s disease. Ayurvedic treatments are often part of a comprehensive approach that includes dietary modifications, lifestyle changes, and stress management techniques. Additionally, individuals should continue to work closely with their conventional healthcare providers for comprehensive management of Crohn’s disease.
Treatment in ayurveda
Ayurveda treatment of Crohn’s disease at Nakra Ayurveda Hospitals and Herbals Pvt Ltd:
Ayurvedic treatment for Crohn’s disease aims at addressing the root causes, restoring balance to the doshas (Vata, Pitta, and Kapha), and promoting overall well-being. It’s important to note that Ayurvedic treatments are individualized, and the specific approach may vary based on an individual’s constitution (Prakriti), imbalances, and the severity of symptoms. Here are some types of Ayurvedic treatments that may be considered for managing Crohn’s disease:
Panchakarma Therapy:
- Virechana (Therapeutic Purgation): This cleansing procedure involves the controlled administration of purgative substances to eliminate accumulated toxins (ama) from the body, particularly from the gastrointestinal tract. Virechana aims to balance Pitta dosha and improve digestive function.
Shamana Chikitsa (Palliative Treatment):
- Herbal Formulations: Ayurvedic practitioners may prescribe herbal formulations tailored to the individual’s constitution and imbalances. These may include preparations containing herbs like Kutaja (Holarrhena antidysenterica), Bilva (Aegle marmelos), Musta (Cyperus rotundus), and others to soothe inflammation and promote healing.
Dietary Modifications:
- Pitta-Pacifying Diet: Individuals with Crohn’s disease may be advised to follow a Pitta-pacifying diet, which includes cooling and soothing foods. This may involve incorporating fresh vegetables, ripe fruits, ghee, and whole grains while avoiding spicy, hot, and acidic foods.
Agni (Digestive Fire) Restoration:
- Digestive Herbs: Incorporation of herbs like ginger (Adrak), cumin (Jeera), and fennel (Saunf) to enhance digestive fire and improve the efficiency of the digestive system.
Lifestyle Modifications:
- Regular Routine (Dinacharya): Establishing a regular daily routine helps in maintaining balance in the doshas. Consistent meal times, sleep patterns, and other daily activities contribute to overall well-being.
Yoga and Pranayama:
- Gentle Yoga Postures: Practicing gentle yoga postures can aid in improving flexibility, reducing stress, and promoting overall physical and mental well-being.
- Pranayama (Breath Control): Deep-breathing exercises and pranayama techniques can help in calming the mind and reducing stress, which may contribute to symptom relief.
Ayurvedic Supplementation:
- Vitamin and Mineral Support: Ayurvedic practitioners may recommend supplements to address nutritional deficiencies commonly associated with Crohn’s disease. This may include herbs rich in essential vitamins and minerals.
Mind-Body Techniques:
- Meditation and Mindfulness: Incorporating meditation and mindfulness practices can help manage stress and support the mind-body connection, contributing to overall well-being.
Individualized Care:
- Prakriti-Based Treatment: Ayurvedic treatment is highly individualized, considering factors such as the individual’s constitution (Prakriti), lifestyle, and specific imbalances. This personalized approach ensures that the treatment plan is tailored to the unique needs of the individual.
It’s crucial to consult with a qualified Ayurvedic practitioner for a thorough assessment and personalized treatment plan. Ayurvedic treatments are often integrated into a comprehensive approach that may include dietary and lifestyle modifications, herbal formulations, and supportive therapies to manage symptoms and improve the quality of life for individuals with Crohn’s disease. Additionally, individuals should continue to work closely with their conventional healthcare providers for comprehensive and well-coordinated care.