Treatment of Ulcerative colitis as per principles of ayurveda medical science:
Ulcerative colitis, known as “Grahani Roga” in Ayurveda, is a chronic inflammatory bowel disease that primarily affects the colon and rectum. Ayurveda, the ancient Indian system of medicine, perceives gastrointestinal disorders through the lens of doshas (Vata, Pitta, and Kapha), agni (digestive fire), and the balance of the body’s energies. While ulcerative colitis itself might not have a direct equivalent term in Ayurveda, the condition aligns with the broader understanding of inflammatory disorders of the digestive tract, particularly those related to an imbalance of Pitta dosha.
In Ayurveda, ulcerative colitis is viewed as a Pitta-dominant condition, characterized by inflammation, heat, and impaired digestive fire. The aggravated Pitta dosha leads to the accumulation of toxins (ama) and inflammation in the colon, resulting in symptoms such as diarrhea, bleeding, abdominal pain, and burning sensations. The condition is considered a manifestation of digestive imbalances, with a weakened digestive fire contributing to incomplete digestion and the formation of toxins.
Ayurvedic Approach to Ulcerative Colitis:
Balancing Doshas:
- Ayurvedic management aims to balance the aggravated doshas, particularly Pitta. This involves adopting a Pitta-pacifying diet and lifestyle, emphasizing cooling and soothing practices to alleviate inflammation.
Dietary Recommendations:
- A Pitta-pacifying diet involves favoring cooling foods such as cucumber, mint, coriander, and coconut. Foods that aggravate Pitta, such as spicy, sour, and fermented items, should be minimized. Regular, well-cooked, and easily digestible meals are recommended to support the digestive system.
Herbal Formulations:
- Ayurvedic herbs play a crucial role in managing ulcerative colitis. Aloe Vera, known for its cooling and anti-inflammatory properties, is often recommended. Kutaj (Holarrhena antidysenterica), Bilva (Aegle marmelos), Musta (Cyperus rotundus), and Haritaki (Terminalia chebula) are other herbs that may be included in formulations for their digestive and anti-inflammatory benefits.
Ghee (Clarified Butter):
- Ghee, when consumed in moderation, is considered soothing for the digestive tract. It can be included in the diet to support digestive functions.
Yoga and Meditation:
- Stress management is vital in Ayurvedic approaches to ulcerative colitis, as stress is known to exacerbate Pitta imbalances. Yoga, meditation, and deep breathing exercises are recommended to promote relaxation and emotional well-being.
Lifestyle Modifications:
- Lifestyle adjustments include maintaining a regular routine, avoiding excessive heat or exposure to the sun, and ensuring adequate rest. Adequate sleep is considered essential for supporting the body’s healing processes.
Home Remedies for Ulcerative Colitis in Ayurveda:
Buttermilk (Takra):
- Buttermilk, especially when mixed with a pinch of cumin powder and ginger, can be beneficial. It has a cooling effect on the digestive system and may help in managing inflammation.
Coconut Water:
- Coconut water is hydrating and has a cooling effect. It can help replenish electrolytes and provide relief from inflammation.
Coriander Seeds:
- Boiling coriander seeds in water and consuming the decoction may help in soothing the digestive tract and reducing inflammation.
Pomegranate Juice:
- Fresh pomegranate juice is considered beneficial for its anti-inflammatory properties. It may aid in alleviating symptoms of ulcerative colitis.
Turmeric:
- Turmeric, with its anti-inflammatory properties, can be incorporated into the diet. A warm glass of turmeric milk may help in reducing inflammation.
Psyllium Husk (Isabgol):
- Psyllium husk, when taken with water, can provide a soothing effect on the digestive tract and help in managing symptoms like diarrhea.
Fennel Seeds:
- Chewing fennel seeds or preparing a decoction can be helpful in reducing abdominal pain and supporting digestion.
It’s crucial to note that while these home remedies may provide relief, they should be considered as complementary measures, and individuals with ulcerative colitis should consult with qualified healthcare professionals for a comprehensive management plan. Ayurvedic interventions should be personalized based on the individual’s constitution (Prakriti) and current imbalances (Vikriti). Additionally, any changes to diet or lifestyle should be discussed with healthcare providers to ensure they align with the overall treatment plan.
Symptoms of Ulcerative colitis:
Majority of patients during early stages of ulcerative colitis expereince nil warning signs and mainly the symptoms are revolving only around just mild digestive imbalances. This huge variation in the severity of symptoms are due to differences in the extent of disease (inflammation in colon and rectum are the decisive criteria which determines the extent of symptoms as the higher the inflammation, higher shall be the severity in symptoms).
Majority of patients during early stages of ulcerative colitis expereince nil warning signs and mainly the symptoms are revolving only around just mild digestive imbalances. This huge variation in the severity of symptoms are due to differences in the extent of disease (inflammation in colon and rectum are the decisive criteria which determines the extent of symptoms as the higher the inflammation, higher shall be the severity in symptoms).
- Cramps in lower abdomen / discomfort which is continuous in nature
- Bleeding from rectum which is visible through stools
- Indigestion issues leading to Diarrhea
- Lower Haemoglobin levels
- General Weakness throughout the day
- Mild Fever
- Morning Sickness which gets worse as the day passes along
- Sudden onset of weight loss
- Very less appetite and feeling of stomach fullness
- Sounds of “umm” coming from the abdomen
- Ulcers in the oral cavity
- Skin feeling dry / dehydrated as there is loss of fluids
- Lesions / Papules noted on many parts of skin
The different types of ulcerative colitis in conventional medicinal science are listed as follows :
- Ulcerative proctitis
- Proctosigmoiditis
- Left-sided colitis
- Pancolitis or universal colitis
- Fulminant colitis
In Ayurveda, the ancient system of medicine, the symptoms of conditions akin to ulcerative colitis are often classified under the umbrella of gastrointestinal disorders, known as “Grahani Roga.” While Ayurveda may not specifically mention ulcerative colitis, its symptomatology aligns with the broader Ayurvedic understanding of imbalances in doshas (Vata, Pitta, and Kapha), digestive fire (agni), and the manifestation of symptoms related to the gastrointestinal tract. The symptoms of ulcerative colitis in Ayurveda are viewed through the lens of doshic imbalances, particularly an aggravation of Pitta dosha, and the resulting impact on the digestive system.
Common Symptoms of Ulcerative Colitis in Ayurveda:
Atisara (Diarrhea):
- Diarrhea, or “Atisara,” is a primary symptom in Ayurveda that aligns with the increased bowel movements and loose stools seen in ulcerative colitis. The aggravated Pitta dosha contributes to this gastrointestinal disturbance.
Rakta Pitta (Bleeding):
- Bleeding from the rectum, referred to as “Rakta Pitta” in Ayurveda, is a significant symptom associated with inflammatory conditions of the gastrointestinal tract, including ulcerative colitis.
Daha (Burning Sensation):
- The inflammation and increased heat in the digestive tract, characteristic of Pitta imbalance, can lead to a burning sensation, termed “Daha.” This symptom is often felt in the abdomen.
Grahani Shoola (Abdominal Pain):
- Abdominal pain or discomfort, known as “Grahani Shoola,” is a common symptom associated with imbalances in the small intestine, reflecting the abdominal discomfort experienced in ulcerative colitis.
Manda Agni (Impaired Digestive Fire):
- The weakened digestive fire, termed “Manda Agni,” contributes to incomplete digestion and the formation of toxins (ama). This impairment is often linked to symptoms of ulcerative colitis.
Pittaja Grahani:
- Pittaja Grahani is a specific Ayurvedic term that signifies gastrointestinal disorders with a predominant involvement of Pitta. This condition is characterized by symptoms such as bleeding, burning sensation, and increased frequency of stools.
Malabaddhata (Constipation):
- While diarrhea is a common symptom, some individuals with ulcerative colitis may experience constipation, referred to as “Malabaddhata.” This variation in bowel habits is reflective of the diverse presentations seen in Ayurvedic perspectives.
Mala Kleda (Mucus in Stools):
- The presence of mucus in stools, or “Mala Kleda,” is considered a sign of aggravated Kapha dosha. This may be observed in individuals with ulcerative colitis, especially during flare-ups.
Shotha (Inflammation):
- In Ayurveda, “Shotha” refers to inflammation. Ulcerative colitis involves inflammation in the colon and rectum, leading to various symptoms such as pain, bleeding, and changes in bowel habits.
Ama (Toxins):
- The incomplete digestion of food due to impaired agni results in the formation of toxins or “ama.” Ama accumulation is considered a causative factor in ulcerative colitis, contributing to inflammation and other symptoms.
Dosha-Specific Symptoms:
Vata Imbalance:
- Symptoms such as abdominal pain, bloating, and constipation may indicate Vata involvement in ulcerative colitis.
Pitta Imbalance:
- Increased bleeding, diarrhea, and a burning sensation are indicative of Pitta aggravation in the digestive tract.
Kapha Imbalance:
- Mucus in stools, a feeling of heaviness, and sluggish digestion may suggest Kapha dosha involvement in ulcerative colitis.
Ayurvedic Management:
- Ayurvedic management of ulcerative colitis involves balancing aggravated doshas, adopting a Pitta-pacifying diet, incorporating herbs with anti-inflammatory properties, practicing stress management techniques, and considering detoxification therapies like Panchakarma. Individualized treatment plans are crucial, and consultation with an Ayurvedic practitioner is recommended for a comprehensive approach to managing ulcerative colitis. Home remedies, dietary adjustments, and herbal formulations can be tailored based on an individual’s constitution (Prakriti) and current imbalances (Vikriti). It’s essential to integrate Ayurvedic interventions with conventional medical care and seek guidance from healthcare professionals for a well-coordinated approach to treatment.
In Ayurveda, the causes of conditions akin to ulcerative colitis are often traced back to imbalances in the doshas (Vata, Pitta, and Kapha), disturbances in the digestive fire (agni), and the accumulation of toxins (ama) in the body. While Ayurveda may not specifically mention ulcerative colitis, its holistic approach provides insights into the factors that could contribute to inflammatory bowel disorders. The causes of ulcerative colitis in Ayurveda are viewed through the lens of doshic imbalances, lifestyle choices, dietary habits, and emotional factors.
Common Causes of Ulcerative Colitis in Ayurveda:
Agni Mandya (Impaired Digestive Fire):
- Weakened digestive fire, or “Agni Mandya,” is considered a fundamental factor in the development of gastrointestinal disorders in Ayurveda. When agni is weak, it leads to incomplete digestion, the formation of toxins, and disturbances in the digestive tract, potentially contributing to ulcerative colitis.
Vishama Ahara (Irregular Diet):
- Irregular eating habits, such as consuming meals at irregular intervals or indulging in erratic dietary choices, can disrupt the natural balance of doshas and agni. This irregular diet, termed “Vishama Ahara,” is implicated in digestive disorders, including ulcerative colitis.
Viruddha Ahara (Incompatible Food Combinations):
- Ayurveda emphasizes the importance of proper food combinations to support optimal digestion. Consuming incompatible food combinations, known as “Viruddha Ahara,” can create disturbances in the digestive system, leading to the accumulation of toxins and inflammation.
Ajirna (Indigestion):
- Prolonged indigestion, or “Ajirna,” can result from inadequate dietary choices, weak digestive fire, or irregular eating habits. This can contribute to the formation of ama and aggravation of doshas, leading to gastrointestinal issues like ulcerative colitis.
Ati Vyayama (Excessive Exercise):
- Excessive physical exertion without proper recovery, termed “Ati Vyayama,” can disturb the balance of doshas and agni. In Ayurveda, it is believed that strenuous exercise without adequate rest can contribute to digestive imbalances, potentially playing a role in conditions like ulcerative colitis.
Manasika Karana (Psychological Factors):
- Ayurveda recognizes the impact of mental and emotional factors on digestive health. Stress, anxiety, and emotional disturbances can influence the balance of doshas, weaken agni, and contribute to the development or exacerbation of inflammatory conditions in the digestive tract, including ulcerative colitis.
Ratri Jagarana (Night Vigil):
- Irregular sleep patterns, particularly staying awake late into the night, can disrupt the natural circadian rhythm and influence doshic balance. “Ratri Jagarana” is associated with aggravated Vata dosha and may contribute to gastrointestinal disturbances.
Rasa Dhatu Vikriti (Imbalance in Plasma Tissue):
- Ayurveda recognizes that disturbances in the Rasa Dhatu (plasma tissue) can have cascading effects on other bodily tissues. Imbalances in Rasa Dhatu, influenced by factors like improper diet and lifestyle, can contribute to inflammatory conditions such as ulcerative colitis.
Individual Constitution (Prakriti) and Vikriti:
- Ayurveda emphasizes that an individual’s inherent constitution (Prakriti) and their current imbalances (Vikriti) play a significant role in determining susceptibility to diseases. Those with a predominance of Pitta dosha in their Prakriti may be more prone to Pitta-related disorders like ulcerative colitis.
Ayurvedic Management:
- Addressing the causes of ulcerative colitis in Ayurveda involves adopting a personalized approach. This includes restoring balance to doshas through dietary modifications, lifestyle adjustments, stress management, and the use of herbs with anti-inflammatory properties. Detoxification therapies like Panchakarma may also be recommended to eliminate accumulated toxins and rejuvenate the digestive system.
It’s crucial to seek guidance from an experienced Ayurvedic practitioner for a comprehensive assessment and personalized treatment plan based on individual factors. Additionally, individuals with ulcerative colitis should integrate Ayurvedic interventions with conventional medical care, ensuring a holistic and well-coordinated approach to managing the condition.
Illness specific herbs used in preparing ayurveda medications for Ulcerative colitis :
- Masha (Vigna mungo)
- Pushkarmula (Inula racemosa)
- Haritaki (Terminalia chebula)
- Rason (Allium sativum)
- Shati (Curcuma zedoaria)
- til (Sesamum indicum)
- Agnimantha (Premna serratifolia)
- Prishanparni (Uraria picta)
- Nagbala – Grewia hirsuta
- pushkarmool – Inula racemosa
- Draksha – Vitis vinifera
- Vidanga – Embeia ribes
- Priyala – Buchanania latifolia
- Shunthi – Zingiber officinale
- Rason – Allium sativum
Ayurveda, the ancient system of medicine, offers a range of medicinal plants with potential therapeutic benefits for managing conditions akin to ulcerative colitis. These herbs are selected based on their anti-inflammatory, digestive, and immune-modulating properties. It’s important to note that herbal interventions should be personalized, and individuals should consult with qualified Ayurvedic practitioners for appropriate recommendations.
Here are some Ayurvedic medicinal plants that may be considered in the context of ulcerative colitis:
- Kutaj (Holarrhena antidysenterica):
- Kutaj is a well-known herb in Ayurveda used for its anti-dysenteric and anti-inflammatory properties. It is traditionally employed to manage gastrointestinal disorders, including diarrhea and inflammation of the colon.
- Bilva (Aegle marmelos):
- Bilva, also known as Bael, is recognized for its digestive and anti-inflammatory qualities. It is considered beneficial in soothing the digestive tract and may be used in the management of ulcerative colitis.
- Haritaki (Terminalia chebula):
- Haritaki, one of the three components of Triphala, is known for its detoxifying and rejuvenating properties. It is believed to help in balancing the doshas and promoting the health of the digestive system.
- Aloe Vera (Aloe barbadensis miller):
- Aloe Vera is valued for its cooling and anti-inflammatory effects. It may be used to soothe the inflamed mucosa of the digestive tract and support overall gastrointestinal health.
- Musta (Cyperus rotundus):
- Musta is known for its digestive and anti-inflammatory properties. It is traditionally used to manage digestive disorders, including those associated with inflammation of the intestines.
- Daruharidra (Berberis aristata):
- Daruharidra, also known as Indian Barberry, possesses anti-inflammatory and antimicrobial properties. It is used in Ayurveda to address various gastrointestinal issues, including those involving inflammation.
- Triphala:
- Triphala is a combination of three fruits: Amalaki (Emblica officinalis), Bibhitaki (Terminalia bellirica), and Haritaki (Terminalia chebula). It is recognized for its cleansing and rejuvenating properties, supporting digestive health.
- Guduchi (Tinospora cordifolia):
- Guduchi, also known as Giloy, is an immunomodulatory herb. It is traditionally used in Ayurveda to enhance the body’s defense mechanisms and may be beneficial in managing inflammatory conditions.
- Vasa (Adhatoda vasica):
- Vasa is known for its anti-inflammatory and bronchodilator properties. While it is often associated with respiratory health, its anti-inflammatory nature may offer benefits in managing inflammation in other parts of the body, including the digestive tract.
- Chirayata (Swertia chirata):
- Chirayata is recognized for its anti-inflammatory and immunomodulatory properties. It may be used in Ayurveda to support the management of inflammatory bowel conditions.
Considerations:
- Herbal formulations are often prescribed based on an individual’s constitution (Prakriti), current imbalances (Vikriti), and the specific presentation of symptoms. It’s crucial to consult with an experienced Ayurvedic practitioner to determine the most suitable herbs and their appropriate dosages.
- The use of these medicinal plants should be integrated into a comprehensive treatment plan that includes dietary modifications, lifestyle adjustments, and stress management techniques for optimal results.
- Individuals with ulcerative colitis should seek guidance from healthcare professionals, including both Ayurvedic practitioners and allopathic doctors, to ensure a well-coordinated and holistic approach to managing the condition.
Over the counter ayurveda medications prescribed for Ulcerative colitis
- Kutaj ghan vati
- Kutajarishta
- Talishadi churnam
- Vasavleha
- Grahanikapata ras
- Bilwadi lehyam
- Dadimashtak churna
- Panchamrita parpati
- Arogyavardhani vati
- Godanti bhasma
- Kalyanaka avaleha
- Chywanaprash avaleha
- Brahmi rasayana
- Udamrit vati
In Ayurveda, the management of conditions resembling ulcerative colitis involves the use of various herbal formulations and medications to address doshic imbalances, soothe inflammation, and support digestive health. It’s essential to note that Ayurvedic medications should be prescribed by qualified practitioners based on an individual’s constitution (Prakriti) and the specific presentation of symptoms (Vikriti).
Here are some Ayurvedic medications commonly used in the context of ulcerative colitis:
- Vatsakadi Churna:
- Vatsakadi Churna is a powdered herbal formulation that may include ingredients like Kutaj (Holarrhena antidysenterica), Bilva (Aegle marmelos), and Saunf (Foeniculum vulgare). It is traditionally used to manage gastrointestinal disorders, including colitis.
- Pitta Prakopa Churna:
- This herbal churna (powder) is designed to pacify aggravated Pitta dosha. Ingredients like Amalaki (Emblica officinalis), Haritaki (Terminalia chebula), and Guduchi (Tinospora cordifolia) may be included to support digestive balance.
- Kutajarishta:
- Kutajarishta is a fermented liquid preparation that contains Kutaja (Holarrhena antidysenterica) as a primary ingredient. It is known for its anti-dysenteric and anti-inflammatory properties, making it useful in managing gastrointestinal disorders.
- Bilwadi Gutika:
- Bilwadi Gutika is a tablet formulation containing Bilva (Aegle marmelos) and other herbs. It is traditionally used to alleviate symptoms associated with colitis and digestive disturbances.
- Kutajghan Vati:
- Kutajghan Vati is a tablet formulation primarily composed of Kutaj (Holarrhena antidysenterica). It is considered beneficial in managing diarrhea, dysentery, and colitis.
- Arjuna Capsules:
- Arjuna (Terminalia arjuna) is known for its cardioprotective and anti-inflammatory properties. In the context of ulcerative colitis, Arjuna capsules may be recommended to support cardiovascular health and manage inflammation.
- Pippali Rasayana:
- Pippali Rasayana is a rejuvenating formula that includes Pippali (Piper longum) as a key ingredient. It is believed to enhance digestive strength, reduce inflammation, and promote overall well-being.
- Guduchi Ghrita:
- Guduchi Ghrita is a medicated ghee containing Guduchi (Tinospora cordifolia). Guduchi is known for its immunomodulatory effects, and Guduchi Ghrita may be prescribed to support the immune system in inflammatory conditions.
- Dadimashtaka Churna:
- Dadimashtaka Churna is a powdered formulation that often includes ingredients like Dadima (Punica granatum) and Shunthi (Zingiber officinale). It is used for its digestive and cooling properties.
- Kalyanaka Ghrita:
- Kalyanaka Ghrita is a medicated ghee containing various herbs like Musta (Cyperus rotundus), Triphala, and Guduchi. It is traditionally used to manage digestive disorders and promote overall health.
Considerations:
- Ayurvedic medications should be taken under the guidance of a qualified Ayurvedic practitioner. Dosages and formulations may vary based on individual factors, and self-prescription is discouraged.
- These medications are often part of a holistic treatment plan that includes dietary modifications, lifestyle adjustments, and stress management techniques.
- Individuals with ulcerative colitis should inform both Ayurvedic and allopathic healthcare providers about all medications and treatments they are undergoing to ensure a well-coordinated approach to their healthcare.
It’s crucial to approach the management of ulcerative colitis comprehensively, integrating Ayurvedic interventions with conventional medical care for optimal results.
Ayurvedic treatment for ulcerative colitis focuses on balancing the doshas, strengthening the digestive fire (agni), and addressing the root cause of inflammation in the gastrointestinal tract. The approach involves a combination of dietary modifications, lifestyle adjustments, herbal formulations, detoxification therapies, and stress management techniques. It’s important to note that Ayurvedic treatment should be personalized based on an individual’s constitution (Prakriti) and current imbalances (Vikriti).
Here are some types of treatments used in ulcerative colitis at Nakra Ayurveda Hospitals and Herbals Pvt Ltd:
- Panchakarma:
- Virechana (Therapeutic Purgation): Panchakarma therapies aim to eliminate toxins (ama) from the body. Virechana involves the administration of herbal purgatives to cleanse the digestive tract and balance aggravated Pitta dosha. It is particularly beneficial in managing inflammation and detoxifying the liver.
- Herbal Formulations:
- Ayurvedic practitioners may prescribe specific herbal formulations based on the individual’s doshic imbalances. These formulations may include combinations of herbs with anti-inflammatory, digestive, and immune-modulating properties. Common ingredients may include Kutaj (Holarrhena antidysenterica), Bilva (Aegle marmelos), Musta (Cyperus rotundus), and Guduchi (Tinospora cordifolia).
- Dietary Modifications:
- A Pitta-pacifying diet is often recommended to calm inflammation in ulcerative colitis. This involves avoiding hot, spicy, and acidic foods while favoring cooling and easily digestible options. Regular, well-cooked meals, incorporating herbs and spices like coriander and cumin, may be suggested to support digestion.
- Lifestyle Adjustments:
- Ayurveda emphasizes the importance of a balanced lifestyle to promote overall well-being. Recommendations may include maintaining a regular daily routine, incorporating stress-reducing practices such as yoga and meditation, and ensuring adequate rest and sleep.
- Pitta Pacifying Therapies:
- Cooling therapies that help pacify aggravated Pitta dosha may be recommended. This can include application of cooling herbal pastes, oil massages with Pitta-balancing oils, and exposure to natural elements like cool water.
- Rasayana (Rejuvenation) Therapies:
- Rasayana therapies aim to rejuvenate the body and improve its resilience. Ghee preparations, herbal tonics, and formulations with immune-enhancing herbs may be used to support overall health and recovery.
- Yoga and Pranayama:
- Yoga postures (asanas) and controlled breathing techniques (pranayama) can help manage stress, improve digestion, and enhance overall well-being. These practices are integral to the holistic approach of Ayurvedic treatment.
- Mind-Body Therapies:
- Ayurveda recognizes the mind-body connection, and therapies that promote mental well-being may be recommended. This can include mindfulness meditation, counseling, and other techniques to manage stress and emotional factors that may contribute to inflammation.
- Individualized Approach:
- Ayurvedic treatment for ulcerative colitis is highly individualized. The practitioner considers the patient’s unique constitution, current imbalances, and the specific manifestation of symptoms. The treatment plan is adjusted based on the response to therapies and ongoing assessment.
- Regular Follow-Up:
- Regular follow-up with the Ayurvedic practitioner is essential to monitor progress, make necessary adjustments to the treatment plan, and ensure a comprehensive approach to managing ulcerative colitis.
It’s crucial for individuals with ulcerative colitis to integrate Ayurvedic interventions with conventional medical care, and communication between Ayurvedic and allopathic healthcare providers is essential for a well-coordinated approach. Ayurvedic treatment is designed to provide holistic support, addressing not only the symptoms but also the underlying imbalances contributing to the condition.
