Role of Udavartahar Chikitsa in the management of Pureesha Avrita Vata w.s.r. to Chronic Constipation on Constipation Assessment Scale: A Case Study
Abstract
Background: Pureesha Avrita Vata is defined as the absolute constipation along with Parikartika (Fissure in Ano), Shroni Vankshana Prstha Ruk (pain in hips, groin and back) and uncomfortable sensation in chest region etc. The main features of Constipation are infrequent or hard stool, abdominal pain, bloating, and feeling of unsatisfactory bowel evacuation. Contemporary laxatives, which are generally used in Constipation, become habitual after some duration and only symptomatic relief. Moreover, these medicines never alter pathogenesis of disease. So, it is a need of hour to search effective, safe & alternative formulations in Ayurveda, which can completely break the pathogenesis of Pureesha Avrita Vata. As per Ayurveda, Vata Dosha and Pureesha Mala are the main factor involved in this condition. Therefore, the prime treatment principle recommended by Ancient Acharyas is Snigdha Udavartahar Kriya. Aim & Objectives: This case study is primarily carried out to study Pureesha Avrita Vata w.s.r. to Constipation and to evaluate role of Chinchalavan Taila Matra Basti, Indukanta Ghrita orally with Snigdha Virechana in the management of Pureesha Avrita Vata. Methods: A 68 years old male patient approached Kayacikitisa I.P.D. with Pureesha Avrita Vata for one year; he was administered 60ml Chincha Lavana Taila Matra Basti for 7 days, Indukanta Ghrita orally and Snigdha Virechan for consecutive 15 days. Result: Patient has significant effect to improve the Constipation Assessment Scale from 15 to 03 and in other classical features of Pureesha Avrita Vata.
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