INTERNATIONAL

AYURVEDIC
MEDICAL JOURNAL
Case Report ISSN: 2320 5091 Impact Factor: 4.018

INTEGRATED MANAGEMENT OF ULCERATIVE COLITIS - A CASE STUDY

Priyanka Ganguly1, Sukesh A2, Vinay Alva3

1
Final Year P.G. Scholar; 2Associate Professor;
Shalya Tantra Department, Alva’s Ayurveda Medical College, Karnataka, India
India;
3
Consultant Surgeon, Alva’s Health Centre (Multi Speciali
Speciality Hospital), Karnataka, India

Email: [email protected]

ABSTRACT
Ulcerative colitis is the inflammatory disease which is causing ulcers in the colon and rectum. The prevalence rate
of ulcerative colitis is 2-3%3% in the world which is characterized by Vomiting, Diarrhoea, Rectal bleeding,
Abdominal pain and Weight loss. ss. The symptom of Ulcerative colitis can be congruent with symptom of
Pravahika in Ayurveda, such as Atipravahana purisha
purisha, Udarsoola, Raktayukta purisha.. In Ayurveda, various
treatment modalities have been illustrated for Ulcerative colitis as Diet, Med Medicine
icine and Panchakarma. In this
present study, the specific some drugs had been selected along with Matra basti with Yasthimadhu taila for
treating the ulcerative colitis which shown gradually very effective and successful result while combined with
Allopathy medication.

Keywords: Ulcerative colitis, Pravahika, Shamana ousadhi, Matra basti, Panchakarma

Panchakarma.

INTRODUCTION
Ulcerative colitis is inflammatory bowel disease antidiarrheal (lomotil), antibiotics (sulphasalazine)
which causes the inflammation and ulcers in the and Multi-vitamins4 but the prognosis of this disease
rectum and colon. Ulcerative colitis occurs between is very sluggish whereas in this present
pr case study
15 to 30 years of age. The main symptom of the ,the prognosis of Pravahika is showing very
disease is like Diarrhoea, along with blood and effective, fast and successful consistent result by
mucous, associated with weight loss and pain. 1-4 The administering such Ayurvedic medications followed
main Symptom of the ulcerative colitis can be by Matra basti as Panchakarma treatment along
congruent with the symptom of Pravahika in with Allopathic medication.9,10
Ayurveda, like Atidrava purisha pravritti (watery
stools), Atipravahana purisha (repeated defecation), AIM AND OBJECTIVES:-
udarshoola (pain abdomen) and raktayukta purisha The aims and objectives of this study were as
(blood mixed stool).5-8 follows –
In modern science, usually ulcerative co colitis is 1) To provide the efficacy of Ayurvedic treatment
treating by administering the anti-inflammatory
inflammatory modalities to manage the ulcerative colitis.
steroids such as Prednisolone followed by
 Priyanka Ganguly et al: Integrated Management Of Ulcerative Colitis - A Case Study Priyanka Ganguly et al: Integrated Management Of
Ulcerative Colitis - A Case Study

2) To provide a safer treatment by reducing the The patient was apparently well one and half years
need of steroids. before but since one and half year he was being
3) To provide an alternativee treatment of surgical suffering from bleeding per rectum, associated with
processes. frequently loose stools with mixing bleeding ,pain
MATERIALS AND METHODS abdomen and loss of appetite.
etite. So, for betterment he
 Selection of the patients approached to Alva’s health centre (Multi speciality
Age-23 yrs hospital) first on 16th Nov, 2016.
Sex- Male  General examination
Religion – Hindu P.R- 78 b/pm
Marital Status-Single B.P- 100/70 mm of Hg
Economic Status- Middle Temp- 98.6 0 F
 Study centre Clubbing- 2nd grade
Alva’s Health Centre (Multi speciality Hospital) C.V.S- N.A.D
Moodbidri, Karnataka, India R.S- N.A.D
O.P No. of Patient-28729 Body Wt- 39 kg
 Plan of study  Systemic examination
 Proforma compiled with detailed clinical history Inspection: No abnormality detected in abdomen
and physical examination of the patients. Palpation: Tenderness
 Routine clinical investigations, before Percussion: Tympanic
performing study. Auscultation: Bowel sounds
 After confirming the diagnosis, patient was  Investigation
advised to follow treatment guideline strictly. Sigmoidoscopy- on 17/11/2016, showing multiple
 Assessment criteria polyps and ulcers throughout the recto sigmoid s
 The improvement in the patient was assessed on region with mucous.
the basis of relief in signs and symptoms of Biopsy Report: on 23/11/2016, suggestive acute
disease. ulcerative colitis.
 Clinical examination was performed to detect  Figure 1: Sigmoidoscopy report -multiple
the reduction of lesion as improvement criteria. polyps and ulcers throughout the recto sigmoid
 Clinical
linical examination of registered patients region with mucous.
 Present complain:
 Rakta yukta purisha or bleeding per rectum
 Atidrava purisha or Loose stools
 Picchila,Saphena purisha or Sticky and frothy
stools
 Udarashoola or Pain abdomen
 Loss of appetite
 Loss of weight
 History of present illness:

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 Priyanka Ganguly et al: Integrated Management Of Ulcerative Colitis - A Case Study Priyanka Ganguly et al: Integrated Management Of
Ulcerative Colitis - A Case Study

Table 1: TREATMENT PROTOCOL (For 2 weeks)

Allopathic Oral Medication Ayurvedic Oral Medication Panchakarma

Tab Sulphasalazine 500mg one tab,  Kutaja parpati one tab twice/day  Matra basti given with
once/day Yasthimadhu taila 20 ml

Tab Mesocal 400mg half tab,  Bilwadi gutika one tab thrice/day
twice/day

Tab Folvit one tab, once/day  Chirabilwadi kashayam 3tsf + half glass
water twice/day before breakfast.
 Syp Dnil 3tsf twice/day

 Follow up Ulcerative colitis or Pravahika where it is afflicted

The patient was follow up since one and half year by dosha as kapha, vata and agnimandya.
Last follow up on 08/05/2018-  Matra basti having specific property which is
Body wt – 42.74 kg beneficial for management of ulcerative colitis,
Appetite –Normal such as –
Bleeding per rectum- stopped  Sheetal
Loose motion- 1-2 times/day  Pittahara
Pain in abdomen – Occasionally  Madhura
Sigmoidoscopy- on 08/05/2018, showing apparently  Sangrahi
normal report  Sandhana
 Vrana ropana
 Figure 2: Sigmoidoscopy report –Normal
 Pitta shamaka
report after treatment So, Matra basti helps to reduce the symptoms of
Ulcerative colitis or Pravahika where it is afflicted
by dosha as kapha, vata and agnimandya.
agnimandya So, Matra
basti reduces inflammation, burning sensation, pain
and cramps.
 Yasthimadhu taila has properties of Pitta Vata
shamana and also vrana shodana and ropana
which help in healing ulcers in the colon
by basti karma.. It also has stambhana properties
 RESULTS
that help in reducing the bowel frequency and
 Effects of Ayurvedic oral medication showing
check bleeding.
significant result after treating with this
 Effect of Shamana Ousadhi
treatment protocol.
Kutaja parpati, Bilwadi gutika, Chirabilwadi
 Matra basti with Yasthimadhu taila offered
kashayam, these shamana ousadhi are having in
significant relief in ulcer.
general property which are beneficial for
management of ulcerative colitis, such as-
as
DISCUSSION
 Stambhana property which stopping Raktayukta
Effect of Matraabasti
purisha.
Ulcerative colitis is a disease of purisha vaha srotas
 Sangrahi property which decreasing the
which is caused by Pitta pradhana Vata doshas.
frequency of bowel movements.
Matra basti helping to reduce the symptoms of

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 Priyanka Ganguly et al: Integrated Management Of Ulcerative Colitis - A Case Study Priyanka Ganguly et al: Integrated Management Of
Ulcerative Colitis - A Case Study

 Pitta shamak property which reduces passing 5. Susruta Samhita, Dr. Ananat Ram Sharma,
Raktayukta purisha. Chaukhambha Surbharati Prakashan, Varanasi,
Chikitsha Sthana,2004; 38/113:482
 Vatanulomana property which relieved Udara
6. Vaidya Jadavaji Trikamji Aacharya., editor. 2nd ed.
shoola and Pravahana.
Varanasi: Chaukhamba Sanskrit Sansthan;
 Amapachana property which corrects Agnivesha, Charaka, Dridhabala, Charaka samhita
Pravahana and Drave purisha pravritti. Chikitsa Sthana, Atisara Chikitsa Adhyaya, 1990;
 Specific effect of Kutaja parpati – 19/69-70 and 93-946.
Antidysenteric, Antidiarrheal, Haemostatic, 7. Ashtanga hrudyam, Dr Aanamureshwarakuntte and
Anti-amoebic action. pt. Krishanasastrinavre, Chaukhambha Surbharati
 Specific effect of Bilwadi gutika- Parkashan, Varanasi, Sutra sthana, 2004; 19/57: 281
Antidysenteric, anti bacterial, reduces abdominal 8. Dvivedi Vishvanath. 9th ed. Varanasi: Motilal
discomfort, improves digestion and appetite. Banarasidas Prakashan; Hindi commentator, Bhava
prakash nighantu, 1998; 121.8.
 Specific effect of Chirabilwadi kashayam-
9. Indradev Tripathi, Chakrapaniaadi virachita,
reduces constipation, indigestion, flatulence,
Chakradutt Svimarsha “Vaidyaprabha” Hindi
anorexia. commentary, Chukambha publication, 2005; 53.
10. Kashinath shastri, Gorakhnaath Chaturvedi, Charak
CONCLUSION Samhita, Svimarshavidhyotani, Hindicommentary,
Ayurvedic treatment of ulcerative colitis and other 2nd part, Chukambha publication, 2009; 447.
chronic inflammatory bowel diseases is effective in
reducing disease symptoms and disease relapses and Source of Support: Nil
can reduce the need of conventional standard drugs. Conflict Of Interest: None Declared
Moreover, the treatment is safe, inexpensive, easy to
How to cite this URL: Priyanka Ganguly et al: Integrated
handle and well tolerated by the patients This Management Of Ulcerative Colitis - A Case Study.
present study suggests that Matra basti with International Ayurvedic Medical Journal {online} 2018
Yasthimadhu taila followed by oral medication as {cited September, 2018} Available from:
http://www.iamj.in/posts/images/upload/2233_2236.pdf
Kutaja parpati, Bilwadi gutika, Chirabilwadi
kashayam having significant result to treat
Ulcerative colitis.

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3. Inflammation bowel, D/S Ccrohn’s $colitis
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