Ayurvedic treatment of chronic constipation in Hirschsprung disease

| Posted in: Science Hinduism Ayurveda

Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Ayurvedic management of chronic constipation in Hirschsprung disease – A case study
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Original source:

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Author:

Sarvesh Kumar Singh, Kshipra Rajoria


Journal of Ayurveda and Integrative Medicine:

(A monthly peer-reviewed publication)

Full text available for: Ayurvedic management of chronic constipation in Hirschsprung disease – A case study

Year: 2018 | Doi: 10.1016/j.jaim.2017.11.004

Copyright (license): CC BY-NC-ND 4.0


Download the PDF file of the original publication


Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurvedic treatment of chronic constipation in Hirschsprung disease”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
In this context, 'Table' refers to a structured presentation of data, specifically the timeline and interventions used in the case study on Hirschsprung Disease (HSCR). It organizes the information systematically, allowing for easier understanding of the progression and therapeutic interventions applied during treatment.

2) Basti:
A relevant Ayurvedic therapeutic procedure, 'Basti' refers to the administration of medicated enemas, which are essential in the management of conditions like HSCR. In this case, 'Matra basti' was used as a milder form of Niruha-basti to help ease constipation and improve bowel function.

3) Disease:
In this study, 'disease' specifically pertains to Hirschsprung Disease (HSCR), a congenital condition that leads to severe constipation due to the absence of neuronal ganglion cells in part of the intestines. Understanding the nature and implications of this disease is crucial in assessing the effectiveness of Ayurvedic treatment.

4) Matra-basti:
This term denotes a specific type of 'Basti' that uses a measured amount of medicated oil or decoction and is tailored for easier administration, especially in children. In the case study, 'Matra-basti' was crucial for the sustained management of constipation symptoms.

5) Matra:
In Ayurvedic practices, 'Matra' refers to the measured dosage of medication or treatment such as 'Matra-basti'. It implies a careful and controlled approach, which is essential for ensuring safety and efficacy, especially in pediatric patients.

6) Hindi (Himdi):
The term 'Hindi' refers to the language commonly spoken in India, where this case study and its references are published. Ayurveda, a traditional system of medicine, is deeply rooted in Indian culture and is often documented in various regional languages, including Hindi.

7) Varanasi (Varanashi):
A significant cultural and historical city in India, Varanasi is associated with traditional Ayurvedic practices. It serves as a backdrop for many Ayurvedic practitioners and resources, highlighting the importance of local context in the treatment of diseases like HSCR.

8) Taila:
In the context of Ayurveda, 'Taila' means oil, which is a fundamental component used in various treatments, including 'Matra-basti'. It plays an essential role in facilitating the therapeutic effects of the treatments, particularly in 'Basti' procedures.

9) Vata:
Referring to one of the three doshas in Ayurveda, 'Vata' is associated with movement and is vital in understanding conditions related to digestion and constipation. In the case study, 'Pakvasayagata vata' highlights the relevance of 'Vata' imbalances in HSCR.

10) Study (Studying):
The term 'study' relates to the systematic investigation of the effects of Ayurvedic treatments for HSCR as presented in the report. It signifies a methodical approach towards understanding the impact of alternative medical practices on a condition typically managed with surgery.

11) Svedana:
In Ayurvedic therapy, 'Svedana' refers to the process of sudation or sweating, often utilized to detoxify the body and alleviate symptoms like constipation. In the case study, it was part of the therapy regimen to relieve abdominal distension.

12) Udavarta:
This term signifies a condition characterized by upward movement of Vata dosha, leading to abdominal distention and constipation. It correlates with the symptoms presented in HSCR and is integral to the Ayurvedic diagnosis and treatment plan.

13) Sanskrit:
The classical language of ancient India, 'Sanskrit' is the primary language in which many Ayurvedic texts and scriptures, including the 'Caraka Samhita', are written. Understanding Sanskrit is vital for students and practitioners in Ayurveda to access original texts.

14) Samhita:
This term refers to a compendium or collection of Ayurvedic texts that encapsulate medical knowledge, such as the 'Caraka Samhita'. It constitutes the foundational literature for Ayurvedic practices and treatments.

15) Caraka:
A significant figure in Ayurveda, 'Caraka' is credited with writing one of the foundational texts, the 'Caraka Samhita', which provides exhaustive details regarding various diseases, including treatment methodologies relevant to HSCR.

16) Mridu (Mrdu):
The term 'Mridu' means mild or gentle in Ayurveda, often used to describe treatment procedures such as 'Mridu abhyanga' which are suitable for children and those with sensitive conditions like HSCR.

17) Pinda (Pimda):
This term refers to bolus or medicated packs used in certain Ayurvedic treatments such as 'Shashtikashali pinda svedana', which involves using heated bags filled with rice for therapeutic massage. It was part of the treatment in this case study.

18) Pain:
In the context of HSCR, 'pain' often relates to the abdominal discomfort experienced by the patient from chronic constipation. Managing pain is a critical aspect of the overall treatment strategy in chronic conditions.

19) Shashtikashali (Sastikasali, Shashtika-shali):
This specific variety of rice is often highlighted in Ayurvedic treatments for its nourishing qualities and therapeutic applications, particularly in procedures like 'Shashtikashali pinda svedana.'

20) Birth:
The concept of 'birth' is significant in the context of HSCR, as the disease is a congenital disorder typically diagnosed soon after childbirth. Early identification and intervention are crucial for managing the condition effectively.

21) Life:
In this report, 'life' pertains to the quality of life improvements experienced by the child post-treatment. The goal of interventions is not only to manage physical symptoms but to enhance overall well-being and daily functioning.

22) Abhyanga (Abhyamga):
Referring to the traditional Ayurvedic practice of oil massage, 'Abhyanga' is instrumental in promoting circulation, relaxation, and overall health. It is part of the treatment regimen in HSCR management to alleviate symptoms.

23) Agnivesha (Agnivesa, Agni-vesha):
A revered ancient Ayurvedic sage, 'Agnivesa' contributed significantly to the body of Ayurvedic literature. His work, alongside that of 'Caraka', serves as a critical basis for modern Ayurvedic practices, including those discussed in the HSCR study.

24) Drug:
In the context of this report, 'drug' refers to Ayurvedic medicinal formulations like 'Drakshaveleha' and 'Vrihatavatachintamani ras' used to treat HSCR symptoms effectively, complementing conventional approaches to treatment.

25) Niruhabasti (Niruha-basti):
This term represents a specific type of 'Basti' that employs a different therapeutic approach, traditionally associated with cleansing and detoxifying the body. While not used here due to the child's age, it plays an essential role in broader Ayurvedic treatment protocols.

26) Ayurveda (Ayus-veda):
A traditional system of medicine developed in India, 'Ayurveda' emphasizes balance in bodily systems and uses various treatments including herbal remedies and therapies like 'Panchakarma'. Its applications in HSCR management showcase its relevance in modern health care.

27) Medicine:
In the context of the report, 'medicine' relates to Ayurvedic drugs and therapies specifically used to address the symptoms and underlying causes of HSCR. It signifies the holistic approach of Ayurveda towards treating health issues.

28) Jaipur:
The city of Jaipur in India is mentioned because it is where the National Institute of Ayurveda is located, serving as the treatment center for the patient. It helps contextualize the locale of Ayurvedic practice in the case study.

29) Niruha:
[see source text or glossary: #Niruha#]

30) Caraka-samhita:
This is one of the oldest and most revered texts in Ayurveda authored by Caraka, providing in-depth insights into various ailments and their treatments. Understanding this text is paramount for practitioners working with diseases like HSCR.

31) Quality:
The term 'quality' in this context refers to the overall improvement in the patient's health and well-being achieved through Ayurvedic treatment. The study highlights how quality of life significantly improved post-therapy.

32) Siddhi:
In Ayurveda, 'Siddhi' relates to the accomplishment or successful outcomes obtained through specific therapeutic measures. It emphasizes the efficacy of treatments provided in the context of HSCR management.

33) Vataja (Vata-ja):
This term indicates disorders that arise from imbalances of Vata dosha, which is significant in understanding the symptoms and treatment approaches for conditions such as HSCR.

34) Avara:
In Ayurvedic terms, 'Avara' translates to low or lesser quality, often used to describe a person’s constitution or physical strength. Recognizing this is important in customizing treatment for the patient’s unique needs.

35) India:
The term 'India' contextualizes the origin of the Ayurvedic practices discussed in the case study and highlights how cultural and geographic factors influence approaches to health and wellness.

36) Honey:
A natural substance frequently used in Ayurveda as a sweetener and as a therapeutic agent, 'honey' serves as an accompanying substance for certain medications to enhance palatability and treatment compliance.

37) Rules:
[see source text or glossary: #Rules#]

38) Line:
The term 'line' refers to the established treatment protocols or guidelines followed in managing conditions like HSCR. This involves both conventional and alternative modalities as noted in the study.

39) Milk:
In Ayurvedic treatments, 'milk' is often used in preparations for therapeutic baths and ingested medicaments. Its nourishing properties are highlighted in the context of dietary recommendations for children with conditions like HSCR.

40) New Delhi:
The capital city of India, New Delhi is noted as a reference point where the patient was initially diagnosed and treated. It illustrates the broader healthcare context within which Ayurvedic practices operate.

41) Vatavyadhi (Vata-vyadhi):
Referring to diseases caused by imbalances in Vata dosha, 'Vatavyadhi' connects directly with conditions like HSCR and underscores the Ayurvedic understanding of underlying pathologies related to bowel issues.

42) Mishra (Misra):
This term often pertains to the author's name responsible for the Ayurvedic references utilized in the treatment approaches described in the case study, contributing credibility and historical context to the methods used.

43) Delhi:
Although mentioned in relation to New Delhi, 'Delhi' also represents a larger metropolitan area where various healthcare and Ayurvedic practices converge, contributing to the treatment landscape evident in such case studies.

44) Water:
In Ayurveda, 'water' is essential for preparing herbal infusions and various treatments. Its significance in hydration and balancing bodily doshas makes it a crucial element in managing health conditions.

45) Food:
The concept of 'food' within Ayurveda refers to dietary recommendations that are individualized based on a person’s dosha and constitution, crucial for managing conditions such as HSCR effectively.

46) Rice (Rce):
Rice, specifically 'Shashtika-shali,' plays a prominent role in Ayurvedic treatments, often featured in preparations such as 'Shashtikashali pinda svedana,' signaling its importance as a staple in both diet and therapy.

47) Sign:
[see source text or glossary: #Sign#]

48) Salt (Salty):
'Salt', particularly 'Saindhava' salt, is mentioned as a key ingredient in various Ayurvedic formulations and can affect the efficacy of treatments by balancing the body's elemental needs.

49) Saindhava (Saimdhava):
Referring to rock salt used in Ayurvedic preparations, 'Saindhava' maintains dietary balance and therapeutic properties, playing a role in the formulations prescribed for the patient.

50) Vomiting:
In the context of the case study, 'vomiting' is one of the symptoms that the patient exhibited, highlighting the complications related to HSCR. Managing such symptoms is crucial in any therapeutic approach.

51) Draksha (Draksa):
The botanical name for the grape, 'Draksha' is significant in Ayurvedic pharmacology and was one of the compounds used in the 'Drakshaveleha' formulation to support the patient's treatment plan.

52) Company:
[see source text or glossary: #Company#]

53) Ghrita (Ghrta):
A term for clarified butter used in Ayurvedic practices, 'Ghrita' serves as a base for many medications and treatments, showcasing its nutritional value and therapeutic properties.

54) Sthana:
Referring to location or context in Ayurveda, 'Sthana' is relevant in determining the proper site for treatments and their psychological and physiological implications in patient care.

55) Kshaya (Ksaya):
Indicating depletion or reduced condition, 'Kshaya' is often associated with malnutrition or anorexia, relevant in managing children's health conditions and guiding dietary interventions.

56) Cotton:
Cotton, as a fabric, is often used in Ayurvedic treatment methodologies, such as in the preparation of warm compresses or as materials for therapeutic applications, providing adaptable solutions for patient care.

57) Pitta:
Another dosha in the Ayurvedic system, 'Pitta' is associated with heat and metabolic processes. Understanding the balance of 'Pitta' is essential when treating conditions like HSCR, where various doshas influence symptoms.

58) Pandu (Pamdu, Pamde):
This term denotes a condition referring to anemia in Ayurveda, underscoring the importance of ensuring proper nutritional intake in children’s diets to prevent complications and promote overall health.

59) Sita (Shita):
Translating to cold, 'Shita' in the Ayurvedic context is essential for understanding temperature-related treatments, particularly when assessing patient comfort during therapies.

60) Gali:
[see source text or glossary: #Gali#]

61) Burning sensation:
In the context of HSCR, the 'burning sensation' may indicate discomfort or distress related to bowel issues. It serves as critical feedback for adjusting treatment plans in Ayurveda.

62) Genetic defect:
Referring to inherited conditions that affect development, the mention of 'genetic defect' emphasizes the need for careful assessment and tailored interventions for congenital disorders like HSCR.

63) Peer review:
This process ensures that the case study and its findings are evaluated for accuracy and reliability among experts. 'Peer review' strengthens the credibility of the Ayurvedic treatment methodologies presented.

64) Rock salt:
A natural form of salt, often referenced as 'Saindhava,' which is important in Ayurvedic formulations due to its therapeutic properties and ability to balance doshas.

65) Vitis vinifera:
The scientific name for the grape plant, involved in the preparation of 'Drakshaveleha', illustrating the use of natural ingredients in Ayurveda for therapeutic purposes.

66) Siddhisthana (Siddhi-sthana):
Referring to a location or establishment within Ayurvedic practice, 'Siddhi-sthana' indicates where successful treatments and their efficacy are documented, showcasing the tradition’s depth.

67) Mutrakriccha (Mutrakrccha, Mutra-kriccha):
This term refers to dysuria in Ayurveda, which is important for differential diagnosis when assessing patients with bowel-related issues, including in HSCR cases.

68) Saptadhatu (Sapta-dhatu, Saptan-dhatu):
In Ayurvedic terms, 'Saptadhatu' denotes the seven essential tissues of the body, relevant for understanding the broader implications on a child's health when considering treatment and restoration.

69) Ashvagandha (Ashva-gandha, Asvagandha, Ashvagamdha):
An Ayurvedic herb known for its adaptogenic properties, 'Asvagandha' is included in treatments relevant to conditions with neurological underpinnings and promotes overall wellness.

70) Udararoga (Udara-roga):
Referring to abdominal diseases, 'Udara-roga' is relevant in discussing conditions that result in abdominal distension and challenges bowel processes, connecting deeply with HSCR.

71) Vatapitta (Vata-pitta):
Indicating a combination of the two doshas, 'Vata-pitta' reflects the possible imbalances impacting the patient's health, guiding treatment formulations and dietary adjustments.

72) Vatadosha (Vatadosa, Vata-dosha):
The term 'Vata-dosha' relates to the fundamental Ayurvedic principles. This concept is critical for understanding the root cause of certain disorders including those like HSCR.

73) Discussion:
In academic contexts, 'discussion' involves analyzing and interpreting the findings presented in studies, particularly in exploring the implications and efficacy of treatments for diseases like HSCR.

74) Developing:
Indicating the process of growth or evolution, 'developing' relates to the patient's journey throughout treatment, denoting the progression and improvement over time.

75) Shashtika (Sastika):
Referring specifically to the type of rice used in various Ayurvedic treatments, 'Shashtika' plays a critical role in dietary prescriptions and therapeutic preparations.

[Note: The above list is limited to 75. Total glossary definitions available: 127]

Other Ayurveda Concepts:

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Discover the significance of concepts within the article: ‘Ayurvedic treatment of chronic constipation in Hirschsprung disease’. Further sources in the context of Ayurveda might help you critically compare this page with similair documents:

Matra-basti, Niruhabasti, Abdominal pain, Abdominal distension, Ayurvedic treatment, Long-term treatment, Panchakarma procedure, Growth failure, Hirschsprung Disease, Severe constipation, Medical Outcome Study, Shashtikashali pinda swedana, Erandmooladi yapna basti, Pakvasayagata vata, Vrihatavatachintamani ras, Drakshaveleha, Occasional vomiting, Chandanabalalakshadi taila, Anulomak foods.

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