Abstract

A VIEW ON NIDANA PANCHAKA OF GRAHANI ROGA W.S.R. TO IRRITABLE BOWEL SYNDROME

Rohini Jat*, Rahul Kothiyal, Sunita Saini and Preeti Gavali

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Abstract

Grahani and agni are having adhara-adheya-sambandha. Grahani is described as agni adhisthana by the ancient acharyas. Mandagni is root cause of ama dosha and it is the main factor for manifestation of most of the diseases. Any deviation from the status of samagni i.e. mandagni, teekshanagni and vishamagni is called as grahani dosha. Grahani is the main functional part of mahasrota which is situated in between amashaya and pakwashya. Its main function is to hold the ahara up to the end of avasthapaka and once it completes, it passes the ahara into pakvashya. Improper agni results in vitiation of grahani. As a result, it releases food in indigested form which gets fermentated and act like poison in the body. It‟s called ama. Ama utpatti leads to grahani roga. Based on the symptomatology, Grahani can be correlated with IBS (Irritable Bowel Syndrome). In IBS, the wall of the intestine becomes sensitive to even mild stimulus which causes excess abdominal cramps & hence the bowel movement alters along with indigestion. In India, IBS affects about 15% of adult population. It is 3 times more common in women and people of working age. Objectives: The study aims to explore the Nidana Panchaka of Grahani roga w.s.r. to Irritable Bowel Syndrome. As a result, roga pariksha of the disease can be done easily and hence management of the disease can be planned accordingly. Data source: Ayurvedic classics named Charak samhita, Sushruta samhita, Astang hridya, textbooks and online data bases have been studied thoroughly to understand the concept of Grahani. Various scientific journals, books and online data bases were reviewed for the understanding of pathogenesis of Irritable Bowel Syndrome. Results: Grahani roga is a disorder of mainly agni and various causative factors like aaharaj, viharaj, mansik etc. are held responsible for the condition. Ama is an important causative factor for the disease. Based upon the nidana panchaka of the disease, it can be correlated with I.B.S. as it is group of associated symptoms of impaired gastrointestinal tract functions. Conclusion: Nidana Panchaka has been considered as the Roga Pariksha of any disease. Grahani Roga can be properly examined and understood with the help of its Nidana Panchaka and the management of the disease can be planned accordingly.

Keywords: Grahani dosha, Mandaagni, Adhara-Adheya, IBS, Agnidushti.