Abstract

MANAGEMENT OF SEVERE ULCERATIVE COLITIS THROUGH AYURVEDA – A CASE REPORT

Mithlesh Meena*, Gunjan Patheja, Shimmi and Rama Kant Yadava

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Abstract

Ulcerative colitis is a chronic inflammatory disease, which is hard to manage because of its relapsing property and drug dependency. Currently available conventional treatments have limitations; making it important to search its cure in Ayurvedic science. In Ayurveda Raktaj atisara (Ulcerative colitis) could be correlated with Ulcerative Colitis (UC) for which treatment protocols have been mentioned. A 66 years old female patient attended OPD complaining of loose motions with profuse bleeding, diffuse abdominal pain, low grade pyrexia, weakness, dizziness and loss of appetite. Based on above complaints she was diagnosed with Raktaj atisara (Ulcerative colitis). She had taken two courses of steroids in the last year and recently underwent transfusion of six-units platelet and 6-units of PRBC (packed Red Blood Cell) for blood loss. Pittashamak (~pitta dosha alleviating), Raktastambhak (~hemostatic) and Grahi (~absorbent) treatment was given by Chandanadi lauha, Vasavleha, Kamdudha rasa, Yashtimadhu churna, Guduchi churna, Amalaki churna, Shandangpaniya and Posex capsule. Complete relief in symptoms (low grade pyrexia, loose motions with profuse bleeding) was achieved in three days. Follow-up was done after one month and showed no relapse of symptoms. Haemoglobin levels increased from 5.3gm/dL to 8.4gm/dL within a month. The observations reveal that Ayurvedic approaches are helpful in managing Ulcerative Colitis successfully.

Keywords: Raktaj atisara, Ulcerative colitis, Shamana chikitsa.