Abstract

CHRONIC CONSTIPATION AND AYURVEDIC MANAGEMENT: A NARRATIVE REVIEW OF TRADITIONAL CONCEPTS AND CLINICAL EVIDENCE

*Dr. Sagar Yashwant Doke, Dr. Sneha Ramchandra Dombale

Abstract

Background: Chronic constipation involves persistent difficulty with defecation and may impair daily functioning. Ayurvedic descriptions of impaired stool passage provide a traditional framework for considering bowel habits, diet, and individualized care. Objective: To review Ayurvedic concepts relevant to chronic constipation and critically examine their relationship to contemporary evaluation and treatment. Methods: A focused narrative review used selected online Ayurvedic resources, an exploratory clinical study, professional guidance, and government health information. No systematic search or meta-analysis was undertaken. Review findings: Traditional management emphasizes avoiding suppression of defecatory urges and selecting measures intended to facilitate stool passage. Some dietary and behavioral principles overlap with conventional care. Evidence for specific Ayurvedic formulations remains limited; an uncontrolled study of a formulation containing psyllium, senna, and Triphala cannot determine the independent benefit of Triphala. Product quality and procedural safety require attention. Conclusion: Ayurvedic approaches warrant further investigation and may inform supportive care, but established evaluation and evidence-based treatment remain essential.

Keywords: Chronic constipation; Ayurveda; Vibandha; Purishaja Udavarta; Triphala; Bowel habits; Narrative review.