ROLE OF PICCHA BASTI (UNCTUOUS ENEMA) AND SANSHAMANA CHIKITSA IN THE MANAGEMENT OF JEERNA RAKTAATISAARA (ULCERATIVE COLITIS): CASE REPORT
*Dr. Govind Kumar Verma, Dr. Niharika Shakya, Dr. Harish Bhakuni, Prof. Deepti Bhakuni and Prof. Ram Kishore Joshi
Ulcerative colitis is an inflammatory disorder which affects the mucosa and submucosa of the colon of the gastrointestinal tract. The dominant symptom is diarrhea, often associated with blood and mucus & Constipation due to rectal spasm in elderly. In addition, nocturnal defecation, abdominal pain (usually lower quadrant or rectal), fever, malaise and weight loss may also be reported. Localized rectal involvement may be characterized only by bloody diarrhea, with or without urgency, tendency, pain or incontinence with abnormal structural pathology in the descending colon, particularly sigmoid colon. Case Presentation: Patient having following chief complaints since one and half year; 1.Pain in abdomen which increased during empty stomach and after having meals, 2.Sticky stool defecation, 3.Mild abdominal pain during bowel defecation, 4.Burning sensation in abdomen after having spicy meal, 5.Blood mixed sticky stool defecation with reddish black in colour, 6.Frequent bowel defecation-4 to 6 times/day, 7.Weight loss within 4 to 6 months, 8.Decreased appetite, 9.Suffered from anxiety, 10.Decreased sleeping, 11.Feel generalized weakness & laziness, 12.Nausea after having heavy meal. GIT Examination: Palpation-Soft abdomen, Tenderness present in umbilicus region & hypogastric region, No Hepatospleenomegaly, No any lump, Normal in guarding, Rigidity. Diagnosis: Jeerna Raktatisaara (Ulcerative colitis). Management: Through Piccha Basti (Unctuous Enema Therapy) and Sanshamana Chikitsa (Oral Drug Therapy), a complete ayurvedic management. Outcome: Improvement in Bowel frequency, Blood in stool, Abdominal pain, Weakness, Red blood cells in stool and Pus cells in stool are observed which has been briefly describe. Discussion: Piccha Basti acts as Raktastambhaka, Vranaropaka, Shothahara, Agnideepaka and Sangrahi.
Keywords: Ayurveda, Raktaatisaara, Ulcerative colitis, Pichha Basti, Colon, Rectum.
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