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RESEARCH ARTICLE
Year : 2006  |  Volume : 27  |  Issue : 1  |  Page : 9-15

Study on psychic factors in irritable bowel syndrome and its management with Kutajadi Avaleha & Medhya Rasayana


1 Lecturer in Agadtantra, Parul Instt. of Ayurveda, Limda, Waghodia, Vadodara, India
2 Reader in Kayachikitsa, Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar, India
3 Ex. HOD & Professor of Medicine, M.P. Shah Medical College, Jamnagar, India

Correspondence Address:
Raksha N Mer
Lecturer in Agadtantra, Parul Instt. of Ayurveda, Limda, Waghodia, Vadodara
India
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Source of Support: None, Conflict of Interest: None


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Manasikabhava (psychic factors) plays an important role in etiopathogenesis & symptomatology of psychic and psychosomatic disease conditions. Psychic factors- kama (desire), krodha (anger), shoka (grief), bhaya (fear), irshya (envy) etc. within physiological limit can be defined as Manasikabhava whereas crossing the physiological limit these are termed as Manasikavikara or psychic disorders. Moreover, body and mind are interdependent to each other. The personality of an individual whether introvert or extrovert has also a role to play in the disease process.Irritable Bowel Syndrome (IBS) is a psychosomatic disease condition where motility of intestine is disturbed with altered bowel habit, lower abdominal pain with distention relieved by passes of flatus. There is no detectable organic pathology in this disease. The symptoms are markedly influenced by psychological factors with stressful life style. Though it is difficult to have correlation between IBS & any particular disease in Ayurveda but many diseases described in Ayurvedic classics resemble with symptoms commonly found in IBS. A careful review of the clinical picture of various GIT diseases, described in Ayurveda reveals that some of the disorders definitely have some clinical symptoms observed in the patients of IBS e.g. Vataja & Kaphaja Atisara, Sangrahani, Pravahika, Pakvashayagatavata. However, Grahani Dosha - a stage found in samprapti of all these diseases may be considered as IBS. These patients of IBS are evaluated for their mental health based on Hamilton's Anxiety Rating Scale, Hamilton's Depression Rating Scale & Brief Psychiatry Rating Scale along with Ayurvedic parameters. Total 30 patients selected randomly and divided into two groups were treated with: 1) Kutajadi Avaleha - a classical herbal formulation 10gm twice a day for 45 days and 2) Kutajadi Avaleha as above along with Charakokta Medhya-rasayana granules 5gm twice a day for 45 days. Better therapeutic response has been observed in abdominal pain, gaseous distention and diarrhea with significant relief in disturbed psychic factors like grief, worry, anger etc. in Medhya-rasayana group.


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