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Ayurvedic management of chronic constipation in Hirschsprung disease - A case study.
J Ayurveda Integr Med. 2018 Apr - Jun; 9(2):131-135.JA

Abstract

Hirschsprung disease (HSCR) or congenital intestinal aganglionosis is characterized by complete absence of neuronal ganglion cells from a portion of the intestinal tract, most commonly in the large intestine. The main sign or symptom of HSCR is constipation usually appearing shortly after birth. This constipation is chronic in nature and usually not relieved with laxatives. The present case is of a patient having HSCR which was successfully managed with Ayurvedic treatment. A four year old boy with complaint of severe constipation, abdominal pain, abdominal distension and occasional vomiting was treated with Panchakarma procedures and Ayurvedic oral drugs. The Ayurvedic diagnosis of the case was Pakvasayagata vata. Shashtikashali pinda swedana (sudation with medicated cooked bolus of rice) and Matra basti (enema with medicated oil) with Ashwagandha taila (Ayurvedic medicated oil) was given for first 16 days. From the 2nd month of treatment, Matra basti was administered daily for 3 months in the dose of 25 ml. In 5th and 6th month Matra basti was administered on alternate days in the dose of 25 ml. From the 7th month Matra basti was administered once weekly in the dose of 25 ml. In 14th month Shashtikashali pinda swedana and Erandmooladi yapna basti (medicated enema) was given for 16 days. Eight scales based Medical outcome study (MOS) - 36 item short form - health surveys was periodically assessed for outcome which shows good improvement. Experience of this case showed that HSCR may satisfactory be managed with Ayurvedic treatment.

Authors+Show Affiliations

Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India. Electronic address: sarveshksingh21@gmail.com.Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29853328

Citation

Singh, Sarvesh Kumar, and Kshipra Rajoria. "Ayurvedic Management of Chronic Constipation in Hirschsprung Disease - a Case Study." Journal of Ayurveda and Integrative Medicine, vol. 9, no. 2, 2018, pp. 131-135.
Singh SK, Rajoria K. Ayurvedic management of chronic constipation in Hirschsprung disease - A case study. J Ayurveda Integr Med. 2018;9(2):131-135.
Singh, S. K., & Rajoria, K. (2018). Ayurvedic management of chronic constipation in Hirschsprung disease - A case study. Journal of Ayurveda and Integrative Medicine, 9(2), 131-135. https://doi.org/10.1016/j.jaim.2017.11.004
Singh SK, Rajoria K. Ayurvedic Management of Chronic Constipation in Hirschsprung Disease - a Case Study. J Ayurveda Integr Med. 2018 Apr - Jun;9(2):131-135. PubMed PMID: 29853328.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ayurvedic management of chronic constipation in Hirschsprung disease - A case study. AU - Singh,Sarvesh Kumar, AU - Rajoria,Kshipra, Y1 - 2018/05/29/ PY - 2017/08/07/received PY - 2017/10/05/revised PY - 2017/11/02/accepted PY - 2018/6/2/pubmed PY - 2018/6/2/medline PY - 2018/6/2/entrez KW - Ayurveda KW - Erandmooladi yapna basti KW - Hirschsprung disease KW - Matra basti KW - Pakvasayagata vata SP - 131 EP - 135 JF - Journal of Ayurveda and integrative medicine JO - J Ayurveda Integr Med VL - 9 IS - 2 N2 - Hirschsprung disease (HSCR) or congenital intestinal aganglionosis is characterized by complete absence of neuronal ganglion cells from a portion of the intestinal tract, most commonly in the large intestine. The main sign or symptom of HSCR is constipation usually appearing shortly after birth. This constipation is chronic in nature and usually not relieved with laxatives. The present case is of a patient having HSCR which was successfully managed with Ayurvedic treatment. A four year old boy with complaint of severe constipation, abdominal pain, abdominal distension and occasional vomiting was treated with Panchakarma procedures and Ayurvedic oral drugs. The Ayurvedic diagnosis of the case was Pakvasayagata vata. Shashtikashali pinda swedana (sudation with medicated cooked bolus of rice) and Matra basti (enema with medicated oil) with Ashwagandha taila (Ayurvedic medicated oil) was given for first 16 days. From the 2nd month of treatment, Matra basti was administered daily for 3 months in the dose of 25 ml. In 5th and 6th month Matra basti was administered on alternate days in the dose of 25 ml. From the 7th month Matra basti was administered once weekly in the dose of 25 ml. In 14th month Shashtikashali pinda swedana and Erandmooladi yapna basti (medicated enema) was given for 16 days. Eight scales based Medical outcome study (MOS) - 36 item short form - health surveys was periodically assessed for outcome which shows good improvement. Experience of this case showed that HSCR may satisfactory be managed with Ayurvedic treatment. SN - 0975-9476 UR - https://www.unboundmedicine.com/medline/citation/29853328/Ayurvedic_management_of_chronic_constipation_in_Hirschsprung_disease___A_case_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0975-9476(17)30475-8 DB - PRIME DP - Unbound Medicine ER -
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