A CRITICAL REVIEW OF PANCHAKARMA AND YOGA-BASED TREATMENT MODALITIES IN GRAHANI ROGA W.S.R. TO IRRITABLE BOWEL SYNDROME
Moumita Nath Mandal*, Dr. Debojyoti Sain, Dr. Biswajit Mandal
ABSTRACT
Background: Grahani Roga is a chronic gastrointestinal disorder described in Ayurveda, characterized by impaired function of Grahani (small intestine and duodenum). It shares clinical similarities with Irritable Bowel Syndrome (IBS), a prevalent functional bowel disorder in modern medicine.[1] Conventional treatments for IBS provide symptomatic relief but often fail to address recurrence and psychosomatic aspects.[2] Panchakarma and Yoga offer a holistic approach targeting Agni (digestive fire), Dosha balance, and mind–body harmony. Objective: To critically review treatment modalities of Grahani Roga with special emphasis on Panchakarma and Yoga, correlating with IBS management. Methods: Review of Ayurvedic classical texts (Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya), contemporary commentaries, and modern scientific publications on IBS, Panchakarma, and Yoga interventions. Results: Panchakarma therapies such as Virechana, Basti, and Shirodhara demonstrated beneficial effects in symptom reduction, gut motility regulation, and stress alleviation.[3–5] Yoga practices including Asanas, Pranayama, and Meditation significantly improved IBS symptom severity and quality of life.[6–8] Conclusion: Integrative use of Panchakarma and Yoga offers a comprehensive management strategy for Grahani Roga/IBS, addressing both gastrointestinal pathology and associated psychosomatic factors. Further randomized controlled clinical trials are warranted.
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