Abstract

Dr. Limsha M.*, Dr. Bindu PR 

ABSTRACT

Ulcerative colitis is a chronic inflammatory disease of the colon characterized by a relapsing and remitting course, significantly affecting patients’ quality of life. Common clinical features include increased frequency of loose stools, rectal bleeding, mucus discharge, abdominal pain, and tenesmus. In Ayurveda, ulcerative colitis does not correspond to a single disease entity; it may be interpreted as a Rakta pradh?na Trido?aja vy?dhi , sharing clinical resemblance with conditions such as Rakta Pitt?t?s?ra, Rakta Prav?hik?, Abhyantara Visarpa, Guda P?ka , and Du??a Vra?a . Conventional management with aminosalicylates, corticosteroids, immunomodulators, and surgical interventions is effective in many cases; however, long term therapy is often associated with incomplete response, relapse, or adverse effects, necessitating supportive and integrative treatment approaches. Ayurvedic formulations such as ?u???sam? ?gadi Ka??ya, Gop?cand?n?di Gu?ik?, and Picch? Vasti possess D?pana, P?cana, Grahi , anti inflammatory, antidiarrheal, and immunomodulatory properties, which may contribute to symptom control and mucosal protection. This case report describes a 59 year old male patient with a confirmed diagnosis of ulcerative colitis, presenting with increased bowel frequency, passage of blood and mucus mixed stools, and abdominal pain. The patient was administered ?u???sam??gadi Ka??ya along with Gop?cand?n?di Gu?ik? for 14 days, and Picch? Vasti for 7 days as an add on therapy. Quality of life was assessed using the Inflammatory Bowel Disease Questionnaire (IBDQ 32). A significant improvement in clinical symptoms and overall quality of life was observed following the interv ention, without any reported adverse effects.