It is inflammatory disease affecting the large bowel or the colon.
It is a disorder of vitiation of Pitta in the large intestine. In the colon, the min seat of Vata, nutrients from the digested food are absorbed and the matter is rendered drier. The exact cause of this disease is not known. However wrong eating habits, consumption of pre-cooked food, food without fiber; and inflammation is the probable main causes. Similarly hereditary, immunological dysfunction and allergic etiology is possible. Some patients are allergic to gluten, while some to dairy products. Psychological stress and strain is also an important causative factor.
Dyspepsia, pain and tenderness at the site of colon, diarrhea with or without mucous and blood, abdominal pain relieved by defecation, fever, anorexia, nausea, vomiting, and weight loss. Many times the symptoms increase or decrease periodically without any cause. When the patient starts feeling that he is getting beneficial results to treatment, suddenly all symptoms may increase. If it is not treated properly, various complications like anemia and mal-absorption develop. In some patients, allergic manifestations on the skin appear such as eczema.
Herbs of choice are asparagus racemosus, licorice, dashmoola or ten roots, sida cordifolia, and bombax malabarica. Panchakarma procedures like medicated sesame oil enema, alternating with cleansing enema should be given in courses, depending upon the symptoms and gravity of the disease. To treat inflammation, cleansing enema with asparagus an licorice should be given.
Vata type- cleansing enema of ten roots is indicated. Parpati is the treatment of choice. Rasa parpati (BR) 100 MGM, TWICE DAY, OR SUVARNA PARPATI (yr) 100 mgm, once a day, with dashmoolarishta 15ml 3 times day should be given.
Pitta type – Panchamrut parpati 250 mgm, 3 times day should be given. Mixture of 1 gm. Of amlaki powder and shatavari powder (equal pats) and licorice powder (1/2 part), twice day is useful. If thee is bleeding with the stools, medicated enema containing gum of bombax malabarica and milk an ghee I excellent. It will stop bleedinimmediately.
Kapha type- Loha parpati 100 mgm, twice day, with kutajarishta 15ml. 3 times a day is indicated.
Avoid all food that irritates the colon and causes vitiation of Pitta and blood.