Research Article International Ayurvedic Medical Journal ISSN:2320 5091

CLINICAL STUDY OF HIMANSHWADI CHURNA IN THE MANAGEMENT

OF VATAJ GRAHANI W.R.T. IRRITABLE BOWEL SYNDROME
Korake Rohini H.1 Kolaypakwar Shital A.2 Tayade Vinayak V.3
1
P.G.Scholar, 3Assistant Professor; K.G. Mittal P.Ayurvedic College, Mumbai, Maharashtra,
India
2
Assistant Pofessor at Mahatma Gandhi Ayurvedic College, Wardha, Maharashtra, India

ABSTRACT

The term ‘Grahani Dosha’ implies the dysfunctioning of Agni. Grahani & Agni are
interdependent. Therefore all the etiological factors of Grahani Dusti leads to the conditions
like Aruchi, Praseka, Ajeerna to Alasaka & life threatening toxic states like Visuchika. Func-
tionally weak Agni i.e. Mandagni causes improper digestion of the ingested food which leads
to Grahani Dosha & finally if not treated timely & properly then Grahani Roga ensues. Ac-
cording to Allopathy Medicine Irritable Bowel Syndome is a blanket term for variety of dis-
ease causing discomfort of Gastrointestinal tract. It is functional Bowel disorder characterised
by chronic abdominal pain with discomfort, abdominal bloating, alteration of bowel habits as
well as certain Psychological conditions like anxiety, depresssion, fatigue, tinnitus, sleep dis-
turbance. So Vataj Grahani can be correlate with IBS. To treat this Grahani vyadhi properly
Agni chikitsa is very important.For that the drug should have properties like Dipana, Pa-
chana, Vatanulomana, and Agnivardhana. Considering above factors, Himashwadi churna
was chosen in the management of Vataj Grahani & we observed that quite effective in Vataj
Grahani/ Irritable Bowel Syndrome.
Key Words: Grahani, Irritable Bowel Syndrome (IBS), Himanshwadi Churna

INTRODUCTION
Irritable bowel syndrome (IBS) is Kayachikitsa. Grahani Dosha if not treat-
the most common functional gastrointesti- ed timely & properly then over a period of
nal (GI) disorder with worldwide preva- time Grahani Roga ensues as Grahani
lence rates ranging from 9–23%. It is the dosha , is the preliminary stage of Grahani
Functional disorder where there is an ab- Roga (Chark Chikitsasthana 15/57). Now
sence of structural or biochemical abnor- a days the prevalence of Grahani Roga i.e.
malities on common diagnostic tests, IBS is increasing day by day because,
which could explain symptoms. Signifi- people have disregarded the codes for bod-
cant proportions – 35% to 40% – of indi- ily health as well as healthy mind also.
viduals who report IBS in the community Some factors like stressful life, improper
are male. Approximately 60% to 65% of & irregular food habits, lack of time for
individuals who report IBS in the commu- food intake & defecation which hamper
nity are female. In Ayurveda Mandagni is digestive system. As the digestive system
called as the main causative factor in all becomes weak it leads to various diseases
vyadhis & agni chikitsa is called as related to digestion like Grahani roga,
Korake Rohini et al: Hclinical Study Of Himanshwadi Churna In The Management Of Vataj Grahani W.R.T. Irritable Bowel
Syndrome
Pravahika,Visuchika, Alasaka which can easily in day to day life. Hence, the study
be correlated with modern aspect like of Himanswadi churna in Vataj Grahani is
IBS, Ulcerative colitis,Chron’z disease etc. carried out.
There is no any individual, who does not AIMS & OBJECTIVES:
fall victim to some GIT disorders during 1. To study the efficacy of The
his life span. The changing lifestyle of Himanshwadi Churna in the manage-
Human beings, by means of diet & behav- ment of Vataj Grahani w.r.t. to
ioural patterns, play a major role in mani- IBS.
festations GIT disorders. Reccurent GIT 2. To find out the mode of action of
disturbances lead to diseases like Grahani, Himanshwadi Churna in the treatment
Atisara & Arsha. To cure these diseases of the Vataj Grahani / IBS.
effective management by medicines MATERIALS & METHODS:
should be done which the patient can take
Contents of the HIMANSHWADI CHURNA
1. Himanshu (Kapoor/Cinamonum Camphor) : 1 part
2. Rasna (INula Racemosa) : 1 part
3. Panchlavan - : 1 part
a) Saindhav lavan
b) Samudrik lavan
c) Romak lavan
d) Sourchal lavan
e) Bid lavan
4. Haritaki ( Terminalia Chebula) : 1 part
5. Kshardvya : 1 part
a) Sarjjikshar
b) Yavkshar
6. Trikatu : 1 part
a) Soonthi ( Gingiber Officinale)
b) Pippali ( Piper Longum)
c) Marich ( Piper Nigrum)
SOURCE OF DATA & METHOD OF b) Patients showing classical symptoms of
COLLECTION: 30 patients randomly vataj grahani as mentioned in brihatatrayi
were selected from the O.P.D. & I.P.D. and other samhitas.
department of Kayachikitsa, K.G. Mittal P. c) Known case of I.B.S . diagnosed by
Ayurved Hospital Mumbai as per inclusion sign and symptoms as mentioned in con-
criteria. temporary science.
REASEARCH DESIGN: Open Random- 2. Exclusive Criteria :-
ized Study of single group was done. Pa- a) Patients below 20 yrs and above 70 yrs
tients were administered Himanshwadi of age.
Chuna with Takra Anupana for 30 days. b) Pregnant and lactating women.
1. Inclusive Criteria:- c) Known case of Abdominal Koch’s, CA
a) Patients between 20-70 yrs of age of of stomach.
both sex. d) Known case of gastric ulcers, intestinal
obstruction.

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Korake Rohini et al: Hclinical Study Of Himanshwadi Churna In The Management Of Vataj Grahani W.R.T. Irritable Bowel
Syndrome

e) Known case of ulcerative colitis and f) Those patients showing acute symp-
Cronhs disease. toms and symptoms indicating fatal
consequences.
Investigations:
Pathological Parameters Radiological Parameters
Stool examination: routine and microscop- Barium meal of lower GIT
ic.
Mala Parikshan: Sam, Niram, shushka, Dose: 5 gm BD
muhurbadham muhur dravam, phenyuk- Kala: Vyan kala i.e. Pratah Bhojanottar.
tam, sashabdam Malapravrutti. & Udana kala i.e. Sayam Bhojanottar.
TREATMENT SHEDULE: The Patients Anupan : Takra.
were given Himanshwadi Churna as a Route of Administration: Oral.
treatment twice daily in Vyan & Udana Duration: 30 days.
Kala. Required assessments were done CLINICAL ASSESSMENT
before treatment, after treatment & follow Table No. 1] Subjective criteria:- Gra-
up was taken after every week. dation will be done as following:
Symp.N Lakshan 0 1 2 3
o.
01 Abdominal pain Absent Mild Moderate Severe

02 Abdominal discomfort Absent Mild Moderate Tiredness

on rest

03 Aadhmanam(Bloating) Absent Mild Moderate Severe

04 ShwasDifficulty in Breath- On On exertion Even after Present
ing) heavy daily activi- even at rest
exertion ties
05 Aasyavairasya Absent Aasya- Aasya- Aasya-
(Tasteless tongue) vairasya vairasya vairasya
related to seen on seen all
only daily fresh and type of food
food good food.
06 Shuktpaka Absent Sometime Regularly Commonly,
(indigestion) after taking after taking not related
food some food to taking of
food or not
07 Grudhi Absent Mild Moderate Severe
sarvrasanam(Feeling to
take all rasas)
08 Trushna (Thirst) Absent Mild Trush- Trushna
naoccurs occurs any
after taking time.
09 Karnaswanam(Tinnitus) Absent Mild Sometimes Freqvently
10 Mana sadnam(disturbed Absent Mild Sometimes Regularly
mental condition) feel or common-
ly
11 Kruchapaka(indigestion) Absent Mild Sometimes Regularly
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Korake Rohini et al: Hclinical Study Of Himanshwadi Churna In The Management Of Vataj Grahani W.R.T. Irritable Bowel
Syndrome

or common-
ly
12 Alteration of bowel hab- Rarely Monthly Weekly Frequently
it(irregualar consistency of
stool)
13 Shushka tanu apkwaAbsent Sometimes Regular Commonly
phenyukta malapravrutti Mild After meal Regular Commonly
Hard,soft.indigested,stickyMild After meal Regular commonly
stool) Some- Regular Commonly commonly
times
Relief was characterised by reduction in scale from 3,2,1,0
Grades:-
0 – Absent 1(+) – Mild
2(++) – Moderate 3(+++) – Severe
OBSERVATIONS, ANALYSIS & INTERPRETATIONS:
Table No.2] Application of wilcoxon matched pairs sign rank test for each symptom:
Symp Mean S.D S.E. Median ‘P’ ‘r’ Result
tom B.T A.T B.T A.T B.T A.T B.T A.T Value Value
1 2.1 0.53 0.69 0.77 0.12 0.14 2.00 0.0 < 0.5827 ES
67 33 89 61 76 17 0 00 0.0001
2 2.1 0.56 0.68 0.62 0.12 0.11 2.00 0.5 <0.000 0.4348 ES
67 67 14 61 44 43 0 00 1
3 2.2 0.82 0.61 0.71 0.11 0.13 2.00 1.0 < 0.6546 ES
00 22 03 44 14 04 0 00 0.0001
4 2.0 0.63 0.63 0.66 0.11 0.12 2.00 1.0 < 0.6027 ES
67 33 97 87 68 21 0 00 0.0001
5. 2.1 0.63 0.69 0.66 0.12 0.12 2.00 1.0 < 0.5659 ES
67 33 89 87 76 21 0 00 0.0001
6. 0.2 0.83 0.61 0.69 0.11 0.12 1.00 0.0 < 0.4809 ES
00 33 03 89 41 76 0 00 0.0001
7. 2.0 0.53 0.71 0.57 0.13 0.10 2.00 0.5 <0.000 0.5362 ES
33 33 84 13 12 43 0 00 1
8 1.9 0.56 0.54 0.50 0.10 0.92 2.00 1.0 < 0.4632 ES
00 67 77 40 00 02 0 00 0.0001
9 2.1 0.33 0.69 0.47 0.12 0.87 2.00 0.0 < 0.3354 ES
67 33 89 95 76 54 0 00 0.0001
10 2.0 0.33 0.63 0.47 0.11 0.87 1.00 0.0 < 0.4896 ES
67 33 97 95 68 54 0 00 0.0001
11 2.1 0.36 0.61 0.55 0.11 0.10 1.00 0.0 < 0.4948 ES
03 67 79 61 47 15 0 00 0.0001
12. 1.9 0.40 0.66 0.56 0.12 0.10 2.00 0.0 < 0.2833 ES
67 00 87 32 21 28 0 00 0.0001
13. 2.0 0.53 0.58 0.50 0.10 0.92 1.00 0.0 < 0.3336 ES

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Korake Rohini et al: Hclinical Study Of Himanshwadi Churna In The Management Of Vataj Grahani W.R.T. Irritable Bowel
Syndrome

67 33 33 74 65 64 00 00 0.0001

ES- Extremely Significant basis of Mala parikshan i.e Samayukt

Objective criterion on the basis of Mal- Apakva form of stool consistency get con-
aprikshan: In objective criterion, all in- verted in the form of Pakva Niram
vestigation should be normal so no Swarup.
change in objective criterion but on the
Malaswarup N=30
Parikshan BT (No. Of patients) AT ( No. Of patients)
Sama Mala Swarup 27 07
Shushka Mala Swarup 14 05
Muhurbadham Muhurdravam 24 08
Phenvat Mala Swarup 19 07
Sashabdam Malaswarup 22 09
Total 106 36
Difference 70
Averade % Relief 66.3%
Paired t test
Mean 21.200 14.00
S.D 4.970 1.483
S.E 2.223 0.6633
Median 22.00 7.00
Passed normality Yes
‘P’ Value 0.0017
‘t’ value 7.483
Result Very Significant
BT- Before treatment AT – After treatment
DISCUSSION tusevana Agnimandya & Amotpatti occurs
The disease Vataj Grahani is found which vitiates the Vata dosha especially
to be common in these days due to increas- Saman Vayu & Apan vayu. Karmataha &
ing stress factor & improper food habits gunatha kshaya of Saman vayu occurs and
which hampered Digestive system & are karmataha vrudhi of Apan vayu occurs due
known as Causative factors of Vataj Gra- to gunataha vrudhi of Chala, ruksha &
hani ( IBS). Thus it was decided to select parush guna. Due to that Grunhati, Pa-
this disease for Research work. Due to re- chati,Vivechayati & Munchati (intake, di-
semblance of onset & progress of disease gestion, dividation of usful & unuseful
Vataj Grahani & IBS was included in the parts,excretion) these functions of Saman
study. Modern medical management is vayu gets hampered. So food dosen’t un-
limited only upto use of laxatives, antacids dergo above mentioned procedures & un-
& appetisers rather than treating actual digested food expel out in apakva form by
pathophysiology of the disease. In patho- Munchati process.
genesis of the Vataj Grahani due to He-

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Korake Rohini et al: Hclinical Study Of Himanshwadi Churna In The Management Of Vataj Grahani W.R.T. Irritable Bowel
Syndrome

Role of Drug action in VATAJ grahani Shushka , tanu, apakvam, fenavat Mal-
i.e. IBS: apravrutti.
Shunthi : Ginger contains gingerol con- C) Average result (25-50%) - Manasada,
tent which is assumed to have antiemetic, Karnaswana, Kruchrapaka.
analgesic, sedative, antibacterial and other D) Average % relief seen in this study was
physiological effects though other non- 61.47%.
volatiles may have some of the same ef- CONCLUSION
fects1 Good Clinical improvement was seen with
Pippli: Pippali is Thermogen- the use of Himashwadi Churna in the Vataj
ic,diuretic,tonic,purgative,stomachic,digest Grahani. Hence Himanshwadi Churna is
ive,emollient, & antiseptic2 Trikatu pow- quite effective in the management of Vataj
der helps to regulate digestion & metabo- Grahani (IBS) & it can be considered as
lism3 the new availability in Vataj Grahani/ IBS
Panchlavan: It digests undigested ama and so that quality of life can be improved.
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Korake Rohini et al: Hclinical Study Of Himanshwadi Churna In The Management Of Vataj Grahani W.R.T. Irritable Bowel
Syndrome

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