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Dr. Bakhtyar Asharafi
MD 2nd Year
P.G. Deptt. Of kaumarbhritya
R.G.G.P.G. Ayurvedic College Paprola
“Rogaa: sarvepimandaagnou”
The disease in which the grahani gets vitiated and
there is impairement of agni is called as gr...
The eating habits, physical activities ,rest and
sleeping pattern are the principal factors that
influence health and over...
The most common time of onset of IBD is during
the preadolescence/adolescence era and young
adulthood. A bimodal distribut...
Textual reference
Kashyapa Sanhita sutra sthana 25
Charaka Sanhita Chikitsa sthana 15
Sushruta Sanhita Uttartantra
Ashtang...
Nidana
Samanya
(general)
Ahara Vyapada Emaciation Viruddha
Vega
Vidharana
Vishishtha
(specific)
Aaharaj nidan
Emaciated by other disease
Vyapad
Viruddha
( Incompatibility of)
Desha
(Country)
Kala
(Climate)
Ritu
(Season)
Suppression of natural urges (Vega
Vidharana)
Samprapti Ghataka of Grahani Dosha
• Nidana : Aharaja, Viharaja, Manasika Karanas
• Dosha : Kledaka Kapha, Pachaka Pitta, ...
Nidan sewana
Vitiation of
Jatharagni
Vitiation of
Grahanistha
doshas
Disturbed
functions of
Grahani
GRAHANI DOSHA
Vitiatio...
SAMPRAPTI OF GRAHANI DOSHA IN
CHILDREN
Children
have
Aniyata-Agni
Aparipakwa
Dhatu
Sarvanna
Anupasevana
Klesha-
Asahishnuta
SAMPRAPTI OF GRAHANI DOSHA IN CHILDREN
Vishamashana,
Anashana,
Adhayashana (Aharaja)
Ritu Kala, Desha
Vipryaya
Bhaya, Krod...
Purva Roopa (Premonitory symptoms) of
Grahani Dosha:
DIFFERENTIAL DIAGNOSIS
Grahani Atisara Pravahika Visuchika Amatisara
Chirkari Ashukari Ashukari
No Pravahan No Pravahan Pr...
DIFFERENTIAL DIAGNOSIS
Sr.no
.
Grahani dosha Grahni Roga
1 Vikritti is limited to Grahani in
particular.
Vikritti is not l...
Prognosis of Grahani Dosha:
As a general rule the disease Grahani is Krichchha Sadhya
Vyadhi.
According to Acharya Madhava...
UPADRAVA OF GRAHANI DOSHA:
Acharya Harita described six complication of Grahani
Roga viz. 28
• Pliha Yakrita Vriddhi (hept...
 In modern science treatment is being done according to the symptoms. If
diarrhea predominates then anti diarrheal drugs ...
PRINCIPLE OF GRAHANI DOSHA CHIKITSA :
Acharya Vagbhatta suggested that, all the treatment
modalities of Ajeerna should be ...
Special Use of Takra in Grahani Dosha:
The authors of Ayurvedic classics have laid emphasis on the
administration of Takra...
MODERN ASPECT OF DISEASE GRAHANI DOSHA
In the present study a concept of grahani dosha is constructed
with the considerati...
Grahani
Irritable bowel
disease
Coeliac
disease
Tropical sprue
Malabsorption
syndrome /
Failure to
thrive.
Grahni an approach towards diagnosis and management of the
Grahni an approach towards diagnosis and management of the
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Grahni is a major ayurveda disordder based on the concept of Agni.

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Grahni an approach towards diagnosis and management of the

  1. 1. Dr. Bakhtyar Asharafi MD 2nd Year P.G. Deptt. Of kaumarbhritya R.G.G.P.G. Ayurvedic College Paprola
  2. 2. “Rogaa: sarvepimandaagnou” The disease in which the grahani gets vitiated and there is impairement of agni is called as grahani roga.Grahani is the specialised part of the maha srotsa . Acc. To acharaya sushruta , the 6th pittdhara kala situated between amasya and pakwasya is called grahani while acharya charaka had mention it as the part being situated above the nabhi,as it is the site of agni and does grahana of anna and it is supported and nourished by the strength of Agni. Hence Agni is to be corrected in all stages of Grahani Roga.
  3. 3. The eating habits, physical activities ,rest and sleeping pattern are the principal factors that influence health and overall wellbeing of a child. An irregular eating pattern implies the intake of meals at different intervals of time, avoiding imp. meals & frequently indulging in fat rich fast food or junk meals causes many problems and one of them is ‘grahani roga’ that has become a global issue and more common in this modernized era. The disease , although is not life threatening , but causes a great distress to the children and also to their parents.
  4. 4. The most common time of onset of IBD is during the preadolescence/adolescence era and young adulthood. A bimodal distribution has been shown with an early onset at 10–20 yr of age and a 2nd, smaller peak at 50–80 yr of age. 25% of patients present before 20 yr of age. Nonetheless, IBD may begin as early as the 1st yr of life, and an increased incidence among young children has been observed over the past decade. The risk of IBD in family members of an affected individual has been reported in the range of 7– 30%; a child whose parents both have IBD has a >35% chance of acquiring the disorder.
  5. 5. Textual reference Kashyapa Sanhita sutra sthana 25 Charaka Sanhita Chikitsa sthana 15 Sushruta Sanhita Uttartantra Ashtang Sangrah Ashtamg Hriday
  6. 6. Nidana Samanya (general) Ahara Vyapada Emaciation Viruddha Vega Vidharana Vishishtha (specific)
  7. 7. Aaharaj nidan
  8. 8. Emaciated by other disease
  9. 9. Vyapad
  10. 10. Viruddha ( Incompatibility of) Desha (Country) Kala (Climate) Ritu (Season) Suppression of natural urges (Vega Vidharana)
  11. 11. Samprapti Ghataka of Grahani Dosha • Nidana : Aharaja, Viharaja, Manasika Karanas • Dosha : Kledaka Kapha, Pachaka Pitta, Saman Vayu • Dushya : Rasa (Ahara Rasa) • Agni : Jatharagni-Mandya • Ama : Amavisha formation at GIT level • Srotas : Annavaha Srotas, Purishavaha Srotas, Rasavaha Srotas • Strotodusti : Sanga, Vimarga-gamana, Atipravriti • Udbhavasthana : Amashaya • Rogamarga : Madhyama and Bahya Roga Marga • Vyadhiswabhava : Chirakari • Adhisthana : Grahani
  12. 12. Nidan sewana Vitiation of Jatharagni Vitiation of Grahanistha doshas Disturbed functions of Grahani GRAHANI DOSHA Vitiation of JatharVitiati on of Grahanistha doshasagni Vitiation of Jatharagni Disturbed functions of Grahani
  13. 13. SAMPRAPTI OF GRAHANI DOSHA IN CHILDREN Children have Aniyata-Agni Aparipakwa Dhatu Sarvanna Anupasevana Klesha- Asahishnuta
  14. 14. SAMPRAPTI OF GRAHANI DOSHA IN CHILDREN Vishamashana, Anashana, Adhayashana (Aharaja) Ritu Kala, Desha Vipryaya Bhaya, Krodha, Udvega etc (vhiharaja, mansika) AGANIDUSHTI (Manda, Vishama, Tikshana APACHANA(Indigestion) AMOTPATTI SHUKTAPAKA AMAVISHA (Localized at GIT level - Generalize whole body) GRAHANI
  15. 15. Purva Roopa (Premonitory symptoms) of Grahani Dosha:
  16. 16. DIFFERENTIAL DIAGNOSIS Grahani Atisara Pravahika Visuchika Amatisara Chirkari Ashukari Ashukari No Pravahan No Pravahan Pravahan No blood in stool Blood may be found in stool Blood is found in stool Occ. blood in stool Amamala pravruti (sometimes) Amamala pravruti (sometimes) Amamala pravruti (Always) Ama may be present in stool Apakwa ama mala pravruti Karshya & Balakshay Not much Karshya & Balakshay If frequency increses Balakshay Not much
  17. 17. DIFFERENTIAL DIAGNOSIS Sr.no . Grahani dosha Grahni Roga 1 Vikritti is limited to Grahani in particular. Vikritti is not limited to a particular Aasaya but it is found to be distributed to other Aashaya or Srotasa. 2 The Doshas are in the form of accumulation in Ashaya Grahani. The Dosha are distributed all over the body. 3 Preliminary stage, Sthanika-dushti, localized pathology. More advanced stage, deep rooted pathology, it is described as Mahagada
  18. 18. Prognosis of Grahani Dosha: As a general rule the disease Grahani is Krichchha Sadhya Vyadhi. According to Acharya Madhava,26 the Asadhya Lakshanas of Grahani are similar to Asadhya Lakshanas of Atisara viz. Shoola, Pipasa, etc. He also opines that, in Balyavastha, Grahani is considered as Sadhya Thus, it can be said that the Dhatus in Balyavastha are in Vivardhamana stage, so the structural deformity in the Grahani can be overcome in this particular Vaya Avastha easily. It is also evident from the fact that after removal of wheat and rye flour from the diet in gluten enteropathy frequently results in an especially miraculous cure within weeks in children.
  19. 19. UPADRAVA OF GRAHANI DOSHA: Acharya Harita described six complication of Grahani Roga viz. 28 • Pliha Yakrita Vriddhi (hepto spleno megaly) • Kandu (Itching) • Mala Bandha (Constipation) • Asthila • Krimi • Udara Roga
  20. 20.  In modern science treatment is being done according to the symptoms. If diarrhea predominates then anti diarrheal drugs and if constipation predominates then lactulose along with roughage diet , if abdominal pain predominates then antispasmodic drugs are effective . In ayurveda Treatment principals of grahani roga nidanparivarjana i.e. removal of cause maintenance of dhatus i.e.Dhatusamya  Grahani associated with ama dosha: when the patient having complaint of constipation , excessive salivation , pain in abdomen, heart burn , heaviness then he should be treated with vaman.vamana should be done either luke warm water , decoction of madanphala and powder of piper and mustard.  Pakavasyasth upchara : the patient should be treated with virechana .the medicine having agni deepana propeties should be added in the virechana yoga.  When apkva ahar rasa is present in all over the body the langhana and paachana medicine should be given.  After the purification of amashaya peya preapared with deepana and paachana dravyas should be given to the patients.  Snehana ,svedana and shoshana , langhna deepana paachana and sangrahni drugs should be given as per the condition of the patients.
  21. 21. PRINCIPLE OF GRAHANI DOSHA CHIKITSA : Acharya Vagbhatta suggested that, all the treatment modalities of Ajeerna should be implemented in the management of Grahani Ashrita Dosha. He also opines that, Sama and Nirama Avastha should be taken into account as per Atisara Chikitsa. In the management of Grahani Dosha, the fact that along with Agni Mandhya, the Pachana Shakti and Prachushana Shakti of Grahani is deranged. Due to this the ingested diet undergoes Putikriya, and has actions similar to visha, which produces symptomatology of Ama. For this particular stage, Shodhana Chikitsa is preferred, considering the two staged of diseases viz. ‘Amalinganvitam’ and ‘Shariranugate Same’.
  22. 22. Special Use of Takra in Grahani Dosha: The authors of Ayurvedic classics have laid emphasis on the administration of Takra or Takra Siddha Kashaya as the main diet and medicine. Explaining the advantages of Takra over other articles of diet in Grahani Dosha Vagbhata says "Takra is the best diet for patients suffering from Grahani Dosha". As the Takra is Laghu in Guna, possesses Deepana properties and attains Madhura Paka, it does not provoke and increase Pitta; because of Kashaya Rasa, Ushna Veerya, Vikasi and Ruksha Gunas it is useful in Kapha; as freshly churned Takra is sweet, slightly sour, it will not produce Daha in the Kostha and it is also Vatahara. The advantage of Takra is that it contains less fat and is easily digestible. Acharya Charaka has also suggested the use of Takra and Takrarishta in the routine treatment of Grahani. Classics have also advocated the use of different kinds of Panas, Takras, Suras and Asavas in the management of Grahani Dosha.
  23. 23. MODERN ASPECT OF DISEASE GRAHANI DOSHA In the present study a concept of grahani dosha is constructed with the consideration of symptoms like,muhurbaddha muhurdrava mala pravritti,durgandhita mala pravritti,udara- shoola,kshudhalpata,adhmana,hrillasa etc.as chief complaints. In modern medical science, no disease or condition is exactly similar to grahani dosha, but symptoms like; • Chronic abdominal pain • Stools with mucous and foul smell • Loss of appetite • Abdominal distension • Failure to thrive. etc. • Flatulence • Belching • Eructation / Salivation • Nausea / Vomiting • Indigestion (Maldigestion) • Chronic loose motion • Constipation • Frequency of loose stool just after meal
  24. 24. Grahani Irritable bowel disease Coeliac disease Tropical sprue Malabsorption syndrome / Failure to thrive.
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Grahni is a major ayurveda disordder based on the concept of Agni.

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