Grahni is a major ayurveda disordder based on the concept of Agni.

2. Dr. Bakhtyar Asharafi
MD 2nd Year
P.G. Deptt. Of kaumarbhritya
R.G.G.P.G. Ayurvedic College Paprola

3. “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.

4. 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.

5. 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.

6. Textual reference
Kashyapa Sanhita sutra sthana 25
Charaka Sanhita Chikitsa sthana 15
Sushruta Sanhita Uttartantra
Ashtang Sangrah
Ashtamg Hriday

7. Nidana
Samanya
(general)
Ahara Vyapada Emaciation Viruddha
Vega
Vidharana
Vishishtha
(specific)

8. Aaharaj nidan

9. Emaciated by other disease

10. Vyapad

11. Viruddha
( Incompatibility of)
Desha
(Country)
Kala
(Climate)
Ritu
(Season)
Suppression of natural urges (Vega
Vidharana)

12. 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

13. 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

14. SAMPRAPTI OF GRAHANI DOSHA IN
CHILDREN
Children
have
Aniyata-Agni
Aparipakwa
Dhatu
Sarvanna
Anupasevana
Klesha-
Asahishnuta

15. 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

16. Purva Roopa (Premonitory symptoms) of
Grahani Dosha:

17. 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

18. 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

19. 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.

20. 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

21.  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.

22. 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’.

23. 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.

24. 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

25. Grahani
Irritable bowel
disease
Coeliac
disease
Tropical sprue
Malabsorption
syndrome /
Failure to
thrive.