Understanding the GIT disorders in ayurveda on the basis of ICD

1. Submitted By:
DR. PRIYANKA BURAGOHAIN
1st year P.G. Scholar.
DR. NIBEDITA SARMAH
2nd year P.G. Scholar.
Guided By:
DR. ANUP BAISHYA
Associate Professor
P.G. Department of Roga Nidan
Govt. Ayurvedic College & Hospital
Jalukbari, Guwahati-14

2.  Gastrointestinal tract which starts from mouth and
ends in the anus have played important role for the
homeostasis of the different systems. As the
digested food is the key factor for nourishment of
the body; hypo functioning of it may lead to
different diseases involved in different systems.
 In Ayurveda Annavaha and Purishavaha srota
combinely can be considered as a whole as
gastrointestinal tract.

3.  Annavaha and Purishavaha srotagata
vyadhi can also be classified to make it
easier for the diagnosis and treatment of
the diseases.
 International Classification of Diseases is
the basis to classify diseases. It is the
diagnostic classification standard for
reporting diseases and health conditions.

4.  To classify the diseases of GIT as per
Ayurveda for the easier diagnosis and
treatment of Gastrointestinal tract disorders
in Ayurveda .

5.  Mukha (oral cavity) kledak kapha kledana
 Amashaya (stomach) salivery digestion
 Grahani pachak pitta pachan
 Pittadhara kala gastrointestinal digestion
 Unduka separation,absorption
 Pakwashaya samana vayu sara kitta
vibhajana
sara soshana
 Guda Apana Vayu
 Gudavalli excretion mala bisharjana
 Gudostha
DIGESTION PROCESS:

6. Ahara
diet
Mukha
oral cavity
Amashaya
stomach
Grahani
small intestine
Unduka
caecum
Pakwashaya
colon & rectum
Bodhak
kapha
Kledak
kapha
Pachak pitta
+
Samana vayu
Samana
vayu
Samana vayu
+
Apana vayu
sara
kitta
Rasavaha srotas
Purishvaha srotas
Mutravaha
srotas

7. Amashaya
 Ajeerna
 Agnimanda
 Shula
 Amaja shula
 Parinam shula
 Annadrava shula
 Amla pitta
 Krimi
 Udara
 Chardi
 Arsa
 Vishuchika
 Alasaka
 Vilambika
 Anaha
 Adhman
 Atopa
 Rakta pitta
 Atisara
 Pravahika
 Krimi

8. Pakwashaya Grahani
 Atisara
 Pravahika
 Krimi
 Grahani
 Parinam shula

9. Yakrit Udara/kostha
 Yakrit dhalyudara
 Kamala
 Rakta pitta
 Gulma
 Udar roga
 Arsha
 Kamala
Pliha
 Plihodara
 Rakta pitta
Antra
 Chidrodara
 Baddhagudadara

10. Mandagni Visamagni
 Atisara
 Chardi
 Pravahika
 Agnimandya
 Ajeerna
 Vishuchika
 Grahani
 Arsa
 Udavarta
 Shula
 Atisara
 Grahani
 Udara roga
 Trishna
 Arochak
 Pandu
 Kamala
 Raktapitta
 Agnimandya
 Ajeerna
 Alasaka
 Vilambika
 Gulma
 Atyagni
 Amla pitta
Tikshnagni

11. Amaja Niramaja
 Alasaka
 Vishuchika
 Vilambhika
 Amajeerna
 Agnimandya
 Amaja sula
 Amaja atisara
 Agantuja chardi(amaja)
 Prabahika
 Anaha
 Udara roga
 Amaja trishna
 Grahani
 Pandu
 Kamala
 Arsha
 Krimi roga
 Gulma
 Anaha
 Adhmana
 Amla pitta
 udavarta

12. Asukari Chirakari
 Amlapitta
 Raktapitta
 Gulma
 Atisara
 Krima
 Ajeerna
 Arochaka
 Chardi
 Visuchika
 Alasaka
 Anaha
 Adhman
 Atopa
 Sula
 Trishna
 Agni mandya
 Amlapitta
 Raktapitta
 Gulma
 Atisara
 Krimi
 Grahani
 Udar roga
 Pandu
 Kamala
 Pravahika
 Arsa
 Vilambhika

13. Sharirik Manashik
1. Grahani 1. Ajeerna
2. Udara roga 2. Arochak
3. Pandu 3. Chardi
4. Kamala 4. Sula
5. Amlapitta 5. Atisara
6. Arsa 6. Gulma
7. Vishuchika 7. Raktapitta
8. Krimi 8. Trishna
9. Gulma

14. Digestive/ secretory
disorder
Distension of abdomen
 Agnimandya
 Amajeerna
 Vidagdhajeerna
 Vistabdhajeerna
 Amlapitta
 Vishuchika
 Alasaka
 Vilambika
 Anaha
 Alasaka
 Anaha
 Atopa
 Udar roga
 Baddhagudodara
 Udakodara
 Apanavata
vegadharana udavarta

15.  Atisara- vriddhoati baddhah saratyesha
 Pravahika- pravahamanasya muhurmalaktam
 Grahanidosa
 Grahani roga-atisristam vivandham va dravam
 Sangrahani- pakhana masaha sadhwat va nityam
 Ghatiyantra grahani- malajjala ghati dhwanih
 Adhoga Amlapitta- adho va vividha prakaram
 Vishuchika
 Purishaja krimi
 Diarrhoeal diseases

16. Constipating disease
Disease with abdominal
pain/ colics
 Vivandha
 Anaha
 Adhman
 Pratyaadhman
 Udavarta
 Sula
 Parinam sula
 Annadrava sula
 Amlapitta
 Atopa
 Krimi

17. Diseases with swellings
and lumps:
Diseases with krimi
 Udar roga
 Gulma roga
 Chardi
 Atisara
 Sula
 Pandu

18. Diseases with vomiting Hepatobiliary diseases
 Kaphaja agnimandya
 Urdhwaga vishuchika
 Annadrava sula
 Kaphaja amlapitta
 Kaphaja krimi
 Grhani
 Ajeerna
 Pandu
 Kamala
 Halimak
 Panaki
 Kumbha kamala
 Sakhashrita kamala
 Kosthasrita kamala
 yakritdalyudara

19.  First creation in 1948 by WHO as ICD- 6
 WHO Nomenclature Regulations adopted it in
1967
 ICD-10 was endorsed in May 1990 by the fourty
third world health assembly.
 It is used by more than 100 countries.
 At present ICD – 9 and ICD-10 are being in use.
 ICD – 11 will be released by 2017

20.  ICD coding is the backbone of Medical coding.
 Necessary for transforming descriptions of
diagnosis & procedures into universal
acceptable medical code numbers.
 It is the diagnostic classification standard for all
clinical & research purposes.
 All diseases, disorders, injuries and other
related health conditions are listed in a
comprehensive, hierarchical fashion.

21.  Used for easy storage, retrieval & analysis of health
information for evidence based decision making.
 Sharing and comparing health information between
hospitals, regions, settings & countries.
 Monitoring of the incidence & prevalence of
diseases.
 Keeping track of safety & quality guidelines.
 Observing reimbursements & resource allocation
trends.
 Counting of mortality and morbidity rates etc.

22.  Diseases of the digestive system :
 ICD 9 Codes 520-579
 ICD 10 Codes K00-K95
 Diseases of oesophagus, stomach, and duodenum : ICD 9 (530-537), ICD 10 (K20-
K31)
 Appendicitis: ICD 9 (540-543), ICD 10 (K35-K38)
 Hernia of abdominal Cavity : ICD 9 (550-553)
 Non infective enteritis and colitis: ICD 9 (555-558), ICD 10 (K50- K52)
 Other diseases of intestines and peritoneum: ICD 9 (560-569), ICD 10 (K55-K63)
 Peritonitis: ICD 10 (K65- K67)
 Diseases of Liver : ICD 10 (K70-K77)
 Diseases of Gall Bladder, Biliary tract and Pancreas: ICD 10 (K80-K87)
 Other diseases of Digestive System: ICD 9 (570-579), ICD 10 (K90-K93)

23. ICD 9 ICD 10 Disease Ayurvedic
interpretation
531 K25 Gastric ulcer Annadrava sula
532 K26 Duodenal ulcer Parinam sula
533 K27 Peptic ulcer(unspec) Parinam sula
534 K28 Gastrojejeunal ulcer Parinam sula
535 K29 Gastritis and duodenitis Amlapitta
536.3 Gastroparesis Vilamvika
536.8 K30 Dyspepsia Atopa

24. 540 K35 Acute appendicitis Unduka puccha sotha
541 K37 Appendicitis unqualified Unduka puccha
sotha/ chidrodara
542 K36 Other Appendicitis Unduka puccha
sotha/ chidrodara
543 K38 Other diseases of Appendix Unduka puccha
sotha/ chidrodara
550-553 Hernia of Abdominal cavity Vriddhi roga/ gulma
555 K50 Regional enteritis Grahani
556 Idiopathic proctocolitis Guda paka
556.9 K51 Ulcerative colitis, unspecified Sokaja/raktaja atisara
557 K55 Vascular insufficiency of
intestine
Dhamani pratisaya of
annavaha and
purishavaha srota
558 K52 Other noninfectious
gastroenteritis and colitis
Visuchika

25. 560 K56 Intestinal obstruction without
hernia
Badhagudodara
562 K57 Diverticula of intestine Badhagudodara
564.0 K59.0 Constipation unspecified Mala badhata
564.1 K58 IBS Pakwasayagata vata/
grahani
564.6 K59.4 Anal spasm Guda sankoch
565 K60 Anal fissure and fistula Parikartika and
bhagandara
566 K61 Abscess of anal and rectal region Guda pidaka
567 K65 Peritonitis Chidrodara
569.3 K62.5 Bleeding rectal Adhoga raktapitta
K63.1 Perforation of intestine Chidrodara

26. 571 Chronic liver disease and
cirrhosis
Kumbha kamala
571.0 K76 Fatty liver, alcoholic Kapanubandha
yakritaja vikara
571.2 K70 Cirrhosis, liver, alcoholic Madatyay janya yakrit
vikara
571.4 K73 Hepatitis,chronic, unspecified Kamala
571.5 K74 Cirrhosis, NOS Kumbha kamala
572 K75.0 Liver abscess and sequelae of
CLD
Yakrit vidradhi
572.2 K72 Coma, hepatic Yakrit janya murcha
573.3 K71 Hepatitis, toxic Virrudha aharaja yakrit
vikara
574 K80 cholelithisis Pitta Asmari
575.0 K81 Cholecystitis, Acute Pittaja Gulma
575.9 K83 Gallbladder disease, unspec gulma

27. 576.3 K83.2 Perforation of bile duct chidrodara
576.5 K83.4 Spasm of sphincter of oddi Vataja sula
577.0 K85 Pancreatitis , Acute Pittaja sula
577.1 K86.1 Pancreatitis, Chronic Kapha Pitta sula
577.2 K86.3 Pancreatic Cyst, pseudocyst Gulma
578 K92.2 Gastrointestinal haemorrhage Raktapitta
578.0 K92.0 Haematemesis Raktapitta
578.1 K92.1 Blood in stool, melena Amashayagata vrana /
adhoga Raktapitta
579 K90 Intestinal malabsorption Grahani
579.1 K90.1 Tropical Sprue Sangraha Grahani

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Ch. Vi. 6/ 4
An individual has the liberty to classify things as he
likes. If something is already classified into some groups
in a particular manner, he may reclassify it on the basis
of different criteria which may result in changes in the
number of groups in different ways. This does not
invalidate the number of groups according to some other
mode of classification.

29. ICD coding is the backbone of medical
coding. Therefore if we are able to code the
gastrointestinal tract diseases in Ayurveda i.e
Annavaha and purishavaha srotagata Vyadhis
too with relation to ICD it will be easier for us to
diagnose, record, and report them. It will help in
the diagnostic classification standard for all
clinical & research purposes.