Grahani refers to the physiological and pathological aspects related to digestion. It is considered the seat of digestive fire or agni. Grahani disease occurs when agni is disturbed, leading to undigested food particles or ama accumulating in the digestive tract. The document discusses the etymology and site of grahani, types of grahani disease, symptoms, modern correlations like irritable bowel syndrome and inflammatory bowel diseases, and previous studies conducted relating grahani to conditions like IBS. Treatment focuses on cleansing therapies like vamana and virechana, followed by measures to strengthen agni such as herbs, oils and formulations mentioned in Ayurveda.

1. Concept of Grahani

2. Contents
 Introduction
 Two aspects of Grahani
 Grahani Roga-and Chikitsa
 Modern correlation
 Previous works done
 Conclusion

3. Introduction
 Grahani is described in the context of Agni.
 Grahani as a disease.

4. Aetimology
 The word ‘Grahani’ is derived from the root
‘Graha Upadane’ means to catch or to
get.(Amarakosha)
Ie, the action of holding somethimg firm.

5. Two aspects of Grahani
Physiological
Pathological
Chapters dealing with Grahani- Ashtanga Hr.Sa 3
Charaka Sam.Chi
15
Susruta Sam.Ut. 40
Ashtanga Hr. Ni-8, Chi-
10

6. Grahani as a organ
 It is the seat of Jathara Agni.
 It is otherwise called as Pittadhara Kala
 It is so called because it does Annasya Grahana.
Function: prevent the entry of undigested food into
the Pakwashaya from Amasaya.
(A.H.Sa3/50-51)

7. Site of Grahani
Sthita Pakwasaya Dwari (A.H Sa 3/50)
Amasayastho Visishta Dhamani visesha
(Arunadatta A.H.Sa 3/50)
Nabheruparya (Ch Chi 15/56)
Pakwamasaya Madhyastha (Su.U.40/169)
Between Amasaya and Pakwasaya(Sa.Pu.5/6)
Koshtastham, AgnyadhishtanaBhoota Nadi(
Charapani Ch Su 13/67)

8. Cont.
 Grahani helps to retain the food in the Amasaya
for proper digestion and after that it is moved
downwards . (A.H.Sa.3/52)
 Grahani and Agni are complimentary to each
other.(A.H Sa 3/53)
 If there occur Agni Dushti, it may lead to a
condition called Grahani Roga (A.H.Sa 3/53 )

9. Application of Grahani in PK
 Eg: For Krura Koshta, Grahani is with Ati
Ulbana Vata (CH Su.13/67)
 For Mridu Koshta, Grahani is Udeerna Pitta, Alpa
Kapha, Manda Maruta- So Suvirechya
(Ch.Su13/69)

10. Grahani – a disease
 Agni Bala depends on Bala of Grahani and vice
versa.
 If Agni Dushti occurs, may lead to a condition
called Grahani Roga (A.H.Sa 3/53)

11. Two causes of Grahani Roga
I. If Atisara is not proerly treated.
II. Intake of Agni Vidwamsakara Nidana
(A.H.Ni8/15)

12. Causes of Agni Dushti
 Ch Chi 15/42-44

13. Samprapti(Ch Chi 15/42-44)
 Nidana
 Apachana
 AmaUtpati
 Suktatwam
 Anna Visha/Ama Visha Grahani Roga

14. Difference between Atisara and
Grahani
Atisara Grahani
 Eliminates Mala as
Saama or Niraama
 Atisaranata
 Aasukari
(A.H.NI.8/16-18)
 Eliminate food which
may be digested or
undigested
 Sometimes it will be
hard or sometimes
loose
 Chirakari

15. Types of Grahani Roga
 4types
 Vataja, Pittaja, Kaphaja, Sannipataja
(A.H.NI 8/18)

16. Purvaroopa
 Sadana
 Cirat Pachana
 Amlaka
 Praseka
 Vaktravairasya
 Aruchi
 Trit
 Klama
 Bhrama
 Anaha
 Udara
 Chardi
 Karnakshweda
 Antrakoojana (A.H.Ni 8/19,20) CH CHI 15/55) (Su U 40/.

17. Samanya Lakshana
 Karshya
 Dhoomaka
 Tamaka
 Jwara
 Murcha
 Siroruk
 Vishtambha
 Karapada Swayadhu (A.H Ni8/21)

18. Vatika Grahani
 Taalu sosha, Timira, karnaswana,
 Ruk in Parswa, Uru, Vamkshna, greeva
 Visuchika
 Sarva Raseshu Grudhi, Kshut, Trishna,
 Parikartika
 Geerne Geeryati cha Adhmanam, Bhukte
Swasthyam samasnute, Vata Hridroga Gulma
Arsa Pleeha Pandutwa sankita.
 Chirad Dukham Dravam Sushkam Tanu Amam
Sabda Phenavat Puna Puna Varcha Sravati.
 (A H Ni 8/21-24)

19. Pittaja Grahani
 The colour of feces will be Neela ,Peeta etc
 Puti, Amla udgara
 Hrid Daha, Kanta Daha
 Aruchi
 Trit (A.H.NI 8/25)

20. Kaphaja Grahani
 Dukhena Annam Pachyate
 Charddi
 Arochaka
 Asyopadeha
 Nishteeva
 Kasa
 Hrillasa
 Peenasa
 Varchas- Bhinna, Ama yukta, Kapha samsrishta,
Guru
 Akrisasya Api Dorbalyam (A H Ni 8/26-28)

21. Sannipataja
 Lakshana of Sarva Dosha in mixed form (A.H Ni
8/28)
 Antrakoojana, Alasya, Dourbalya,
 Characters of feces-Dravam, Ghanam,Himam,
Snigdham, Ama, Bahu, Picchila, Sasabda, Manda
vedana
 Periodicity – Paksha, Masa, Dasa aha, daily
(M.Ni)
 Samgraha Grahani:
 Diva Prakopa;Ratrou Santi; Chirakala
Anubandhini (Ma. Ni)

22. Chikitsa....
 Principle of management is Shodhana , Agni
Deepana

23. Vamana
 Sadyovamana : (Ch.Chi.15/74)
 With Ushnambu/Madanaphala
Kashaya/Pippali+Sarshapa Kashaya
In condition of
Ama lakshana –like Vishtambha, Praseka, Arti,
Vidaha, Aruchi, Gourava.
Utklishta Lakshana in Amasaya

24. Virechana
 Condition:-If Doshas are in Pakvashaya in Leena
Avastha
 With- Deepana dravya yukta Virechanoushadha
(Ch chi15/75).

25. Lamghana and Pachana (Ch Chi
15/76)
 Condition: Sareera Vyapita Ama
 Lamghana-Upavasam
 Pachana-with Panchakoladi
 Shodhana

26. Chikitsa of Vatika Grahani(Ch Chi
15/77-80)
 First of all observe for Ama pachana(Ch.Chi 15/76)
 Deepana- By Sarpi in Alpamatra
 After Proper Agni Deepti and proper elimination of
Mala, Mutra
 Continue Snehapana for 2-3 days
 Swedana
 Niruha
 Virechana by Eranda taila+Kshara/Tilvaka
Ghritam+Kshara
 Anuvasana-After Shodhana,( the Asaya will be clean)
if Badha varchas – do Anuvasana with Deepaneeya
Vataghna Taila.
 Repeat Snehana (Ch Chi 15/81)

27. Examination of Sama &Nirama Mala
(Ch Chi 15/94)
 The Ama mala will sink in the water, but the
Pakwa Mala will Float in water.
 But in conditions of Ati drava, Ati Samghata,
Saitya, Kapha dushti, the Mala will sink
eventhough it is Pakwa
 Importance : If Amalalakshana are present then
do Pachana.

28. Importance of Takra in Grahani (Ch
Chi15/117)
 Deepana ,Grahi, Laghava
 Madhura vipaka- Pitta Samana
 Kashaya, Ushna, Vikasi, Ruksha- Kapha hara
 Madhura, Amla,Sandra-Vata hara

29. Treatment of Pittaja Grahani
 Virechana/Vamana. (Ch Ch 15/122).
 Agni Deepana by Sarpi, Churna etc-Eg-Tiktaka
Ghrita, Chandanadi Ghrita, Nagaradi Churna etc

30. Treatment of Kaphaja Grahani(Ch
Chi15/141-)
 Vamana.
 Agni Vardhana by Katu, Amla, Lavana, Kshara
dravyas
 Takrarishta, Madya, Madhukasava,
Duralaphasava, Pindasava, Madhu Arishta etc

31. Treatment of Sannipataja
Grahani
 Panchakarma can be done according to the
condition.(CH Ch 15/194)
 For Agni Deepana various Ghruta, Kshara,
Asava, Arishta can be done.

32.  Treatment of Grahani is like that of Ajeerna and in
Ama condition do the Amapachana like that in
Atisara.(A.H.CH.10/2)
 Treatment of Ajeerna: Ama-Lamghana
Vishtabdha-Swedana
Vidagdha – Vamana
(A.H.Su.8/27)

33. In general
 Snehana, Swedana, Sodhana, Lamghana,
Deepana, Churna rayoga, Lavana Kshara,
Arisha, Asava, Takra Prayoga, Deepaneeya Sarpi
are choice of selection. (Ch Chi 15/196).

34. Modern view
 Mal absorption syndrome(MAS): it is the failure
of normal absorption of nutrients from the gut.
 Types- Generalised malabsorpion &specific
malabsorption
-Primary &secondary
• C/F: Steaorrhea,Chronic diarrhoea, abdominal
distension, flatulence, anorexia, weight loss,etc
• Irritable Bowel syndrome (IBS): A functional
bowel disorder characterised by abdominal pain,
altered bowel habit including constipation and
diarhhoea, feeling of incomplete defecation,
abdominal disension

35.  In addition to altered bowel habit, IBS patient
may dedvelop upper GIT symptoms like chest
pain, heart burn ,dysphagia, fatigue
 IBD( Inflammatory Bowel Disease) –refers to
Crohn’s disease and Ulcerative colitis. Both are
similar and is difficult to differentiate. Ulceraive
colitis only involve colon,but Crohn’s disease can
involve any part.
 Crohn’s disease:It is an idiopathic chronic
ulcerative IBD, characterised by transmural
inflammation affecting the segment of terminal
ilium or colon, though any part of GIT may be
involved.

36. Clinical features: abdominal pain, diarrhoea, and
weight loss.
• Ulcerative colitis: Clinical feature:
• Bloody diarrhoea
• First attack is more severe followed by relapse
and remission.
• Some times frequent small volume of fluid stool or
constipation or pellety stools.
• In severe cases anorexia, malaise, weight loss
and abdominal pain may occur.

37. Previous works done
1. Management of IBS With Ayurveda and Yoga- A
case study-
With Samanoushadha+Yoga
therapy+Takrabasti.
2. Importance of Agni In the management of
Grahani Disease w.s.r to Lavana Bhaskara
Churna in Grahani Roga.
3. Efficacy of Takra inn Grahani Roga-a
conceptual approach

38. Conclusion: of concept of
Grahani
 Grahani is mentioned in two aspects.
 Agni and Grahani are inter related.
 Agni Dushti is the main cause of Grahani Roga
 Maintaining of Agni is the treatment principle of
Grahani Roga.

39. Thank you