This document presents a study on the nidana panchaka (five causes) of Grahani roga (irritable bowel syndrome) from an empirical Ayurvedic perspective. It discusses Grahani roga and its classification, symptoms, causes and treatment according to Ayurvedic texts like Charaka Samhita. The presentation aims to introduce Grahani roga, explain its pathogenesis, types and management based on Ayurvedic principles as well as compare it to irritable bowel syndrome. Maintaining proper digestion through diet and lifestyle is emphasized for prevention and management of this gastrointestinal disorder.

1. SHIKAVAN 2023
AN EMPIRICAL APPROACH TO NIDANA PANCHAKA OF GRAHANI
PRESENTER BY:
DR. CHANAGOUD PATIL
1ST Year PG Scholar
Dept of Roga Nidana Evum Vikruti Vigyana
GUIDED BY:
DR. POORNIMA B MD(AYU)
PROFFESOR
Dept of Roga Nidana Evum Vikruti Vigyana
AYURVEDA MAHAVIDYALAYA
HUBBALI

2.  INTRODUCTION
 NIDANA PANCHAKA OF GRAHANI ROGA
 IRRITABLE BOWEL SYNDROME
 DISCUSSION
 CONCLUSION
CONTENTS

3.  GRAHANI ROGA NIRUKTI
Acc to Sushruta UT 40/162
 Acc to Madhava Nidana (4/2-3)
 When the grahani (duodenum) gets severely afflicted by the provoked doshas either by each one of the three doshas separately or by a
combination of them, it expels the food in an undigested form and the stool turns liquid and is passed repeatedly and with a foul smell
Sometimes, the process of digestion is complete, and the stools appear well formed. Nonetheless, it is passed repeatedly. This condition
is known as the grahani roga by the Ayurvedic Experts.
पक्व
ं वा सरुजं पूति मुहुर्बद्धं मुहुर्द्बव
म् |
ग्रहणीरोगमाहुस्तमायुवेदवतवदवो जनााः
||१७२||
एक
ै कशाः सवबशश्च दवोषैरत्यर्बमूर्च्छब िैाः
सा दवुष्टा र्हुशो भुक्तमाममेव तवमुञ्चति||2||
पक्व
ं वा सरुजं पूति मुहुर्बद्धं मुहुर्द्बवम्
ग्रहतणरोगमाहुस्तमायुवेदवतवदवो जनााः ||3||

4.  NIDANA PANCHAKA OF GRAHANI ROGA
 NIDANA OF GRAHANI ROGA
Acc to Madhava Nidana (4/5)
Acc to CHARAKA CHI (15/42-44)
कटु तिक्त कषायातिरुक्ष
संदवुष्टभोजनैाः |
प्रतमिानशनात्यध्व – वेगतनग्रह –
मैर्ुनैाः || ५ ||
अभोजनादवजीणाबतिभोजनातिषमाशनाि्|
असात्म्यगुरुशीिातिरूक्षसन्दवुष्टभोजनाि्||४२||
तवरेकवमनस्नेहतवभ्रमाद्व्यातिकषबणाि्|
दवेशकालिुबवैषम्यािेगानां च तविारणाि्||४३||
दवुष्यत्यतनाः, स दवुष्टोऽन्नं न िि् पचतिघ्वतप
अपच्यमानं शुक्तत्वं यात्यन्नं तवषरूपिाम्||४४||
AAHARAJA NIDANA VIHARAJA NIDANA MANASIKA NIDANA
1.Abhojana
2.Atibhojana
3.Ajirnata
4.Katu,tikta,Kashaya,kshara
atisevana
1.Pramitanashana
2.Veganigraha
3.Atimaituana
4.Mityayoga panchakarma
1.Atichinta
2.Santapa
3.Shuktva
5.Asatmya,ruksha,atishita
aahara sevana
6.Akala bhojana
5.Nidra nasaha
6.Desha kala vaishyamya

5.  SAMPRAPTI OF GRAHANI ROGA
Acc to CHARAKA CHI (15/56-57)
अग्न्यतिष्ठानमन्नस्य ग्रहणाद्ग्रहणी मिा
नाभेरुपयबह्यतनर्लेनोपष्टब्धोपर्ंतहिा||५६|
अपक्व
ं िारत्यन्नं पक्व
ं सजति पार्श्बिाः|
दवुर्बलातनर्ला दवुष्टातवमुञ्चति||५७||

6.  SAMPRAPTI GHATAKA

7.  GRAHANI PURVARUPA
 Acc to CHARAKA CHI 15/45
पूवबरूपं िु िस्येदवं िष्णाऽऽलस्यं र्लक्षयाः
|
तवदवाहोऽन्नस्य पाकश्च तचराि् कायस्य गौर
वम्||५५||

8.  GRAHANI TYPES

9.  UPASHAYAAND ANUPASHYA
 UPASHAYA
स्नेहनं स्वेदवनं शुर्च्द्धलबङ्घनं दवीपनं च यि्||
१९६||
चूणाबतन लवणक्षारमध्वररष्टसुरासवााः|
तवतविास्तक्रयोगाश्च दवीपनानां च सतपबषा
म्||१९७||
ग्रहणीरोतगतभाः सेव्ााः,|१९८|
Cha chi 15/196-198

12.  According to Acharya VAGBHATA ,its consider under the ASHTAMAHAGADA
 Samagni has been considered an important factor for imparting strength, vigour, vitality growth and enthusiasm. On the
other hand, deranged state of Agni leads to various disorders and even death may ensue eventually.
 Food is essential for life. It provides nutrition and it balances out the ongoing wear and tear phenomenon of the body, but
food is able to impart its qualities only when the Agni is in balanced state. Indulgence in etiological factors impairs the
Agni.
 Agni thus weakened fails to digest and metabolize even a small quantity of food, which is easily digestible otherwise and a
condition of indigestion sets in. Undigested food gets fermented and become toxic to the body and hampers the
physiological action of the Grahani which eventually leads to Grahani Roga.
 Symptomatology such as Atishruta and vibaddha mala pravritt, Jwar, Udgara, Arochaka, etc. follow this. Aharaj-Abhojana ,
Atibhojana , Vishama Bhojana , and Asatmya Bhojana are nidana that upset the agni.
 Irritable bowel syndrome (IBS) is a "disorder of gut-brain interaction" characterized by a group of symptoms that
commonly include abdominal pain, abdominal bloating and changes in the consistency of bowel movements.
 IBS can negatively affect quality of life and may result in missed school or work or reduced productivity at work.Disorders

13.  Grahani roga is is related to digestion of food and its absorption is becoming More common than the past due to
our faulty food habits, which are covered Under Grahani Dosha.
 Grahani roga is chronic disease of Annavaha and Purishavaha srotas developed due to alteration of Agni and Manas (Mind).
 The main treatment is correction of Agni i.e. indirectly treating indigestion. According to Ayurveda, Grahani is Tridoshatmak
disease of digestive fire which occurs due to Agnidusti.
 As per the GIT system there is nervous involvement present in the various activities of GIT absorption and peristaltic
movement. In this view
 Psychology also plays a major role in maintaining human health. Unusual psychology of a person about anxiety, anger, greed,
etc. can affect the physiology of digestion, therefore; they disrupt homeostasis, which teaches Grahani.
 Satvavajaya chikitsa is also important as psychological factors also act as causative factor to the disease. Hence, i.e.
counselling and enhancing the will power of the patient along with use of drugs which act on pittadharakala

14. AGNI RAKSHETA PRAYATNATA
(Cha Chi 15 chapter)