This document presents a diagnostic approach to Grahani roga (disease of the digestive system) according to Ayurvedic medicine. It begins with an introduction defining Grahani roga and its relationship to Agni (digestive fire). The aims are then stated as making a diagnostic approach using general features, clinical features, and examination of stool. Different types of Grahani roga are described based on vitiation of Vata, Pitta, or Kapha doshas. Causes, cardinal features, generalized symptoms, abdominal symptoms, and stool characteristics are provided for each type. A discussion section then outlines questions to ask patients and factors to consider in diagnosis before concluding the importance of properly evaluating symptoms for successful treatment.

1. DIAGNOSTIC APPROACH TO GRAHANI ROGA
Presented by:
Dr. Priyanka Buragohain
PG Scholar
Guided by:
Dr. Anup Baishya
Associate Professor
Dept. Of Roga Nidan Govt. Ayurvedic college. Assam

2. Introduction
 Grahani roga is a chronic disease vividly explained in our classics
which refers to disease which occurs in grahani due to vitiation of
Agni. Grahani roga is the prime disease of gastrointestinal tract
among which are most often found in our day to day practices.
 Grahani roga is included in eight major disease which is hard to
diagnose and difficult to cure.
 Grahani and Agni are having Adhara adheya sambandha.
Jatharagni rules the process of digestion supported by the three
dosas. Grahani is a disease due to chronic imbalance of the three
dosas which impacts the function of jatharagni.

3. Aims and objective :
 To make a diagnostic approach to Grahani roga with the
help of generalised features, clinical features and mala
pariksha.
 To differentiate different types of Grahani Roga.

4. Materials and methods :
 Material has been collected from ancient ayurvedic
texts,research journals and electronic database.
 In this article efforts have been made to collect various
scattered data related to Grahani roga and to diagnose
the disease easily

5. Causes of Grahani Roga:
GRAHANI
ROGA
Abhojanat
Atibhojanat
Ajirnat
Vishamasanat
Pramitasan
Katu tikta kashaya,
amla, kshara
Asatmya, guru,
shita, atiruksha,
sandusta bhojanat
Mithya yoga of
Panchakarma
Debility by
disease
Vega vidharana
Atimaithuna
Sleep
immediately
after food
Desa kala ritu
vaiparitya

6. Vitiation of Agni
NIDAN
GHORA ANNAVISA
PRISTHAKATIGRAHA
VATA
Vataja
Roga
PITTA
Daha
Trishna
Mukha roga
Amlapitta
Pittaja Roga
KAPHA
Rajayakshma
Pinasa
Prameha
Kaphaja Roga
DHATU
Dhatugata
Disease
MUTRA
Mutra
Roga
SAKRIT
Kukshigata
Roga
Can’t digest even little amount of food
Undigested food gets fermented

7. Grahani Roga is a chronic disease:
Agni
Agni dusti
Agnimandya
Ajirna
Atisara
Grahani

8. Do you eat balanced quantity of food which digest within proper time
Do you feel that large quantity of
food digest very quickly ?
Do you feel that even after taking less
amount of food you cannot digest ?
Do you have complaints that
sometimes digestion occurs and
sometimes not ?
Samagni
Yes
Yes Yes
Flow chart to diagnose Grahani Roga:
Do you feel that food does not digest even though consumed
at the proper time, wholesome diet and easily digestible food
substance.
Vishamagni
TikshnagniMandagni
How is your bowel ?
Loose, watery stool
Repeated passage of stool in small quantity
with mucous with difficulty & colicky pain
Altered bowel habit
watery /constipated
Atisara
Grahani
Pravahika

9. Cardinal features of Grahaniroga
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10. Grahani
roga
Mental
influence
Nature of
stool
Generalised
symptoms
Abdominal
Symptoms
Specific
character

11. VATAJA
GRAHANI ROGA
PITTAJA
GRAHANI ROGA
KAPHAJA
GRAHANI ROGA
SANNIP
ATIK
SANGRAHANI GHATIYANTRA
GRAHANI
SPECIFIC
CHARACTER
flatulence after
and during
digestion
Foetid and
sour eructation
heavyness and
stillness of
abdomen
disease aggravates
during day time
and pacifies in
night time, disease
repeats once in 15
days, 30 days, 10
days or once in a
day
Produces
sound while
passing
stool like
pouring
water out
of a pot
GENERALISE
D
SYMPTOMS
Roughness in
body, Dryness of
throat and
mouth, hunger,
thirst , blurred
vision, tinnitus,
pain in chest-
thigh-pelvic –
neck region,
emaciation,
weakness
parikartika,
cough, dyspnoea
Indigestion,
Anorexia,
Thirst , Foetid
and sour
eructation,
Burning
sensation in
the cardiac
region and
throat, guda-
parswa-udara-
mastak- daha
Nausea,Vomiting,
Anorexia,
sliminess and
sweetishness of
mouth, cough,
rhinitis, sweetish
eructations having
foul smell, general
debility, lack of
desire towards
women, weakness
& lassitude
Lassitude, debility,
general malaise,
low back ache
Excessive
sleep, pain
in side of
chest

12. VATAJA
GRAHANI
ROGA
PITTAJA
GRAHANI
ROGA
KAPHAJA
GRAHANI
ROGA
SANNIPATIK SANGRAHANI GHATIYANTRA
GRAHANI
ABDOMINAL
SYMPTOMS
Food digest
with
difficulty,
suktapaka,
visuchika
Food digest
with difficulty
Intestinal
gurgling
CHARACTER
OF STOOL
Passes stool
with difficulty
that is liquid
mixed with
hard stool,
froathy,
undigested
repeatedly
Watery,
undigested,
bluish,
yellowish, or
yellow in
colour
Stool not well
formed but
broken into
pieces, mixed
with Ama and
mucous and
are heavy
Watery, cold,
solid ,
slimminess,
unctuous
with Ama,
froathy and
passed with
sound
Produces
sound while
passing stool
like pouring
water out of a
pot

13. Discussion
 Has the patient complaints of Grahani dosa lakshanas?
 If yes what type of Grahani dosaja symptoms?
 Did the patient suffer any of the purvarupa before the manifestation
of clinical features of grahani like trishna, alasya, balakshaya, vidaha,
aruchi, etc
 Does the patient present with the cardinal features of Grahani roga
“muhur badham muhur dravam”.
 Try to find out its type with their cardinal features, abdominal features,
nature of stool and generalised symptoms.
 Does the patient have Ajeerna for longer duration?
 After considering the above questionaire we may proceed to make
principles of treatment with analysis of Asthavidha, Dashavidha etc
Rogi Pariksha and then we can plan for treatment.

14. Conclusion
 After proper evaluation of Agni, Ama, Samanya lakshana
and visista lakshanas we can diagnose Grahani roga in
proper way to proceed for successful traetment.

15. Reference:
 Charaka Samhita: By Vidyadhar Sukla and Prof. Ravi Dutta Tripathi, Published by Chowkhamba
Sanskrit Pratisthan, Delhi. Edition-2010.
 Susruta Samhita: By Kabiraj Ambikadutta Sastri, Published by Chowkhamba Sanskrit Pratisthan,
Delhi. Edition-2011.
 Astanga Hridayam: By Brahmananda Tripathi, Published by Chowkhamba Sanskrit Pratisthan,
Delhi. Edition- 2009.
 Madhab Nidan: By Ayurvedacharya Shri Yadunandan Upadhaya, Published by Chowkhamba
Sanskrit Pratisthan, Delhi. Edition-2010.
 Ayurvediya Vikriti vijnan & Roga Vijnan, By Dr. P. S. Byadgi

16. THANK YOU
“If you try and fail don’t fail to try”