Disease: Grahani (Basically IBD by Western standards but other diseases fall under this umbrella)

When there is qualitative and later quantitative accumulation of the dosha in its site (Vata: colon, Pitta: sm. Intestine, Kapha: lungs), there can be aberrations of acid/alkaline balance, leading to Irritable Bowel Syndrome, Ulcerative Colitis or Leaky Gut syndrome. The exact individual doshic interplay must be determined, preferably by classical pulse assessment, in order to retract the pathogenesis. Ama (toxins or undigested food particles) can accumulate and are classified by their qualitative characteristics. For example, Pitta ama in excess can corrode and erode the mucosal layer.

Irritable Bowel Syndrome, Ulcerative Colitis
The inflammatory reaction within the small and large intestine means that absorption is mainly of acidic particles into the bloodstream, causing weakness in the subsequent tissue formations. The recovery time depends upon how long the sufferer has been searching for right guidance, If suppressant drugs have been used, first the side-effects and complications of these substances must be removed. Then the body has a chance to re-build the mucosal lining, returning it to optimal PH levels. The three main sections of the small intestine, duodenum, jejunum and ilium, can produce different complications because they are specialized for assimilating bitter, pungent and astringent tastes in that order. Mineral assimilation from the colon is particularly impaired in ulcerative colitis, therefore re-building bone, nerve and hormonal sites takes time and careful management.

Crohn’s Disease In Crohn’s disease, the sufferer cannot digest gluten, therefore Kapha type of toxins can accumulate to the point of obscuring the assimilation process. In this case, the individual must also follow Kapha pacifying food choices, strictly avoiding dairy, wheat and gluten. It is critical to learn food preparation science in order to reverse and heal this condition. Eating by 7pm and taking nothing before sleep is also critical, because foods taken later in the evening will assimilate much slower, leaving plenty of undigested food particles to clog the G.I. tract.

Leaky Gut Syndrome In chronic malabsorption, Vata dosha can create excess space in the assimilation process, leading to digestive weakness, reflecting a need to avoid dry, cold foods. Rebuilding the gastro-intestinal tract involves retraining food and lifestyle choices to reflect regular meals comprised of all six tastes (sweet, sour, salty, bitter, pungent and astringent).

Gall Stones Stones are heavy formations, indicating Kapha dosha. They may be greenish in color, showing pitta dosha. The individual is advised to follow pitta and kapha pacifying food choices and when feasible in the healing process.

Conclusion Although Grahani Roga is primarily a pitta disorder, one must take into account the metabolic power and intelligence (Agni) of both Vata and Kapha doshas. Additionally, the mind/body relationship is to be retrained in sound lifestyle choices such as food combining and timing of eating. Ayurveda has provided the legacy of understanding all self-healing, regardless of the clinical names or modern methods.


Samana vayu:
First flares agni, holds the food in a particular area so digestion can take place, separates kitta from sara, brings food upward to subtle digestion. Will bring kitta down. Takes nutrients for subtle digestion for rasa vaha srotas. Grahni acts as a physical base (substratum) and if base unstable, digestion won’t take place and vata prakopa there

atisaar: if drava guna out of place, agni mandya, if person keeps having heavy, snigdha, guru, sheeta food – agni will be unable to digest food. Then grahni becomes weaker, cannot hold food, then food not digested. If you ignore atisaar properly and keep having wrong food, then agnimandya and weakness of organ. Becomes grahni because body wants to push food downward.

In grahani, see food in fecal matter, remains undigested. Suggests organ isn’t working properly.

Pitta kala: membrane that creates pitta (present in grahni and is active in process of digestion) samana vayu acts specifically in that area

CAUSATIVE FACTORS:

  • Always revolve around agni.
  • Fasting will always help agni, digestion. But erratic fasting (fast for 50 days, then heavy food) disturb agni. It will remain weak and reflect on process of digestion and create organ disturbance or grahni as a disease.
  • If ajeerna off and on because agni not so good, heavy, chronic or recurrent ajeerna cause grahni
  • Heavy or guru in excess (every day or on a regular basis) disturb agni, anything lagoo properly digested (for example a small heavy meal or a huge light meal will have same effect)
  • Vishamashana: irregular meals, irregular timing, irregular form
  • Stale, rotten food, old food, not fresh <also a cause for amla pitta>
  • Not eating for the right season
  • Anything increasing kleda or bulk in the body
  • Sprouted things
  • Vegadharana: suppressing natural urges (once in awhile ok, but on a daily or regular basis will suppress vayu and create prakopa)
  • Snehapan: ghee in excess (grahni, atisaar, and disturbs srotas)
  • Improper panchakarma (which by the looks of what is being touted as Ayurveda out there in the West, i would advise to avoid at all costs)

Samprapti:

Hetu-sevana during Agnimandya

Disturbs agni and grahani (organ)

Improper digestion

Vidaha of food (

Amla –vipaka

Grahni organ is disturbed

Normal functions are lost: Food/nutrients not separated properly

Grahni disease

Grahni takes awhile to develop, not over a day or two. It is a complication of past diseases to get to this point. Will stay for a long period of time. Nourishment disturbed, weakness seen

 

Purvarupa:

Excessive thirst: because losing water and amla/pitta up. Agni is low, increases sheeta guna in body/excessive aap around grahni, lose elasticity of the organ. Affects teja and there is shita increased

Lethargy: because of kleda. Lack of alertness/freshness. (Throughout the day, not just after meals. If tiredness after meals, excessive kapha in body)

Slow digestion: Food takes a long time to digest – if eat in morning, may not be digested by evening so not hungry. In morning very hungry.

Amla vipaka: can be vidaha of food (burning sensation) during digestion

Heaviness in body: When agni not working, doshas increase, kapha increase and cause heaviness in the body

Excessive salivation

Aruchi (lack of appetite)

Most symptoms related to bowels: muhurbaddha muhurdravam (sometimes formed, sometimes watery) liquid, watery, semi solid (variable consistency), or hard – on a regular basis

(3 S’s of bad stools: sink, stink, stick)

Painful defecation: in abdomen or pain when defecating

In atisaar: watery, uncontrolled stools while in grahni might not be watery all the time

With grahni, always have problems with bowels in morning (in initial stages, loose or disturbed stools in morning, up to 2-3, but then no other problems during the day)

Nutrients not reaching dhatus/srotas/loss of strength…leads to weight loss

Majja dharakala and pittadhara kala = the same; relate to emotions and stress

Vomiting rarely happens in grahni, but more common in amla pitta (amashaya site of kapha)

Dhatu kshay increases vata (dhatus being depleted) prithvi depleted from body, less stability, vayu active (will show specifically in specific organs: restless leg syndrome and tremors); once dhatus nourished then right amount of prithvi comes back to body

To treat: need grahi herbs to increase agni and digest aam, improve tone and strength to grahni organ, then once agni improves you can improve dhatus

In severe cases: need herbs to act as stambhan to stop flow of watery discharge much like in atisaar (too much akasha in body because of grahni, mind wanders, no stability in body)

Grahani: organs are formed with mamsa dhatu and organs lose strength, grahani is weak because no mamsa dhatu. Has to be good agni/good digestion to nourish mamsa dhatu

Because of amla vipaka, pitta increased, vitiated, and creates dizziness and blackouts in front of your eyes (eyes cannot handle the heat and eyes are pitta) causes disturbance with senses

Vata increases in grahni, causes pain in abdomen

Vataj grahni:
vata dominant. pain in pelvic region, in thighs—will indicate dominance of vata in that type of grahni, more emaciation, more weakness as compared to other types; more depleted dhatus, more urges (like urge to eat all six tastes; natural urge of body to nourish every dhatu); mind will remain depressed

Pittaj grahni:
excessive sour belching; heartburn; stools not constipated, but loose or watery; stools can be dark yellow or blue

Kaphaj grahni:
heaviness more pronounced, sweet taste in mouth, excessive salivation, digestion takes a long long time, nausea, vomiting, foul smell when belching, emaciation will be less (as compared to vataj)

Sangrahni:
when grahani is chronic, overall weakness of grahani organ, gurgling, watery stools can be there for 15-30 days in a row or every day (grahani has lost its strength and watery stools or semi solid is a regular feature), then pain in abdomen becomes more constant

Kashtasadhya: Disease is curable, but not immediately cured. Treatment takes time as the disease takes a long time to form. (gets cured more easily in childhood) in old age, it becomes asadhya (uncurable) When vata is dominant.
Takra for grahni: chitrak on the inner side of an earthen pot, then heat it so the herb coats the pot, add milk and yogurt, yogurt formed and make buttermilk of that yogurt, and has quality of chitrak (this is not the authentic version, just a watered down version without all the proper herbs)

takra: kshay, amla, ushna, rooksha, but nourishing. Great for improving agni, +dhatu agni, digestion improved, because kshay food stays in grahni longer, overall helps absorption of nutrients, because of rooksha helps reduce kleda/kapha from body, everything benefitted. Can have it before or after meals (or during).

Takra for grahni: Shunti, ajawain, small amount of rock salt (or w/o) 1 part yogurt to 4X water. (up to 5-6 ok, but not excessive water) Have it during the day only.

Crohne’s disease: loose stools, disturbed bowels, find out whether it fits into grahani, or another disease

Atisaar, arsha, grahani:
All are diseases related to agni, GI tract (one can be the causative factor for the other) If grahani not treated properly, then it can have symptoms of arsha. If you don’t treat grahni properly, can lead to other dhatu-related illnesses (and rajakshma), depletion of dhatus (shosh), symptoms related to that dhatu. Patients complain about osteoporosis, but they’re not getting nutrients because lack of absorption.

 

 

http://www.iamj.in/posts/images/upload/12.pdf

2 thoughts on “Disease: Grahani (Basically IBD by Western standards but other diseases fall under this umbrella)

  1. Just want to add that sunthi is a wonder herb one could add to foods for all diseases under the IBD umbrella, given the food taken is pathya in the first place. Acts as deepana (stomach), pachana (intestines) and is grahi (colon) without disturbing pitta due to its madhura vipaka.

    • Yes, thank you for your addition. Yes, it is. Just so that those out there that might read this understand that dry ginger is what is being explained. Thanks sir.

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