Disease: Atisaara (or what is seen in Western medicine as diarrhea and loose stool)

Atisar: diarrhea (too much water in the stools); a lot of fluid passed thru anus, annavaha srotas and purisha vaha srotas <srotas contain excessive aap and mixed with stools>

(Not to be confused with dysentery: where you pass mucous)

  • agni disturbed (or agni mandya) and because of causative factors, vata is vitiated by rooksha guna and simultaneously aap is disturbed (or vulnerable because of causative factors)
  • vitiated vata dosha (with more rooksha) present in GI tract
  • Brings all aap from all over the body inside GI tract, holding capacity of intestine increased and starts throwing out the extra water
  • Condition called atisar

Agni vitiated then vata and aap MB pureesh vaha srotas

Causative factors:

  • Excessive guru (heavy) in the body so agni gets totally disturbed.
  • Atisnigdha food (excessive oil and ghee, will be released through stool), excessive rooksha foods, excessive liquids in diet
  • virudharshan (incompatible foods)
  • adhyashana (meal after meal, no break in between)
  • ajirna
  • vishamashana (quality, quantity, meals all over the place)
  • fear and grief in excess (pittadhara kala — lining of srotas — and majjadhara kala are the same; when mentally disturbed, pitta disturbed; also asti and purishdhala kala)
  • Infants teething have loose stools, nourish asti dhatu and loose stools stop
  • Contaminated water
  • Bad alcohol (with methyl alcohol, toxic for body and heavy on agni)
  • Sudden change in season (in summer, then go somewhere cold or go from cold to desert climate)
  • Excessive swimming (or long shower); too much warm water will disturb agni or sudden change of temperature. Cold water improves agni for a short time. If you change from hot to cold quickly, makes your body brittle.
  • Sesame seeds in excess (ushna, slightly laxative)
  • Sprouts: aap retained water then that is transferred to body. Creates dampness/kleda in body. Creates bulk. (Like increases like) Then creates a place where worms/parasites/bacteria can grow.
  • Worm infestation (krumi)

Herb: Ichabedhi: very strong virechana (you go 40 times, also given to horses)


Atisar begins with aama formation. After some time, aama may get digested

  • Initially vata prakopa by rooksha, will be present in whole GI tract (try to reduce aap, stools become dry)
  • Water is collected to compensate for ruksha (vitiated vata brings aap)
  • Creates minor pain in different places (site of heart, amashay, umbilicus, loin, constipation)
  • Rupa: Gurgling may be there because of vitiated vayu and aap
  • Timing can be very fast
  • Water comes and is flushed
  • Main symptom of atisar: Watery stools (other associated symptoms: uncontrollable and stools are passed even when person wants to pass urine) (in dysentery, person needs to give pressure to pass stools and when stools do come = frothy, mucousy stools)
  • Other symptoms: low backache, backache, weakness (if pitta: heat at anus, fever) (because of kapha: lethargy, heaviness)
  • Can choose herbs that are aama pachaka and reduce diarrhea.

Best herb: shunti (katu rasa, ushna, snigdha = reduces water in intestine, increases consistency of stools, digests aama grahi. Stambhana reduces the flow – done by kashya <astringent>) <don’t use kutaj initially, too much stambhana because aama present>

  • Focus on grahi herbs to increase aama and stop the flow <balatak (very hot)>
  • If diarrhea still continues and aama digested, need something to reduce the flow
  • Need to stop loss of aap (and weakness is created in person) so combine grahi and stambhana herbs together (patching the leak, but also need to treat the main samprapti)
  • Stambhan: opium

Stools: watery and will sink in water. And smelly. Sometimes aama gets flushed out with Atisar. Can use haritaki to help flush out the aama. (in no other condition will aama get eliminated in the body)


Emotional distress:

Shokatisar: grief

Bhayatisar: fear

Treatment: need a combo of herbs: jatamansi + shunti or brahmi or ashwagandha + counseling (and stambhana also)

Main indication that atisara is cured: At time of urination or passing of gas, no diarrhea.

Complications: if you ignore atisara and don’t treat it, can lead to grahni or arsha (hemorrhoids). If lasts longer, purish vaha srotas badly damaged. Complication can also include swelling, jwara, trushna <thirst>, aruchi <tastelessness>, shula <pain>

If resembles meat broth or soup, just watery fluid it’s a very severe condition, usually not curable. In some diseases, mamsa dhatu is weak and body shows symptoms. Fatal.


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