A case report on role of Pathya - apathya in the management of Grahani roga

Grahani is comparable to irritable bowel syndrome, where impaired Jatharagni plays an important role. Irregularity in diet and faulty lifestyle leads to vitiation of Jatharagni which produces Ama (~metabolic toxins). A 29-year-old male patient with chief complaints of the frequent evacuation of stool (5–6 times per day) along with pain in the abdomen with occasional vomiting for 2–3 years was presented to the outpatient department. The patient was taking conventional treatment for the past five years without much relief. Personalized diet plan was suggested that aimed to balance the Agni (~digestive and metabolic capacity) and to manage the related symptoms. After five months of treatment, signs and symptoms of the disease were significantly decreased. In diseases related to gastrointestinal tract, diet plays a crucial role. Thus, meticulous dietary planning, lifestyle modification, along with medicinal management considering the Agni and Bala (~strength) provides significant results in the management of Grahani roga.