According to Ayurveda  Irritable bowel syndrome  is the similar condition  explained in the name of grahani or samgrahani. The name is given so because grahana(retaining) is the function of grahani organ (small intestine) as this  function is significantly altered and bowel loses its control to retain for stipulated period of time according to ones requirement of absorption this condition is called grahani.

Allopathic concept

IBS  is a condition of  combination of abdominal discomfort or pain and altered bowel habits: either altered frequency (diarrhea or constipation) or altered stool form (thin, hard, or soft and liquid). There is no clear picture  what IBs or what causes IBS. But it is a medical condition with collection of symptoms  that has been ongoing for at least six months. As per treatment is concerned nearly all people with IBS  can get help but no single treatment  works for everyone.  Some of the medicines like antispasmodic, antidiarrhoel drugs, laxatives  and antidepressants  can be advised  depending upon the cause. All these can give  the temporary relief but also have some side effects.


The food we ingest is broken down in to the constituents that nourish the tissues and supports our everyday functions. When the digestive fire – Agni, which burns within our stomach, is affected by incorrect lifestyle and eating habits this ultimately affects the digestive process causing food to be either partially digested or over digested leading to the formation of Ama- toxins. Not only does incorrect digestive fire give rise to toxins but it weakens the function behind the digestive process itself.

All the three doshas ie. vata, pita and kahpa  play a role in the digestive process.  Pachaka pitta as the essence behind the digestive fire Jathara Agni is responsible for the transformation of solid food into smaller particles as it passes into the small intestine. The partially digested food particles are further broken down by the continued presence of Jathara Agni in the small intestine into components which will be absorbed across the wall of the small intestine. Kledaka kapha functions as the protective mucosa layer lining the stomach protecting stomach tissue from the hydrochloric acid and pepsin which are nothing more than aspects of Jathara Agni. Kledaka Kapha is also responsible for moisture in the GI tract, and in the stomach mucus excreted by the mucosa cells mixes with the food substance forming chyme enabling the food to flow as liquid from the stomach to the small intestine. The movement of food particles  across the intestinal wall and the movement of the chime throughout the small intestinal tract are done with the help of  Samana Vayu. Apana Vayu whose seat is the colon is responsible for the elimination of the waste material that passes from the small intestine into the colon. Vyana vayu is responsible for the movement of nutrients to the peripheral tissue via the flow of lymph – rasa and blood – rakta.

Hence digestion is ruled by Jathara Agni but supported by the three doshas. As each doshas supports digestion an imbalance of any one of the doshas will affect the role of that dosha in the digestive process and ultimately affect the function of the other doshas in digestion.

When the digestive system is affected by one or more of the doshas leading to incomplete digestion, diseases arise in the Annavaha srota – GI Tract. Grahani is due to chronic imbalance of the one or more of the doshas affecting Jathara Agni leading to weakness in the duodenum. According to Ayurveda the function of the duodenum is not only to digest the food but to “hold” on to the food until it is digested, it then releases the food allowing it to pass into the colon where it is excreted under the influence of Apana Vayu. Due to weak digestive fire – Agni, the duodenum becomes weakened and its function is inhibited, it will then either release its contents early than normal into the colon with the food being “uncooked” or it will retain its contents for longer periods releasing the food into the colon that is “overcooked.” Due to this factor one of the main symptom of  grahani ( IBS)  is alternating loose bowel motions with constipation.


Eating habits are the the primary cause of grahani which are  directly affect Jathara Agni leading to a weakness in the small intestine. Aggravation of any one of the three doshas can be responsible for the alteration of digestion and it will depend on the aggravating factors that lead to the manifestation of disease. The causative factors that lead to the alteration of normal digestive fire known as Sama Agni are those same factors that cause the three types of deranged Agni.   Vishama Agni (due to aggravated Vata) , Tikshna Agni (due to aggravated Pitta), and Manda Agni (due to aggravated Kapha).  Untreated chronic diarrhoea which is itself caused by doshas affecting the process of digestion is also a cause of Grahani.

  • The exact cause of irritable bowel syndrome (IBS) is unknown and may be due to multiple factors.
  • Too fast or slow movements of the colon and small intestines.
  • Hypersensitivity to pain from a full bowel or gas
  • Gastroenteritis  may trigger IBS symptoms
  • Anxiety  or depression are observed in many people with IBS
  • Reproductive hormones or neurotransmitters may be off-balance in people with IBS.
  • Small intestinal bacterial overgrowth


According to  Ayurveda the different types of  grahani  (IBS) are following (based on the predominance  of vitiated  dosha.)

  1. vataja
  2. pittaja
  3. kaphaja
  4. sannipathaja


There will be pre-signs and symptoms indicating the development of the disease. One may experience slower digestion of food, hyperacidity, bad taste in the mouth, anorexia, increased thirst, gastric reflux, tinnitus and the noise of gurgling in the abdomen. One may also fee

l lightheaded and notice a decrease in energy levels as Rasa dhatu is not properly nourished due to inadequate absorption of nutrients across the intestinal wall and inferior quality of nutrient due to improper digestion. As the disease progresses one may lose weight, experience dyspnoea, notice the retention of food in the stomach and start to experience fainting, headache and oedema in the extremities.


The following are the symptoms  usually  seen in a person suffering from grahani  caused by vata aggrevation – Dryness of the palate, noise in the ears – tinnitus, cough, dyspnoea all caused by Prana vayu aggravation. Aggrevated Apana vayu  leads to constipation, increased frequency of motion, flatulence, passing gas on passing bowel, frothy loose stools, painful bowel motions due to intestinal cramps, dry feces, and pain in the rectum. Samana vayu  causes loose bowel motions due to increased peristalsis in the small intestine. Aggrevation  of Vyana vayu   leads to cardiac pain,   pain in the sides of the abdomen, thighs, groin and neck. The individual craves all types of food and feels satisfied when they have eaten.


IBS caused by Pitta  aggrevation  produces  discoloration of the faeces ( bluish or yellow colour due to ranjaka pitta variation), the body odor of the individual is fetid, aggravation of  Pachaka pitta causes hyperacidity resulting in heart burn and sour belching, also affecting the quality of stool so that it is liquid in consistency. Loss of thirst  and  anorexia are also present.

In grahani caused by aggrevation  of  kapha – increase in  Kledaka kapha  causes  Manda Agni which leads to heaviness in the stomach,  nausea and vomiting, retention of undigested food in the stomach leading to fermentation and burping with bad smell and loss of appetite. Avalambaka kapha that is aggravated causes cough with mucus.  Aggravation of Bodhaka kapha causing excess salivation and mucus in the mouth and loss of taste due to saturation. Excessive Kledaka kapha passes into the colon and is passed in the stools that are broken and may be considerable in quantity. Due to excessive kapha in the body one may feel lethargic and weak yet does not appear by physical observation to be showing signs of tissue weakness.


When Grahani is  caused by  combination of two or three doshas  it may present the following symptoms.

  • diarrheaor constipation
  • Constipation alternating with diarrhea.
  • Symptoms of IBStend to worsen with stress.
  • increased gas
  • abdominal swelling or bloating
  • cramping pain after eating certain foods
  • nausea
  • mucous or foamy stool
  • relieve in the symptoms  by bowel movements
  • symptoms of menstrual periods gets aggrevated in women with IBS
  • Unexplained weight loss.

We  at Apthasree

For any disease dosha imbalance  is the main cause.  We at Apthasree mainly  aim at balancing  the physical  and mental doshas.  First we have to do the mental and physical detoxification.  For de-toxification panchakarma therapies like snehapana, virechana, vamana, vasthi, thakradara, tailadara  etc.  can be done  depending upon the predominant  vitiated dosha.  Once the detoxification is done  it is very important to maintain the balance  in doshas.  The balance can be  maintained by following proper diet, routines and internal  medication.

The following  diet can be adviced in case of IBS  which helps  to maintain the doshas.

  • Eat smaller, more frequent meals; Instead of 3 meals, try 5 or 6 regularly scheduled small meals.
  • Eat at regular times.To regulate bowel  function  try to maintain proper timings of food each day.
  • Slow down; don’t rush through meals.
  • Avoid meals that over-stimulate everyone’sgut, like large meals or high fat foods. Like black gram, soya bean, coconut, chicken, chilly, prawns , mango, pine apple, cashew , papaya, fig, jack fruit.
  • Try to drink plenty of fluids every day. Water is best.
  • Take care with dairy products.If you’re lactose intolerant, try substituting yogurt for milk.
  • If you are constipated, try to make sure you have breakfast, as this is the meal that is most likely to stimulate the colon and give you a bowel movement.
  • If you think a certain food is a problem, try cutting it out of your dietThe foods most likely to cause problems are: Insoluble (cereal) fiber, Coffee/caffeine, Chocolate, Nuts
  • Fiber rich items like whole grains, fruits, vegetables and beans helps to reduce constipation, it can also make gas and cramping worse. So  the amount of finer in your diet should be increased slowly  over a period of weeks.

Along  with food the following activities can help in getting relief from symptoms and maintaining balance.

  • quit smoking
  • Regular exercises-  helps to relieve depression and stress  and also stimulates normal contractions of your intestines, and can help you feel better about yourself
  • To Avoid  gas and stimulation of intestinal intake of  Alcohol and beverages that contain caffeine and carbonated drinks should be avoided.
  • Use stress management and relaxation techniques.


Treatment of the grahani (IBS) is mainly treating the vitiated  dosha or doshas; however treatment will be focused ultimately on correcting Agni and strengthening the small intestine. As IBS  is  not a disease  but a group of symptoms seen together  due to imbalance  mental and physical doshas  the ultimate  remedy is only through  ayurveda  by which both detoxification of doshas  and maintaining the balance of doshas and  correcting the agni can be done.

Infertility and ayurveda


Infertility  is the inability of a person, animal or plant to reproduce by natural means for all of us to continue our lineage in the world we need to produce our own mankind, our on offspring.  The disturbance of to this process of producing children is called infertility. Infertility is a social taboo today, which brings a drastic effect on couples both physically, emotionally and socially.  Infertility as such is not an independent disease, rather it is a cardinal feature which may arise due to a number of  diseases.  Our society have their own unchanging habits, they find it amusing to discuss about married couples with no children.  They consider a childless mother as inauspicious, and is usually not allowed to participate in religious and auspicious ceremonies. Often she is ignored, insulted and laughed at.   Although there are number of vast thinking people today  our society still has patches of narrow minded people which is more than enough to destroy our happiness.

Allopathic view

There are several treatments available in allopathic medicine for both men and women to help conceive and maintain healthy pregnancy. Treatments are in the form of oral medication, injections and treatment cycles. Depending upon the cause many other techniques are also used. These techniques work best when the woman has a healthy uterus and the man has healthy sperm.  Most of the time the treatments  are extremely expensive and even though they use high-end-state-of-the-art technologies, they do not always work. In addition, these procedures have complications and strong psychological impact on most couples undergoing them.

Ayurvedic view
According to Ayurveda, infertility exists when a healthy couple is unable to achieve pregnancy after two or more years or fail to conceive for several years after the first delivery.  Ayurveda has been treated the cases of  infertility  with its medicines and therapies since  thousand years  before even discoveries of modern equipments and medicines. Ayurvedic  physicians have had to explore the human system in different ways without any tools. They closely watched what the human body did naturally and applied this accordingly coming up with different reasons as to why a woman got pregnant and why she could not become pregnant.  Ayurveda gives infertile women or couples the ability through treatment to become fertile and to improve the overall health to be able to conceive naturally without the use of Western modalities or in co ordinance with Western medicine.

In Ayurveda infertility is given under the following headings

  1. Vandya (Absolute inability to become pregnant at all.)
  2. Apraja (Primary infertility.)
  3. Sapraja (Secondary infertility)

Causes of infertility

The important factor for a garbha are Ksetra,  Bija, Ritu  and Ambu.

  1. Ksetra :-

Here ksetra refers to a healthy yoni or uterus. It is not only refers to the uterus but also to the other selected reproductive organs. It is very important that each female should know about the health of their reproductive system.

Following can cause infertility

  1. Congenital or acquires diseases of vagina, cervix, uterus or fallopian tube
  2. Injury to the artava vaha stroses (those organ through which ovum travels).
  3. Injury due to some local surgery.
  4. Prolapsed uterus, cervical erosion
  5. Deep lacerations during previous labors
  6. Also due to faulty male systems, like dryness of penis etc.

II Bija:-

Refers to the healthy sperm, ovum also the ovarian hormones.  Unhealthy male semen on analysis shows faults in the count, motility and the health of the sperms. Destruction of the health of eggs in PCOD, Cervicitis and other menstrual problems. Also refuse to the hormonal balance, which is very essential in building a strong garbha.

III Ritu:-

It refers to the kala or time period – ie. Fertile period. This can be described under theheadings of age and menstrual cycle.   When it refers to age – a woman can not conceive during her childhood or old age and also does not conceive during puerparium and to a certain extent during lactation. Also the ritu refers to the proper working of menstrual cycle. Her menstrual cycle should have proper dates every month and should have proper amount of blood flow. Any disturbance in her datus can cause infertility.

  1. Ambu

Refers to the proper nutrient fluids. This refers to the abnormal diet. Imbalanced diet, unhealthy  food  substance,  feeding on fast food to satisfy hunger causes loss of datus (tissues). The conversion of food to shukra  (sperm & ovum) passes through a series of processes, so it is proven that healthy shukra  is  directly  related  to  food. Also  unhealthy  food influences the normal secretion of hormones and many inhibit pregnancy.  Also after pregnancy, if fertilized egg do not get enough nutrients or if the mother’s diet is incomplete the garbha fails to develop after implantation.

Other factors includes

  1. Hridaya or manas

The calmness of manas is very important for a better pregnancy and motherhood. This may sound irrelevant in the past, but now it plays a significant role. Coitus with a woman who is hungry, or sorrow stricken cannot result in a healthy pregnancy. Another dreadful factor & stress, this is a fast growing mind disease. Couples rarely find time for each other, and the time find too is stressful with home and work disturbances. This too should be overcome by self adjusting and stress management treatment.

  1. Loss of bala or strength

There is rare, but still relevant. Child marriage can result in the loss of physical strength and the capacity to become pregnant, so it is essential to follow diet, which strengthens the uterus and related organs.

  1. Daiva or causes of God

There is an Ayurvedic factor, but still believed many of us. In short is a decision made to God that a particular couple becomes childless.  Much is not said about this in classical texts.

We at Apthasree

Here  we at apthasree believe that  to get a child  is a blessing of the god. Here  we  work  in this field to make this blessing more fruitful.  To conceive  is the desire of all parents but more important to have a physically and mentally  healthy child.  For this the pregnancy  should be  properly planned.  Properly planned in the sense the purification of egg and sperm along with purification and strengthening of the uterus has to be done for proper implantation.

For male we do treatments treatments to increase the quality and quantity  of sperm  by panchakarma treatments and internal medicines.  There  are special procedures like snehapana, vamana, virechana, vasthi  which can be done according to the person  for detoxifying and rejuvenating sperm. It is scientifically proved that  after these panchakarma and internal medicines there is an increase in the quality and quantity of  sperm which are ready for fertilization.  Similarly for mother also the strength of the uterus and For female also the strength of the uterus and balance of hormones can be obtained by internal medicines and also by panchakarma treatments.  Even after conception  the diet, medicines and therapies   can be advised to maintain the pregnancy.

The antinatal care plan can be adopted  in the plan of monthly routines  of diet, medicines and suitable therapies can be planned which will help in proper growth  & development of the fetus and easy and safe delivery.

Not only antinatal care, but post natal care  of the mother and baby can be planned.  The diet, routine and ayurvedic therapies, yoga for mother can be planned which will  help to regain the health completely. The care of the baby from first day  itself can be planned.


Being childless is not an illness, it is a slow growing tenour of the mind. When Ayurveda can give a number of answers with its medicine and special treatment it is time we put this problem aside and bring happy mothers in to this world. Apthasree ayurveda here it is with its authentic ayurvedic principles to help and treat the couple with infertility  by physically, mentally and spiritually detox therapies  to get a healthy child.