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=== Abstract ===

=== Abstract ===

The chapter on Atisara chikitsa (management of diarrhoea) - traces the hystorical origin of the disorder since the Vedic period and attributes it to eating of heavy and hot foods specially meat products. There are six types of diarrhoea, three of which are caused by single dosha (vataja, pittaja and kaphaja) while a fourth is caused by the combination of all the three doshas. The fifth and sixth types are caused due to psychological factors such as fear and grief. Some of these variants could be further classified based on their constituents, e.g., vataja atisara (diarrhea caused due to vata dosha) is further divided into amaja and nirāmaja atisara (with or without mucoid substances diarrhoea) and it has been emphasized not to stop the lose motions in initial or ama stage.  

The chapter on [[Atisara Chikitsa]] (management of diarrhoea) traces the hystorical origin of the disorder since the Vedic period and attributes it to eating of heavy and hot foods specially meat products. There are six types of diarrhoea, three of which are caused by single dosha (vataja, pittaja and kaphaja) while a fourth is caused by the combination of all the three doshas. The fifth and sixth types are caused due to psychological factors such as fear and grief. Some of these variants could be further classified based on their constituents, e.g., vataja atisara (diarrhea caused due to vata dosha) is further divided into amaja and nirāmaja atisara (with or without mucoid substances diarrhoea) and it has been emphasized not to stop the lose motions in initial or ama stage.  

The etiology, pathology, signs and symptoms of each of these six types of diarrhoea, along with their prognosis have been detailed here.The principles of treatment and complications associated with diarrhoea, such as bleeding, suppuration, ulceration and  prolapsed anus are also described along with various measures to tackle the problems effectively.  

The etiology, pathology, signs and symptoms of each of these six types of diarrhoea, along with their prognosis have been detailed here.The principles of treatment and complications associated with diarrhoea, such as bleeding, suppuration, ulceration and  prolapsed anus are also described along with various measures to tackle the problems effectively.  

Sangrahi (astringent or anti-diarrheals) therapies are not advisable in the initial stage of the disease beacuase of presence of ama inside the body. Instead, mild laxative should be given to eliminate the accumulated doshas. Diarrhoea should be allowed to continue and should not be stopped by constipating or bowel binding drugs. The patients shall be managed with light to digest, nutritive and liquid diet regimen which enhances power of agni as well as it helps to stop diarrhoea.  

Sangrahi (astringent or anti-diarrheals) therapies are not advisable in the initial stage of the disease beacuase of presence of ama inside the body. Instead, mild laxative should be given to eliminate the accumulated doshas. Diarrhoea should be allowed to continue and should not be stopped by constipating or bowel binding drugs. The patients shall be managed with light to digest, nutritive and liquid diet regimen which enhances power of agni as well as it helps to stop diarrhoea.  

Keywords: atisara, diarrhoea, amaja, niramaja, sangrahi treatment, pichcha basti.  

Keywords: atisara, diarrhoea, amaja, niramaja, sangrahi treatment, pichcha basti.

=== Introduction ===

=== Introduction ===