Efficacy of whole system ayurveda protocol in irritable bowel syndrome – A Randomized controlled clinical trial

Irritable bowel syndrome (IBS) is one of the clinically challenging disorders. It has a significant effect on health, cost and quality of life. Ayurveda management through whole system approach in IBS is explored. To evaluate the efficacy of whole system Ayurveda approach in IBS. The present trial i...

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Bibliographic Details
Published in:	Journal of ayurveda and integrative medicine Vol. 14; no. 1; p. 100592
Main Authors:	Naik, Teja D., Tubaki, Basavaraj R., Patankar, Devayani S.
Format:	Journal Article
Language:	English
Published:	United States Elsevier B.V 01-01-2023 Elsevier
Subjects:	Irritable bowel syndrome Kalingadi churna Original (Clinical) Whole system research ayurveda protocol Whole system research ayurveda protocol Kalingadi churna Irritable bowel syndrome
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Summary:	Irritable bowel syndrome (IBS) is one of the clinically challenging disorders. It has a significant effect on health, cost and quality of life. Ayurveda management through whole system approach in IBS is explored. To evaluate the efficacy of whole system Ayurveda approach in IBS. The present trial is a randomized controlled parallel group study. 48 patients diagnosed as IBS (Rome IV Criteria) between the age group of 20–60 yrs were recruited in the study. Patients were randomly divided into 2 groups. KC group intervened with Kalingadi Churna 3 gm twice a day, before food with buttermilk. WS group intervened with whole system ayurveda protocol (WSAP). Duration of intervention was 60 days with follow up on every 15th day. Assessments were through various clinical measures like IBS Symptom Severity Score (IBS-SSS), IBS Adequate Relief (IBS-AR), Gastrointestinal symptom rating scale (GSRS), IBS-VAS, Complete Spontaneous Bowel Movements (CSBMs), Bristol Stool Form (BSF), Hamilton Anxiety Rating Scale (HARS), Hamilton Depression Rating Scale (HDRS), IBS quality of life (IBS-QoL) at every follow up. Hemoglobin, Erythrocyte sedimentation rate and stool examination was conducted at pre and post study. Study showed that WS group had significant improvement compared to KC group in IBS-SSS, IBS-AR, IBS-VAS, CSBM, BSF-Diarrhea and BSF-Constipation. Both groups were comparable in GSRS, HARS, HDRS and IBS-QOL. Blood and stool parameters assessments showed comparable improvements in both the groups. Within group significant improvements in all the clinical assessment scales were observed in both the groups. WSAP was effective in management of IBS (IBS constipation and IBS diarrhea). Improvements were observed in abdominal pain, stool frequency, consistency and adequate relief.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0975-9476 0976-2809
DOI:	10.1016/j.jaim.2022.100592