Ayurveda treatment of constipation by prescribing illness specific medicinal herbs and dietary recommendations

The very first point which comes to mind of any physician when a person comes up with complaints of constipation is slow or irregular bowel movements. If we have to analyze in the principles of ayurveda medical science, constipation is primarily due to imbalance in the vata dosha with blockage in channels. However, there are many other diseases as well where patient gets vata / pitta imbalanced and thus as an associated sign as well constipation does comes up. Its this very prime reason why a patient with chief complaints of constipation must be subjected to a thorough consultation procedures and only then a root cause can be ascertained.

The major concern for a constipated individual being – the waste products are getting stagnated inside the intestines and not being evicted out. And while these waste products are lying inside the digestive tract which can create very serious complication as well if illness becomes chronic in nature. And the worsening aspect being – not only the waste products are lying in the intestines for long, but also the bowel movements as well are compromised and this sends wrong signals to the brain which can create complications in many other diseases.

Constipation in ayurveda is referred as vibandha, Vishtabdhata, Malabaddhata.

Constipation in Ayurveda is viewed as a result of an imbalance in the doshas, primarily Vata dosha, impaired digestive fire (agni), and accumulation of ama (toxins) in the gastrointestinal tract. Ayurveda, an ancient system of medicine originating from India, emphasizes a holistic approach to health that considers the interconnectedness of the mind, body, and spirit.

1. Dosha Imbalance:

   • According to Ayurveda, constipation is often associated with an aggravated Vata dosha. Vata governs the movement in the body, and when it is imbalanced, it can lead to dryness, roughness, and sluggishness in the digestive system.
   • Other doshas, such as Pitta and Kapha, can also play a role in constipation, but an imbalance in Vata is considered primary. Pitta may cause inflammation, and Kapha can lead to a sense of heaviness.

2. Agni (Digestive Fire) Impairment:

   • Ayurveda places significant importance on maintaining a strong digestive fire (agni) for proper digestion and elimination. Weak agni can result in inefficient digestion and absorption of nutrients, leading to the accumulation of undigested food particles in the intestines.
   • Poor agni can be caused by factors such as irregular eating habits, consuming excessive dry or cold foods, and emotional stress.

3. Ama (Toxins) Accumulation:

   • When digestion is compromised, and agni is weak, it can lead to the formation of ama, which is considered a toxic substance in Ayurveda.
   • Ama accumulation in the intestines can create a sticky, mucus-like substance that hinders the smooth movement of stool through the digestive tract.

4. Lifestyle Factors:

   • Ayurveda emphasizes the role of lifestyle factors in maintaining balance. Sedentary habits, lack of physical activity, and erratic eating patterns can contribute to constipation.
   • Insufficient intake of water and dietary fiber can also play a role in the accumulation of dry and hard stools.

5. Ayurvedic Approaches to Relieve Constipation:

   • Dietary Recommendations: Ayurveda recommends a balanced diet that includes warm, moist, and easily digestible foods. Foods rich in fiber, such as fruits, vegetables, and whole grains, help in regulating bowel movements.
   • Herbs and Remedies: Ayurvedic herbs like Triphala, Haritaki, and Isabgol are commonly used to alleviate constipation. These herbs have gentle laxative properties and help in cleansing the digestive tract.
   • Abhyanga (Oil Massage): Regular oil massages, especially with warm sesame oil, are believed to pacify Vata and promote relaxation, which can aid in improving digestion.

6. Yoga and Pranayama:

   • Certain yoga poses, such as Pavanamuktasana (Wind-Relieving Pose) and Bhujangasana (Cobra Pose), are thought to stimulate digestion and relieve constipation.
   • Practicing pranayama (breath control exercises) can also help balance Vata and calm the nervous system.

In conclusion, Ayurveda views constipation as a manifestation of imbalances in the doshas, agni, and the accumulation of ama. Addressing these imbalances through dietary adjustments, lifestyle modifications, and the use of herbal remedies forms the basis of Ayurvedic approaches to promote healthy digestion and regular bowel movements. Always consult with a qualified Ayurvedic practitioner for personalized advice and treatment.

Ayurveda, the ancient system of holistic healing, offers a range of effective home remedies for relieving constipation. These remedies focus on balancing the doshas, improving digestive fire (agni), and promoting overall digestive health. It’s important to note that individual constitutions may vary, so it’s advisable to consult with an Ayurvedic practitioner for personalized advice. Here are some common Ayurvedic home remedies for constipation:

1. Triphala Churna:

   • Triphala is a classic Ayurvedic formula consisting of three fruits – Amalaki (Indian Gooseberry), Bibhitaki, and Haritaki. It is renowned for its gentle laxative properties.
   • Mix one teaspoon of Triphala churna in warm water and consume it before bedtime. This helps in promoting bowel movements and cleansing the digestive tract.

2. Warm Water with Lemon:

   • Drinking a glass of warm water with a squeeze of fresh lemon juice in the morning is a simple yet effective remedy.
   • Lemon helps stimulate digestion, and warm water aids in softening the stool, making it easier to pass.

3. Ginger Tea:

   • Ginger is known for its digestive benefits. Prepare ginger tea by boiling fresh ginger slices in water.
   • Consuming ginger tea helps in promoting digestion, reducing inflammation, and easing constipation.

4. Castor Oil:

   • Castor oil is a traditional Ayurvedic remedy for constipation. It has a laxative effect that helps in promoting bowel movements.
   • Take a teaspoon of castor oil with warm milk before bedtime. It’s essential to use this remedy judiciously and not make it a regular practice.

5. Fennel Seeds (Saunf):

   • Chew a teaspoon of fennel seeds after meals. Fennel seeds help in promoting digestion and relieving bloating and gas.
   • Alternatively, you can prepare a tea by boiling fennel seeds in water and consuming it.

6. Psyllium Husk (Isabgol):

   • Isabgol is a natural source of soluble fiber and is commonly used to relieve constipation.
   • Mix one to two teaspoons of Isabgol in a glass of warm water or milk and consume it before bedtime. Ensure an adequate intake of fluids along with Isabgol.

7. Ajwain (Carom Seeds) Water:

   • Boil a teaspoon of ajwain seeds in a cup of water. Strain and cool the water before drinking.
   • Ajwain water helps in relieving indigestion and can act as a mild laxative.

8. Yogurt with Honey:

   • Probiotic-rich foods like yogurt promote a healthy gut microbiome, aiding in digestion.
   • Mix a tablespoon of honey in a bowl of plain yogurt and consume it regularly.

9. Abdominal Massage with Oils:

   • Warm sesame oil and gently massage your abdomen in a circular motion.
   • Abdominal massage helps stimulate digestion, reduce Vata imbalance, and promote bowel regularity.

10. Ayurvedic Herbal Decoctions:

    • Prepare herbal decoctions using herbs like ginger, licorice, and cumin. These herbs have carminative properties that aid in digestion.
    • Drink these decoctions regularly to support overall digestive health.

While these Ayurvedic home remedies for constipation are generally safe, it’s crucial to be mindful of individual constitutions and any pre-existing health conditions. If constipation persists or worsens, it is advisable to consult with an Ayurvedic practitioner or a healthcare professional for personalized guidance and treatment.

Causes of constipation

In Ayurveda, constipation is seen as a result of imbalances in the doshas, primarily Vata dosha, along with disturbances in the digestive fire (agni) and the accumulation of toxins (ama) in the gastrointestinal tract. The causes of constipation in Ayurveda are multifaceted and often involve a combination of lifestyle, dietary, and psychological factors. Here’s a detailed explanation of the causes:

1. Imbalance in Vata Dosha:

   • Vata is responsible for the movement of all physiological activities, including the propulsion of stool through the intestines. An aggravated Vata dosha can lead to dryness and irregular peristaltic movements, causing constipation.

2. Low Agni (Digestive Fire):

   • Weak digestive fire (agni) results in inefficient digestion and absorption of nutrients. This can lead to the accumulation of undigested food particles in the intestines, contributing to constipation.

3. Insufficient Fiber Intake:

   • Inadequate consumption of dietary fiber can lead to constipation. Fiber adds bulk to the stool, making it easier to pass through the digestive tract. A diet lacking in fruits, vegetables, and whole grains can contribute to dry and hard stools.

4. Dehydration:

   • Insufficient water intake can cause dehydration of the colon, leading to the hardening of stool. Proper hydration is crucial for maintaining the moisture content in the intestines and facilitating smooth bowel movements.

5. Irregular Eating Habits:

   • Erratic eating patterns, such as skipping meals or consuming meals at irregular intervals, can disrupt the natural rhythm of the digestive system. Consistency in meal timing supports the regular functioning of agni and aids in preventing constipation.

6. Sedentary Lifestyle:

   • Lack of physical activity or a sedentary lifestyle can contribute to sluggish digestion and reduced bowel movements. Regular exercise helps stimulate peristaltic movements and supports overall digestive health.

7. Emotional Factors:

   • Ayurveda acknowledges the connection between the mind and the digestive system. Emotional stress, anxiety, and tension can disturb the balance of doshas, particularly Vata, leading to constipation.

8. Suppression of Natural Urges:

   • Ignoring or suppressing the natural urges for bowel movements can disrupt the normal functioning of the colon. Ayurveda emphasizes the importance of responding to natural urges promptly to maintain digestive health.

9. Excessive Intake of Dry and Cold Foods:

   • Consuming an excess of dry, cold, and rough foods, which aggravate Vata dosha, can contribute to constipation. Ayurveda recommends a balance of warm, moist, and nourishing foods to pacify Vata.

10. Medication Side Effects:

    • Certain medications, especially those with a drying effect on the body, can contribute to constipation as they may disturb the natural balance of doshas and affect digestive functions.

11. Age and Hormonal Changes:

    • Aging and hormonal changes, especially in women during menopause, can affect digestive functions. Imbalances in Vata dosha may become more pronounced, leading to constipation.

Addressing constipation in Ayurveda involves identifying and addressing the root causes specific to an individual’s constitution and circumstances. This may include dietary modifications, lifestyle changes, the incorporation of herbal remedies, and practices to balance the doshas. Consulting with an Ayurvedic practitioner is recommended for personalized guidance and treatment to alleviate constipation effectively and holistically.

Illness specific herbs used in preparing ayurveda medications:

The primary medicinal herbs which are used as ingredients in the ayurveda formulation for the treatment protocol of constipation are as follows:

• Danti (Baliospermum montanum)
• Jeeraka (Cumimum cyminum)
• Patola (Trichosanthes dioica)
• Draksha (Vitis vinifera)
• Amla (Emblica officinalis)
• Aragwadha (Cassia fistula)
• Agnimanth (Premna mucronata)
• Guduchi (Tinospora cordifolia)
• Jayaphala (Croton tiglium)
• kumari (Aloe vera)
• Katukarohini (Picorrhiza kurroa)
• Tulasi (Ocimum sanctum)
• Chitrak (Plumbago zeylanica)
• Hareetaki (Terminalia chebula)
• Trivrit (Operculina turpethum)
• Sunthi (Zingiber officinale)
• Jivanti (Leptadenia reticulata)

Ayurveda, the ancient system of holistic healing, harnesses the therapeutic properties of numerous medicinal plants to address various health conditions, including constipation. These plants are selected based on their ability to balance the doshas, improve digestive function, and alleviate symptoms associated with constipation. Here’s a detailed explanation of some commonly used medicinal plants in Ayurveda for constipation:

1. Triphala (Three Fruits):

   • Triphala is a renowned Ayurvedic formula consisting of three fruits: Amalaki (Emblica officinalis), Bibhitaki (Terminalia bellirica), and Haritaki (Terminalia chebula).
   • Amalaki is rich in vitamin C and acts as a gentle laxative, Bibhitaki has astringent properties that help in toning the intestines, and Haritaki supports bowel movements by promoting peristalsis.
   • Triphala is often consumed as a powder or decoction to improve digestion, relieve constipation, and detoxify the body.

2. Psyllium Husk (Isabgol):

   • Psyllium husk, derived from the seeds of Plantago ovata, is a rich source of soluble fiber.
   • When mixed with water, psyllium husk forms a gel-like substance that softens the stool and promotes regular bowel movements.
   • Isabgol is commonly used in Ayurveda to relieve constipation, alleviate hemorrhoids, and support overall digestive health.

3. Senna (Cassia angustifolia):

   • Senna leaves contain compounds called anthraquinones, which have laxative properties.
   • Senna is a potent herbal remedy for acute constipation and is often used in Ayurveda to stimulate bowel movements and relieve discomfort associated with constipation.
   • Due to its strong laxative effect, Senna should be used cautiously and for short durations to avoid dependency.

4. Licorice (Glycyrrhiza glabra):

   • Licorice root is known for its demulcent and mild laxative properties in Ayurveda.
   • It soothes the mucous membranes of the digestive tract, reduces inflammation, and promotes bowel regularity.
   • Licorice is often included in Ayurvedic formulations for constipation to provide gentle relief and support digestive health.

5. Haritaki (Terminalia chebula):

   • Haritaki, one of the components of Triphala, is revered in Ayurveda for its purgative and rejuvenating properties.
   • It helps in regulating bowel movements, relieving abdominal discomfort, and detoxifying the digestive system.
   • Haritaki is commonly used as a single herb or in combination with other herbs to address constipation and promote overall well-being.

6. Ginger (Zingiber officinale):

   • Ginger is a versatile herb known for its carminative, digestive, and anti-inflammatory properties.
   • It stimulates digestion, enhances peristalsis, and relieves gas and bloating, making it beneficial for alleviating constipation.
   • Ginger can be consumed fresh, as a tea, or in powdered form as part of Ayurvedic remedies for constipation.

7. Aloe Vera (Aloe barbadensis):

   • Aloe vera is a succulent plant with laxative and anti-inflammatory properties.
   • Its gel-like substance soothes and lubricates the intestines, facilitating the passage of stool and relieving constipation.
   • Aloe vera juice or gel is consumed orally as a natural remedy for constipation, but it should be used cautiously and in moderation due to its potential laxative effect.

8. Fennel Seeds (Foeniculum vulgare):

   • Fennel seeds are aromatic and possess carminative, digestive, and mild laxative properties.
   • They help in relieving gas, bloating, and abdominal discomfort while promoting digestion and regular bowel movements.
   • Fennel seeds are often chewed after meals or brewed into a tea to alleviate constipation and support digestive health.

9. Castor Oil (Ricinus communis):

   • Castor oil is derived from the seeds of the castor bean plant and is a powerful laxative in Ayurveda.
   • It works by stimulating intestinal contractions and lubricating the stool, making it easier to pass.
   • Castor oil is typically consumed orally as a single dose to relieve acute constipation, but it should be used judiciously and under supervision due to its strong purgative effect.

10. Cumin Seeds (Cuminum cyminum):

    • Cumin seeds are well-known for their digestive and carminative properties in Ayurveda.
    • They help in stimulating digestion, reducing gas, and promoting bowel regularity, making them beneficial for relieving constipation.
    • Cumin seeds can be included in cooking, brewed into a tea, or consumed in powdered form as part of Ayurvedic remedies for constipation.

These medicinal plants are integral to Ayurvedic therapies aimed at alleviating constipation and promoting digestive health. While they offer natural and effective solutions, it’s essential to use them mindfully and in consultation with an Ayurvedic practitioner, especially if you have any underlying health conditions or are pregnant or breastfeeding. Integrating these plants into a balanced lifestyle, along with dietary and lifestyle modifications, can help address constipation holistically and maintain optimal digestive function.

Over the counter ayurveda medications prescribed for Constipation:

• Abharishta
• bahushula guda
• Avipatikar churna
• drakshasava
• Drakshadi avaleha
• Takrarishta
• Triphala choorna
• Trivrit lehyam
• Icchabedi rasa
• Ashwakanchuki rasa
• Naracha rasa
• Kayam churna
• chitrakadi vati
• Gandharvahastadi kashaya
• Sukha virechan vati
• amalki rasayanam

In Ayurveda, various herbal formulations and medications are used to address constipation by targeting the underlying imbalances in the doshas, particularly Vata dosha, and promoting digestive health. These formulations often combine a synergistic blend of medicinal plants to offer a holistic approach to alleviate constipation. Here’s a detailed explanation of some commonly used Ayurvedic medications for constipation:

1. Triphala Churna:

   • Triphala is a classic Ayurvedic formulation consisting of three fruits: Amalaki (Indian Gooseberry), Bibhitaki, and Haritaki.
   • Triphala Churna is a powdered blend of these three fruits, known for their laxative, digestive, and detoxifying properties.
   • It is commonly used to regulate bowel movements, cleanse the digestive tract, and promote overall digestive health.

2. Abhayarishta:

   • Abhayarishta is a liquid Ayurvedic formulation that contains various herbs, including Haritaki, Eranda (Castor), and other digestive herbs.
   • This formulation is known for its mild laxative and digestive properties. It helps relieve constipation, reduce abdominal discomfort, and support healthy bowel function.

3. Isabbael (Isabgol) Husk:

   • Isabbael Husk is a powdered form of Psyllium husk, derived from the seeds of Plantago ovata.
   • It is rich in soluble fiber and is commonly used to soften the stool, increase bulk, and facilitate regular bowel movements.

4. Hingwashtak Churna:

   • Hingwashtak Churna is a powdered formulation containing ingredients like Asafoetida (Hing), Sonth (Ginger), Ajwain (Carom seeds), and other herbs.
   • It is known for its carminative and digestive properties, helping to alleviate gas, bloating, and constipation.

5. Swadishta Virechan Churna:

   • Swadishta Virechan Churna is an Ayurvedic formulation that includes herbs like Haritaki, Trivrit (Operculina turpethum), and Saindhava (Rock salt).
   • It is used to promote natural bowel movements, reduce constipation, and support detoxification.

6. Avipattikar Churna:

   • Avipattikar Churna is a blend of herbs like Trikatu (three pungents), Triphala, and other digestive herbs.
   • This formulation is traditionally used to balance Pitta dosha, improve digestion, and relieve constipation associated with excess heat in the body.

7. Eranda Taila (Castor Oil):

   • Eranda Taila, or Castor Oil, is a traditional Ayurvedic remedy for constipation.
   • It has a strong laxative effect and is often used to stimulate bowel movements, lubricate the intestines, and relieve constipation. However, it should be used cautiously and under guidance due to its potent nature.

8. Lavan Bhaskar Churna:

   • Lavan Bhaskar Churna is a powdered formulation containing herbs like Rock salt, Amla (Indian Gooseberry), and other digestive herbs.
   • It is used to balance digestive fire, improve appetite, and alleviate constipation associated with a Vata imbalance.

9. Panchasakar Churna:

   • Panchasakar Churna is a combination of five ingredients, including Saindhava (Rock salt), Shunti (Ginger), Haritaki, Trivrit, and Sauvarchala lavana (Black salt).
   • This formulation is known for its purgative and laxative properties, providing relief from constipation by promoting bowel movements.

10. Avipattikar Kshar:

    • Avipattikar Kshar is an Ayurvedic alkaline preparation containing herbs like Triphala, Vidanga (Embelia ribes), and other digestive herbs.
    • It is used to balance Pitta dosha, alleviate hyperacidity, and relieve constipation associated with digestive imbalances.

It’s important to note that Ayurvedic medications should be used under the guidance of a qualified Ayurvedic practitioner to ensure their appropriate use and dosage. Individual constitutions, dosha imbalances, and specific health conditions should be considered for personalized treatment plans. Integrating these medications with lifestyle modifications, dietary changes, and other Ayurvedic practices provides a comprehensive approach to managing constipation and promoting overall well-being.