Management of Irritable Bowel Syndrome-Unclassified (IBS-U) Through Ayurvedic Multimodal Therapy

Abstract

Irritable Bowel Syndrome (IBS) is a chronic functional gastrointestinal disorder characterized by recurrent abdominal pain associated with altered bowel habits in the absence of any structural pathology. In Ayurveda, IBS exhibits close resemblance to Grahani Roga, a disorder resulting from Agnidushti and impairment of digestive and absorptive functions. Case Presentation: A 49-year-old male presented with complaints of abdominal pain, frequent loose stools (6–7 times/day), abdominal bloating, epigastric burning sensation, generalized weakness, disturbed sleep, and reduced appetite for one year. The patient had a history of occupational stress and chronic hepatitis B infection. Investigations including gastrointestinal endoscopy revealed no significant abnormalities. Based on Rome IV criteria, the patient was diagnosed with IBS-Unclassified (IBS-U). From an Ayurvedic perspective, the condition was diagnosed as Grahani Roga. Intervention: The patient was treated with a multimodal Ayurvedic approach comprising Shamana Chikitsa, Pichha Basti, Shirodhara, dietary modifications, and Satvavajaya Chikitsa for 60 days. Outcome: The IBS Symptom Severity Scale (IBS-SSS) score reduced from 350 (severe IBS) to 50 (remission) during follow-up, showing an overall improvement of 85.7%. Significant improvement was observed in abdominal pain, bowel irregularity, appetite, sleep quality, and general well-being. Conclusion: This case highlights the effectiveness of Ayurvedic management based on Grahani Chikitsa Siddhanta in IBS-U. Correction of Agni dysfunction through Deepana, Pachana, Grahi therapy, Panchakarma procedures, and psychological support contributed to sustained clinical improvement.