Atisara Chikitsa - Revision history

Agnivesha: /* Sannipataja atisara */

2025-11-12T06:06:14Z

Sannipataja atisara

← Older revision		Revision as of 06:06, 12 November 2025
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	=== Sannipataja atisara ===		=== Sannipataja atisara ===
	<div class="mw-collapsible mw-collapsed">		<div class="mw-collapsible mw-collapsed">
	अतिशीतस्निग्धरूक्षोष्णगुरुखरकठिनविषमविरुद्धासात्म्यभोजनादभोजनात्कालातीतभोजनाद्यत्किञ्चिदभ्यवहरणात्प्रदुष्टमद्यपानीयपानादतिमद्यपानादसंशोधनात्प्रतिकर्मणांविषमगमनादनुपचाराज्ज्वलनादित्यपवनसलिलातिसेवनादस्वप्ना- दतिस्वप्नाद्वेगविधारणादृतुविपर्ययादयथाबलमारम्भाद्भयशोकचित्तोद्वेगातियोगात्कृमिशोषज्वरार्शोविकारातिकर्षणाद्वाव्यापन्नाग्नेस्त्रयोदोषाःप्रकुपिताभूयएवाग्निमुपहत्यपक्वाशयमनुप्रविश्यातीसारंसर्वदोषलिङ्गंजनयन्ति \|\|८\|\|		अतिशीतस्निग्धरूक्षोष्णगुरुखरकठिनविषमविरुद्धासात्म्यभोजनादभोजनात्कालातीतभोजनाद्यत्किञ्चिदभ्यवहरणात्प्रदुष्टमद्यपानीयपानादतिमद्यपानादसंशोधनात्प्रतिकर्मणां
			विषमगमनादनुपचाराज्ज्वलनादित्यपवनसलिलातिसेवनादस्वप्ना-दतिस्वप्नाद्वेगविधारणादृतुविपर्ययादयथाबलमारम्भाद्भयशोकचित्तोद्वेगातियोगात्कृमि
			शोषज्वरार्शोविकारातिकर्षणाद्वाव्यापन्नाग्नेस्त्रयोदोषाः
			प्रकुपिताभूयएवाग्निमुपहत्यपक्वाशयमनुप्रविश्यातीसारंसर्वदोषलिङ्गंजनयन्ति \|\|८\|\|
	<div class="mw-collapsible-content">		<div class="mw-collapsible-content">

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	*Intake of food long after the scheduled time;		*Intake of food long after the scheduled time;
	*Intake of food without caring for its wholesomeness or otherwise;		*Intake of food without caring for its wholesomeness or otherwise;
	*Drinking of alcohol and other drinks which are “polluted”, toxic or harmful;		*Drinking alcohol and other drinks which are “polluted”, toxic or harmful;
	*Drinking of alcohol in excess;		*Drinking alcohol in excess;
	*Not resorting to elimination therapies (in appropriate seasons);		*Not resorting to elimination therapies (in appropriate seasons);
	*Inappropriate administration or non-administration of therapeutics;		*Inappropriate administration or non-administration of therapeutics;
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	*Suppression of natural urges;		*Suppression of natural urges;
	*Not resorting to appropriate regimens during different seasons,		*Not resorting to appropriate regimens during different seasons,
	*Over courageous attitude;		*Over-courageous attitude;
	*Excessive exposure to fear, grief and anxiety; and		*Excessive exposure to fear, grief and anxiety; and
	*Excessive emaciation due to worm-infection, consumption, fever and piles (bleeding).		*Excessive emaciation due to worm-infection, consumption, fever and piles (bleeding).

Agnivesha at 10:21, 23 February 2024

2024-02-23T10:21:46Z

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	\|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]		\|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]
	\|label6 = Translator and commentator		\|label6 = Translator and commentator
	\|data6 = Byadgi P.S.,Dube N.		\|data6 = Byadgi P.S., Dube N.
	\|label7 = Reviewer		\|label7 = Reviewer
	\|data7 = Prasad B.S.		\|data7 = Prasad B.S.
	\|label8 = Editors		\|label8 = Editors
	\|data8 = Singh G., Goyal M., Deole Y.S., Basisht G.		\|data8 = Singh G., Goyal M., [[Yogesh Deole\|Deole Y.S.]], [[Gopal Basisht\|Basisht G.]]
	\|label9 = Year of publication		\|label9 = Year of publication
	\|data9 = 2020		\|data9 = 2020

Agnivesha at 12:39, 6 March 2023

2023-03-06T12:39:24Z

← Older revision		Revision as of 12:39, 6 March 2023
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	<big>''' Abstract </big>'''		<big>''' Abstract </big>'''
	<~~div~~ style="text-align:justify;">		<p style='text-align:justify;'>The chapter on [[Atisara Chikitsa]] (management of diarrhea) traces the historical 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 diarrhea, three of which are caused by single [[dosha]] ([[vata]]ja, [[pitta]]ja and [[kapha]]ja) while a fourth is caused by the combination of all the three [[dosha]]. 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., [[vata]]ja atisara (diarrhea caused due to [[vata]] [[dosha]]) is further divided into ''ama'' and ''nirama atisara'' (with or without mucoid substances diarrhea) and it has been emphasized not to stop the lose motions in initial or ''ama'' stage.
	The chapter on [[Atisara Chikitsa]] (management of diarrhea) traces the historical 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 diarrhea, three of which are caused by single [[dosha]] ([[vata]]ja, [[pitta]]ja and [[kapha]]ja) while a fourth is caused by the combination of all the three [[dosha]]. 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., [[vata]]ja atisara (diarrhea caused due to [[vata]] [[dosha]]) is further divided into ''ama'' and ''nirama atisara'' (with or without mucoid substances diarrhea) and it has been emphasized not to stop the lose motions in initial or ''ama'' stage.		<br/>

	The etiology, pathology, signs and symptoms of each of these six types of diarrhea, along with their prognosis have been detailed here.The principles of treatment and complications associated with diarrhea, 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 diarrhea, along with their prognosis have been detailed here.The principles of treatment and complications associated with diarrhea, such as bleeding, suppuration, ulceration and prolapsed anus are also described along with various measures to tackle the problems effectively.
			<br/>
	''Sangrahi'' (astringent or anti-diarrheals) therapies are not advisable in the initial stage of the disease because of presence of ''ama'' inside the body. Instead, mild laxative should be given to eliminate the accumulated [[dosha]]. Diarrhea 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 the power of [[agni]] as well as it helps to stop diarrhea. </~~div~~>		''Sangrahi'' (astringent or anti-diarrheals) therapies are not advisable in the initial stage of the disease because of presence of ''ama'' inside the body. Instead, mild laxative should be given to eliminate the accumulated [[dosha]]. Diarrhea 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 the power of [[agni]] as well as it helps to stop diarrhea. </p>

	'''Keywords''': atisara, diarrhea, ama, nirama, sangrahi treatment, pichcha [[basti]].		'''Keywords''': atisara, diarrhea, ama, nirama, sangrahi treatment, pichcha [[basti]].

Agnivesha at 06:41, 20 September 2022

2022-09-20T06:41:30Z

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			{{CiteButton}}
	{{#seo:		{{#seo:
	\|title=Atisara Chikitsa		\|title=Atisara Chikitsa

Eganeesh: /* Further reading */

2021-09-23T22:27:53Z

Anaghas: /* Prevention of atisara */

2021-07-29T07:08:48Z

Prevention of atisara

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	==== ''Atisara'' can be prevented by following measures ====		==== ''Atisara'' can be prevented by following measures ====
	#Avoiding causative factors		#Avoiding causative factors
	#Strengthening ''agni'' (digestive processes) by following dietary rules		#Strengthening [[agni]] (digestive processes) by following dietary rules
	#Observing body purification treatments as per ~~''prakriti''~~ and season		#Observing body purification treatments as per [[Prakriti]] and season

	==== Current clinical management in [[Ayurveda]] practice ====		==== Current clinical management in [[Ayurveda]] practice ====
	*'''Principles of treatment''': ''deepana, grahi, pachana,'' buttermilk		*'''Principles of treatment''': [[deepana]], grahi, [[pachana]], buttermilk
	*'''Main drugs''': ''kutaja, ahiphena, bhanga, bhallataka, bilva''		*'''Main drugs''': ''kutaja, ahiphena, bhanga, bhallataka, bilva''

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	! scope="col"\| ''Anupana''		! scope="col"\| ''Anupana''
	\|-		\|-
	\| rowspan="2"\|''Vata'' and ''kapha'' dominant		\| rowspan="2"\|[[Vata]] and [[kapha]] dominant
	\| ''Jatiphaladi–bhallataka guti''		\| ''Jatiphaladi–bhallataka guti''
	\| 60-120 mg		\| 60-120 mg
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	\| Buttermilk		\| Buttermilk
	\|-		\|-
	\|''Pitta'' and ''kapha'' dominant		\|[[Pitta]] and [[kapha]] dominant
	\| ''Kutaja kalpa''		\| ''Kutaja kalpa''
	\| 60-120 mg		\| 60-120 mg
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	\| Ricewater with Buttermilk		\| Ricewater with Buttermilk
	\|-		\|-
	\|~~''Raktaja''~~		\|[[Rakta]]ja
	\| ''Shatavaryadi kwatha''		\| ''Shatavaryadi kwatha''
	\| 25-40 ml		\| 25-40 ml
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	A combination of ''musta'' (cyperus rotundus), ''ativisha'' (aconitum heterophyllum), ''kutaja'' (holarrhena antidysenterica), ''chitraka'' (plumbago zeylanica) and ''bilva'' (Aegle marmelos) was found effective in management of ''atisara''.<ref>Sridhar B.N., Gopakumar K., Jaya N. Mustadi yoga-A new preparation for treatment of atisara. Aryavaidyan,10(4).May-July 1997;222-225. </ref>		A combination of ''musta'' (cyperus rotundus), ''ativisha'' (aconitum heterophyllum), ''kutaja'' (holarrhena antidysenterica), ''chitraka'' (plumbago zeylanica) and ''bilva'' (Aegle marmelos) was found effective in management of ''atisara''.<ref>Sridhar B.N., Gopakumar K., Jaya N. Mustadi yoga-A new preparation for treatment of atisara. Aryavaidyan,10(4).May-July 1997;222-225. </ref>

	''Kutaja'' is widely used and first preferred drug in management of ''atisara''. It is mainly indicated in conditions of vitiated ''kapha-pitta'' and as a ''sangrahi'' (styptic) and ''shoshana'' (absorbent)(Charak sutra 25/40). In an in-vitro study, sterile double dilution aqueous extract of ''kutaja'' was found effective to inhibit growth of E. coli, staphylococcus aureus, salmonella Typhi.<ref>Shrivastava Niraj, Saxena Varsha. Antibacterial activity of Kutaja(Holarrhena antidysenterica Linn.) in childhood diarrhea:-In vitro study. The Pharma Innovation Journal 2015;4(4):97-99 .</ref> Thus ''kutaja'' can be used for all purpose in management of ''atisara''.		''Kutaja'' is widely used and first preferred drug in management of ''atisara''. It is mainly indicated in conditions of vitiated [[kapha]]-[[pitta]] and as a ''sangrahi'' (styptic) and ''shoshana'' (absorbent)(Charak sutra 25/40). In an in-vitro study, sterile double dilution aqueous extract of ''kutaja'' was found effective to inhibit growth of E. coli, staphylococcus aureus, salmonella Typhi.<ref>Shrivastava Niraj, Saxena Varsha. Antibacterial activity of Kutaja(Holarrhena antidysenterica Linn.) in childhood diarrhea:-In vitro study. The Pharma Innovation Journal 2015;4(4):97-99 .</ref> Thus ''kutaja'' can be used for all purpose in management of ''atisara''.

	Nitin Salve and Debendranath Mishra studied the botanical identification of plants described in text Madhava chikitsa for the treatment of diarrhea.<ref>Nitin Salve, Debendranath Mishra. Botanical identification of plants described in text Madhava chikitsa for the treatment of diarrhoea. Anc Sci Life.2016 Apr-Jun:35(4):195-200 </ref>		Nitin Salve and Debendranath Mishra studied the botanical identification of plants described in text Madhava chikitsa for the treatment of diarrhea.<ref>Nitin Salve, Debendranath Mishra. Botanical identification of plants described in text Madhava chikitsa for the treatment of diarrhoea. Anc Sci Life.2016 Apr-Jun:35(4):195-200 </ref>
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	The conditions like ulcerative colitis, irritable bowel syndrome, acute diarrhea are considered under the umbrella of ''atisara''.		The conditions like ulcerative colitis, irritable bowel syndrome, acute diarrhea are considered under the umbrella of ''atisara''.

	In a study on 43 patients of ulcerative colitis, Patel M.V.et.al observed 80% reduction in signs and symptoms of ulcerative colitis by Ayurvedic treatment. The treatment included ''udumbara kwatha'' combination of ''lodhra, musta, nagakeshara,mukta panchamrita rasa, kutaja ghana vati'' and ''udumbara kwatha basti''. It also highlighted disease modifying effect and reduction in use of steroidal drugs in the patients. <ref>Patel M.V.,Patel K.B., Gupta S.N. Effects of Ayurvedic treatment on forty three patients of ulcerative colitis. AYU,Oct-Dec 2010,31(4), 478-481.</ref>		In a study on 43 patients of ulcerative colitis, Patel M.V.et.al observed 80% reduction in signs and symptoms of ulcerative colitis by Ayurvedic treatment. The treatment included ''udumbara kwatha'' combination of ''lodhra, musta, nagakeshara,mukta panchamrita rasa, kutaja ghana vati'' and udumbara kwatha [[basti]]. It also highlighted disease modifying effect and reduction in use of steroidal drugs in the patients. <ref>Patel M.V.,Patel K.B., Gupta S.N. Effects of Ayurvedic treatment on forty three patients of ulcerative colitis. AYU,Oct-Dec 2010,31(4), 478-481.</ref>

	A study found that a combination of ''nagarmotha'' (Cyperus rotundus L.), ''indrayava'' (Holarrhena antidysenterica (L.) Wall.), ''nagakeshara'' (Mesua ferrea L.), ''madhuyashti'' (Glycyrrhiza glabra L.), and ''amalaki'' (Emblica officinalis Gaertn.) powders, along with ''dadimashtaka choorna, shankha bhasma, mustarista'' and ''dhanyapanchaka kvatha'' showed significant response in case of ''pravahika'' (irritable bowel syndrome). <ref>Pooja BA, Bhatted S. Ayurvedic management of Pravahika – A case report. Ayu 2015;36:410-2. </ref>		A study found that a combination of ''nagarmotha'' (Cyperus rotundus L.), ''indrayava'' (Holarrhena antidysenterica (L.) Wall.), ''nagakeshara'' (Mesua ferrea L.), ''madhuyashti'' (Glycyrrhiza glabra L.), and ''amalaki'' (Emblica officinalis Gaertn.) powders, along with ''dadimashtaka choorna, shankha bhasma, mustarista'' and ''dhanyapanchaka kvatha'' showed significant response in case of ''pravahika'' (irritable bowel syndrome). <ref>Pooja BA, Bhatted S. Ayurvedic management of Pravahika – A case report. Ayu 2015;36:410-2. </ref>

Anaghas: /* Subjective and objective parameters */

2021-07-29T07:03:31Z

Subjective and objective parameters

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	==== Subjective and objective parameters ====		==== Subjective and objective parameters ====

	Frequency of bowel more than three times a day with stool weight less than 200 grams with more watery content are considered as diarrhea. The quantity is less in ''vata'' dominance, medium in ''pitta'' dominance and more in ''kapha'' dominant. Frequency is more in ''vata'' dominance, medium in ''pitta'' dominance and less in ''kapha'' dominance. The consistency of stool also differs according to ''dosha'' dominance as described in the text. ''Purisha pariksha'' (stool examination) is researched further in view of frequency, consistency, smell, its specific gravity in water to determine the ''ama'' and ''nirama'' status of ''purisha''.		Frequency of bowel more than three times a day with stool weight less than 200 grams with more watery content are considered as diarrhea. The quantity is less in [[vata]] dominance, medium in [[pitta]] dominance and more in [[kapha]] dominant. Frequency is more in [[vata]] dominance, medium in [[pitta]] dominance and less in [[kapha]] dominance. The consistency of stool also differs according to [[dosha]] dominance as described in the text.[[Purisha]] pariksha (stool examination) is researched further in view of frequency, consistency, smell, its specific gravity in water to determine the ''ama'' and ''nirama'' status of [[purisha]].
	[[File:Atisara.png]]		[[File:Atisara.png]]

Anaghas: /* Pathophysiological factors of endogenous diarrhea */

2021-07-29T07:01:40Z

Pathophysiological factors of endogenous diarrhea

← Older revision		Revision as of 07:01, 29 July 2021
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	=== Pathophysiological factors of endogenous diarrhea ===		=== Pathophysiological factors of endogenous diarrhea ===

	*Dosha: Vata dominant three dosha		* [[Dosha]]: [[Vata]] dominant three [[dosha]]
	*Dhatu (vitiated factors): Udaka (body fluid), Rasa dhatu		* [[Dhatu]] (vitiated factors): Udaka (body fluid), [[Rasa dhatu]]
	*Mala kriya affected: Purisha (defecation)		* [[Mala]] kriya affected: [[Purisha]] (defecation)
	*Status of agni: Manda (poor)		* Status of [[agni]]: Manda (poor)
	*Origin of disease: Pakwashaya (large intestine)		* Origin of disease: Pakwashaya (large intestine)
	*Sites of vitiation: large intestine		* Sites of vitiation: large intestine
	*Sites of clinical presentation: rectum and anus		* Sites of clinical presentation: rectum and anus
	*Srotasa involved: Purishavaha srotasa and udakavaha srotasa		* Srotasa involved: Purishavaha srotasa and udakavaha srotasa
	*Type of samprapti: atipravritti (excess discharge)		* Type of samprapti: atipravritti (excess discharge)

	=== Management protocol of endogenous diarrhea ===		=== Management protocol of endogenous diarrhea ===

Anaghas: /* Tattva Vimarsha (Fundamental Principles) */

2021-07-29T07:00:05Z

Tattva Vimarsha (Fundamental Principles)

Anaghas: /* Principle of treatment of sannipataja atisara */

2021-07-29T06:55:17Z

Principle of treatment of sannipataja atisara

← Older revision		Revision as of 06:55, 29 July 2021
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	For the cure of ''sannipataja atisara,'' following therapy and recipes should be administered:		For the cure of ''sannipataja atisara,'' following therapy and recipes should be administered:
	*The aggravated ''vata'' should be pacified first followed by the alleviation of the aggravated ''pitta'' followed by alleviation of ''kapha''.		*The aggravated [[vata]] should be pacified first followed by the alleviation of the aggravated [[pitta]] followed by alleviation of [[kapha]].
	*Alternatively, the most aggravated one should be controlled first followed by the treatment of the remaining two ''dosha'' [122].		*Alternatively, the most aggravated one should be controlled first followed by the treatment of the remaining two [[dosha]] [122].

	=== Summary ===		=== Summary ===

← Older revision		Revision as of 22:27, 23 September 2021
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	#Harrison’s principles of internal medicine 17th Ed. (2008) Ed. by Fauci Kasper D.L., A.S., Longo D.L., Braunwal Eugene, Hauser S.J., Jameson J.L.. Joseph Loscalzo., Pub. MacGraw-Hill USA, Vol.-2, Chapter 338.		#Harrison’s principles of internal medicine 17th Ed. (2008) Ed. by Fauci Kasper D.L., A.S., Longo D.L., Braunwal Eugene, Hauser S.J., Jameson J.L.. Joseph Loscalzo., Pub. MacGraw-Hill USA, Vol.-2, Chapter 338.
	</div>		</div>
			<big>'''[[Special:ContactMe\|Send us your suggestions and feedback on this page.]]'''</big>

	== References ==		== References ==

← Older revision		Revision as of 07:00, 29 July 2021
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	== Tattva Vimarsha (Fundamental Principles) ==		== Tattva Vimarsha (Fundamental Principles) ==

	*''Atisara'' is caused by intake of heavy to digest, excessively hot and food that is incompatible to the body, impairment of ''agni'' and mind. The body reacts to expel out the incompatible material out of gut in the form of ''atisara''.		*''Atisara'' is caused by intake of heavy to digest, excessively hot and food that is incompatible to the body, impairment of [[agni]] and mind. The body reacts to expel out the incompatible material out of gut in the form of ''atisara''.
	*There are five categories of etio-pathological factors for ''atisara'':		*There are five categories of etio-pathological factors for ''atisara'':
	#Reduced ''agni'',		#Reduced [[agni]],
	#Vitiated ''vata'' and its sub types ''samana'' and ''apana''.		#Vitiated [[vata]] and its sub types ''samana'' and ''apana''.
	#Vitiated body fluids.		#Vitiated body fluids.
	#Vitiated ''purishavaha srotas'' (lower gastro-intestinal tract) and organs of excretion.		#Vitiated ''purishavaha srotas'' (lower gastro-intestinal tract) and organs of excretion.
	#Fear and grief (mental).		#Fear and grief (mental).
	*Interaction of ~~''prakriti''~~ (basic constitution) and the diet and lifestyle of similar properties (as that of ''dosha ~~prakriti''~~) makes the person susceptible for ''atisara''.		*Interaction of [[Prakriti]] (basic constitution) and the diet and lifestyle of similar properties (as that of [[dosha]] [[Prakriti]]) makes the person susceptible for ''atisara''.
	*The exogenous factors like consumption of intoxicating beverages, exposure to '''krimi''' (bacteria and parasites), other diseases like ''shosha, jwara, arsha'' influence all the above factors and three ''dosha'' to cause ''sannipatik atisara'' (diarrhea) which includes bloody diarrhea.		*The exogenous factors like consumption of intoxicating beverages, exposure to '''krimi''' (bacteria and parasites), other diseases like ''shosha, jwara, arsha'' influence all the above factors and three [[dosha]] to cause ''sannipatik atisara'' (diarrhea) which includes bloody diarrhea.
	*If spicy, hot, dry food in large quantity is ingested when ''agni'' is low, undigested food becomes waste product and ''samana vata'' sends it to excretory channels where ''apana vayu'' increases the motility of ''purishavaha srotas'' to excretes these large waste products, frequently.		*If spicy, hot, dry food in large quantity is ingested when [[agni]] is low, undigested food becomes waste product and samana [[vata]] sends it to excretory channels where ''apana vayu'' increases the motility of ''purishavaha srotas'' to excretes these large waste products, frequently.
	*To fill this vacuum created by expulsion of wastes, the body fluids shift to the gut and get expelled out as ''atisara''/diarrhea causing dehydration.Thus after involvement of ''purishavaha srotasa'' ( lower GIT), ''udakavaha srotasa'' (body fluids) is also predominantly involved in pathogenesis of ''atisara''.		*To fill this vacuum created by expulsion of wastes, the body fluids shift to the gut and get expelled out as ''atisara''/diarrhea causing dehydration.Thus after involvement of ''purishavaha srotasa'' ( lower GIT), ''udakavaha srotasa'' (body fluids) is also predominantly involved in pathogenesis of ''atisara''.
	*Fear and grief are two important mental factors leading to ''atisara''. The presentation and treatment of this ''atisara'' is similar to ''vata'' dominant ''atisara''. The fear shall be treated with ''harshana''(exhilaration) treatment and grief shall be treated with ''ashwasana'' (consolation) therapy.		*Fear and grief are two important mental factors leading to ''atisara''. The presentation and treatment of this ''atisara'' is similar to [[vata]] dominant ''atisara''. The fear shall be treated with ''harshana''(exhilaration) treatment and grief shall be treated with ''ashwasana'' (consolation) therapy.
	*The endogenous ''atisara'' shall be treated after proper assessment of dominant ''dosha'', causative factors and pacifying factors,		*The endogenous ''atisara'' shall be treated after proper assessment of dominant [[dosha]], causative factors and pacifying factors,
	*At the initial stage of ''atisara'' when undigested food is being expelled, ''stambhan'' (anti diarrheal treatment) is strictly contraindicated. If ''stambhana'' is given, it leads to various complications. Mild laxatives like ''haritaki'' shall be administered for evacuating the ''mala'' (accumulated undigested wastes). ''Deepana'' and ''pachana'' (stimulation of ''agni'' for digestion and metabolism) should be given with light nutritive liquid foods. After restoration of ''agni, ~~stambhan''~~ is given and care should taken to keep ''vata'' balanced.		*At the initial stage of ''atisara'' when undigested food is being expelled, ''stambhan'' (anti diarrheal treatment) is strictly contraindicated. If ''stambhana'' is given, it leads to various complications. Mild laxatives like ''haritaki'' shall be administered for evacuating the [[mala]] (accumulated undigested wastes). [[Deepana]] and [[pachana]] (stimulation of [[agni]] for digestion and metabolism) should be given with light nutritive liquid foods. After restoration of [[agni]], [[stambhana]] is given and care should taken to keep [[vata]] balanced.
	*In case of prolapse of rectum, medicated ghee processed with sour herbs or ''anuvasana'' (unctuous enema) is prescribed.		*In case of prolapse of rectum, medicated ghee processed with sour herbs or ''anuvasana'' (unctuous enema) is prescribed.
	*Various states of ''atisara'' like that mixed with mucous, blood, associated with colic pain shall be treated with ''pichcha basti'' (mucilaginous enema).		*Various states of ''atisara'' like that mixed with mucous, blood, associated with colic pain shall be treated with pichcha [[basti]] (mucilaginous enema).
	*When ''kapha'' gets reduced because of the above mentioned therapeutic measures, the ''vata'' is aggravated in its own location (colon). This aggravated ''vata'' must be immediately treated as it may cause instantaneous death.		*When [[kapha]] gets reduced because of the above mentioned therapeutic measures, the [[vata]] is aggravated in its own location (colon). This aggravated [[vata]] must be immediately treated as it may cause instantaneous death.
	*In case of ''sannipataja atisara'', at first the aggravated ''vata'' shall be pacified followed by ''pitta'' and ''kapha''. Alternatively, the most aggravated one should be controlled first followed by the treatment of the remaining two ''dosha''.		*In case of ''sannipataja atisara'', at first the aggravated [[vata]] shall be pacified followed by [[pitta]] and [[kapha]]. Alternatively, the most aggravated one should be controlled first followed by the treatment of the remaining two [[dosha]].

	== Vidhi Vimarsha (Applied Inferences ) ==		== Vidhi Vimarsha (Applied Inferences ) ==