Critical Review on Atisar in Ayurveda: Pathogenesis & Management with Modern Electrolyte Insights

Diarrhea, known as Atisar in Ayurveda, poses a significant challenge in both traditional and modern medicine. This review offers a critical analysis of the Ayurvedic approach to Atisar by exploring its classifications, underlying pathogenesis (samprapti), and treatment protocols. Simultaneously, it examines modern medical strategies that emphasize electrolyte restoration through rehydration. A systematic review of classical Ayurvedic texts in conjunction with contemporary clinical guidelines reveals that while Ayurveda advocates for individualized treatments targeting doshic imbalances and dietary adjustments, modern practices prioritize evidence-based rehydration and electrolyte replacement. Combining these methodologies may provide a more comprehensive management plan for both acute and chronic cases of diarrhea. Clinically referred to as Atisar in Ayurveda, diarrhea is characterized by frequent, loose bowel movements often leading to dehydration and electrolyte imbalances. This gastrointestinal disorder is a common concern in both modern healthcare settings and particularly impacts pediatric and geriatric populations. This review delves into the Ayurvedic classification, pathogenesis (samprapti), and management of Atisar, while also contrasting these traditional methods with modern therapeutic approaches focused on rehydration and electrolyte correction.