A Holistic Approach of Ayurvedic Management of Vibandha with Special Reference to Constipation

Constipation may be defined as decrease in volume, frequency or fluidity of stool.However, passage of hard stools, excessive straining and associated lower abdominal pain and fullness would suggest severe constipation.The constipation is more prevalence in old age but it affects on all age groups.Women are more affecting as compare to men.It is estimate that globally 2% to 27% of population affects with constipation that is a significant portion of population effects on it. In worldwide report that 12% of population report self -defined constipation with higher prevalence in some regions like Asia -Pacific and the Americas compared to Europe. Constipation is also more commonly in older adults and estimating a prevalence of 30% for adults over 65 years old. In Ayurveda, Constipation is corelated by the Vibandha, which is the causes of the vitiation of dosha i. e. Apana Vayu and Purishavaha Shroto dusti lakshan produce vibandha. Constipation which is produce due to the indigestion, overeating, bacterial infection, Tainted foods etc are the potential causes. The chronic causes due to elder age and decrease of the tone of sphincter muscles and the other medical conditions such as piles, hemorrhoidal tissue etc. In Vibandha produce due to agni dushu and ama formation with parkupitta vata enter into pakvashaya due to the Nidhana sewana and produce dried up the mala causing the stool firm and produce constipation. The Ayurvedic management of vibhanda by changing dietary habits, proper wholesome water intake, changing of life style habit i. e. sedentary lifestyle to be change, ayurvedic medicine, pathya -apathya, exercise and yoga.