Singh Sarvesh Kumar, Rajoria Kshipra
Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India.
Department of Panchakarma, National Institute of Ayurveda, Jaipur, Rajasthan, India.
J Ayurveda Integr Med. 2018 Apr-Jun;9(2):131-135. doi: 10.1016/j.jaim.2017.11.004. Epub 2018 May 29.
Hirschsprung disease (HSCR) or congenital intestinal aganglionosis is characterized by complete absence of neuronal ganglion cells from a portion of the intestinal tract, most commonly in the large intestine. The main sign or symptom of HSCR is constipation usually appearing shortly after birth. This constipation is chronic in nature and usually not relieved with laxatives. The present case is of a patient having HSCR which was successfully managed with Ayurvedic treatment. A four year old boy with complaint of severe constipation, abdominal pain, abdominal distension and occasional vomiting was treated with Panchakarma procedures and Ayurvedic oral drugs. The Ayurvedic diagnosis of the case was Pakvasayagata vata. Shashtikashali pinda swedana (sudation with medicated cooked bolus of rice) and Matra basti (enema with medicated oil) with Ashwagandha taila (Ayurvedic medicated oil) was given for first 16 days. From the 2nd month of treatment, Matra basti was administered daily for 3 months in the dose of 25 ml. In 5th and 6th month Matra basti was administered on alternate days in the dose of 25 ml. From the 7th month Matra basti was administered once weekly in the dose of 25 ml. In 14th month Shashtikashali pinda swedana and Erandmooladi yapna basti (medicated enema) was given for 16 days. Eight scales based Medical outcome study (MOS) - 36 item short form - health surveys was periodically assessed for outcome which shows good improvement. Experience of this case showed that HSCR may satisfactory be managed with Ayurvedic treatment.
先天性巨结肠症（HSCR）或先天性肠道神经节缺失症的特征是肠道的一部分完全没有神经节细胞，最常见于大肠。HSCR的主要体征或症状是便秘，通常在出生后不久出现。这种便秘本质上是慢性的，通常用泻药无法缓解。本病例是一名患有HSCR的患者，通过阿育吠陀疗法成功治愈。一名4岁男孩，主诉严重便秘、腹痛、腹胀和偶尔呕吐，接受了五种疗法程序和阿育吠陀口服药物治疗。该病例的阿育吠陀诊断为“pakvasayagata vata”。最初16天给予“Shashtikashali pinda swedana”（用加药煮熟的饭团进行发汗）和用“Ashwagandha taila”（阿育吠陀药油）进行“Matra basti”（药油灌肠）。从治疗的第2个月开始，每天给予25毫升剂量的“Matra basti”，持续3个月。在第5个月和第6个月，每隔一天给予25毫升剂量的“Matra basti”。从第7个月开始，每周给予一次25毫升剂量的“Matra basti”。在第14个月，给予“Shashtikashali pinda swedana”和“Erandmooladi yapna basti”（药制灌肠剂）16天。定期使用基于八个量表的医学结局研究（MOS）-36项简表-健康调查来评估结果，结果显示有明显改善。该病例的经验表明，HSCR可以通过阿育吠陀疗法得到令人满意的治疗。
