AYURVEDIC MANAGEMENT OF KATISHOOLA ASSOCIATED WITH CHRONIC CONSTIPATION: A SINGLE CASE STUDY

About Author

Correspondence Address

Dr. Shilpa A Varade
Associate Professor,
Department of Rachana Sharir,
Shri Ayurved Mahavidyalaya, Nagpur.

Contact No. : 9404105080, Email : drshilpavarade@gmail.com

Date of Acceptance : 27 Sep 2025

Date of Publication : 29 Sep 2025

Article ID : SD-IJAY_149

How to cite this article : http://doi.org/10.55552/SDNJAY.2025.3309

Abstract

Katishoola (low back pain) is among the most prevalent clinical complaints in elderly populations. Chronic constipation, frequently encountered in geriatrics, is a major cause of Apana Vata vitiation, which may subsequently manifest as Katishoola. A 62-year-old male presented with chronic constipation for two years and low back pain for six months. Pain was dull and aching, aggravated by sitting for prolonged durations, and partially relieved by massage. Ayurvedic assessment revealed Apana Vata prakopa with Pakwashaya dushti. The patient was managed with Mridu Virechana (Eranda Taila), Hingwashtak Churna, Maharasnadi Kwath, Panchsakar Churna, Yogaraj Guggulu, and the Snehan/Swedan procedure. Pathya-apathya (dietary and lifestyle regulations) was also advised. Within two weeks, constipation was relieved with smooth daily evacuation. Low back pain intensity decreased from 7/10 to 3/10 on the Visual Analogue Scale (VAS). Stiffness and tenderness reduced, mobility improved, and overall quality of life enhanced. Chronic constipation may act as a contributory factor for Katishoola through Apana Vata vitiation. Ayurvedic management focusing on Vata anulomana and Shoola shamana provided effective results in this case.

KEY WORDS:-  Katishoola, Chronic Constipation, Apana Vata, Ayurveda, Vata Vyadhi