Ulcerative Colitis is viewed in Ayurveda as Grahani or Raktatishara, primarily caused by an imbalance of Pitta and Vata, leading to inflammation and ulceration in the colon. Cooling (Pitta Shamana): Reducing internal heat and inflammation. Astringent (Stambhana): Firming up the stool to reduce frequency. Healing (Ropana): Using “Pichcha Basti” or oral herbs to heal intestinal ulcers. 1. Dadimhashtaka Churna Action: Powerful astringent to reduce stool frequency and improve digestion. Dose: 3 grams (approx. 1 teaspoon) twice daily after food with lukewarm water or buttermilk. 2. Kutajarishtam Action: The “gold standard” for managing chronic diarrhea and bloody stools in colitis. Dose: 15–20 ml mixed with an equal quantity of water, twice daily after meals. 3. Manjishtadi Kwath Action: Acts as a blood purifier and reduces the inflammatory response in the gut. Dose: 15 ml diluted with 60 ml of boiled and cooled water, taken on an empty stomach twice daily. 4. Ksheerabala 101 Capsules Action: Helps in healing the mucosal lining and pacifying Vata. Dose: 1 capsule twice daily before food. Key Lifestyle Tips This is considered the best “medicine” in Ayurveda for Grahani. Drink fresh buttermilk seasoned with a pinch of roasted cumin powder. Spicy food, caffeine, alcohol, raw salads, and heavy dairy (except buttermilk). Sip on water boiled with Musta (Nut grass) to maintain electrolyte balance.
In your condition, digestive fire is weakened and pitta dosha is severely aggravated leading to inflamation and ulceration in colon .
Take the prescribed medications properly n consistently . [dadimastak churna ,kutajarista ,alsactile , mahatikthagritha cap.] instructions given with medicines .
* Avoid - chilli , vinegar , caffeine , alcohol , no raw salads , avoid 3WHITES - white sugar white flour ( maida ) and excess salt , pickles and lemon.
limit dairy products like cold milk cheese thick yogurt except buttermilk
avoid - brinjal tomatoes garlic onions
* Do’s - buttermilk - best medicine for colon , take 1 part curd or yogurt and 3 part water mix it and remove butter or froth and add roasted cumin powder to it - sip it throughout the day
- diet - include pomegranate , moong dal rice ( khicdi) , cooked/ steamed carrots or lauki
finish your last meal by 7 pm to give rest to gut for 12 hours
sleep on left side to aid digestion n prevent acid reflux
Follow some simple lifestyle changes and dietary changes and you will see results for your problem. ✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm. 🧘♀️ Yogasan : 🧘♀️ Drink 3 glasses of hot water and perform these below asans Kraunchasan Pawanmuktasana Bhujangasana Dhanurasana Paschimottanasana Vajrasana 🧘♀️ Pranayam: 🧘♀️ Bhramari Bhasrika Kapalbhati Anulom Vilom ❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake. 💊Medication 💊 Tab. Ampachak Vati 2 tabs twice a day before food. Cap. Mebarid 2 caps twice a day before food. Tab. Kutaj parpati vati 1 tab twice a day before food. Syp. Kutajarishta 2 tsp with half a cup of warm water before food. Bilagyl avleham 2 tsp in the morning
The symptoms you described such as frequent bowel movements, abdominal cramps, chronic intestinal irritation, weakness, and long-standing recurrence can be correlated in Ayurveda mainly with Raktatisara, Pittaja Grahani, and involvement of Vata aggravation in Pakwashaya. Pitta Dosha causes inflammation, burning, bleeding tendency, ulceration, and irritation in intestines. Vata Dosha causes increased bowel frequency, urgency, cramps, pain, and weakness. Rakta Dushti indicates chronic mucosal damage and bleeding tendency. Mandagni + Grahani Dushti leads to improper digestion and repeated loose motions. So treatment should focus on: ✔ Cooling and healing intestinal lining ✔ Reducing stool frequency ✔ Balancing Pitta + Vata ✔ Improving digestion without irritation ✔ Restoring strength and immunity Internal Medicines 1) Guluchyadi Kashayam 15 ml + 45 ml lukewarm water twice daily before food. 2) Kutajghan Vati 2 tablets twice daily after food. 3) Mustarishtam / Kutajarishtam 20 ml + equal water twice daily after food. 4) Dadimashtaka Churna 3 grams with buttermilk twice daily after meals. 5) Shatavari Ghritam / Guggulutiktaka Ghritam 1 teaspoon once daily with lunch. 6) Praval Pishti + Mukta Shukti Bhasma (For Pitta burning tendency) 125 mg each mixed with honey once daily. Panchakarma Therapy Matra Basti with Bala Taila / Yashtimadhu Taila For chronic Vata aggravation. Piccha Basti Very useful in chronic colitis, bleeding stools, mucus. Useful Advice ✔ Eat small meals frequently ✔ Avoid overeating ✔ Sleep before 10:30 pm ✔ Reduce stress and anger ✔ Practice Anulom Vilom + Sheetali Pranayama daily ✔ Maintain hydration ✔ Take complete physical rest during flare
This is a severe and long-standing ulcerative colitis, and passing stools 15–20 times/day indicates active inflammation. The goal is to calm the colon and reduce frequency, not strong digestion medicines. Keep diet very strict and simple: Avoid spicy, fried, raw foods, milk (if it worsens), and outside food. Take soft, soothing foods like rice, moong dal, pomegranate, boiled vegetables. Eat small meals at regular intervals. Drink warm water. Avoid cold food and drinks. At home: Fresh pomegranate juice in small quantity Buttermilk with roasted jeera (only if it suits you) Kutajghan vati – 1 tablet three times daily after food Musta churna – ½ teaspoon twice daily with warm water Dadimashtak churna – ½ teaspoon twice daily after food Isabgol (psyllium husk) – 1 teaspoon at bedtime with warm water This helps reduce frequency, control inflammation, and improve stool consistency. Since frequency is very high, keep regular follow-up with your doctor. If there is blood, dehydration, or weakness, do not delay medical care. Improvement takes time, so follow consistently. Regards, Dr Raghuveer (Ayurvedacharya)