From Inflammation to Remission: An Ayurvedic Approach to Ulcerative Colitis (Raktatisara) – A Case Report

Abstract

Ulcerative colitis is a chronic inflammatory bowel disease characterized by continuous colonic mucosal inflammation and commonly presents with rectal bleeding, increased stool frequency, urgency and abdominal discomfort. Long term cortico-steroidal management and biological medicines are the only available treatments, which have a relapsing effect on withdrawal and various adverse effects. The present case describes individualized Ayurvedic assessment and management of a patient with objectively confirmed ulcerative colitis. A 48-year-old female presented with increased stool frequency associated with blood/mucus, urgency, tenesmus, abdominal pain, altered appetite and fatigue. Colonoscopy findings were suggestive of multiple ulcers in the colon and rectum. On the basis of colonoscopic and clinical findings, the case was diagnosed as ulcerative colitis. The case was interpreted as Raktatisara after thorough Ayurvedic clinical assessment and similarities in the symptoms. The individualized treatment for the patient continued for 3 years with interventions including Kutaja Ghana Vati, Maha Shankha Vati, Lavana Bhaskar Churna, Praval Panchamrita Ras and Bol Baddha Rasa. On follow-up, there was complete remission in the abdominal complaints, and colonoscopy study revealed no ulcers in the colon and rectum. Mayo score changed from 10 to 1. The case illustrated the potential of Ayurveda care in relief and relapses of symptoms.