Ulcerative colitis treatment

Ulcerative Colitis known as Raktaja Atisara, a condition described in Ayurveda, refers to a specific type of diarrhea that is characterized by the involvement of blood. In Ayurvedic terms, “rakta” represents blood, and “atisara” signifies diarrhoea. According to Ayurveda, imbalances in the doshas (Vata, Pitta, and Kapha) and poor digestion can lead to Raktaja Atisara (Ulcerative Colitis). In this article, we will delve into the Ayurvedic perspective on Raktaja Atisara, including its causes, symptoms, and potential treatment approaches.

Understanding Ayurvedic Principles

Ayurveda, the ancient Indian system of medicine, considers the holistic well-being of an individual, taking into account physical, mental, and spiritual aspects. It emphasizes the balance of the doshas, the body’s bioenergetic forces, as the key to maintaining health. According to Ayurveda, when the doshas become imbalanced, diseases and disorders manifest. Raktaja Atisara is considered a Pitta dosha disorder with blood involvement.

Samprapti – pathogenesis of Raktaja Atisara

Dosha – Pitta pradhan
Dushya – rasa, rakta, purisha
Srotas – annavaha srotas, purishavaha srotas
Srotodushti lakshana – atipravrutti (excessive discharge)
Roga marga – abhyantara (colon and intestine are visceral organs)
Sadhya Asadhyata – Krichra Sadhya (curable with difficulty)

Causes and Symptoms of Raktaja Atisara

  1. Aggravated Pitta Dosha: Excessive heat in the body, leading to the aggravation of the Pitta dosha, is one of the primary causes of Raktaja Atisara. Pitta imbalance can be caused by consuming excessive spicy, hot, and oily foods, as well as by experiencing high levels of stress and emotional upheaval.
  2. Impaired Digestion: Poor digestion, weak digestive fire (Agni), and accumulation of toxins (ama) in the gastrointestinal tract can contribute to the development of Raktaja Atisara. When digestion is compromised, undigested food particles and toxins can irritate the intestinal lining, leading to inflammation and the presence of blood in the stool.
  3. Infections and Inflammation: Infections, such as bacterial or parasitic infections, can cause inflammation in the gastrointestinal tract, resulting in blood-dominant diarrhea.

The symptoms of Raktaja Atisara may include:

  • Raktasaha Malapravruti (loose stools with blood)
  • Udarshool (Abdominal pain)
  • Aanaha (Abdominal discomfort & Heaviness)
  • Guda Daha (Burning sensation in the anus)
  • Trushna adhik (Increased thirst)
  • Daurbalya (Feeling of weakness)
  • Bhram (fatigue)
  • Kshudha Alpata (Loss of appetite)

Ayurvedic Treatment to Raktaja Atisara

Ayurveda offers a holistic approach to managing and treating Raktaja Atisara by addressing the underlying imbalances and supporting the body’s natural healing processes. The treatment aims to balance the aggravated Pitta dosha, improve digestion, reduce inflammation, and promote overall well-being. Some key aspects of Ayurvedic treatment for Raktaja Atisara include:

  1. Dietary Modifications:

    Following a Pitta-pacifying diet is essential to balance the aggravated dosha. This involves consuming cooling and soothing foods such as fresh fruits, vegetables, whole grains, and herbal infusions. Spicy, oily, and fried foods should be avoided, as they can further aggravate Pitta.

  2. Herbal Remedies:

    Ayurvedic herbs can help reduce inflammation, improve digestion, and restore the balance of the doshas. Some commonly used herbs for Raktaja Atisara include:
    • GrahaniKapat Rasa
    • Kutaja Ghanvati
    • Dadimashtak Churnam
    • Vriddha Gangadhar Churnam• Piyushvalli Rasa
    • Suvarna Parpati
    • Panchamruta Parpati
    • Daruharidra Churanm

  3. Panchakarma Therapy:

    Panchakarma, the Ayurvedic detoxification and rejuvenation therapy, can be beneficial in treating Raktaja Atisara. Specific procedures such as Virechana (therapeutic purgation) and Basti (medicated enema) are employed to eliminate toxins, restore digestive health, and balance the doshas.
    Raktatisar patients should receive mostly Basti (enema) as part of the Sodhana (Purification) therapy. Piccha Basti (slimy enema) and Anuvasana Basti (oil enema, primarily medicated ghee) are two types of Basti that are helpful in the mild to moderate stages of Raktatisar to control bleeding, anorectal irritation, diarrhoea, and abdominal pain.

    Anuvasana Basti:
    Anuvasana Basti (oily enema) is helpful during the chronic stage of the illness when Vata becomes predominate in Pakvashaya and inflammation ensues in the anorectum due to vitiated pitta.

    Piccha basti:
    Due of its picchil qualities, which translate to “sticky or lubricant,” Piccha Basti is so named. This characteristic has a healing impact on ulcers. In an Atisara instance characterised by a complete suppression of Vayu (flatus) and painful and frequent blood emission, even if only small amounts at a time, Piccha Basti should be used. Sangrahi/Stambhana (Anti-diarrheal), Shothahara and Vrana-Ropaka (Anti-inflammatory and Ulcer-healing), Rakta Stambhaka (Haemostatic Agent), Pitta Shamaka and Agni Deepaka are some of the activities of Piccha Basti that are possible. The contents are to blame for these acts.

    According to Acharya Charaka, Piccha Basti (slimy enema) should be given to a patient if they frequently experience agony while passing little blood and if Vayu, which is obstructed, is either immobile or moves slowly. The Piccha Basti treats fever, haemorrhage, rectal prolapse, and dysentery. This enema treats advanced Pittaj diarrhoea, fever, oedema, chronic diarrhoea, and Grahani (IBS) disease swiftly by functioning as an evacuative and sustaining treatment.

  4. Lifestyle Recommendations

    In addition to the specific treatment approaches mentioned above, Ayurveda emphasizes the following lifestyle modifications for individuals with ulcerative colitis:

    1. Stress Management: Chronic stress can exacerbate symptoms of ulcerative colitis. Practicing stress management techniques like meditation, mindfulness, and regular exercise can help reduce stress levels and promote healing.
    2. Maintaining Regularity: Establishing a daily routine and following regular mealtimes can support healthy digestion and prevent flare-ups. Irregular eating habits and erratic sleep patterns should be avoided.
    3. Hydration: Staying hydrated is crucial for maintaining proper bowel function and preventing dehydration. Drinking warm water throughout the day can help soothe the digestive system.
    4. Quality Rest: Adequate rest and sleep are essential for the body to heal and rejuvenate. Aim for 7-8 hours of quality sleep each night.
  5. Yoga and Meditation:
    Ayurveda emphasizes the mind-body connection, and practices like yoga and meditation are highly recommended for managing ulcerative colitis. Gentle yoga asanas, such as forward bends and twists, can help improve digestion, reduce stress, and promote relaxation. Meditation and deep breathing techniques aid in calming the mind, reducing anxiety, and supporting overall well-being.

Preventive Measures

To prevent the recurrence of Raktaja Atisara, it is essential to follow these preventive measures:

  • Avoid consuming spicy, oily, and fried foods.
  • Maintain proper hygiene and sanitation.
  • Stay hydrated by drinking an adequate amount of water throughout the day.
  • Manage stress levels through relaxation techniques and stress-reducing activities.
  • Follow a regular and balanced routine, including mealtimes and sleep patterns.


Raktaja Atisara, a condition characterized by blood-dominant diarrhea, can be effectively managed and treated through the principles of Ayurveda. By addressing the imbalances in the doshas, improving digestion, and adopting a holistic approach to well-being, individuals can find relief from the symptoms of Raktaja Atisara. It is important to consult with a qualified Ayurvedic practitioner for personalized guidance and treatment options.


  1. Can Ayurveda cure ulcerative colitis?
    Ayurveda views ulcerative colitis as a chronic condition that can be managed and controlled with appropriate lifestyle modifications and treatments. Ayurveda aims to restore balance and alleviate symptoms.
  2. Is it safe to combine Ayurvedic treatments with conventional medical therapies?
    It is essential to inform your healthcare providers about any Ayurvedic treatments or remedies you are considering. Integrating Ayurveda with conventional medicine can be done under professional guidance to ensure safe and effective results.
  3. How long does it take to see improvements with Ayurvedic treatments?
    The duration of treatment and the time required to see improvements can vary depending on the individual’s condition and response to therapy. Consistency and patience are key when following Ayurvedic principles.
  4. Can Ayurvedic treatments be used during an ulcerative colitis flare-up?
    During a flare-up, it is advisable to consult with an Ayurvedic practitioner to determine the most appropriate treatment approach. Some therapies may need to be modified or temporarily paused during active inflammation.
  5. Is Ayurveda suitable for everyone with ulcerative colitis?
    Ayurvedic treatments can be beneficial for many individuals with ulcerative colitis. However, it is important to consult with an Ayurvedic practitioner to assess your specific condition and determine the most suitable approach for your needs.
  6. What are the long-term complications of ulcerative colitis?
    Long-standing ulcerative colitis can increase the risk of complications such as colorectal cancer, toxic megacolon, perforation of the colon, and extraintestinal manifestations like joint pain and skin disorders..
  7. Can stress cause ulcerative colitis flare-ups?
    While stress does not directly cause ulcerative colitis, it can trigger flare-ups and worsen symptoms. Implementing stress management techniques can be beneficial in managing the condition.
  8. Is surgery always necessary for ulcerative colitis?
    Surgery is not always necessary for ulcerative colitis. It is typically considered when medication and other treatment options fail to adequately control symptoms or in the presence of complications. The decision to undergo surgery is made on an individual basis in consultation with healthcare professionals.

By Dr.Dimpal Baldha

I'm DR. Dimple Baldha, an Ayurvedic doctor and I have treated more than a thousand patients in my couple of years of experience in this field. This has given me a lot of insights and positive areas to work with people from different parts of the world managing arthritis issues, Dietary changes, healthy lifestyles, and metabolic disorders. I have good knowledge of Ayurvedic medicine, Panchkarma treatment, Healthy lifestyle and yoga. I have treated so many diseases like spondylitis, psoriasis, allergies and bronchial asthma. Talks about #health, #ayurveda, #wellness, #healthylifestyle

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