Restoring Digestive Fire in AgnimandyaInduced Vibandha: An Ayurvedic Case Report

In Ayurveda, constipation is termed Vibandha and is a prevalent gastrointestinal disorder characterized by infrequent, difficult, or delayed bowel movements. It is primarily associated with an imbalance of Vata dosha, often resulting in Agnimandya (diminished digestive fire) and the accumulation of Ama (toxins), leading to colonic obstruction. A 28-yearold male presented with chronic constipation persisting for 4 years, accompanied by hard stools, abdominal discomfort, poor appetite, headache and general fatigue. Ayurvedic evaluation identified Agnimandya as the underlying cause. The treatment protocol focused initially on Deepana and Pachana to stimulate and regulate digestion, followed by Shodhana Chikitsa (detoxification) and Samsarjana Karma (post-detox dietary regimen). This was succeeded by Shamana Chikitsa (palliative care) with dietary modifications emphasizing warm, light, and easily digestible foods. The patient showed significant clinical improvement with restoration of regular bowel movements, enhanced digestive capacity, increased appetite, and reduced fatigue. The treatment was well tolerated with no adverse effects observed. This case highlights the effectiveness of Ayurvedic interventions targeting Agnimandya in the management of chronic Vibandha. By restoring Agni and eliminating accumulated Ama, the Ayurvedic intervention effectively resolved the symptoms and led to significant enhancement in digestive function and overall quality of life."