Effect of Mocharasa Siddha Piccha Basti in Pravahika: An Ayurvedic Case Report Correlated With Ibd

Background: Pravahika is described in Ayurveda as both an independent disease and a complication of Atisara, characterized by frequent defecation, tenesmus, mucus discharge, abdominal pain, and impaired digestive function. Clinically, it bears close resemblance to Inflammatory Bowel Disease. Conventional treatment mainly depends on corticosteroids and anti-inflammatory drugs, which are often associated with recurrence and limited long-term relief. Ayurveda advocates Deepana, Pachana, Sangrahi, and Shodhana therapies for restoration of Agni and correction of Dosha imbalance. Case Presentation: This case report evaluates the efficacy of Basti therapy combined with Shamana Aushadhi in the management of Pravahika. A 49-year-old male presented with recurrent loose stools (15–20 episodes/day), tenesmus, mucus and blood in stool, abdominal pain, abdominal distension, anorexia, generalized weakness, headache, and disturbed sleep for 18 months. Based on Ayurvedic evaluation, the condition was diagnosed as Kapha–Vata predominant Pravahika associated with Agnimandya and Ama. Intervention: The patient was treated with Mocharasa Siddha Piccha Basti along with Sarvanga Abhyanga, Swedana, and Shirodhara. Oral medications included Praval Panchamrita Rasa, Kaishore Guggulu, Panchatikta Ghrita Guggulu, Anulomak Vati, and Prasham Vati. Results: Marked clinical improvement was observed during follow-up, including reduction in bowel frequency, relief in abdominal symptoms, improved appetite, better sleep, and enhanced overall well-being without adverse effects. Discussion: The findings suggest that Basti therapy combined with Shamana Aushadhi may offer a safe and effective integrative approach in the management of Pravahika correlated with IBD. Conclusion: The intervention demonstrated substantial symptomatic improvement, restoration of bowel function, and enhanced quality of life.