Review and implications of traditional Indian medicine for inflammatory bowel disease
Two classes of Ayurvedic formulation, fermented preparations and Ghrita are employed for the maintenance of intestinal disorders.
The current mainstream management of IBD includes antibiotics, corticosteroids, thiopurines, anti-tumor necrosis factor (TNF) antibodies, and aminosalicylates . They have severe side effects such as diarrhea, nausea, vomiting, headache, and osteoporosis when used for the long term.
The Indian System of Medicine which mainly comprises of Ayurveda (meaning the science of life) is one of the oldest systems of medicine in India. This system of using natural resources for better health was developed through the experimentation and experiences of day-to-day lifestyle of Indian people.
Evolution of Ayurveda and plant-based remedies for health care through day-to-day life experiences is a part of cultural heritage of India. There is class of Ayurveda fermented preparations called Asava and Arishta mainly intended for intestinal disorders.
These weak alcoholic preparations are more appreciated because of their quick action and high preserving qualities. These preparations are made by soaking the drugs, either powder form or in the form of decoction in a solution of sugar or jaggery, as the case may be for a specified period of time, during which it undergoes fermentation. It facilitates dissolution of active principles and acts as a preservative.
From the evidence,
it is very clear that herbal formulations and their analysis for the presence of bioactive constituents are important as far as their efficacy is concerned. Three formulations have been cited, and major constituents present in them have proven to be good agents for IBD.
Natural products and herbal medicine formulas have exhibited efficacy in preclinical evaluation, improved symptoms, and decreased medical costs for IBD patients.
The components of natural products and herbs are complex and have multiple mechanisms of action that may synergize to produce their overall efficacy.
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