Effect of Sapa Vireka Choorna on Vibandha (Mala Adassiya/ Chronic Constipation) – Series of case studies

Abstract

Vibandha (Mala Adassiya/ chronic constipation) is a condition caused by vitiated Vata Dosha. It is a common clinical problem and symptom of many diseases. Vibandha is not described as a separate disease in the classical Ayurveda texts. According to Sri Lankan traditional medicine, Mala Adassiya is a disease condition which is characterized by having bowel motions around twice a week, difficulty in evacuating bowels, straining during defecation, passing hard and dry stools and pain during defecation. Vibandha / Mala Adassiya can be corelated with chronic constipation. Sapa Vireka Choorna is used by traditional physician W.M.Dharmasiri to treat patients suffering from Vibandha (Mala Adassiya/ chronic constipation) with effective results and present study was carried out to evaluate the efficacy of this treatment.  Twenty patients suffering from Vibandha (Mala Adassiya/ chronic constipation) were selected from Sadasiri Ayurveda Dispensary, Demataluwa, Sri Lanka. Selected patients were treated according to the practice of Sri Lankan traditional physician family Dharmsiri Veda Paraparawa. Five grams (5gm) of Sapa Vireka Choorna is mixed with 120ml of lukewarm water and given at night after meals for a period of seven days. Discomfort and pain in abdomen, painful defecation, manual maneuvering to facilitate evacuation, passage of hard and pelleted stools was completely relieved after treatment and other symptoms showed partial reduction of over 70%. Sapa Vireka is beneficial in treatment of Vibandha (Mala Adassiya/ chronic constipation).