Abstract

Hirschsprung disease (HSCR), or congenital intestinal aganglionosis, is a birth defect characterized by the complete absence of neuronal ganglion cells from a portion of the intestinal tract. Symptoms include constipation, bloating of the belly, and loss of energy and appetite. Diagnosis of the disease includes an abdominal x-ray which shows a bulge in the large intestine caused by stool, barium enema, anorectal manometry, or biopsy of the rectum. In Ayurveda, congenital diseases come under janmabala pravritta vyadhi. It leads to vitiation of the rasavaha, annavaha and malavaha srothas of the fetus, later leading to dusti of vata in pakwashaya and guda. The treatment involves normalization of Vata in the body using a protocol that pacifies the Vata, including Vasti. Considering the age of the patient, Matravasti was done using Sukumaraerandam and a few internal medicines for the mother. It consists of drugs that pacify Vata as well as those which improve digestion.

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