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Review Article
Rajeev et al. WORLD JOURNAL OF PHARMACEUTICAL
World Journal of Pharmaceutical and Medical Research
AND MEDICAL RESEARCH ISSN 2455-3301
www.wjpmr.com WJPMR
REVIEW ARTICLE ON VIBANDHA
Dr. Rajeev Kumar Sharma*1, Dr. Nagendra Thakre2 and Dr. Dinesh Ram3
1
Assistantt Professor, Department of Kaumarbhritya/ Balroga, S.R.T. Ayurvedic Medical College & Hospital, Karjara
(Gaya).
2
Assistantt Professor, Department of Kaumarbhritya/ Balroga, SAM College of Ayurvedic Sciences and Hospital,
Bhopal.
3
Assistantt Professor, Department of Swasthvrit & Yoga, S.R.T. Ayurvedic Medical College & Hospital, Karjara
(Gaya).
*Corresponding Author: Dr. Rajeev Kumar Sharma

Assistantt Professor, Department of Kaumarbhritya/ Balroga, S.R.T. Ayurvedic Medical College & Hospital, Karjara (Gaya).
Article Received on 24/03/2020 Article Revised on 14/04/2020 Article Accepted on 04/05/2020
ABSTRACT
Constipation is a disease condition resembling to Vibandha described in Ayurveda. Vibandha or Badhapurisha
means obstruction or constipation i.e. sanga and which indicates one of the state of srotodushti especially in
purishavaha srotas. It refers to bowel movements that are infrequent or hard to pass and is a general term used to
indicate fewer bowel movements, solidified hard stools, painful defecation and feeling of bloating, abdominal
discomfort or incomplete elimination. Constipation may be the end result of many gastrointestinal and other
medical disorders. Constipation is easier to prevent than to treat. Following the relief of constipation, maintenance
with adequate exercise, fluid intake and high fiber diet is recommended.
KEYWORDS: Vibandha, Constipation, Bowels, Badhapurisha, Purishavaha Srotas.
INTRODUCTION treat the patients of constipation which not only cures but
also prevent remission of disease without any side effect
Constipation is one of the common prevalent diseases in
if done properly.
paediatric age group. Constipation can be correlated with
vibandh as both the terminologies have similar features
Vibandha is not mentioned in samhita as a specific
like purish nigraha (obstruction of stool), pakvashya
disease but some references are given in the samhitas
shoola (pain abdomen), parikartika (pain during
regarding vibandha as a disease. i.e. vibandha mentioned
defecation) etc. Constipation can occur at any age, and is
in vataja nanatmaja vyadhi. ”ksQ% LrEHk% Jksf.kHksnks
more common among individuals who resist the urge to
oa{k.kkukgfoM~xnkS A (Ka.Su. 27/22)
move their bowels at their body's signal. Body is
originally composed of dosas, dhatus and malas.[1]
Consumed food as well as dhatus manifest malas during HETU
the process of digesttion and metabolism for example; 1. Sanniruddha guda (anal stenosis) lfUu:} xqna O;kf/kesua
fo|kr~ lqnLq rje~ “kd`Uew+=lek;qDrs?kkSrs·ikus f”k”kksHkZors ~A
vida or Varcha or purisha (Stool) and Mutra (Urine) are
(Su. Ni.13/56).
the waste product of anna (food) etc.[2] It is called mala
because of having a tendency to vitiate others.[3]
2. Kshira
Vibhanda (constipation) is not described as a separate
 Vata dushitha sthanya sevana, Kashaya rasa
disease in our classical text. Discription of Vibandha is
pradhana ksheera sevana.
found in vyapada of Vamana and Virechana.[4] It is a side
effect of sansodhan (Vamana or Virechana) done in
3. Purishaja krimi
Ajirna.[5] symptoms of parikartika.[6] It is apatarpanjanya
roga (Diseases caused by nutritional deficiency)[7] and  Krimi also causes vibandha (round worm and pin
one of the complications of immediate haemostasis in worm, unhealthy yeast infections, ex. Candida
Raktarsha (bleeding piles)[8] However symptoms of yeast).
Udavarta (Retention of feces, flatus, urine) like Anaha
(Obstruction), Admana (Distension), Malaavastamba 4. Purishaja Veghadharana:
(Hardness of faeces) due to the pratiloma gati (reverse  With holding of stool.
flow) of Apana is mimic the symptoms of vibandha.[9] In
Ayurveda there are so many preparations and karma to
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Rajeev et al. World Journal of Pharmaceutical and Medical Research
5. Purisha vaha srotho dusti Mridu - Aragvadha

la/kkj.kknR;”kuknth.kZ/;”kukRrFkk opksoZ kghfu nq’;fUr nqcZykXus%
d`”kL; pAA (Ch.Vi. 5/23).  SRAMSANA
 The drug which takes no part in digestion but which
6. Ayogya of virechana, anuvasana vasti and niruha drives downwards the products that remain impacted
vasti. in the intestines
 Vibhanda can be seen in so many diseases as a Ex: Aragvadha
Lakshana
- Vata jwara  DRUGS
- Atisara poorva rupa - Should be snigdha, agni vardhaka, tone improving.
- Gulma poorva rupa - Can advise Mecalvit or any Ca supplements.
- Grahani lakshana - Other general drugs
- Vistabda ajeerna In infants – Rojapusp avalehy
- Alasaka. In older children - Swadist virechana churna,
Avipattikara churna.
ROOPAS OF VIBHANDA
 Anaha  PANCHAKARMA
 Aadhmana - Sneha paana ex. Grita and taila
 Dourgandhya - Swedana yogya
 Graditha anthrata - Niruha and anuvasana vasti
 Sirah soola
 Udara soola  YOGIC PRACTICES: The following yogic
 Utsaha haani practices are beneficial inconstipation; however,
 Alasya. these should be performed only under the guidance
of qualified Yoga therapist. Duration should be
COMPLICATIONS decided by the Yoga therapist.
 Udavarta 1. Kurmasana, Vakrasana, Katichakrasana,
 Anaha Sarvangasana, Shavasana, Pavanamuktasana,
 Aadhmana Mandukasana, Vajrasana etc.
2. Yogamudra, Shankha prakshalana, Nadishodhana.
 Arsas
3. Surya namaskara, Anuloma viloma, Deep relaxation
 Antra vriddhi
technique.
 Bhagandhara
 Parikarthika
 SOME REMEDIES
TREATMENT - Ushnodhaka
 ANULOMANA - Ksheera
The drug which carries out the paaka of the mala - Mamsa rasa.
and which facilitates their easy elimination through
anus by breaking the bandha is called anulomana.  SOME FRUITS: Guava, Orange, Grapes, Papaya.
Ex: Harithaki.
CONCLUSION
 BEDHANA The cardinal features of Vibandha described in our
The drug which pushes the malas downwards after classical texts are similar to that of constipation in
breaking down the scybal (hardened faecal mass) contemporary science. It may be consider that Vibandha
irrespective of their state i.e. clinging or not clinging (Constipation) is independently a disease and also a
to the walls. complication of some diseases. Its management should
Ex: Katuki. be according to type of Kostha (Alimentary canal). It
may be concluded that treatment according to its cause
 Charaka mentioned suvaha, arka, urubhaka, along with plenty of fluid, physical exercise, many more
agnimukha under bhedhana dasae mani. form of laxative like anulomana, bhedan etc. which
should be given according to state of Dosa and Kostha.
 RECHANA
 The drug which liquifies the malas irrespective of REFERENCES
their paka and expulses them is called Rechana. Jala
mahabhoota predominance. 1. Sharma, P.V. Editor, (1stEd.). Susruta Samhita with
Ex: Sukha virechana – Trivrit English translation of text and Dalhana commentary,
Teekshna – Snuhi ksheera Vol.I, Sutrasthana, Doshadhatumalakshayavriddhi
Adhyaya: Chapter 15, verse 3. Varanasi: Chaukhaba
www.wjpmr.com 98
Rajeev et al. World Journal of Pharmaceutical and Medical Research
Visvabharati, Oriental Publishers and Distributors,

2010; 156-157.
2. Sharma, R.K. & Dash, B. Editor, (1stEd.) Charak
Samhita of Agnivesha, Vol. IV, Chiktsasthana;
Grahanidoshachikitsa Adhyaya, Chapter 15, verse
18. Varanasi: Choukamba Sanskrit Series Office,
2009; 15.
3. Byadgi, Dr.P.S. Editor (1stEd.) Ayurvediya Vikriti
Vigyan & Roga Vigyana, Vol 1st, Mala, Chapter 4.
New Delhi: Chaukhambha Publications, 2009; 61.
4. Sharma, P.V. Editor, (1stEd.). Susruta Samhita with
English translation of text and Dalhana commentary,
Vol.II,Chikisthana,
Vamanavirechanavyapadachikitsa Adhyaya: Chapter
34, verse 3. Varanasi: Chaukhaba Visvabharati,
Oriental Publishers and Distributors, 2010; 588.
5. Tripathi, Dr.Bramhananda Editor. Charak Samhita
of Agnivesha, Charak chandrika hindi commentary,
Vol II, Siddhisthana; Vamanavirechanavyapada
Siddhiadhyaya: chapter 6, verse 14. Varanasi
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of Agnivesha Charak Chandrika hindi commentary,
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7. Sharma, R.K. & Dash, B. Editor, (1stEd.) Char ak
Samhita of Agnivesha, Vol.I, Sutrasthana;
Santarpaniyam Adhyaya, Chapter 23, verse 28.
Varanasi: Choukamba Sanskrit Series Office, 2009;
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8. Sharma, R.K. & Dash, B. Editor, (1stEd.) Char ak
Samhita ofAgnivesha, Vol.III, Chikitsasthana;
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Varanasi: Choukamba Sanskrit Series Office, 2009;
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9. Sushruta. Sushruta Samhita. Vaidya Yadav Trikamji
Acharya, Editor. 9th ed. Varanasi. Chaukhamba
orientalia. Uttara tantra, 2007; 55/7.
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wjpmr, 2020,6(6), 97-99 SJIF Impact Factor: 5.

REVIEW ARTICLE ON VIBANDHA

*Corresponding Author: Dr. Rajeev Kumar Sharma

Article Received on 24/03/2020 Article Revised on 14/04/2020 Article Accepted on 04/05/2020

KEYWORDS: Vibandha, Constipation, Bowels, Badhapurisha, Purishavaha Srotas.

5. Purisha vaha srotho dusti Mridu - Aragvadha

Visvabharati, Oriental Publishers and Distributors,

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