A Comprehensive Guide to Ayurvedic Specialties
Kutajārishta
Bhaishajya Ratnavali, Atisārādhikāra (The Chapter on Diarrhea/Dysentery in the "Jewel Garland of Medicines").
The formulation is prepared using a specific Kwātha (decoction) and additional powders (Prakshepa).
Main Ingredients for Decoction:
कुटजमूल (Kuṭaja mūla) - Holarrhena antidysenterica (Bark)
द्राक्षा (Drākṣā) - Vitis vinifera (Fruit)
मधूकपुष्प (Madhūka puṣpa) - Madhuca longifolia (Flowers)
काश्मरी / गम्भारी (Kāśmarī / Gambhārī) - Gmelina arborea (Heartwood/Bark decoction)
गुड (Guḍa) - Jaggery
Prakshepa Churna (Additive Powder):
धातकी (Dhātakī) - Woodfordia fruticosa (Flowers)
Note: Quantities are as per classical text (1 Tulā ≈ 100g, 1 Pala ≈ 40g).
Primary & Classical Diagnoses (Sanskrit)
सर्व ज्वर (Sarva Jwara): Effective in all types of fever.
ग्रहणी (Grahani): A disorder of the duodenum and digestive fire, primarily presenting as irritable bowel syndrome or malabsorption syndrome.
रक्तातिसार (Raktātisāra): Diarrhea with bleeding (Dysentery).
कृमि (Kṛmi): Worm infestation.
अतिसार (Atisāra): Diarrhea.
रक्तार्शस् (Raktārśas): Bleeding piles (Hemorrhoids).
मन्दाग्नि (Mandāgni): Low digestive fire.
ज्वरातिसार (Jwarātisāra): Diarrhea associated with or caused by fever.
प्रवाहिका (Pravāhikā): Tenesmus (ineffectual and painful straining for stool).
जीर्ण ज्वर (Jīrṇa Jwara): Chronic or lingering fever.
Scope of Application (Modern & Integrated Clinical Correlation)
Gastrointestinal Disorders: Amoebiasis, Bacillary dysentery, Chronic diarrhea, Irritable Bowel Syndrome (IBS-D), Inflammatory Bowel Disease (specifically Crohn's disease), Intestinal atony.
Infectious Diseases: Fevers of gastrointestinal origin (e.g., Enteric fever).
Proctological Conditions: Bleeding hemorrhoids (not recommended for early, non-bleeding stages).
Dosha Karma: Tridoṣahara (pacifies all three Doshas), with a primary emphasis on Pitta-Kapha śamana (mitigating Pitta and Kapha).
Dhātu Karma: Acts predominantly on the Rasa and Rakta Dhātus (plasma and blood tissues), purifying and stabilizing them.
Agni Karma: Dīpana (kindles the digestive fire).
Srotas Karma: Rakta Stambhana (staunches bleeding in the channels); specifically acts on the Annavaha (food-carrying) and Purīṣavaha (waste-carrying) channels.
Roga Karma: Atisāraghma (destroys diarrhea), Jwaraghma (destroys fever), Kṛmighna (anthelmintic, destroys worms).
Lakṣaṇika Karma: Grāhi (absorbs excess moisture from the intestines, has an astringent effect), Āntra Balya (strengthens intestinal muscles).
| Attribute (Guṇa) | Property |
| :--- | :--- |
| Rasa (Taste) | Predominantly Tikta (Bitter) and Kaṣhāya (Astringent), with a secondary Madhura (Sweet) note. |
| Guṇa (Quality) | Primarily Guru (Heavy), with a combination of Rūkṣa-Snigdha (Dry-Unctuous). |
| Vīrya (Potency) | Śīta (Cooling). |
| Vipāka (Post-Digestive Effect) | [To be inferred from composition: Typically Madhura or Katu] |
Modern Correlate Actions:
Antimicrobial: Demonstrates activity against pathogens like Escherichia coli and Entamoeba histolytica.
Astringent & Anti-diarrheal: Reduces intestinal secretion and inflammation.
Antipyretic: Reduces fever.
Hemostatic: Helps control bleeding.
Intestinal Tonic: Strengthens and tones intestinal musculature.
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