A Critical Review on Formulations Used in the Management of Malavstambha (Constipation)

Abstract

Background: Malavstambha is not mentioned as a disease in any text of Ayurveda, but it is symptoms of many diseases. Many types of diseases caused by ‘Malavstambha’ (sarveshamev kupita malaha). Multiple reasons contribute to this phenomenon, such as the effects of ageing on gut physiology, certain illnesses, medications, reduced mobility, inadequate caloric intake, and anorectal sensory changes. It is a very common problem which is increase day by day. For readily available market preparation is used for malavstambha. There is many formulations are mentioned in Ayurvedic Text but it is not in practice or didn’t researches conduct. Aim: To find out the various formulations for malavstambha.  Result and Observations: In Bhaishajya Ratnawali, Yogratnakar, Charak Samhita, Ashtanga Hriday and Sushruta Samhita,we found many formulations.  Conclusion: There are many formulations mentioned in our Samhitas. Some of them are used in practice, but we have to conduct researches on mentioned formulations and create evidence based protocol for malavstambha.