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A 31-year-old female, suffered from chronic Irritable Bowel Disease and was provisionally diagnosed with Ulcerative colitis. The presenting complaints were frequent blood-stained watery stools, more than 6 times a day, and did not get relief even on taking conventional medicines for a period of 5 years. She now consulted Dr KG Raveendran, who diagnosed this clinical condition as Pittaja Grahani. The treatment protocol was to address the atipravrtti of vayu, tikshnamsha of pitta and mandyatva of kapha. With Ayurvedic treatments as an out-patient, for one1 year and in-patient treatment for a period of one month, she got complete relief from her symptoms. Post Ayurvedic treatment, she passed stools only once or twice a day, and with no blood stains.  

Irritable Bowel Disease- Quality of Life Questionnaire and MAYO Score was used to assess the treatment outcomes. The questionnaire at baseline was 163 and at endpoint it reduced to 133, indicating a significant improvement in the Quality of Life. The MAYO Score was 8 at baseline indicating a severe disease activity. At endpoint, it was 3, indicating a mild disease activity.  

This case report demonstrates the successful Ayurvedic management of a chronic case of Ulcerative colitis, where the patient did not get relief inspite of taking conventional medicine for 5 years.