Understanding the GIT disorders in ayurveda on the basis of ICD

Understanding the GIT disorders in ayurveda on the basis of ICD

1. Understanding the GIT disorders in Ayurveda on the basis of ICD Submitted By: DR. PRIYANKA BURAGOHAIN 1 st year P.G. Scholar. DR. NIBEDITA SARMAH 2 nd year P.G. Scholar. Guided By: DR. ANUP BAISHYA Associate Professor P.G. Department of Roga Nidan Govt. Ayurvedic College & Hospital Jalukbari , Guwahati-14

2. Gastrointestinal tract which starts from mouth and ends in the anus have played important role for the homeostasis of the different systems. As the digested food is the key factor for nourishment of the body; hypo functioning of it may lead to different diseases involved in different systems . In Ayurveda Annavaha and Purishavaha srota combinely can be considered as a whole as gastrointestinal tract. Introduction :

3. Annavaha and Purishavaha srotagata vyadhi can also be classified to make it easier for the diagnosis and treatment of the diseases . International Classification of Diseases is the basis to classify diseases. It is the diagnostic classification standard for reporting diseases and health conditions. Introduction contd...

4. To classify the diseases of GIT as per Ayurveda for the easier diagnosis and treatment of Gastrointestinal tract disorders in Ayurveda . Aims and objectives:

5. Mukha (oral cavity) kledak kapha kledana Amashaya (stomach) salivery digestion   Grahani pachak pitta pachan Pittadhara kala gastrointestinal digestion Unduka separation,absorption Pakwashaya samana vayu sara kitta vibhajana sara soshana Guda Apana Vayu Gudavalli excretion mala bisharjana Gudostha DIGESTION PROCESS :

6. Physiology of digestive system Ahara diet Mukha oral cavity Amashaya stomach Grahani small intestine Unduka caecum Pakwashaya colon & rectum Bodhak kapha Kledak kapha Pachak pitta + Samana vayu Samana vayu Samana vayu + Apana vayu sara kitta Rasavaha srotas Purishvaha srotas Mutravaha srotas

7. Vyadhi according to involvement of organs: Amashaya Ajeerna Agnimanda Shula Amaja shula Parinam shula Annadrava shula Amla pitta Krimi Udara Chardi Arsa Vishuchika Alasaka Vilambika Anaha Adhman Atopa Rakta pitta Atisara Pravahika Krimi

8. Vyadhi acc to involvement of organs contd... Pakwashaya Grahani Atisara Pravahika Krimi Grahani Parinam shula

9. Vyadhi acc to involvement of organs contd... Yakrit Udara / kostha Yakrit dhalyudara Kamala Rakta pitta Gulma Udar roga Arsha Kamala Pliha Pliho dara Rakta pitta Antra Chidrodara Baddhagudadara

10. Vyadhi according to Agni Mandagni Visamagni Atisara Chardi Pravahika Agnimandya Ajeerna Vishuchika Grahani Arsa Udavarta Shula Atisara Grahani Udara roga Trishna Arochak Pandu Kamala Raktapitta Agnimandya Ajeerna Alasaka Vilambika Gulma Atyagni Amla pitta Tikshnagni

11. Vyadhi according to involvement of Ama Amaja Niramaja Alasaka Vishuchika Vilambhika Amajeerna Agnimandya Amaja sula Amaja atisara Agantuja chardi ( amaja ) Prabahika Anaha Udara roga Amaja trishna Grahani Pandu Kamala Arsha Krimi roga Gulma Anaha Adhmana Amla pitta udavarta

12. Vyadhi on the basis of chronocity : Asukari Chirakari Amlapitta Raktapitta Gulma Atisara Krima Ajeerna Arochaka Chardi Visuchika Alasaka Anaha Adhman Atopa Sula Trishna Agni mandya Amlapitta Raktapitta Gulma Atisara Krimi Grahani Udar roga Pandu Kamala Pravahika Arsa Vilambhika

13. Sharirik Manashik 1. Grahani 1. Ajeerna 2. Udara roga 2. Arochak 3. Pandu 3. Chardi 4. Kamala 4. Sula 5. Amlapitta 5. Atisara 6. Arsa 6. Gulma 7. Vishuchika 7. Raktapitta 8. Krimi 8. Trishna 9. Gulma Vyadhi according to involvement of sharira and mana

14. According to symptoms: Digestive/ secretory disorder Distension of abdomen Agnimandya Amajeerna Vidagdhajeerna Vistabdhajeerna Amlapitta Vishuchika Alasaka Vilambika Anaha Alasaka Anaha Atopa Udar roga Baddhagudodara Udakodara Apanavata vegadharana udavarta

15. Atisara - vriddhoati baddhah saratyesha Pravahika - pravahamanasya muhurmalaktam Grahanidosa Grahani roga -atisristam vivandham va dravam Sangrahani - pakhana masaha sadhwat va nityam Ghatiyantra grahani - malajjala ghati dhwanih Adhoga Amlapitta - adho va vividha prakaram Vishuchika Purishaja krimi Acc. To symptoms contd... Diarrhoeal diseases

16. Acc. To symptoms contd... Constipating disease Disease with abdominal pain/ colics Vivandha Anaha Adhman Pratyaadhman Udavarta Sula Parinam sula Annadrava sula Amlapitta Atopa Krimi

17. Acc. to symptoms contd... Diseases with swellings and lumps: Diseases with krimi Udar roga Gulma roga Chardi Atisara Sula Pandu

18. Acc. to symptoms contd... Diseases with vomiting Hepatobiliary diseases Kaphaja agnimandya Urdhwaga vishuchika Annadrava sula Kaphaja amlapitta Kaphaja krimi Grhani Ajeerna Pandu Kamala Halimak Panaki Kumbha kamala Sakhashrita kamala Kosthasrita kamala yakritdalyudara

19. First creation in 1948 by WHO as ICD- 6 WHO Nomenclature Regulations adopted it in 1967 ICD-10 was endorsed in May 1990 by the fourty third world health assembly. It is used by more than 100 countries. At present ICD – 9 and ICD-10 are being in use. ICD – 11 will be released by 2017 INTERNATIONAL CLASSIFICATION OF DISEASES (ICD) :

20. ICD coding is the backbone of Medical coding. Necessary for transforming descriptions of diagnosis & procedures into universal acceptable medical code numbers. It is the diagnostic classification standard for all clinical & research purposes. All diseases, disorders, injuries and other related health conditions are listed in a comprehensive, hierarchical fashion. ICD contd...

21. Used for easy storage, retrieval & analysis of health information for evidence based decision making. Sharing and comparing health information between hospitals, regions, settings & countries. Monitoring of the incidence & prevalence of diseases. Keeping track of safety & quality guidelines. Observing reimbursements & resource allocation trends. Counting of mortality and morbidity rates etc. ICD contd...

22. Diseases of the digestive system : ICD 9 Codes 520-579 ICD 10 Codes K00-K95 Diseases of oesophagus, stomach, and duodenum : ICD 9 ( 530-537 ), ICD 10 ( K20- K31 ) Appendicitis: ICD 9 ( 540-543 ), ICD 10 ( K35-K38 ) Hernia of abdominal Cavity : ICD 9 ( 550-553 ) Non infective enteritis and colitis: ICD 9 ( 555-558 ), ICD 10 ( K50- K52 ) Other diseases of intestines and peritoneum: ICD 9 ( 560-569 ), ICD 10 ( K55-K63 ) Peritonitis: ICD 10 ( K65- K67 ) Diseases of Liver : ICD 10 ( K70-K77 ) Diseases of Gall Bladder, Biliary tract and Pancreas: ICD 10 ( K80-K87 ) Other diseases of Digestive System: ICD 9 ( 570-579 ), ICD 10 ( K90-K93 )

23. ICD 9 ICD 10 Disease Ayurvedic interpretation 531 K25 Gastric ulcer Annadrava sula 532 K26 Duodenal ulcer Parinam sula 533 K27 Peptic ulcer( unspec ) Parinam sula 534 K28 Gastrojejeunal ulcer Parinam sula 535 K29 Gastritis and duodenitis Amlapitta 536.3 Gastroparesis Vilamvika 536.8 K30 Dyspepsia Atopa Comparision of ICD 9 with GIT disorders in Ayurveda

24. 540 K35 Acute appendicitis Unduka puccha sotha 541 K37 Appendicitis unqualified Unduka puccha sotha / chidrodara 542 K36 Other Appendicitis Unduka puccha sotha / chidrodara 543 K38 Other diseases of Appendix Unduka puccha sotha / chidrodara 550-553 Hernia of Abdominal cavity Vriddhi roga / gulma 555 K50 Regional enteritis Grahani 556 Idiopathic proctocolitis Guda paka 556.9 K51 Ulcerative colitis, unspecified Sokaja / raktaja atisara 557 K55 Vascular insufficiency of intestine Dhamani pratisaya of annavaha and purishavaha srota 558 K52 Other noninfectious gastroenteritis and colitis Visuchika

25. 560 K56 Intestinal obstruction without hernia Badhagudodara 562 K57 Diverticula of intestine Badhagudodara 564.0 K59.0 Constipation unspecified Mala badhata 564.1 K58 IBS Pakwasayagata vata / grahani 564.6 K59.4 Anal spasm Guda sankoch 565 K60 Anal fissure and fistula Parikartika and bhagandara 566 K61 Abscess of anal and rectal region Guda pidaka 567 K65 Peritonitis Chidrodara 569.3 K62.5 Bleeding rectal Adhoga raktapitta K63.1 Perforation of intestine Chidrodara

26. 571 Chronic liver disease and cirrhosis Kumbha kamala 571.0 K76 Fatty liver, alcoholic Kapanubandha yakritaja vikara 571.2 K70 Cirrhosis, liver, alcoholic Madatyay janya yakrit vikara 571.4 K73 Hepatitis,chronic , unspecified Kamala 571.5 K74 Cirrhosis, NOS Kumbha kamala 572 K75.0 Liver abscess and sequelae of CLD Yakrit vidradhi 572.2 K72 Coma , hepatic Yakrit janya murcha 573.3 K71 Hepatitis, toxic Virrudha aharaja yakrit vikara 574 K80 cholelithisis Pitta Asmari 575.0 K81 Cholecystitis , Acute Pittaja Gulma 575.9 K83 Gallbladder disease, unspec gulma

27. 576.3 K83.2 Perforation of bile duct chidrodara 576.5 K83.4 Spasm of sphincter of oddi Vataja sula 577.0 K85 Pancreatitis , Acute Pittaja sula 577.1 K86.1 Pancreatitis, Chronic Kapha Pitta sula 577.2 K86.3 Pancreatic Cyst, pseudocyst Gulma 578 K92.2 Gastrointestinal haemorrhage Raktapitta 578.0 K92.0 Haematemesis Raktapitta 578.1 K92.1 Blood in stool, melena Amashayagata vrana / adhoga Raktapitta 579 K90 Intestinal malabsorption Grahani 579.1 K90.1 Tropical Sprue Sangraha Grahani

28. ¦ ÉäkÉÉ Ê½ý ¦ Éät¨ÉxªÉlÉÉʦÉxÉÊkÉ , + xªÉlÉÉ {ÉÖ®º iÉÉÊ‘zÉÆ ¦ Éänü|ÉEÞúiªÉxiÉ®ähÉ Ê¦ÉxnxÉ ¦ÉänüºÉÆJªÉÉʴɶÉä¹É¨ÉÉ{ ÉÉnªÉiªÉxÉäEúvÉÉ , xÉ SÉ {ÉÚ´ÉÈ ¦ ÉänÉOɨÉÖ {ɽýÎxiÉ * Ch. Vi. 6/ 4 An individual has the liberty to classify things as he likes. If something is already classified into some groups in a particular manner, he may reclassify it on the basis of different criteria which may result in changes in the number of groups in different ways. T his does not invalidate the number of groups according to some other mode of classification. Conclusion:

29. ICD coding is the backbone of medical coding. Therefore if we are able to code the gastrointestinal tract diseases in Ayurveda i.e Annavaha and purishavaha srotagata Vyadhis too with relation to ICD it will be easier for us to diagnose, record, and report them. It will help in the diagnostic classification standard for all clinical & research purposes.

30. THANK YOU