understanding the git disorders in ayurveda on the basis of icd
TRANSCRIPT
Understanding the GIT disorders in Ayurveda on the
basis of ICD Submitted By:
DR. PRIYANKA BURAGOHAIN1st year P.G. Scholar.
DR. NIBEDITA SARMAH2nd year P.G. Scholar.
Guided By:
DR. ANUP BAISHYAAssociate Professor
P.G. Department of Roga Nidan Govt. Ayurvedic College & Hospital
Jalukbari, Guwahati-14
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 :
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...
To classify the diseases of GIT as per Ayurveda for the easier diagnosis and treatment of Gastrointestinal tract disorders in Ayurveda .
Aims and objectives:
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 :
Physiology of digestive system
Ahara diet
Mukha oral
cavity
Amashaya
stomach
Grahani small
intestineUnduka caecum
Pakwashaya colon & rectum
Bodhak kapha
Kledak kapha
Pachak pitta +Samana vayu
Samanavayu
Samana vayu +Apana vayu
sara
kitta
Rasavaha srotas
Purishvaha srotasMutravaha srotas
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
Vyadhi acc to involvement of organs contd...
Pakwashaya
Grahani
Atisara Pravahika Krimi
Grahani Parinam shula
Vyadhi acc to involvement of organs contd...
Yakrit Udara/kostha
Yakrit dhalyudara Kamala Rakta pitta
Gulma Udar roga Arsha Kamala
Pliha
Plihodara Rakta pitta
Antra
Chidrodara Baddhagudadara
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
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
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
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
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
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
Acc. To symptoms contd...
Constipating disease Disease with abdominal pain/ colics
Vivandha Anaha Adhman Pratyaadhman Udavarta
Sula Parinam sula Annadrava sula Amlapitta Atopa Krimi
Acc. to symptoms contd...
Diseases with swellings and lumps: Diseases with krimi
Udar roga Gulma roga
Chardi Atisara Sula Pandu
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
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) :
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...
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...
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)
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
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 Grahani556 Idiopathic proctocolitis Guda paka556.9 K51 Ulcerative colitis, unspecified Sokaja/raktaja
atisara557 K55 Vascular insufficiency of
intestineDhamani pratisaya of annavaha and purishavaha srota
558 K52 Other noninfectious gastroenteritis and colitis
Visuchika
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
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 kamala572 K75.0 Liver abscess and sequelae of
CLDYakrit vidradhi
572.2 K72 Coma, hepatic Yakrit janya murcha573.3 K71 Hepatitis, toxic Virrudha aharaja
yakrit vikara
574 K80 cholelithisis Pitta Asmari575.0 K81 Cholecystitis, Acute Pittaja Gulma575.9 K83 Gallbladder disease, unspec gulma
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
¦ÉäkÉÉ Ê½ý ¦Éät¨ÉxªÉlÉÉʦÉxÉÊkÉ, +xªÉlÉÉ {ÉÖ®ºiÉÉÊ‘zÉÆ ¦Éänü|ÉEÞúiªÉxiÉ®ähÉ Ê¦ÉxnxÉ ¦ÉänüºÉÆJªÉÉʴɶÉä¹É¨ÉÉ{ÉÉnªÉiªÉxÉäEúvÉÉ, xÉ SÉ {ÉÚ´ÉÈ ¦ÉänÉOɨÉÖ{ɽýÎxiÉ * Ch. Vi. 6/ 4An 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. This does not invalidate the number of groups according to some other mode of classification.
Conclusion:
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.
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