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Volume : 03  
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DOI  
https://doi.org/10.5281/zenodo.19596241  
Impact Factor : 1.013  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH  
The Effect of Detox Drink and Malasana in Ayurvedic Care of Malabaddha: A  
Single Case Study  
Dr. Krishna P. Thorat Kullolli 1, Dr. Vivekanand Mohan Kullolli 2  
1 HOD And Professor ,Department Of Rognidan Evum Vikriti Vigyana ,Indian Institute Of Ayurved, Research  
And Hospital Rajkot.  
2 HOD And Professor ,Department Of Shalya Tantra,Indian Institute Of Ayurved, Research And Hospital Rajkot.  
Corresponding Author: Dr.Krishna P. Thorat Kullolli  
ORCID ID: 0000-0002-5791-372X  
Article Info: Article Received on : 24/03/2026  
Article Reviewed on: 28/03/2026  
Article Published on : 15/04/2026  
Cite this article as: - Thorat Kulloli, K., & Kulloli, V. (2026). The Effect of Detox Drink and Malasana in Ayurvedic Care of  
Malabaddha: Single Case Study. International Journal of Diagnostics And Research, 3(3), 36–41.  
A
https://doi.org/10.5281/zenodo.19596241  
Abstract  
Background:  
Malabaddha (constipation) is a commonly encountered Annavaha and Purishvaha Srotodushti in Ayurvedic  
clinical practice. It primarily arises due to Vata prakopa, particularly Apana Vata vaiguṇya, associated with  
Agnimandya and Rukṣa guṇa predominance in Pakvashaya. Modern medicine correlates this condition with  
functional constipation, significantly affecting quality of life.  
Objective:  
To evaluate the combined effect of a morning Detox Drink regimen along with Malasana in the  
management of Malabaddha.  
Methods:  
A single observational case study was conducted on a 37-year-old female patient presenting with chronic  
Malabaddha. The intervention included daily morning intake of selected Deepana–Pacana–Vatanulomana  
jala preparations followed by Malasana practice for 7 days. Assessment was done on Day 0, Day 3, and  
Day 7 using bowel frequency, Bristol stool scale, degree of straining, Udaragaurava, adhmana, and  
subjective wellbeing.  
Results:  
Significant improvement was observed in bowel frequency (once in 2–3 days to daily), stool consistency  
(Type 1–2 to Type 4), reduction in straining, and complete relief from Udaragaurava and Adhmana. No  
adverse events were reported.  
Conclusion:  
The integrative Ayurvedic and Yogic approach effectively corrected Apana Vata gati, improved Agni, and  
relieved Malasanchaya. The intervention appears safe, economical, and sustainable for lifestyle  
management of Malabaddha.  
Keywords: Malabaddha, Apana Vata, Vatanulomana, , Malasana, Constipation  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0104 |ISSN :2584-2757  
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Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH  
Aim: To evaluate the effect of Detox Drink  
regimen and Malasana in Malabaddha.  
Materials and Methods:  
Introduction :  
Vibandha, Puriṣa Sangraha, and Apana Vata duṣṭi  
are  
elaborately  
discussed.  
Charaka  
Samhita  
Study Design :  
explains that Vata prakopa due to Rukṣa, Laghu,  
Alpa ahara and Vegadharaṇa leads to Vibandha  
and Baddha Puriṣa[1]. Ashtanga Hridaya describes  
that derangement of Apana Vata causes difficulty  
in mala pravṛtti[2].  
Single observational case study.  
Patient Information :  
Age: 37 years  
Gender: Female  
Prakṛti: Vata-Pitta  
Koṣṭha: Krura  
Ayurvedic Samprapti of Malabaddha  
Agni: Mandagni  
Vihara: Sedentary  
Jala sevana: Inadequate  
Nidana: Rukṣaa ahara, Alpa jala sevana,  
Vegadharaṇa, Alasya  
Doṣa: Vata pradhana  
Chief Complaints :  
Duṣya: Puriṣha  
Mala pravṛtti once in 2–3 days  
Kathina puriṣha  
Agni: Mandagni  
Atipravṛtta prayatna (excessive straining)  
Udaragaurava  
Srotas: Puriṣavaha Srotas  
Adhiṣṭhana: Pakvashaya  
Adhmana  
Aprasannata in morning  
No systemic pathology detected.  
Saṃprapti: Rukṣa guṇa vriddhi → Apana  
Vata saṅga → Mala sancaya → Vibandha  
Intervention :  
In modern medicine, functional constipation is  
defined by reduced stool frequency, excessive  
1. Ayurvedic Detox Drink Regimen  
Sequential daily use of selected jala preparations  
based on patient bala and koṣṭha.  
Components and Classical Actions  
straining,  
and  
hard  
stools  
without  
organic  
pathology[3]. Chronic laxative use may cause  
dependency, electrolyte imbalance, and colonic  
atony[4].  
Ayurvedic  
Karma  
Preparation  
Ingredients  
Agni dipana,  
Srotoshodhana  
Pachana, Ama  
hara  
Vatanulomana,  
Sukṣma  
Ayurveda emphasizes:  
Warm water  
Uṣṇodaka  
Vatanulomana  
Agni dipana  
Lemon +  
Madhu  
Saindhava +  
warm water  
Soaked  
Triphala  
Cuminum  
cyminum  
Castor oil +  
milk  
Nimbu–  
Madhu Jala  
Saindhava  
Jala  
Mridu Rechana  
Snehana  
Mridu Rechana  
Triphala Jala  
Jiraka Jala  
Pathya ahara and vihara  
Dipana, Grahi  
Thus, simple daily regimens like Uṣṇodaka sevana  
and Yogasana may provide effective non-  
pharmacological management.  
Vatashamaka,  
Rechaka  
Pachana,  
Pittashamaka  
Eraṇḍa  
Sneha Jala  
Dhanyaka  
Jala  
Coriandrum  
sativum  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0104 |ISSN :2584-2757  
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2. Malasana (Yogic Squatting Posture)  
Results :  
Duration: 3–5 minutes  
Frequency: Daily morning  
Duration: 7 days  
Sr.  
No.  
Ayurvedic  
Term  
% Improvement  
(Day 0–7)  
Parameter  
Day 0  
Day 3  
Day 7  
Once in 2–3  
days (Grade  
2)  
Bowel  
Frequency  
Mala Pravṛtti  
Saṅkhya  
Once in 2 days Once daily  
(Grade 1)  
100%  
normalization  
1
2
3
(Grade 0)  
Stool  
Consistency  
Kathina  
Puriṣha  
Type 1–2  
(Grade 2)  
Type 2–3  
(Grade 1)  
Mild–  
Moderate  
(Grade 1–2)  
Occasional  
(Grade 1)  
Type 4  
(Grade 0)  
100%  
normalization  
Assessment Criteria :  
Atipravṛtta  
Prayatna  
Severe  
(Grade 3)  
Minimal  
(Grade 0–1)  
~80–100%  
reduction  
Straining  
Assessment on Day 0, 3, 7.  
Abdominal  
Heaviness  
Persistent  
(Grade 2)  
Moderate  
(Grade 2)  
Absent  
(Grade 0)  
Absent  
(Grade 0)  
Marked  
4
5
Udaragaurava  
Adhmana  
100% relief  
100% relief  
Sr.  
No.  
Ayurvedic  
Term  
Clinical  
Rationale  
Grading  
Criteria (0–3) Assessment  
0 = Once daily  
Method of Day Day Day  
Parameter  
0
3
7
Bloating  
Mild (Grade 1)  
Reflects Apana 1 = Once in 2  
Mala Pravṛtti Vata gati and days  
Digestive  
Comfort  
Absent  
(Grade 3)  
Improved  
(Grade 1)  
~90–100%  
improvement  
6
Laghava  
lightness  
(Grade 0)  
Bowel  
Frequency Saṅkhya  
Patient diary  
1
2
Purisha  
nirgamana  
2 = Once in 3 & interview  
days  
3 = >3 days  
0 = Type 3–4  
Discussion :  
(Normal)  
Indicates Rukṣa  
Puriṣha Rupa guṇa & Vata  
prakopa  
Bristol Stool  
1 = Type 2  
Chart  
Stool  
Malabaddha fundamentally represents Apana Vata  
saṅga in Pakvaśhaya. Rukṣa and Śheeta guṇa  
dominance leads to shoṣhaṇa of mala, making it  
kathina and alpamatra.  
Consistency  
Straining  
2 = Type 1  
correlation  
3=Hard pellets  
with difficulty  
0 = No  
straining  
Shows Apana  
Atipravṛtta  
Prayatna  
1 = Mild  
Patient self-  
2 = Moderate  
report  
3
Vata saṅga &  
Srotorodha  
3 = Severe  
with  
discomfort  
0 = Absent  
1=Occasional Clinical  
2 = Persistent questioning  
3 = Severe  
Due to Mala  
Udaragaurava sanchaya &  
Mandagni  
Abdominal  
Heaviness  
4
5
Role of Uṣṇodaka  
0 = Absent  
1 = Mild  
Uṣṇa and Drava guṇa counteract Rukṣhata.  
Classical texts describe warm water as:  
Inspection &  
patient  
feedback  
Caused by Vata 2 = Moderate  
saṅga & Ajirṇa 3=Severe  
visible  
Bloating  
Adhmana  
distension  
0=Excellent  
freshness  
Ama pachaka  
1=Mild  
Digestive  
Comfort  
Laghava &  
Prasannata  
Sign of Samagni  
& Vatanulomana  
Subjective  
reporting  
6
improvement  
2=No change  
3=Persistent  
discomfort  
Vata-Kapha hara  
Srotovishodhana  
[5]  
Objective Parameters :  
Bowel frequency  
Bristol Stool Chart  
Modern physiology correlates warm water with  
stimulation of gastrocolic reflex.  
Role of Saindhava Lavana:  
Subjective Parameters :  
Degree of straining  
Udaragaurava  
Ādhmāna  
Described in Lavana Varga as:  
Lāghava anubhūti  
Snigdha  
Observations on Day 0, Day 3 and Day 7 :  
Sukṣhma  
Vatanulomana[6]  
Sr.  
No.  
Ayurvedic  
Term  
Day 0  
(Baseline)  
Once in 2–3  
days (Grade  
2)  
Day 3  
(Interim)  
Day 7  
(Final)  
Clinical  
Interpretation  
Parameter  
It reduces colonic dryness and promotes smooth  
Bowel  
Frequency  
Mala Pravṛtti  
Saṅkhya  
Once in 2 days Once daily Gradual correction of  
(Grade 1)  
1
2
(Grade 0)  
Apana Vata gati  
Type 2–3  
(Softer but  
formed)  
(Grade 1)  
Mild–  
Moderate  
straining  
(Grade 1–2)  
Occasional  
heaviness  
(Grade 1)  
Type 4  
(Soft,  
smooth)  
(Grade 0)  
Type 1–2  
(Hard pellets)  
(Grade 2)  
Reduction in Rukṣa  
guṇa and improved  
Mala vilayana  
evacuation.  
Stool Kathina Puriṣa  
Consistency (Type 1–2)  
Role of Nimbu–Madhu :  
Madhu is:  
Severe  
straining  
(Grade 3)  
Minimal to  
none (Grade  
0–1)  
Atipravṛtta  
Straining  
Apana Vata  
anulomana achieved  
3
Prayatna  
Persistent  
Abdominal  
Heaviness  
Absent  
(Grade 0)  
Mala sanchaya  
reduced  
4
5
Udaragaurava heaviness  
(Grade 2)  
Moderate  
Yogavahi  
Mild bloating  
(Grade 1)  
Absent  
(Grade 0)  
Bloating  
Adhmana  
distension  
(Grade 2)  
Vata saṅga relieved  
Lekhana  
Good  
Improved  
freshness  
(Grade 1)  
Digestive  
Comfort  
Laghava & No freshness  
Prasannata (Grade 3)  
morning  
lightness  
(Grade 0)  
6
Samagni restoration  
Saṃskara anuvartana  
Lemon provides Amla rasa stimulating digestive  
secretions.  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0104 |ISSN :2584-2757  
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Malasana:  
Role of Triphala:.  
Bhavaprakasha Nighantu describes Triphala as:  
Enhanced physiological defecation reflex  
Reduced abdominal pressure strain  
Rasayana  
Mridu virecaka  
Tridoṣa shamaka [7]  
Thus,  
both  
functional  
and  
Doṣhika  
correction occurred.  
Modern research confirms mild laxative and  
antioxidant effects[8]  
Conclusion :  
The present single case study demonstrates that a  
structured regimen consisting of Uṣṇodaka-based  
Detox Drink preparations combined with Malasana  
practice offers significant therapeutic benefit in the  
Role of Jiraka and Dhanyaka:  
Both act as:  
Dipana–Pachana  
Adhmana hara  
Grahi  
management  
of  
Malabaddha  
(functional  
constipation). The intervention produced marked  
improvement within seven days, reflected by  
normalization of mala pravṛutti, correction of stool  
consistency, reduction in straining, and complete  
relief from Udaragaurava and Adhmana. From an  
Ayurvedic perspective, Malabaddha is primarily a  
manifestation of Apana Vata vaiguṇya, associated  
with Rukṣa guṇa predominance, Mandagni, and  
Mala sanchaya in Pakvashaya.  
They regulate Mandagni and reduce fermentation.  
Role of Eraṇḍa Sneha:  
Eraṇḍa is considered best for Vatavyadhi and  
Vibandha:  
Rechana  
Snehana  
Vātaśamana  
Its ricinoleic acid stimulates intestinal motility[9].  
Role of Malasana :  
The detox drink regimen acted through multiple  
mechanisms:  
Biomechanically:  
Straightens anorectal angle  
Agni  
Dipana  
and  
Pachana  
–
by  
Reduces need for straining  
Study by Sikirov[10]  
demonstrated  
decreased  
stimulating digestive fire and reducing ama.  
Vatanulomana – by restoring the natural  
downward movement of Apana Vata.  
Snehana and Mala Vilayana – by  
counteracting Rukṣhata and softening the  
accumulated stool.  
straining in squatting posture.  
Ayurvedically:  
Facilitates Apana vata gati  
Removes Puriṣha avarodha  
Integrated Mechanism :  
Srotoshodhana – by clearing obstruction in  
Puriṣavaha Srotas.  
Detox drink:  
Corrected Agni  
Simultaneously,  
Malasana  
contributed  
Softened Mala  
mechanically and physiologically by improving the  
Lubricated colon  
Restored Vatanulomana  
anorectal angle, reducing straining effort, and  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0104 |ISSN :2584-2757  
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facilitating effortless evacuation. In Ayurvedic  
terms, the posture supported Apana Vata gati,  
minimized Srotorodha, and enhanced natural mala  
nirgamana. The progressive reduction in total  
The Uṣṇodaka–Saindhava based detox regimen  
combined with Malasana effectively relieved  
Malabaddha by correcting Apana Vata gati,  
improving  
Agni,  
and  
reducing  
Rukṣata  
in  
symptom  
score  
(approximately  
85–90%  
Pakvaśhaya. The intervention is safe, economical,  
improvement within 7 days) indicates that this  
intervention does not merely provide symptomatic  
relief but addresses the underlying Samprapti  
ghatakas, including Doṣa, Duṣya, Agni, and Srotas  
involvement. The absence of adverse effects further  
supports the safety and tolerability of this lifestyle-  
based approach.  
and suitable for long-term lifestyle modification.  
References :  
1. Acharya YT. Charaka Samhita. Sutrasthana  
5/12. Varanasi: Chaukhambha; 2014.  
Importantly, this regimen is:  
2. Murthy KR. Ashtanga Hridaya. Sutrasthana  
12/7. Varanasi: Chaukhambha; 2012.  
Non-pharmacological  
Economical  
Easily adoptable in daily routine  
Suitable for long-term lifestyle modification  
Free from laxative dependency risks  
3. Rao SSC, et al. Functional constipation.  
Gastroenterol  
Clin  
North  
Am.  
2010;39(3):561-581.  
In the context of rising prevalence of functional  
constipation due to sedentary habits, improper  
dietary patterns, and inadequate hydration, such  
integrative Ayurvedic–Yogic interventions provide  
a sustainable and root-cause-oriented management  
strategy. However, as this study represents a single  
case observation with short duration, larger  
randomized controlled clinical trials with extended  
follow-up are recommended to validate the efficacy  
and establish standardized protocols.  
4. Bharucha AE, et al. AGA medical position  
statement  
on  
constipation.  
Gastroenterology.  
Acharya YT.  
2013;144(1):211-217.  
5. Charaka  
Samhita.  
Sutrasthana  
5/12.  
Varanasi: Chaukhambha; 2014.  
6. Bhavamishra.  
Bhavaprakasha  
Nighantu.  
Overall, the combined practice of Detox Drink  
regimen and Malasana can be considered an  
effective, safe, and holistic modality in the  
Ayurvedic management of Malabaddha, promoting  
restoration of Samagni, normalization of Apana  
Vata, and achievement of Laghava and Prasannata  
in daily life.  
Lavana & Haritakyadi Varga. Varanasi:  
Chaukhambha; 2015.  
7. Acharya YT. Charaka Samhita. Sutrasthana  
5/12. Varanasi: Chaukhambha; 2014.  
Copyright @ : - Dr.Krishna Kullolli Inter. J.Digno. and Research IJDRMSID0104 |ISSN :2584-2757  
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Volume : 03 Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]  
8. Peterson CT, et al. Triphala: A traditional  
Ayurvedic formulation. Altern  
J
Complement Med. 2017;23(8):607-614.  
9. Peterson CT, et al. Triphala: A traditional  
Ayurvedic  
formulation.  
J
Altern  
Complement Med. 2017;23(8):607-614.  
10. Sikirov D. Comparison of straining during  
defecation in three positions. Dig Dis Sci.  
2003;48(7):1201-1205.  
Declaration :  
Conflict of Interest : None  
ISSN: 2584-2757  
DOI : https://doi.org/10.5281/zenodo.19596241  
Dr. Krishna Kullolli Inter. J.Digno. and Research  
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