Appropriate Timing of Medicine (Aushadhi Sevan Kal) Can Better Impact Patient Outcome — A Case Report of Acute Gastroenteritis (Atisara)

Abstract

Aushadh sewan kal (ASK) is vital in managing the disease. ASK varies with various factors such as the disease’s strength, the patient’s strength, the predominance of Dosha (regulatory functional factors of the body), Dushya (which gets vitiated), etc. Precision in ASK is vital to achieve greater efficacy and a lesser quantity of medicine. Lack of this precision may produce unwanted effects. A 31-year-old female patient came to OPD of Kayachikitsa GAC, Nagpur, with complaints of loose motion (10 episodes), vomiting (4 episodes), nausea, abdominal pain, body aches, and general weakness since one day, headache, burning sensation in the stomach since morning. She was diagnosed with acute gastroenteritis (Atisara). Atisara treatment containing Musta, Takra, and Bilvavleh was used. After the modification of the same medicines in ASK, pain reduction and complete recovery were achieved. There was a significant decrease in subjective parameters after administering medicine in appropriate ASK. Significant improvements in Jaran Shakti score (Capacity to digest), Abhyawaran shakti score (capacity to eat), and Ruchi factor (appetite) were also noted. ASK is important in the administration of Aushadha (medicine). Negligence in ASK may decrease the efficacy of medications. This case report emphasises the relationship between Agni (metabolic power), gut microbiome, circadian rhythm, and ASK. This case report gives future direction for various studies to understand the interplay between Agni (metabolic energy), gut microbiome, circadian rhythm, ASK, and the effect of this interplay on patient outcome.