Figure 4.

Schematic representation of Adhi becoming Vyadhi in the context of IBS. Conflicts in the mind disturb the vital life-force (varistha prana) that affects Samana (responsible for digestion) and disturbed autonomic nervous system. When Samana is disturbed, there is an imbalance in Apana in case of IBS patients. Disturbed varistha prana causes imbalance in the ANS and bowel contractility issues. All these disturbances are thought to be the onset of IBS (diarrhea, constipation, or both mixed).