Table 1.

Timeline.

Year	Incidence/intervention
2012	Patient had severe constipation since childhood.
2014–2015	Patient was consulted for chronic constipation in J.K. Loan hospital and medical college Jaipur and Imperial hospital and research center Jaipur. Patient was suspected to suffer from HSCR. Patient was advised conservative treatment.
February–March-2016	Patient was consulted in Pediatric surgery department of AIIMS New Delhi. Diagnosis of HSCR was confirmed in AIIMS New Delhi. Patient was advised to go for biopsy and colostomy.
April-2016	Patient was unwilling for surgery. Patient visited O.P.D. of National Institute of Ayurveda Jaipur for these problems and was advised for administration of Panchakarma Procedures.
12/04/2016–27/04/2016	Shashtikashali pinda svedana was done for 16 days along with Matra Basti for 16 days. Selected Ayurvedic oral drugs- Vrihatavatachintamani ras and Drakshaveleha twice a day were also prescribed along with these Panchakarma procedures. There was clinical improvement in patient condition after one month of therapy. Same oral medication was provided to the patient.
12/05/2016–11/08/2016	Vrihatavatachintamani ras was discontinued from 12/07/2016. Matra basti with Ashwagandha taila once in a day was continued for three months.
12/08/2016–11/10/2016	Drakshaveleha twice a day was continued as oral medicine. Matra basti with Ashwagandha taila was given on alternate days for two months.
12/10/2016–11/05/2017	Drakshaveleha twice a day was continued as oral medicine. Matra basti with Ashwagandha taila was given once a week.
14/12/2016	Serum bilirubin both direct and indirect, serum glutamic oxaloacetic transaminase (SGOT), Serum glutamic pyruvic transaminase (SGPT), serum creatinine ESR,CBC, serum albumin, serum calcium, serum electrolytes, serum phosphorus and total lipid profile were investigated. These were within limit. Barium enema study demonstrates delayed emptying time and a funnel-like transition zone between proximal dilated and distal constricted bowel –suggestive of Hirschsprung disease.
17/05/2017	Above hematological and biochemical parameters were reinvestigated which were within limit.
12/05/2017–28/05/2017	Shashtikashali pinda svedana was done for 16 days along with Erandmooladi yapana basti for 16 days. Drakshaveleha twice a day was continued as oral medicine.