A CRITICAL ANALYSIS ON PURISH AND STOOL

Abstract

This critical review explores the Ayurvedic and modern perspectives on Purisha (stool) and its role in health and disease diagnostics. In Ayurveda, Purisha Pariksha (stool examination) is a vital diagnostic tool that reflects the functioning of Agni (digestive fire), dosha balance, and overall metabolic health. Classical Ayurvedic texts describe various characteristics of Purisha, such as its color, consistency, quantity, odor, and presence of anomalies, as key indicators of digestive and systemic health. These parameters are extensively linked to the underlying prakriti (constitution) and specific pathological conditions, including malabaddhata (constipation), atisara (diarrhea), and grahani (malabsorption syndromes). This review critically examines traditional concepts alongside modern scientific insights into stool analysis, including its utility in diagnosing gastrointestinal disorders, infections, malabsorption, and systemic diseases. Parallels are drawn between Ayurvedic observations and modern diagnostic markers such as stool pH, microbiota composition, and the presence of pathogens. The review also highlights the limitations of subjective interpretation in traditional methods and the need for standardization and scientific validation to integrate Purisha Pariksha into contemporary clinical practice. By bridging traditional knowledge with modern diagnostic advancements, this review emphasizes the potential of stool analysis as a holistic, non-invasive diagnostic tool in personalized medicine. Further interdisciplinary research is warranted to validate Ayurvedic concepts and explore their application in integrative healthcare.