Management of Abdominal Cocoon Syndrome in Ayurveda


Abdominal Cocoon Syndrome is a rare condition of bowel obstruction. It can occur in males and females but most commonly occurs among young adolescent girls of tropical and subtropical regions. The syndrome is not yet clearly known but is assumed to be due to peritoneal irritation. Through this article, you will get to know various causes, symptoms, and Ayurvedic Management of Abdominal Cocoon Syndrome.


Abdominal Cocoon Syndrome is a condition in which there is complete or partial encapsulation of a small bowel with a fibrous-collagenous membrane with a local inflammatory infiltrate that causes bowel obstruction that can be acute or chronic. Abdominal Cocoon is one of the causes of intestinal obstruction. This condition is different from peritoneal encapsulation in which the whole of the small bowel is encased in a thin accessory membrane. While the symptoms of both conditions can be the same, it is necessary to have a differential diagnosis and rule out the exact disorder. Correct diagnosis and early treatment can reduce future complications and mortality rates. Abdominal Cocoon Syndrome can be primary or secondary.

Symptoms of Abdominal Cocoon Syndrome

Ayurvedic Aspect

According to Ayurveda texts the Abdominal Cocoon Syndrome can be assumed to occur due to–

  • Unhealthy food habits and wrong lifestyle along with poor digestion power (Agnimandh)
  • Weak nervous system

The miscommunication between the brain and digestive tract can cause an imbalance of doshas that can lead to dushti of strostas/ dhatus and these disturbances in the Gastrointestinal tract leads to many disorders including Abdominal Cocoon Syndrome

  •  Stress
  • Depression

Hormonal imbalance due to the above-laid causes is also a causative factor for this condition, mainly in adolescent girls. Fortunately, Ayurveda has excellent remedies for the treatment of this condition without any side effects, which are discussed further in the article.


Abdominal Cocoon Syndrome is caused by the thick fibrous collagenous membrane.

  • The primary syndrome occurs in adolescent girls with idiopathic etiology (unknown cause).

Whereas secondary syndrome is linked with

  • Abdominal tuberculosis
  • Peritoneal dialysis
  • Liver cirrhosis
  • Intra-abdominal foreign body sensation
  • Liver transplantation
  • Systemic lupus erythematosus and many other causes.

These factors can lead to peritonitis, and the exudation of protein causes the formation of the fibrous sac (encapsulation) that forms Abdominal Cocoon Syndrome.

Symptoms seen in person with Abdominal Cocoon Syndrome are-

  • Abdominal pain (several attacks)
  • An abdominal mass
  • Nausea with or without vomiting
  • Recurrent small bowel obstruction


Diagnosis is confirmed with the following diagnostic methods-

  • Abdominal X-ray
  • Ultrasonography
  • Complete blood count
  • CT scan
  • CECT of abdomen
  • Barium study


  • Certain medications are  prescribed for conservative treatment.
  • Surgical treatment- Commonly performed procedures are Laparotomy, etc.

But both these methods can cause various adverse effects. Cure the condition, it can worsen the health with adverse side effects. Whereas, Ayurveda can manage the condition by enhancing immunity. There are no such side effects recorded for Ayurvedic medicines.

Herbal remedies for Abdominal cocoon Syndrome by Planet Ayurveda

Ayurvedic herbal medicines are very effective in managing Abdominal Cocoon Syndrome and relieving its symptoms. Planet Ayurveda is a GMP-certified, ISO-certified, and US-FDA-registered ayurvedic company which prepares natural medicines using authentic ways. The herbal medicines prepared by the company are prescribed worldwide for many health conditions. These medicines are 100% pure and are completely herbal with no side effects. Also while formulating these remedies, our MD experts take care of adding any sort of resin, color, or chemical. The preparation of medicines is purely based on ayurvedic principles and strictly follows government guidelines Medicines provided by Planet Ayurveda for the treatment of Abdominal Cocoon Syndrome are

Herbal Supplements for Abdominal Cocoon Syndrome Herbal Remedies for Abdominal Cocoon Syndrome

1. Triphala Guggul

These tablets are prepared from Haritaki (Terminalia chebula), Vibhitki (Terminalia bellerica), Amalaki (Emblica officinalis), and shuddha guggul (Commiphora mukul). These tablets pacify the Kapha dosha and help to maintain overall metabolism. It heals anal fissures, anal fistula, and other anal problems by preventing constipation. It detoxifies the body by excreting waste products through urine. It also has laxative effects and also has curative action on the stomach that helps to ease symptoms of bowel obstruction. Moreover, it is natural and has no side effects. Dosage- Have 2 tablets twice daily

2. Vidangarisht

This ayurvedic formulation consists of Vidanga (Embelia ribes), Pippalimoola (Piper longum), Rasna (Pluchea lanceolata), Kutaja (Holarrhena antidysenterica), Pippali fruit (Piper longum), Patha (Cyclea peltata), Ela (Elettaria cardamomum), Dhatri (Emblica officinalis), Dhatki (Woodfordia fruticosa), Twak (Cinnamomum verum), Patra (Cinnamomum tamala), Priyangu (Callicarpa macrophylla), Kanchanara (Bauhinia variegata), Lodhra (Symplocos racemosa), Shunthi (Zingiber officinalis), etc. It is helpful in anal fistula-like conditions. In Abdominal Cocoon Syndrome, it is used for lekhana karma (get rid of encapsulation without surgery) of encapsulation. Dosage– Take 2 spoons two times daily

3. Kumaryasav

This ayurvedic asav is prepared with Kumari ras (Aloevera), Pakva loha (Iron calx), Marich (Piper nigrum), Pippali (Piper longum), Twak (Cinnamomum zeylanica), Patra (Cinnamomum tamala), Nagkeshar (Mesua ferrea), Chavya (Piper chaba), Chitraka (Plumbago zeylanica), Musta (Cyperus rotundus), Kutki (Picrorhiza kurroa), Rasna (Pluchea lanceolata), Devdaru (Cedrus deodara), Haridra (Curcuma longa), Vibhitki (Terminalia bellerica), Bala (Sida cordifolia), Daruharidra (Berberis aristata), Murva (Marsdenia tenacissima), Shatahva (Anethum sowa), Lodhra (Symplocos racemosa), Utanjana (Blepharis edulis), Gokshur (Tribulus terrestris), Yashtimadhu (Glycyrrhiza glabra), Danti (Baliospermum montanum), Pushkarmoola (Inula racemosa), Atibal (Abutilon indicum), Kapikacchu (Mucuna pruriens), Dhataki (Woodfordia fruticosa), etc. This asav is used in the treatment of liver and spleen. It manages indigestion with its nourishing properties. It helps ease symptoms of Abdominal Cocoon Syndrome. Dosage- Take 2 spoons two times daily

4. Avipattikar Churna

This classical formulation is made with a combination of herbs like – Baheda (Terminalia bellirica), Peepal (Ficus religiosa), Amla (Emblica officinalis), Vidanga (Embelia ribes), Tejpatta (Laurus nobilis), Green cardamom (Elettaria cardamomum), Nisoth (Operculina turpethum), etc. This herbal mixture is mostly used to balance Pitta dosha in the body. It acts as a strong antacid so it also helps to remove bowel in bowel obstruction thus is indicated in conditions like abdominal cocoon syndrome. Dosage– Eat 1 spoon twice daily

5. Sanjivani Vati

This polyherbal ayurvedic formulation consists of Vidanga (Embelia ribes), Ginger (Zingiber officinalis), Pippali (Piper longum), Vacha (Acorus calamus), Guduchi (Tinospora cordifolia), Shudh bhallataka (Semecarpus anacardium), etc. This formulation is very effective for Aam pachana. Aam is considered the cause of the accumulation of endotoxins that block different channels in the body. This vati ignites the digestive fire and eliminates toxins that will open the blocked channels and ease the disease symptoms. Dosage- Have 2 vatis twice daily.

Contact Planet Ayurveda Support Team to provide you the costing / ordering and delivery information at – or Call at 0172-521-4030 (India), +91-172-521-4030 (Outside India) or Whatsapp at (+91) 9915-593-604.


Other than the treatment options mentioned above, Ayurveda can do more to heal you. It would help if you visited our doctors so they can treat you according to the cause, prakriti, and extent of your disease. Full-day care plans and regular follow-ups are recommended for better treatment. Moreover, ayurvedic treatment is the safest option that heals you internally as well as strengthens you internally.

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Dr. Vikram Chauhan (MD - Ayurveda) is a Globally Renowned Ayurveda Physician with Expertise of more than 25 Years. He is the CEO & Founder of Planet Ayurveda Private Limited, a leading Ayurveda Brand, Manufacturing, and Export Company with a Chain of Clinics and Branches in the US, Europe, Africa, Southeast Asia, India, and other parts of the World. He is also an Ayurveda Author who has written Books on Ayurveda, translated into Many European Languages. One of his Books is "Ayurveda – God’s Manual for Healing". He is on a Mission to Spread Ayurveda All Over the Planet through all the Possible Mediums. With his Vast Experience in Herbs and their Applied Uses, he is successfully treating Numerous Patients suffering from Various Ailments with the help of the Purest Herbal Supplements, Diet, and Lifestyle, according to the Principles of Ayurveda. For More Details, visit