Cocoon Syndrome and Its Treatment with Herbal Remedies


Cocoon syndrome is an acquired condition, caused by an inflammatory process. It is a very rare condition which refers to total or partial encapsulation of small bowel by fibrous collagenous membrane with local inflammatory infiltrate leading to acute or chronic bowel obstruction. This is called cocoon syndrome because there is the presence of the abnormal membrane that contains some part or whole small intestine. This syndrome is also called Sclerosing encapsulating peritonitis, and also characterized by fibrous- collagenous membrane which mainly involves abdominal viscera and also is the very rare cause of intestinal obstruction. As compared to Ayurveda, this disease is mainly compared to Vata- Vyadhi, In this Vata Dosha is mainly aggravated. There are different types of remedies that can be given in case of abdominal cocoon syndrome which are; Triphala capsule, Panchshar churan, syrup Digestoplan, Mahashankh vati etc. Now we are going to discuss the disease in detail.

Cocoon Syndrome


Abdominal cocoon syndrome  or ( idiopathic encapsulating peritonitis) is a relatively is very rare cause of intestinal obstruction, and mainly described in young girls, and firstly described in 1978. In this disease  thick fibrotic peritoneum encasing the small bowel partially or completely is the pathognomonic feature and the correct diagnosis is not made preoperatively. Abdominal cocoon syndrome is also known as sclerosing encapsulating peritonitis and also is the uncommon cause of the intestinal obstruction. The cocoon syndrome is firstly described in 1907 by the term named as (Peritonitis Chronica fibrosa incapsulata) and in 1978, it was termed as (Abdominal cocoon syndrome). It also is a result of a chronic intra-Abdominal fibro-inflammatory process, results in formation of fibrous tissue sheets that cover, fix and ultimately constrict the gut compromising its motility and leads to marbled thickened, leathery fibrous- connective tissue which is a sheath- like structure that involves the small intestine in the form of cocoon.


  1. Cocoon syndrome is mainly caused by the inflammatory process.
  2. This is not a chronic disease.
  3. This disease is related to Vata-Vyadhi in Ayurveda in which Vata dosha is mainly aggravated.


  1. Idiopathic, Tuberculosis and peritoneal dialysis – related.
  2. Drugs (Beta blockers Egrot)
  3. Generalized peritonitis (bacterial, eosinophilic, meconium)
  4. Intestinal obstruction.
  5.  Hyper thermic peritoneal perfusion.
  6.  Endometriosis
  7.  HIV
  8. Proteins deficiency
  9. Abdominal trauma.
  10. Haemodialysis.
  11. Whipple’s disease.


 Symptoms occurs in Cocoon Syndrome are

  1. There is presence of recurrent acute or chronic small bowel obstruction.
  2. Also presence of kinking and compression of intestine in construction cocoons.
  3. Inflammation occurs because of that sharp pain in the stomach.


X-Ray – Simply, plain X- ray is used in cocoon syndrome as a daily routine.

USG –    Before surgery, ultrasonography is performed before surgery.

CT- Scan – CT- scan is performed, to the patients who are with or without the partial intestinal obstruction.

Ayurvedic Overview

In Ayurveda, the Cocoon syndrome is basically related to the Vata-Vyadhi. In which Vata dosha is mainly aggravated. Due to an increase in Vata Dosha inflammation occurs.

Panchakarma Therapy

In Ayurveda panchkarma therapies like snehana (oleation therepy), swedna () and Abhyanga are used, which Provides relief from inflammation and from pain also. Treatment like these provides very much relief from Cocoon syndrome. Also helpful in nourishment of body and provides smooth movement to the muscles.

Ayurvedic Herbs

Some of the important herbs includes in this disease are

  1. Triphala
  2. Panchshar churan
  3. Mahashankh vati

Herbal Remedies for Cocoon Syndrome by Planet Ayurveda

Planet Ayurveda offers best remedies for cocoon syndrome like- Triphala capsules,    Panchar churana, Syrup Digestoplan, Syrup Acidoplan, Mahashankh vati. These all types of remedies are prepared by using best quality of herbs and are pure natural and 100% vegetarian. These remedies are formulated by MD Ayurveda experts. These are totally natural products free from all types of chemicals, colors, preservatives etc.

Product List

  1. Triphala Capsule
  2. Panchsakar churna
  3. Syrup Digestopan
  4. Syrup Acidoplan
  5. Mahashankh VatiHerbal Remedies For Cocoon Syndrome

Herbal Remedies For Cocoon Syndrome

 Products Description


It is mainly used in management of Tridosha ie. Vata, Pitta and Kapha. Triphala capsules also help in balancing the digestive system. It also provides energy to the body. In cocoon syndrome this capsule is very helpful ie. reduces the Vata Dosha. The product is totally Gluten free and the formation is 100% natural. In this  disease Triphala capsules function as anti- inflammatory. These capsules also have functions like anti- bacterial, analgesics etc.Ingridents mainly involved are; Haritaki (Terminalia chebula), Amla (Emblica officinalis), Vibhitaki ( Terminalia bellerica).

Dosage- 1 capsule 2 times in a day.


Panchshar churan is very useful in cocoon syndrome, has laxative properties and provides relief       from gas. This product is also used in improvement of liver function. This product is natural have  no chemicals, yeast etc.The formulation also provides relief in the diseases produced by aggravated kapha dosha. Ingredients present in Panchsakar Churna are; Saunf  (Foeniculum vulgare), Choti harad ( Terminalia chebula), Senai (Cassia angustifolia), Sonth (Zingiber officinale).

Dosage- 1\2 tsp two times in a day.


This syrup is very helpful in diseases like cocoon syndrome. It helps in improving digestion and also provides relief from gas. The Ingredients present in this formulation are mainly; Saunf (Foeniculum vulgare), Haritaki (Terminalia chebula), Jeerak (Cuminum cyminum), Ajwain (Trachysperum ammi), Dhanayak (Coriandrum sativum), Amalaki (Emblica officinalis), Pipali (Piper longum) and Pudina ( Mentha piperita) etc.

Dosage – 2 tsp two times in a day.


This syrup effectively helps in reducing acidity, and also decreases inflammation in Cocoon syndrome. This syrup provides rapid relief in pain caused by Cocoon syndrome. The ingredients involved in this syrup are as; Pittapapada (Fumaria indica), Sajjikhar (Soda- bi carb), Shatavari (Asparagus racemosus), Patola (Trichosanthes dioica), Kokum (Garcinia indica), Saunf (Foeniculum vulgare) and Ghrit kumari (Aloe barbadensis). These all are natural herbs by which this syrup is formulated.

Dosage – 2 tsp in morning and 2 tsp at night.


Mahashankh vati in cocoon syndrome, helps in improvement of bowel obstruction, provides relief from inflammation and indigestion. Ingredients occurring are shunthi (Zingiber officinale), Sea salt, Shankh Bhasma (Turbinella rapha), Pippali (Piper longum), Rock salt and Tamarind bark (Tamarindus indica L).

Dosage – 2 tablets twice daily to be chewed 20 min, before taking a meal.

Contact Planet Ayurveda Support Team to provide you the costing/ordering and delivery information at – or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or WhatsApp at (+91) 842-749-4030.


The Cocoon syndrome is caused by the inflammation (is a inflammatory process), which leads  to  acute or chronic bowel obstruction. In Ayurvedic point of view this disease is co- related to  Vata- Vyadhi (and Vata dosha is mostly aggravated). We discussed about, causes, symptoms and diagnosis of this disease. We also discussed the Ayurvedic diagnosis of Cocoon syndrome. So Planet Ayurveda offers best remedies for Cocoon syndrome and these remedies are prepared by bestest quality of herbs. For further queries, mail us on

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Dr. Vikram Chauhan

Dr. Vikram Chauhan (MD - Ayurveda) is the CEO and Founder of Planet Ayurveda Pvt. Ltd. He is Author of the Book "Ayurveda – God’s Manual For Healing". He is an Ayurveda Expert Serving People worldwide through all the Possible Mediums, Operating from Main Branch in Mohali, India. With his Vast Experience in Herbs and their Applied Uses, he is successfully treating Numerous Patients suffering from Various Ailments with the help of Purest Herbal Supplements, Diet, and Lifestyle, according to the Principles of Ayurveda. For More Details, visit

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