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Bhagandara/Fistula in Ano treatment in Ayurveda

Dr Shameen Salim
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Bhagandara

Introduction:

Bhagandara is laceration of anal region (fistula). According to Sus`hruta it is one of the Mahaavyaadhi.

Nirukti:

o Te Tu Bhaga Guda Basti Prades`ha Daaran`aat Cha Bhagandaraa Iti Uchyante |

o Bhagam Parisamantaat Cha Gudam Bastim Tathaa Eva Cha |

o Bhagam Daarayati Tasmaat Tat Dnyeyo Bhagandarah || M. N. 46/1 Madhukos`ha

 

Whenever an Pid`akaa (abscess) formed at the sites like perineal region (Bhaga), anal region (Guda) and bladder region (Basti) bursts out after suppuration, it causes tearing of the skin making an opening on the surface of skin, this is called as Bhagandara.

 

Manifestation of Bhagandara:

Due to Krimi, Asthi, Kshan`ana, Vyavaaya, Pravaahan`a, Utkat`akaasana, there is manifestation of abscess (Pid`akaa) with excessive pain (Bhris`ha Arti) at the anal region. This Pid`akaa gets suppurated and bursts out, which leads to Bhagandara. After suppuration, the Pid`akaa is called as Bhaagandaree Pid`akaa.

 

Types:

There are 5 types of Bhagandara according to Sus`hrita.

  1. S`hataponaka
  2. Usht`ragreeva
  3. Parisraavee
  4. S`hambookaavarta
  5. Unmaargee

 

Doshabhedena:

  1. Vaataja
  2. Pittaja
  3. Kaphaja
  4. Vaatapittaja
  5. Vaatakaphaja
  6. Kaphapittaja
  7. Saannipaatika
  8. Aagantu

 

If the Pid`akaa is not treated at proper time, this leads to formation of Bhagandara. Bhaga, Basti and Guda, these areas get lacerated. There is secretion of Vaata, Mootra, S`hukra in succession.

 

Sampraapti:

S`hataponaka:

S`hataponaka Chaalanikaa, Sahasra Dhaaraa Iti Anye |

S`hataponakavad Anekamukhaakaara Bhagandarah | M. N. 46/2 Madhukos`ha

 

  1. In a person who is consuming unwholesome diet, aggravated Vaayu residing at the periphery of anal region 2 to 3 Angula in length, vitiates Rakta and Maamsa. It causes Arun`a Varn`ee Pid`akaa of (reddish colour).
  2. Due to this Pid`akaa, a person suffers from pain. If this is not treated then it gets suppurated.
  3. As it is near the urinary bladder, it gets vitiated (Praklinna).
  4. This Pid`akaa may have hundreds of (many) small openings.
  5. These openings discharge with continuous frothy secretions.
  6. At the site of Vran`a, there are different types of pain like Taad`ana, Bhedana, Chhedana, Todana.
  7. Ultimately, the anal region gets lacerated. At this stage also if at all it remains untreated, then Vaata, Pureesha, Retas may get secreted through these openings.
  8. This type of Bhagandara is called as S`hataponaka.

Usht`ragreeva:

Atra Pid`akaavasthaagatagalavaktratvena Usht`ragreevaakaaratvam, Tena Usht`ragreeva Samdnyaa | M. N. 46/3, 4 Madhukos`ha

 

  1. Aggravated Pitta is carried towards the anal region by Vaayu.
  2. It gets resided around the anal region in the periphery.
  3. It manifests with a Pid`akaa which is red colored, thin, elevated and resembles to Usht`ragreevaa. (neck of the camel)
  4. It causes different types of pains. It remains untreated, it gets suppurated.
  5. There is a burning sensation as if the wound is being burnt by fire or alkali (Agni and Kshaara)
  6. There is discharge having the foul smell and hot property.
  7. Then also, if remains untreated, it may secrete Vaata, Mootra, Pureesha and Retas.
  8. This type of Bhagandara is called as Usht`ragreevaa.

 

Parisraavee:

Ghanasraava Yogaat Parisraavee | M. N. 46/5 Madhukos`ha

 

  1. Aggravated Kapha is carried by the Vaayu towards anal region.
  2. It gets resided around the anal region in the periphery.
  3. It manifests with a Pid`akaa which is white (S`hukla), Sthira, Kan`d`oomatee (with itching).
  4. It remains untreated, it gets suppurated.
  5. The wound becomes hard (Kat`hina) and Samrambhee, more with itching.
  6. It discharges with the sticky secretions (Pichchhila).
  7. Then also, if remains untreated, it may secrete Vaata, Mootra, Pureesha and Retas.
  8. This type of Bhagandara is called as Parisraavee.

 

S`hambookaavarta:

Poorn`a Nadyaavarta S`hambookaavartaakaaren`a Avagatvaad Avagaad`ha Vedanaa Bhavanti | S. Ni. 4/8 D`alhan`a

 

S`hambookaavartavad Aavartam Vedanaa Doshagati Vis`heshaad Bhavanti Iti S`hambookaavartah | M. N. 46/6

 

  1. Aggravated Pitta and Kapha are carried towards the anal region by Vaayu.
  2. They cause a Pid`akaa similar in size of thumb of foot.
  3. This Pid`akaa gets manifested with the symptoms by all the three Dosha.
  4. It causes different types of pain like Toda, Daaha, Kan`d`oo etc.
  5. The wound secretes different types of secretions in color.
  6. The pains in this type of Bhagandara are as severe as the whirlpool of the fully flooded river.
  7. Therefore, it is called as S`hambookaavarta.

 

Unmaargee:

Unmaargen`a Vikrita Gati Maargen`a Pureeshaadigamanaat Unmaargee Samdnyaa | M. N. 46/7 Madhukos`ha

 

  1. When a stupefied person consumes meat with bones, then this Asthi (bone) passes with the stools which causes tear in the anal region and causes putrefaction in the wound.
  2. In this vitiated wound where Maamsa is putrefied with Rakta and pus, maggots (Krimi) are formed. They eat the region causing tears.
  3. Through this wound created by Krimi, Vaata, Mootra and Pureesha, Retas are secreted.
  4. This type of Bhagandara is called as Unmaargee.

 

Parikshepee:

This Bhagandara is manifested around the anus like a trench round a town or fort.

This is caused due to Vaata and Pitta.

 

Riju:

This type of Bhagandara is caused due to Vaata and Kapha.

This Bhagandara tears anus in a straight direction towards anus.

 

Ars`hobhagandara:

There is S`hotha at the root of the Ars`ha. There is Kan`d`oo and Daaha. Here, Kapha and Pitta gets aggravated. This S`hotha bursts out causing wetness at the root of the Ars`ha. This is called Ars`hobhagandara.

Difference between Pid`akaa and Bhaagandaree Pid`akaa:

Pid`akaa Bhaagandaree Pid`akaa
Alpa Vedanaa Pid`akaa With severe Vedanaa (Rug Aad`hya)
S`hotha pacifies earlier S`hotha does not pacifies easily
Not so close to the anal region They are near to anal region around anus of 2 to 3 Angula in diameter
Not so deeply rooted Deeply rooted (Good`hamoolaa) with inflammation. It vitiates after healing also.

Vaataja Pit`ikaa:

It is S`hyaava, Arun`a in color.

There is Toda, Bheda, Sphuran`a and Rujaa.

 

Pittaja Pit`ikaa:

This is thin Pit`ikaa elevated like Usht`ragreeva.

There is redness at the site (Raaga). Temperature is elevated at the site (Ushmaad`hyaa).

Other signs are Jvara and Dhoomaayana.

 

Kaphaja Pit`ikaa:

Sthira (stable not increasing or decreasing in size)

Snigdha

Deeply rooted (Mahaamoola)

Whitish in color (Paan`d`u)

 

Vaata Pittaja Pit`ikaa:

Paan`d`ura

Dark brown in color (Kinchid S`hyaava)

It does not suppurate easily (Krichchhrapaaki).

Sarva Doshajaa Pit`ikaa:

It resembles to the shape and size of thumb of foot.

It manifests with different pains.

There is S`hoola, Arochaka, Trishn`aa, Daaha, Jvara, Chhardi.

All these types of Pit`ikaa get suppurated if remain untreated.

 

Correlation of types of Pit`ikaa and Bhagandara:

Type of Pit`ikaa Type of Bhagandara
Vaataja Pit`ikaa S`hataponaka
Pittaja Pit`ikaa Usht`ragreeva
Kaphaja Pit`ikaa Parisraavee
Vaatapittaja Pit`ikaa Parikshepee
Vaatakaphaja Pit`ikaa Riju
Kaphapittaja Pit`ikaa Ars`hobhagandara
Sarva Doshaja S`hambookaavarta
Aagantu (Kshataja Unmaargee) Kshataja

 

Asaadhya Criteria:

  1. Vaata Sraavee Bhagandara
  2. Mootra Sraavee Bhagandara
  3. Pureesha Sraavee Bhagandara

 

Comparative study of Bhagandara

Bhagandara S`hataponaka Usht`ragreeva Parisraavee S`hambookaavarta Kshataja

(S`halya nimittaja)
Rogamaarga Madhyama
Svabhaava Mahaavyaadhi

Ghora
Avayava Guda

Bhaga

Basti
Krichchhra Kasht`asaadhya Sukumaara

Bheeru
Asaadhya*** Sevanee Praapta Bhagandara

Valee Praapta Bhagandara

 Asaadhya Asaadhya
Dosha Vaata Prakopa Pitta Prakopa Kapha Prakopa Vaata Prakopa

Pitta Prakopa

Kapha Prakopa
Dhaatu Maamsa Dusht`i

Rakta Dusht`i

 Maamsa Dusht`i

Rakta Dusht`i

 Maamsa Dusht`i

Rakta Dusht`i

 Maamsa Dusht`i

Rakta Dusht`i
Srotas Maamsavaha

Raktavaha

Pureeshavaha

 Maamsavaha

Raktavaha

 

 Maamsavaha

Raktavaha

 

 Maamsavaha

Raktavaha

 
Avayava Guda

Bhaga

Basti

 

 

 

*** As per Vaagbhat`a, Saannipaatika and Aagantu (Kshataja) are Asaadhya.

 

 

 

 

 

BhagandaraChikitsaa

Reference:

C.Chi.12, S.Chi.8, A.H.U.28, N.R. Bhagandara

Introduction:

Bhagandara is anal fistula. Generally, while treating Bhagandara, principles to treat Vran`a should also be applied.

 

Chikitsaa

Prior to manifestation of Bhagandara, BhagandariPit`ikaa appears. It is necessary to avoid suppuration in the Pit`ikaa. For this purpose, RaktaSraava andSeka could be done. Then also, if the Pit`ikaa gets suppurated, then Snehana, Svedana, AvagaahaSveda should be done.

Bhagandara should be treated with following modalities:

  1. Virechana
  2. Eshan`a(to know the direction of the Bhagandara tract using probe)
  3. Paat`ana

When Bhagandara becomes clean (free from vitiated Dosha) with above four Chikitsaa Karma, it is to be burnt / cauterized by using oil i.e. TailaDaaha

Ks`haarasootra should be used in Bhagandara management.

When the tract of Bhagandara is split open with the Kshaara, it should be treated like a Vran`a.

If BhaagandareePid`akaa is Apakva (not perforated and without suppuration), then it is to be treated with the procedures in following order

  1. Apatarpan`a
  2. Aalepa
  3. Parisheka
  4. Abhyanga
  5. Sveda
  6. Vimlaapana
  7. Upanaaha
  8. Paachana
  9. Visraavan`a
  10. Snehana
  11. Vamana
  12. Virechana

 

S`hataponaka Chikitsaa

If BhaagandareePid`akaa is Pakva i. e. spontaneously perforated and with suppuration, it should be treated in the following manner

o Snehana

o Avagaaha Sveda

Bhagandara should be examined with the procedure same as that of Ars`ha

Bhagandara may be having opening internally or externally.

Using probe (Eshan`aa), its direction should be defined and in that direction, incision to be made.

This is to be done for both the types of Bhagandara having opening internally or externally.

After that, Agni Karma or Ks`haara Karma is to be done.

This is the general treatment for all the types of Bhagandara.

If the Bhagandara tract is incised more than once it may lead to widening the anus and even urine and stools may pass through it. Repeated incisions vitiateVaayu which causes GudaS`hoola (pain in ano rectal region), Aat`opa (gurgling in the abdomen). Hence it is advisable to avoid repeated surgery.

If anal perforation or laceration occurs, it may lead to death. (Guda is a Praan`aayatana and SadyahPraan`aharaMarma)

In S`hataponaka, the incision should be

o Ardhalaangalaka plough like

o Laangalaka

o Sarvatobhadra – military array

o Goteerthaka it suggests flexibility of the incision. Multiple and flowing incisions can be taken, It resembles the external genitalia of a cow / oblong or it could resemble the pug marks of a cow at their drinking place.

After that, Agnikarma / cauterization should be done.

S`hataponaka is difficult to cure in Sukumaara and Bheeru persons.

After the S`hastrakarma, following is the advised regime

  1. SvedanaBy using Kris`haraa, Paayasa, made from Graamya, Aanoopa, Audaka, VishkiraMaamsa; Kvaatha of Vrikshaadanee, Eran`d`a, Bilva should be used for Naad`eeSveda.
  2. After the Svedana, Kusht`ha, Lavan`a, Vachaa, Hingu, AjamodaaChoorn`ashould be given internally with Ghee or Maardveeka or AmlaDravya; depending upon the Dosha and Avasthaa.
  3. Parisheka should be done with MadhukaTaila.

 

Usht`ragreevaChikitsaa

Usht`ragreevaBhagandara is to be incised first, after probing.

Kshaara is applied.

Agni Karma is contraindicated.

Paste of Tila and Ghee is to be applied on the wound.

GhritaParisheka also can be done.

Then it is to be bandaged Gophan`aaBandha for three days.

After Vran`a S`hodhana, the wound is to be applied with healing agents.

Ropan`aKriyaa – After removal of bandage and examination of the wound.

The Antarmukha type of Bhagandara should be incised with a S`hastra after probing.

The BahirmukhaBhagandara, should be treated with Ks`haara Karma only.

 

ParisraaveeBhagandaraChikitsaa

Utkartana (incised) of the passage with secretions should be done.

Kshaara Karma or Agnikarma should be done.

Followed by An`utailaParisheka

Upanaaha, Pradeha with Mootra and Kshaara should be used.

Parisheka could also be done with VaamakaAushadha.

Probing should be done (Eshan`a), and Chhedana should be done of the Bhagandara in various ways

  1. Kharjoorapatraka
  2. Chandraardha
  3. Chandrachakra
  4. Soocheemukha
  5. Avaanmukha

After the incision, Kshaara / Chemical cauterization, Teekshn`aS`hodhana should be done.

Bhagandara in the children, which may be having opening towards inner or outer side (Antarmukhee or BahirmukheeBhagandara), is not to be treated with

  1. Virechana
  2. Agni Karma
  3. S`hastra Karma
  4. Kshaara Karma which should not be excessively mild or strong should be used in children.

KshaaraSootra could be applied even in children according to Vaagbhat`a.

 

AagantuBhagandaraChikitsaa

AagantuBhagandara is to be incised.

Agni Karma should be done by using Jaambavausht`haS`halaakaa.

If there is any incumbent S`halya (foreign body), it is to be removed.

KrimighnaChikitsaa should be done.

 

KshatajaBhagandaraChikitsaa

This is Pratyaakhyaaya.

It should be treated with the knowledge that it is incurable.

Foreign body if present should be removed first.

KrimighnaChikitsaa is advised by Vaagbhat`a.

Pin`d`a and Naad`eeSveda should administered after Snehana, especially when there is pain, to relieve local pain.

 

AavasthikaChikitsaa

Ars`hoBhagandaraChikitsaa

In the Ars`hoBhagandara, Ars`ha should be treated first.

 

S`hastrakarmaChikitsaa (after incision of Bhagandara)

  • After S`hastrakarma, to reduce pain, following Chikitsaa Karma should be performed.

An`utailaParisheka – by

Sneha Parisheka

BaashpaSveda

Avagaahana

  • All the Bhagandara should be treated with Agnikarma, cauterization of the Bhagandara tract renders the wound clean and prevents its recurrence.
  • Kosht`ha S`huddhi of the patient is always the first step of treatment.

 

Precautions

Following things should be avoided for one year after Bhagandara is treated successfully

  1. Vyaayaama
  2. Maithuna
  3. Kopa
  4. Prisht`hayaana traveling on back of fast moving vehicles
  5. Guru Bhojana
  6. MadyaPaana
  7. Ajeern`a
  8. Asaatmya
  9. Saahasa

Pathya –

Rasa – Amla Tikta

Gun`a / Karma – Deepana

Dhaanya – S`haalee, Kulattha

S`haaka – Vetaagra, Pat`ola, S`higruphala, Jalapippalee, Moolaka

S`himbee – Kulattha, Mudga

Maamsa – JaangalaMaamsarasa

Dugdha – Ghrita

Drava – Tila Taila, Sarshapa Taila

Kritaanna – Vilepee, Madhu, Suraa, Sauveeraka, Jambooka Maamsajanita Padaartha

Other – Lepa, Langhana, S`hodhana, Raktamokshan`a (In Apakvaavasthaa)

Apathya –

Rasa – Amla, Madhura

Gun`a / karma – Guru

Maamsa – Aanoopa Maamsa

Dugdha – Dugdha, Dadhi

Kritaanna – S`higrujanya Padaartha

Other – Vyaayaama, Maithuna, Kopa, Prisht`hayaana, Madyapaana, Ajeern`a, Asaatmya, Atisaahasa

 

 

 

Ashmaree Chikitsa/Calculi Treatment in Ayurveda

Dr Shameen Salim
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Ashmaree

 

Introduction:

As`hmaree means calculus. Though As`hmaree have Kapha dominance. They are formed due to all the three Dosha.Sus`hruta has mentioned Kapha dominance in all the types of the As`hmaree as Kapha itself is converted into As`hmaree.

 

Nirukti:

 

Tulyataam As`hmanaa Yaanti Tasmaat Taam As`hamri Viduh |

Sampraapti:

  1. In a person who consumes unwholesome diet, aggravated Kaphasaturates the urine causing As`hmaree.
  2. Urine is dried along with the S`hukra, Pitta, Vaayuor Kapha, causing As`hmaree like the drying of the Pitta in the cow forming Gorochana.
  3. Doshaget saturated with the Mootra causing As`hmaree according to Upasnehana Nyaaya.

 

Types:

  1. Vaataja
  2. Pittaja
  3. Kaphaja
  4. S`hukraja

 

As`hmaree resembles Kadamba Pushpa. It is S`hlakshn`a. It may be tri-folded and soft. When it obstructs the path of urine, it causes pain in the Basti. There is pain in Sevanee, Mehana, Basti. Urination gets distorted. There is pain in the Med`hra (Mridgaati Med`hram). Also the person passes urine frequently. Due to irritation if there is wound in the urinary tract, then there is heamaturia.

 

When the As`hmaree gets broken, the gravel passes through the urine. This is Mootra S`harkaraa.

Vaataja As`hmaree

Aggravated Kapha enters into the Basti Mukha causing its obstruction.

Signs and Symptoms:

Daalana, Bhedana, Toda. Basti becomes heavy and cold. As`hmaree is S`hyaava, Rooksha in colour, having sharp edges.

Pittaja As`hmaree

Pitta along with the Kapha get saturated and enter into the Basti Mukha causing obstruction.

Signs and Symptoms:

Chosha, Daaha, Paaka. Basti resembles the Ushn`a Vaata. As`hmaree resemble the Bhallaatakaasthi. It is Red or yellow or black.

 

Kaphaja As`hmaree

Kapha along with the Vaayu get saturated causing obstruction by residing into the Basti Mukha.

Signs and Symptoms:

Vedanaa, As`hmaree is large in size, S`hlakshn`a in appearance. It is white in colour.

All these three types of As`hmaree are seen in the children. In the older person S`hukraja type is seen.

 

S`hukraja As`hmaree

Due to Maithuna Vighaata or AtiMaithuna, S`hukra does not get ejaculated properly and gets saturated along with the Vaayu. It gets situated into the joining of Med`hra and Vrishan`a. After residing there it gets dried there. It obstructs the urinary tract.

Signs and Symptoms:

Mootra Krichchhra, Basti Vedanaa, Vrishan`a S`hotha. If As`hmaree is newly formed, then after Peed`ana it gets dissolved, but if it old, it does not get dissolved.

 

When As`hmaree enters into the urinary tract, it causes Daurbalya, Sadana, Kaars`hya, Kukshi S`hoola, Arochaka,Paan`d`utva, Ush`naVaata, Trishn`aa, Hritpeed`ana, Chhardi .

 

Saadhyasaadhyatva: Generally, As`hmaree is S`hastrasaadhya Vyaadhi.

Saadhya As`hmaree – Nava, Baala Rugn`a

Krichchhrasadhya Chirotthita

Asadhya – Sikataa S`harkaraanvita As`hmaree

Comparative study of As`hmaree types

As`hmaree Vaataja Pittaja Kaphaja S`hukraja
Rogamaarga
Vyaadhi

classification

 Baala Vis`hishtaVyaadhi Baala Vis`hishta Vyaadhi Baala Vis`hishtaVyaadhi
Svabhaava Ghora
Avayava Bastimukha,

Basti, Mehana

 Basti,

Basti Mukha,

Mehana

 

 Vrishan`aMed`hrayh Antare
Upas`haya Peed`ana UtpannamaatreEva
Dosha Kapha Prakopa Vaata Prakopa Pitta Prakopa Kapha Prakopa
Dhaatu S`hukra Dusht`i
Mala Mootra
Srotas MootravahaSrotasRodha MootravahaSrotasRodha MootravahaSrotasRodha MootravahaSrotasRodha MootravahaSrotas Rodha

S`hukravahaSrotas Dusht`i

 

 

As`hmaree Chikitsaa

Reference:

C.Chi.26, S.Chi.7, A.H.Chi.11, N.R. As`hmaree

Introduction:

The stone like structure formed in the Mootraas`haya and which obstructs the free flow of urine is termed as As`hmaree. Its a very serious disease which has a grave prognosis.

Vaataja, Pittaja, Kaphaja & S`hukraja these are the four types of As`hmaree.

 

Saamaanya Chikitsaa:

As`hmaree should be treated with drugs in its early stages but it should be removed by surgery in advanced stages (when it becomes too big).

 

 

Avasthikaa Chikitsaa:

 

As`hmaree should be treated by Siddha Ghrita, Kshaara, Kashaaya, Ksheera, Yavaagoo, Yoosha and Uttara Basti. The medicines and diet should be Vaataalleviating.

Charaka has suggested the following method for As`hmaree Nirharan`a The patient should consume Nigada, a type of Madya and then should travel on a very fast moving vehicle.

 

If all the above measures fail to expel the As`hmaree out of the body spontaneously then it should be extracted by surgery.

o As`hmaree Nirharan`a S`hastrakarma:

o For surgery perianal approach should be adopted.

o Basti should be incised at Niraavaran`a area.

o Basti should not be incised at two places if gets cut then it becomes Sadhyo Praan`ahara (life threatening).

o The surgeon should take precaution not to injure the following eight vital parts during surgery. Sevanee (perineal raphe), S`hukraharan`ee Srotas (seminal vesicles), Phala (testes), Guda (rectum and anal sphincter), Mootraseka (urethra), Mootravaha (ureter), Yoni (uterus), Basti (bladder).

 

Pathya –

Dhaanya – Godhooma, Jeern`a S`haalee, Yava

S`haaka – Tan`d`uleeyaka, Aardraka, Gokshura, Varun`a, Paashaan`abheda,

S`himbee – Kulattha, Mudga

Maamsa – Jaangala Pas`hu Maamsa

Phala – Kushmaan`d`a,

Other – Madya, Yavakshaara, Basti, Virechana, Vamana, Langhana, Svedana, Avagaaha, Vaarisechana

Apathya –

Rasa – Kashaaya

Gun`a/ Karma – Rooksha, Guru, Avasht`hambaka, Viruddhaanna

Other – S`hushka, Paisht`ika Anna, Kharjoora, S`haaka, Kapittha, Jamboo, Mootra S`hukra Avarodha

 

 

 

Arsha Chikitsaa/Hemorrhoids treatment in Ayurveda

Dr Shameen Salim
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0

 

Arsha Chikitsa – Hemorrhoids treatment In Ayurveda

Introduction:

Ars`ha are hemorrhoids or piles. It is excessive and unnatural growth of the Maamsa Dhaatu. These are caused in Guda (anal canal). in folds or sphincters (Valee).

Ars`ha is difficult to cure. Patient suffers a lot from this disease. In complications, other organs are also involved.

In Sushrut Samhitaa there is elaborative description about surgery of Ars`ha.

Saamaanya Chikitsaa:

General treatment of Ars`ha can be done by 4 methods

o Bheshaja – Achirakaalajaata Alpa Dosha Linga, Alpa Upadrava

o Kshaara Karma Mridu Prasrita Avagaad`ha Uchchhrita

o Agnikarma Karkas`ha, Sthira, Prithu, Kat`hina

o S`hastrakarma Tanumoola, Uchchhrita, Kledavanta

Mainly the therapies which are Vaata, Kapha and Pitta Anulomaka and Agni Bala Vardhaka are beneficial for Ars`ha.

 

The medicines and diet which relieve (Bhitvaa) the Vibandha (like Styaana Kapha), which are Vaataanulomaka and which stimulate the power of Agni should be advised.

 

Diet Snigdha, Agnideepana, Ars`hoghna, Srist`a Mootra Pureesha (laxative)

 

Ars`ha, Grahan`ee and Atisaara generally act as causes of one another. All these diseases manifest due to Agnimaandya and Agneedeepana is the first line of treatment for all these diseases. So the treatment of all these diseases consists mainly of all measures which are helpful to maintain Agneebala.

 

Mainly the treatment should be according to the two main types of Ars`ha i.e. S`hushka and Sraavi Ars`ha.

Aavasthika Chikitsaa:

S`hushka Ars`ha – Vaata or Kapha Praadhaanya.

o Treated by Sveda, Dhoopa, Lepa, Abhyanga Due to these procedures the Dusht`a Rakta accumulated in the piles gets expelled out and the patient gets relief.

o If there is no relief from S`heeta, Snigdha and Rooksha treatment that means the cause is vitiated blood and it should be treated by Raktamokshan`a (blood letting). This should be done with the help of Jalaukaa, S`hastra or Soochee.

o S`hushka Ars`ha with Bhinna Varchas: Should be treated with Paachana Yoga mentioned in the treatment of Aamaatisaara.

o S`hushka Ars`ha with Guda S`hotha + S`hoola + Mandaagi: Should also be treated with Paachana Yoga_s mentioned in the treatment of Aamaatisaara.

o S`hushka Ars`ha with Gaad`ha Varchas: Should be treated with the measures which act as Vaata, Kapha and Pitta Anulomaka and increase the power of Agni.

Sraavi Ars`ha Mainly Rakta or Pitta Praadhaanya Chikitsaa.

o Sraavi Ars`ha with Vaataanubandha Should be treated with measures having S`heeta and Snigdha properties.

o Sraavi Ars`ha with Kaphaanubandha – Should be treated with measures having S`heeta and Rooksha properties.

o Sraavi Ars`ha with Kapha and Pitta Praadhaanya S`hodhana.

o Sraavi Ars`ha + Dusht`a Raktasraava The bleeding should not be stopped and Langhana should be administered. If the vitiated blood is prematurely arrested then it may cause one or more of the following diseases Raktapitta, Jvara, Trishn`aa, Agnimaandya, Arochaka, Kaamalaa, Guda S`hotha, Guda S`hoola, Vankshan`a S`hoola, Vankshan`a S`hotha, Kan`d`oo, Kot`ha, Pid`akaa, Kusht`ha, Paan`d`u, Vaata Mootra Pureesha Vibandha, S`hirahs`hoola, Staimitya, Guru Gaatrataa, Raktapradoshaja Vyaadhee.

o The bleeding should be neglected unless there is an emergency.

o Sraavi Ars`ha + Sruta Dusht`a Rakta Rakta Sangrahan`a (measures to arrest bleeding). For this Tikta Rasa Pradhaana medicines should be administered which stimulate the power of Agni, stop bleeding and act as Dosha Paachaka.

o Sraavi Ars`ha + Raktasraava + Praksheen`a Dosha + Vaata Praadhaanya Snehapaana orally, by Abhyanga and Anuvaasana Basti.

o Sraavi Ars`ha + no Kapha Vaataanubandha + Pitta Praadhaanya + Greeshma Kaalaja Immediate Raktastambhana

o Sraavi Ars`ha + Rakta Pitta Praadhaanya + Alpa Kapha Vaata Treatment having S`heeta property.

o Even after administration of above mentioned treatment if bleeding continues following type of treatment aimed at Vaata S`hamana (as there is vitiation ofVaata Dosha due to Atiraktasraava )should be administered Tarpan`a should be done by administration of Snigdha, Ooshn`a Maamsarasa, Ghritapaana and sprinkling of Ksheera, Ghrita, or Taila.

  • Ars`ha + Udaavarta Abhyanga should be done with the Taila preparations mentioned in the treatment of S`heeta Jvara. Then Pin`d`a Sveda should be administered and followed by Gudavarti administration.

  • Ars`ha + Udaavarta The treatment mentioned for Ars`ha + Gaad`ha Varchas should be administered.

For the treatment of Ars`ha alternatively Madhura and Amla therapies and S`heeta and Ushn`a therapies should be administered.

 

Special Precaution:

Ars`ha should be treated immediately. Otherwise, it may lead to Baddha Gudodara obstructing anal canal.

Treatment of other Ars`ha types:

Generally Ars`ha means piles or hemorrhoids, various muscular growths like polyps are also described as Ars`ha due to similarity in pathogenesis. General treatment for other Ars`ha (Med`hraars`ha, Yoni Ars`ha, Naabhi Ars`ha, Netra Ars`ha etc) includes

  1. Bheshaja
  2. Kshaara
  3. Agnikarma
  4. S`hastrakarma

For Karn`aars`ha, Naasaars`ha and Charmakeela please refer Karn`a Roga, Naasaa Roga and Kshudra Roga respectively.

Pathya:

Rasa – Madhura, Amla (vyatyaasa) Tikta (stambhanaartha)

Gun`a – Deepana, Raktastambhaka, Anulomaka

Dhaanya – Jeern`a Lohita S`haalee, Shasht`ika S`haalee, Yava, Godhuma, Mahaas`haalee

S`haaka – Palaand`u, Pat`ola, Dhattura, Rasona, Chitraka, Punarnavaa, Suran`a, Vaastuka, Gud`oochee, S`haalincha, Jeevantee, Nimbuka, S`hunt`hee, Hareetakee, Kankola, Aamalakee, Chukra, Aaradraka, S`hveta Palaand`u, Vaasaa, Krishn`a Maricha, Vaartaaka, S`hat`ee, Palaand`u, Upodikaa, Tand`uleeya, Suvarchalaa, Kaakamaachee, Lon`ikaa, Grinjanaka

S`himbee – Kulattha, Mudga, Kodrava, Aad`hakee, Makusht`ha

Maamsa – Mriga, Ajaa

Dugdha – Navaneeta, Takra, Dugdha, Ghrita, Ajaa Dugdha, Mastu

Drava – Ausht`ra Mootra, Gomootra, Sauveeraka, Tushodaka, Sarshapa Taila

Phala – Amlikaa, Kapittha, Aamalakee,

Kritaanna – Chitrakamoola and Ksharodaka Siddha Kulmaasha, Yavaudana, Yavasiddha Kulmaasha, Palaas`ha Kshaara Siddha Kulmaasha, Odana+ Ksheera+ Ghrita, Satakra Yoosha, Maamsa Rasa, Takra Tarpan`a, Yoosha, Yavaagoo, S`hushka Moolaka Yoosha, Kulattha Yoosha, Makusht`a Yoosha, Rakta Shaalee Bhakta, Laajaa Peyaa, Maamsa Rasa, Khad`a.

Other – Saindhava, Kaanjee, Dhaanyaka, Panchakola, Hingu, Virechana, Lepa

Apathya:

Rasa – Kashaaya, Kat`u Tikta, Madhura

Gun`a – Guru, Teekshn`a, S`heeta, Rooksha, Vidaahee, Abhishyandee

S`haaka – Alaaboo, Tumbee, Upodikaa, Kanda (Jaleeya)

S`himbee – Maasha, Nishpaava,

Maamsa – Aanoopa Maamsa, Matsya, S`hushaka Maamsa

Dugdha – Dugdha, Dadhi, Takra Pind`a

Phala – Aamra, Bilva

Kritaanna – Ghrita, Taila Talita Padaartha

Other – Ati Bhojana,Vetraagra, Upodikaa, Kamala Kanda, Paryushita, Nava Dhaanya, Kilaat`a, Pin`yaaka, Pind`aalu, Kas`heruka, Virood`ha Dhaanya, Viruddha Anna Sevana, Ati Jalapaana, Purovaata Sevana, Mala – Mootra Vegaavarodha, Maithuna, Yaanaayaana, Utakat`aasana, Divaasvaapa, Ativyaayaama, Kalaha, Kshaara

 

 

Arbuda/Cancer in Ayurveda

Dr Shameen Salim
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Arbuda/Cancer in Ayurveda

Arbuda – Cancer Treatments in Ayurveda

Introduction:

Arbuda is a large growth. Though signs and symptoms mimic Granthi, they can be differentiated by the sign Paaka(suppuration). Arbuda does not have suppuration, while Granthi can undergo this stage.

 

Nirukti:

Gaatraprades`heKvachid Eva DoshaahSammorchchhitaaMaamsamabhipradooshya|

VrittamSthiramMandarujamMahaantamAnlapamoolamChiravriddhyapaakam ||

KurvantiMaamsopachyamTuS`hopham Tam ArbudamS`haastravidoVadanti ||

S.Ni.11/13-14

Comparison between Granthi and Arbuda

Granthi and Arbuda have the following common factors:

  1. Prades`ha(Same manifesting site on the body)
  2. Hetu(Causative Factors)
  3. Aakriti(Form or shape)
  4. Dosha(Responsible Dosha)
  5. Dooshya(Involving Dhaatu)

Granthi can have Paaka, while Arbuda do not get suppurate because:

  1. Dominance of Kaphaand Meda.
  2. DoshaSthiratvaat (Dosha are stable)
  3. DoshaGrathanatvaat (Dosha are accumulated)

Therefore, Arbuda can be treated with the same principles as that of Granthi.

Types of Arbuda

  1. Vaataja
  2. Pittaja
  3. Kaphaja
  4. Raktaja
  5. Maamsaja
  6. Medoja

 

SaamaanyaSampraapti:

Dosha gets accumulated (Sammoorchchhita) vitiating Maamsa. These Dosha get manifested as circular, stable, paining mildly, large sized oedema (S`hopha). The root of the oedema is big (Analpamoola). There is growth of Maamsa (Maamsopachaya). This S`hopha is called as Arbuda.

 

Symptoms of Vaataja, Pittaja, Kaphaja and Medoja Arbuda are same as those of Granthi.

 

Raktaarbuda: Sampraapti and signs

Vitiated Dosha entered into Rakta. These Dosha press the Siraa causing elevation of muscular growth without Paaka. It is overspread with Maamsaamkura(muscular elevations). There is continuous oozing of blood. This type of Arbuda is Asaadhya. Then it leads to the complications of Raktakshaya which further develops Paan`d`u.

 

Maamsaarbuda: Sampraapti and signs

 

Any trauma over the muscle, due to vitiation of Maamsa develops S`hopha without pain discolouration and movement. It is Snigdha and does not suppurate. It resembles hardness of a stone. It is Asaadhya (incurable).

 

Adhyarbuda

Adhikam Arbudam Adhyarbudam | Madhukos`ha.

 

When other Arbuda gets manifested over the previous one, it is called as Adyarbuda.

 

Dvirarbuda

DvandvajaatamYugmenaJaatam, YugapadEkadaaKramen`aVaa Tad Dvirarbudam| Madhukos`ha.

 

When two Arbuda develop at a time, are called as Dvirarbuda.

 

Asaadhya Criteria

Arbuda with following signs are incurable.

  1. Prasruta (Sraavee)
  2. Marmagata
  3. Srotogata
  4. Sthira (Achala)
  5. Adhyarbuda (PoorvajaateYadanyatJaayate)
  6. Dvirarbuda (YugapadKramaadVaa)

Also Adhyarbuda and Dvirarbuda are incurable.

 

 

 

 

 

Arbuda: Comparative study of subtypes and saadhyaasaadhyatva

 

Arbuda Vaataja Pittaja Kaphaja Raktaja Maamsaja Medoja
Saadhya Saadhya
Asaadhya Prasruta (Sraavee)

Marmagata, Srotogata, Sthira (Achala), Adhyarbuda (Poorvajaate Yad anyat Jaayate), Dvirarbuda (Yugapad Kramaad Vaa)

 Asaadhya Asaadhya
Dosha Tridosha Vaataja Pittaja Kaphaja Tridosha

Prakopa
Dhaatu Maamsa Dusht`i

Maamsopachaya

 Maamsa Dusht`i

Maamsopachaya

 Maamsa Dusht`i

Maamsopachaya

 Maamsa Dusht`i

Maamsopachaya

 

 Maamsopachaya

Rakta Dusht`i

 

 MaamsaDusht`i Maamsa Dusht`i

Rakta Dusht`i

Meda Dusht`i

Meda Vriddhi
Upadhaatu SiraaPeed`ana
Srotas Maamsa

Rakta

Meda

 

 

 

ArbudaChikitsaa

Reference:

C.Chi.12, S.Chi.18, A.H U.30, N.R. (Galagan`d`a, Gan`d`amaalaa, Apachee, Granthi, Arbuda)

 

Introduction:

Arbuda is a larger than without tendency of suppuration. Hence it could be treated similar to Granthi.

 

There are six types of Arbuda as per Sus`hruta

  1. VaatajaArbuda
  2. PittajaArbuda
  3. KaphajaArbuda
  4. RaktajaArbuda
  5. MedojaArbuda
  6. MaamsajaArbuda

 

SaamaanyaChikitsaa:

  • For all types of Arbuda,treatment of Granthi should be followed.
  • Arbuda should be excised completely from its root (attachment)

 

Vaataja Arbuda Chikitsaa

  • Baahya Upakrama: Upanaaha, Raktamokshan`a
  • AabhyantaraUpakrama: Siddha Yoga

 

(After Lepa, maggots are produced at the site; they reduce size of Arbuda, after which Lekhana and Agnikarma are indicated.)

 

 

 

 

 

 

 

 

 

 

 

(Treatment of Vran`a should be followed.)

MedojaArbudaChikitsaa

 

(Treatment of Vran`a should be followed.)

Pathya:

  • Rasa – Kat`u,
  • Gun`a/Karma – Rooksha, Deepana
  • Dhaanya – Jeern`aS`haalee, Raktas`haalee, Mudga, Yava
  • S`haaka – S`higru Phala, Pat`ola, Kat`t`hilaka, S`haalincha S`haaka, Vetaagra
  • Dugdha – Jeern`a Ghrita
  • Other – Guggulu, S`hilaajita, Vamana, Rechana,S veda, Nasya, Dhoomapaana, Siraavyadha, Daaha, Kshaara, Lepa, Langhana

Apathya:

  • Rasa – Amla, Madhura
  • Gun`a/ karma – Guru, Kledakaaraka
  • Maamsa – AanoopaMaamsa
  • Dugdha – Dugdha, Dadhi
  • Other– Paisht`ikaPadaartha, KaphakaarakaPadaartha, Gud`a, Phaan`ita, Lavan`a, IkshuVikaara

 

 

 

 

Arbuda Chikitsaa

Reference:

C.Chi.12, S.Chi.18, A.H U.30, N.R. (Galagan`d`a, Gan`d`amaalaa, Apachee, Granthi, Arbuda)

 

Introduction:

Arbuda is a larger than without tendency of suppuration. Hence it could be treated similar to Granthi.

 

There are six types of Arbuda as per Sus`hruta

  1. Vaataja Arbuda
  2. Pittaja Arbuda
  3. Kaphaja Arbuda
  4. Raktaja Arbuda
  5. Medoja Arbuda
  6. Maamsaja Arbuda

 

Saamaanya Chikitsaa:

  • For all types of Arbuda,treatment of Granthi should be followed.
  • Arbuda should be excised completely from its root (attachment)

Vishesha Chikitsaa:

Vaataja Arbuda Chikitsaa

  • Baahya Upakrama: Upanaaha, Raktamokshan`a
  • Aabhyantara Upakrama: Siddha Yoga

Pittaja Arbuda Chikitsaa

Kaphaja Arbuda Chikitsaa

 

 

 

(After Lepa, maggots are produced at the site; they reduce size of Arbuda, after which Lekhana and Agnikarma are indicated.)

 

 

 

 

 

 

 

 

 

 

 

(Treatment of Vran`a should be followed.)

Medoja Arbuda Chikitsaa

 

(Treatment of Vran`a should be followed.)

Pathya:

  • Rasa – Kat`u,
  • Gun`a/Karma – Rooksha, Deepana
  • Dhaanya – Jeern`a S`haalee, Raktas`haalee, Mudga, Yava
  • S`haaka – S`higru Phala, Pat`ola, Kat`t`hilaka, S`haalincha S`haaka, Vetaagra
  • Dugdha – Jeern`a Ghrita

· Other – Guggulu, S`hilaajita, Vamana, Rechana,S veda, Nasya, Dhoomapaana, Siraavyadha, Daaha, Kshaara, Lepa, Langhana

Apathya:

  • Rasa – Amla, Madhura
  • Gun`a/ karma – Guru, Kledakaaraka
  • Maamsa – Aanoopa Maamsa
  • Dugdha – Dugdha, Dadhi
  • Other – Paisht`ika Padaartha, Kaphakaaraka Padaartha, Gud`a, Phaan`ita, Lavan`a, Ikshu Vikaara

 

 

 

 

Stree Roga – Gynecological Disorders in Ayurveda

Dr Shameen Salim
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0
Stree Roga – Gynecological Disorders in Ayurveda

 

Stree Roga – Gynecological Disorders in Ayurveda

 

 

 

Introduction:

The diseases those mainly occur in females and are related to reproductive system. The major area of the diseases iscovered by Yonivyaapad mentioned in Samhitaa which are related to menstruation and female genital organs. The restare related to the various states of female like diseases in pregnancy, diseases during and after delivery and diseases during lactation.

Mood`ha Garbha

Reference:

C.Sha.8, S.Ni.8, S.Chi.15, A.H.Sha.2, M.Ni.64

 

Introduction:

A completely mature foetus when comes to the Apatya Patha with abnormal presentation and gets obstructed due toVigun`a Apaana is called as Mood`ha Garbha.

 

Nirukti:

Tam Eva Kadaachit Vivriddham Asamyag Aagatam Apatyapatham Anupraaptam Anirasya Maanam Vigun`aapaana Sammohitam Garbham Mood`ha Garbham Iti Aachakshate | S.Ni.8/3

 

Sarvaavayava Sampurn`a Mano Budhyadi Samyutah, Vigun`o Apaana Sammud`ho Mud`hagarbho Abhidhiyate | S.Ni.8/2 Nibandha Samgraha

 

Types:

  • Keela
  • Pratikhura
  • Beejaka
  • Parigha

Keela:

Keela Eva Sa Keelah |

 

Where hands and legs are in the upward direction obstructing in the vagina is Keela Mood`ha Garbha.

 

Pratikhura:

Where Kaaya is Niruddha (obstructed) is Pratikhura Mood`ha Garbha.

 

Beejaka:

When one hand and head is out, it is Beejaka.

Parigha:

When it obstructs YoniMukha completely, it is Parigha.

 

Mood`ha Garbha Gati:

  1. Sometimes comes by two Sakthi towards Yoni Mukha
  2. Sometimes curved with one Sakthi (Aabhugna)
  3. Sometimes Aabhugna Sakthi S`hareera by Sphig
  4. Sometimes either by Urah, Paars`hva, Prisht`a
  5. Sometimes by one hand
  6. By Aabhugna S`hiraand by two hands
  7. Aabhugna Madhyaby Hasta Paada and S`hira
  8. By one Sakthior Paayu

 

Asaadhya Criteria:

  1. Yon`i Amvaran`a Peed`ita
  2. Pooti Udgaara Yukta Stree
  3. Hemaangee
  4. Bhrams`ha Yukta
  5. Makkalla Yukta
  6. S`hvaasa Peed`ita
  7. Aabhugna Madhyo Hasta Paada S`hirobhih
  8. Ekena Sakthnaa YoniMukham Pratipadyate Aparen`a Paayum
  9. Vipareeta Indriyaarthaa
  10. Aakshepaka Yukta
  11. Kaasa Yukta
  12. Bhrama Yukta

Rakta Pradara / Asrig Dara

Reference:

  1. Chi. 30, S. Sha. 2, M. Ni. 61

Introduction:

Rakta Pradara is a disease related to the Rajah Sraava.

Asrigdara is a menstruation where the menstrual bleeding occurs in large amount.

Or there may be a situation that menstruation takes place for a longer period. (S. Sha. 2/18-20 D`alhan`a)

 

Nirukti:

 

  1. Rajaj Pradeeryate Yasmaat Pradarah Tena SaSmritah | C. Chi. 30/209

 

  1. Raktam Pramaan`am Utkramya Iti Raktam Pramaan`Aadhikam Kritvaa Raktam Aadaaya Yad Rajo Yasmaad Vivardhayati Pavanah Tasmaad Asrig Rajo Melaka Roopatvaad Ayam Vyaadhih Asrigdara Iti Uchyate | C. Chi. 30/204-224 Chakrapaan`i

 

  1. Pradeeryate Iti Vistaarito Bhavati Iti Pradarah | C. Chi. 30/204-224 Chakrapaan`i

 

  1. Asrig Deeryate Yasmin Iti Asrigdara | C. Chi. 30/204-224 Chakrapaan`i

 

  1. Tadevaatiprasangena Pravrittam Anritau Api |

 

  1. Asrigdaram Vijaaneeyaat Ato Anyad Rakta Lakshan`Aad || S. Sha. 2/18

 

Sampraapti

  • Due to the causative factors, Vaayu gets aggravated.
  • This aggravated Vaayu, gets harbored in to the Garbhaas`haya Siraa.
  • It increases the amount of the Raja.
  • Vaayu increases the amount of the Raja by increasing the amount of blood and entering into the Rajovahaa Siraa.
  • Therefore, the amount of the menstrual blood gets increased.
  • This disease is called as Asrigdara because Vaayu mix the Asrig (Rakta) in to the Raja by increasing its amount. It gets menstruated out, through the Rajovahaa Siraa. Therefore it is called as Asrigdara.

Types

  • Vaataja
  • Pittaja
  • Kaphaja
  • Saannipaatika

 

Vaataja

 

  • The menstruated blood is Phenila, Tanu, Rooksha, S`hyaava, Arun`a.
  • It resembles to the Kims`hukodaka.
  • There may or may not be pain.
  • There is pain in the Kat`i, Vamkshan`a, Hrit, Paars`hva, Prisht`ha, S`hron`i.
  • According to Maadhava Nidaana, the blood resembles to Pis`hitodaka.

 

Pittaja

  • The menstruated blood may be Neela or Peeta.
  • It may be hot (Atyushn`a) or Asita.
  • There is continuous flow of blood.
  • There is pain.
  • There is Daaha, Raaga, Trishaa, Moha, Jvara, Bhrama.
  • According to Maadhava Nidaana, there is heavy menstruation.

 

Kaphaja

 

  • The menstruated blood is Pichchhila.
  • It is white colored.
  • It is heavy (Guru), Snigdha, S`heetala.
  • It is Ghana (Dense).
  • There is mild pain.
  • There is Chhardi, Hrillaasa, Arochaka, S`hvaasa and Kaasa.
  • According to Maadhava Nidaana, the menstruated blood is Aama and Sapichchha, Paan`d`u.
  • It resembles to Pulaakatoya.

 

Saannipaatika

  • In this condition, a lady becomes weak.
  • Therefore, Vaayu gets aggravated in more amounts.
  • This aggravated Vaayu causes the flow of Kapha, with the menstruation blood.
  • The menstruation blood is Durgandhee, Pichchhila, Peeta, Vidagdha.
  • It carries Vasaa and Medas with it.
  • This menstruation blood resembles to Sarpi, Majjaa, Vasaa.
  • There is continuous secretion of the menstrual blood.
  • There is Trishn`aa, Daaha and Jvara.
  • According to Maadhava Nidaana, it is Kun`apa. It resembles to Kshaudra, Sarpi, Haritaala Varn`a.

 

Laks`hana (General symptoms)

According to Sus`hruta, there is Angamarda, Vedanaa.

If it remains for long time, then the symptoms are Daurbalya, Bhrama, Moorchchhaa, Tama, Trishaa, Daaha, Pralaapa,Paan`d`utva, Tandraa, other Vaata Dominant diseases.

 

Vaagbhat`a has considered Raktapradara under Rakta Yonivyaapad

 

Rakta Yonyaakhyaa Asirg Atisrite |

Comparative Study of Sampraapti of Various Types of Raktapradara

Rakta Pradara Rakta Pradara Vaataja Pittaja Kaphaja Saannipaatika
Rogamaarga Madhyama
Svabhaava Daarun`a
Avayava Yoni

Apatya Maarga

 Kat`i

Vamkshan`a

Hrit

Paars`hva

Prisht`ha

S`hron`i

 Yoni

Apatya Maarga

 Yoni

Apatya Maarga

 Yoni

Apatya Maarga
Asaadhya Ksheen`a Raktaa Stree, Durbala

 
Dosha Vaata Prakopa Vaata Prakopa Pitta Prakopa Kapha Prakopa Tridosha Prakopa
Dhaatu Rakta Vriddhi

Rakta Dusht`i

 Rakta Vriddhi

Rakta Dusht`i

Medas Dusht`i
Upadhaatu Garbhaas`hayagata Siraa

Rajovahaa Siraa

Raja Dusht`i

 Vasaa Dusht`i

 

 

Saadhyaasaadhyatva

Raktapradara is Asaadhya in a lady who is Ksheen`araktaa and Durbalaa.

Sootikaa Roga / Makkalla

Reference:-

  1. Sha. 8,S. Sha. 10,S. Ni. 8, A.H.Sha.1, M. Ni. 65

Introduction:–

  • According to Sus`hruta, a female after delivery until one and half of the month, is said to be Sootikaa. Therefore, the diseases that manifests in this period to a female are called as Sootikaa Roga. These diseases are Daarun`aby nature.

 

  • Symptoms of Sootikaa Roga :-

o Angamarda

o Jvara

o Kampa

o Pipaasaa

o Gurugaatrataa

o S`hotha

o S`hoola

o Atisaara M. Ni. 65

 

 

  • If a Sootikaa disobeys the rules of diet and life style during Sootikaa Avasthaa she can suffer from

o Jvara

o Atisaara

o S`hotha

o S`hoola

o Aanaaha

o BalaKshaya

o Tandraa

o Aruchi

o Praseka

o Kapha Vaataja Vikaara.

 

These all are Krichchhrasaadhya Vikaara; as Maamsa, Bala and Agni are depleted. These diseases also manifest asUpadrava.

 

The disease which gets manifested in the Sootikaa due to Mithyaachaara is a Krichchhrasaadhya disease. It turns toAsaadhya condition due to Apatarpan`a.

 

 

Makkalla

 

It is a disease caused after delivery due to the improper Garbhaas`haya S`hodhana. It resembles to the Granthi andVidradhi. It is Krichchhrasaadhhya.

 

Nirukti:

  • Makkallah Tu Prasootaayaah Vaayuh Asrig Aarodhya Basti S`hirah PrabhRutiShu S`hoolam Karoti Sa Makkallah; Tat Sambhooto Vidradhih Api Makkallah |
  1. Ni. 8/6D`alhan`a and Gayadaasa.

  • Prajaataayaah Prajanana S`hon`itaSanjanitaS`hoolo Makkallah | S.Sha.10/22 D`alhan`a

  • Avaruddha Paaka Janito Vidradhih Api Makkallah | S. Sha. 10/22 D`alhan`a

  • Vaayuh Prakupitah Kuryaat Samrudhya Rudhiram Chyutam |

Sootaayaa Hrit S`hiro Basti S`hoolam Makkalla Samdnyitam ||

  • Prasootaayaa Vaayuh Asrig Aarodhya Basti S`hirah Prabhritishu S`hoolam Karoti Sa Makkallah | S. Ni. 8/6D`alhan`a

 

Sampraapti:

  • Due to accumulation of blood by Vaayu Rodha after delivery in the uterus, there is formation of Granthi under the umbilical region, Paars`hva, Basti and Basti S`hira.
  • It causes pain in the Naabhi, Basti, Udara. There is Mootra Sanga also.

It is called as Makkalla.

 

Asaadhya Criteria

  • Apatarpan`a S. Sha. 10/19
  • S`hithila Sarva Dhaatu C. Sha. 8
  • Garbha Vriddhi Kshayita
  • Pravaahan`a Vedanaa Kledana Rakta Nihsrutih Vis`hesh S`hoonya S`hareeratvaat C. Sha. 8

Stana Roga

Reference:

  1. Ni. 10, S.Chi.17, M. Ni. 66

 

Introduction:

  • Stana Roga are the diseases related to the female breast. Sus`hruta has explained that the causative factors ofStana Roga are same as of Gati or Naad`ee Roga. (S. Ni.10.15)This is Sootikaa Vis`hisht`a Vikaara.

  • StanaRoga are not seen in the girls (who have never been pregnant) as the Stanasams`hrita Dhamanee_s areSamvrita (closed). Due to the closure of the Stanasams`hrita Dhamanee_s, Dosha cannot move or travel through them causing any Stana Roga.
  • It means that after pregnancy and delivery of fetus only, StanaRoga are seen in the females as Stanasams`hrita Dhamanee get activated (they become Vivrita open for movements of Dosha) and Dosha can travel through them.
  1. Ni. 10.16-17

 

  • Stanya (breast milk) is the essence of the Rasa Dhaatu. It is Madhura and is formed from the completely digested food. This essence comes to the breasts (Stana) for the nourishment of the new born, therefore it is called asStanya. Su. Ni. 10.18 (Stanabhavam Stanyam Su. Ni. 10.18 Gayadaasa).

 

Sampraapti:

  • Dosha along with Stanya or without Stanya get harboured in to the Stana. They vitiated Rakta and Maamsacausing the Stana Roga.

 

  • Stanarogaa_s resemble to the Vidradhi except Raktaja Vidradhi because Raktaja Stana Roga is not seen. M. Ni. 66.2 Madhukos`ha

Raktajasya Asambhavo Vyaadhisvabhaavaat |

 

Types

  1. Vaataja
  2. Pittaja
  3. Kaphaja
  4. Saannipaatika
  5. Kshataja (Aagantu)

 

Stana Roga: Sampraapti Factors

 

Stana Roga Vaataja Pittaja Kaphaja Saannipaatika Kshataja (Aagantu)
Rogamaarga Baahya
Avayava Stana
Dhaatu Rasa,Rakta,Maamsa
Upadhaatu Stanya Stanasams`hrita Dhamanee
Srotas Rasa, Rakta, Maamsa
Dosha Vaata Pitta Kapha Tridosha

Stanya Dusht`i

 

Reference:

  1. Chi. 30/236,C. Sha. 8/55, S. Ni. 10/23-24, A.H. U. 2/2-5, M. Ni. 67

Introduction:

Stanya Dusht`i is the vitiation of the breast milk.

 

Sampraapti:

Dosha vitiated the Stanya by entering in to the Ksheeravaha Siraa.

 

Types:

  1. Virasa Stanya
  2. Phena Sanghaata
  3. Rooksha Stanya
  4. Vivarn`a Stanya
  5. Durgandhee Stanya
  6. Atisnigdha Stanya
  7. Pichchhila Stanya
  8. Guru Stanya

 

Vaataja Stanya Dusht`i:

  • It becomes tasteless, frothy (Phenasanghaata), and Rooksha in the Stanya.
  • If Vaata Dusht`a, Stanya is consumed by a child then he becomes weak (Ksheen`a). There is no taste to it. The nourishment of the child is poor. There is painful lactation. It becomes frothy (There is Phena on it). The voice of the child becomes Kshaama. The Vit`, Mootra and Maaruta become staganant (Baddha Vit`Mootra Maaruta).
  • It may cause Vaatika S`heersharoga, Peenasa. There is decrease in the unctuous property of the Stanya that causes weakness (Balahraasa).
  • According to Maadhava Nidaana, the taste of the Vaata Dusht`a Stanya becomes Kashaaya. It floats on the water.

 

Pittaja Stanya Dusht`i:

  • There is Vaivarn`ya, Daurgandhya in the Stanya.
  • Vitiated Pitta cuases Vaivarn`ya in the Stanya like Neela, Peeta, Asita. A child suffers from Trishn`aa, Pureesha Bheda. The body temperature rises. A child does not wish for breast feeding. The Stanya becomes Durgandhee. A child sufferes from Paan`d`u, Kaamalaa.
  • According to Maadhava Nidaana, the taste of the Stanya becomes Kat`u, Amla, Lavan`a. It makes yellow lines when dropped in to the water.

Kaphaja Stanya Dusht`i:

  • There is Snigdhataa, Paichchhilya and Gaurava in the Stanya.
  • The Stanya becomes AtiSnigdha. There is Chaardi, Kunthana and Laalaasraava. As there is coating of the channels (Upadigdha Srotas), a child suffers from Nidraa, Klama, S`hvaasa, Kaasa, Praseka.
  • A child becomes Laalaalu, S`hoona Akshi and Vaktra, Jad`a, Hridroga.
  • According to Maadhava Nidaana, it sinks in to the water. It becomes Pichchhila.
  • According to Vaagbhat`a, it turns to Lavan`a taste. It becomes Saandra.

Dvandvaja Stanya Dusht`i:

The symptoms gets manifested as per the Dosha Dusht`i.

Tridoshaja Dosha Dusht`i:

All the symptoms due to Tridosha get manifested.

Yonivyaapad

 

References:

  1. Chi. 30, S. U. 38, A. H. Ni. 33

 

Introduction:

  • Birth of a child is dependent on female (Stree). A female is named as Stree in Sanskrit as she gives birth to the child. She (a female) is responsible for proper growth of fetus. Hence, any disease related to female reproductive organs lead to the damage to the progeny or infertility. Therefore, it becomes necessary to discuss about the diseases related to female reproductive organs.

 

  • Vyaapad is called as derangement; therefore Yonivyaapad refers to the derangement of Yoni. Yoni refers to the female organs of generation. This derangement of Yoni is primarily caused by the vitiation of Vaata Dosha (Na hi Vaataad Rite Yonirnaarin`aam Sampradushyati).

 

  • Therefore, Yonivyaapad are the diseases related to female reproductive organs.

 

  • According to Sus`hruta, when a woman suffering from dryness, weakness or who is younger by age – a girl (Baala), when perform sexual act with a man having elongated penis, Vaayu gets aggravated. This aggravatedVaayu vitiates Yoni manifesting Yoniroga (Yonivyaapad) S. U. 38/3

 

  • These are 20 conditions wherein S`hukra is not accepted by woman and the vaginal canal & all other reproductive organs are vitiated by Doshaa_s. Ultimately, there is no conception or there may be many diseases like Gulma, Ars`ha, Pradara etc.

 

  • Unwholesome diet (Dusht`a Bhojana) is the main cause of Yonivyaapad. A. H. U. 33/27

 

Synonym

Yonigada C. Chi. 30/3-8 Chakrapaan`i; A. H. U. 33/52

Yoniroga S. U. 38/1 D`alhan`a

 

 

There are basic four causes of Yonivyaapad

 

  1. MithyaachaaraThis is unwholesome diet (Asamyag Aahaara and Aachaara Chi. 30/8 Chakrapaan`i).
  2. Pradusht`a AartavaThis is vitiation of
  3. Beeja DoshaThis is vitiation of the Stree Beeja (Aartavagata Beeja).
  4. DaivaPraaktana Adharma Chi. 30/1-8 Chakrapaan`i.

Yonivyaapad: Types from Different Classics

 

Type Charaka Sus`hruta Vaagbhat`a Maadhava Nidaana
Vaatalaa / Vaatalaa/ Vaatikee As per Doshic Dominance Vaatajaa Vaatajaa  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Same asSus`hruta
Pittalaa / Pittalaa / Paittikee As per Doshic Dominance Pittalaa Pittajaa
S`hleshmalaa / S`hleshmalaa /

S`hlaishmikee

 As per Doshic Dominance Kaphajaa Kaphajaa
Saannipaatika / Sarvajaa /

Saannipaatikee

 Sannipaatika Sannipaatika Sannipaatika
Asrijaa /

Raktayoni

 Pittaja Pittaja
Arajaskaa / Vandhyaa Vaatajaa
Acharan`aa /

Viplutaa

 Vaataja No doshic dominance
Aticharan`aa / Aticharan`aa /

Aticharan`aa

 Vaataja Kaphajaa Vaatajaa
PraakCharan`aa / PraakCharan`aa Vaataja Vaataja
Upaplutaa /

Upaplutaa

 Vaata Kaphaja Vaata Kaphaja
Pariplutaa / Pariplutaa /

Pariplutaa

 Vaata Pittaja Vaatajaa
Udaavartinee / Udaavartaa /

Udaavrittaa

 Vaataja Vaatajaa Vaatajaa
Karn`inee / Karn`inee /

Karn`inee

 Vaata Kaphaja Kaphajaa Vaata Kaphaja
Putraghnee / Putraghnee /

Jaataghnee

 Vaataja Pittalaa
Antarmukhee /

Antarmukhee

 Vaataja Vaatajaa
Soocheemukhee / Soocheevaktraa / Soocheemukhee Vaataja Sannipaatajaa Vaatajaa
S`hushkaa /

S`hushkaa

 Vaataja Vaatajaa
Vaaminee / Vaminee / Vaaminee Vaata Pittaja Pittajaa Vaatajaa
Shan`d`hee / Shan`d`hee / Shan`d`hasamdnyaa Vaataja Sannipaatajaa Vaatajaa
Mahaa Yoni /

Mahaa Yoni /

Mahatee Yoni

 Vaataja Sannipaatajaa Vaataja
Viplutaa /

Viplutaa (Acharan`aa)

 Vaatajaa No Doshic dominanace
Rudhiraksharaa Pittajaa
Sramsinee Pittajaa
Atyaanandaa Kaphajaa
Acharan`aa Kaphajaa
Phalinee/

An`d`lee

 Sannipaatajaa
Lohitakshayaa VaataPittajaa

 

Description of each Yonivyaapad

Vaatalaa Yonivyaapad

 

  • Opinion of Charaka

A female having Vaata dominance constitution, Vaata gets aggravated when she indulges in Vaata aggravating dietary and behavioral regimen in the Yoni. This manifests with pain, stiffness of Yoni. There is feeling as if ants are traveling over the skin. It leads with the roughness, numbness of Yoni and other Vaataja diseases.

Menstrual blood is flowed out with sound, pain. It becomes frothy (Saphena), thin (Tanu), and dry (Rooksha). (C. Chi. 30/10)

 

  • Opinion of Sus`hruta

According to Sus`hruta, there is roughness (Karkas`atva), numbness, and pain in the Yoni, in Vaatalaa Yonivyaapad. (S. U. 38/11)

 

  • Opinion of Vaagbhat`a

Vaagbhat`a has added symptoms as: In Vaatikee Yonivyaapad, there is Arun`a (Slightly red), Krishn`a (Black) Varn`aof menstrual blood and in less quantity (Alpa). There is uterine prolapse (Yoni Bhrams`ha). There is pain in the groin region and in the flanks and successively it leads to the Gulma (Raktaja). (A. H. U. 33/29-31)

 

Pittalaa Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

Indulgence in consuming pungent (Kat`u), salty (Lavan`a) and alkaline (Kshaara) food stuffs leads to aggravation ofPitta. It manifests with systemic symptoms like burning sensation (Daaha), fever (Jvara). Menstrual blood turns to dark blue, black or yellow colour. There is heavy flow of menstrual blood. It becomes hot and with foul smell. (C. Chi. 30/11-12; A. H. U. 33/43)

 

  • Opinion of Sus`hruta

According to Sus`hruta, there is burning sensation in Yoni, there is Paaka and there is Jvara. This is Pittalaa Yoni. (S. U. 38/14)

 

 

S`hleshmalaa Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

Kapha gets aggravated due to consumption of slimy (Abhishyandee) food. It vitiates Yoni making it Pichchhila (Sticky), cold and with itching. There is relatively less pain. The menstrual blood turns to have stickiness and whitish colour. (C. Chi. 30/13; A. H. U. 33/44)

 

  • Opinion of Sus`hruta

According to Sus`hruta, Yoni becomes sticky (Pichchhila) and temperature goes down, it becomes cold. There is itching also. This is S`hleshmalaa Yonivyaapad. (S. U. 38/17)

 

 

 

Saannipaatika Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

All the three Doshaa_s are aggravated by consumption of food having all the six tastes. They vitiate Yoni andGarbhaas`haya (Uterus). This Yonivyaapad manifests with burning sensation (Daaha), pain (S`hoola). The menstrual blood becomes white and sticky (Pichchhila).( C. Chi. 30/14-15; A. H. U. 33/51)

 

  • Opinion of Sus`hruta

This is called as Sarvajaa Yonivyaapad by Sus`hruta. In Sannipaatajaa Yonivyaapad, there is manifestation of symptoms due to all the Dosha. This is incurable.

(S. U. 38/19, 20)

 

Asrijaa (Aprajaa) Yonivyaapad

 

  • Opinion of Charaka

Labdhe Garbhe Api Raktam Atipravartate, Ten Asyaa Garbho Na Tisht`hati; Sa Asrijaa Raktayoinh Iti Arthah |Chakrapaan`i

 

When a conceived woman consumes Rakta and Pitta aggravating diet, aggravated Pitta vitiates Rakta. This vitiatedRakta flows out through vagina. This causes miscarriage or abortion. This is Asrijaa Yonivyaapad. (C. Chi. 30/16)

 

  • Opinion of Vaagbhat`a

Vaagbhat`a has not pointed out the pregnant state of a woman; but only said that there is excessive blood loss through vagina in Raktayoni. (A. H. U. 33/43)

 

Arajaskaa (Anaartavaa) Yonivyaapad

 

  • Opinion of Charaka

 

Arajaskaa Iti Anaartavaa | Chakrapaan`i

Pitta residing at Yoni and Garbhaas`haya (uterus) vitiates Rakta (Aartava). This manifests in Kaars`hya (emaciation) and Vivarn`atva.

There is loss of menstruation; therefore it is called as Arajaskaa Yonivyaapad. (C. Chi. 30/16)

 

  • Opinion of Sus`hruta

According to Sus`hruta, there is loss of menstruation (Nasht`a Aartava) and there is pain. This is Vandhyaa Yoni. (S. U. 38/10)

Acharan`aa Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

 

Acharan`aa Iti Dhaavana Acharan`aad Acharan`aa | Chakrapaan`i

 

Due to poor hygiene and uncleanness of vagina, there is formation of Krimi (Jantu). This manifests in itching which leads to the excessive sexual desire (Ati Nara Kaamkshin`ee).( C. Chi. 30/ 18; A. H. U. 33/49)

 

  • Opinion of Sus`hruta

Acording to Sus`hruta, in a sexual act a woman gets orgasm or sexual satiety before man. This is Acharan`aa Yonivyaapad. (S. U. 38/16)

 

This is named as Viplutaa Yoni by Vaagbhat`a.

 

Aticharan`aa Yonivyaapad

 

  • Opinion of Charaka

 

Vyavaayasya Aticharan`ena Utpannaa Vyaapad Aticharan`aa | Chakrapaan`i

 

Due to excessive sexual act Vaata gets aggravated. This aggravated Vaayu causes oedema (S`hopha), numbness (Supti), pain (Ruk) in the vagina (Yoni). This is Aticharan`aa Yonivyaapad. (C. Chi. 30/ 19)

  • Opinion of Sus`hruta

According to Sus`hruta, though there is repeated sexual contacts, a woman does not conceive, this is Aticharan`aa Yonivyaapad. (S. U. 38/16)

 

According to Sus`hruta, Aticharan`aa Yonivyaapad is same as of Vaatikee Yonivyaapad. But in addition to it, there is oedema due to excessive sexual act. (A. H. U. 33/31)

 

Praak Charan`aa Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

 

Uchita Vyavaaya Kaalaad Praak Vyavaaya Aacharan`aat Praak Charan`aa | Chakrapaan`i

 

When a girl before a proper age to experience a sexual act indulges in excessive sexual act, Vaayu gets aggravated.

This aggravated Vaayu causes pain in back, waist, thighs and groin region. It also vitiates Yoni.

This is PraakCharan`aa Yonivyaapad. (C. Chi. 30/ 20; A. H. U. 33/32)

 

Upaplutaa Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

 

Kapha Vaata Aamayaih Upaplutatvaat Upaplutaa | Chakrapaan`i

 

Vaayu gets aggravated in a pregnant woman. Again if she remains consuming Kapha aggravating diet (S`hleshmala Abhyaasa) and also suppresses natural urges of vomiting and exhalation; in this situation, aggravated Vaayu takes away Kapha with itself towards vagina. Thus, it vitiates vagina (Yoni) (C. Chi. 30/ 21-22; A. H U. 33/48). The vaginal secretions turns to whitish colour and it is painful or there may be the secretions of white coloured mucous (Kapha). Ultimately, a woman suffers with the diseases from Kapha and Vaata Dosha. This is Upaplutaa Yonivyaapad.

 

Pariplutaa Yonivyaapad

 

  • Opinion of Charaka

Sarvato Vaata Pitta Vikaara Upaplutatvaat Praiplutaa | Chakrapaan`i

A woman of Pitta dominance constitution (Pitta Prakriti) at the time of sexual act, if suppresses urges of sneezing (Kshavathu) and belching (Udgaara), Vaayu in association with Pitta vitiates Yoni. (C. Chi. 30/ 23-24)

It becomes edematous, and painful to touC. There is fever and pain in pelvic region (S`hron`i), groin region (Vamkshan`a), back (Prisht`ha). The blood is menstruated out with pain, which is dark blue or yellow coloured.

 

  • Opinion of Sus`hruta

According to Sus`hruta, there is pain at the time of sexual act only. This is Pariplutaa Yonivyaapad. (S. U. 38/ 10)

 

  • Opinion of Vaagbhat`a

Vaagbhat`a adds some symptoms like heaviness of Basti, Kukshi, Ateesaara, Arochaka. (A. H. U. 33/46-47)

 

Udaavartinee Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

 

Yonim Udavartayate Iti Yonim Udaavarta Vaataam Karoti | Chakrapaan`i

Vikaaren`a Rajasah Oordhvagamanaat Udaavartinee Iti Uchyate | Chakrapaan`i

 

Due to Vega Udaavartana, Vaayu gets aggravated and it displaces uterus from its normal position (Ante Verted and Ante flexed). Rajas gets accumulated in the uterus (Rajasah Oordhvagamana). This Rajas gets covered by aggravatedVayu (Rajas Aavritam). It is difficultly menstruated out with pain. The pain is released as soon as menstrual blood is released. This is Udaavartinee Yonivyaapad. (C. Chi. 30/25-26; A. H. U. 33/33)

 

  • Opinion of Sus`hruta

According to Sus`hruta, in Udaavartaa Yoni, menstrual blood is frothy (Saphena) and the menstruation is with pain. (S. U. 38/9 )

 

Karn`inee Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

 

Karn`ikaam Iti Karn`ikaakaaram granthim | Chakrapaan`i

A pregnant lady, though uterine contractions are not started, tries to induce the contractions by the forceful and excessive straining leads to the any type of muscular growth (Karn`ikaa) in vaginal canal as Vaayu is obstructed due to the presence of fetus in the uterus. This Vaayu gets associated with Kapha and Rakta. The muscular growth manifested obstructs the path of menstrual blood. (C. Chi. 30/25-26; A. H. U. 33/50)

 

  • Opinion of Sus`hruta

According to Sus`hruta, there is muscular growth (Maamsa Kandee D`lhan`a) in the Yoni due to vitiation of Kapha andRakta. This is Karn`inee Yonivyaapad. )S. U. 38/15)

 

Putraghnee Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

 

Atra Saamaanyena Garbhavinaas`hah Uktah | Chakrapaan`i

 

Due to the dryness Vaayu kills the fetus repeatedly. This fetus has origin in vitiated Aartava (Dusht`a S`hon`ita Aartava Dusht`i Chakrapaan`i). It leads to the death of newborn after delivery (Jaatam Jaatam Hanti Garbham). ( C. Chi. 30/25-26; A. H. U. 33/34)

 

  • Opinion of Sus`hruta

After conception, fetus leads to death repeatedly is Putraghnee Yoni (Sthitam Sthitam Hanti Garbham). (S. U. 38/13)

 

Antarmukhee Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

 

Vaayuh Yoneh Aananam Antarmukham Vakrayati | Chakrapaan`i

Vaayu gets resided in the Yoni of a lady, performing sexual act after overeating and relaxing in an untoward position. This aggravated Vaayu retracts the opening of the uterus. There is severe pain in bones, muscles. A lady can not perform sexual act then. This is Antarmukhee Yoni. (C. Chi. 30/29-31; A. H. U. 33/35)

 

Vaagbhat`a add a symptom that there is severe pain in the opening of Yoni, bones and muscles (Maamsa).

 

Soocheemukhee Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

This is Maatri Beeja Doshaja Vikaara. This may be taken as genetic deformity. Consumption of Vaata aggravating food by pregnant woman is a causative factor. The Vaayu therefore gets aggravated in the mother. (C. Chi. 30/31; A. H. U. 33/36)

Due to dryness of Vaayu; Yoni (opening of uterus) of a female fetus remains very small (like a hole of needleSoocheemukhee). This is Soocheemukhee Yoni.

 

  • Opinion of Sus`hruta

According to Sus`hruta, when the opening of uterus or vaginal canal is very minute, then it is Soocheevaktraa Yoni. (S. U. 38/19)

 

S`hushkaa Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

 

Yoni Mukha S`hoshaat S`hushka Sandnyaa | Chakrapaan`i

At the time of coitus if natural urges are suppressed, Vaayu gets aggravated. There is Pureesha Sanga and Mootra Sanga. There is pain. It dries up the opening of Yoni. (C. Chi. 30/32; A. H. U. 33/37)

 

Vaaminee Yonivyaapad

 

  • Opinion of Charaka and Vaagbhat`a

 

S`hukravamanaad Vaaminee Iti Uchyate | Chakrapaan`i

After receiving S`hukra in the coitus, it is vomited out within 6 to 7 days with pain or without pain, so it is called asVaaminee Yoni. This is due to Vaata Prakopa according to Vaagbhat`a. (C. Chi. 30/33; A. H. U. 33/38)

 

  • Opinion of Sus`hruta

According to Sus`hruta, S`hukra is vomited out with Aartava and Vaata, this is Vaaminee Yoni. (S. U. 38/12)

 

Shan`d`hee Yonivyaapad

 

  • Opinion of Charaka

This is Aartava Beeja Doshaja Vikaara. Aggravated Vaayu in the fetus vitiates the part of Beej responsible for development of uterus (Garbhaas`haya). Therefore, in the adulthood, female reproductive organs remain underdeveloped. She hates men. The breasts remain underdeveloped. This is Shan`d`hee Yoni. This Yonivyaapad can not be treated (Anupakrama). (C. Chi. 30/34)

 

  • Opinion of Sus`hruta

According to Sus`hruta, in Shan`d`hee Yoni there is loss of menstruation, breasts are under developed, roughness in the Yoni can be felt at the time of coitus. This is Shan`d`hee Yonivyaapad. (S. U. 38/18)

 

Mahaa Yonivyaapad

 

  • Opinion of Charaka

Vaayu gets aggravated due to Vishama Maithuna and performing it on uncomfortable bed. This aggravated Vaayurestrains the opening of the Yoni (Yoni Mukha) and Garbhaas`haya (Garbhakosht`ha). But the opening remains open (Vivritaa). There is pain. There is muscular growth, pain in interphalangeal joints and groin. The menstrual blood becomes dry, frothy. There is prolapse of Yoni (Srastaa). (C. Chi. 30/35-37)

 

  • Opinion of Vaagbhat`a

According to Vaagbhat`a, the picture of this Yonivyaapad resembles to Vaatika Yonivyaapad with severe pain. (A. H. U. 33/41)

 

Viplutaa Yonivyaapad

 

In this Yonivyaapad, there is continuous pain. This can not be correlated with any Yonivyaapad told by Charaka.

There is vitiation of Vaayu in this Yonivyaapad. (S. U. 38/10)

 

Rudhiraksharaa Yonivyaapad

 

There is menstruation with burning sensation (Sadaaha), this is Rudhiraksharaa / Lohitaksharaa Yoni. (S. U. 38/12)

 

Prasramsinee Yonivyaapad

 

Irritated or displaced (Kshobhita) Yoni or a Yoni of woman delivering painfully is Prasramsinee Yoni. (S. U. 38/13)

 

Atyaanandaa Yonivyaapad

 

A woman can not get sexual satiety in the sexual contact. This is Atyaanandaa Yonivyaapad. (S. U. 38/15)

 

Phalinee Yonivyaapad

 

When a woman performs sexual act with a man having large penis, the Yonivyaapad manifested is Phalinee. (S. U. 38/18)

Lohitakshayaa Yonivyaapad

 

There is decrease in the quantity of menstrual blood due to vitiation of Vaata and Pitta. There is burning sensation (Daaha), emaciation (Kaars`hya), and Vaivarn`ya. (A. H. U. 33/45)

Yoni Kanda

Reference:

  1. N. 63

 

Due to Divaasvapna, Atikrodha, Vyaayaama, Atimaithuna and Kshata, Dosha get aggravated. They cause a growth likeNikucha, which involves Pooya and S`hon`ita. It is manifested in the vagina which is called as Yoni Kanda.

According to Madhukos`ha, it manifests in an elder lady.

 

Vaatika:

It is Rooksha, Vivarn`a, Sphut`ita.

 

Pittaja:

It is associated with Pitta, Raaga and Jvara.

Kaphaja:

It resembles to the Neela Pushpa. There is Kan`d`oo.

 

Saannipaataja:

It manifests with the all above mentioned symptoms.

 

 

 

Garbhini Paricharya – Antinatal care in Ayurveda

Dr Shameen Salim
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Garbhini Paricharya – Antinatal care in Ayurveda

 

Garbhini Paricharya – Antinatal care in Ayurveda

 

Ayurveda has thoroughly focused on various aspects of life in a special way. Ayurveda believes in Suprajaajanana ie. birth of a baby with healthy body, mind and soul. And hence for a birth of a healthy baby Ayurveda suggest some rules to follow right from the menarche. Sushruta has suggested the marriageable age of man as twenty-five and of girl as sixteen years. For proper conception Ritu (season or period near ovulation or Ritukaala), Beeja (seed i.e. ovum and sperms), Kshetra (field i.e. female reproductive system esp. uterus), and Ambu (nourishing substances), Shukra, properly functioning Vaayu and normal physiological and mental status are essential.

 

As the conception takes place, the normal physiological, psychological and physical status gradually changes in the pregnant woman. The foetus gets affected mentally, physiologically by the deeds of the pregnant woman and hence the emphasis has been given on the diet and life style of the pregnant woman from conception itself.

 

 

Garbhin`ee Paricharyaa: (Antenatal Care):

Saamaanya Aahaara- Vihaara (Wholesome Diet and life style):

1) The antenatal care starts from the moment the female become pregnant. The woman should follow congenial diet and mode of life and protect herself by following good conduct.

2) Woman should remain in high spirit, pious, wear clean and simple cloths and perform religious rites, do auspicious deeds and worship.

3) The diet should be taken considering place of living, time of season and digestive capacity. The woman should consume S`haalee and Shasht`ika rice,Mudga(green gram), wheat, flour of parched rice, butter, pure ghee, milk, Rasaalaa, honey, jack-fruit, Aamalakee fruit, grapes, sour and sweet substances etc.

4) Anointment with cooling agents like sandal, wearing of garlands, moonlight bath, massage, soft bed, cool air, gratifying edibles, embracing beloved and other pleasing mode of life along with desired food should be followed.

 

Maasaanumaasika Pathya (Month wise dietary regimen):

 

Month Charaka Sus`hruta Vaagbhat`a
First Non-medicated milk repeatedly in desired quantity. Congenial diet in morning and evening.  

Sweet, cold and liquid diet.

 Non-medicated milk repeatedly in desired quantity. Ghrita (Pure ghee) for first 12 days, Sweet, cold and liquid diet.Suvarn`a Siddha Jala.
Second Milk treated with Madhuradrugs. Sweet, cold and liquid diet. Milk medicated with Madhuradrugs.
Third Milk with honey and pure ghee. Sweet, cold and liquid diet. Milk with honey and pure ghee.
Fourth Milk with 1Aksha of butter. Cooked Shasht`ikarice with curd, pleasant food

Mixed with milk, butter and meat of wild animals.

 Milk with 1 Akshaof butter.
Fifth Pure ghee prepared with butter extracted from milk. Cooked Shasht`ikarice with milk, meat of wild animals along with milk and pure ghee. Pure ghee prepared with butter extracted from milk.
Sixth Pure ghee (prepared from milk) treated with theMadhura drugs. Gokshura Siddha Ghrita (pure ghee) or Yavaagoo. Pure ghee (prepared from milk) treated with the Madhuradrugs.
Seventh Pure ghee (prepared from milk) medicated with the Madhuradrugs. Prithakaparn`yaadi Siddha Ghrita (pure ghee) Pure ghee (prepared from milk) medicated with the Madhuradrugs.
Eighth Yayaagooprepared from milk should be consumed withGhrita. Aasthaapana Basti , Anuvaasana Basti, Snigdha Yavaagoo, Jaangala Maamsarasa Yayaagooprepared from milk should be consumed withGhrita. Aasthaapana Basti , Anuvaasana Basti.
Nine Madhura Aushadha Siddha Anuvaasana Basti, Yoni Pichu Dhaaran`a Not mentioned any specific dietetic regimen. Snehayukta Maamsarasa , Anuvaasana Basti, Yoni Pichu Dhaaran`a.

 

Along with the above dietary regimen Ayurveda has suggested specific medicated decoctions (Maasaanumaasika Kvaatha) for each month. The drugs mentioned in these decoctions for each month are in accordance with the foetal development in the respective month. Also specific medicated decoctions for each month are mentioned for abortion (Garbhasraavahara Kvaatha) and if complications occur.

Benefits of the month wise dietary regimen:

 

1) The woman remains healthy and delivers the child possessing good health, strength, voice, compactness and much superior to other family members.

2) The Rasa delivered from the diet taken by the pregnant woman serves three purposes:

 

  1. Nourishment of her own body.
  2. Nourishment of the foetus.

iii. Nourishment of breast or formation of breast milk.

 

 

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