P. D. F. - Ayurlog

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P. D. F. - Ayurlog

ISBN 978-93-5173-179-3
ISSN 2320-7329
http://www.ayurlog.com
Special issue*- 16th Feb. 2015
Vol. 3
Ayurlog: National Journal of Research in Ayurved Science
A Web based quarterly online published Open Access peer reviewed National E-journal of Ayurved
To study clinical efficacy of bruhati & dwiharidra in kaphaj yonivyapad
by yonipuran.
*jayashree Sawashe.
M.S.(STREEROGA & PRASUTITANTRA)
ASSIST.PROFESSOR (STREEROGA & PRASUTITANTRA)
PAD. DR.D.Y.PATIL COLLEGE OF AYURVED AND RESEARCH CENTRE PIMPRI,
PUNE . *Corresponding author MOB.976632160.
which
INTRODUCTION
As the Stree is mula of
is
YonigatShewta,Picchilstrava,
reproduction, her health is our
Yonikandu,Yonigata Alpa vedana
prime importance which leads to
which are the features of kaphaja
palan of best Gruhasthashram1,2
Yonivyapada and is neglected by
Stree is important part of our
women as minor symptoms.So to
society
bring light to the importance of
and
family.Being
this disease and it’s treatment to
Daughter,wife,mother,carrier
plays
the society I had decided to work
different roles and follows social
on this disease,that is Kaphaja
and family responsibilities.Thus in
Yonivyapada using “Bruhatiphala
this fast life she is subjected to all
and
sorts of physical and mental
Yonipuran
in
hardships.Due
Yonivyapada’as
described
oriented
women
,
to
she
change
in
Dwiharidra
lifestyle,modern food habits of fast
Aacharya
food,junk food she is unable to
uttartantra 38/27.
follow
the
and
Kaphaja
by
Sushrutaacharya in
rulesof
Dincharya,Rutucharya,Rajaswala,
Rutumati
Kalka’s
Sutikaparicharya
which are explained by Aacharyas
for women’s health.Thus She is
prone to various yonirogas, one of
AIMS AND OBJECTIVES
1. To study the literature of Kaphaja
Yonivyapada.
2. To study the Clinical Efficacy of
Bruhatipha
and
Dwiharidra
*Special Issue for “National Seminar- Practical approach in Prasutitantra And Streerog 2015”
1
ISBN 978-93-5173-179-3
ISSN 2320-7329
Vol. 3
Kalka’s Yonipuran In Kaphaja
The
Yonivyapada as stated in Sushrut
mainly of Kaphaja yonivyapada were
3
Samhita Uttartantra 38/27
selected
The following methodology was
complaining
irrespective
of
**Inclusive
Criteria-Following
Patients were selected for our study-
adopted to conduct the study.
1) Patients of 18-45 years age group.
1]Literary Reviewreview
patients
occupation,religion,age and prakruti.
MATERIALS AND METHODS
Literary
female
of
all
Ayurvedic Texts and Samhitas was
2) Only married patient.
3) Patients
having
Kaphaja
done thoroughly for collection of
yonivyapada i.e. having following
information of Kaphaja yonivyapada.
signs and symptoms-
The previous research work done by
various scholars in this subject was
a.Yonigata
shweta
,picchil
strava.
studied. It was used as preliminary data
b.Yonikandu.
for
c.Yonigata alpa vedana.
present
kaphaja
study.Referances
yonivyapada
Bruhatiphala,Dwiharidra
of
and
kalka’s
**Exclusive
Criteria-The
following patients are excluded
yonipuran from Bruhat Trayee and
from our study.
Laghu Trayee,Rasa granthas were
1)Unmarried patients.
collected and compiled.Also referances
2)Patients with ring pessaries.
from modern Gynaecology books were
3)Patients with a major illness.
collected.
[Like Heart diseases, respiratory
diseases etc.]
2]Clinical study-
4)Patients with malignancies.
A]Study design-
5)Patients
Randomised
single
blind study in patients having Kaphaja
with
endocrinal
disorders. [e.g. Diabetes Mellitus
etc.]
yonivyapada was done.
Selection of patients*Special Issue for “National Seminar- Practical approach in Prasutitantra And Streerog 2015”
2
ISBN 978-93-5173-179-3
ISSN 2320-7329
Vol. 3
6)Patients
with
immunocomprasive
to
diseases.
patient.Then
sterile
Bruhatiphala Dwiharidra kalka is
[Like HIV etc.]
7)Patients
the
kept in prathmavarta.As kalka is
with
tikshna it is placed for 2hrs.Then it
physiological
white discharge.
is removed and irrigation of
8)Patients having age group of
prathamavarta
above 45yrs and below 18 yrs of
lukewarm water.
age.
Total Dose :10 gm once daily for
METHODS -Study Group-
7 days.
30 patients were treated with
5.
Bruhatiphala
TREATMENT: -
and
Dwiharidra
Kalka’s Yonipuran.
is
done
with
DURATION
OF
In Text, the duration of
OF
treatment for this drug is not
ADMINISTRATION: - Patients
given. So initially all the patients
were given the drug in following
were treated for 7 days. In
way
common the duration of period for
MODE

Prayog : Prathamavarta.

Swaroop – Kalka 4 .

Matra [Dose]:
1)
Kalka
giving
these
medicines
was
selected as 7 days.
6. FOLLOW UP: -
5
-10 gm OD

During
treatment
Per vaginally for 7 Days.
all
course
the
of
signs
&
symptoms are noted on Day 1st,

Aushadha Sevan Kala of
Kalka-Post Menstrual..

Kalka is taken on gauge and
tampoon is made.Its sterilization
done.Lithotomy position is given
Day 3rd, Day 7th .

Examination
of
the
patients were done again on Day
15th to study the recurrence of the
symptoms
7.OBSERVATION TABLESR.
OBSERVATIONS
DURING TREATMENT
AFTER
3
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ISSN 2320-7329
Vol. 3
NO.
TREATMENT
1st
A]
3rd
7th
15th
Yonigata
Shwetastrava
1. Praman
Absent Alpa Madhyam
Adhik2.SwaroopAbsent
DravaTantoolGranthi3. Gandha
AbsentPresent-
B]
Yonigata
Vedana-
Absent AlpaMadhyamC]
Adhik Sthanik Kandu
Absent Presentnot be graded so we gave these
For assessment of Clinical results
symptoms a subjective type of
we prepared symptom flowchart
gradation [i.e. observed by the
by giving gradations to symptoms.
patients].
The symptom like Gandha, could
OBSERVATIONS
AND
RESULTS
4
ISBN 978-93-5173-179-3
ISSN 2320-7329
Vol. 3
GENERAL OBSERVATIONS:
D) Socioeconomic status wise:-
-
Out
of
30
patients,
maximum patients were found
A) Sex wiseIn this study all female
having low socioeconomic status
patients were included.
followed by middle class& higher
B) Age wise-
class. They were 18[60%], 9[30%]
1As per inclusion criteria
&
3[10%]
in
numbers
of patients we selected patients
percentages respectively.
having age between 18 years to 45
E) Prakruti wise :-
and
yrs and we distributed it in four-
Out of 30 patients in trial group
sub age groups. Out of 30 patients
maximum number of patients was
number of patients found in age
found
group less than 25 years were
vatanubandhi
9[30%], in 25 to 30 yrs age group
by
they were 8 [26.66% ] ,in 30 to
kaphanubandhi,vata
35yrs age group 6 [20.00%] and in
kaphanubandhi and kapha pradhan
age group above 35yrs 7 [23.33%]
pittanubandhi prakurti. They were
in
10[33.33%],
numbers
and
percentage
in
Kapha
pradhana
prakruti followed
Pitta
pradhana
8
pradhan
[26.66%],
respectively.
6[20.00%],6[20.00%] in numbers
C) Occupation wise: -
and percentage respectively..
Out of 30 patients in trial
group
maximum
number
F) Agni wise:Out of 30 patients
of
in
patients was found in Housewife
trial group maximum patients
group,
were
found
having
Women, service and Business
Mandagni,followed
by
group.They
were18[60.00%],
Tikshnagni,Vishamagni
&
5[16.66%],
5[16.66%]
followed
and2[6.66%]
in
by
Farming
number
&
Samagni.
They
were
21[70.00%],5[16.66%],2[6.66%],2
percentage respectively.
5
ISBN 978-93-5173-179-3
ISSN 2320-7329
Vol. 3
[6.66%] in numbers & percentage
having mild kandu & no kandu
respectively.
was found in 24 patients.
CLINICAL OBSERVATIONS:-
3) Yonigata vedana:-
1)
According
to
Strava
Out of 30 Patients in Trial
group,
Pramana:Out of 30 patients in trial
Yonigat
vedana
was
present in Mild grade in 12
group maximum patients were
[40.00%]&
found having moderate Strava
symptom
pramana followed by severe &
18[60.00%]
mild before treatment. They were
After treatment 2 patients had mild
20[66.66%],
vedana, while 28 patients had no
6[20.00.%],
&4[13.33%]
percentage
in
numbers
respectively.
&
yonigata
was
not
before
vedana
found
in
treatment.
vedana.
After
treatment 2 patients were having
4) Gandha:-
moderate strava, 4 were having
Out of 30 patients in trial
mild strava & no strava was found
group 12 patients [40.00%] had
in 24 patients.
Gandha symptom & absent in 18
patients
[60.00%]
before
2) Kandu:-
treatment. After treatment Gandha
Out of 30 patients in trial group
was found present in 2 patients.
maximum patients were found
DISCUSSION OF CLINICAL
having moderate kandu followed
OBSERVATIONS:
by
1] Strava:
severe
&
mild
treatment.They
before
were
Patients
were
selected
20[66.66%],5[16.66%],5[16.66%]
having Yonigat Shweta strava in
in
percentage
severe, moderate & mild grade in
respectively. After treatment 2 was
study group. After treatment strava
having
was absent in 24 patients.
numbers
&
moderate Kandu,4 were
6
ISBN 978-93-5173-179-3
ISSN 2320-7329
Vol. 3
Bruhatiphala Dwiharidra’s kalka
Due to the Kaphaghna,
Kapha-Klheda
shoolaghna
shoshak
action,
action,
acts as kaphaghna, kledaghna &
shothahar
krimighna. So Gandha symptom is
action of the trial drug, it is found
controlled.
effective in the trial group. So the
Gandha was found in 12
result is highly significant.
patients out of 30 patients in trial
2] Kandu :
group. After treatment it was
Patients
showed
in
Sthanik
trial
kandu
group
absent in 28 patients in trial group.
as
So the trial drug is effective on
gandha symptom.
explained in earlier topics due to
kaphaghna, kledaghna krimighna,
twachya properties of trial drug
the symptom kandu reduces.
CONCLUSION
1.
After treatment kandu was
After the present study, it
can
absent in 24 patients in trial group.
be
concluded
Bruhatiphala
Kalka’s
The drug is effective on
and
yonipuran
Dwiharidra
is
quite
symptom kandu; so it can be said
effective
that the drug is highly significant.
Yonivyapada. Signs & symptoms
3] Yonigata Vedana :
as well as pathological conditions
Kaphaja
improves with a dose & duration
Patients showed yonigata
mentioned in the study.
alpa vedana,after treatment vedana
was absent in 28 patients .So the
on
that
2.
As Ayurvedic Drugs are
trial drug is effective on vedana
cheaper & available easily in
symptom,so it can be said that trial
market. Patients can afford the
drug is significant.
treatment easily.
4]
References
Gandha :
Gandha symptom found in trial
group
because
of
krimi
pradurbhava, kleda, kapha dushti.
1. Vaidya Yadavaji Trikamji
Acharya, Charak Samhita with
Chakrapani commentary Chikitsa
sthana chapter 30 citation no 5 ,
7
ISBN 978-93-5173-179-3
ISSN 2320-7329
Vol. 3
Chaukambha Surharati Prakashana
Varanasi page no. 634.
2. Prof.
Jyotir
Mitra
Ashtangsangram
of
Vagbhatcharya
Sashilekha
with
Commentryv
by
Indu Edited by Dr. Shivprasad
Sharma Sharir Sthana Chapter
2 citation no 60 Chaukambha
Sanskrit series office Varanasi
page no 284
Uttartantra
chapter 38 citation no 27
Chaukambha
Varanasi page no
163
4. Prof K R Srikanta Murthy
Sharandhar Samhita A Treatse
on Ayurveda Mahyam khanda
chapter
5
citation
Chaukambha
no
1
Orientalia
Varanasi page no 81.
5. Prof K R Srikanta Murthy
Sharandhar Samhita A Treatse
on Ayurveda Mahyam khanda
3. Kaviraj Dr.Ambikadatta Shastri
Sushrut Samhita
sansthana
chapter
5
citation
Chaukambha
no
1
Orientalia
Varanasi page no 81.
Sanskrit
Cite this article:
TO STUDY CLINICAL EFFICACY OF BRUHATI & DWIHARIDRA IN KAPHAJ YONIVYAPAD
BY YONIPURAN.
JAYASHREE SAWASHE
Ayurlog: National Journal of Research in Ayurved Science-2014; 2(4): 1-8
8

P. D. F. - Ayurlog

Transcription

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