“A Clinical Study of Ayurvedic Treatment on Polycystic

Transcription

ISBN 978-93-5173-179-3
http://www.ayurlog.com
ISSN 2320-7329
Issue- 1st Jan- Mar 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
“A Clinical Study of Ayurvedic Treatment on Polycystic Ovarian Syndrome
(PCOD)”
________________________________________________________________
Kuwar Rekha Chhagan*1
___________________________________________________________________________
1. Assistant Professor – Streeroga&PrasutitantraDept, R. A. Podar Medical College, Worli,
Mumbai
*Corresponding Author: [email protected]; Mobile: +91 9405010769
___________________________________________________________________________
Abstract
–
During
the
last
decade,
ayurvedic
treatment
on
PCOD.
The
incidences or PCOD has risen alarmingly.
treatment was conducted for duration of 3
Previously it was confined to only higher
months. Response to treatment was recorded
income class, now days it
has also
by parameters. Result revealed that PCOD
encroached the middle and lower class as
can be cured successfully by using this
well.
ayurvedic regimen.
syndrome
Key words –Polycystic ovarian syndrome,
(PCOD) also known by the name of [1]Stein-
PCOD, PCOS, Endocrine disorders, Herbal
Leventhal syndrome. Incidence of this
compound, Yogbasti, Uttarbasti
Polycystic
ovarian
condition is growing amongst young women
in reproductive age. It is almost ranging
INTRODUCTION:
between 5-10% of young women coming
Woman’s lifestyle is changing under
from infertility. It is now increasingly
the name of modernization, now a days
perceived as disorder of changed life styles,
speed has become the keyword of present.
faulty
and
Beside these stress, unhealthy food habits,
nuleitional deficit. Infertility is by far the
blind following of western life style have
most common feature due to anovulation;
contributed to destruction of quality of life.
therefore the present study has been carried
This not only affects physical health but also
out for clinical study of the efficacy of
mental status.
diet,
endocrine
disorders
1
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ISSN 2320-7329
Vol. 3
[2]
Polycystic ovarian syndrome is
Polycystic Ovarian Syndrome
condition where hormonal imbalance affects
(PCOD)

follicular growth during the ovarian cycle
To
study
the
effect
causing the affected follicles to remain in
Artavnirmiti
the ovary.
menstrual cycle in PCOD

The ovarian cycle is governed by a
To
study
in
the
of
irregular
rate
of
hormonal feedback system moderated by
fertilization and rule out other
hypothalamus.Thus
causes of infertility
it
requires
constant
feedback of hormonal for it to regulate the
MATERIAL AND METHOES:
release of follicle stimulating hormone and
luteinising
Total 40 patients were registered
hormone from the anterior
from
pituitary gland. The hormonal feedback that
OPD
of
Streeroga
and
PrasutitantraDepartment of R. A. Podar
hypothalamus is receiving due to high level
Medical College, Worli, Mumbai. Fulfilling
of oestrogen, which has been formed from
the criteria of selection was included into
three androgen in peripheral tissue.
study.
Ayurveda suggests that this is vata
Inclusion Criteria –
type disorder with involvement of other

Married patients

PCOD

Anovulatory cycle
ambu-

Infertility patients
vahashrotas and artavadhatu. The selected

Irregular menses / scanty
dosha, in some measures, gynaecological
disorders are mainly supposed to be due to
vitiation
involving
trial
[4]
of
vata.[3]PCOD
pitta,
drug
kapha,
was
doshadushadushti
is
disorder
medas,
decided
according
and
menses due to anovulatory
to
cycle
hypothesized
samprapti.

Elevated LH
AIMS AND OBJECTIVES:

LH : FSH Ratio > 3

To study the efficacy of
ayurvedic
treatment
Exclusion Criteria –
on

2
Unmarried patients
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ISSN 2320-7329
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
CA Cervix, Polyp


Uterine fibroid

Congenital defects of female
Tubercular endometritis

HIV / Hbs Ag / VDRL+
Subjective and Objective Parameters –
A) Subjective Parameters
1. Duration of bleeding
Duration
Grade
Score
3 – 5 Days
Nil
0
6 – 7 Days
Mild
1
8 – 9 Days
Moderate
2
Spotting > 9 Days
Severe
3
2. Irregular Menstruation
LMP Days
Grade
Score
28 Days
Nil
0
28 – 45 Days
Mild
1
45 – 60 Days
Moderate
2
Above 60 Days
Severe
3
3. Amount of bleeding and quantity of menstrual blood
No of Pads / Cycle
gynaecological
disorders
genital tract

Other
Score
Grade
3
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ISSN 2320-7329
Vol. 3
< 15
Nil
0
15 – 19
Mild
1
25 – 25
Moderate
2
> 25
Severe
3
4. Pain during menstrual period
Pain
Grade
Score
No Pain
Nil
0
1
Painful menstruation but Mild
no need of analgesics
Daily activities inhibited
Moderate
2
Daily activities are
Severe
3
inhibited, pain continuous
B) Objective Parameters
2. USG for pelvic pathology
1. Haematological investigations
3. Follicular
CBC
vaginal
study –
and
A serial
abdominal
ESR
sonography was done from 10th
Blood Group
day of menstrual cycle till after
ovulation.
HIV / VDRL / Hbs Ag
BSL (F / PP)
TREATMENT PROTOCOL:
Urine R & M
Standardization and authentication of drug
LH / FSH Ratio
will be done. The treatment was conducted
T3 / T4 / TSH
in following way for 3 consecutive cycles.
Prolactin
4
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Vol. 3
The patient was treated with 5gm powder of
In entire study 74.50% patients were
Anethum Sowa[5](Shatapushpa), Asparagus
housewives and 25.50% were professionals.
Racemosus[5](Shatavari),
Longum,
Within treatment timeframe patients had not
Nigrum,
taken any modern medicines.
Piper
Piper
[6]
ZingiberOfficinale (Trikatu),
Most of the patients having complaints of
CaesalpiniaBonducella[7](Latakaranja),
irregular menses and few of them with
TephrosiaPurpurea
absent
(Sharapunkha),
Longa[7](Haridra),
Curaima
PterocaarpusMarsupium
menstruation,
menstrual
(Vijaysar),
blood,
scanty
or
dysmenorrhea,
less
acne,
obesity, hirsutism.
MomordicaCharantia[7](Karela),
An assessment criterion was based on a
[8]
EmblicaOfficinalis (Amalaki) – Twice a
gradation
Day.
symptoms which are - irregular menses,
Before menses patient were treated with
duration
[9]
quantity of menstrual blood, hirsutism, acne
YogBasti (TriphalaKashay and TilaTaila)
for 3 consecutive cycles.
of
of
symptoms.
bleeding,
The
cardinal
dysmenorrhea,
and obesity before and after treatment.
non-surgical
Data was analysed by using paired ‘t’ test.
procedures Snehan, Swdan, Basti and
LH / FSH Hormonal Report revealed that
[10]
the ratio observed up to the normal level.
Panchkarma
and
other
Uttarbasti are some external therapies are
useful along with regular
Suryanamaskara,
exercise
Sarvangasana
–
Report revealed and observed the reduction
and
of polycystic appearance of ovaries and
Paschimottanasana.
improvement of follicular maturity.
OBSERVATIONS:
RESULT:
Symptoms
No (n)
Mean Score
Mean (d) Relief
SD
SE
t
%
Irregular
40
2.475
0.250 2.275
76
0.733
0.166
19.19
of 40
2.350
0.425 1.925
57
0.5723
0.0905
21.27
Menstruation
Duration
5
ISBN 978-93-5173-179-3
ISSN 2320-7329
Vol. 3
bleeding
Dysmenorrhea 40
1.000
0.050 0.90
92
0.579
0.0944
10.06
Quantity
1.900
0.150 1.750
70
1.104
0.174
10.03
of 40
menses blood
Hirsutism
40
1.950
1.875 0.075
-
0.2667
0.0422
1.78
Obesity
40
1.700
0.200 1.500
85
0.5991
0.0947
15.83
From the observation made before and after
The given treatment works to improve
the treatment following inference are drawn.
hormone utilization and regulates overall






The
symptoms
like
hormone balance. The powder of herbal
irregular
menstruation improved by 76%.
drugs is also quite beneficial in curbing the
At the end of treatment 57.5%
three aggravated doshas and brings balance,
patients had normal duration of
strength to the menstrual system. It helps to
menstrual bleeding.
regulate artavadhatu.
92% of patients were relieved from
The properties of deepana and pachana of
dysmenorrhea.
above drugs elevate the jatharagni and
70% patients had average quantity of
dhatwagni along with artavagni.
menstrual blood.
given is also effective on kapha reduction,
In obese patients 85% had normal
insulin enhancing, anti-androgenic, anti-
BMI level.
dibetic, anti-oxidant, hypolipidimic drugs
But in hirsutism there was no
and eventually help to relieve the symptoms
statistically significant result seen.
of PCOD.
Powder
General basti regulates the nervous control
DISCUSSION:
and uttarbasti regulates CNS controlling the
According to Ayurveda PCOD is a disorder
pelvic organs. Hence by governing HPO
involving pitta, kapha and vatadoshas, rasa
axis through hypothalamus, it helps in
and meda-dhatu, rasa, rakta and artava-
maintaining follicular growth.
vahashrotasa.
CONCLUSION:
6
ISBN 978-93-5173-179-3
ISSN 2320-7329
Vol. 3



87%
patients
ShatavariShatpushpaKalpadhyay11,Varanas
were
successfully get cured.
i
62% patients had conceived
6. SushrutaSamhita by AmbikaduttShastri,
within the follow up period
Sutra Sthana, Chapter No. 46, Verse-221,
of 3 moths.
222, 223, Chaukhambha Sanskrit Sansthan,
No significant complications
Varanasi Edition2004
observed in overall study.
7. CharakaSamhita by KashinathShastri,
VimanSthana, Chapter No. 8, Verse-142,
In conclusion PCOD can be effectively
143
cured by using ayurvedic treatment regimen.
References:
1. The Infertility Manual by Kamini A Rao,
Chapter No. 10, Page No. 110, Edition2009
144,
2. Modern Gynaecology by AjitVirkud,
Chaukhambha
Sansthan,
9. CharakaSamhita by KashinathShastri,
Siddhi Sthana, Chapter No. 4, Verse-50,51
ChaukhambaSanskritaSansthaana
Chaukhambha Sanskrit Sansthan, Varanasi
VaranasiEdition2009
Edition2004
10.CharakaSamhita
by
KashinathShastri,
Siddhi Sthana, Chapter No. 9, Verse-62, 63,
64
Chaukhambha Sanskrit Sansthan, Varanasi
Edition2004
5. KashyapaSamhita by Hemraj Sharma and
T
Sanskrit
Chapter No. 25, Page No. 299, Edition 2010
Y
Acharya,
7
ISBN 978-93-5173-179-3
Vol. 3
ISSN 2320-7329
Cite this article:
“A Clinical Study of Ayurvedic Treatment on Polycystic Ovarian Syndrome
(PCOD)”
Kuwar Rekha Chhagan
Ayurlog: National Journal of Research in Ayurved Science-2014; 3(1): 1-8
8

“A Clinical Study of Ayurvedic Treatment on Polycystic

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