Ayushdhara (E-Journal)
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Management of Tubal Blockage Through Ayurveda: A Clinical Case Study
Get PDFObstruction in the fallopian tubes is a significant factor that can lead to infertility in females. This condition is pathophysiologically recognized as a Tridoshaja Vyadhi with Vata Dosha being the dominant contributing factor. Tubal constriction, fibrosis, and stenosis are pathophysiological manifestations attributed to the Ruksha (dry) and Khara (coarse) attributes of vitiated Vata Dosha. Kapha Dosha, owing to its obstructive (Avarodhak) nature, plays a role in causing blockages in the fallopian tubes. Pitta Dosha plays a pivotal role in mediating Paka (inflammatory transformation), especially when triggered by pathogenic infections. Ayurveda address this condition by targeting the underlying Dosha imbalances. This case study presents a patient diagnosed with infertility due to tubal blockage who underwent an Ayurvedic treatment regimen. The intervention involved Shaman Chikitsa, which included a combination of Ayurvedic medicines aimed at balancing the vitiated doshas, enhancing digestion and metabolism, and thereby restoring the patency of the fallopian tubes. The patient experienced a successful outcome reflecting changes in her Radiograph HSG, highlighting the potential of Ayurveda in managing tubal blockage and promoting fertility
Nasya Karma: A View Through the Anatomical Exploration of Nasal Epithelium
Get PDFThe nasal route of drug delivery is gaining rapid recognition these days. The modern system of medicine is more concentrating on developing the drugs and methods for the nasal administration. However, this concept has been articulated centuries ago in Ayurveda by the term ‘Nasya karma’. Nasya Karma is a process of administration of medicated oils, ghee, Swarasa or powders into the nasal cavity. Nasya karma is regarded as the most effective treatment in Urdwajatrugata Vikara, as it is quoted ‘Nasa hi shiraso dwaram’ in the context of Nasya. The instilled Nasya dravya reaches the Shringhataka marma and thus reaches the Shira region. In modern anatomy, the components of administered Nasya reach the central nervous system through the neural pathways, vascular routes or by diffusion across nasal mucosa. This dual perspective highlights the potential of Nasya karma, which has a wide range of indications from Urdwajatrugata vikara by the means of local effect to Pumsavana karma as Sarvadaihika benefits. To understand the mode of action and maximize the therapeutic potential of Nasya karma, the comprehensive knowledge of anatomy of nasal epithelium and its physiology is utmost required. This paper explores the possible ways of the action of the drug instilled through nasal pathway is explained
Ayurvedic Management of Trigeminal Neuralgia with special reference to Anantavata on Quality of Life
Get PDFTrigeminal neuralgia, also known as Tic Douloureux, is a condition characterized by unilateral, lancinating facial pain affecting the branches of the trigeminal nerve. Clinically, it manifests as excruciating paroxysms of pain localized in the lips, gums, cheeks, or chin. While trigeminal neuralgia is predominantly idiopathic, it is also indicative of action potentials in pain-sensitive fibers of the fifth cranial nerve root before it enters the brainstem. Case: A 39-year-old male patient presented with left-sided facial pain persisting for two years at the Government Ayurveda College and Hospital, Nagpur. The pain was predominantly distributed across the left cheek and chin, radiating towards the jaw region. The patient underwent Ayurvedic interventions for a duration of 2 months. Notable improvements were documented using the visual analogue scale (VAS) for pain and the hospital anxiety and depression scale (HADS). Observations from this case underscore the efficacy of Ayurvedic interventions in alleviating acute paroxysms of pain associated with classical trigeminal neuralgia and enhancing the overall quality of life for affected individuals. Present case was diagnosed as suffering from Anantavata, addressed through four sessions of leech therapy, alongside the administration of Ekangaveer Ras, Mahavatavindwas Rasa, Guduchi Stawa, Ashwagandha Churna, and Rajata Bhashma,with a local Panchakarma procedure
Successful Conception in Unexplained Primary Infertility Through Ayurveda
Get PDFPrimary infertility is defined as the inability to conceive after one year of unprotected intercourse, without any prior pregnancies. Unexplained infertility accounts for nearly 15–30% of cases, where no identifiable cause can be detected despite standard investigations. The current case study explores the Ayurvedic approach to manage unexplained primary infertility. Case Presentation: A 24-year-old nulligravida female presented with a 4-year history of primary infertility and scanty menstruation, despite normal findings in ovulation and her husband\u27s semen analysis. Clinically, she had a BMI of 18.4 and exhibited signs of Artava Kshaya and Dhatu Kshaya, indicating Vata aggravation and nutritional insufficiency. Intervention and Management: A comprehensive Ayurvedic treatment protocol was initiated, including Samana and Shodhana therapies. Yoga Basti using Dashmoola was administered to pacify Vata and restore reproductive balance. Shatapushpa was used for its Artavajanana properties, along with nourishing Rasayana herbs like Ashwagandha, Shatavari, Vidarikanda, and Bala. Phala Ghrita was prescribed to stabilize the uterus and enhance fertility. Nutritional correction and Nidana Parivarjana were emphasized, alongside Beeja Sanskara and lifestyle guidance. Outcome: After the course of treatment, the patient’s menstrual flow normalized, BMI improved and hormonal balance was restored. A follicular study confirmed timely ovulation. Ultimately, the patient conceived, confirmed by a positive urine pregnancy test. Conclusion: This case demonstrates the effectiveness of individualized Ayurvedic management in addressing unexplained primary infertility. The approach, focusing on Vata Shamana, Dhatu Poshana led to successful conception. Ayurveda offers a promising alternative in cases where conventional diagnostics fail to identify a cause
Pharmaceutical Preparation of Abhraka Bhasma: A Classical Approach Covering all Stages of Processing
Get PDFAbhraka (mica) is essential in Rasashastra for its Rasayana properties and therapeutic applications. However, its raw form is unsuitable for direct medicinal use. To make it safe, effective, and easy for the body to absorb, it goes through special Ayurvedic processes. These include Shodhana, Dhanyabhraka, Marana, Amritikarana, and Lohitikarana. Materials and Methods: Raw Abhraka underwent sequential procedures Shodhana, Dhanyabhraka, Marana, Amritikarana, and Lohitikarana. Observations were recorded for changes in weight, texture, color, and classical parameters such as Nischandratva, Rekhapurnata, and Varitaratwa. Results: Shodhana caused 9.8% weight loss with improved brittleness and reduced impurities. Dhanyabhraka showed 23.83% weight loss, effective leaching, and pH reduction. Marana led to a 14.7% weight loss with color transition from blackish red to dull red. Amritikarana enhanced stability and reduced toxicity, while Lohitikarana imparted a red tinge and improved therapeutic potential. The final Bhasma was non-lustrous, floatable, and therapeutically active. Discussion: Stepwise processing confirmed the classical principles of Rasashastra, validating Ayurvedic principles of purification and incineration, ensuring safety, bioavailability, and Rasayana potential
Healing from the Ground Up: Ayurvedic Case Study on Vipadika
Get PDFSkin diseases have been widely described in Ayurveda under the broad term “Kushta.” Among these, Vipadika is classified as a Kshudra Kushta (minor skin disorder) and is primarily associated with an imbalance of Vata and Kapha doshas. It is characterized by painful cracks, excessive dryness, roughness, itching and occasional bleeding, mainly affecting the palms and soles. Contemporary treatment options often lead to temporary relief with frequent recurrence, leading patients to seek alternative therapies. The present case report aims to assess the therapeutic efficacy of Ayurvedic management in treating Vipadika. A 51-year-old male presented with fissures, dryness, roughness in both sole and pain, itching; diagnosed as Vipadika. The treatment approach exclusively involved Shamana Chikitsa, including the oral administration of Avapidak snehpan, Arogyavardhini vati, Gokshuradi gugul, Kaishor gugul, Phalatrikadi kadha, combination of Yashtimadhu guduchi shunthi haritaki churna. Topical care was provided by washing the affected area with lukewarm water and application of Kailas jivan lotion. Pathya-Apathya regarding diet and lifestyle also suggested. The patient\u27s response was assessed over ten weeks, with post treatment follow-up of four weeks to assess symptom improvement and patient-reported outcomes. This case highlights the potential effectiveness of Ayurvedic interventions in managing Vipadika, offering a promising alternative or complementary approach for conditions resembling palmoplantar psoriasis, especially in cases prone to relapse
Effect of Yonidhawan and Yoni Pichu in Karnini Yonivyapad w.s.r to Cervical Erosion
Get PDFA cervical erosion is a condition in which the squamous covering of the vaginal aspect of the cervix is replaced by columnar epithelium which is continuous with that lining the endocervix. It is not an ulcer. Cervical erosion is typically manifested by heavy vaginal discharge (watery or whitish), contact bleeding and sometimes it may be associated with cervicitis. Its treatment is based on the principle of destruction of the columnar epithelium to be followed by its healing by the squamous epithelium. In Ayurvedic classics almost all the gynecological disorders come under the term Yonivyapad. It is best correlated with Karnini yonivyapad due to similarities in etiopathogenesis, clinical features and complications. This lesion is non-cancerous, but if not managed appropriately, it can contribute to infertility and may occasionally progress towards malignancy. In Ayurveda, Krnini yonivyapad can be treated with different treatment modalities like Yoni dhawana, Yoni pichu, Yoni varti, Ksharakarma, Agnikarma and the oral administration of the ayurvedic drugs. In this case study, patient with Karnini yonivyapada is treated with Panchvalkala kwatha yoni prakshalna followed by Jatyadi tailam yoni pichu one time daily for 10 days for consecutive two cycle and oral administration of ayurvedic medicine. The Yoni prakshalana and Yoni pichu in this case has showed the good results in improvement of Karnini yonivyapad
A Critical Review on Ritucharyam Adhyayam mentioned in Sushruta Samhita
Get PDFThe sixth chapter of the Sushruta Samhita Sutra Sthana is the Ritucharya Adhyaya. Acharya Sushruta clarified that Roga can be avoided before it manifests if one abides by Ritucharya\u27s precepts. Thus, Ritucharya is an Ayurvedic preventive and health-promoting practice that helps people live in harmony with nature and stay healthy throughout time. Sushruta Samhita Sutra Sthana is the source of literature about Ritucharya. In Ritucharya, Acharya Sushruta explains what should be done in each season (Samshodhana kala) to stop illnesses before they start According to him, for Swasthya Rakshana Snehapana and Basti should be conducted in Varsha Ritu to calm Vata dosha, Virechana should be performed in Sharad Ritu to balance Pitta dosha, and Vamana should be performed in Vasanta Ritu to balance Kapha dosha
Management of Pilonidal Sinus with Chedana Karma and Apamarga Kshara Pratisarana
Get PDFA Pilonidal sinus (also called as pilonidal cyst, pilonidal disease, or sacrococcygeal fistula) is a small tunnel or tract that forms under the skin, usually near the top of buttocks (in the natal cleft, just above the tailbone). It often results from ingrown hairs, which lead to a cyst or abscess forming under the skin. Male gender is more affected than females with a 4:1 preponderance. Obesity, friction or prolonged sitting, excessive body hair, poor hygiene, young age is some of its risk factors. Acharya Sushruta in Nidana Sthana 10th chapter has described Nadi Vrana where one of its sub types, Shalyaja Nadi Vrana resembles in cause, pathology and clinical symptoms to pilonidal sinus. Chedana karma along with the removal of Shalya, that is, hair tuft is a gold standard for the management of the disease. A 26 years old male patient came to Shalya OPD with complaints of swelling, pain and blood mixed pus discharge from the wound present in sacrococcygeal region for last 2 months. The case was managed successfully with Chedana karma followed by Apamarga kshara Pratisarana and within 2 months, the wound was healed completely
The Effect of Multi-Modality Ayurvedic Treatment in A Case of Infertility Involving Both Male and Female Factor
Get PDFInfertility affects both men and women, with female factors accounting for 50% of cases, male factors for 20–30%, and combined factors for the remaining 20–30%. Vandhyatva (infertility) in Ayurveda results from various Yonivyapada, Artavadushti, Beejadosha, and lifestyle disorders, primarily due to Vata Dosha and Rasa Dhatu vitiation. Ovulation disorders, linked to H-P-O axis disturbances, are a major cause of female infertility. Male infertility often results from Ashtashukra Dushti, affecting semen quality. Case Report: A 30-year-old female with primary infertility for five years was diagnosed with hyperprolactinemia and anovulatory cycles. Her husband\u27s semen analysis showed pus cells and autoagglutination. Ayurvedic treatment included Shodhana (detoxification) and Shamana (palliative therapy). Both partners underwent Virechana with Tivrita Avaleha. The female patient received Pratimarsha Nasya with Shatpushpa oil and therapies for Vata pacification, Rasa nourishment, and Beejpushti. The male partner underwent Shukra Shodhana and Vajikarana therapy. After four months, conception occurred, and she later delivered a healthy baby boy. Conclusion: Long-standing infertility and infections can be effectively treated with Ayurveda, emphasizing detoxification, dietary modifications, and lifestyle corrections