Importance of Sutika Paricharya : A Review

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REVIEW ARTICLE March 2022 Journal of Ayurveda and Integrated Medical Sciences | March 2022 | Vol. 7 | Issue 2 60 Importance of Sutika Paricharya : A Review Ashwini R. Metangale 1 , Jaiprakash S. Ukey 2 1 Assistant Professor, Dept. of Prasutitantra, Shri Ayurved Mahavidyalaya, Nagpur, Maharashtra, India. 2 Assistant Professor, Dept. of Agad Tantra, M. S. Ayurved Medical College, Gondia, Maharashtra, India. I NTRODUCTION Mortality & Morbidity of mother are most challenging problems of our country. In day today life, we see many mothers complaining of increase in their physical problems like back ache, joint pains, anaemia and many other infections. In Sutika Avastha the female is having Kshinaagni, Kshinadhatu, Kshinamansa, Kshinabala. At this stage Vataprakop, Agnimandya, Klant Indriya, Deha Shaithilya occurs. Sutika Paricharya includes important therapies, nutritional diet and Swasthvritta Palana. The main achievements through Sutika Paricharya are Pachan, Agnideepan, Raktavardhan, Vatashamana, Garbhashayshodhan, Dhatuposhan, Balvardhan, Yonisanrakshan, Kostashodhan. Address for correspondence: Dr. Ashwini R. Metangale Assistant Professor, Dept. of Prasutitantra, Shri Ayurved Mahavidyalaya, Nagpur, Maharashtra, India. E-mail: amritabaidya 91@gmail.com Submission Date: 12/01/2022 Accepted Date: 20/02/2022 Access this article online Quick Response Code Website: www.jaims.in Published by Maharshi Charaka Ayurveda Organization, Vijayapur, Karnataka (Regd) under the license CC-by-NC-SA M ATERIALS AND M ETHODS Definition of Sutika Woman who just deliver baby followed by expulsion of placenta is called as Sutika [1] Sutika Kala In Ayurved Samhitas duration of Sutika Kala is one and half month after delivery of baby followed by expulsion of placenta [2] Sutika Kala according to various Acharyas Authors Name of samhitas Reference Sutika Kala Sushruta [3] Sushruta Samhita Su.Sha.10 /16 One and half month i.e., 45 days Charaka [4] Charaka Samhita Ch.Sha. 8/48 No specific duration and regimen Vagbhata [5] Ashtanga Sangraha A.S.Sha. 3/40,43 One and half month i.e., 45 days Vagbhata [6] Ashtanga Hridaya A.Hr.Sha. 1/100,101 Same as above A B S T R A C T From pregnancy to motherhood the transformation of female includes immense physical exertion during labour, so Acharya Kashyapa gives statement that “ Ek Shita Pado Bhaved Anyo Yamakshye ” that means during labour mothers life is at risk, with a leg on earth and other in hell. After the baby deliver and once the placenta of women is expelled the women is termed as Sutika . After delivery the women become extremely debilitated physically & mentally and there are more incidences of Katishool , Daurbalya etc. A Sutika body cannot withstand if the doshas get vitiated, as there is severe Agnimandya and Vataprakopa. It will lead to 64 Sutika Rogas . So, to prevent Sutikaroga proper care of Aahar and Vihar of Sutika is important. This care is termed as Sutika Paricharya . Key words: Sutika, Sutika Paricharya, Sutika Roga

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Ashwini R. Metangale et al. Importance of Sutika Paricharya : A Review ISSN: 2456-3110 REVIEW ARTICLE March 2022 Journal of Ayurveda and Integrated Medical Sciences | March 2022 | Vol. 7 | Issue 2 61 Kashyapa [7] Kashyapa Samhita Ka.Khila. 11/52,53 Six months as all the Dhatus will resume to their original state by this time. Bramha Shankar Shastri [8] Yogaratnakara Yog. R. Stree Roga Chikitsa. Either after 11/2 months or after restoration of menstrual cycle. Bhavamishra [9] Bhava Prakash B.P.4/5,6 One and half month i.e., 45 days or until she gets her first menstrual cycle. Implication of Sutika Kala [10] ▪ In normal uncomplicated delivery 45 days is well accepted period of Sutikavastha . ▪ Pathya based on Ahar Vihar ▪ One of the criteria being Artava Darshana. ▪ 4 months duration is necessary for in cases of Prasutivyapad & for Doshas to return normal state. ▪ 4 months of sutikavastha is also considered after delivery of Mudha Garbha. Samanya Sutika Paricharya [11] Abhyanaga - massage with Ksheera Bala Taila and Swedana . This wrapping procedure helps in compression of abdomen. Abhyanga is a Vatashamak procedure. Sudation of Yoni - puerperal woman should always sit in small chair covered with leather bag filled with hot Bala Taila. With this her Yoni becomes healthy. Prasuta Snana - Hot water bath in morning & evening Udara Abhyanga - upto one-month Udara Abhyanga with Ghrita or Bala Tail, cloth Sweda , hot water bath is necessary. General principles of treatment for puerperal disorders [12] ▪ Aetiological factors should be avoided ▪ Woman should be given Snehan & Swedana which suppresses Vayu . Sutika should take rice-gruel treated with appetizing drug. ▪ Sutika should be treated with Snehana , decoction prepared with Madhura, Vatahara, Jivaniya, Brumhaniya drugs along with specific dietetics. Aahar Yojna in Sutik Paricharya 1. Snehapana : Sneha ( Ghrita, Tail, Vasa, Majja ) is mixed with Churna like Pipalli, Pippalimoola, Chavya, Chitraka. 2 Snehayavagu or Ksheeryavagu : Vidarigandhadi Dravya Sadhit Sneha Yavagu or Ksheeryavagu 3. Manda, Peya, Yavagu, Yusha 4 Garbhashayshodhana : Panchakola and Usna Guda-Odak Pathya Sutika must bath with hot water or warm water only Must drink boiled water Must take adequate sleep. Udaravesthana should be done. Abhyanga should be done with lukewarm oils Vegetables like Kushmanda (pumpkin), Mulak (radish) must be stirfried in ghee and used. Apathya Vyayaam, Krodh, Maithun, Shital Jal, Shital Vayu, Diwaswap, Aatapsevana, Panchakarma. Sutika Paricharya - Do’s & Don’ts ▪ Puerperal woman should tie amulet of Trivrit over head [13] ▪ Effect of Asthapana Basti on puerperal woman increase of Ama Dosha [14] ▪ General care i.e., by proper mode of life & diet [15]

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Ashwini R. Metangale et al. Importance of Sutika Paricharya : A Review ISSN: 2456-3110 REVIEW ARTICLE March 2022 Journal of Ayurveda and Integrated Medical Sciences | March 2022 | Vol. 7 | Issue 2 62 ▪ Benefits of Sutika Paricharya are she attains all the lost things & reaches her pre-pregnancy stage [16] ▪ Effect of Nasya or sternutatory drugs is anorexia, bodyache, emaciation etc [17] Clinical Significance of Sutika Paricharya During Sutika Avastha, Agni is Manda so Agnideepana Chikitsa is required after delivery. After delivery Agnivardhak drugs are used with Sneha that suppresses Vata . According to Bala of Agni Yava, Kola Laghunnapaana is advised. Mamsa Rasa is given to replenish dhatu. Brimhana Dravyas are given. By using Ushnodak Parisechan or bath is helpful for Agnideepan that helps in Snehapachan . Thus, during Sutika Awastha Yogya Aahar helps in preventing Sutika Roga by bringing Dosha Satmya and help in Dhatuvardhana . If Agni is good or Balwaan , all types of Sutika Roga can be avoided. CONCLUSION In Ayurveda for Sutika Sutika Paricharya was described. As Agni is Manda during Sutika Awastha , Sutika Roga occurs that’s why proper management of Ahara should be given so that it will leads to Agnivardhan which helps in avoiding Sutika Roga and further it helps in dosha Prashaman and brings all elements of body in pre-pregnancy stage. Thus, by following Sutika Paricharya it helps in Agnivardhar , Pachana, Vatashaman, Stanyavardhan, Raktavardha, Garbhashayshodhan, Yonisanrakshan, Dhatuposhan, Kostashodhan, Balavardhan, Punarnavekarana. REFERENCES 1 PV Tiwari. Kashyap Samhita or Vrddhajivkiya Tantra. Chaukhamba Visva Bharati, Varanasi. edition : Reprint 2013, Khila Sthana, Sutikapakramaniya Adhyaya, Verse 6, pg 576. 2 Premvati Tewari. Ayurvediya Prasutitantra Evam Striroga, Part 1, Prasuti Tantra, Chaukhamba Orientalia, Varanasi. 2 nd edition, Reprint 2009, chapter 9, Sutika Vigyaniya, pg 543. 3 Maharshi Sushruta. Susruta Samhita, part 1, edited by Kaviraj Ambikadutta Shastri. Chaukhamba Sanskrit Sansthan, Varanasi. Shareerastana, chapter 10, Garbhini Vyakaranam Shareeram Adhyaya, edition Reprint 2007,pg 76. 4 Agnivesha. Charak Samhita (part-1), revised by Charak & Drdhabala with introduction by Vaidya Samrata Sri Satya Narayan Sastri with elaborated commentary by Kasinath Sastri. Chaukhamba Bharati Academy, Varanasi. Reprint Edition 2005, Sharersthana, Jatisutriya Adhyaya, Shloka 48, p 951. 5 VNK Usha, A Textbook of Obstetrics Prasuti Tantra. Chaukhamba Sanskrit Pratisthan, Delhi. Vol 2, 1 st ed: 2012,pg 365. 6 VNK Usha, A Textbook of Obstetrics Prasuti Tantra, Chaukhamba Sanskrit Pratisthan, Delhi. Vol 1, 1 st ed: 2012,pg 365. 7 Vruddha Jivaka. Kashyap Samhita, Khila Sthana, Chapter 11, verse 52.2-53. Chaukhamba Visvabharati Bhavan, Varanasi. Reprint 2013,p 582. 8 Krishnadas. Yogratnakar. Chaukhamba Orientalia, Varanasi. 1999;Pg 894 9 Bhavmishra, Bramhasankara Misra, Rupalalji Vaishya. Bhavaprakash 1 st & 2 nd Part. Chaukhamba Surabharati, Varanasi. 2004, 1 st vol 2, pg 30-32. 10 VNK Usha. A Textbook of Obstetrics Prasuti Tantra, vol 2. Chaukhamba Sanskrit Pratisthan, Delhi. 1 st ed: 2012,pg 366. 11 Premvati Tewari. Ayurvediya Prasutitantra Evam Striroga, part 1, Prasuti Tantra. Chaukhamba Orientalia, Varanasi. 2 nd edition, Reprint 2009;pg 547. 12 Premvati Tewari, Ayurvediya Prasutitantra Evam Striroga, part 1, Prasuti Tantra, Chaukhamba Orientalia, Varanasi. 2 nd edition, Reprint 2009;pg 558. 13 PV Tiwari. Kashyap Samhita or Vrddhajivkiya Tantra. Chaukhamba Visva Bharati, Varanasi. Reprint 2013, Khilasthana, Antarvartnichikitsa Adhyaya, verse 181, pg 575. 14 Agnivesh Acharya, Charak Samhita (part-2), revised by Charak & Drdhabala with introduction by Vaidya Samrata-Sri Satya Narayan Sastri with elaborated commentary by Kasinath Sastri. Chaukhamba Bharati Academy, Varanasi. Reprint Edition 2006, Siddhasthana, Panchakarmiyam Siddhir Adhyaya, Shloka 15, pg 982. 15 Premvati Tewari. Ayurvediya Prasutitantra Evam Striroga, part 1, Prasuti Tantra, Chaukhamba Orientalia,

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Ashwini R. Metangale et al. Importance of Sutika Paricharya : A Review ISSN: 2456-3110 REVIEW ARTICLE March 2022 Journal of Ayurveda and Integrated Medical Sciences | March 2022 | Vol. 7 | Issue 2 63 Varanasi. 2 nd edition, Reprint 2009, Sutika Vigyaniya, pg 547. 16 Premvati Tewari. Ayurvediya Prasutitantra Evam Striroga, Part 1, Prasuti Tantra, Chaukhamba Orientalia, Varanasi. 2 nd edition, Reprint 2009, Sutika Vigyaniya, pg 554. 17 Premvati Tewari. Ayurvediya Prasutitantra Evam Striroga, Part 1, Prasuti Tantra, Chaukhamba orientalia, Varanasi, 2 nd ed. Reprint 2009, Sutika Vigyaniya, pg 554. ******************************* How to cite this article: Ashwini R. Metangale, Jaiprakash S. Ukey. Importance of Sutika Paricharya : A Review. J Ayurveda Integr Med Sci 2022;2:60-63. Source of Support: Nil, Conflict of Interest: None declared. Copyright © 2022 The Author(s); Published by Maharshi Charaka Ayurveda Organization, Vijayapur (Regd). This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc-sa/4.0), which permits unrestricted use, distribution, and perform the work and make derivative works based on it only for non-commercial purposes, provided the original work is properly cited

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