Ayurvedic management of Ovarian Cyst - A Case Report

CASE REPORT October 2023 Journal of Ayurveda and Integrated Medical Sciences | October 2023 | Vol. 8 | Issue 10 285 Ayurvedic management of Ovarian Cyst - A Case Report Pawan Kumar Soni Senior Ayurvedic Medical Officer, Govt. Ayurvedic Hospital, Sangod dist. Kota, Rajasthan, India. I NTRODUCTION Any ovarian follicle that is larger than about two centimetres is termed an ovarian cyst. Ovarian cysts are closed, sac-like structures within the ovary that are filled with a liquid or semisolid substance. Ovarian cysts affect women of all ages however, most often they occur during childbearing years. Most ovarian cysts are functional in nature and harmless (benign). Common symptoms of an ovarian cyst are abnormal uterine bleeding, irregular periods, pain in the lower abdomen or pelvis, fatigue, headaches, Nausea [1] During a bimanual examination of the pelvis sometimes ovarian cysts may be noticed. Ovarian cysts are diagnosed by ultrasound, MRI & CT scan. The treatment of an ovarian cyst is mainly done by Hormonal Address for correspondence: Dr. Pawan Kumar Soni Senior Ayurvedic Medical Officer, Govt. Ayurvedic Hospital, Sangod dist. Kota, Rajasthan, India. E-mail: pawanksoni 2010@gmail.com Submission Date: 19/09/2023 Accepted Date: 22/10/2023 Access this article online Quick Response Code Website: www.jaims.in DOI: 10.21760/jaims.8.10.46 treatment (combined oral contraceptive pills) and by surgical treatment such as laparotomy and pelvic laparoscopy, which are having their own side effects [2] In Ayurveda ovarian cyst can be correlated with Kaphaja Granthi. The Lakshanas of Kaphaja Granthi is Vedana Rahita (pain-less), Ghana, Sheeta, Savarna & Kandukta (itching) [3] Chikitsa of Kaphaja Granthi include Shodhana, Shamana and Chedana Karma [4] In present case study Shamana Yoga ( Kanchanar Guggulu, Punarnava Mandoor & Varunadi Kashya ) is used for the management of ovarian cyst. 1. Kanchnar Guggulu It is a polyherbal formulation used for tumour, cystic swelling, PCOS and ulcers. Kanchanar Guggulu is effective in Arbuda, Galganda, Gandamala and it is used due to Granthihara and Lekhaneeya property, it contains ingredients which shows anti-inflammatory, anti-tumour, diuretic and decongested properties that helps to promote healthy functions of the body [5] 2. Punarnavadi Mandoor It is an herbal formula it contains antioxidants and other ingredients that help in iron deficiency and improve the haemoglobin level and it has Rasayan property also that helps regulate metabolism, enhance immunity and strength and has Shothaghna property that reduce mass and inflammation [6] A B S T R A C T In this present case study 32 years and 29 years old women both patients consulted with a complain of pain in lower abdomen and epigastric region, burning micturition and constipation and irregular menses, both were advised for ultrasonography (USG) and finding suggested ovarian cyst. They were intended to treat with traditional Ayurvedic formulations, the cases were treated with the combination of different traditional Ayurvedic drugs, with the aim to alleviating symptoms and dissolves the ovarian cyst. In Ayurveda Cyst may be correlated with Granthi. The present case revealed the Granthihara properties of some Ayurvedic medicines viz. Kanchanar Guggulu, Varunadi Kashaya & Punarnava Mandoor . The trial drugs were procured from the local market. Patient’s conditions were assessed through USG aft er treatment for ovarian cyst which was completely relieved. Report showed no cyst in the ovary. This indicates the ovarian cyst can be completely and successfully cured with Ayurvedic treatment. Key words: Ayurveda, Granthi, Ovarian Cyst, Granthihara Drugs, Kanchanar Guggulu.

Pawan Kumar Soni. Ayurvedic management of Ovarian Cyst - A Case Report ISSN: 2456-3110 CASE REPORT October 2023 Journal of Ayurveda and Integrated Medical Sciences | October 2023 | Vol. 8 | Issue 10 286 3. Varunadi Kashaya Varunadi Kashaya is also having Bhedana, Ashmarihara and Basthishulahar property. Varunadi Kashaya is an Ayurvedic proprietary medication for Kaphaj imbalance C ASE R EPORT Case 1 A female subject aged 32 years unmarried was examined in the hospital for Right ovarian cyst. She had no previous history of mumps, syphilis, gonorrhoea, secondary amenorrhea, and exposure to radiation or any toxin or chemical agent. She had done 1-month conventional therapy for ovarian cyst but was unsuccessful. On Examination, Vital signs included a BP - 138/78 mm of mercury, heart rate of 76 bpm, respiratory rate of 17 breaths per minute, oxygen saturation of 98% on room air, and a temperature of 36.6°C. The physical examination revealed an anxiety for the specified age and depressed due to future married life. The body proportion was found to be normal with normal secondary sexual characters, were belonging to Vata-Kaphaj Prakrti and Asthisara . There were no any abnormal findings seen. Figure 1: USG (Before treatment): dated 09/08/2021 Uterus: Normal in size 6.3 cm × 4.5 cm Myometrium: Ecotexture is homogeneous Endometrium: Is normal, no mass Left ovary: Appear normal, no evidence of torsion Right ovary: A cyst measuring 4.1× 3 ×3.5 cm volume 24 cc Cul de sac: No free fluid is seen [figure -1] Case 2 A female subject aged 29 years, married 5 year back, anxious to conceive, doing job, was examined for Right ovarian cyst. She had no previous history of mumps, syphilis, gonorrhoea, secondary amenorrhea, and exposure to radiation or any toxin or chemical agent. She had suffered from typhoid in childhood. She had done conventional therapy for ovarian cyst but was unsuccessful. On Examination, Vital signs included a BP of 132/82 mm of mercury, heart rate of 74 bpm, respiratory rate of 18 breaths per minute, oxygen saturation of 97% on room air, and a temperature of 36.8°C. The physical examination revealed an anxiety for the specified age. The body proportion was found to be normal with normal secondary sexual characters, were belonging to Vata-Kaphaj Prakrti and Maansasara . There were no any abnormal findings seen. Figure 2: USG (Before treatment): dated 30/06/2023

Pawan Kumar Soni. Ayurvedic management of Ovarian Cyst - A Case Report ISSN: 2456-3110 CASE REPORT October 2023 Journal of Ayurveda and Integrated Medical Sciences | October 2023 | Vol. 8 | Issue 10 287 Uterus: Normal in size Myometrium: Ecotexture is normal Endometrium: Is normal, no mass seen Left ovary: Normal in size Right ovary: A cyst measuring 8.4 × 1.7 × 5.2 cm with 62 ml fluid. Cul de sac: No free fluid is seen [figure - 2] Treatment The treatment was carried out with the following medicines. Name of the drugs Doses Anupana Kanchnar Guggulu 500 mg Jala Punarnavadi Mandoor 250 mg Jala Varunadi Kashya 20 ml Jala (lukewarm water) All above medicines were given twice daily for three months. During this period the patient was advised to take Garisth Ahara (nutritive diet like milk etc.) and avoid Snigdha (oily), Lavana & Amla (curd, imli & kairi) Ahara . O BSERVATION AND R ESULTS The patient had followed the Ahara ( Pathya ) & drug restriction strictly. The sonography was made after 40 days of treatment due to 32 years old patient felt good and she wants sonography report for progress. The findings of sonography report after treatment are: Case 1 - Sonography report after treatment (20 sept 2021) Uterus: Normal in size Myometrium: Ecotexture is normal Endometrium: Is normal, no mass seen Left ovary: Normal in size Right ovary: Normal in size no cystic mass is noted Cul de sac: No free fluid is seen. [figure - 3] Figure 3: Case 1 - USG (After treatment) Case 2 - Sonography report USG (After treatment) Uterus: Normal in size Myometrium: Echotexture is normal Endometrium: Is normal, no mass seen Left ovary: Normal in size Right ovary: Normal in size no cystic mass is noted Cul de sac: No free fluid is seen. [figure-4] Figure 4: Case 2 - USG (After treatment)

Pawan Kumar Soni. Ayurvedic management of Ovarian Cyst - A Case Report ISSN: 2456-3110 CASE REPORT October 2023 Journal of Ayurveda and Integrated Medical Sciences | October 2023 | Vol. 8 | Issue 10 288 DISCUSSION Ovarian cyst is one of the prevalent reasons for ovarian dysfunction, which directly affects the fertility potential. The present finding based on sonography and the effective management of ovarian cyst with Ayurvedic formulations [table-1] with no adverse effect highlights the promising scope of traditional medicine in the ovarian and infertility disorders. Granthihara and Bhedana properties of Kanchanar Guggulu, Varunadi Kashaya and Punarnavadi Mandoor act on reproductive system & improve the functions of ovary and Artava . CONCLUSION In modern medicine, the treatment of ovarian cysts is primarily done through hormonal treatments (such as combined oral contraceptive pills) and surgical procedures like laparotomy and pelvic laparoscopy, both of which have their own side effects. Many people are terrified of hormonal intervention and may reluctantly undergo the only treatment option in modern science, which does not assure the nonrecurrence of the disease. The chances of recurrence of ovarian cysts remain high. Ayurveda, a branch of natural science, offers effective management of various female disorders through herbal formulations with no adverse effects. The present study reveals the effective management of ovarian cysts through Ayurvedic treatment, particularly herbal medicines. Consent Before staring treatment consent of the patient was taken along with proper advice and counselling. REFERENCES 1 Dutta D.C. text book of Gynaecology, 4 th edn. New Central Book Agency Pvt. Ltd. Kolkatta, 1994, Chapter, 20, p 279-292. 2 Dutta D.C. text book of Gynaecology, 4 th edn. New Central Book Agency Pvt. Ltd. Kolkatta, 1994, Chapter, 20, p 279-292. 3 Vagbhata. Ashtanga Samgraha. Granthi- Arbud-Shlipada-Apachi-Nadi Vijananiya Adhyaya. In: Gupta AD, editors. Revised edition. Varanasi (India): Chaukhambha Krishnadas Academy; 2016. p. 803-804. 4 Dutta D.C. text book of Gynaecology, 4 th edn. New Central Book Agency Pvt. Ltd. Kolkatta, 1994, Chapter, 20, p 279-292. 5 Sharma P.V. Dravyaguna Vigyan Vol.2, Chaukhambha Bharti Academy, Varanasi, Chathurtha Adhyaya, 1995;p.319-328. 6 Sharma P.V. Dravyaguna Vigyan Vol.2, Chaukhambha Bharti Academy, Varanasi, Chathurtha Adhyaya, 1995;p.319-328. ******************************* How to cite this article: Pawan Kumar Soni. Ayurvedic management of Ovarian Cyst - A Case Report. J Ayurveda Integr Med Sci 2023;10:285-288. http://dx.doi.org/10.21760/jaims.8.10.46 Source of Support: Nil, Conflict of Interest: None declared. Copyright © 2023 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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