Multi-modal Ayurveda approach for managing tubal blockage: case study.
Journal name: Ayushdhara
Original article title: Multi-modality ayurveda regime in the management of tubal blockage: a case report
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
*Priyanka Sharma
Ph.D. Scholar, 3Asso. Prof. & H.O.D. Dept. of Prasuti and Stree Roga, N.I.A. Jaipur
Vikas Nariyal
Research Officer (Ayu.), Regional Ayurveda Research Institute for Nutritional Disorders, Mandi, H.P.
Sushila Sharma
Associate Professor & H.O.D., Dept. of Prasuti and Stree Roga, N.I.A. Jaipur
Ashutosh Sharma
R.O. SBLD Ayurved College, Sardarshahar, Rajasthan
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Multi-modality ayurveda regime in the management of tubal blockage: a case report
Year: 2017
Copyright (license): CC BY-NC-SA 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
Infertility is a significant concern affecting about 10-15% of reproductive-aged couples, with tubal blockage accounting for approximately 30% of total infertility cases. Traditional interventions like assisted reproductive techniques and tubal reconstructive surgeries are often not accessible or affordable for many individuals facing infertility. This paper discusses a case wherein a 32-year-old woman with a history of ectopic pregnancies and diagnosed right tubal blockage was treated using a multi-modality Ayurvedic regime, demonstrating the viability of Ayurvedic interventions in managing infertility conditions related to tubal issues.
Ayurvedic Treatment Approach
The multi-modality treatment strategy employed for the patient involved several therapies designed to cleanse and rejuvenate the reproductive system. This included Virechana (purgation therapy) to eliminate doshas from the body, Anuvasana Basti (oil-based enema) to nourish and moisten the intestines, Aasthapana Basti (decoction-rich enema) for detoxification, and Uttar Basti (intrauterine medication) to deliver treatment directly to the reproductive organs. Following a detailed therapeutic intervention plan over four months, diagnostic tests post-treatment indicated that the previously blocked right fallopian tube was now patent, illustrating the treatment's effectiveness.
Role of Panchakarma Therapies
The core of the Ayurvedic treatment relies on the principle of Panchakarma, which emphasizes detoxification and balancing the doshas (bodily humors). Virechana is considered crucial for addressing conditions like tubal blockage, as it helps to purify the body by removing excess Pitta and clearing microchannels. The treatments also included Adhomarga administration (the lower route of drug delivery), promoting faster systemic absorption and efficacy. The holistic approach leveraged the synergy of various therapies, which not only worked on the physical symptoms of tubal blockage but also aimed to revitalize the overall condition of the female reproductive system by stimulating the normal function and health of reproductive organs.
Conclusion
This case report showcases the potential of a multi-modality Ayurvedic treatment regime as a viable alternative to invasive procedures for treating tubal blockage and infertility. By focusing on detoxification and restoring balance within the body, this approach has not only demonstrated effective clinical outcomes but also provided a safer and more accessible treatment option for patients facing infertility challenges. Such holistic methodologies could serve as meaningful alternatives in the landscape of reproductive health, especially for those who cannot access conventional reproductive interventions.
FAQ section (important questions/answers):
What is the primary cause of infertility discussed in this case report?
The primary cause of infertility discussed here is tubal blockage, which accounts for approximately 30% of infertility cases. Traditional medical approaches may not be accessible to all, leading to exploration of Ayurveda as a viable treatment.
What Ayurvedic treatments were used for managing tubal blockage?
The Ayurvedic treatments included a multi-modality regimen comprising Virechana (purgation therapy), Anuvasana Basti (oil-based enema), Aasthapana Basti (decoction enema), and Uttar Basti (intrauterine medication) over four months, aimed at reopening the blocked fallopian tube.
What were the results after the Ayurvedic treatment for the patient?
Post-treatment HSG results showed a patent right fallopian tube, indicating successful unblocking. The treatment was noted to be safe, cost-effective, and with no complications observed during the regimen.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Multi-modal Ayurveda approach for managing tubal blockage: case study.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Basti:
Basti is a key therapeutic procedure in Ayurveda where medicine is introduced via the rectal route. It is particularly used for its systemic effects, including the normalization of doshas, and is crucial in managing conditions like tubal blockage. Basti therapies can include Anuvasana-basti and Asthapana-basti.
2) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India focused on balancing the body’s doshas (Vata, Pitta, Kapha) to maintain health and treat diseases. In managing tubal blockage, Ayurveda uses various treatments including Basti, Virechana, and Uttar Basti.
3) Drug:
[see source text or glossary: Drug]
4) Anuvasanabasti (Anuvasana-basti):
Anuvasana-basti is a type of Basti (enema) therapy in Ayurveda that uses unctuous substances like oil. It helps in balancing Vata dosha, which is crucial for treating tubal blockages. Dashmoola Taila (medicated oil) is commonly administered in Anuvasana-basti.
5) Anuvasana:
[see source text or glossary: Anuvasana]
6) Taila:
Taila in Ayurveda refers to medicated oil used for various treatments including Basti (enema) and Abhyanga (massage). Dashmoola Taila is specifically mentioned in the treatment of tubal blockage in the provided case study.
7) Sharman (Sarma, Sharma, Sarman):
Dr. Priyanka Sharma is an author of the study on Ayurveda treatments for tubal blockage. She is a Ph.D. scholar in the Dept. of Prasuti and Stree Roga at N.I.A., Jaipur, India.
8) Dosha (Dosa):
Dosha refers to the three fundamental bio-elements (Vata, Pitta, Kapha) in Ayurvedic medicine that govern the physiological and psychological functions of the body. Balancing these doshas is crucial for treating conditions like tubal blockages.
9) Vata:
Vata dosha is associated with movement and regulation within the body. In the provided text, it's indicated that Vata plays a major role in the narrowing of tubal lumens, leading to blockages.
10) Artava:
Artava in Ayurveda refers to menstrual flow or ovum. Fallopian tubes can be termed as Artava Bija Vaha Srotasa, as they are responsible for carrying the ovum. The text discusses treatments aimed at this system.
11) Karma (Karman):
Karma in Ayurveda refers to therapeutic actions or treatments. Examples from the text include Virechana (purgation therapy) and Basti (enema therapy) used in managing tubal blockages.
12) Roga:
[see source text or glossary: Roga]
13) Diet:
Diet is an essential component in Ayurvedic treatment regimes. Post-Virechana, the patient follows a special diet (Sansarjana Karma), which involves gradually resuming normal food starting from Peya (rice and water preparation).
14) Prasuti:
[see source text or glossary: Prasuti]
15) Jaipur:
Jaipur is where the National Institute of Ayurveda (NIA) is located, where Dr. Priyanka Sharma is conducting her research on managing tubal blockages through Ayurveda.
16) Kapha:
Kapha dosha is associated with structure and lubrication. It can cause tubal blockage due to its property of Avarodhaka (obstruction), necessitating treatments to balance Kapha.
17) India:
India is the country of origin for Ayurveda and also where the provided study on managing tubal blockage was conducted, specifically in institutions located in places like Jaipur and Rajasthan.
18) Ksharataila (Ksarataila, Kshara-taila):
Kshara-taila is medicated oil used in Ayurvedic treatments. In the text, Apamarga Kshara Taila is used during Uttar Basti, a form of intrauterine medication therapy for treating tubal blockages.
19) Tuberculosis:
Tuberculosis (TB) is a severe infectious disease. The patient in the case study contracted pulmonary TB and underwent anti-tubercular treatment (ATT) affecting her reproductive health, which led to secondary infertility.
20) Abhyanga (Abhyamga):
Abhyanga is the practice of oil massage in Ayurveda. Dashmool Taila Abhyanga is mentioned in the text as part of the preparatory procedures for Virechana and Uttar Basti, helping to pacify Vata dosha and open bodily channels.
21) Lakshana (Laksana):
Lakshana refers to the signs and symptoms observed during treatment. In the text, signs of proper Agni Deepana (digestive fire enhancement) and Samyaka Snehana (proper oleation) are critical indicators for progressing with Virechana therapy.
22) Trivrita (Trivrta):
Trivrita is an Ayurvedic formulation used for Virechana (purgation therapy). Trivrita Avaleha, a specific form, was administered to the patient to help cleanse the body and open blocked channels.
23) Medicine:
[see source text or glossary: Medicine]
24) Sukshma (Suksma, Shukshma):
Sukshma refers to the subtle quality of a substance in Ayurveda, allowing it to penetrate deep into bodily tissues. Medications used in Basti and Uttar Basti therapies have Sukshma properties to effectively treat conditions like tubal blockage.
25) Snehana:
Snehana refers to the process of internal and external oleation in Ayurveda. In the case study, Phala Ghrita was used for internal Snehana to prepare the body for Virechana therapy.
26) Avaleha:
Avaleha is a semi-solid preparation in Ayurveda used as a medicinal remedy. Trivrita Avaleha was given to the patient as part of Virechana therapy to help purify the body.
27) Purisha (Purisa):
[see source text or glossary: Purisha]
28) Ghrita (Ghrta):
Ghrita refers to medicated ghee used in Ayurvedic treatments. Phala Ghrita was used for Snehana (oleation therapy) to prepare the patient's body for Virechana in treating tubal blockage.
29) Kshara (Ksara):
Kshara in Ayurveda refers to an alkaline preparation used for its potent therapeutic properties. Apamarga Kshara Taila was used in Uttar Basti therapy to treat the patient's tubal blockage.
30) Phala:
[see source text or glossary: Phala]
31) Raja:
Raja in Ayurveda is another term for menstrual blood. Treatments aimed at Artava (reproductive system) also impact Raja, which is relevant in managing conditions like tubal blockages.
32) Vega:
[see source text or glossary: Vega]
33) Guda:
Guda refers to the rectum in Ayurveda. Basti treatments, such as Anuvasana-basti and Asthapana-basti, are administered through the Guda to balance doshas and treat systemic conditions like tubal blockage.
34) Bija:
Bija means seed or ovum in Ayurveda. Tubal blockage impacts the transportation of Bija (ovum), and treatments targeting Artava Bija Vaha Srotasa aim to alleviate such conditions.
35) Guna:
Guna are qualities or attributes in Ayurveda that describe the nature of substances. Medicines used in the treatment of tubal blockages have specific Gunas like Sukshma, Laghu, and Sara necessary for effective healing.
36) Rice (Rce):
Rice is a staple in Ayurvedic diet regimens, particularly during Sansarjana Karma, the post-treatment phase where the patient gradually resumes normal eating habits starting with Peya (rice preparation).
37) Tailabhyanga (Taila-abhyanga):
[see source text or glossary: Taila-abhyanga]
38) Civilization:
[see source text or glossary: Civilization]
39) Prakshalana (Praksalana):
Prakshalana involves cleansing or washing. In the context of Uttar Basti, Yoni Prakshalana is performed using Panchvalkala Kwatha to sterilize the peri-vaginal area before administering intrauterine medications.
40) Apanavayu (Apana-vayu):
Apana Vayu is one of the Vata subtypes responsible for the downward motion in the body. Proper functioning of Apana Vayu is critical for reproductive health, and treatments like Basti aim to normalize its activity to treat conditions like tubal blockage.
41) Vandhyatva:
Vandhyatva is the term for infertility in Ayurveda. Tubal blockage is a significant cause of Vandhyatva, which is addressed using multimodal treatments like Virechana and Uttar Basti as discussed in the text.
42) Discussion:
The discussion in the text elaborates on the Ayurvedic perspective on the causes and treatment of tubal blockage, explaining how therapies such as Virechana, Basti, and specific herbal formulations work to clear blockages and restore fertility.
43) Purvakarma (Purvakarman, Purva-karman):
Purvakarma are preparatory procedures in Ayurveda done before main treatments. In this case, Purvakarma includes Deepana-Pachana, Snehana, and Swedana, preparing the body for Virechana and further therapies for tubal blockage.
44) Asthapana:
[see source text or glossary: Asthapana]
45) Rajasthan:
Rajasthan is a state in India where part of the research on managing tubal blockage through Ayurveda was conducted. The study involves institutions from regions like Jaipur and Sardarshahar in Rajasthan.
46) Substance:
[see source text or glossary: Substance]
47) Apamarga:
Apamarga is a medicinal plant used in various Ayurvedic formulations. Apamarga Kshara Taila, an oil preparation from this plant, was used in the Uttar Basti therapy to treat the patient's tubal blockage.
48) Shodhana (Sodhana):
Shodhana in Ayurveda refers to purification or detoxification therapies aimed at eliminating toxins from the body. Virechana in the text is an example of Shodhana used before administering specific treatments for tubal blockage.
49) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
Kashyapa is an ancient Ayurvedic scholar who mentioned Vandhyatva (infertility) as a condition primarily caused by Vata dosha. His texts provide foundational understanding for treating conditions like tubal blockages.
50) Samghata (Sanghata):
Sanghata refers to an obstruction or accumulation of doshas that cause blockages. Virechana therapy, mentioned in the text, aims to liquefy and eliminate these doshic accumulations, clearing pathways like the fallopian tubes.
51) Samaka (Shamaka):
[see source text or glossary: Shamaka]
52) Shamyaka (Samyaka):
[see source text or glossary: Samyaka]
53) Vyavayi:
[see source text or glossary: Vyavayi]
54) Nariyal:
Vikas Nariyal is a co-author of the study on the multi-modality Ayurveda regime in the management of tubal blockage. He is a Research Officer at the Regional Ayurveda Research Institute for Nutritional Disorders, Mandi, H.P., India.
55) Sharira (Sarira):
Sharira means body in Ayurveda. Basti is described as reaching the Sharira Moola (fundamental part of the body) via the rectal route, impacting systemic circulation and dosha balance.
56) Disease:
[see source text or glossary: Disease]
57) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]
58) Vikara:
[see source text or glossary: Vikara]
59) Vipaka:
Vipaka is the post-digestive effect of a substance in Ayurveda. Medicines used in the treatment of tubal blockages have specific Vipakas like Katu (pungent), which contribute to their effectiveness in removing blockages.
60) Vilepi:
Vilepi is a simple, easily digestible rice preparation used in the post-Virechana dietary regimen (Sansarjana Karma) to help the patient gradually return to a normal diet.
61) Family:
[see source text or glossary: Family]
62) Vikasin (Vikasi, Vikashin):
[see source text or glossary: Vikasi]
63) Pitta:
[see source text or glossary: Pitta]
64) Laghu:
[see source text or glossary: Laghu]
65) Ushna (Usna):
[see source text or glossary: Usna]
66) Bhava:
[see source text or glossary: Bhava]
67) Virya:
[see source text or glossary: Virya]
68) Apana:
[see source text or glossary: Apana]
69) Ayus (Ayush):
[see source text or glossary: Ayush]
70) Blood:
[see source text or glossary: Blood]
71) Yoni (Yonin):
Yoni refers to the female reproductive system in Ayurveda. In the text, Yoni Prakshalana (douching) with Panchvalkala Kwatha is performed to sterilize the vaginal region before administering Uttar Basti.
72) Agni:
[see source text or glossary: Agni]
73) Katu:
[see source text or glossary: Katu]
74) Peya:
Peya is a thin rice gruel in Ayurveda administered during Sansarjana Karma, the gradual reintroduction of normal food after detoxification treatments like Virechana, to stabilize digestion and health.
75) Nadi (Nadin):
[see source text or glossary: Nadi]
[Note: The above list is limited to 75. Total glossary definitions available: 83]
Other Science Concepts:
Discover the significance of concepts within the article: ‘Multi-modal Ayurveda approach for managing tubal blockage: case study.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Anuvasanabasti, Vitiated dosha, Secondary infertility, Infertile couple, Cost effective, Tubal blockage, Clinical pregnancy, Salpingectomy, Ectopic pregnancy, Uttar Basti, Assisted reproductive technique, Blood investigation, Micro channels, Virechana (purgation therapy), Aasthapana Basti, Demographic and Health Surveys.