Effect of uttarbasti with ashwagandha on stress incontinence.
Journal name: Ayushdhara
Original article title: Effect of mutramargagata uttarbasti with ashwagandha tail in mutravaha srotodushti w.s.r. to stress incontinence- a case study
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Patil Netra K
PG Scholar, Department of Prasuti Tantra Evum Striroga, YMT Ayurved College, Kharghar, Mumbai, Maharashtra, India.
Dandekar Pranali N
Associate Professor & P.G. Guide, Department of Prasuti Tantra Evum Striroga, YMT Ayurved College, Kharghar, Mumbai, Maharashtra, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Effect of mutramargagata uttarbasti with ashwagandha tail in mutravaha srotodushti w.s.r. to stress incontinence- a case study
Year: 2020 | Doi: 10.47070/ayushdhara.v7iSupply1.641
Copyright (license): CC BY-NC-SA 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
Stress urinary incontinence is a common condition affecting a significant percentage of women, particularly those who are reproductive or postmenopausal. It results in the involuntary loss of urine due to a sudden increase in intra-abdominal pressure, such as when sneezing, coughing, or laughing. This condition can cause significant distress, impacting both physical and emotional well-being, as well as daily activities and professional life. Current management strategies range from conservative to surgical options, but many present complications and drawbacks. This study explores an Ayurvedic treatment method known as Mutramargagata Uttarbasti, utilizing Ashwagandha tail, as an alternative approach for managing stress incontinence.
Mutramargagata Uttarbasti: An Ayurvedic Approach
Mutramargagata Uttarbasti is a treatment described in Ayurvedic texts that involves the administration of medicated oils via the urethra, specifically targeting conditions related to the urinary system. This therapy is recommended for managing various disorders of the Mutravaha srotas (urinary channels) and aims to restore proper function and balance. In the context of stress urinary incontinence, which can be correlated to Alpalpam Mutrapravrutti, this method provides a non-invasive alternative to surgical interventions. The chosen oil, Ashwagandha tail, is known for its properties that may fortify the sphincter mechanism and restore strength to the affected regions.
Efficacy of Ashwagandha in Treatment
Ashwagandha (Withania somnifera) is recognized in Ayurveda for its rejuvenating properties, particularly in combating weakness and promoting vitality. The application of Ashwagandha tail in the Mutramargagata Uttarbasti procedure is believed to support the normalization of vitiated Vata dosha functions and enhance overall pelvic health. As demonstrated in a case study, the patient experienced significant improvement in symptoms, including cessation of involuntary urination after undergoing the treatment combined with pelvic floor exercises. This evidence suggests that the immunostimulatory and restorative properties of Ashwagandha may play a crucial role in addressing the underlying issues of urinary incontinence.
Conclusion
The implementation of Mutramargagata Uttarbasti with Ashwagandha tail represents a promising Ayurvedic approach for managing stress urinary incontinence, offering an alternative to conventional surgical methods with their associated risks. By effectively addressing sphincter weakness and promoting pelvic health, this treatment holds potential for enhancing the quality of life for affected women. Future studies with larger sample sizes and rigorous methodologies are warranted to validate these findings and establish solid evidence for Ayurvedic interventions in addressing stress incontinence.
FAQ section (important questions/answers):
What is stress incontinence and its impact on women's lives?
Stress incontinence is the involuntary loss of urine during activities like sneezing or coughing. It affects about 25-40% of women, causing both hygienic and social inconvenience, impacting their daily activities and psychological health.
What Ayurvedic treatment is used for stress incontinence?
The study explores the use of Mutramargagata Uttarbasti with Ashwagandha Tail, which is a therapy described in Ayurvedic texts. This treatment aims to address stress incontinence by instilling the medicated oil into the bladder, potentially improving sphincter function.
How does Ashwagandha Tail benefit women with stress incontinence?
Ashwagandha Tail has rejuvenating and immunostimulatory properties that may strengthen pelvic organs and improve sphincter action. It is believed to reduce vitiation of Vata dosha, thus addressing the symptoms associated with stress incontinence effectively.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Effect of uttarbasti with ashwagandha on stress incontinence.”. 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) Ashvagandha (Asvagandha, Ashwagandha, Ashvagamdha, Ashva-gandha):
Ashwagandha is a prominent herbal medicine known for its 'Balya' (strengthening) and 'Rasayana' (rejuvenating) properties. In the case study, Ashwagandha Tail was used for its beneficial effects in managing stress incontinence.
2) Basti:
Basti is a pivotal concept in Ayurveda referring to the bladder and its associated therapies. 'Uttarbasti' is a specialized procedure involving the administration of medicated oils or decoctions into the bladder for treating various disorders.
3) Disease:
Disease in the context of Ayurveda relates to conditions affecting different 'Srotas' (channels) in the body. The case study focuses on managing 'Mutravaha Srotodushti' (urinary disorders) that manifest as stress incontinence.
4) Madhura:
Madhura refers to the sweet taste, one of the six fundamental tastes in Ayurveda. Ashwagandha possesses 'Madhura' in 'Rasa' (taste), which contributes to its nourishing and calming properties.
5) Samhita:
Samhita refers to the classical texts of Ayurveda such as 'Sushruta Samhita', which offer extensive guidelines on treatments, including 'Uttarbasti' for various 'Roga' (diseases).
6) Roga:
Roga in Ayurveda denotes disease or disorder. The term is frequently used to describe various pathological conditions, such as 'Basti Roga' mentioned in the case study.
7) Kshetra (Ksetra):
Kshetra is a term meaning 'region' or 'field'. In the case study, 'Apana Kshetra' refers to the lower abdominal region, vital in conditions like stress incontinence.
8) Srotas (Shrotas):
Srotas are channels in Ayurveda responsible for the transport and exchange of substances. 'Mutravaha Srotas' are the channels specifically involved in urine transport, which get affected in stress incontinence.
9) Netra:
[see source text or glossary: #Netra#]
10) Shula (Sula):
[see source text or glossary: #Shula#]
11) Apana:
Apana Vayu is one of the five subdivisions of Vata Dosha in Ayurveda, responsible for functions in the lower abdomen like defecation, urination, and childbirth. Correcting its vitiation is crucial in conditions like stress incontinence.
12) Patil:
[see source text or glossary: #Patil#]
13) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is a state in India where YMT Ayurved College in Kharghar, Mumbai is located. It is the setting of the case study on managing stress incontinence with Ayurvedic treatments.
14) Vankshana (Vanksana, Vakshana, Vaksana, Vamkshana):
[see source text or glossary: #Vankshana#]
15) Vitiation (Vitiated):
Vitiation in Ayurveda means the disturbance of 'Doshas'. In the context of the case study, vitiation of Vata Dosha is mentioned, which involves abnormal functions that contribute to stress incontinence.
16) Shodhana (Sodhana):
Shodhana Chikitsa refers to purificatory treatments in Ayurveda. The 'Mutramargagata Uttarbasti' procedure used in the case study can function as both 'Shodhana' and 'Shaman' treatments.
17) Striroga (Stri-roga):
Striroga is the branch of Ayurveda that deals with women's diseases. The Department of Prasuti Tantra Evum Striroga focuses on conditions like stress incontinence that impact women's health.
18) Prasuti:
Prasuti refers to childbirth or obstetrics in Ayurveda. The 'Prasuti Tantra Evum Striroga' department deals with the diseases and conditions related to women's reproductive health.
19) Tantra (Tamtra, Tantrism):
Tantra in Ayurveda implies a systematic approach to treatment methodologies. 'Prasuti Tantra Evum Striroga' refers to the specific fields focusing on gynecological and obstetric disorders.
20) Vipaka:
Vipaka refers to the post-digestive effect of a substance in Ayurveda. Ashwagandha has 'Madhura Vipaka', which aids in alleviating stress incontinence by normalizing Vata.
21) Dosha (Dosa):
Doshas are the fundamental bio-elements in Ayurveda: Vata, Pitta, and Kapha. Vitiation of Vata Dosha is a crucial factor in the pathogenesis of stress incontinence, according to the case study.
22) Tikta:
Tikta is one of the six primary tastes in Ayurveda, known as bitter. It is a characteristic of Ashwagandha, contributing to its medicinal properties.
23) Ushna (Usna):
Ushna indicates the hot potency of a substance. Ashwagandha has 'Ushna Veerya', which helps to balance Vata Dosha and aids in conditions like stress incontinence.
24) India:
India is the country where the Ayurvedic treatment described in the case study was applied. The research was conducted at YMT Ayurved College in Kharghar, Mumbai.
25) Balya:
Balya refers to the property of enhancing strength and vitality in Ayurveda. Ashwagandha, used in 'Mutramargagata Uttarbasti', is known for its 'Balya' properties.
26) Katu:
Katu represents the pungent taste in Ayurveda. Ashwagandha's therapeutic profile includes 'Katu Rasa', which plays a role in its efficacy in treating stress incontinence.
27) Rasa (Rasha):
Rasa refers to taste. Ashwagandha possesses a combination of 'Tikta', 'Katu', and 'Madhura Rasa' that contribute to its therapeutic effects in managing stress incontinence.
28) Withania somnifera:
Withania somnifera is the Latin botanical name for Ashwagandha, the key herb used in the 'Mutramargagata Uttarbasti' procedure described in the case study.
29) Bronchial asthma:
[see source text or glossary: #Bronchial asthma#]
30) Sushruta-samhita (Susruta-samhita):
Sushruta Samhita is an ancient Ayurvedic text that provides detailed descriptions of various treatments, including 'Uttarbasti', which is used to treat conditions like stress incontinence.
31) Madhuraskandha (Madhura-skandha):
[see source text or glossary: #Madhura-skandha#]
32) Apatyamarga:
Apatyamarga in Ayurveda refers to the birth route or vaginal canal. 'Uttarbasti' can be administered via 'Apatyamarga' for treating gynecological conditions.
33) Apanavayu (Apana-vayu):
Apana Vayu is one of the five types of Vata Dosha, mainly responsible for functions in the lower pelvic region, including urination. It is targeted in the treatment for stress incontinence.
34) Vardhamana:
[see source text or glossary: #Vardhamana#]
35) Mutraghata (Mutra-aghata):
[see source text or glossary: #Mutraghata#]
36) Vatadosha (Vatadosa, Vata-dosha):
Vatadosha is an alternative term for Vata Dosha, one of the three primary doshas in Ayurveda. Its imbalance is a significant factor in the etiology of stress incontinence.
37) Discussion:
The discussion section of the case study reviews the modern and Ayurvedic perspectives on stress incontinence, emphasizing the advantages of Ayurvedic treatments like 'Uttarbasti'.
38) Science (Scientific):
Scientific validation is considered essential for the broader acceptance of Ayurvedic treatments. The case study calls for more extensive research to confirm the efficacy of 'Mutramargagata Uttarbasti'.
39) Ayurveda (Ayus-veda):
Ayurveda is a traditional system of medicine from India, utilized in the case study to address stress incontinence through specific treatments like 'Mutramargagata Uttarbasti'.
40) Vagbhata:
Vagbhata is one of the ancient Ayurvedic scholars who contributed significantly to the texts that describe treatments like 'Uttarbasti', used in the case study.
41) Lakshana (Laksana):
[see source text or glossary: #Lakshana#]
42) Rasayana (Rasa-ayana):
Rasayana refers to the rejuvenating therapies in Ayurveda. Ashwagandha, used in the case study for 'Uttarbasti', possesses Rasayana properties that help restore vitality.
43) Hygiene (Hygienic):
Hygiene practices are crucial for managing stress incontinence. The patient was advised to maintain personal hygiene to aid in the treatment process and prevent complications.
44) Skandha (Skamdha, Skamda):
[see source text or glossary: #Skandha#]
45) Pramana:
[see source text or glossary: #Pramana#]
46) Snigdha:
[see source text or glossary: #Snigdha#]
47) Prerana:
[see source text or glossary: #Prerana#]
48) Pranali:
[see source text or glossary: #Pranali#]
49) Alpalpa (Alpa-alpa):
[see source text or glossary: #Alpalpa#]
50) Karsha (Karsa):
[see source text or glossary: #Karsha#]
51) Artava:
[see source text or glossary: #Artava#]
52) Shukra (Sukra):
[see source text or glossary: #Shukra#]
53) Medhra:
[see source text or glossary: #Medhra#]
54) Family:
[see source text or glossary: #Family#]
55) Laghu:
[see source text or glossary: #Laghu#]
56) Matra:
[see source text or glossary: #Matra#]
57) Mutra:
Mutra refers to urine in Ayurveda. Stress incontinence is a 'Mutravaha Srotodushti', a urinary disorder where involuntary urine loss occurs due to increased intra-abdominal pressure.
58) Yukti:
[see source text or glossary: #Yukti#]
59) Ayus (Ayush):
[see source text or glossary: #Ayush#]
60) Pulse:
Pulse refers to the measurement of heart rates per minute. The patient's pulse was recorded as part of the general examination during the case study.
61) Birth:
[see source text or glossary: #Birth#]
62) Salt (Salty):
Salty foods were advised to be avoided by the patient in the case study, as they can exacerbate urinary conditions like stress incontinence.
63) Vata:
Vata is one of the three doshas in Ayurveda, whose vitiation can lead to urinary disorders like stress incontinence. The treatment focused on normalizing Vata's functions.
64) Vayu:
Vayu or Vata is the primary dosha involved in stress incontinence. Ayurvedic treatment aims to balance Vata to manage the condition effectively.
65) Guna:
[see source text or glossary: #Guna#]
66) Gana:
[see source text or glossary: #Gana#]
67) Food:
Food types, including salty and fermented foods, were suggested to be avoided by the patient. Dietary modifications are integral to managing stress incontinence in Ayurveda.
68) Diet:
Dietary recommendations were given to the patient to avoid aggravating foods like salty, sour, and fermented items to help manage stress incontinence.
69) Pain:
[see source text or glossary: #Pain#]
70) Sour:
Sour foods were advised to be avoided by the patient as they can aggravate Vata Dosha, which is implicated in stress incontinence.
71) Drug:
[see source text or glossary: #Drug#]