Ayurvedic Management of Adenomyosis
Journal name: Ayushdhara
Original article title: Ayurvedic Management of Adenomyosis
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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Rekha Kuwar
Associate Professor, PTSR Dept., Government Ayurvedic Medical College, Osmanabad, Maharashtra, India.
Rutuja Gaikwad
Assistant Professor, PTSR Dept., R A. Podar Ayurvedic Medical College, Mumbai, Maharashtra, India.
Aarthi Stanly Nadar
PG Scholar, PTSR Dept., R A. Podar Ayurvedic Medical College, Mumbai, Maharashtra, India.
Manoj Gaikwad
HOD & Professor, PTSR Dept., R A. Podar Ayurvedic Medical College, Mumbai, Maharashtra, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Ayurvedic Management of Adenomyosis
Year: 2023 | Doi: 10.47070/ayushdhara.v10i6.1452
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Adenomyosis is a benign gynecological condition where endometrial tissue grows into the uterine myometrium, leading to symptoms like dysmenorrhea and abnormal bleeding. This condition, if not addressed, can progress to endometriosis, potentially necessitating surgical interventions such as hysterectomy. In a recent study, Ayurvedic management techniques were applied to alleviate symptoms of adenomyosis, focusing on remedies that possess properties such as Anulomaka, Vatashamaka, and Lekhagana, which ultimately helped improve the patient's quality of life.
Ayurvedic Treatment Approach
The Ayurvedic perspective identifies adenomyosis as comparable to Udavartini Yonivyapada, characterized by the predominance of Vata-Kapha doshas. The chosen intervention initiated with Aamapachan and Agnideepan for seven days, followed by the administration of oral medications including Daruharidra Gana Vati and Kanchanar Guggulu, along with Yoga Basti therapy over three menstrual cycles. This approach emphasized balancing doshas and normalizing uterine function through a combination of internal and external therapies. The treatment was further supplemented with lifestyle recommendations and dietary modifications conducive to the patient's recovery.
Symptom Improvement and Treatment Efficacy
A significant reduction in dysmenorrhea and improvement in menstrual regularity were observed throughout the treatment phases. Initial symptoms included irregular and scanty menses with severe pain, which gradually subsided to mild discomfort, and menstrual cycles normalized from irregular intervals of 45-60 days to a regular pattern of 28-35 days. Follow-up investigations, including ultrasonography, indicated a transition from a bulky uterus with focal adenomyosis to normal results, showcasing the efficacy of the Ayurvedic interventions applied.
Conclusion
The Ayurvedic management strategy employed for treating adenomyosis demonstrated notable effectiveness in alleviating symptoms and restoring normal menstrual function. The case supports the utility of Ayurvedic techniques in addressing the root causes of health issues rather than merely treating symptoms, suggesting that these holistic approaches may be beneficial for similar patients experiencing adenomyosis. This study encourages further exploration of Ayurvedic modalities as viable treatments for gynecological disorders.
FAQ section (important questions/answers):
What is adenomyosis and how does it affect women?
Adenomyosis is a condition where endometrial tissue grows within the uterine muscle, often leading to symptoms like dysmenorrhea, heavy or irregular menstrual bleeding, and pelvic pain. It can significantly impact a woman's quality of life if left untreated.
What Ayurvedic treatments were used for adenomyosis in this case?
The treatment included herbal formulations like Daruharidra gana Vati, Kanchanar guggulu, and Chandraprabha vati, alongside therapeutic procedures like Yoga Basti. These treatments aimed to balance Vata and Kapha doshas, alleviate symptoms, and improve overall well-being.
What were the outcomes of the Ayurvedic treatment for the patient?
After receiving Ayurvedic treatment, the patient reported reduced pain and regularized menstrual cycles. Follow-up examinations indicated a decrease in symptoms and normalization of uterine condition, demonstrating effective management of adenomyosis.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ayurvedic Management of Adenomyosis”. 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) Vati:
In Ayurveda, 'Vati' refers to pills or tablets prepared from medicinal herbs. In this document, 'Aarogyavardhini vati' and 'Daruharidra gana vati' are used as medicinal formulations for deepan pachan (digestive and metabolic improvement) and dematological benefits.
2) Vata:
Vata is one of the three doshas in Ayurveda, primarily responsible for bodily movements and physiological functions. The imbalance of Vata, particularly 'Apana Vata,' is noted in the pathogenesis of adenomyosis and its symptoms like dysmenorrhea.
3) Pain:
Pain, particularly 'Shoola' or dysmenorrhea, is a predominant symptom in adenomyosis. The Ayurvedic treatments prescribed aim to alleviate pain through Vata-shamaka (Vata pacifying) and Vata-anulomana (Vata-regulating) therapies.
4) Guggulu:
Guggulu refers to resin from the Commiphora mukul tree, used in Ayurvedic medicine. 'Kanchanar Guggulu' is utilized in this study for its Vata-kapha balancing properties and capacity to reduce the size of uterine nodules or granthi.
5) Gana:
Gana means group. 'Daruharidra gana vati' is interpreted as a formulation where 'gana' stands for a group of herbs including Daruharidra, indicated for its therapeutic effects in adenomyosis by deepana (digestive) and lekhana (scraping) properties.
6) Daruharidra (Daru-haridra):
Daruharidra (Berberis aristata), known for its anti-inflammatory and deepana (digestive stimulant) properties, is included in 'Daruharidra gana vati' used for managing adenomyosis conditions by promoting digestion and reducing inflammation.
7) Jala:
Jala refers to water. Koshna jala (warm water) is used as an anupan (vehicle) with various Ayurvedic medications, optimizing their effectiveness by aiding absorption and reducing digestive disturbances.
8) Kapha:
Kapha is another Ayurvedic dosha associated with structure and lubrication in the body. In adenomyosis, the imbalance of Vata and Kapha contributes to the disease's symptoms. Treatments aim to balance both doshas.
9) Rakta:
Rakta means blood. In adenomyosis, Rakta prasadana chikitsa (blood purifying treatment) is crucial to normalize menstrual flow and treat related symptoms, as indicated in Ayurvedic practices.
10) Dysmenorrhea (Dysmenorrhoea):
[see source text or glossary: Dysmenorrhoea]
11) Taila (Thaila):
Taila refers to oils used in Ayurvedic treatments. Jatyadhi taila, for example, is applied for Yoni pichu (vaginal tampon) therapy due to its healing and anti-inflammatory properties, aiding in the management of cervical erosion.
12) Basti:
Basti is an Ayurvedic enema therapy used for detoxification and to balance Vata dosha. In this case, Yoga Basti combining Anuvasan (oil-based) and Niruha (decoction-based) bastis were used to address symptoms of adenomyosis.
13) Candraprabha (Candra-prabha):
Chandraprabha vati is an Ayurvedic formulation known for its systemic benefits, including balancing Vata and Kapha doshas. It is integrated into the treatment plan to aid in relieving the symptoms of adenomyosis.
14) Koshna (Kosna):
[see source text or glossary: Koshna]
15) Dosha (Dosa):
Doshas are fundamental bio-elements in Ayurveda: Vata, Pitta, and Kapha. The imbalance of these doshas, particularly Vata and Kapha, plays a crucial role in the etiology of adenomyosis, directing treatment strategies.
16) Raja:
Raja refers to menstrual blood. In adenomyosis, Vata imbalance leads to pratiloma (disordered) flow of raja, causing symptoms like dysmenorrhea. Ayurvedic treatments aim at Vata-anulomana to correct this imbalance.
17) Anulomana:
Anulomana refers to the regulation or normalization of bodily functions. In adenomyosis, Vata-anulomana therapies are employed to ensure proper expulsion of menstrual blood and alleviate symptoms like dysmenorrhea.
18) Medicine:
[see source text or glossary: Medicine]
19) Lekhana:
Lekhana translates to scraping or reducing tissues. Lekhana therapies, such as those involving Daruharidra Gana vati, are used to manage adenomyosis by reducing abnormal tissue growth within the uterus.
20) Srotas (Shrotas):
Srotas are channels in the body through which various substances flow. In adenomyosis, treatment focuses on clearing obstructions in the Aartava Vaha srotas (channels for menstrual flow) to promote normal function.
21) Pitta:
Pitta is the dosha associated with metabolism and transformation. Imbalance in Pitta, along with Vata and Kapha imbalances, contributes to symptoms of adenomyosis, guiding the therapeutic approach.
22) Rekha:
[see source text or glossary: Rekha]
23) Nitya:
Nitya means daily. 'Nitya Virechaka,' such as Avipattikar churna, refers to daily purgative therapies, used to maintain a clear and balanced internal environment in the treatment of adenomyosis.
24) Apana:
Apana Vata is a subtype of Vata dosha associated with the downward movement and regulation of bodily wastes, critical in menstrual health. Imbalance in Apana Vata plays a central role in adenomyosis pathogenesis.
25) Blood:
[see source text or glossary: Blood]
26) Yoni (Yonin):
Yoni denotes the female reproductive organs. Ayurvedic treatments, like Yoni pichu with medicated oils, are employed to manage conditions such as adenomyosis by promoting overall reproductive health.
27) Yoga:
Yoga, including practices like Suryanamaskar and pranayama, was part of the lifestyle modifications recommended to the patient for holistic management of adenomyosis, emphasizing its role in improving health.
28) Apanavata (Apana-vata):
[see source text or glossary: Apana]
29) Samprapti:
Samprapti refers to the pathogenesis or the process of disease formation. Understanding the Samprapti of adenomyosis helps in designing effective Ayurvedic treatment strategies by identifying dosha imbalances.
30) Pratiloma (Prati-loma):
Pratiloma means opposite direction. In adenomyosis, it refers to the disrupted flow of Vata causing improper expulsion of menstrual blood, leading to conditions like dysmenorrhea. Vata-anulomana is aimed to counter this.
31) Granthi (Gramthi):
Granthi denotes a lump or nodule. Ayurvedic formulations such as Kanchanar Guggulu are used for their granthihara (nodule reducing) properties, addressing the nodular formations in adenomyosis.
32) Samaka (Shamaka):
[see source text or glossary: Samaka]
33) Pathya:
Pathya stands for dietary and lifestyle guidelines beneficial in a particular health condition. In adenomyosis, avoiding apathya (unwholesome habits) and adhering to pathya like specific yoga practices is emphasized.
34) Rajas:
[see source text or glossary: Raja]
35) Mamsa (Mamsha):
[see source text or glossary: Mamsa]
36) India:
India is mentioned regarding the prevalence of adenomyosis, highlighting that the condition affects many women, particularly between ages 31 to 50, making its management critical in Indian health contexts.
37) Sanga (Samga, Shanga, Shamga):
[see source text or glossary: Sanga]
38) Rasa (Rasha):
Rasa is plasma or the primary nutritive fluid in Ayurveda. It is one of the dushya (impacted body fluids) involved in adenomyosis, requiring treatments that purify and balance rasa to alleviate symptoms.
39) Medas (Meda, Medash):
Meda refers to fat tissue. In the context of adenomyosis, Ayurveda considers the disruption of meda among other doshas and dhatus (tissues) that leads to symptomology, guiding inclusive treatment plans.
40) Food:
Diet or food is a critical component in managing adenomyosis. Following a balanced diet (Pathya Ahaar) and avoiding apathya foods such as junk food is part of the treatment strategy to maintain dosha balance.
41) Drug:
[see source text or glossary: Medicine]
42) Vranaropana (Vrana-ropana):
Vrana-ropana means wound healing. Jatyadhi taila, used in Yoni pichu therapy for cervical erosion, harnesses its vrana-ropana properties to promote healing of cervical lesions associated with adenomyosis.
43) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is referenced as the location of R.A. Podar Ayurvedic Medical College, where the study and treatment of adenomyosis were conducted, emphasizing the regional application of Ayurvedic practices.
44) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
Basti-karma is the procedure of administering medicated enemas, pivotal in treating adenomyosis by regulating Apana Vata and promoting detoxification, addressing underlying dosha imbalances.
45) Apanavayu (Apana-vayu):
[see source text or glossary: Apana]
46) Pragbhakta:
[see source text or glossary: Pragbhakta]
47) Dhanvamtri (Dhanvantri):
[see source text or glossary: Dhanvantri]
48) Discussion:
Discussion refers to the analysis section of the paper, where the effectiveness and rationale behind various Ayurvedic treatments for adenomyosis are elaborated, illustrating the underlying principles and observed outcomes.
49) Siddhanta (Siddha-anta, Siddhamta):
Siddhanta means theorem or established theory in Ayurveda. The conclusions drawn from this study about the effective Ayurvedic management of adenomyosis are based on applying these ancient theories or Siddhantas.
50) Prasadaka:
[see source text or glossary: Prasadaka]
51) Vitiation (Vitiated):
Vitiation refers to the disturbance or imbalance of doshas. In adenomyosis, there is a specific focus on the vitiation of Apana Vata. This imbalance is addressed through appropriate Vata-anulomana treatments.
52) Ayurveda (Ayus-veda):
Ayurveda is the ancient Indian system of medicine focusing on holistic and natural approaches to health. In this study, various Ayurvedic treatments and principles are applied to manage adenomyosis effectively.
53) Triphala (Tri-phala):
Triphala is a traditional Ayurvedic herbal formula consisting of three fruits, used for its detoxifying and rejuvenating properties. It is part of the decoction-based Niruha Basti treatments employed in adenomyosis.
54) Pradhana:
[see source text or glossary: Pradhana]
55) Sthanika:
Sthanika means localized treatment. Sthanika chikitsa like Yoni pichu (with Jatyadhi taila) is employed for direct therapeutic effect on affected reproductive parts, such as treating cervical erosion in adenomyosis.
56) Prakriti (Prakrti):
Prakriti refers to the constitution or inherent nature of an individual. In the document, mentions include the patient's constitution (Kapha-Vata Prakriti), which guides the personalized treatment approach in Ayurveda.
57) Anuloma:
[see source text or glossary: Anulomana]
58) Samhita:
Samhita refers to classical Ayurvedic texts. Sharangdhar Samhita is mentioned for standard operative procedures for preparing taila and kasaya used in treatments, emphasizing adherence to traditional methods.
59) Kshudha (Ksudha):
[see source text or glossary: Kshudha]
60) Samanya:
[see source text or glossary: Samanya]
61) Vishama (Visama):
[see source text or glossary: Vishama]
62) Vikriti (Vikrti):
Vikriti indicates the imbalanced state or the deviations from one's normal physiological constitution. In this study, the patient's Vikriti involved rasa, rakta, mamsa, and meda, pointing out specific therapeutic targets.
63) Avastha:
[see source text or glossary: Avastha]
64) Ghataka:
[see source text or glossary: Ghataka]
65) Apathya:
Apathya refers to unwholesome or incompatible diet and lifestyle practices that can aggravate doshas. Patients were advised to avoid such practices, especially junk food and day-sleeping, to aid in the treatment of adenomyosis.
66) Vyavayi:
Vyavayi is a property of certain substances to quickly spread throughout the body without undergoing initial digestion. Taila used in Basti is described to have Vyavayi attributes, aiding its therapeutic action in adenomyosis.
67) Disease:
[see source text or glossary: Disease]
68) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]
69) Ropana:
Ropana refers to the healing process, especially of wounds or injuries. Jatyadhi taila used for Yoni pichu is selected for its Vrana Ropana (wound healing) properties, aiding in the treatment of cervical erosions.
70) Dushya (Dusya):
Dushya refers to bodily elements (tissues or secretions) affected in disease. In adenomyosis, dushya includes rasa and rakta. Treatments target these dushyas to restore balance and alleviate symptoms.
71) Satmya:
[see source text or glossary: Satmya]
72) Niruha:
Niruha Basti is a type of decoction-based enema therapy in Ayurveda. It involves using herbal decoctions like Dashmoola and Triphala, critical in managing adenomyosis by cleansing and balancing doshas.
73) Kashaya (Kasaya):
[see source text or glossary: Kasaya]
74) Family:
[see source text or glossary: Family]
75) Vikasin (Vikasi, Vikashin):
Vikasi is a property meaning diffusive or spreading. It refers to the nature of certain substances or therapies in Ayurveda to disperse through the body, aiding treatments like Basti in managing adenomyosis symptoms.
[Note: The above list is limited to 75. Total glossary definitions available: 95]
Other Science Concepts:
Discover the significance of concepts within the article: ‘Ayurvedic Management of Adenomyosis’. Further sources in the context of Science might help you critically compare this page with similair documents:
Anulomana, Dysmenorrhea, Pathogenesis, Quality of life, Ayurvedic Management, Menstrual history, Cervical erosion, Avipattikar churna, Vata-Kapha, Chandraprabha vati, Kanchanar Guggulu, Sthanika Chikitsa, Yoga Basti, Vata Anulomana, Adenomyosis, Hormonal change, Aamapachan, Prostaglandins production, Endometrial Cells.