Ayurveda for primary infertility with endometriosis: A case report

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Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Ayurveda management of primary infertility associated with endometriosis - A case report
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Author:

M.A. Asmabi, M.K. Jithesh, Jyotsna Govindan


Journal of Ayurveda and Integrative Medicine:

(A monthly peer-reviewed publication)

Full text available for: Ayurveda management of primary infertility associated with endometriosis - A case report

Year: 2024 | Doi: 10.1016/j.jaim.2023.100852

Copyright (license): CC BY-NC-ND 4.0


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Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurveda for primary infertility with endometriosis: A case report”. 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) Table:
In the context of the provided report, 'Table' serves as a structured way to present detailed data, such as timelines, treatment methods, or patient assessments. These organized formats allow easy comparison and understanding of the complexities involved in the patient's case, facilitating clarity for both practitioners and readers.

2) Medicine:
'Medicine' refers to the substances or practices used for diagnosing, treating, or preventing diseases. In the context of Ayurvedic treatments described in the report, it signifies the herbal remedies and therapeutic practices that aim to address the patient's infertility and manage symptoms associated with endometriosis.

3) Ayurveda (Ayus-veda):
'Ayurveda' embodies a holistic approach to health and wellness that balances the mind, body, and spirit through natural remedies and lifestyle adjustments. This ancient system plays a critical role in the case report, demonstrating how its principles guide the treatment strategies for the patient's endometriosis and related infertility issues.

4) Channel:
'Channel' in the context of Ayurveda involves the pathways through which bodily substances like nutrients and fluids move. The report illustrates how addressing 'Srotas' (functional channels) is vital in treating conditions like endometriosis, where blockages or dysfunctions can lead to reproductive issues.

5) Disease:
'Disease' refers to any condition that impairs normal functioning of the body, leading to specific symptoms and health complications. In this report, 'disease' mainly pertains to endometriosis, a condition causing infertility and notable discomfort in the patient, thereby requiring both medical and Ayurvedic intervention.

6) Pitta:
'Pitta', one of the three doshas in Ayurveda, represents fire and transformation. It governs processes such as digestion and metabolism. In the context of the case, understanding the 'Pitta' imbalance helps identify treatment strategies for managing symptoms of endometriosis, as it can influence bodily heat and energy.

7) Taila (Thaila):
'Taila' refers to oil in Sanskrit, a key element in Ayurvedic treatments. In this case report, 'Mahanarayana Taila' is highlighted for its benefits in balancing 'Vata' and 'Pitta' doshas and promoting nourishment in the body, particularly for reproductive health and alleviating endometrial symptoms.

8) Basti:
'Basti' denotes a therapeutic enema or rectal treatment in Ayurveda utilized to balance doshas and detoxify the body. It is an integral part of the treatment protocol in this case, aiming to cleanse toxins associated with endometriosis while supporting reproductive health.

9) Shatavaryadi (Satavaryadi):
'Shatavaryadi' pertains to a specific Ayurvedic formulation composed of various herbs, particularly Shatavari (Asparagus racemosus). This formulation is recognized for its adaptogenic properties and is often used to nourish the female reproductive system, which plays a crucial role in the case reported.

10) Vata:
'Vata' represents one of the three doshas in Ayurveda, symbolizing air and space. It influences bodily movements and actions. The case report emphasizes 'Vata's predominance, indicating a need for treatments aimed at balancing this dosha to alleviate the patient's symptoms of endometriosis.

11) Mahanarayanataila (Mahanarayana-taila):
'Mahanarayana-taila' is an Ayurvedic herbal oil renowned for its therapeutic properties, particularly for nourishing and rejuvenating tissues. It is included in the treatment protocol for the patient due to its benefits in supporting female reproductive health and alleviating the symptoms of endometriosis.

12) Mahanarayana:
'Mahanarayana' refers to the aspect of holistic healing representing great energy and revitalization properties. It signifies the quality found in specific Ayurvedic preparations, which are essential in nourishing and strengthening the body, particularly in the context of fertility treatments.

13) Ruksha (Ruksa):
'Ruksha' translates to 'dry' in Ayurveda, describing a property of certain substances that can absorb excess moisture in the body. In the case report, 'Ruksha' properties were considered for their role in treating conditions like endometriosis by reducing 'Kapha' and stabilizing the doshas.

14) Pain:
'Pain' is a symptom often associated with various medical conditions, and in this report, it highlights the discomfort experienced by the patient due to endometriosis. Managing pain is a central focus of the treatment protocol, utilizing both modern medicine and Ayurvedic therapies.

15) Drug:
'Drug' refers to any chemical substance used for treatment or prevention of disease. Within the Ayurvedic framework in the report, 'drug' encompasses herbal formulations that are specifically chosen to align with the patient's doshic imbalance and therapeutic needs.

16) Vandhyatva:
'Vandhyatva' denotes infertility in Ayurvedic terminology. It represents the inability to conceive and highlights the primary concern of the couple in this case. Understanding 'Vandhyatva' is crucial to the development of an effective treatment strategy for the patient suffering from endometriosis.

17) Varanasi (Varanashi):
'Varanasi' is a city in India, significant in Ayurveda and traditional medicine. The mention of Varanasi may suggest the cultural and historical roots of Ayurvedic practices being applied in treating the patient's condition, which reflects the deep contextual ties between geography and healthcare.

18) Shodhana (Sodhana):
'Sodhana' refers to detoxification procedures in Ayurveda aimed at cleansing the body of impurities. In this case, 'Sodhana' therapies were essential for preparing the patient for further treatment by addressing underlying imbalances and removing accumulated toxins that could hinder reproductive health.

19) Virya:
'Virya' translates to 'potency' in Ayurveda, referring to the efficacy or strength of a substance in producing a therapeutic effect. Understanding 'Virya' helps practitioners assess how different herbs and medications can influence the body's systems, guiding the treatment design for the patient.

20) Food:
'Food' holds immense significance in Ayurveda, as diet plays a crucial role in maintaining health and balanced doshas. The report emphasizes dietary recommendations to support the treatment process, ensuring that the patient's nutritional intake aligns with their therapeutic needs, particularly for improving fertility.

21) Dysmenorrhea (Dysmenorrhoea):
'Dysmenorrhea' is synonymous with painful menstruation, often complicating conditions like endometriosis. The management of dysmenorrhea is essential in the therapeutic planning for patients experiencing related symptoms, ensuring an overall improvement in their reproductive health.

22) Vatapitta (Vata-pitta):
'Vata-pitta' describes a state of balance between the 'Vata' and 'Pitta' doshas in Ayurveda. The report suggests that such a balance is essential for optimizing the patient's health and addressing the complications associated with endometriosis, signaling the need for tailored therapeutic approaches.

23) Madhura:
'Madhura' translates to 'sweet' in Ayurveda, describing a taste and quality that can pacify 'Vata' dosha. In the report, understanding 'Madhura' is vital as it influences the selection of herbs and treatments to bring balance and harmony to the patient's physiological systems.

24) Lekhana:
'Lekhana' refers to therapeutic scraping in Ayurveda, aimed at removing excess or stagnant substances from the body. In this case, 'Lekhana' techniques are utilized as part of the treatment strategy to help reduce the pathological factors associated with endometriosis.

25) Svedana:
'Svedana' refers to the process of sweating or inducing perspiration as a therapeutic measure in Ayurveda. It is employed in the treatment protocol to support detoxification and facilitate the healing process regarding the patient's endometrial condition.

26) Samana (Shamana):
'Shamana' denotes pacification strategies in Ayurveda aimed at alleviating symptoms without drastic interventions. The treatments discussed emphasize the use of 'Shamana' techniques to gently restore balance while addressing the patient's discomforts caused by endometriosis.

27) Ghrita (Ghrta):
'Ghrita' refers to ghee, a fundamental component in Ayurvedic therapies. It is valued for its ability to enhance the absorption of medicines and augment nutritional intake, making it a key ingredient in the patient's treatment protocol to support reproductive health.

28) Rules:
'Rules' in the ayurvedic context denote the guidelines and principles governing treatment protocols and practices. The report exemplifies how adherence to these rules is paramount for formulating effective therapeutic interventions and ensuring the safety and efficacy of patient care.

29) Agni:
'Agni' translates to 'digestive fire' in Ayurveda, reflecting the metabolic processes in the body. A healthy 'Agni' is crucial for proper digestion and assimilation of food and medicines, thereby influencing recovery and overall health, especially in the context of treating infertility.

30) Rasa (Rasha):
'Rasa' refers to the taste or essence of a substance, important in Ayurveda for assessing the therapeutic properties of food and medicine. The understanding of 'Rasa' assists in selecting appropriate treatments aimed at harmonizing the body's energies and achieving desired health outcomes.

31) Guna:
'Guna' translates to the qualities or properties of substances in Ayurveda. Recognizing 'Guna' is essential for practitioners to determine how different herbs and medicines may affect the body and guide their decisions in treating the patient effectively.

32) Post:
'Post' refers to subsequent or following actions or events. In the case report, this term may relate to the monitoring of treatment outcomes or follow-ups after procedures and interventions done as part of the patient's care for endometriosis and infertility.

33) Ashtangahridaya (Astangahrdaya, Ashtanga-hridaya):
'Ashtangahridaya' is a classical Ayurvedic text detailing the principles and practices of Ayurveda. Reference to this text signifies the foundational knowledge that informs the treatment strategies used in the case, linking ancient wisdom to modern therapeutic applications.

34) Candraprabha (Candra-prabha):
'Chandraprabha', a significant Ayurvedic formulation, is recognized for its use in treating reproductive health issues. Its inclusion in the patient's treatment protocol demonstrates the reliance on traditional formulations to address endometriosis and support fertility effectively.

35) Discussion:
'Discussion' refers to the section where findings, treatment effectiveness, and implications of the case are analyzed. This analysis is vital for understanding how the applied techniques worked in practice, contributing to the body of knowledge regarding treatment of conditions like endometriosis.

36) Anulomana:
'Anulomana' refers to the process of ensuring proper flow or movement within the body, particularly in Ayurvedic treatments. This concept is emphasized in the case as it relates to stabilizing bodily functions and addressing issues that may hinder fertility.

37) Cleansing:
'Cleansing' denotes the process of detoxifying the body to eliminate impurities or imbalances. In the Ayurvedic framework, cleansing is essential for promoting health and wellbeing, particularly in the context of treating endometriosis by eliminating obstructive factors.

38) Abhyanga (Abhyamga):
'Abhyanga' refers to a therapeutic oil massage in Ayurveda that aims to nourish the body and balance doshas. This modality was likely used in the patient's treatment regime to alleviate pain and support overall female reproductive health.

39) Brimhana (Brmhana):
'Brimhana' signifies nourishing or promoting growth in the Ayurvedic context. This concept is relevant in the case as the treatment aimed to enhance the patient's overall vitality and wellbeing, particularly regarding reproductive health and the successful conception.

40) Madhyama:
'Madhyama' refers to the middle or moderate state in Ayurveda, often associated with achieving balance in doshas. In the context of the case report, identifying 'Madhyama' states is crucial for formulating treatments that do not exacerbate imbalances in the patient.

41) Narayana (Nara-ayana, Nara-yana):
'Narayana' often alludes to the divine aspect and holistic healing in Ayurvedic practices. Referring to 'Narayana' may emphasize the spiritual and physiological dimensions of treatment approaches, connecting health practices with broader cultural significance.

42) Marriage:
'Marriage' in this context symbolizes the societal and personal expectations surrounding fertility and conception. The couple's struggle with infertility highlights how this social construct adds emotional and psychological pressures, influencing the need for effective treatment interventions.

43) Vitiation (Vitiated):
'Vitiated' denotes the state of being impaired or disturbed, specifically relating to dosha balance in Ayurveda. The report mentions 'vitiated' doshas which serve to inform the treatment protocols designed to restore balance and address the underlying causes of the patient's health issues.

44) Chedana:
'Chedana' refers to the cutting or removal of excess tissues in Ayurveda. This surgical principle is reflected in treating endometriosis, where 'Chedana' may form a part of therapeutic approaches, especially when addressing growths or lesions obstructive to reproductive health.

45) Granthi (Gramthi):
'Granthi' translates to a node or a growth within the body, often viewed as a pathological entity in Ayurveda. In this case report, the presence of 'Granthi' associated with endometriosis indicates the need for targeted therapeutic interventions to address these abnormal growths.

46) Kashaya (Kasaya):
'Kashaya' refers to herbal preparations with astringent properties. In Ayurveda, 'Kashaya' formulations are utilized to manage conditions like endometriosis by reducing excessive moisture and balancing doshas, leading to improved reproductive health outcomes.

47) Quality:
'Quality' refers to the attributes or characteristics of substances used in treatment. In the case, assessing the 'quality' of herbs and formulations is crucial for ensuring they effectively address the patient's specific health needs and contribute to successful treatment outcomes.

48) Sindhu (Simdhu):
'Sindhu' typically refers to a river in Indian geography, representing flow and abundance. In this context, it may symbolize the cultural and geographical aspects of Ayurveda, illustrating the deep-rooted connections between natural resources and their medicinal applications.

49) Kvatha:
'Kvatha' refers to a type of herbal decoction in Ayurveda, prepared by boiling raw herbs. In the case, 'Kvatha' is likely employed as a method to create potent medicines that address the patient's health concerns effectively, utilizing the essence of the herbs.

50) Kerala:
'Kerala' is a state in India celebrated for its rich tradition in herbal medicine and Ayurveda. Mentioning Kerala emphasizes the cultural significance of Ayurvedic practices and their widespread application in addressing women's health issues, including infertility and endometriosis.

51) Vipaka:
'Vipaka' refers to the post-digestive effect of food or medicines in Ayurveda. Understanding 'Vipaka' is essential when selecting treatment options as it reveals how various substances will influence the body after digestion, which is critical for effective therapy.

52) Nature:
'Nature' encompasses the inherent qualities of herbs, substances, or the human body. Recognizing 'nature' in the context of treatments helps practitioners utilize herbal remedies and therapies harmoniously, contributing to a balanced approach to managing health conditions such as infertility.

53) Khanda (Khamda):
'Khanda' indicates a segment or part within Ayurvedic texts. The mention of 'Khanda' may signal the specific sections or teachings pertinent to the treatment protocols outlined in the case report, highlighting the structured knowledge embedded in traditional studies.

54) Dosha (Dosa):
'Dosa' refers to the imbalance in the three doshas—Vata, Pitta, and Kapha—crucial to Ayurvedic medicine. Recognizing 'Dosa' imbalances is essential for devising holistic treatment plans tailored to the individual's health needs.

55) Nasya (Nashya):
'Nasya' refers to a nasal therapy in Ayurveda, used for various conditions. It may be referenced in the context of this treatment protocol as a complementary approach to managing conditions like endometriosis by balancing doshas and cleansing nasal passages.

56) Kalka:
'Kalka' denotes a herbal paste or formulation in Ayurveda. It provides a concentrated therapeutic effect that can enhance treatment strategies, possibly utilized in this case to address specific symptoms related to endometriosis and support overall health.

57) Laghu:
'Laghu' translates to 'light' in Ayurveda, often used to describe substances that are easy to digest. In the report, understanding 'Laghu' qualities is vital for selecting appropriate therapies that promote digestion and absorption, particularly in treatments for reproductive health.

58) Matra:
'Matra' refers to dosage or quantity in Ayurveda, which is crucial for effective treatment. In this context, 'Matra' emphasizes the careful consideration of how much medicine is administered, potentially affecting the outcome of therapies used in the case.

59) Ushna (Usna):
'Ushna' signifies 'heat' or heating properties of substances in Ayurveda. Recognizing 'Ushna' characteristics helps balance doshas, particularly when dealing with conditions like endometriosis where managing body heat can significantly influence treatment efficacy.

60) Blood:
'Blood' in the Ayurveda context signifies the vital fluid associated with life and fertility. Monitoring blood-related factors, including quality and flow, is essential for understanding and addressing underlying issues related to infertility and reproductive health.

61) Study (Studying):
'Study' in this case refers to the systematic investigation and observation of treatment effects. Emphasizing the importance of study encourages further clinical trials and research to validate the treatment approaches and remedies utilized in managing conditions like endometriosis.

62) Diet:
'Diet' plays a significant role in Ayurvedic practices, influencing overall health. The report highlights dietary recommendations tailored to the patient, focusing on nurturing the body and supporting therapy aimed at treating endometriosis and infertility effectively.

63) Sign:
'Sign' refers to indicators of health or disease that may manifest in symptoms. In the case report, observing signs helps evaluate the patient's health status, guiding treatment decisions and adjustments in the management of their condition.

64) Life:
'Life' embodies the holistic perspective of health and well-being in Ayurveda. The treatment strategies discussed aim to enhance the quality of life for patients, addressing both physical symptoms and emotional aspects, encouraging overall harmony and balance.

65) Burning sensation:
'Burning sensation' describes a common symptom experienced by patients with conditions like endometriosis. Identifying this sensation is crucial for crafting appropriate treatment strategies, focusing on symptom relief and managing underlying dysfunctions that contribute to patient discomfort.

66) Peer review:
'Peer review' refers to the evaluation process of research by experts in the field. This process ensures the credibility and quality of the reported findings, emphasizing the necessity for rigorous standards in documenting Ayurvedic treatment effectiveness and outcomes.

67) New Delhi:
'New Delhi' represents the capital city of India, significant in the healthcare landscape. Mentioning this location may suggest the traditional roots of Ayurveda, its integration into modern practices, and the evolving role of Ayurvedic medicine within broader health systems.

68) Narayanataila:
'Narayana-taila' is an Ayurvedic oil associated with strength and nourishment. Its inclusion in treatment illustrates the focus on enriching women's health, especially related to reproductive functions impacted by conditions like endometriosis.

69) Madhurarasa (Madhura-rasa):
'Madhura-rasa' refers to the sweet taste found in many herbs and foods. In the context of Ayurvedic treatments, this quality is emphasized for its positive effects in soothing 'Vata', balancing the doshas, and contributing to an effective treatment for infertility.

70) Matra-basti:
'Matra-basti' is a specific Ayurvedic enema treatment designed to nourish and balance doshas. Utilizing 'Matra-basti' in therapies illustrates the multifaceted approach to treatment, aiming to address both local and systemic imbalances in the body.

71) Yashtimadhu (Yastimadhu, Yashti-madhu):
'Yastimadhu' is a traditional Ayurvedic herb known for its soothing properties. It is utilized in therapies to mitigate inflammation and promote healing, highlighting its essential role in addressing the discomfort associated with endometriosis.

72) Kalpasthana (Kalpa-sthana):
'Kalpasthana' is a section in Ayurvedic texts that outlines various formulations and their uses. Mentioning this context underlines the formulation principles that contribute to creating effective therapies tailored to specific patient needs, reinforcing the depth of Ayurvedic practice.

73) Vatashonita (Vatasonita, Vata-shonita):
'Vatashonita' signifies a collection of disorders characterized by imbalances in 'Vata' related to blood issues. In the case report, understanding 'Vatashonita' is crucial for creating therapeutic strategies that address underlying blood-related disorders affecting reproductive health.

74) Purvakarma (Purvakarman, Purva-karman):
'Purva-karma' denotes the preparatory treatments in Ayurveda designed to ready the body before the main interventions. This foundational aspect is reflected in the case, emphasizing the importance of establishing a balanced state before proceeding to more invasive therapies.

75) Transformation (Transform, Transforming):
'Transformed' in the context of Ayurvedic treatments refers to the changes undergone by the body due to the actions of drugs or therapies. Monitoring these transformations is essential to assess progress and adjust treatment plans effectively.

[Note: The above list is limited to 75. Total glossary definitions available: 124]

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