Journal name: World Journal of Pharmaceutical Research
Original article title: Management of artavkshaya w.r.t oligomenorhoea
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a case study
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Dr. Pradip Kinage
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Management of artavkshaya w.r.t oligomenorhoea
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20176-8508
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
The menstrual cycle is a key indicator of female reproductive health, with regular cycles reflecting optimal well-being. However, contemporary lifestyles and dietary habits have negatively impacted this health, resulting in issues such as oligomenorrhea (Artavkshay) and dysmenorrhea. This case study highlights a patient suffering from irregular menstruation for two years, associated with abdominal pain. The diagnosis of oligomenorrhea led to a treatment plan utilizing Ayurvedic practices, specifically Matrabasti therapy with Bala oil, along with oral medications.
Management of Oligomenorrhea: Matrabasti
Matrabasti is an Ayurvedic treatment technique involving the administration of herbal oil rectally, which in this study was performed using Bala oil. The rationale behind this approach is that it pacifies Vata dosha, which plays a significant role in menstrual disorders. The patient, who had experienced amenorrhea for two months, underwent a five-day course of treatment that included Matrabasti followed by oral medications, Shatpushpa Churna and Rajapravartini vati. Results showed successful menstruation onset after treatment, with significant relief from dysmenorrhea.
Role of Oral Medications: Shatpushpa Churna and Rajapravartini Vati
In conjunction with Matrabasti, oral medications were administered to further address the patient's symptoms. Shatpushpa Churna, known for its properties to relieve Vata dosha disturbances, was paired with Rajapravartini vati, which aids in promoting menstrual flow. These herbal formulations serve to alleviate the challenges associated with oligomenorrhea and address associated symptoms like dysmenorrhea. The combination provided comprehensive management of symptoms, backing the potential of Ayurvedic treatment for menstrual disorders.
Lifestyle Modifications and Dietary Considerations
The treatment plan extended beyond just medicinal therapies. The patient was advised on dietary habits and lifestyle modifications to support the healing process. Pathya (beneficial regimen) included foods like rice, wheat, and papaya, and recommended adequate sleep, while Apathya (restrictive regimen) included avoiding cold foods, fast foods, and tea. These recommendations were crucial in reinforcing the treatment's effectiveness, as they aimed to correct the underlying Vata imbalance that contributed to the patient’s menstrual issues.
Conclusion
This case study concludes that Ayurvedic interventions, particularly Matrabasti with Bala oil and supportive oral medications, can significantly improve conditions like oligomenorrhea and dysmenorrhea. The integration of lifestyle changes and dietary recommendations further enhances the treatment efficacy. The positive outcomes observed underlined the need for broader research regarding long-term effects and the potential of Ayurvedic treatments in managing female reproductive health disorders.
FAQ section (important questions/answers):
What condition was the female patient diagnosed with in the case study?
The patient was diagnosed with Artavkshaya, which correlates with oligomenorrhoea, characterized by irregular menstrual cycles occurring at intervals greater than 35 days.
What treatments were provided to the patient for oligomenorrhoea?
The patient was treated with Matrabasti using Bala oil and oral medications including Shatpushpa Churna and Rajapravartini vati, administered over a six-day regimen.
How did the treatment affect the patient's menstrual cycle?
After the treatment, the patient experienced a return of menstruation within seven days without significant abdominal pain, showing effectiveness in managing oligomenorrhoea.
What associated symptoms did the patient experience along with oligomenorrhoea?
The patient had irregular menses, dysmenorrhoea (pain during menses), and abdominal bloating, which were relieved after treatment.
What lifestyle changes were recommended to the patient during treatment?
The patient was advised to follow a specific diet and lifestyle, avoiding vitiated Vata dosha foods like fast food and incorporating beneficial foods such as rice and papaya.
What was the outcome of the treatment after six days?
The treatment led to significant improvements, as the patient no longer experienced severe dysmenorrhoea, abdominal bloating was relieved, and she menstruated naturally without hormonal pills.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Management of artavkshaya w.r.t oligomenorhoea”. 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) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine that emphasizes balance within the body, mind, and spirit. It offers holistic approaches to health, emphasizing natural remedies, dietary practices, and lifestyle habits. In the context of women's reproductive health, Ayurveda provides insights into managing conditions like oligomenorrhea and dysmenorrhea through herbal treatments and therapeutic practices.
2) Dysmenorrhea (Dysmenorrhoea):
Dysmenorrhea signifies painful menstruation, characterized by cramping and discomfort. This condition was a central complaint for the patient in the study. Ayurvedic approaches aim to alleviate dysmenorrhea through herbal treatments and lifestyle modifications, demonstrating the system's effectiveness in managing menstrual pain and promoting overall reproductive health.
3) Vati:
Vati refers to a type of Ayurvedic formulation that is usually in tablet or pill form, made from various herbs combined with minerals. In this study, Rajapravartini Vati was used to aid in treating oligomenorrhea, promoting menstrual flow and addressing related symptoms, demonstrating the efficacy of Ayurvedic preparations in gynecological health.
4) Pain:
Pain, particularly in the context of menstrual discomfort, can significantly affect a woman's quality of life. In the case study, the patient experienced moderate pain during menstruation, which required effective treatment. Ayurveda offers natural remedies aimed at pain relief, focusing on balancing the body's doshas and addressing underlying imbalances.
5) Bala:
Bala, or Sida cordifolia, is an important herb in Ayurveda known for its strength-enhancing and Vata-pacifying properties. In the treatment outlined in the study, Bala oil was used in Matrabasti, and its application aimed to soothe the Vata dosha, facilitating better reproductive health and alleviating symptoms of oligomenorrhea and dysmenorrhea.
6) Vata:
Vata is one of the three doshas in Ayurveda, representing the elements of air and space. It governs movement within the body and any imbalance can lead to various health issues, including menstrual irregularities. The case study emphasized the importance of understanding Vata's role in the patient’s health to guide effective treatment strategies.
7) Bleeding:
Bleeding, specifically menstrual bleeding, is an essential sign of female reproductive health. The absence or irregularities in this natural process can indicate underlying issues like oligomenorrhea. The treatment in the study aimed to restore normal menstrual bleeding patterns through Ayurvedic principles and remedies, focusing on the overall well-being of the patient.
8) Study (Studying):
This study represents a clinical case of a 29-year-old woman experiencing oligomenorrhea and dysmenorrhea. It aims to demonstrate the therapeutic effects of Ayurvedic treatments, specifically Matrabasti and herbal formulations. The results highlight the efficacy of these methods in restoring menstrual regularity and alleviating pain, contributing to the body of knowledge in Ayurvedic gynecology.
9) Drug:
In Ayurveda, a drug can be any natural remedy derived from herbs, minerals, or animal products used to treat specific ailments. In the presented case, the term 'drug' refers to Shatpushpa Churna and Rajapravartini Vati, which were administered to support menstrual health and manage symptoms of oligomenorrhea and dysmenorrhea.
10) Life:
Life in Ayurveda is closely tied to the concepts of health, balance, and wellness. The quality of life can be affected by various factors, including diet, lifestyle, and emotional well-being. The case study focused on addressing these aspects to improve the patient's overall health and restore a healthy menstrual cycle.
11) Vatadosha (Vatadosa, Vata-dosha):
Vatadosha is a specific type of dosha in Ayurveda linked to the qualities of air and space, which regulates movement and nerve impulses. Imbalances in Vatadosha can lead to reproductive issues. The study's treatment focused on balancing Vatadosha to improve the patient's menstrual regularity and reduce pain associated with dysmenorrhea.
12) Suffering:
Suffering refers to the distress experienced by the patient due to irregular menses and dysmenorrhea. It highlights the physical pain and emotional challenges that accompany these conditions. The Ayurvedic treatments aimed to alleviate this suffering, promoting healing and restoring balance in the patient's reproductive system.
13) Pathya:
Pathya refers to the regimen or lifestyle choices recommended in Ayurveda to promote health and well-being. It includes dietary guidelines and practices to support the body's functions. In the case study, Pathya recommendations helped the patient maintain a balanced lifestyle conducive to her treatment and overall health improvements.
14) Dosha (Dosa):
Dosha is a fundamental concept in Ayurveda, referring to the three energies (Vata, Pitta, and Kapha) that influence all physiological and psychological processes. Balancing doshas is key to maintaining health. The study emphasized how Vata imbalances contributed to the patient's menstrual irregularities and how proper treatment could restore balance.
15) Table:
The tables presented in the text provide structured information regarding the patient's personal history, medication details, and treatment plan. This organized presentation aids in understanding the case study’s findings and the tailored approach taken in the Ayurvedic treatment for the patient's conditions.
16) Gujarat:
Gujarat is a state in India where the treatment and study took place, specifically at the Parul Institute of Ayurveda and Research. Its cultural context may influence the dietary and lifestyle habits observed in the case study, as Ayurveda is often practiced within local traditional frameworks in different regions of India.
17) Apathya:
Apathya is the regimen to be avoided in Ayurveda, guiding individuals away from harmful habits and foods that can disrupt health. The study emphasized the importance of Apathya, advising the patient to refrain from processed foods and cold substances, which could aggravate Vata dosha and contribute to her menstrual issues.
18) India:
India is the birthplace of Ayurveda and continues to be a central hub for the practice and study of traditional medicine. The case study reflects the application of Ayurvedic principles in treating women's health issues, showcasing its cultural relevance and ongoing importance in healthcare practices in India.
19) Diet:
Diet plays a pivotal role in maintaining health within the framework of Ayurveda. Specific foods are categorized as Pathya (beneficial) or Apathya (harmful) based on their effects on the doshas. In this case study, dietary recommendations were tailored to improve the patient's reproductive health, illustrating the significance of nutrition in Ayurvedic treatment.
20) Kashtartava (Kastartava, Kashta-artava):
Kastartava refers to painful menstruation or dysmenorrhea in Ayurveda. The case study highlighted this condition in the patient, emphasizing the importance of addressing such symptoms in conjunction with oligomenorrhea. The Ayurvedic approach considered both conditions holistically to promote healing and restore menstrual health.
21) Madhyama:
Madhyama translates to 'medium' or 'average' and reflects a balanced state in Ayurvedic terminology. This concept is relevant to the patient's body constitution (Prakriti) and health status. Understanding her Madhyama Prakriti guided the treatment approach in achieving balance and addressing the patient's menstrual issues effectively.
22) Striroga (Stri-roga):
Striroga is a branch of Ayurveda that focuses specifically on women's health and reproductive issues. It encompasses various conditions affecting women, particularly those related to menstruation, pregnancy, and other gynecological concerns. The study's exploration of oligomenorrhea sits within this specialty, underlining the significance of Striroga in Ayurvedic practice.
23) Prasuti:
Prasuti refers to childbirth or the process of delivery in Ayurvedic context. It relates to Striroga and emphasizes the importance of understanding and addressing reproductive health issues in women, which is pertinent to the case study's evaluation of menstrual irregularities and treatments aimed at correcting them.
24) Tantra (Tamtra, Tantrism):
Tantra in Ayurveda often refers to methods or techniques that are employed in treatment. It focuses on the systematic approaches taken to address specific health issues, such as the Ayurvedic methods utilized in the study to restore normal menstrual cycles in the patient with oligomenorrhea and dysmenorrhea.
25) Agneya:
Agneya refers to substances that generate heat in the body, beneficial for balancing Vata dosha. In the context of the study, the inclusion of Agneya dietary recommendations illustrates how Ayurvedic principles are applied to select foods that promote reproductive health by pacifying Vata and supporting menstrual regularity.
26) Basti:
Basti is an Ayurvedic procedure involving the administration of medicated oil or herbal decoction via the rectum to treat various conditions. In the case study, Matrabasti with Bala oil was used to address the patient's oligomenorrhea and dysmenorrhea, showcasing the therapeutic benefits of this technique in women's health.
27) Kala:
Kala refers to the timing of medication administration or treatment in Ayurveda. It emphasizes the importance of taking drugs at specific times for optimal efficacy. The case study incorporates this principle in administering Shatpushpa Churna and Rajapravartini Vati according to appropriate timings to enhance their therapeutic effects.
28) Menstrual blood:
Menstrual blood is a significant indicator of women's reproductive health. Its regularity and composition can reflect underlying health issues. In the study, the patient's menstrual blood patterns were carefully evaluated, and treatment was tailored to restore normalcy, highlighting the importance of monitoring menstrual health in Ayurveda.
29) Shatapushpa (Satapuspa, Shata-pushpa):
Shatapushpa, or Anethum sowa, is an Ayurvedic herb known for its properties in alleviating menstrual disorders and dysmenorrhea. In this study, Shatapushpa Churna was administered to the patient, contributing to the treatment plan aimed at restoring menstrual regularity and reducing pain associated with irregular cycles.
30) Observation:
Observation in the context of the study refers to the careful monitoring of the patient's symptoms and response to treatment. It is crucial for assessing the efficacy of the prescribed Ayurvedic regimen. Documenting the patient's progress provides valuable insights into the potential benefits of the treatment approach used.
31) Adhobhakta (Adhas-bhakta):
Adhobhakta denotes the timing of medication administration post meals in Ayurveda. It is a practice aimed at optimizing the absorption and effectiveness of herbs. In the patient's treatment, following Adhobhakta guidelines for administering Rajapravartini Vati supported better integration of the medicine into her digestive process, aiding in the treatment of menstrual irregularities.
32) Ashtavidha (Astavidha, Ashtan-vidha):
Ashtavidha refers to a comprehensive method of examination used in Ayurveda to assess a patient's health status. It evaluates eight aspects of a person, contributing to a holistic understanding of their condition. This diagnostic approach was crucial in the study for formulating an effective treatment plan for the patient.
33) Discussion:
Discussion entails analyzing the case study's findings, relating them to existing Ayurvedic literature, and elucidating the treatment's effectiveness. It also encompasses proposing further research possibilities to understand the Ayurvedic approaches to oligomenorrhea and dysmenorrhea thoroughly, thereby enriching the field of Ayurvedic gynecology.
34) Substance:
In Ayurvedic context, a substance can refer to any material used for medicinal purposes, including herbs, oils, and minerals. In this case, substances like Bala oil, Shatpushpa Churna, and Rajapravartini Vati were essential components of the treatment regimen for regulating menstrual health and addressing the patient's complaints.
35) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
Kashyapa is a revered figure in Ayurveda known for his contributions to women's health and reproductive studies. He is often referenced in Ayurvedic texts for his knowledge on treating conditions like oligomenorrhea. The study draws on traditional principles attributed to Kashyapa to justify the methods used for treating the patient.
36) Pariksha (Pariksa):
Pariksha refers to examination or assessment in Ayurveda, an essential step in diagnosing conditions and formulating a treatment plan. The thorough Pariksha conducted on the patient provided insights into her health status, enabling tailored approaches to manage her menstrual irregularities effectively.
37) Prakriti (Prakrti):
Prakriti represents an individual's unique constitution based on Vata, Pitta, and Kapha doshas. Understanding the patient's Prakriti is essential for personalized Ayurvedic treatment, as it dictates the approach toward rectifying imbalances that may lead to menstrual issues such as oligomenorrhea and dysmenorrhea.
38) Sparsha (Sparsa):
Sparsha relates to the sense of touch, which plays a role in identifying physical symptoms during an ayurvedic examination. In the context of this study, Sparsha assists in assessing the patient's physical condition, contributing to a holistic understanding of her health, particularly pain associated with menstrual cycles.
39) Science (Scientific):
Science, in the context of Ayurveda, refers to systematic study and understanding of the principles governing health and healing. The growing integration of Ayurvedic practices into modern healthcare signifies the relevance of scientific validation of traditional methods, as represented in the patient-centered study for menstrual health management.
40) Dravya:
Dravya means 'substance' or 'matter' in Ayurveda and encompasses any herbal, mineral, or animal preparation used for therapeutic purposes. The study highlights various Dravyas like Bala oil and herbal formulations to underscore their role in mitigating menstrual disorders and enhancing women's reproductive health.
41) Shabda (Sabda):
Shabda translates to 'sound' or 'speech' in Ayurveda and plays a role in assessing a patient's verbal reports during diagnosis. In the context of this study, Shabda aids in understanding the patient's experiences and symptoms, which are crucial for determining the most appropriate Ayurvedic treatment plan.
42) Ruksha (Ruksa):
Ruksha means 'dry' in Ayurvedic terms and is often used to describe certain qualities of doshas or conditions. Ruksha qualities can be associated with Vata imbalances leading to various health issues. The treatment approach in the study aimed to address Ruksha qualities through diet and lifestyle recommendations, supporting better menstrual health.
43) Artava:
Artava refers to menstrual blood or the menstrual cycle in Ayurveda and signifies female reproductive health. Deviations in normal Artava can indicate underlying health concerns. This study reflects the importance of restoring normal Artava through specific Ayurvedic treatments to promote overall reproductive wellness.
44) Pitta:
Pitta is one of the three doshas in Ayurveda responsible for transformation and metabolism. An imbalance in Pitta can lead to heat-related conditions affecting women's health. In the study context, understanding the balance of Pitta alongside Vata and Kapha is crucial for holistic treatment approaches in managing menstrual disorders.
45) Mutra:
Mutra denotes urine in Ayurveda and is an important bodily function indicating various health aspects. Proper urinary function is essential for maintaining dosha balance. Monitoring Mutra helps in assessing the patient's overall health and guides dietary and lifestyle modifications necessary for addressing reproductive health concerns.
46) Takra:
Takra refers to buttermilk, an Ayurvedic food item known for its cooling properties and beneficial effects on digestion. In the study, Takra is included in dietary recommendations to balance the doshas and promote health, particularly in alleviating Vata aggravation that may contribute to menstrual irregularities.
47) Water:
Water is essential for maintaining bodily functions and hydration. In Ayurveda, it is vital for balancing doshas and is suggested in treatments. The case study indicates the use of water as a vehicle for herbal preparations, underscoring its role in supporting digestive health and the overall wellbeing of the patient.
48) Pulse:
Pulse is a vital sign commonly assessed in health evaluations to determine heart rate and overall vitality. In Ayurveda, pulse diagnosis is a critical tool to understand a person's health status. In the case study, monitoring the patient’s pulse readings contributed to evaluating her overall health and treatment effectiveness.
49) Visit:
Visit refers to the act of a patient seeking medical care or consultation. In the context of the study, the patient visited an Ayurvedic clinic with specific complaints of menstrual issues. Such visits play a crucial role in accessing targeted treatments that address individual health needs based on Ayurvedic principles.
50) House:
The term 'house' represents the patient's living environment, highlighting the significance of one's home life in overall health. In Ayurveda, the socio-cultural context, including family and lifestyle, influences health outcomes. The case study emphasizes the holistic nature of treatment, which considers the patient's domestic conditions in addition to medical therapies.
51) Blood:
Blood is a critical fluid in the body essential for various functions, including nourishment and waste removal. In gyro-obstetrics, the quality and characteristics of blood, especially menstrual blood, are vital indicators of health. The study’s focus on blood patterns provides insight into the patient’s reproductive health status requiring treatment.
52) Agni:
Agni refers to 'digestive fire' in Ayurveda, representing the body's metabolic processes. It is crucial for health, influencing how nutrients are absorbed. In this study, promoting a balanced Agni through dietary recommendations and treatments was essential for correcting menstrual irregularities and ensuring optimal reproductive health in the patient.
53) Nadi (Nadin):
Nadi means 'pulse' in Ayurveda, often utilized in diagnosis to assess a person's health status by checking the pulse quality and rhythm. Understanding Nadi helps provide insights into the doshas operating within the body. It is an essential aspect of Ayurvedic diagnosis in the context of treating menstrual issues.
54) Mala:
Mala refers to bodily waste or excretory products in Ayurveda. Understanding Mala is vital for assessing a person’s health, as inefficient waste elimination can indicate dosha imbalances. In this study, the evaluation of the patient's Mala contributed to a holistic understanding of her health and guided dietary recommendations.
55) Vayu:
Vayu represents movement and is one of the key elements in Ayurveda that governs processes within the body. Vayu is associated with the Vata dosha and can influence functions like circulation and nerve signaling. The study acknowledges Vayu's role, particularly in addressing menstrual health through Vata-normalizing treatments.
56) Aha (Ahan, Ahar):
Ahar signifies nutritious food in Ayurveda, fundamental to maintaining health and wellness. It includes dietary practices and food choices that support dosha balance. The study emphasized Ahar's critical role in the treatment plan for the patient, demonstrating how a balanced diet can help in managing menstrual disorders.
57) Food:
Food is an essential aspect of health and wellness in Ayurveda, as it contributes to physical and mental well-being. Dietary choices directly impact dosha balance, influencing overall health outcomes. This study highlighted specific food recommendations to enhance treatment efficacy for the patient suffering from oligomenorrhea.
58) Rice (Rce):
Rice is a staple food in many cultures, including Ayurveda, where it is considered a wholesome and balancing food. In the case study, rice was advised as part of the Pathya diet, emphasizing its compatibility with the patient’s health needs and helping to restore balance in her reproductive system.
59) Pur:
Poor signifies a suboptimal condition, often used to describe aspects such as appetite, health status, or lifestyle choices. In this case, the patient had a 'poor' appetite, indicating an imbalance that might have contributed to her menstrual irregularities. This term reflects the need for holistic evaluation and treatment in Ayurveda.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Management of artavkshaya w.r.t oligomenorhoea’. Further sources in the context of Science might help you critically compare this page with similair documents:
Pathya, Apathya, Alpata, Vatanulomana, Vatadosha, Dysmenorrhea, Reproductive health, Sonography, Oligomenorrhoea, Matrabasti, Nidan Parivarjan, Follow-up studies, Irregular menses, Agneya Dravya, Vatanulomak, Bala oil, Rajapravartini vati.