Ayurvedic view on sukhaprasavakar lepa, basti, and pichu in labor.

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Journal name: World Journal of Pharmaceutical Research
Original article title: Ayurvedic standpoint to interpret the significance of sukhaprasavakar lepa, basti and pichu on labour
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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Author:

Dr. Preeti Chouhan and Dr. Sunita Suman


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Ayurvedic standpoint to interpret the significance of sukhaprasavakar lepa, basti and pichu on labour

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr201910-15823

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Summary of article contents:

Introduction

Childbirth is a significant moment in a woman's life, often fraught with physical and psychological challenges. Ancient Ayurvedic texts emphasize the importance of proper care during pregnancy to promote healthy delivery. Specifically, the use of treatments such as Anuvasana Basti, Yoni Pichu, and Sukhaprasavakar Lepa has been highlighted to aid in achieving a smooth and uncomplicated delivery. These therapies, derived from Sanskrit principles, are intended to prepare the body for labor and minimize the risks associated with childbirth, including a rising incidence of cesarean sections.

Role of Apana Vayu in Labor

Apana Vayu, a vital force in Ayurveda, plays a crucial role in the contraction and relaxation of the uterus during labor, facilitating the expulsion of the fetus. It is influenced by various factors, including the condition of the srotas or bodily channels obstructed by the gravid uterus. Treatments such as Basti are recommended to normalize the function of Apana Vayu, ensuring that the birth process proceeds smoothly. Proper management of Apana Vayu contributes to alleviating complications during labor, such as constipation and backache, conditions that frequently arise due to pressure from the growing uterus.

Specific Therapies: Anuvasana Basti

Anuvasana Basti is a therapeutic procedure aimed at mitigating the vitiation of Vata, a principal dosha responsible for maintaining movement and bodily functions. In late pregnancy, this therapy helps relieve constipation and regulates the myometrial functions—an essential aspect of ensuring effective uterine contractions during labor. The smoking property of the oils used in Anuvasana Basti helps lubricate the internal structures, making the process of labor smoother and potentially reducing the incidence of cesarean sections by promoting normal vaginal deliveries.

Benefits of Yoni Pichu

Yoni Pichu is a therapy involving the application of medicated oils to the vagina to enhance lubrication and elasticity of the perineal muscles. Regular use of Yoni Pichu in the later stages of pregnancy can support improved muscle strength and elasticity, thus alleviating symptoms such as perineal tension and discomfort. This therapy not only aids in physical preparation for labor but may also influence the autonomic nervous system to facilitate effective uterine contractions, further contributing to the likelihood of achieving a Sukhaprasava, or smooth delivery.

Conclusion

The application of Ayurvedic therapies—Anuvasana Basti, Yoni Pichu, and Sukhaprasavakar Lepa—is essential for promoting healthy childbirth by addressing physical and psychological factors associated with labor. By focusing on the normalization of Apana Vayu and enhancing internal lubrication and muscle elasticity, these treatments are designed to reduce the complications during delivery and lower the rates of cesarean sections. The integration of traditional Ayurvedic practices in contemporary childbirth can provide valuable support, ensuring the health and well-being of both mother and child.

FAQ section (important questions/answers):

What is the significance of Sukhaprasavakar Lepa in Ayurvedic labor?

Sukhaprasavakar Lepa is applied to promote rhythmic uterine contractions, shorten labor duration, and prevent complications such as tetanic contractions, potentially reducing the need for cesarean sections.

How does Anuvasana Basti contribute to normal labor?

Anuvasana Basti, by enhancing lubrication and treating vitiated Apana Vayu, facilitates better uterine contractions and supports the natural progression of labor, reducing complications.

What role does Yoni Pichu play during pregnancy?

Yoni Pichu enhances lubrication of the vaginal canal, increases the elasticity of perineal muscles, and helps soften the cervix, promoting a smoother delivery process.

What are the main factors affecting Sukhaprasava during delivery?

Factors such as balanced Shukra and Artava, proper diet, and effective management of Apana Vayu are crucial for ensuring a successful Sukhaprasava.

What complications can arise from increased cesarean sections?

Increased cesarean sections can lead to higher maternal and fetal complications, emphasizing the need for interventions like Basti and other Ayurvedic therapies to promote normal delivery.

How do Ayurvedic practices relate to contemporary childbirth?

Ayurvedic practices, like the use of Basti and Pichu, offer a holistic approach to childbirth, addressing physical and psychological hurdles while enhancing maternal and fetal well-being.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurvedic view on sukhaprasavakar lepa, basti, and pichu in labor.”. 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) Lepa:
In Ayurveda, 'Lepa' refers to a medicinal paste applied externally on the body. It is made from fresh herbs, powders, and liquids, and is designed for localized healing. The thickness and consistency of the Lepa are crucial for its effectiveness during therapies related to childbirth and various ailments.

2) Basti:
'Basti' is a critical therapeutic procedure in Ayurveda involving the administration of medicated liquids via the rectum. It aims to treat imbalances, primarily of Vata dosha, affecting the reproductive and digestive systems. Basti is particularly important in pregnant women to manage complications during labour.

3) Picu:
'Pichu' is a method of local application in which a piece of cloth or cotton is soaked in medicated oil and applied to specific areas. In pregnancy, Yoni Pichu helps with lubrication and relaxation of the vaginal area, facilitating a smoother childbirth experience.

4) Labour (Labor):
Labour is the physiological process through which a woman expels the fetus and placenta. It encompasses a series of uterine contractions and cervix dilation. Understanding labour's stages is essential for ensuring safety and well-being during childbirth, influencing both maternal and child health outcomes.

5) Yoni (Yonin):
'Yoni' is a Sanskrit term referring to the female reproductive organ. In Ayurvedic practices, Yoni is considered sacred, and therapies focusing on it aim at enhancing reproductive health and facilitating childbirth. Pichu and other treatments target the Yoni for improved elasticity and ease during labour.

6) Vayu:
'Vayu' translates to 'air' and symbolizes the life force in Ayurveda. It governs various bodily functions including movement and contraction. In contexts like childbirth, managing Vayu, particularly Apana Vayu, is crucial for effective uterine contractions and ultimately the process of delivery.

7) Drug:
A singular 'drug' is any active compound or herbal substance utilized for its medicinal properties. In Ayurveda, the formulation of a drug considers its quality, method of preparation, and the balance of doshas, which is essential for achieving desired health outcomes.

8) Anuvasana:
'Anuvasana' is a subtype of Basti treatment where an oily liquid is administered rectally. This method aims to nourish and soothe the body, mainly targeting Vata dosha. In a pregnant context, Anuvasana helps promote smooth labour and alleviate discomfort due to vitiated Vata.

9) Prasava:
'Prasava' refers to childbirth in Ayurveda, encompassing the conditions and processes involved in delivering a baby. Understanding the principles of Prasava is vital for ensuring safe and healthy childbirth, particularly when employing Ayurvedic therapies to facilitate normal delivery.

10) Apana:
'Apana' is a type of Vayu essential for bodily functions related to excretion and delivery. During childbirth, Apana Vayu plays a critical role in expelling the fetus. Therapies focused on normalizing Apana Vayu can enhance the effectiveness of labour and ease the birth process.

11) Apanavayu (Apana-vayu):
'Apanavayu' is vital in the expulsion processes of the body, particularly during childbirth. It regulates downward movements and has a protective role in promoting uterine contractions needed for the effective delivery of the fetus, making it essential in obstetrical care.

12) Ayurveda (Ayus-veda):
'Ayurveda' is an ancient medical system from India that emphasizes harmony between body, mind, and spirit. It employs natural therapies, dietary practices, and herbal treatments to maintain health and prevent disease. Its holistic perspective is particularly beneficial in reproductive health and childbirth.

13) Garbha:
'Garbha' translates to 'fetus' and represents the developing baby within the womb. In Ayurveda, Garbha is treated with care, emphasizing the importance of nourishment and health during pregnancy. Understanding Garbha's health is crucial for ensuring a smooth delivery and healthy progeny.

14) Karma (Karman):
'Karma' refers to actions or deeds in Ayurveda and encompasses the therapeutic practices engaged in healing and health promotion. Each therapy, including Basti and Lepa, represents a specific Karma aimed at balancing doshas and enhancing the overall well-being of the individual.

15) Anuvasanabasti (Anuvasana-basti):
'Anuvasana-basti' is a therapeutic practice designed for rectal administration of medicated oil. This method is particularly effective in managing Vata imbalances in pregnant women, aiding in smoother labor by preparing the body for the physical demands of childbirth.

16) Vitiation (Vitiated):
'Vitiation' indicates the disruption or imbalance of doshas and body systems, leading to health issues. In pregnancy, understanding vitiation is significant as it influences the interventions needed to ensure the health of both mother and child during delivery.

17) Prasuti:
'Prasuti' denotes the science of obstetrics in Ayurveda, dealing with women's health during pregnancy and childbirth. Knowledge of Prasuti helps practitioners understand and address complications, enhance maternal health, and ensure safer deliveries for mothers and infants.

18) Snigdha:
'Snigdha' means 'unctuous' or 'moist' in Sanskrit and refers to a quality of substances in Ayurveda. Snigdha properties in oils and medicated preparations promote lubrication, which is crucial during childbirth to assist the stretching of tissues and ease the process of delivery.

19) Vata:
'Vata' is one of the three doshas in Ayurveda, representing air and space. It governs movement, communication, and biological processes. An imbalance of Vata can lead to complications during pregnancy and labor, necessitating treatments that stabilize this dosha for a smooth delivery.

20) Tantra (Tamtra, Tantrism):
'Tantra' refers to the study and principles of methodology in Ayurveda. Understanding Tantra helps practitioners apply Ayurvedic principles effectively to patient care, especially concerning women's reproductive health and childbirth, ensuring treatments are tailored for the unique needs of mothers.

21) Milk:
In Ayurveda, 'Milk' is considered a nutritious and vital substance, especially for pregnant women. Its qualities nourish the body and support fetal development. Dietary recommendations often emphasize the inclusion of milk to enhance health during pregnancy and promote smooth labor and delivery.

22) Asthapana:
'Asthapana' is a specific type of Basti therapy aimed at evacuating the lower bowel. It is essential for managing conditions related to Vata dosha and preparing the body for labor by easing constipation and clearing the intestinal tract, facilitating a smoother birth.

23) Pregnant:
'Pregnant' describes the physiological state of a woman carrying a developing fetus. This time requires special care and treatment to ensure health for both mother and child. Ayurvedic principles guide pregnant women in maintaining balance and well-being throughout gestation.

24) Madhura:
'Madhura' translates to 'sweet' in Sanskrit and refers to tastes and substances that have sweet properties. In Ayurvedic medicine, Madhura herbs and foods are considered supportive in nurturing overall health, particularly for pregnant women who need balanced nutrition.

25) Srotas (Shrotas):
'Srotas' refers to the channels or pathways in the body through which nutrients, wastes, and energies flow. In Ayurvedic context, maintaining the health of Srotas is crucial for effective bodily functions, particularly during pregnancy, when proper circulation and detoxification are essential.

26) Taila (Thaila):
'Taila' stands for 'oil' in Ayurveda, which is fundamental in many treatments. Oils are used in therapies like Abhyanga (massaging) and Bastis, providing nourishment, lubrication, and aiding in the absorption of medicinal properties, particularly important in pregnancy and childbirth.

27) Matra:
'Matra' refers to the dosage or quantity of a substance used in Ayurvedic treatments. Proper Matra is crucial for achieving desirable results without adverse effects, especially in delicate conditions like pregnancy where dosages should always be carefully tailored.

28) Sukha:
'Sukha' means 'happiness' or 'ease' and is a significant concept in Ayurveda relating to health and comfort. Achieving Sukha during pregnancy and childbirth is essential, invoking methods that promote ease and well-being for the mother and baby.

29) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
'Basti-karma' refers to the therapeutic procedure of administering medicated liquids or oils via the rectum. It effectively addresses various imbalances, particularly Vata disturbances, and is instrumental in aiding pregnant women by alleviating discomfort and facilitating a smoother delivery process.

30) Vyanavayu (Vyana-vayu):
'Vyanavayu' is the subtype of Vayu responsible for circulation and distribution of nutrients in the body. It works in tandem with Apana Vayu during childbirth, enabling coordinated muscular contractions essential for effective labor and a healthy delivery.

31) Varanasi (Varanashi):
'Varanasi' is a city in India celebrated for its cultural and historical significance. Recognized for its deep-rooted traditions, including Ayurveda, Varanasi is a hub for educational institutions like IMS BHU, contributing to the study and evolution of Ayurvedic practices.

32) Prakrita (Prakrta):
'Prakrita' denotes the natural or unadulterated state of many conditions or entities. In the context of childbirth, it describes the ideal natural birthing process, emphasizing the importance of interventions that align with natural physiological developments.

33) Snehana:
'Snehana' translates to 'oil application' or 'oleation' in Ayurveda, emphasizing the external or internal use of oil to nourish and lubricate the body. Snehana is particularly beneficial during pregnancy and childbirth to facilitate comfort and ease during labor.

34) Kalpana:
'Kalpana' refers to the process of formulation or preparation of medicines. Understanding Kalpana methods in Ayurveda is essential for creating effective herbal remedies, ensuring therapeutic efficacy, especially in treatments aimed at supporting women during pregnancy and labor.

35) Samaka (Shamaka):
'Shamaka' refers to substances or treatments that pacify or balance doshas in Ayurveda. Utilizing Shamaka remedies for vitiated conditions is crucial, particularly during pregnancy when maintaining dosha balance impacts both maternal and fetal health.

36) Pralepa:
'Pralepa' refers to a specific type of Lepa that is cooling and thin. In Ayurvedic medicine, Pralepa is used for various conditions requiring external application for therapeutic effects, particularly beneficial in soothing stressed or inflamed tissues.

37) Kalka:
'Kalka' signifies a herbal paste prepared out of fresh ingredients. In Ayurvedic practices, Kalka is applied externally for therapeutic treatments, offering localized benefits and is commonly featured in formulations intended to support childbirth and recovery.

38) Alepa:
'Alepa' is a term associated with paste preparations in Ayurveda that are applied externally. It describes the consistency, thickness, and ingredients of the paste, crucial in various therapies, ensuring effective absorption of medicinal properties during treatments for diverse conditions.

39) Virya:
'Virya' refers to the potency or strength of a substance in Ayurveda. Understanding the Virya of a drug or food is essential for determining its effects and actions on the body, particularly in pregnant women where formulations need to support health sensitively.

40) Varga:
'Varga' denotes a category or class of substances, such as drugs or herbs in Ayurveda. Classifying herbs into Varga allows practitioners to understand their specific properties and uses, aiding in the formulation of effective treatments targeting unique health conditions.

41) Birth:
'Birth' signifies the culmination of the reproductive process where a baby is delivered. In Ayurveda, this process is celebrated and treated with reverence, focusing on methodologies that ensure the wellbeing of both mother and infant throughout the delivery.

42) Life:
'Life' encapsulates the essence of existence and well-being in Ayurveda. The approach promotes a holistic understanding of health, emphasizing the balance of body, mind, and spirit, which is critical in ensuring vitality, especially during reproductive phases.

43) Garbhashaya (Garbhasaya, Garbha-ashaya):
'Garbhashaya' refers to the womb or uterus in Ayurveda, where fetal development occurs. It's vital to nurture the Garbhashaya to ensure a healthy environment for the growing fetus, influencing outcomes in pregnancy and the delivery process.

44) Garbhini:
'Garbhini' translates to 'pregnant woman' and denotes the importance of maternal health for fetal development. In Ayurveda, Garbhini care includes diet, mental well-being, and the use of therapies to support the mother's health and promote a smooth delivery.

45) Rukshata (Ruksata):
'Rukshata' means 'dryness' and is a quality that can affect bodily functions in Ayurveda. During pregnancy, managing Rukshata is crucial as it can lead to discomfort and complications during labor, where a moist, lubricated environment is preferable.

46) Parshva (Parsva):
'Parshva' refers to the side areas of the body. In obstetrics, awareness of Parshva helps practitioners understand and address pain or discomfort during labor, influencing therapies to provide relief and foster a positive birthing experience.

47) Kukshi (Kuksi):
'Kukshi' signifies the lower back region in Ayurveda. Its management is critical during pregnancy and labor since discomfort or issues in this area can impede progression and comfort during childbirth, necessitating supportive therapies.

48) Cotton:
'Cotton' is a natural fiber commonly used in Ayurvedic practices, especially for Pichu applications. Its absorbency and softness make it suitable for medicinal applications, ensuring comfort for patients, particularly pregnant women receiving therapies during childbirth.

49) Pitta:
'Pitta' is one of the three doshas in Ayurveda, representing fire and transformation. An imbalance in Pitta can cause various health issues. In pregnancy, managing Pitta is essential to prevent complications and ensure a smooth labor process.

50) Nabhi:
'Nabhi' refers to the navel and is considered an important point in many Ayurvedic therapies. Specific treatments targeting the Nabhi area can enhance the birthing process, reflecting the significance of this region in the overall physiological functioning during labor.

51) Drava:
'Drava' signifies liquid substances or solutions in Ayurvedic formulations. The correct use of Drava in therapies is crucial for ensuring the effective delivery of medicinal properties, particularly in concoctions aimed at supporting women during and after childbirth.

52) Ushna (Usna):
'Ushna' means 'heat' or 'warm' in Ayurveda. Ushna properties may be important during certain therapeutic applications, particularly when warmth is needed to soothe discomfort during pregnancy or ease the labor process.

53) Study (Studying):
'Study' reflects the research and exploration of Ayurvedic practices and principles. Understanding and validating the methodologies and therapies related to pregnancy and labor can enhance the body of knowledge needed for successful outcomes in maternal healthcare.

54) Tanu:
'Tanu' indicates a quality of being thin or subtle in Ayurveda. In the context of preparations or potencies of substances, Tanu properties can influence their effectiveness, particularly in treatments focusing on delicate conditions like pregnancy and childbirth.

55) Kati:
'Kati' refers to the lower back region, and understanding its health is essential in pregnancy. Pain or imbalance in Kati can affect comfort and ease of labor, necessitating targeted therapies to maintain functionality during childbirth.

56) Kala:
'Kala' means 'time' or 'period' in Ayurveda. The aspect of timing is crucial in treatments as it influences the appropriate application of therapies during pregnancy and labor, ensuring that interventions align with the evolving needs of the mother and fetus.

57) Meat soup:
'Meat soup' represents a nutritious food item in Ayurveda, believed to provide essential nourishment during pregnancy. The inclusion of meat soup can enhance health and vitality where indicated, supporting maternal and fetal requirements throughout the pregnancy.

58) Apatyapatha (Apatya-patha):
'Apatyapatha' refers to the birth canal through which the baby passes during delivery. Understanding its structure and function is vital for practitioners as they provide care to facilitate an unobstructed and safe birth process.

59) Tilataila (Tila-taila):
'Tila-taila' translates to 'sesame oil', a commonly used oil in Ayurvedic therapies due to its nourishing properties. It's often employed in practices like Basti and Pichu, playing a significant role in maintaining health during pregnancy and supporting labor.

60) Discussion:
'Discussion' signifies the exchange of ideas and insights regarding Ayurvedic practices. Engaging in discussions among practitioners enhances understanding and application of various treatments, especially those affecting pregnancy and childbirth, aiding in collective learning.

61) Prasarana:
'Prasarana' refers to the act of expansion or elongation in the body. This principle is essential in understanding how the body adapts during labor, requiring considerations of movement and flexibility in management strategies to facilitate childbirth.

62) Vibandha:
'Vibandha' translates to 'constipation' in Ayurveda. Addressing Vibandha through appropriate treatments is crucial during pregnancy to maintain gastrointestinal health, which in turn supports overall well-being and readiness for labor.

63) Striroga (Stri-roga):
'Striroga' is a branch of Ayurveda focused on women's health, particularly relating to reproduction and childbirth. Understanding female health intricacies allows practitioners to provide targeted therapies for various conditions, supporting safe pregnancy and effective labor.

64) Medicine:
'Medicine' encompasses the various substances used for treatment and healing in Ayurveda. The thoughtful application of medicinal compounds tailored to individual needs is critical in facilitating health during pregnancy and optimizing the childbirth process.

65) Atibala:
'Atibala' represents a healthful herb known for its strength-giving properties. In pregnancy, the use of Atibala may help bolster maternal strength, thereby supporting the physical demands of labor and contributing positively to overall maternal and fetal health.

66) Pradeha:
'Pradeha' describes a type of Ayurvedic application with a warming effect. It serves various therapeutic purposes, notably facilitating blood circulation and supporting bodily functions during pregnancy, which can enhance overall well-being during childbirth.

67) Akshepa (Aksepa):
'Akshepa' refers to the action of contraction or holding in Ayurveda. Understanding the dynamics of Akshepa is crucial during labor, as it relates to uterine actions and effectiveness in expelling the fetus during delivery.

68) Prakrit (Prakrt):
'Prakrit' pertains to the natural state or essence of beings and things. Recognizing the Prakrit allows practitioners to align treatments with inherent qualities, particularly the natural progressions of pregnancy and childbirth.

69) Kledana:
'Kledana' translates to 'moistening' in Ayurveda. The principle of Kledana emphasizes the importance of maintaining moisture within the body, especially during pregnancy, to avoid complications such as dryness that can hinder the labor process.

70) Quality:
'Quality' in Ayurveda pertains to the characteristics of substances affecting their therapeutic outcomes. Evaluating the quality of herbs, oils, and treatments is essential for effective practice, ensuring that interventions during pregnancy promote health.

71) Animal:
'Animal' signifies living beings from which various substances can be derived for medicinal and nutritional purposes in Ayurveda. The application of animal-derived products must be done ethically and knowledgeably in pregnancy-related practices.

72) Mantra (Mamtra):
'Mantra' signifies sacred sounds or phrases used in Ayurvedic practices. These can enhance the mental and spiritual aspect of care, especially during pregnancy and labor, promoting a positive mindset necessary for a healthy birthing experience.

73) Siddha:
'Siddha' indicates something perfected or achieved in the context of Ayurvedic medicine, particularly referring to formulations that have reached their optimal state for therapeutic use. Siddha herbs are essential components in supporting health during labor.

74) Lepana:
'Lepana' is a term closely associated with the application of pastes or ointments. It captures the essence of external treatments in Ayurveda, which are fundamental in addressing localized conditions, particularly pertinent during childbirth and postpartum recovery.

75) Ruksha (Ruksa):
'Ruksha' translates to 'drying' or having a dry quality. In Ayurvedic contexts, managing Ruksha is essential for pregnant women, as excess dryness can lead to complications during labor, necessitating the use of preparations that promote lubrication.

[Note: The above list is limited to 75. Total glossary definitions available: 104]

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Apanavayu, Shrota, Garbhashaya, Anuvasanabasti, Vaginal canal, Cesarean Section, Vitiated dosha, Garbhini Paricharya, Prasuti tantra, Asthapana Basti, Yoni Pichu, Snehana property, Normal labour, Pregnancy Complication, Maternal complication.

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