Study on lekhana basti and gomutra hareetaki for uterine fibroids.
Journal name: World Journal of Pharmaceutical Research
Original article title: A clinical study to evaluate the therapeutic effect of lekhana basti and gomutra hareetaki orally in uterine fibroid
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Namitha S. N., Arpana Jain, Ramadevi G. and Rajalakshmi M. G.
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: A clinical study to evaluate the therapeutic effect of lekhana basti and gomutra hareetaki orally in uterine fibroid
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr202321-30365
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
1) Introduction
Uterine fibroids, also known as leiomyomas, represent the most common type of benign tumor in women of childbearing age, significantly impacting their health and well-being. Affecting up to 20% of women by age 30 and predominantly occurring between the ages of 35-45, these fibroids can result in various symptoms such as menstrual irregularities, pain, and pressure. The modern medical management focuses primarily on surgical interventions and hormonal treatments, often without a singular effective solution. This clinical study investigates the therapeutic impact of Ayurvedic treatments, specifically lekhana basti and gomutra hareetaki, as an alternative approach for managing uterine fibroids.
2) Effectiveness of Lekhana Basti and Gomutra Hareetaki
The study involved 20 patients diagnosed with uterine fibroids, who were treated with lekhana basti for the initial eight days, followed by oral administration of gomutra hareetaki for more than two months. The main aim was to evaluate symptomatic relief and any changes in fibroid size. Results indicated significant improvements in symptoms such as dysmenorrhea, menstrual abnormalities, and pressure symptoms, alongside observable reductions in the size and bulkiness of the uterus and fibroids through ultrasonographic assessments. This suggests that these Ayurvedic treatments can provide effective symptomatic relief.
3) Mechanisms of Action
The therapeutic properties of the treatments were understood based on their underlying Ayurvedic principles. Lekhana basti is known for its ability to promote the removal of excess bodily tissues and alleviate the symptoms of vitiated doshas, particularly Vata and Kapha, which are believed to play a critical role in the pathogenesis of uterine fibroids. The specific herbs used in the basti, such as Panchatiktaka guggulu ghrtha, possess qualities that are effective in addressing the underlying issues associated with fibroids. Similarly, gomutra hareetaki demonstrates properties of deepana (appetizer) and pachana (digestive), which further support the normalization of bodily functions, leading to reduced fibroid size and related symptoms.
4) Statistical Results and Findings
Statistical analysis was performed comparing the patients' conditions before and after the treatment. The findings highlighted notable improvements, with over half of the participants experiencing marked improvement in their symptoms and fibroids' size. The results were statistically significant, indicating that the established Ayurvedic methodologies effectively alleviated the condition of fibroids. Evaluations of subjective parameters, such as the severity of dysmenorrhea, also showed significant changes, further reinforcing the treatment's potential efficacy.
5) Conclusion
This study concludes that the combination of lekhana basti and gomutra hareetaki serves as a promising alternative treatment for uterine fibroids, yielding substantial symptomatic relief and reduction in fibroid size. Though the treatment duration of three months provided encouraging outcomes, the study suggests that longer intervention periods may lead to even greater efficacy. It demonstrates the value of Ayurvedic practices in addressing common health issues faced by women, primarily by aligning treatment approaches with the principles of holistic healing and balance. Further research over a more extended period would be beneficial to solidify these findings and contribute to integrative healthcare strategies for managing uterine fibroids.
FAQ section (important questions/answers):
What is the focus of the clinical study conducted by Namitha et al.?
The study evaluates the therapeutic effects of Lekhana Basti and Gomutra Hareetaki in treating uterine fibroids, a common condition affecting women.
What are uterine fibroids and their common symptoms?
Uterine fibroids, benign tumors in women, can cause symptoms like menstrual abnormalities, dysmenorrhea, abdominal pressure, and infertility.
What treatment methods were used in this clinical study?
The treatment involved an initial 8-day administration of Lekhana Basti, followed by Gomutra Hareetaki for 81 days with honey.
How many patients were involved in this clinical study?
A total of 20 patients diagnosed with uterine fibroids participated in the open-label clinical trial.
What were the results of the treatment in this study?
The study showed significant symptomatic relief, reduction in uterine size and fibroid size, and improvement in associated symptoms.
What is the recommended follow-up period after treatment?
Patients are advised to follow up after four months to assess the long-term effects of treatment.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Study on lekhana basti and gomutra hareetaki for uterine fibroids.”. 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) Basti:
Basti is a Panchakarma treatment in Ayurveda, involving the administration of herbal enemas. It is believed to detoxify and nourish the body by leveraging the dual action of the pacifying effects of specific formulations and the therapeutic benefits of medicinal herbs, addressing issues related to vitiated doshas within the body, especially in the lower abdomen.
2) Vata:
Vata is one of the three doshas in Ayurveda, representing the elements of air and ether. It governs movement, communication, and bodily functions. In the context of uterine fibroids, vitiation of Vata can disrupt normal physiological processes, leading to symptoms like dysmenorrhea and influencing the growth of fibroids in women.
3) Kapha:
Kapha is another of the three doshas in Ayurveda, representing the elements of earth and water. It functions in maintaining structural integrity and moisture throughout the body. An imbalance in Kapha can contribute to the growth of tissues, including uterine fibroids, and manifests in symptoms such as heavy menstruation and abdominal pressure.
4) Lekhana:
Lekhana refers to the therapeutic property of scraping or reducing excess tissue in Ayurveda. It is essential in treating conditions associated with increased bulk, like fibroids, by promoting the elimination of excessive Kapha and Meda (fat) through specific treatments like Lekhana Basti and herbal formulations.
5) Study (Studying):
This clinical study investigates the therapeutic effects of Lekhana Basti and Gomutra Hareetaki on uterine fibroids. It aims to evaluate symptomatic relief and anatomical changes quantitatively over a prescribed treatment duration, contributing valuable insights into the effectiveness of Ayurvedic interventions in managing benign conditions.
6) Arbuda:
Arbuda in Ayurveda corresponds to tumors and specifically benign growths like uterine fibroids. Understanding this term helps correlate traditional Ayurvedic concepts with modern medical conditions. Treatment protocols aim to reduce the size and symptoms of arbuda by balancing the doshas involved in their pathogenesis.
7) Gomutra (Go-mutra):
Gomutra, or cow’s urine, is renowned in Ayurveda for its therapeutic properties. It is believed to have detoxifying effects, promoting overall health and aiding in the treatment of various conditions. In this study, Gomutra Haritaki is used for its purported ability to balance Vata and Kapha, thus addressing fibroid symptoms.
8) Guna:
Gunas encompass the various qualities of substances that determine their health impacts in Ayurveda. Knowledge of gunas aids in selecting appropriate treatments for fibroids, ensuring they align with desired therapeutic effects on affected doshas and dhatus.
9) Dosha (Dosa):
Dosha represents the three fundamental energies in Ayurveda: Vata, Pitta, and Kapha. They govern physiological processes and health. Imbalances in doshas are believed to lead to health issues, including the development of uterine fibroids, making understanding doshas crucial for effective Ayurvedic treatment strategies.
10) Garbhashaya (Garbhasaya, Garbha-ashaya):
Garbhashaya refers to the uterus in Ayurveda, considered the site of femininity and reproduction. It's critical to understand this term when discussing conditions like fibroids, as it directly correlates with the health of female reproductive organs and their functional integrity.
11) Drug:
Drugs, in this context, refer to herbal medicines utilized in Ayurveda for specific therapeutic outcomes. The selected drugs in the study aim to restore balance within the body's doshas, supporting the treatment of fibroids through symptomatic and anatomical improvements.
12) Dhatu:
Dhatus are the fundamental tissues or elements that contribute to the structure and function of the body in Ayurveda. Recognition of their role is critical for understanding pathologies like fibroids and creating effective treatment plans.
13) Mamsa (Mamsha):
Mamsa refers to the muscle tissue in Ayurveda. It is significant in discussions of uterine fibroids, which are composed of muscular tissues. The study recognizes the need to address mamsa through specific treatments that can potentially reduce the size of fibroids.
14) Dysmenorrhea (Dysmenorrhoea):
Dysmenorrhea denotes painful menstruation, a common symptom associated with uterine fibroids. Evaluating its prevalence and treatment response in the study highlights the intersection of gynecological health with Ayurvedic therapy, suggesting how traditional approaches may alleviate such symptoms effectively.
15) Guggulu:
Guggulu is a herbal compound in Ayurveda known for its anti-inflammatory and healing properties. It is regarded as beneficial in managing conditions like uterine fibroids by promoting detoxification and addressing abnormalities related to dhatus and doshas, thereby assisting in symptom relief.
16) Rasa (Rasha):
Rasa represents the taste or essence of substances in Ayurveda, impacting health outcomes. Understanding rasa helps determine the therapeutic efficacy of herbal components used in treatment, guiding their application in achieving balance within the doshas and promoting overall health.
17) Disease:
Diseases in Ayurveda encompass a broad range of imbalances reflecting the dysregulation of doshas, dhatus, and agni. Recognizing diseases like uterine fibroids is crucial for successful treatment as it encompasses identifying root causes and tailoring therapies accordingly.
18) Dravya:
Dravyas denotes material substances used in Ayurveda for therapeutic purposes. Their proper selection is essential in developing treatment plans for conditions like fibroids, as they directly influence health outcomes.
19) Ushna (Usna):
Ushna represents the quality of heat in Ayurvedic terminology. Certain treatments described in the study may utilize ushna properties to stimulate metabolism and promote the elimination of excess tissue, crucial in the management of uterine fibroids.
20) Gana:
Gana refers to a group or category of substances with similar properties in Ayurveda. In treating uterine fibroids, understanding different ganas aids in selecting appropriate herbal remedies to address the specific imbalances presented in patients.
21) Haritaki:
Haritaki is a well-known Ayurvedic herb valued for its detoxifying properties. It works in conjunction with other therapies in the study to reduce fibroid symptoms, balancing doshas and improving digestive functions, thus aiding overall health.
22) Prasuti:
Prasuti refers to obstetrics or gynecology in Ayurveda. The concept emphasizes the importance of female reproductive health, offering insights into the management of conditions like uterine fibroids, integrating traditional knowledge with modern healthcare perspectives.
23) Tantra (Tantrism, Tamtra):
Tantra in Ayurveda refers to treatments or rituals designed to restore health. The study uses specific tantras to address the underlying causes of uterine fibroids, supporting holistic healing and well-being through Ayurvedic practices.
24) Karma (Karman):
Karma translates to action or procedure in Ayurveda. Each therapeutic intervention, like those in the study, is based on specific karmas that aim to restore balance and promote healing in individuals with uterine fibroids.
25) Hara:
Hara refers to the action of removing or alleviating substances in Ayurveda. In the context of treating fibroids, hara aims at reducing excess tissue or symptoms associated with imbalances in the body, promoting overall health.
26) Yoga:
Yoga in Ayurveda indicates a method or combined practice aimed at achieving balance. In this study, yoga basti was specifically utilized, showcasing how integrated approaches focus on harmonizing the body and alleviating conditions like uterine fibroids.
27) Anuvasanabasti (Anuvasana-basti):
Anuvasana-basti refers to a type of basti where medicated oils are administered. This method’s inclusion in the study highlights its depth in treating underlying conditions impacting uterine fibroids through lubrication and nourishment of tissues.
28) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha pertains to one of the three primary doshas characterized by heaviness and stability. Understanding its role in uterine fibroid development is crucial since vitiated Kapha can lead to excessive tissue growth, necessitating targeted Ayurvedic treatments for balance restoration.
29) Anuvasana:
Anuvasana refers to the administration of medicated oils via basti. In the study, this method's application serves to nourish and stabilize bodily functions, providing therapeutic relief from ailments like uterine fibroids through its lubricating properties.
30) Anulomana:
Anulomana refers to the process of normalizing bodily functions, especially those related to Vata dosha. Therapies aimed at anulomana can alleviate symptoms associated with uterine fibroids and restore digestive and reproductive health.
31) Vitiation (Vitiated):
Vitiated refers to the imbalance or disorder in doshas or bodily functions in Ayurveda. Recognizing vitiated states is vital in treating conditions like fibroids, as it guides practitioners to choose appropriate restorative therapies.
32) Ayurveda (Ayus-veda):
Ayurveda is a holistic healing system from India that emphasizes balance among the body, mind, and spirit. Understanding its principles is essential in exploring treatments for uterine fibroids, showcasing integrated approaches to wellness and disease management.
33) Amalaki:
Amalaki is a revered Ayurvedic herb known for its antioxidant properties. It assists in promoting digestion and detoxification, thereby supporting holistic health. In treating uterine fibroids, its inclusion in formulations aids in balancing doshas and improving overall bodily function.
34) Prakopa:
Prakopa refers to the aggravation of doshas or symptoms in Ayurveda. Understanding prakopa is vital for addressing ailments like fibroids, as it guides the selection of treatments that pacify affected doshas, thereby alleviating discomfort and restoring balance.
35) Kashaya (Kasaya):
Kashaya represents the astringent taste in Ayurveda associated with dryness and contraction. It's critical in selecting herbal formulations for fibroid treatment, as substances with kashaya qualities may help reduce excessive growth by balancing Kapha dosha.
36) Samana (Shamana):
Samana denotes the balancing aspect of Vata dosha addressing metabolic and digestive functions. Its regulation is essential in managing reproductive health conditions like fibroids, ensuring effective nutrient absorption and elimination.
37) Vyadhin (Vyadhi):
Vyadhi refers to disease or disorders in Ayurveda. Recognizing vyadhi is essential for understanding the underlying conditions, such as uterine fibroids, and framing appropriate treatment plans that address both symptoms and causes holistically.
38) Pitta:
Pitta is one of the three doshas, associated with transformation and metabolism. An imbalance can contribute to various health conditions, including menstrual disorders. Comprehending pitta's role in uterine fibroids is vital for designing effective holistic treatments.
39) Tikta:
Tikta translates to the bitter taste in Ayurveda, known for stimulating digestion and detoxifying the body. Integrating tikta herbs in treatments for uterine fibroids can enhance metabolic processes and contribute to dosha balance.
40) Honey:
Honey is often used in Ayurveda for its therapeutic and harmonizing properties. In the context of this study, honey enhances the palatability and effectiveness of formulations, improving patient compliance and potentially contributing to symptom relief.
41) Food:
Food represents the essential substance for health and well-being in Ayurveda. Its qualities and effects on doshas are fundamental to understanding diseases like fibroids, as diet plays a significant role in managing imbalances and promoting healing.
42) Niruhabasti (Niruha-basti):
Niruha-basti is a type of basti involving decoctions that are typically administered to clear doshic imbalances. This technique is significant in Ayurvedic treatments for fibroids, aiming to reduce excess kapha and promote health.
43) Rasadhatu (Rasa-dhatu):
Rasa-dhatu refers to the primary tissue responsible for nourishment and circulation in Ayurveda. In the context of fibroids, maintaining the balance of rasa is essential as it influences bodily integrity and health.
44) Sthanika:
Sthanika refers to local conditions or localized treatments in Ayurveda. This concept emphasizes addressing specific symptoms and disorders, like fibroids, with targeted therapies that alleviate discomfort and restore normal function in localized tissues.
45) Ashtanga (Astanga, Ashtan-anga):
Ashtanga indicates a scholarly collection of Ayurvedic texts. Knowledge from Ashtanga assists practitioners in understanding treatments for conditions like uterine fibroids through classical perspectives on health and therapeutic interventions.
46) Niruha:
Niruha signifies an enema treatment that uses herbal decoctions in Ayurveda. This therapy is particularly pertinent in managing fibroids by expelling excess doshic imbalances from the body, contributing to overall health restoration.
47) Laghu:
Laghu refers to lightness in Ayurveda, often associated with substances that ease digestion and withdrawal of excess elements. Integrating laghu properties into treatment for fibroids may enhance therapeutic effectiveness and assist in reducing bulk.
48) Apana:
Apana indicates a subtype of Vata dosha governing downward movement in the body. Stable apana is vital for reproductive health, and addressing apana vitiation is crucial in managing conditions like uterine fibroids effectively.
49) Vasa (Vasha):
Vasa is a term that refers to a variety of Ayurvedic herbs used for treating respiratory and other conditions. In this context, its combination with other treatments may offer supportive benefits in alleviating fibroid-related symptoms.
50) Tridoshahara (Tridosahara, Tridosha-hara):
Tridoshahara refers to substances or practices that pacify all three doshas: Vata, Pitta, and Kapha. Integrating tridoshahara principles in treating fibroids enables a balanced approach that addresses multiple factors contributing to the condition.
51) Gajapippali (Gaja-pippali):
Gajapippali refers to an Ayurvedic herb noted for its warming and stimulating properties. It can enhance treatments for various conditions, including uterine fibroids, by addressing doshic imbalances and supporting healthy digestion.
52) Mahakashaya (Mahakasaya, Maha-kashaya):
Mahakashaya refers to a group of potent herbal combinations in Ayurveda. Utilizing mahakashaya ingredients in treating fibroids can enhance therapeutic outcomes by leveraging their collective properties to balance dosha and support health.
53) Apanavata (Apana-vata):
Apana-vata specifies the downward-moving aspect of Vata dosha, responsible for the elimination of waste and menstrual flow. Understanding apana-vata's role provides insights into managing conditions like uterine fibroids effectively through targeted therapies.
54) Tridosha (Tri-dosha, Tridosa):
Tridoshas refers to the three fundamental principles—Vata, Pitta, and Kapha—that govern health and wellness in Ayurveda. Recognizing tridoshas is critical in addressing health conditions like uterine fibroids, enabling a personalized approach to treatment based on specific imbalances.
55) Ativisa (Ativisha):
Ativisha is a herb used in Ayurveda with potent detoxifying properties. Its inclusion in treatments may help in managing fibroid symptoms by addressing digestive disturbances and promoting overall health.
56) Medicine:
Medicine in the Ayurvedic context refers to herbal formulations and treatments applied to restore health. Understanding this term is crucial for applying appropriate remedies for conditions such as uterine fibroids.
57) Bleeding:
Bleeding in relation to uterine fibroids is a significant symptom experienced by many women. The study aims to address abnormal bleeding through Ayurvedic interventions that aim to regulate menstrual cycles and improve quality of life.
58) Bhojana:
Bhojana refers to the act of eating or diet in Ayurvedic terminology. It emphasizes the importance of a balanced diet as a critical component in maintaining health and addressing imbalances that could lead to conditions like fibroids.
59) Vidanga (Vidamga):
Vidanga is an Ayurvedic herb known for its antiseptic and digestive properties. Its applications in formulations may aid in managing uterine fibroids through enhancing digestion and supporting overall health.
60) Pippali (Pippalin):
Pippali is an Ayurvedic spice and herb recognized for its warming qualities. Its role in the therapeutic regime for managing fibroids encompasses enhancing digestion and facilitating detoxification, integral for restoring balance.
61) Visada (Vishada, Visha-da):
Vishada refers to an emotional or psychological state of darkness or depression in Ayurveda. Addressing vishada may be essential when managing chronic conditions like fibroids, recognizing the holistic connections between mental well-being and physical health.
62) Snigdha:
Snigdha refers to the quality of being oily or unctuous in Ayurveda. Inclusion of snigdha properties in treatments may counteract excessive dryness and support natural lubrication of tissues, essential in alleviating fibroid symptoms.
63) Haridra:
Haridra, or turmeric, is a revered herb in Ayurveda with anti-inflammatory and antioxidant properties. Its inclusion in treatments for uterine fibroids may promote healing and tissue reduction, addressing both symptoms and underlying imbalances.
64) Ruksha (Ruksa):
Ruksha refers to dryness or astringent quality in Ayurveda. Recognizing ruksha properties is crucial as they can counter excessive moisture in the body, which is pertinent in conditions like uterine fibroids.
65) Patola:
Patola is an Ayurvedic herb with properties that support detoxification and digestion. Its role in managing fibroid symptoms may enhance metabolic health and contribute to the overall efficacy of treatment protocols.
66) Hridaya (Hrdaya):
Hrdaya translates to heart and embodies emotions and feelings in Ayurveda. Acknowledging the heart's role helps in understanding the emotional dimensions of health, particularly when dealing with conditions impacting women's health such as fibroids.
67) Srotas (Shrotas):
Srotas denotes the biological channels within the body through which doshas, dhatus, and malas (wastes) circulate. Ensuring the proper functioning of srotas is vital in Ayurvedic treatment for uterine fibroids as blocked channels may exacerbate symptoms.
68) Kalka:
Kalka refers to the paste or ground form of herbs in Ayurveda used in various preparations. Its application in the study illustrates how herbal preparations are utilized to effectively manage uterine fibroid symptoms and restore health.
69) Patha:
Patha is an Ayurvedic herb useful for a variety of therapeutic applications, including digestive support. Its inclusion in treatment formulations can assist in managing uterine fibroid symptoms through its beneficial effects on digestion.
70) Avapa:
Avapa refers to a substance introduced into the body through a specific method of administration. Understanding avapa allows practitioners to effectively integrate herbal formulations into treatment practices, particularly for conditions like fibroids.
71) Nimba:
Nimba, or neem, is an Ayurvedic herb known for its detoxifying and antimicrobial properties. Incorporating nimba in the therapeutic regime for fibroids can enhance overall health by addressing doshic imbalances and promoting detoxification.
72) Vaca:
Vacha refers to a medicinal herb known for its cognitive-enhancing and anti-inflammatory properties. Its role in treating conditions like fibroids highlights the potential holistic benefits of addressing both physical and mental health.
73) Roga:
Roga denotes disease or disorder in Ayurveda. Understanding roga concepts helps practitioners diagnose and treat conditions effectively, such as uterine fibroids, through balanced interventions addressing both symptoms and causes.
74) Medas (Meda, Medash):
Medas denotes fat tissue in Ayurveda, crucial for understanding conditions like uterine fibroids. Managing medas through diets and herbal treatments contributes to holistic health, impacting various body functions.
75) Mishi (Misi):
Misi refers to a variety of Ayurvedic herbs known for their supportive therapeutic effects. Inclusion of misi in formulations for uterine fibroids acknowledges the traditional practice of combining herbs for enhanced medicinal efficacy.
[Note: The above list is limited to 75. Total glossary definitions available: 151]
Other Science Concepts:
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