Review on pelvic organ prolapse: prasramsini, phalini, mahayoni, vatiki.
Journal name: World Journal of Pharmaceutical Research
Original article title: Review on pelvic organ prolapse (prasramsini, phalini, mahayoni, vatiki yonivyapat) – a conceptual study
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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Dr. Namitha S. N. and Dr. Arpana Jain
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Review on pelvic organ prolapse (prasramsini, phalini, mahayoni, vatiki yonivyapat) – a conceptual study
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr202321-30429
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
Pelvic organ prolapse is a prevalent condition affecting many middle-aged women, primarily due to a combination of lifestyle factors and genetic predispositions. This condition encompasses various disorders, including uterine prolapse and other forms of pelvic organ descent, which can significantly impact a woman’s quality of life. Understanding the underlying causes, correlating these disorders to Ayurvedic concepts, and exploring management options—both surgical and non-surgical—are critical for effective treatment and prevention.
Concept of Prasramsini
In Ayurvedic literature, Prasramsini is discussed as a disorder leading to the displacement of reproductive organs, closely associated with first or second-degree uterine prolapse. The condition primarily arises from factors such as improper dietary habits (mithya ahara), chronic illnesses, and complications during childbirth. These factors can lead to an aggravation of vata and kshaya of kapha, resulting in a vitiation of pitta dosha. The clinical features of Prasramsini may include noticeable descent of the organ, accompanied by other symptoms like white discharge, highlighting the involvement of both vata and pitta doshas.
Concept of Phalini/Andini
Phalini or Andini is another important concept within Ayurvedic medicine, relevant to cases of cystocele and rectocele. It is characterized by a protruding vaginal wall due to laxity, which can stem from engaging in intercourse at a young age or incorrectly performed acts of intimacy. This condition affects the vaginal structure and may not directly lead to uterine prolapse but can result in significant complications. Factors leading to Phalini involve genetic predispositions, anatomical immaturity, and lifestyle choices that adversely affect the pelvic support structures.
Concept of Mahayoni
Mahayoni is noted in Ayurvedic texts as a condition that has implications for more severe cases of pelvic organ prolapse, potentially correlating to third-degree uterine prolapse or procidentia. This condition results from factors such as repetitive strain during childbirth, prolonged labor, and improper postures during coitus. Symptoms may include excessive dilation of the vagina and the presence of various discomforts. Understanding Mahayoni emphasizes the need for comprehensive management strategies, as it entails both anatomical and functional degeneration of the pelvic support system.
Conclusion
Pelvic organ prolapse is a significant health issue that disrupts the daily lives of many women and can adversely affect reproductive health. While modern medical approaches often focus on surgical interventions, Ayurvedic practices offer valuable insights into conservative management strategies. By recognizing the pathogenesis of these conditions as outlined in ancient texts, a holistic approach can be utilized to mitigate symptoms, enhance pelvic health, and delay or prevent the progression toward surgical solutions. Continued research and awareness of these relationships are vital for effective treatment and improved outcomes for women suffering from this condition.
FAQ section (important questions/answers):
What is pelvic organ prolapse and who does it affect?
Pelvic organ prolapse is a common condition affecting mainly middle-aged women due to various lifestyle factors. It involves the descent of pelvic organs, such as the uterus and bladder, leading to a range of disorders.
What are the degrees of pelvic organ prolapse?
There are three degrees of prolapse: First degree is when the organ descends halfway to the hymen; Second degree, extends to the hymen; and Third degree, where the organ protrudes beyond the hymen.
How does Ayurveda relate to pelvic organ prolapse?
In Ayurveda, pelvic organ prolapse is correlated with conditions like yonirogas, such as prasramsini and mahayoni. These conditions stem from lifestyle practices and dosha imbalances, emphasizing the importance of lifestyle and dietary choices.
What factors contribute to the development of prolapse?
Contributors to prolapse include multiple childbirths, obesity, heavy lifting, genetics, and lifestyle choices such as poor diet. Chronic conditions like chronic cough and constipation can also exacerbate the risk.
What types of management are suggested for pelvic organ prolapse?
Management can be surgical or non-surgical. Ayurveda suggests conservative treatments, including yoni abhyanga, ksheera dhuma, and dietary modifications to strengthen pelvic support and prevent further prolapse.
Why is understanding and treating pelvic organ prolapse crucial?
Understanding and addressing pelvic organ prolapse is important as it significantly disrupts daily activities for women. Early intervention can prevent progression to severe conditions requiring surgical interventions.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Review on pelvic organ prolapse: prasramsini, phalini, mahayoni, vatiki.”. 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) Yoni (Yonin):
In Ayurveda, 'Yoni' refers to the female reproductive system and is often discussed in relation to various health disorders affecting women's reproductive health. It encompasses aspects of physiology, pathology, and treatments tailored toward the female anatomical structures involved in reproduction, including the vagina, uterus, and associated organs.
2) Phalini:
Phalini is referenced in Ayurvedic texts as a specific disorder connected to the female reproductive system. It deals primarily with conditions resulting from improper sexual activities, leading to symptoms such as descent or prolapse of reproductive organs. It holds significance in understanding the consequences of certain behaviors on women's health.
3) Vata:
'Vata' is one of the three doshas in Ayurveda representing air and space elements. It governs movement and bodily functions related to the nervous system and circulation. Understanding Vata's role is crucial in diagnosing various conditions, particularly those involving irregularities in movement, such as pelvic organ prolapse.
4) Pitta:
Pitta, another of the three doshas, symbolizes fire and water elements, controlling metabolism, energy, and transformation within the body. Pitta is vital for digestion and thermoregulation, and its imbalance can lead to various health issues, including inflammation and heat-related conditions, correlating with disorders like pelvic organ prolapse.
5) Mamsa (Mamsha):
In Ayurvedic terminology, 'Mamsa' refers to muscle or flesh tissue in the body. It is one of the seven dhatus (tissues) essential for physical health and stability. The condition and health of Mamsa are integral to understanding structural support in organs and preventing issues related to prolapse or tissue degeneration.
6) Wall:
'Walls' can refer to the supportive structures, including the vaginal walls, which play a crucial role in maintaining pelvic organ integrity. The health and strength of these walls are vital in preventing conditions like prolapse and ensuring optimal reproductive function.
7) Garbhashaya (Garbhasaya, Garbha-ashaya):
'Garbhashaya' denotes the uterus in Ayurvedic literature, representing the site of fetal development and reproductive health. It is essential in discussions about female health, especially concerning prolapse and related disorders. Understanding its constitution and support is significant for treatment strategies in gynecological conditions.
8) Bhramsha (Bhramsa):
'Bhramsa' is a term used to describe displacement or descent, often related to pelvic organ prolapse. It is crucial in understanding the movement of the uterus or vagina away from their normal positions and is a key concept in both diagnosis and treatment within Ayurvedic frameworks.
9) Rasa (Rasha):
In Ayurveda, 'Rasa' refers to bodily fluids or essence, particularly related to nutrient absorption and circulation. It's one of the vital dhatus involved in maintaining health. Rasa undergoes various transformations and influences the body's strength, making it relevant in the context of pelvic health and organ support.
10) Lakshana (Laksana):
'Lakshanas' is the plural form of Lakshana, highlighting multiple clinical signs and symptoms associated with a condition. A thorough understanding of Lakshanas is crucial for diagnosis and treatment modeling in Ayurvedic practice, especially for gynecological disorders where symptoms vary widely.
11) Vagbhata:
Vagbhata is one of the ancient scholars of Ayurveda whose texts elaborate on various health conditions. His contributions to understanding women's health, particularly in relation to gynecological and obstetric disorders, remain influential in both traditional practices and modern interpretations of Ayurvedic medicine.
12) Vihara:
'Viharas' are daily activities or behavioral patterns in Ayurveda that play a role in maintaining health. Healthy Viharas contribute to preventing diseases, including those affecting the reproductive system, while harmful Viharas may lead to complications such as pelvic organ prolapse.
13) Nidana:
Nidanas, the plural of Nidana, denote multiple causes or factors contributing to a disease. Identifying various Nidanas is essential for developing treatment strategies in Ayurveda by addressing all underlying issues associated with conditions like pelvic organ prolapse.
14) Dosha (Dosa):
Dosha represents the biological energies of the body in Ayurveda, categorized into Vata, Pitta, and Kapha. Each dosha is responsible for specific physiological functions, and their balance is vital for health. Prolapse may arise from doshic imbalances, highlighting the importance of dosha management in treatment.
15) Tridoshaja (Tridosaja):
'Tridoshaja' refers to conditions that arise from the imbalance of all three doshas (Vata, Pitta, Kapha). Recognizing tridoshaja diseases is essential in Ayurveda, particularly for conditions like pelvic organ prolapse that may result from multifactorial doshic disturbances requiring comprehensive treatment strategies.
16) Samanya:
'Samanya' signifies general characteristics or commonalities. In Ayurveda, recognizing Samanya traits helps practitioners identify patterns in patient presentations, allowing for more targeted treatments for conditions like pelvic organ prolapse that may have shared features among individuals.
17) Disease:
'Diseases' encompass a broad spectrum of conditions affecting health. Understanding different diseases, particularly those specific to women’s health, is crucial for identifying symptoms and implementing appropriate Ayurvedic interventions, especially regarding conditions like pelvic organ prolapse.
18) Sneha:
'Sneha' translates to oleation or a process of applying unctuous substances, which is crucial in Ayurvedic treatments. Sneha helps to nourish tissues, improve flexibility, and support the health of the reproductive system, effectively addressing conditions associated with pelvic organ prolapse.
19) Vesavara (Veshavara):
Veshavara refers to specific medicinal preparations typically used to support pelvic health in Ayurveda. These preparations help enhance healing and support during treatment of conditions like prolapse, focusing on restoring balance and strength to affected areas.
20) Vatahara (Vata-ahara):
'Vatahara' refers to treatments aimed at pacifying Vata dosha, which is often implicated in various disorders, including those affecting the reproductive system. Managing Vata is essential in Ayurveda, especially in conditions like pelvic organ prolapse that may manifest from Vata imbalance.
21) Ruksha (Ruksa):
'Ruksha' signifies dryness in Ayurvedic terminology, referring to a condition that can affect the tissues, leading to weakness and imbalance. In pelvic health, Ruksha is critical, as excessive dryness could contribute to conditions like prolapse or other reproductive issues.
22) Kshaya (Ksaya):
'Kshaya' pertains to reduction or depletion, especially within the context of bodily tissues or dhatus. Understanding Kshaya is necessary when addressing conditions like pelvic organ prolapse since weakening of supporting tissues can lead to descent and associated complications.
23) Vivrita (Vivrta):
Vivrta signifies widening or dilation, particularly concerning the reproductive organs in Ayurvedic texts. This term is associated with conditions leading to prolapse and reflects the changes in normal anatomical positions of pelvic organs that can result from various factors.
24) Mithya:
'Mithya' refers to incorrect or inappropriate practices that can lead to health issues. In the context of pelvic organ prolapse, Mithya Ahara (diet) and Mithya Vihara (lifestyle) can be significant contributors, emphasizing the need for proper guidance in healthful living.
25) Vyadhin (Vyadhi):
In Ayurveda, 'Vyadhi' denotes any disease or disorder. Understanding Vyadhi is essential for diagnosis and treatment planning, particularly in conditions like pelvic organ prolapse where careful assessment of underlying causes and symptoms is required to provide effective remedies.
26) Kapha:
Kapha is one of the three doshas in Ayurveda representing earth and water elements, associated with structure, lubrication, and stability. Imbalance in Kapha can lead to various health issues, including those affecting reproductive organ support, thereby influencing conditions like pelvic organ prolapse.
27) Basti:
'Basti' refers to a therapeutic enema or colon cleansing treatment used in Ayurveda. It can be effective in managing doshic imbalances, particularly Vata and Kapha, which may contribute to pelvic organ prolapse and related disorders through its detoxifying and nourishing properties.
28) Dhatu:
Dhatu refers to the seven fundamental tissues that comprise the human body, crucial for maintaining health and balance. Understanding the state of Dhatus, such as Mamsa (muscle) and Rasa (plasma), provides insights into supportive therapies for conditions like pelvic organ prolapse.
29) Drug:
'Drug' refers to a substance utilized for therapeutic purposes. In Ayurveda, drugs can be herbal or mineral-based, and their selection is crucial for the effective treatment of conditions like pelvic organ prolapse, addressing both symptoms and underlying imbalances.
30) Roga:
Rogas refers to various health conditions or diseases in Ayurveda. Understanding different Rogas helps practitioners to categorize symptoms and mechanisms, especially those related to women's reproductive health issues like pelvic organ prolapse, thereby guiding effective treatment strategies.
31) Pain:
Pain is a common symptom associated with various health conditions. In the context of pelvic organ prolapse, understanding pain’s nature and location is essential for diagnosing the severity of the condition and determining appropriate management strategies.
32) Mamsadhatu (Mamsha-dhatu):
Mamsa-dhatu denotes the muscle or flesh tissue within the Ayurvedic framework. Its health is pivotal for structural support in organs. Weakening of Mamsa can contribute to conditions like pelvic organ prolapse, thus necessitating targeted interventions to strengthen affected tissues.
33) Vitiation (Vitiated):
Vitiated refers to an altered state of natural elements or doshas leading to disease. Understanding when a dosha is vitiated helps practitioners develop effective treatment plans, particularly in conditions like pelvic organ prolapse where restoring balance is key to recovery.
34) Bandhana (Bamdhana):
'Bandhana' signifies supportive measures or techniques aimed at stabilizing or binding tissues or structures within the body. It is an important aspect of managing conditions like pelvic organ prolapse, where structural support needs reinforcement to restore balance and function.
35) Ayurveda (Ayus-veda):
Ayurveda is the ancient system of medicine originating from India, emphasizing holistic health through balance among body, mind, and spirit. Its principles guide diagnosis, treatment, and prevention of various conditions, including women's health issues like pelvic organ prolapse.
36) Abhyanga (Abhyamga):
'Abhyanga' refers to the practice of self-massage using herbal oils. This therapeutic technique enhances circulation, nourishes tissues, and supports recovery in conditions like pelvic organ prolapse by promoting relaxation and improving the integrity of supportive structures.
37) Vishesha (Visesa):
'Vishesha' translates to specific or particular conditions unique to individuals. This concept is essential in Ayurvedic diagnostics, as recognizing the Vishesha nature of each case allows for tailored treatment related to conditions like pelvic organ prolapse, addressing individual needs.
38) Svedana:
'Svedana' refers to therapeutic sweating, utilized in Ayurveda to facilitate detoxification and improve circulation. It can be beneficial in managing conditions like pelvic organ prolapse by encouraging tissue rejuvenation and reducing doshic imbalances associated with supportive tissues.
39) Prasuti:
'Prasuti' relates to childbirth or reproductive processes in Ayurveda. Understanding Prasuti is crucial as it provides insights into maternal health and potential complications following delivery, such as pelvic organ prolapse, emphasizing preventative care during and after pregnancy.
40) Tantra (Tantrism, Tamtra):
'Tantra' refers to the scientific study or systematization of knowledge in Ayurveda. It encompasses understanding the principles and methods underlying treatment practices, making it relevant for those addressing complex conditions such as pelvic organ prolapse.
41) Sthana:
'Sthana' denotes the localized site of a disease or condition in the body. Recognizing Sthana is essential for diagnosing and targeting treatment, particularly in conditions like pelvic organ prolapse, where specific organs need focused care to restore proper function.
42) Sramsa:
'Sramsa' refers to a state of descent or displacement, particularly concerning the reproductive organs. This concept is integral to understanding pelvic organ prolapse, emphasizing the importance of maintaining positional integrity in pelvic structures.
43) Rakta:
'Rakta' indicates blood in Ayurveda, one of the seven essential dhatus. Its health is critical for overall vitality and is involved in the nourishment of tissues. Understanding Rakta is important for treating conditions affecting reproductive health and maintaining balance.
44) Picu:
Pichu refers to a therapeutic practice involving the application of medicated oil-soaked cloths or pads on the pelvic region. This method is beneficial in treating conditions such as pelvic organ prolapse, aiding in lubrication, recovery, and strength enhancement of supporting tissues.
45) Anuvasanabasti (Anuvasana-basti):
Anuvasana-basti refers to an enema treatment used in Ayurveda for nourishment and lubrication of the intestines and pelvic region. This technique can be effective in managing conditions like pelvic organ prolapse by alleviating Vata imbalances and restoring structural integrity.
46) Madhavanidana (Madhava-nidana):
Madhavanidana is an ancient Ayurvedic text that outlines diagnostic principles and treatment strategies for various health conditions. Its significance lies in providing comprehensive insights into female health, particularly in relation to reproductive disorders such as pelvic organ prolapse.
47) Yogaratnakara (Yoga-ratnakara):
Yogaratnakara is another classical Ayurvedic text covering various health concepts, including women's health. It offers guidelines for diagnosing and treating conditions like pelvic organ prolapse and contributes to the understanding of Ayurvedic principles in gynecology.
48) Apanavata (Apana-vata):
Apana-vata is a subtype of Vata dosha responsible for downward movement in the body, particularly related to elimination and reproductive processes. Its balance is crucial for maintaining reproductive health, and imbalances may lead to conditions such as pelvic organ prolapse.
49) Pakvashaya (Pakvasaya, Pakva-ashaya):
'Pakvashaya' refers to the colon or large intestine in Ayurveda, involved in digestion and elimination processes. Its health is significant for overall well-being, and any disturbances within Pakvashaya may impact reproductive health, connecting it to conditions like pelvic organ prolapse.
50) Anuvasana:
Anuvasana is a therapeutic enema used in Ayurveda for rectal instillation of medicatives. This procedure can help in treating Vata-related disorders and promoting tissue health, beneficial in managing cases of pelvic organ prolapse by enhancing nourishment of affected structures.
51) Yoniroga (Yoni-roga):
'Yoniroga' encompasses disorders affecting the female reproductive system. Understanding the concept of Yoniroga is essential for developing effective Ayurvedic treatments that target specific issues related to women's health, particularly those such as pelvic organ prolapse.
52) Vankshana (Vanksana, Vakshana, Vaksana, Vamkshana):
'Vamkshana' refers to pain in the groin region, which may manifest in conditions affecting the pelvic area. Understanding Vamkshana helps physicians identify underlying pelvic organ issues and tailor treatments to alleviate this symptom effectively.
53) Syandana (Syamdana):
Syandana pertains to discharge from the reproductive tract, often indicating underlying imbalances or infections in Ayurvedic contexts. Recognizing the nature and implications of Syandana is essential for diagnosing conditions like pelvic organ prolapse and determining appropriate interventions.
54) Purusha (Purusa):
'Purusha' is a term often used to refer to a male individual in the context of Ayurveda. Understanding the role of Purusha in reproductive health discussions is essential, particularly when examining lifestyle factors affecting female partners, such as during childbirth and sexual health.
55) Kukkuta:
Kukkuta refers to chicken or domestic fowl in Ayurvedic literature. The mention of Kukkuta can denote certain dietary practices or medicinal properties derived from such sources, emphasizing the importance of nutrition and dietary balances in health management like pelvic organ prolapse.
56) Dusita (Dushita):
'Dushita' signifies impurity or contamination and reflects the negative impact on health from improper practices or substances. Identifying Dushita aspects is critical for practitioners as it underlines the importance of maintaining health through cleanliness and suitable lifestyle choices to prevent illnesses.
57) Sevana:
Sevana refers to adherence or engagement in specific practices or disciplines. In Ayurveda, proper Sevana is vital for health maintenance and prevention of diseases, especially in relation to reproductive health and care that support women against conditions like pelvic organ prolapse.
58) Gramya:
'Gramya' signifies communal or collective factors that can influence health. Addressing Gramya aspects in healthcare allows practitioners to integrate social and lifestyle factors into treatment plans for women’s health, particularly in the context of reproductive disorders.
59) Vatika:
'Vatika' often refers to conditions or disorders related to Vata dosha. Understanding Vatika can guide practitioners in identifying imbalance-related symptoms that contribute to conditions like pelvic organ prolapse and aiding in selecting appropriate therapeutic measures.
60) Labour (Labor):
Labour refers to the physiological process of childbirth. Understanding the implications of labour on pelvic health is crucial, as complications during delivery can significantly impact women's reproductive systems, potentially leading to conditions like pelvic organ prolapse.
61) Varaha:
Varaha is associated with a type of boar, often used in Ayurvedic references. It can denote specific dietary practices or eloquent characteristics tied to nutrition in health treatment, especially for conditions concerning strength and structural support in women's reproductive health.
62) Mukha:
'Mukha' translates as 'face' or 'mouth,' and can pertain to aspects of health that reflect the overall wellbeing and frameworks in Ayurveda. Recognition of Mukha in bodily health may correlate with systemic conditions in reproductive health, including signs and symptoms indicative of disorders.
63) Anupa:
'Anupa' refers to medicated preparations or substances that are utilized in Ayurvedic treatments. In this context, the use of Anupa is essential for delivering therapeutic effects on specific health conditions, particularly those related to women's reproductive health and pelvic organ management.
64) Ahara:
Ahara means food or dietary practices in Ayurveda. Recognizing the importance of Ahara is crucial, as appropriate dietary choices contribute significantly to maintaining balance and preventing diseases like pelvic organ prolapse through nutrient supply and overall health enhancement.
65) Pinda (Pimda):
'Pinda' refers to bolus or clump of medicated substances often used in Ayurvedic treatments. The application of Pinda can offer localized therapeutic effects, and may play a role in strengthening the pelvic floor and related tissues to mitigate conditions such as prolapse.
66) Shalya (Salya):
'Salya' signifies surgical procedures or interventions in Ayurveda. Understanding Salya is important when discussing necessary medical approaches for conditions that may require surgical intervention, such as pelvic organ prolapse, ensuring informed decision-making in treatment paths.
67) Linga (Limga):
'Linga' denotes the male genitals in Ayurvedic texts, and factors involving Linga can significantly impact female reproductive health in discussions around relationships, reproductive health, and childbirth, all of which may converge in disease discussions, including pelvic organ prolapse.
68) Apana:
'Apana' refers to the downward movement primarily associated with elimination and reproductive functions. Recognizing the role of Apana is critical in Ayurveda, particularly in assessing its implications on women's health management and conditions such as pelvic organ prolapse.
69) Shrava (Srava):
Srava translates to flow or discharge, critical when assessing biological outputs in health. In the context of pelvic health, recognizing abnormal Srava patterns assists in diagnosing underlying conditions leading to prolapse and enables targeted treatment to restore healthy flow.
70) Dhuma:
'Dhuma' signifies the fragrant smoke, often in the context of therapeutic smoke treatments in Ayurveda. Its applications can promote healing and well-being, especially concerning reproductive health management, contributing to conditions such as pelvic organ prolapse.
71) Birth:
'Birth' is the process of bringing forth a new life. It is crucial in discussions of maternal health, as childbirth can significantly affect a woman's body, leading to complications like pelvic organ prolapse that require thorough understanding and management post-delivery.
72) Study (Studying):
'Study' refers to the examination and analysis of subjects within the broader context of health sciences. Engaging in study allows Ayurveda practitioners to gain insights into conditions like pelvic organ prolapse, enhancing their diagnostic and therapeutic capabilities.
73) Tanu:
'Thanu' signifies the body in Ayurveda, reflecting the physical aspect essential to health. Understanding Thanu contributes to assessing overall well-being and aids in identifying potential systemic issues, such as the structural integrity required for preventing pelvic organ prolapse.
74) Gati:
'Gati' indicates movement or mobility, crucial in Ayurveda as it pertains to the function of doshas and the body's ability to heal. In the context of pelvic organ prolapse, understanding Gati supports assessments of connective tissue integrity and overall stability.
75) Vasa (Vasha):
'Vasa' signifies fluid or essence, particularly related to nourishing and sustaining tissues. In Ayurvedic contexts of reproductive health, Vasa is essential for understanding blood circulation and nutrient supply that are vital for supporting structures involved in conditions like pelvic organ prolapse.
[Note: The above list is limited to 75. Total glossary definitions available: 150]
Other Science Concepts:
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