Management of artavakshaya w.s.r. to polycystic ovarian syndrome

a case report

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: Management of artavakshaya w.s.r. to polycystic ovarian syndrome
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 report

Original source:

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Author:

Dr. Manbi Sharma, Dr. Tanuja Bharti and Dr. Prerna


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Management of artavakshaya w.s.r. to polycystic ovarian syndrome

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

Doi: 10.20959/wjpr202316-29705

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

The paper discusses the syndrome known as Artavakshaya as described in Ayurvedic medicine, particularly focusing on its correlation with modern conditions such as Polycystic Ovarian Syndrome (PCOS). Artavakshaya, which refers to decreased menstrual flow, is significant for women's reproductive health, and when neglected, can lead to several gynaecological problems. The case report details a 21-year-old female patient who presented with delayed and irregular menstruation for three years, eventually diagnosed with bilateral polycystic ovarian disease (PCOD). The study aims at providing a holistic Ayurvedic treatment approach to managing Artavakshaya and regulating menstrual cycles.

Ayurvedic Understanding of Artavakshaya

In Ayurveda, Artavakshaya is understood not simply as a disorder but as a manifestation of underlying imbalances within the body. The condition is believed to arise due to vitiation of the doshas—mainly Vata and Kapha—that disrupt the normal menstrual cycle. According to classical texts, various factors such as lifestyle, nutrition, and mental health can affect the physiology of menstruation. The treatment focuses on restoring balance to the doshas and strengthening the body’s natural menstrual functions, which is essential for overall reproductive health.

Ayurvedic Treatment Approaches: Shatapushpa Taila Nasya

The case study highlights Shatapushpa Taila Nasya as a significant treatment intervention that offers an alternative to hormonal therapy commonly used in modern medicine. This Ayurvedic nasal treatment is administered to help regulate the Hypothalamic-Pituitary-Ovarian (HPO) axis, focusing on pacifying Vata dosha and promoting healthy ovarian function. The application of Shatapushpa Taila aims to reduce symptoms associated with PCOS, such as irregular menstruation and emotional disturbances, showcasing the holistic nature of Ayurvedic treatments that address both physical and psychological well-being.

Hormonal Assessments and Their Implications

The paper provides comprehensive details regarding hormonal assessments conducted during treatment, which indicate improvements in hormonal balance over time. Initial hormonal testing showed imbalances typical of PCOS, including elevated testosterone levels. After treatments, however, there was a marked improvement in the levels of key hormones, with a decrease in testosterone and normalization of estradiol. This improvement in hormonal profiles reinforced the efficacy of Ayurvedic interventions and exemplified the potential benefits of alternative therapies in managing conditions traditionally addressed by hormonal treatments.

Conclusion

The overall findings of the case study suggest that Ayurvedic management, through natural treatments and a holistic approach, presents a viable alternative to hormonal therapies for addressing menstruation-related disorders like Artavakshaya. Shatapushpa Taila Nasya was particularly noted for its effectiveness in alleviating symptoms and restoring menstrual regularity. The study advocates for increased exploration into Ayurvedic treatments to offer solutions that have minimal side effects, thereby emphasizing the importance of traditional knowledge in contemporary health practices. Ultimately, the integration of Ayurvedic methods stands to greatly benefit women's health, aligning with modern needs while preserving traditional wisdom.

FAQ section (important questions/answers):

What is Artavakshaya in Ayurvedic medicine?

Artavakshaya refers to decreased menstrual blood flow and irregular menstruation. It can correlate with conditions like oligomenorrhea, hypomenorrhea, and secondary amenorrhea, often requiring specific Ayurvedic treatment.

How does Ayurveda approach the treatment of menstrual disorders?

Ayurveda emphasizes restoring balance to the doshas, especially Vata and Kapha, to regulate menstruation. It utilizes herbal formulations and treatments like Nasya to address the root cause of menstrual irregularities.

What were the symptoms of the patient in the case study?

The 21-year-old female patient experienced delayed menstruation for 6 months with prolonged intervals, increased pain, and irregular cycles, along with USG findings of bilateral polycystic ovarian disease.

What treatments were provided to the patient in the study?

The patient received Ayurvedic formulations like Rajahpravartani vati, Lasunadi vati, and underwent Nasya therapy using Shatapushpa tail to restore her menstrual regularity and balance the hormonal axis.

What was the outcome of the Ayurvedic treatment for the patient?

After treatment, the patient experienced regular menstruation with normal duration, indicating successful management of her menstrual disorder and improvement in overall reproductive health.

What are the potential side effects of modern hormonal treatments?

Long-term use of hormonal treatments can lead to side effects like nausea, gastrointestinal disturbances, obesity, and more, which highlights the need for safer alternatives like Ayurveda.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Management of artavakshaya w.s.r. to polycystic ovarian syndrome”. 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) Artava:
Artava refers to normal menstruation in Ayurveda, considered an essential aspect of female reproductive health. It indicates the proper functioning of the menstrual cycle, which is a critical health marker for women. Changes in Artava, such as irregularity or scarcity, signal potential underlying health issues.

2) Sharman (Sarma, Sarman, Sharma):
Sharma is the surname of the lead author of the case study, Dr. Manbi Sharma. His contributions to Ayurvedic medicine and research emphasize the traditional practices surrounding female reproductive health, specifically focusing on conditions such as Artavakshaya or irregular menstruation.

3) Shatapushpa (Satapuspa, Shata-pushpa):
Shatapushpa, known in modern terms as 'Shatavari', is an Ayurvedic herb used primarily for female health. It is believed to possess properties that support reproductive health, balance hormones, and alleviate symptoms of menstrual disorders, making it central to the treatment regimens for conditions like PCOS.

4) Nasya (Nashya):
Nasya is a traditional Ayurvedic therapeutic procedure involving administering herbal oils or medicines through the nostrils. This process is believed to clear blockages in the nasal passages and improve overall body functionality, especially in hormonal balance and menstrual regulation.

5) Disease:
Diseases encompass a wide range of health issues, particularly those affecting female reproductive health like menstrual disorders, PCOS, and others. Understanding these diseases lays the groundwork for finding effective Ayurvedic treatments.

6) Rasa (Rasha):
In Ayurveda, Rasa generally denotes 'essence' or 'juice,' often referring to the primary nutrients in the body. It contributes significantly to the formation of Rakta, or blood, which in turn is essential for producing Artava, thereby affecting menstrual health.

7) Vata:
Vata is one of the three doshas in Ayurveda, embodying the principles of movement and communication. In female reproductive health, a vitiated Vata can lead to various disturbances, including irregular menstruation and pelvic discomfort, making its regulation crucial in treating Artavakshaya.

8) Drug:
Drugs refer to the various herbal concoctions and Ayurvedic formulations employed to treat subjects, particularly those suffering from menstrual problems like Artavakshaya. These medications aim to restore balance and improve the functioning of the female reproductive system.

9) Rakta:
Rakta translates to 'blood' in Ayurveda and is vital for menstruation. It is generated from Rasa and is integral to reproductive health. Proper Rakta formation is necessary for healthy menstruation and can be affected by diet, lifestyle, and emotional health.

10) Taila (Thaila):
Taila, or oil, plays a significant role in Ayurvedic therapies. It is often used in treatments such as Nasya and Snehana to nourish tissues, facilitate healing, and balance doshas, especially in the context of managing menstrual irregularities and hormonal factors.

11) Dhatu:
Dhatus represent the seven essential tissues in Ayurvedic medicine, playing a critical role in maintaining health. The quality and balance of these Dhatus are crucial in ensuring a healthy menstrual cycle and overall reproductive well-being.

12) Water:
Water is essential for all bodily functions and is often used as a medium in Ayurvedic therapies, including for preparing herbal concoctions or for Snehana. Staying hydrated is critical for maintaining balance within the body, reflecting in reproductive health.

13) Visit:
Visits refer to the appointments made between the patient and practitioner for treatment assessments. Tracking visits is essential for monitoring progress in Ayurvedic therapy and adjusting treatments according to individual needs.

14) Blood:
Blood is a vital fluid in the body and is fundamental to the menstrual cycle. In Ayurveda, its quality and quantity directly influence reproductive health, and its regular flow is indicative of well-functioning biological systems in women.

15) Yoni (Yonin):
Yoni is a Sanskrit term referring to the female reproductive organ, symbolizing fertility, creativity, and divine feminine energy in Ayurveda. Proper care and treatment of the Yoni are pivotal for addressing menstrual disorders and overall female health.

16) Agni:
Agni denotes 'digestive fire' in Ayurveda, essential for metabolic processes and maintaining health. Optimal Agni is necessary for the proper formation of Dhatus, including Rasa and Rakta, which subsequently impact menstrual health and well-being.

17) Vati:
Vati refers to a type of Ayurvedic tablet or pill prepared from herbal ingredients. They are formulated to offer a concentrated dose to the body, targeting specific ailments, including issues in women's reproductive health like Artavakshaya.

18) Pushpa (Puspa):
Pushpa translates to 'flower' in Sanskrit. In a healthcare context, particularly in Ayurveda, it symbolizes flourishing health and vitality and is used metaphorically to refer to the wellness of the Yoni and overall reproductive health.

19) Dosha (Dosa):
Doshas are fundamental concepts in Ayurveda, representing the body's constitutions made up of Vata, Pitta, and Kapha. Imbalances among these doshas can lead to health issues in women, especially concerning their menstrual cycles and reproductive functions.

20) Kapha:
Kapha refers to one of the three doshas in Ayurveda that signifies structure and stability in the body. An imbalance in Kapha may contribute to reproductive health issues, influencing the characteristics of menstrual blood flow and cycle regularity.

21) Menstrual blood:
Menstrual blood is the shedding of the uterine lining, crucial for reproductive health. In Ayurveda, it reflects the health of Artava and is integral to assessing menstrual disorders, necessitating proper management through lifestyle and herbal interventions.

22) Ayurveda (Ayus-veda):
Ayurveda is a holistic healing system originating from India, focusing on balancing body, mind, and spirit through natural methods. It offers practical approaches and treatments for various health issues, particularly women's reproductive health, emphasizing personalized care.

23) Medicine:
In this context, medicine pertains to the Ayurvedic practices and herbal formulations prescribed to treat specific ailments. These traditional medicines aim to harmonize bodily systems and restore menstrual cycles while minimizing adverse effects commonly seen in modern treatments.

24) Science (Scientific):
Science involves the systematic study of the natural world, which includes understanding bodily functions, diseases, and treatment methods. In Ayurveda, a scientific approach to herbal medications helps validate traditional practices and enhances their incorporation into modern healthcare.

25) Bahis (Bahish, Bahih):
Bahir, meaning 'external' in Sanskrit, can refer to the outward manifestations of health issues related to the female reproductive system. In the context of the article, it symbolizes the connection between internal health and visible symptoms like menstrual irregularities.

26) Garbhashaya (Garbhasaya, Garbha-ashaya):
Garbhashaya indicates the womb or the place where the fetus develops. In Ayurveda, its health is crucial for reproductive success, and any disturbances can directly affect menstruation and the ability to conceive.

27) Rasadhatu (Rasa-dhatu):
Rasa-dhatu refers to the primary fluid tissue in the body, which plays a crucial role in nourishing other Dhatus. Proper formation and circulation of Rasa-dhatu are essential for a healthy menstrual cycle and overall female reproductive health.

28) Samprapti:
Samprapti signifies the pathogenesis or progression of a disease in Ayurveda. Understanding the Samprapti of conditions like Artavakshaya allows practitioners to identify root causes and develop effective treatment strategies for restoring menstrual health.

29) Striroga (Stri-roga):
Stri-roga translates to 'female diseases' in Ayurveda, encompassing various health issues that pertain to women, particularly in reproductive health. Addressing Stri-roga involves specialized knowledge of menstrual health and the unique physiological needs of women.

30) Vitiation (Vitiated):
Vitiated indicates a compromised state of the doshas, which can impede the body's ability to function properly. Identifying vitiated conditions enables practitioners to formulate effective treatment strategies to restore balance in health, particularly in menstrual disorders.

31) Snehana:
Snehana is an Ayurvedic therapy involving oil-based treatment. It promotes relaxation, detoxification, and nourishment within the body. Snehana is often used before other treatments to enhance their effectiveness, particularly in addressing menstrual and reproductive health issues.

32) Prasuti:
Prasuti refers to the branch of Ayurveda dealing with obstetrics and gynecology. It focuses on women's health, childbirth, and managing menstrual disorders. This field embodies a comprehensive understanding of female physiology and its health implications.

33) Samaka (Shamaka):
Shamaka denotes 'relieving' or 'calming,' often describing treatments intended to pacify doshas, particularly Vata. In treating menstrual irregularities, Shamaka therapies can help restore balance, reducing symptoms like pain and irregular cycles.

34) Nostril:
Nostril is the external opening of the nose where Nasya treatments are administered. Applying herbal oils or medications through the nostrils is intended to balance doshas, directly influencing overall health and assisting in the regulation of menstrual cycles.

35) Tantra (Tantrism, Tamtra):
Tantra in Ayurveda often refers to techniques or systems of practices that promote health and well-being. Understanding the Tantras allows practitioners to utilize specific treatments effectively, addressing complex female health issues through holistic methods.

36) Kshaya (Ksaya):
Kshaya means 'diminution' or 'decrease' in Ayurveda, particularly in terms like Artavakshaya, which refers to diminished menstrual flow. Understanding Kshaya is vital to address related health concerns effectively, restoring normal menstrual functions.

37) Reason:
Reason refers to the underlying causes or factors contributing to health issues. In the context of women's health, identifying the reason behind conditions like Artavakshaya is crucial for effective diagnosis and treatment.

38) Karma (Karman):
Karma refers to an action or treatment process in Ayurveda. Each therapy or procedure, including Nasya and oral medications, is designed with specific karmic principles to achieve desired health outcomes, particularly in managing menstrual irregularities.

39) Roga:
Roga translates to 'disease' or 'illness.' In Ayurvedic context, understanding Roga is essential for diagnosing and treating health issues like menstrual disorders, which can derive from imbalances in the doshas and Dhatus.

40) Pain:
Pain is a symptom often associated with menstrual disorders like Artavakshaya. Understanding the nature and intensity of pain experienced by patients helps tailor effective Ayurvedic treatments aimed at relieving discomfort during menstruation.

41) Life:
Life symbolizes the holistic approach that Ayurveda takes toward health and well-being, prioritizing balance among body, mind, and spirit. It emphasizes understanding that female reproductive health is integral to a woman's overall life experience.

42) Raktadhatu (Rakta-dhatu):
Rakta-dhatu indicates the blood tissue in Ayurveda, critical for sustaining life and vitality. Healthy Rakta-dhatu is crucial for menstruation and indicates normal reproductive function, reflecting the health of Artava.

43) Nasyakarman (Nasyakarma, Nasya-karma):
Nasya-karma refers to the therapeutic procedure of administering oils through the nostrils. This practice aids in balancing doshas, alleviating symptoms of menstrual disorders, and promoting overall wellness in female health.

44) Daurbalya:
Daurbalya means debility or weakness, often referring to a state affecting the female reproductive system. Treatments targeting Daurbalya, especially in cases of menstrual disorders, aim to restore vitality and strength.

45) Shodhana (Sodhana):
Shodhana signifies detoxification processes in Ayurveda, aimed at cleansing the body of impurities. In managing menstrual disorders, Shodhana plays a vital role in restoring the body’s balance and promoting regular menstrual functions.

46) Yoniroga (Yoni-roga):
Yoniroga encompasses various diseases associated with the female reproductive system. Understanding this category is essential for effectively diagnosing and treating issues such as menstrual dysfunctions or PCOS.

47) Lashunadi (Lasunadi):
Lasunadi is an Ayurvedic formulation known for its properties to aid menstrual health. It is typically used in conjunction with other treatments to promote hormone balance and support normal menstrual function.

48) Vomiting:
Vomiting is an adverse effect often seen in modern hormonal treatments for menstrual disorders. Understanding its implications aids in justifying Ayurvedic alternatives, which aim to reduce such adverse effects while promoting health.

49) Bleeding:
Bleeding in the context of female health usually relates to menstrual flow. Assessing the quantity and quality of bleeding is crucial for diagnosing menstrual disorders and tailoring appropriate treatments.

50) Family:
Family history plays a significant role in understanding health predispositions. In Ayurvedic practice, it is essential to consider family medical history to identify potential hereditary factors affecting menstrual health.

51) Nausea:
Nausea is a common side effect experienced due to various treatments or health conditions, especially in women facing hormonal imbalances. Exploring its management is crucial when developing comprehensive treatment plans.

52) Pitta:
Pitta is one of the three doshas in Ayurveda, embodying the principles of heat and transformation. An imbalance in Pitta can lead to various health issues, including menstrual irregularities in women.

53) Vayu:
Vayu signifies the vital element of air within the Ayurvedic framework. It is linked with movement and communication in the body. Vata, a dosha associated with Vayu, directly influences various physiological processes, including reproductive health.

54) Kala:
Kala refers to the timing or cycle of processes in Ayurveda. Understanding the proper timing of treatments and recognizing menstrual cycles are crucial for helping women maintain healthy menstruation.

55) Sushruta-samhita (Susruta-samhita):
Sushruta Samhita is an ancient Ayurvedic text attributed to Sushruta, known for its comprehensive discussions on medical and surgical treatments. It serves as a foundation for understanding women's health issues and the role of Ayurveda in managing them.

56) Sutrasthana (Sutra-sthana):
Sutra-sthana is a section of the Sushruta Samhita that outlines principles and practices for surgical procedures and treatments in Ayurveda. Its teachings remain relevant in understanding women's health and applying Ayurvedic therapies.

57) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha represents one of the three doshic principles associated with earth and water elements, emphasizing stability and structure. Disruption in Kapha can manifest as complications in reproductive health, emphasizing the need for balance.

58) Papanashini (Papa-nashini, Papanasini):
Papanashini refers to cleansing or purifying therapies designed to remove physical and emotional impurities. Such practices are vital in restoring balance within the body and promoting reproductive health in women.

59) Vandhyatva:
Vandhyatva translates to infertility or inability to conceive, a condition that is often addressed within Ayurvedic practice. Understanding its underlying causes informs treatment approaches aimed at improving fertility and reproductive functions.

60) Putraprada (Putra-prada):
Putraprada signifies the aspect of fertility in Ayurvedic terminology, denoting the potential for conception. Treatments that enhance Putraprada focus on strengthening reproductive organs and balancing hormonal influences to promote healthy pregnancies.

61) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha reflects the energetic principle of movement and communication within the body. A vitiated Vata can lead to various menstrual disorders, necessitating targeted therapeutic approaches to restore harmony in reproductive health.

62) Discussion:
Discussion in the article refers to an analytical examination of the findings presented in the case report. It seeks to explore the implications of Ayurvedic treatments for managing menstrual disorders, integrating traditional knowledge with contemporary understanding.

63) Pravritti (Pravrtti):
Pravritti indicates the initiation or onset of natural processes, such as menstruation. Understanding Pravritti is essential in the context of female health to navigate issues related to irregular cycles and reproductive functions.

64) Shatavari (Satavari):
Shatavari is a key Ayurvedic herb known for its ability to support women's health, especially in regulating menstrual cycles. It is recognized for its adaptogenic qualities, aiding in stress relief and hormonal balance.

65) Substance:
Substance refers to tangible matter, often highlighting the physical properties of Ayurveda, such as herbal formulations used in treatments. Understanding the substances involved is vital for formulating effective Ayurvedic therapies for menstrual disorders.

66) Varanasi (Varanashi):
Varanasi is an ancient city in India associated with spiritual and medicinal practices. It serves as a cultural center for Ayurveda, representing traditional knowledge and healing practices that inform studies on women's health.

67) Samhita:
Samhita refers to collections or compilations of Ayurvedic texts that contain detailed descriptions of medicinal practices. These texts serve as valuable resources for practitioners navigating treatments for varying health conditions.

68) Kalpana:
Kalpana pertains to herbal formulation or preparation in Ayurveda. It highlights the importance of tailoring remedies for individual patients based on their specific conditions, particularly in treating female reproductive health issues.

69) Ghataka:
Ghataka refers to the factors or components involved in forming the body’s Dhatus. Understanding Ghataka is vital in Ayurvedic practice to develop effective treatments that support overall health and particularly reproductive wellness.

70) Anupana:
Anupana denotes the substance administered along with medicines to enhance absorption. The selection of appropriate Anupana is crucial in Ayurveda, ensuring that treatments for menstrual disorders are effective and lead to desired outcomes.

71) Shuddha (Suddha):
Shuddha means 'pure' in Sanskrit and signifies the importance of purity in Ayurvedic formulations. Ensuring Shuddha quality in medicines is necessary for effective treatment and achieving optimal results in managing health conditions.

72) Burning (Burn, Burned, Burnt):
Burning refers to sensations often associated with discomfort or pain. In a health context, addressing burning sensations linked to menstrual disorders aids in diagnosing conditions and tailoring appropriate Ayurvedic treatments.

73) Allergy:
Allergy refers to adverse reactions that can complicate treatments, particularly in women undergoing hormone therapies. Understanding allergies is essential to tailoring safe and effective Ayurvedic remedies that mitigate these risks.

74) Desire:
Desire signifies an intrinsic motivation toward health and wellness. In Ayurvedic practice, understanding desire helps tailor treatments that align with a patient's goals for menstrual health and overall well-being.

75) Vikara:
Vikara, similar to Vikaras, indicates a state of imbalance or malfunction within the body. In the context of Ayurveda, identifying Vikara is critical for addressing and reversing menstrual disorders effectively.

[Note: The above list is limited to 75. Total glossary definitions available: 107]

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Discover the significance of concepts within the article: ‘Management of artavakshaya w.s.r. to polycystic ovarian syndrome’. Further sources in the context of Science might help you critically compare this page with similair documents:

Garbhashaya, Kaphavardhaka, Nasyakarman, Menstrual disorder, Ayurvedic College, Vitiated dosha, Hormonal treatment, Polycystic Ovarian Syndrome, Shodhana Chikitsa, Oligomenorrhoea, Hypomenorrhoea, Yathochit kale adarshanam, Yoni Vyapada, Agni impairment, Hypothalamic pituitary ovarian axis, Vata Shamaka, Hypothalamus-Pituitary-Ovarian axis, Deepan, Pachana, Bilateral Polycystic Ovarian Disease, Amapachana Property.

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