Uttarbasti: A Localized Uterine Detox Therapy in Ayurvedic Practice
the uterine detox therapy
Journal name: World Journal of Pharmaceutical Research
Original article title: Uttarbasti
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 review
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Dr. Prajakta Garud, Dr. Pritam Dhoot, Dr. Sachin Gandhi and Dr. S. T. Shinde
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Uttarbasti
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr202321-30815
Copyright (license): WJPR: All rights reserved
Summary of article contents:
Introduction
Uttarbasti is a specialized Ayurvedic detoxification therapy designed for gynecological health, focusing on the uterine cavity. This therapy is a component of ancient Ayurvedic practices that emphasize balancing bodily systems to promote health and rejuvenation. Ayurveda categorizes treatments into two main types: symptomatic treatment (Shamana chikitsa) and detoxification treatment (Shodhana chikitsa). While the former addresses symptoms of diseases, the latter includes techniques such as Panchakarma for thorough bio-purification of the body, with Uttarbasti being a significant method employed in local gynecological therapies.
Uttarbasti: A Focused Detox Therapy
Uttarbasti is defined as the administration of medicated substances into the upper passages of the body, specifically the uterus. This procedure is crucial in treating various gynecological issues, particularly those related to the Tryavarta Yoni, or the three coverings of the vagina. Common conditions treated with Uttarbasti include infertility (vandhyatva), uterine prolapse (yoni vibransha), and dysfunctional uterine bleeding (asrugdar). The administration of this treatment occurs ideally after menstruation, ensuring the uterine lining is receptive to the therapeutic substances, although it can also be applied in emergencies.
The Procedure of Uttarbasti
The process of Uttarbasti involves meticulous preparation and execution, divided into three stages: Poorva karma (preparatory work), Pradhana karma (main treatment), and Paschyat karma (post-treatment). Pre-treatment requires the elimination of any existing infections, moderate dietary adjustments, and cleansing procedures. During the main phase, a specific amount of medicated oil or decoction is administered into the uterine cavity through a specialized cannula. Post-treatment involves patient observation to ensure no complications arise and to confirm the effectiveness of the therapy.
Medicinal Oils Used in Uttarbasti
A variety of medicated oils are utilized in Uttarbasti, each tailored to specific gynecological conditions. For instance, Dhanwantar taila may assist women facing nidation failure, while Kshar taila targets those with fallopian tube blockages. Other oils, such as Narayana taila and Kasisadi taila, focus on issues like anovulation and polycystic ovarian syndrome (PCOS), respectively. Each oil is selected based on its therapeutic properties to support reproductive health and address particular disorders effectively.
Conclusion
Uttarbasti emerges as a noteworthy localized detox therapy for enhancing uterine function and overall reproductive health in women. Its applications show promising results when performed under strict hygienic measures and proper medical guidance. By carefully selecting the appropriate medicinal oils and adhering to the structured procedural steps, Uttarbasti can significantly aid in treating various gynecological disorders, thus revitalizing the organ and restoring health. The efficacy of this ancient practice showcases its enduring relevance in contemporary Ayurvedic medicine.
FAQ section (important questions/answers):
What is Uttarbasti in Ayurvedic treatment?
Uttarbasti is a localized detox therapy administered through the vaginal or uterine cavity to enhance reproductive health, effectively treating various gynecological disorders.
What are some indications for Uttarbasti therapy?
Uttarbasti is indicated for conditions like infertility, uterine prolapse, dysfunctional uterine bleeding, severe vaginal pain, and various other gynecological disorders.
What are the contraindications for Uttarbasti therapy?
Uttarbasti should not be administered in virgins, those with cervical carcinoma, heavy menstrual bleeding, HIV, hepatitis B, or hypersensitivity.
What are the stages involved in the Uttarbasti procedure?
The Uttarbasti procedure consists of three stages: Poorva Karma (preparation), Pradhana Karma (main procedure), and Paschyat Karma (post-procedure care).
What types of medicated oils are used in Uttarbasti?
Medicated oils such as Dhanwantar taila, Kshar taila, and Narayana taila are used, targeting specific conditions like tubal block and anovulation.
What preparations are needed before Uttarbasti administration?
Prior to Uttarbasti, ensure previous infections are cleared, perform necessary cleansing, and follow dietary recommendations to prepare the patient.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Uttarbasti: A Localized Uterine Detox Therapy in Ayurvedic Practice”. 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 refers to a therapeutic procedure in Ayurveda, specifically involving the administration of herbal decoctions and oils into the body via the rectal or vaginal route. It plays a crucial role in detoxification and balancing bodily doshas, especially in conditions affecting the reproductive and digestive systems.
2) Yoni (Yonin):
Yoni represents the feminine anatomical structure, particularly the vagina. In Ayurvedic context, it is significant in therapies for women's health, particularly regarding gynecological disorders. Treatment modalities like Uttarbasti focus on rejuvenating the Yoni, enhancing its functionality, and addressing various reproductive health issues.
3) Taila (Thaila):
Taila translates to oil in Sanskrit and is crucial in Ayurvedic treatments. Medicinal oils are often used in therapies like Uttarbasti for their nourishing and therapeutic properties. Oils like Dhanwantar taila or Narayana taila cater to specific disorders, promoting healing and rejuvenation within the body.
4) Karma (Karman):
Karma in Ayurveda denotes a specific action or therapeutic procedure. It describes the systematic approach taken to administer treatments like Uttarbasti. The proper execution of various karmas ensures effectiveness, safety, and alignment with the individual’s health needs, thus enhancing holistic healing.
5) Roga:
Rogas denote plural for various diseases affecting health, especially in the context of women’s health. Ayurvedic practices utilize targeted therapies to address diverse Rogas, thereby enabling practitioners to restore balance and enhance well-being through systematic approaches and individualized treatment regimens.
6) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine rooted in holistic health principles. It emphasizes the balance of body, mind, and spirit, utilizing natural therapies including herbal medicines, detoxification procedures, and lifestyle modifications. Ayurvedic practices like Uttarbasti demonstrate its relevance in women’s health and detoxification.
7) Shodhana (Sodhana):
Shodhana indicates detoxification in Ayurveda, referring to the purification processes intended to eliminate toxins from the body. This can involve various therapies, including Basti, which facilitate the cleaning of bodily channels, enhance organ functionality, and promote overall health, particularly in treating chronic conditions.
8) Pradhana:
Pradhana means principal or primary. In the context of Ayurvedic treatments, it emphasizes therapies that are of utmost importance, such as Basti. Understanding Pradhana methodologies helps healthcare practitioners focus on the most effective treatments to restore equilibrium in the patient's health.
9) Bleeding:
Bleeding refers to the loss of blood, which can indicate various health issues in women, particularly in gynecological contexts. In Ayurvedic practice, conditions like dysfunctional uterine bleeding are treated through localized therapies like Uttarbasti, aimed at restoring normalcy and alleviating symptoms.
10) Samana (Shamana):
Shamana indicates symptomatic treatment in Ayurveda that focuses on alleviating symptoms without removing the root cause. This approach is essential in managing chronic diseases where immediate relief is required, allowing practitioners to address the patient's discomfort while pursuing a long-term healing strategy with Shodhana.
11) Dravya:
Dravya signifies substance, particularly referring to plant-based medications or formulations in Ayurveda. The choice of Dravya is crucial, as different substances possess unique therapeutic properties. In therapies like Uttarbasti, selecting the appropriate Dravya can significantly affect treatment outcomes by targeting specific health issues.
12) Sneha:
Sneha means oil or unctuous substances in Ayurveda. It plays a vital role in nourishing and lubricating tissues. In therapeutic procedures, like Uttarbasti, Sneha is prioritized for its ability to penetrate tissues, promote healing, and support detoxification by facilitating the removal of toxins.
13) Dhule:
Dhule is a geographical location in India, particularly known for housing Ayurvedic institutions. Institutions in Dhule often provide education and treatment options in traditional Ayurveda, emphasizing the accessibility of holistic health practices and the promotion of ancient healing methodologies for local and extended communities.
14) Shamanacikitsa (Samanacikitsa, Shamana-cikitsa):
Shamana-chikitsa refers to the symptomatic treatment approach in Ayurveda aimed at alleviating discomfort or symptoms without necessarily addressing the underlying cause. It provides immediate relief to patients, thus enhancing their quality of life while complementary therapies, like Shodhana, are utilized to achieve long-term healing.
15) Pradhana-karma:
Pradhana-karma indicates primary actions or therapeutic interventions emphasized in Ayurvedic practices. Recognizing Pradhana-karma helps practitioners determine the most effective and impactful treatments, ensuring that patients receive care that directly addresses their health issues in a systematic and focused manner.
16) Anuvasana:
Anuvasana refers to a specific type of Basti therapy in Ayurveda, characterized by the administration of unctuous substances through the rectal route. This therapy targets the lower body, providing nourishment and alleviating Vata dosha imbalances while promoting overall health and well-being.
17) Asthapana:
Asthapana denotes another type of Basti in which liquid materials are introduced to the rectum. It aims to cleanse and detoxify the lower gastrointestinal tract, acting as a purgative to eliminate accumulated toxins and balance body doshas for improved digestive health.
18) Disease:
Disease refers to a specific pathological condition affecting an individual's health. In Ayurveda, identifying the specific Disease allows practitioners to devise targeted therapies based on the patient's unique constitution, imbalances, and health goals, ensuring a more personalized and effective healthcare approach.
19) Vyadhin (Vyadhi):
Vyadhi signifies disease or disorder akin to Rogas. In Ayurveda, understanding specific Vyadhis helps practitioners develop targeted treatment plans. Through individualized therapies, such as Uttarbasti, practitioners seek to resolve these health issues by focusing on the root causes, restoring balance and well-being.
20) Yantra (Yamtra):
Yantra translates to instrument or device used in Ayurveda for specific therapeutic procedures. The Uttarbasti Yantra, in particular, facilitates the safe and accurate administration of therapeutic oils or solutions into the uterine cavity, showcasing the importance of proper tools in enhancing treatment efficacy.
21) Ghrita (Ghrta):
Ghrita means clarified butter or ghee in Ayurvedic terminology. It is often used in medicinal preparations for its nourishing properties and ability to enhance absorption of herbal constituents. In treatments like Uttarbasti, Ghrita supplements the therapeutic efficacy, aiding in the rejuvenation and detoxification processes.
22) Marga:
Marga translates to path or channel and is significant in Ayurveda for describing pathways through which therapies, such as herbal substances, flow within the body. The concept of Marga is essential for understanding how treatments may influence bodily systems, particularly in cleansing or rejuvenating processes.
23) Picu:
Pichu refers to the use of medicated tampons in Ayurvedic practices. Inserted into the vagina, Pichu helps in delivering therapeutic substances directly to targeted sites, promoting healing and offering localized treatment for various conditions, including gynecological disorders, enhancing overall efficacious treatment outcomes.
24) Pain:
Pain signifies discomfort or suffering, often indicative of underlying health issues. In Ayurvedic practice, understanding the source of pain is critical for devising effective treatments like Uttarbasti that not only alleviate discomfort but also address the root causes, promoting holistic healing for patients.
25) Yoniroga (Yoni-roga):
Yoni-roga denotes various gynecological disorders that affect women's reproductive health. Ayurvedic approaches to Yoni-roga often involve targeted interventions like Uttarbasti, focusing on restoring balance and addressing specific health concerns to enhance overall female well-being.
26) Mahanarayanataila (Mahanarayana-taila):
Mahanarayana-taila is a specific medicated oil in Ayurveda known for its therapeutic properties, often employed in treatments for various musculoskeletal issues. Its use in modalities like Uttarbasti enhances the treatment of reproductive health issues, nourishing tissues and facilitating recovery in associated disorders.
27) Anuvasanabasti (Anuvasana-basti):
Anuvasana-basti is a type of Basti therapy involving the introduction of oil-based substances via the rectal route. This procedure is employed to balance Vata dosha and promote nourishment, addressing various gastroenterological and reproductive health issues through a targeted therapeutic approach.
28) Narayanataila:
Narayana-taila is a specialized herbal oil in Ayurveda, known for its effectiveness in treating musculoskeletal disorders and reproductive health concerns. Its inclusion in therapies like Uttarbasti highlights the importance of using specific oils in nourishing and healing women’s reproductive health effectively.
29) Raktamokshana (Raktamoksana, Rakta-mokshana):
Raktamokshana refers to bloodletting therapy in Ayurveda, used to detoxify the blood and manage disorders associated with excessive blood accumulation. This technique emphasizes the holistic nature of Ayurvedic treatments, offering diverse methods to cleanse and rejuvenate body systems.
30) Mahanarayana:
Mahanarayana is an Ayurvedic formulation that combines various herbs and oils, meticulously crafted for therapeutic use. Recognized for its prowess in rejuvenating energy levels, Mahanarayana often plays a central role in therapies, aiding in recovery and revitalization across various health conditions.
31) Purification:
Purification signifies cleansing processes vital in Ayurveda for eliminating toxins and restoring balance. Techniques like Shodhana and other detox therapies focus on achieving optimal health through thorough cleaning of bodily systems, empowering individuals to regain vitality and prevent disease progression.
32) Prakshalana (Praksalana):
Prakshalana means cleansing, particularly associated with therapeutic techniques that involve flushing out impurities from the body. Utilizing methods like Yoni Prakshalana prepares the body for further treatments, enhancing overall effectiveness by ensuring optimal receptivity to healing therapies.
33) Arrangement:
Arrangement refers to the systematic organization of tools and preparations necessary for Ayurvedic treatments. Proper arrangement of instruments for procedures like Uttarbasti ensures efficiency and safety, allowing practitioners to focus on delivering effective care to the patients during treatment sessions.
34) Mutrashaya (Mutrasaya, Mutra-ashaya):
Mutrashaya refers to the urinary bladder in Ayurvedic terminology. Understanding this concept is essential for practitioners involved in therapies addressing urinary issues, including therapies like Uttarbasti that target reproductive health by influencing the functionality of the Mutrashaya.
35) Mutraghata (Mutra-aghata):
Mutraghata refers to conditions impairing the normal flow of urine, such as urinary retention. In Ayurveda, treatments addressing Mutraghata focus on restoring normalcy in urinary function through therapeutic approaches like Uttarbasti, ensuring effective management of associated discomfort.
36) Vandhyatva:
Vandhyatva refers to infertility within Ayurvedic terminology. Specialized treatments like Uttarbasti are employed to enhance reproductive health, targeting underlying factors contributing to Vandhyatva, and promoting hormonal balance, thereby assisting couples in their journey to conceive.
37) Balataila (Bala-taila):
Bala-taila is an Ayurvedic oil known for its nourishing properties and primarily used in therapies focusing on enhancing strength and vitality. Its application in treatments like Uttarbasti aids in strengthening the reproductive system, making it vital in addressing women’s health issues.
38) Shatavari (Satavari):
Shatavari is an adaptogenic herb recognized for its benefits in promoting reproductive health among women. Used in Ayurvedic preparations, it helps regulate menstrual cycles, balance hormones, and support overall well-being, making it an important component in treatments focused on female health.
39) Guducyadi (Guducya-adi):
Guducyadi refers to a specialized Ayurvedic formulation used to support follicular maturation and enhance reproductive health. Its incorporation in therapies ensures holistic attention to women's health needs, addressing issues related to menstrual disturbances and supporting fertility efforts effectively.
40) Substance:
Substance typically refers to the materials or preparations used in Ayurvedic therapies. Identifying the appropriate Substance is crucial for determining treatment efficacy and ensuring that the therapeutic regimen aligns with the patient’s individual health needs.
41) Cleansing:
Cleansing indicates the process of removing impurities or toxins from the body, a fundamental principle in Ayurveda. Methods like Shodhana utilize cleansing techniques to restore health and balance, highlighting Ayurveda's commitment to natural, holistic healing practices.
42) Abhyanga (Abhyamga):
Abhyanga refers to a therapeutic massage performed with medicated oils in Ayurveda, promoting relaxation and enhancing circulation. This practice is vital for preparing individuals for deeper treatments, ensuring an optimal state for receiving additional therapeutic interventions.
43) Triphala (Tri-phala):
Triphala is an ancient Ayurvedic formulation composed of three fruits, known for its detoxifying properties and support for digestive health. Its regular use helps maintain bodily balance, emphasizing the holistic view of wellness integral to Ayurvedic practices.
44) Parinaha:
Parinaha refers to the morphological or structural characteristics of anatomical structures. In Ayurvedic practice, recognizing these characteristics is essential for understanding how treatments can effectively target specific health issues and enhance therapeutic outcomes.
45) Narayana (Nara-ayana, Nara-yana):
Narayana often relates to divine qualities or spiritual aspects in Ayurvedic texts, signifying the importance of incorporating holistic principles in health practices. It reflects Ayurveda's integration of physical, mental, and spiritual well-being into comprehensive treatment strategies.
46) Varunadi (Varuna-adi):
Varunadi refers to a specialized formulation used in Ayurveda to address issues like uterine fibroids and promote reproductive healing. Its medicinal properties play a key role in therapies targeting women's gynecological health, ensuring effective management of specific conditions.
47) Sthanika:
Sthanika denotes local or localized interventions in Ayurvedic treatments. Sthanika therapies focus specifically on targeted areas of the body, enhancing treatment effectiveness by addressing localized health conditions with precision and care.
48) Nirgundi (Nirgumdi):
Nirgundi refers to a medicinal herb known for its anti-inflammatory and analgesic properties. Utilized in Ayurvedic therapies, it helps alleviate pain and support healing, particularly in treatments aimed at musculoskeletal and reproductive systems, enhancing overall therapeutic efficacy.
49) Medicine:
Medicine in Ayurveda encompasses a variety of herbal preparations, formulations, and therapeutic practices aimed at restoring health and balance. This broad definition highlights the integral role of natural remedies in treating health conditions holistically.
50) Samyoga:
Samyoga refers to the combination or synergistic interaction between different substances or treatments in Ayurveda. This principle emphasizes the importance of creating effective therapeutic combinations that enhance treatment outcomes and promote overall health and well-being.
51) Dhavana:
Dhavana refers to the cleansing of specific areas or organs in Ayurveda, particularly in relation to women's health. This procedure is essential for preparing patients for more intensive treatments, ensuring a hygienic and optimal condition for subsequent therapeutic interventions.
52) Pramana (Pramanas):
Pramana indicates a standard measure or dimensional attribute in Ayurvedic practice, important for ensuring that therapies like Uttarbasti are administered accurately. Understanding Pramana aids practitioners in achieving consistency and effectiveness in treatment regimens.
53) Animal:
Animal references the biological contributions considered in Ayurvedic formulations, including materials derived from animal sources. Understanding this relationship underscores Ayurveda's holistic nature, where treatments may encompass both plant and animal-derived elements for comprehensive health management.
54) Vikara:
Vikara refers to the changes or disturbances in the normal bodily functions, often associated with diseases. Recognizing Vikara is crucial in Ayurveda as it guides practitioners in tailoring treatments that restore balance and promote health.
55) Artava:
Artava stands for menstrual blood in Ayurveda and is significant in discussing women's health, particularly in understanding menstrual disorders. Maintaining a healthy Artava balance is essential for reproductive health, with targeted therapies aimed at regulating and restoring normalcy.
56) Angula (Amgula):
Angula means finger in Sanskrit and is used as a unit of measurement in Ayurveda. It provides a systematic way of gauging dimensions in therapeutic procedures, ensuring that treatments adhere to prescribed standards for effectiveness and safety.
57) Vamana:
Vamana refers to therapeutic emesis or vomiting in Ayurveda, a cleansing process aimed at detoxifying the upper body. It plays a role in managing conditions linked to excess Kapha dosha, demonstrating Ayurveda's comprehensive approach to purification and balance.
58) Chidra:
Chidra denotes an opening or aperture, often used in discussions about therapeutic instruments and administration. In Ayurveda, attention to Chidra ensures that procedures like Basti or Uttarbasti are performed correctly, optimizing treatment delivery and effectiveness.
59) Phala:
Phala means fruit in Sanskrit and is essential in Ayurveda for representing various fruits used for their health benefits. Recognized for their nutritional properties, fruits contribute to the restorative and balancing effects emphasized in Ayurvedic dietetics and treatment methodologies.
60) Nasya (Nashya):
Nasya is a nasal therapy in Ayurveda involved in administering herbal preparations through the nasal route. This treatment promotes respiratory health and is vital for detoxification, showcasing the diversity of therapeutic approaches available in Ayurveda for holistic healing.
61) Mudga:
Mudga refers to a type of pulse or legume widely used in Ayurvedic cooking and medicine. It is recognized for its health benefits, particularly in balancing digestive health, and serves as an integral component in Ayurvedic food therapies and formulations.
62) Patra:
Patra means leaf in Ayurvedic terms, often used for extracting medicinal properties in formulations. Leaves from various plants are utilized in preparations for their health benefits, emphasizing the importance of botanical resources in Ayurvedic healing.
63) Netra:
Netra indicates the eye in Ayurveda but can also refer to instruments used for precise administration in therapeutic procedures, such as those involved in Uttarbasti. Proper use of Netra ensures accuracy and effectiveness in delivering treatments.
64) Shula (Sula):
Shula stands for pain or discomfort, particularly related to digestive or reproductive systems. Addressing Shula is crucial in Ayurveda for developing effective treatment strategies aimed at alleviating discomfort while addressing the underlying causes through holistic approaches.
65) Pulse:
Pulse refers to the rhythmic beating of the heart, a key indicator of health in Ayurveda. Monitoring pulse provides valuable insights into a patient's doshic balance and overall health, assisting practitioners in tailoring treatment plans to restore wellness and harmony.
66) Blood:
Blood signifies the life force within the body, playing a critical role in overall well-being. Its balance is essential in Ayurveda, where therapies are often designed to purify and enhance blood quality, addressing various health conditions through holistic approaches.
67) Catching (Catch, Catched):
Catch refers to the technique employed during certain therapeutic procedures where specific anatomical points need to be secured or held to facilitate treatment. This precise action is critical in procedures like Uttarbasti, ensuring that medication is effectively delivered to targeted areas.
68) Bala:
Bala means strength or vitality, especially in children or young individuals. In Ayurveda, promoting Bala is crucial for enhancing growth and health, focusing on nutrition and therapeutic practices that nurture physical, mental, and emotional well-being from an early age.
69) Kala:
Kala signifies time or season in Ayurveda. Timing of treatments is integral, as specific times or cycles in a woman's life, such as after menstruation, are considered optimal for administering therapies like Uttar Basti, maximizing treatment effectiveness and outcomes.
70) Diet:
Diet refers to the food consumed, an essential component of Ayurvedic health practices. A balanced and suitable diet is pivotal for maintaining health, as specific dietary recommendations support individual constitution, enhance treatment efficacy, and promote overall wellness.
71) Ghi (Ghee):
Ghee is clarified butter, widely used in Ayurvedic cuisine and medicines. Renowned for its nourishing properties and ability to enhance other ingredients, Ghee serves as a vehicle for herbal medicines, supporting effective absorption and utilized particularly in therapies like Uttarbasti.
72) Milk:
Milk serves as a vital nutrient-rich beverage in Ayurveda, valued for its health benefits. It plays an important role in nutritional therapies, providing essential fats and proteins necessary for recovery, nourishment, and maintaining balance within various bodily systems.
73) Drug:
Drug refers to medicinal substances used to treat health conditions. In Ayurveda, drugs are primarily derived from plants, minerals, or animal sources, emphasizing the importance of natural compounds in promoting health and regulating bodily functions through traditional healing practices.
74) Oil:
Oils are essential in Ayurvedic treatments, known for their therapeutic properties. Various oils, like Narayana or Bala taila, are used for specific health conditions to provide nourishment, promote healing, and facilitate detoxification in treatments designed to restore balance and well-being.
Other Science Concepts:
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Pradhana-karma, Basti, Vandhyatva, Yoniroga, Anuvasanabasti, Medicated oil, Shamanacikitsa, Panchakarma Therapy, Shodhana Chikitsa, Aseptic precaution, Uttarbasti, Poorva Karma, Dysfunctional uterine bleeding, Sthanika Chikitsa, Asthapana Basti, Yoni Pichu, Rutu kala, Sthanik Chikitsa, Tryavarta Yoni, Yoni dhavana, Heavy Menstrual Bleeding, Paschyat Karma, Yoni dhoopana.