Clinical evaluation of role of pachana chikitsa w.s.r. to asrigdara
Journal name: Ayushdhara
Original article title: Clinical evaluation of role of pachana chikitsa w.s.r. to asrigdara
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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*M. Sreevani
P.G.Final year, Department of Ayurveda Samhitha & Siddhantha, S.V. Ayurvedic College, Tirupati, A.P.
K.Venkat Shivudu
Assistant Professor, Department of Ayurveda Samhitha & Siddhantha, S.V. Ayurvedic College, Tirupati, A.P.
P. Suneela
Associate Professor, Department of Prasutitantra & Stri Roga, S.V. Ayurvedic College, Tirupati, A.P.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Clinical evaluation of role of pachana chikitsa w.s.r. to asrigdara
Year: 2016
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
The clinical study presented in the article focuses on the evaluation of Pachana Chikitsa in the management of Asrigdara, a condition defined by excessive and irregular uterine bleeding, which affects 30-50% of women in their reproductive years. Current modern treatments have failed to show clear efficacy, leading to a reliance on more invasive procedures like hysterectomy, which can cause hormonal imbalances and psychological distress. The research aims to assess the effectiveness of traditional Ayurvedic treatments, specifically Pachana followed by Stambhana Chikitsa, in alleviating symptoms associated with Asrigdara.
Importance of Pachana Chikitsa
Pachana Chikitsa (the process of digesting and eliminating Ama) is a crucial initial step in the management of Asrigdara. It addresses the underlying doshic imbalances, particularly Pitta, which contributes to excessive bleeding. The clinical trial involved two groups: one receiving only Stambhana treatment, and the other receiving both Pachana and Stambhana treatments. The latter group, which underwent Amarapachana, demonstrated a statistically significant reduction in symptoms, including bleeding amount and duration, ultimately highlighting the essential role of Pachana in the treatment process. This method helps to prepare the body for better results from subsequent treatments by cleansing and optimizing metabolic processes.
The Role of Stambhana Chikitsa
Stambhana Chikitsa focuses on stopping excessive bleeding and is a fundamental treatment principle for various blood-related disorders in Ayurveda. The study emphasized that Stambhana should ideally be preceded by Pachana, thereby ensuring the body's internal state is conducive to healing. The combination of Guduchyadi Kashaya for Ama elimination followed by Panchavalkala Kashaya for Stambhana proved to be more effective than Stambhana treatment alone. The results showed that the group receiving both treatments experienced better outcomes than those receiving only Stambhana therapy, denoting its importance in regulating bleeding and restoring balance.
Conclusion
The findings from the clinical evaluation underscore the effectiveness of combining Pachana with Stambhana treatments in managing Asrigdara. With a significantly higher rate of improvement and cure observed in the group receiving both treatments, the study advocates for integrated Ayurvedic approaches in addressing this prevalent condition. The results suggest that addressing Ama before implementing a direct Stambhana is essential for optimal management, indicating a promising direction for future therapies and establishing the efficacy of Ayurveda as a safe and effective alternative in managing excessive uterine bleeding. Continued research may further validate these findings and encourage broader application of traditional therapies in reproductive health care.
FAQ section (important questions/answers):
What is Asrigdara and how does it affect women?
Asrigdara is a condition characterized by excessive and irregular uterine bleeding, affecting 30-50% of women in reproductive age. It can lead to severe health issues, including the need for hysterectomy in some cases, especially when no clear pathology is evident.
What treatments were compared in the clinical study?
The study compared two treatment approaches: Group A received Stambhana Chikitsa alone, while Group B received Stambhana Chikitsa preceded by Pachana Chikitsa. The combination in Group B showed significantly better results in alleviating symptoms of Asrigdara.
What were the results of the clinical trial?
The results indicated that Group B (Pachana followed by Stambhana) achieved an 86.6% cure rate, significantly higher than the 6.66% cure rate in Group A. Statistical analysis confirmed the effectiveness of the Pachana treatment in reducing symptom severity.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Clinical evaluation of role of pachana chikitsa w.s.r. to asrigdara”. 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) Stambhana:
Stambhana is a treatment principle in Ayurveda used to stop excessive flows, especially in cases of heavy bleeding such as in Asrigdara. It involves the use of Kashaya Rasa (astringent tasting substances), which have properties to arrest bleeding and are fundamental in Srava Pradhana (disorders with excessive discharge).
2) Rakta:
Rakta refers to blood, which is a vital component in Ayurveda. It is involved in the condition Asrigdara, where there is an excess outflow of Rakta. Management of Rakta is crucial in diseases associated with Pitta dosha like Raktapitta and includes interventions like Stambhana and Pachana.
3) Asrigdara (Asrgdara, Asrij-dara):
Asrigdara corresponds to abnormal uterine bleeding, characterized by heavy or prolonged menstrual periods. The condition involves vitiated Pitta and Rakta, requiring treatments like Pachana Chikitsa to manage the Ama and Stambhana Chikitsa to stop the excessive bleeding.
4) Pitta:
Pitta, one of the three doshas in Ayurveda, represents heat and metabolism in the body. In the context of Asrigdara, Pitta dosha becomes vitiated, leading to heavy bleeding. Management includes Tikta Rasa drugs to pacify Pitta and treatments like Pachana to eliminate Ama.
5) Kashaya (Kasaya):
Kashaya Rasa (astringent taste) is effective in Stambhana therapy for conditions like Asrigdara. The astringent property of Kashaya Rasa helps in stopping excessive bleeding by promoting hemostasis. Ingredients like Panchavalkala are used for their Stambhana property.
6) Disease:
Disease in Ayurveda, like Asrigdara, arises from the imbalance of doshas, particularly involving vitiated Pitta and Rakta in this context. Treatments aim to restore balance using various therapies such as Pachana and Stambhana, depending on the state of the body and presence of Ama.
7) Rasa (Rasha):
Rasa, meaning taste, is crucial in Ayurvedic treatments. Tikta Rasa (bitter taste) drugs are used in Pachana Chikitsa to pacify Pitta dosha in diseases like Asrigdara. Kashaya Rasa is used in Stambhana Chikitsa for its astringent properties to stop excessive bleeding.
8) Dosha (Dosa):
Doshas, namely Vata, Pitta, and Kapha, are fundamental bodily principles in Ayurveda. In Asrigdara, Pitta dosha exacerbates bleeding. Treatments like Pachana Chikitsa manage the Ama (toxic metabolites) associated with dosha imbalance, and Stambhana Chikitsa controls the hemorrhage.
9) Pain:
Pain, particularly abdominal or back pain, is a common symptom in Asrigdara. Treatments aimed at reducing the excessive menstrual bleeding also relieve associated pain through interventions that balance vitiated doshas and enhance comfort.
10) Drug:
Drugs in Ayurveda, such as Guduchyadi Kashaya and Panchavalkala Kashaya, are used for treating Asrigdara. Guduchyadi Kashaya helps in Pachana (digesting Ama), while Panchavalkala Kashaya acts in Stambhana Chikitsa to control excessive bleeding by their astringent properties.
11) Burning sensation:
Burning sensation (Daha) is a symptom of the excessive Pitta in conditions like Asrigdara. Ayurvedic interventions aim to cool and pacify the Pitta dosha using appropriate treatments like Tikta Rasa (bitter tasting substances) and herb formulations.
12) Raktapitta (Rakta-pitta):
Rakta-pitta signifies diseases where both Rakta (blood) and Pitta (bile) are vitiated. In Asrigdara, similar treatment principles like Pachana and Stambhana are used, focusing on balancing Rakta and Pitta to stop excessive bleeding.
13) Angamarda (Anga-marda, Amgamarda):
Angamarda refers to body ache, which can be associated with conditions like Asrigdara. Managing the primary symptoms of excessive bleeding through Pachana and Stambhana Chikitsa also alleviates secondary symptoms like body aches.
14) Drava:
Drava (fluidity) is a quality attributed to Pitta dosha. In conditions like Asrigdara, increased Drava of Pitta leads to excessive bleeding. Treatments like Pachana reduce Drava by eliminating the Ama that increases Pitta's fluidity.
15) Vayu:
Vayu (air) dosha plays a role in the propulsion and regulation of bodily functions. In conditions like Asrigdara, practices involving Vayu, like administration of Tikta Rasa drugs, help balance the Vata dosha involved in the disease process.
16) Pradara:
Pradara refers to excessive discharge, often in the context of menstrual bleeding disorders like Asrigdara. Ayurvedic treatments involve Stambhana to stop the flow and Pachana to manage underlying imbalances like Ama accumulation.
17) Tikta:
Tikta Rasa (bitter taste) is used in Ayurvedic treatments for Ama Pachana, notably in Asrigdara. The bitter properties help pacify Pitta dosha and manage excessive bleeding by reducing the Ama associated with Pitta.
18) Guna:
Gunas are qualities that affect body functions in Ayurveda. Tikta Rasa, having Laghu (light) and Ruksha (dry) Gunas, helps balance the Drava (fluid) nature of Pitta in Asrigdara. Treatments like Pachana specifically utilize these Guna to manage symptoms.
19) Bhrama:
Bhrama (giddiness) can be associated with excessive bleeding in Asrigdara. Effective treatment of primary symptoms through Pachana and Stambhana therapy helps reduce associated symptoms like Bhrama by stabilizing the body's equilibrium.
20) Aruci:
Aruchi (loss of appetite) may accompany conditions like Asrigdara. Managing primary symptoms through Pachana (to eliminate Ama) and Stambhana (to arrest bleeding) helps restore normal digestive function and appetite.
21) Pradhana:
In Ayurvedic treatments, Pradhana means primary or principal. For instance, Kashaya Rasa drugs are Pradhana (primary) for Stambhana Chikitsa in treating Asrigdara to control excessive menstrual bleeding.
22) Tirupati (Thirupati, Tiruppati):
Tirupati is the location where the clinical study on Asrigdara was conducted, specifically at S.V. Ayurvedic College. The research included trials on the efficacy of Pachana and Stambhana Chikitsa for treating the condition.
23) Trishna (Trsna):
Trishna (thirst) is a symptom associated with excessive loss of fluids as seen in Asrigdara. Managing the primary bleeding symptoms through Pachana and Stambhana therapies helps alleviate associated symptoms like Trishna.
24) Panduta:
Panduta (pallor) is often a sign of significant blood loss and anemia in conditions like Asrigdara. Effective management through Ayurvedic treatments helps address underlying causes and reduce symptoms like Panduta.
25) Nidana:
Nidana refers to the causes or risk factors of a disease. In Asrigdara, Nidana include dietary habits and bodily states that vitiate Pitta and Rakta, leading to excessive bleeding. Identifying Nidana is crucial for effective treatment.
26) Nirama:
Nirama refers to a state where Ama (toxic metabolites) is absent. For effective Stambhana Chikitsa in Asrigdara, it's essential to first achieve a Nirama state through Pachana, ensuring that treatments work more effectively.
27) Jvara:
Jvara (fever) can be a symptom in disorders like Asrigdara where there is excessive bleeding. Ayurvedic treatments aim to manage the bleeding and underlying dosha imbalances to alleviate associated symptoms like Jvara.
28) Dhatu:
Dhatu refers to the tissues of the body. In conditions like Asrigdara, the Rakta Dhatu (blood tissue) is primarily affected. Managing Dhatu health and ensuring proper balance through treatments like Pachana and Stambhana is crucial.
29) Samprapti:
Samprapti is the process of disease manifestation. Understanding Samprapti in Asrigdara involves recognizing how doshas, particularly Pitta and Vata, interact with Rakta to cause excessive menstrual bleeding.
30) Mahabhuta (Maha-bhuta):
Mahabhuta refers to the five great elements. In Asrigdara, the imbalance of Mahabhutas like Jala (water) and Tejo (fire) contributes to increased Pitta and Rakta, necessitating treatments that restore elemental balance.
31) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India. It offers holistic treatments for diseases like Asrigdara through dietary adjustments, herbal medicines, and therapies like Pachana and Stambhana to balance doshas.
32) Lakshana (Laksana):
Lakshana are symptoms or signs of a disease. In Asrigdara, common Lakshana include excessive menstrual bleeding, pain, and weakness. Ayurvedic treatments aim to address these Lakshana through dosha balancing therapies.
33) Dravya:
Dravya refers to substances or materials, especially medicinal ones. In the treatment of Asrigdara, specific Dravya like Guduchyadi Kashaya and Panchavalkala Kashaya are used for their therapeutic properties like Pachana and Stambhana.
34) Vata:
Vata dosha represents movement and air. In Asrigdara, Vata can drive Pitta to exacerbate Rakta (blood) conditions, leading to excessive bleeding. Balancing Vata is crucial for effective management of symptoms.
35) Pittadosha (Pittadosa, Pitta-dosha):
Pitta-dosha is associated with heat and metabolism. In Asrigdara, vitiated Pitta causes excessive menstrual bleeding. Treatments like Pachana with Tikta Rasa substances help manage Pitta-dosha and control symptoms.
36) Langhana (Lamghana):
Langhana is a therapeutic process used to reduce or eliminate Ama (toxic metabolites) from the body. In Asrigdara, Langhana, particularly through Pachana, is employed to make the condition Nirama before administering Stambhana therapy.
37) Valkala:
Valkala refers to the barks of trees used in Ayurveda for their medicinal properties. Panchavalkala Kashaya, made from the barks of five trees, is used for its Stambhana properties to treat excessive bleeding in Asrigdara.
38) Panca (Pancan, Pamca):
Pancha means five. In the context of Asrigdara treatment, Panchavalkala Kashaya utilizes five types of tree barks known for their Stambhana properties to effectively stop excessive menstrual bleeding.
39) Karma (Karman):
Karma in Ayurveda refers to therapeutic actions or procedures. For Asrigdara, the primary Karma includes Pachana to manage Ama and Stambhana to control excessive menstrual bleeding, ensuring comprehensive treatment.
40) Ushna (Usna):
Ushna (heat) is a quality associated with Pitta-dosha. In conditions like Asrigdara, excessive Ushna can lead to increased bleeding. Treatments aim to balance Ushna through cooling and Pitta-pacifying therapies.
41) Shrava (Srava):
Srava means discharge. In Asrigdara, Srava refers to the excessive menstrual bleeding. Stambhana Chikitsa, using substances with astringent properties like Kashaya Rasa, is employed to manage and reduce Srava.
42) Usma (Ushma):
Ushma, or heat, is a property of Pitta. In Asrigdara, excessive Ushma leads to vitiated Rakta. Treatments like Tikta Rasa drugs are used to manage Ushma and stop excessive bleeding by pacifying Pitta.
43) Guru:
Guru (heaviness) is a quality that impacts digestion and metabolism. In Asrigdara, therapies aim to counterbalance Guru qualities that aggravate Pitta and Rakta doshas, using lighter, Laghu properties for treatment.
44) Sama (Shama):
Sama refers to a state of balance or equilibrium. Disease conditions like Asrigdara arise from the imbalance or vitiation of Sama in doshas, and treatments aim to restore Sama by balancing disrupted elements.
45) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatu-kshaya stands for tissue depletion. In conditions like Asrigdara, excessive bleeding results in reduced blood (Rakta Dhatu). Treatments aim to manage Dhatu-kshaya by stabilizing and nourishing tissue health.
46) Discussion:
Discussion in the study highlights the efficacy of Pachana followed by Stambhana Chikitsa in treating Asrigdara. Statistical analysis confirms significant improvement in symptoms, validating the role of these therapies in managing excessive menstrual bleeding.
47) Apanavayu (Apana-vayu):
Apanavayu is the subtype of Vata dosha governing downward movements like elimination and menstruation. In Asrigdara, balancing Apanavayu is crucial to manage the excessive menstrual bleeding effectively.
48) Pittahara (Pitta-hara):
Pittahara refers to treatments that pacify Pitta dosha. In Asrigdara, Pittahara therapies like Tikta Rasa are employed to manage the vitiated Pitta, thereby controlling excessive menstrual bleeding.
49) Dhanyaka:
Dhanyaka (Coriander) is used in the preparation of Guduchyadi Kashaya, a formulation for Pachana Chikitsa aimed at managing Ama and Pitta dosha in conditions like Asrigdara.
50) Padmaka:
Padmaka is one of the ingredients in Guduchyadi Kashaya, used for its therapeutic properties in Pachana Chikitsa to manage Ama and Pitta in Asrigdara, aiding in reducing excessive menstrual bleeding.
51) Shonita (Sonita):
Shonita refers to blood. In the context of Asrigdara, vitiated Shonita is managed through Ayurvedic treatments aimed at balancing the Rakta and Pitta doshas to stop excessive menstrual bleeding.
52) Snigdha:
Snigdha means oily or unctuous. Excessive intake of Snigdha substances can aggravate Pitta and Rakta, leading to conditions like Asrigdara. Treatments focus on balancing these qualities to manage symptoms.
53) Dravata:
Dravata refers to liquidity, a quality of Pitta dosha. In Asrigdara, increased Dravata due to Ama leads to excessive bleeding. Pachana treatments aim to reduce Dravata and stabilize Pitta.
54) Artava:
Artava means menstrual blood. In Asrigdara, the Artava is excessive and managed through treatments like Pachana to eliminate Ama and Stambhana to halt the bleeding.
55) Kshaya (Ksaya):
Kshaya indicates depletion or deficiency. In Asrigdara, Rakta Kshaya (blood depletion) is a result of excessive menstrual bleeding. Ayurvedic treatments aim to restore balance and prevent further Kshaya.
56) Laghu:
Laghu (lightness) is a quality used in Ayurvedic treatments to balance Guru (heaviness) which aggravates Pitta and Rakta in Asrigdara. Laghu herbs aid in Pachana Chikitsa for effective management.
57) Mamsa (Mamsha):
Mamsa refers to muscle tissue. It's important in overall health and may be affected in conditions like Asrigdara due to Dhatu Kshaya (tissue depletion). Treatments aim to support and maintain tissue health.
58) India:
India is the country where the study on Asrigdara was conducted at S.V. Ayurvedic College in Tirupati, highlighting the relevance of traditional Ayurvedic treatments in contemporary settings.
59) Nimba:
Nimba (Neem) is a key ingredient in Guduchyadi Kashaya, used for its Tikta Rasa properties to manage Pitta dosha and Ama in conditions like Asrigdara, thereby controlling excessive menstrual bleeding.
[Note: The above list is limited to 75. Total glossary definitions available: 137]