Managing spasmodic dysmenorrhea with chaturbeeja churna and yoga.

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Journal name: Ayushdhara
Original article title: Management of spasmodic dysmenorrhea (udavarta yonivyapada) with chaturbeeja churna and yogic practices
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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Author(s):

Narendra Kumar Meena*
Lecturer, Madan Mohan Malviya Government Ayurvedic College and Hospital, Udaipur, Rajasthan
Ram Veer Sharma
Associate Professor, Madan Mohan Malviya Government Ayurvedic College and Hospital, Udaipur, Rajasthan


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: Management of spasmodic dysmenorrhea (udavarta yonivyapada) with chaturbeeja churna and yogic practices

Year: 2017

Copyright (license): CC BY-NC-SA 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

Spasmodic dysmenorrhea, also known as Udavarta Yoni Vyapada in Ayurvedic terminology, refers to the painful distress experienced by women during their menstrual cycle, accompanied by additional systemic symptoms. It is a prevalent condition that affects a significant portion of the female population, attributed to the vitiation of Vata dosha. This study explores the management of this condition through a combination of Chaturbeeja Churna, an Ayurvedic formulation recognized for its Vata-reducing properties, and specific yogic practices aimed at improving both physical and psychological health.

Efficacy of Chaturbeeja Churna

Chaturbeeja Churna is an herbal preparation mentioned in the Bhava Prakasha Nighantu, primarily known for its effectiveness in alleviating Vata-related disorders. Composed of four key ingredients—Methika, Chandrashura, Kalajaji, and Yavanika—this formulation is noted for its ability to address symptoms of dysmenorrhea, including pain and discomfort during menstruation. The study involved 50 female participants who were treated with Chaturbeeja Churna (3 grams twice daily with hot water) for three menstrual cycles in conjunction with yogic practices. The results indicated marked improvement in symptom intensity, duration of pain, and associated discomforts such as nausea and vomiting.

Role of Yogic Practices

In addition to the herbal therapy, the incorporation of yogic practices was found to play a significant role in managing dysmenorrhea symptoms. These practices aim to enhance physical well-being and mental stability, addressing the psychological factors often associated with menstrual pain. The combination of the herbal treatment and consistent engagement in yogic exercises resulted in substantial improvements in overall patient health, highlighting the synergistic effect of holistic treatment approaches in the management of spasmodic dysmenorrhea.

Conclusion

The findings from this study underscore the efficacy of combining Chaturbeeja Churna with yogic practices in managing spasmodic dysmenorrhea, demonstrating statistically significant results in symptom relief. With 26 patients showing marked improvement and an overall high success rate in symptom management, this integrative approach presents a valuable therapeutic option. The study reinforces the significance of holistic methods in addressing menstrual disorders, enhancing the quality of life for affected women.

FAQ section (important questions/answers):

What is the definition of dysmenorrhoea?

Dysmenorrhoea refers to painful menstruation that disrupts daily activities. It often presents as pain and cramping, requiring over-the-counter or prescribed medication for relief.

How effective is Chaturbeeja Churna for dysmenorrhoea management?

In a study, 26 patients showed marked improvement, while 15 were moderately improved after using Chaturbeeja Churna and yogic practices, indicating its significant effectiveness in managing spasmodic dysmenorrhoea.

What are the common causes of Udavarta Yoni Vyapada?

Common causes include vitiation of Vayu due to improper diet, stress, family history of dysmenorrhoea, and other lifestyle factors that affect menstrual health.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Managing spasmodic dysmenorrhea with chaturbeeja churna and yoga.”. 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) Pain:
Pain is defined as a symptom experienced by women during menstruation that can interfere with normal activities, requiring medication. It is significant in dysmenorrhoea as the management of pain is a critical part of treating the condition effectively.

2) Dysmenorrhea (Dysmenorrhoea):
Dysmenorrhea is the modern medical term for painful menstruation, comparable to Udavarta Yoni Vyapada in Ayurveda. It involves symptoms like cramping and pain severe enough to disrupt daily activities, requiring conventional or alternative treatments.

3) Udavarta:
Udavarta is an Ayurvedic term associated with dysmenorrhoea, specifically referring to the upward and circular movement of Vayu (air) causing painful menstrual symptoms. It is linked with the main pain-causing factor due to vitiated Vayu in the body.

4) Drug:
In the context of this study, the drug Chaturbeeja Churna, which includes ingredients like Methika and Chandrashura, has Ushna Virya and Vata-Kaphahara Dosha-karma properties. It is used to alleviate the symptoms of dysmenorrhoea effectively.

5) Disease:
Disease in this context refers to Yoni Vyapada, particularly Udavarta Yoni Vyapada, which affects the female reproductive system causing painful menstrual cycles. This Ayurveda-based understanding pinpoints the vitiation of Vayu as the root cause.

6) Dosha (Dosa):
Dosha refers to the fundamental bodily bio-elements in Ayurveda, particularly Vata, Pitta, and Kapha. In the context of dysmenorrhoea, the vitiation of Vata Dosha, along with Kapha, leads to the symptoms experienced in Udavarta Yoni Vyapada.

7) Vayu:
Vayu or Vata is one of the principal Doshas in Ayurveda responsible for movement and circulation in the body. In dysmenorrhoea, the vitiation of Vayu leads to pain and the upward movement contributing to the symptoms of Udavarta.

8) Yoni (Yonin):
Yoni refers to the female reproductive system. In Ayurveda, diseases like dysmenorrhoea affecting the Yoni are collectively termed as Yoni Vyapada. These disorders involve various symptoms including pain, influenced by factors like vitiated Vayu.

9) Mithya:
[see source text or glossary: Mithya]

10) Vata:
Vata is one of the three Doshas in Ayurveda associated with air and space elements. Vitiation of Vata Dosha is a primary cause of Udavarta Yoni Vyapada, leading to various symptoms, including pain and menstrual irregularities.

11) Narendra (Nara-indra):
Narendra Kumar Meena is an author of this study, affiliated with the Madan Mohan Malviya Government Ayurvedic College and Hospital, Udaipur, Rajasthan, India. His work focuses on Ayurvedic treatments for dysmenorrhoea using Chaturbeeja Churna and Yogic practices.

12) Vomiting:
Vomiting, or Chhardi, is one of the symptoms experienced by patients with dysmenorrhoea. In the study, the mean score for vomiting was significantly reduced after treatment with Chaturbeeja Churna and Yogic practices, showing effective relief.

13) Artava:
Artava refers to menstrual blood or ovum in Ayurveda. Disorders like Artava Vyapada involve vitiated menstrual flow due to Doshas. In the study, Pradushta Artava impacted by Vata and other Doshas leads to symptoms like painful menstruation.

14) Family:
Family history is a significant factor in the incidence of dysmenorrhoea, as indicated in the study where a positive family history of dysmenorrhoea was present in 52% of patients, suggesting a possible hereditary tendency for the disease.

15) Nausea:
Nausea, or Hrillas, is a common symptom encountered by patients with dysmenorrhoea. The study showed a mean score reduction in nausea among patients treated with Chaturbeeja Churna and Yogic practices, indicating significant relief and efficacy of the treatment.

16) Kumar:
Kumar possibly refers to Narendra Kumar Meena, one of the authors of the study involved in researching the management of spasmodic dysmenorrhoea using Ayurvedic practices and medicines, conducted at the Madan Mohan Malviya Government Ayurvedic College and Hospital.

17) Guna:
[see source text or glossary: Guna]

18) Vitiation (Vitiated):
Vitiation typically refers to the imbalance or disturbance of Doshas in the body. In dysmenorrhoea, the vitiation of Vayu is a critical element causing upward movement and resulting in painful symptoms, treated through specific Ayurvedic therapies.

19) Ushna (Usna):
Ushna Virya indicates 'hot potency' and is one of the qualities of Chaturbeeja Churna used in treating dysmenorrhoea. This property helps pacify the vitiated Vata Dosha responsible for causing pain and menstrual irregularities in Udavarta Yoni Vyapada.

20) Ahara:
[see source text or glossary: Ahara]

21) Virya:
Virya, meaning potency, is a significant attribute of Ayurvedic medicines indicating the strength or efficacy, such as Ushna Virya in Chaturbeeja Churna, which helps counteract the effects of vitiated Vata and Kapha Doshas in dysmenorrhoea.

22) Fever:
Fever, or Jwara, is one of the associated symptoms in patients with dysmenorrhoea. The study showed that fever as a symptom was completely alleviated in patients who underwent the treatment protocol of Chaturbeeja Churna combined with specific Yogic practices.

23) Rasa (Rasha):
[see source text or glossary: Rasa]

24) Bija:
Bija refers to the seed or genetic material. In dysmenorrhoea, Bija Dosha may imply genetic or chromosomal abnormalities contributing to Yoni Vyapada disorders. Variations in the quality of Bija can influence the manifestation of menstrual disorders.

25) Samprapti:
[see source text or glossary: Samprapti]

26) Nidana:
Nidana refers to the etiological or causative factors of a disease. In this study, factors like suppressed natural urges and lifestyle are detailed as being the Nidana (causes) of Udavarta Yoni Vyapada, correlating to dysmenorrhoea.

27) Acara:
[see source text or glossary: Achara]

28) Prakasha (Prakasa):
Bhava Prakasha Nighantu is an Ayurvedic text referenced in the study, mentioning Chaturbeeja Churna as a treatment for Vata disorders. This herbal formulation with properties like Vata-shamaka was used in treating dysmenorrhoea in the clinical trial.

29) Vihara:
[see source text or glossary: Vihara]

30) Nature:
The nature of pain in dysmenorrhea can be spasmodic or dull aching. In the study, a high percentage of patients reported spasmodic pain, which is typical for primary dysmenorrhea associated with Udavarta Yoni Vyapada in Ayurveda.

31) Karma (Karman):
[see source text or glossary: Karma]

32) Laghu:
'Laghu' signifies lightness and is a Guna (quality) of Chaturbeeja Churna. It aids digestion and absorption, contributing to pacifying Vata and Kapha Doshas, which are often imbalanced in patients with dysmenorrhoea.

33) Mutra:
[see source text or glossary: Mutra]

34) Bhava:
Bhava Prakasha Nighantu is a key Ayurvedic text cited in the study, detailing the use of Chaturbeeja Churna. It emphasizes treating Vata disorders, which aligns with mitigating the symptoms of dysmenorrhoea related to vitiated Vayu and Kapha.

35) Katu:
'Katu' or ‘bitter’ taste is one of the properties of Chaturbeeja Churna. This property aids in enhancing digestion and reducing nausea, making it effective for patients suffering from symptoms of dysmenorrhoea.

36) Vega:
[see source text or glossary: Vega]

37) Mala:
[see source text or glossary: Mala]

38) Diet:
Dietary habits are crucial in managing dysmenorrhoea. Factors such as the intake of spicy foods, dominant in Lavana and Amla Rasa, play a role in exacerbating or mitigating Vata Dosha, thereby influencing the severity of symptoms.

39) Vatadosha (Vatadosa, Vata-dosha):
Vata-Dosha, one of the primary bio-elements in Ayurveda, governs movement and is linked to the nervous system. Its vitiation leads to symptoms in Udavarta Yoni Vyapada, specifically causing the spasmodic pain characteristic of dysmenorrhoea.

40) Discussion:
The discussion in the study concludes that the combination of Chaturbeeja Churna and Yogic practices had statistically significant results in alleviating the symptoms of spasmodic dysmenorrhea, showing an effective holistic approach.

41) Rajasthan:
Rajasthan is the state in India where the study was conducted at the Madan Mohan Malviya Government Ayurvedic College and Hospital in Udaipur, focusing on Ayurvedic treatments for spasmodic dysmenorrhoea using Chaturbeeja Churna and Yogic practices.

42) Vagbhata:
Vagbhata is a renowned ancient Ayurvedic scholar. His texts provide substantial insights into various diseases and their treatments, including the concept of Yoni Vyapada, which can be correlated with modern dysmenorrhoea.

43) Marriage:
Marriage is believed to potentially cure dysmenorrhoea due to the assumed happiness and security it provides. However, it primarily affects young, single women leading sedentary lives, suggesting a psychological and social dimension to the condition.

44) Samanya:
[see source text or glossary: Samanya]

45) Vishama (Visama):
[see source text or glossary: Vishama]

46) Samaka (Shamaka):
[see source text or glossary: Shamaka]

47) Udaipur (Udaypur):
Udaipur, located in Rajasthan, India, is the city where the research took place. The study was conducted at the Madan Mohan Malviya Government Ayurvedic College and Hospital, involving Ayurvedic treatments for managing spasmodic dysmenorrhoea.

48) Dravya:
[see source text or glossary: Dravya]

49) Sevana:
[see source text or glossary: Sevana]

50) Ruksha (Ruksa):
[see source text or glossary: Ruksha]

51) Vipaka:
[see source text or glossary: Vipaka]

52) Kapha:
Kapha Dosha is one of the three primary bio-elements in Ayurveda, associated with earth and water. In treating dysmenorrhoea, Chaturbeeja Churna’s properties help reduce vitiated Kapha along with Vata, aiding in symptom relief.

53) Linga (Limga):
[see source text or glossary: Linga]

54) India:
India is the country where the research on managing spasmodic dysmenorrhoea using Ayurvedic practices was conducted. Ayurveda, a traditional Indian medical system, provides the foundational knowledge and treatment protocols used in the study.

55) House:
[see source text or glossary: House]

56) Hetu:
[see source text or glossary: Hetu]

57) Young women (Young woman):
A young woman, particularly in the 18-25 age group, is most commonly affected by dysmenorrhoea. The study found the highest incidence of affected patients in this demographic, indicating the importance of targeted treatment strategies for younger women.

58) Past life:
[see source text or glossary: Past life]

59) Madhavanidana (Madhava-nidana):
[see source text or glossary: Madhava-nidana]

60) Rasashastra (Rasa-shastra, Rasasastra):
Rasa-shastra is the Ayurvedic branch dealing with alchemy and pharmacy. It involves preparing and formulating herbs and metals into medicines, such as Chaturbeeja Churna, which was used in the study to treat dysmenorrhoea.

61) Atharvaveda (Atharva-Veda):
[see source text or glossary: Atharvaveda]

62) Dravyaguna (Dravya-guna):
Dravya-Guna is the Ayurvedic pharmacological science that studies the properties and actions of herbs and minerals. The preparation of Chaturbeeja Churna under Dravya-Guna principles was critical for its application in treating dysmenorrhoea.

63) Garbhashaya (Garbhasaya, Garbha-ashaya):
[see source text or glossary: Garbhashaya]

64) Adhyashana (Adhyasana):
[see source text or glossary: Adhyashana]

65) Apanavayu (Apana-vayu):
Apana Vayu is a sub-type of Vata responsible for elimination processes in the lower body. In dysmenorrhoea, vitiated Apana Vayu leads to disrupted menstrual flow, causing pain and the characteristic symptoms of Udavarta Yoni Vyapada.

66) Abhighata:
[see source text or glossary: Abhighata]

67) Pratiloma (Prati-loma):
[see source text or glossary: Pratiloma]

68) Vidharana:
[see source text or glossary: Vidharana]

69) Amlarasa (Amla-rasa):
Amla Rasa, meaning sour taste, can aggravate Vata Dosha according to Ayurveda. The study mentioned a dominancy of Amla Rasa in the diets of many patients, thus influencing the presentation and severity of dysmenorrhoea symptoms.

70) Nighantu (Nighamtu):
Bhava Prakasha Nighantu is an Ayurvedic lexicon that includes therapeutic uses of herbs. It mentions Chaturbeeja Churna’s efficacy in Vata disorders, which was utilized in the study to treat patients with spasmodic dysmenorrhoea.

71) Prabhava:
[see source text or glossary: Prabhava]

72) Abhojana:
[see source text or glossary: Abhojana]

73) Yavanika:
Yavanika is one of the ingredients in Chaturbeeja Churna. It possesses properties that help alleviate dysmenorrhoea by pacifying vitiated Vata, thus contributing to the overall effectiveness of the Churna in managing pain and other symptoms.

74) Shastra (Sastra):
[see source text or glossary: Shastra]

75) Plavana (Plavaga):
[see source text or glossary: Plavana]

[Note: The above list is limited to 75. Total glossary definitions available: 112]

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