Study on Kasisadi Pessary and Udumbaradi Tail for Shweta Pradar.
Journal name: Ayushdhara
Original article title: A Clinical Study to Evaluate the Efficacy of Kasisadi Vaginal Pessary and Udumbaradi Tail Pichu in Management of Shweta Pradar (Abnormal Vaginal Discharge): A Double Arm Random Control Study
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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Renu Yadav
PG Scholar, Department of Prasuti Tantra Evum Stree Roga, Rajiv Gandhi Govt. Post Graduate Ayurvedic College & Hospital, Paprola, Himachal Pradesh, India.
Soni Kapil
Reader, Department of Prasuti Tantra Evum Stree Roga, Rajiv Gandhi Govt. Post Graduate Ayurvedic College & Hospital, Paprola, Himachal Pradesh, India
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: A Clinical Study to Evaluate the Efficacy of Kasisadi Vaginal Pessary and Udumbaradi Tail Pichu in Management of Shweta Pradar (Abnormal Vaginal Discharge): A Double Arm Random Control Study
Year: 2023 | Doi: 10.47070/ayushdhara.v10i4.1287
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
The clinical study aimed to evaluate the efficacy of Kasisadi vaginal pessary and Udumbaradi Tail Pichu in managing Shweta Pradara, a condition characterized by abnormal vaginal discharge. This condition is often due to the vitiation of Kapha predominant Doshas and has a wide range of gynaecological disorders associated with it. The objective was to find an effective Ayurvedic intervention with minimal side effects that are easily administered and acceptable to patients.
Importance of Management Approaches
Shweta Pradara, or abnormal vaginal discharge, presents common challenges in gynecology. The study involved two groups, one receiving a traditional Ayurvedic treatment consisting of Kasisadi vaginal pessary at night, followed by Udumbaradi Tail Pichu in the morning, while the control group received a combination of conventional medications over a seven-day period. The evaluation criteria included physical examinations and assessments of symptoms such as the characteristics of discharge, odor, and associated pain, along with the pH levels of the vaginal discharge.
Comparative Efficacy of Treatments
Upon statistical analysis, both Ayurvedic interventions showed significant results in reducing symptoms associated with Shweta Pradara. However, the study found no significant intergroup differences when comparing the efficacy of the Ayurvedic treatments against conventional medicine. Despite this, the recurrence rate of Shweta Pradara after treatment was higher in patients receiving conventional medication, suggesting a potential advantage for the Ayurvedic approach in long-term management. Patients reported minimal to no side effects from the Ayurvedic interventions, indicating their high tolerance and acceptance.
Conclusion
The study concludes that the combination of Udumbaradi Tail Pichu and Kasisadi vaginal pessary presents an effective, side effect-free alternative for managing Shweta Pradara compared to conventional treatments. The research emphasizes the need for further analysis of the exact modes of action of these Ayurvedic treatments, particularly concerning their antimicrobial properties, to establish a more comprehensive understanding of their therapeutic benefits. This study contributes valuable insight into the potential for integrating traditional Ayurvedic practices with modern medical approaches in treating common gynecological conditions.
FAQ section (important questions/answers):
What is Shweta Pradara and its causes?
Shweta Pradara, or abnormal vaginal discharge, is often caused by the vitiation of Kapha dosha and can occur due to various gynecological disorders, infections, and some non-infective diseases.
What treatments were compared in the study for Shweta Pradara?
The study compared the efficacy of Kasisadi vaginal pessary combined with Udumbaradi Taila Pichu against a conventional treatment using a combination of clindamycin, clotrimazole, and tinidazole.
What were the results regarding the treatments' effectiveness?
Both treatments demonstrated significant symptom relief for Shweta Pradara, with no significant difference in efficacy. However, the recurrence rate was higher in the conventional treatment group.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Study on Kasisadi Pessary and Udumbaradi Tail for Shweta Pradar.”. 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) Drug:
In the study, both traditional Ayurvedic formulations and conventional medical treatments were compared. The term 'drug' refers to the substances used for treating abnormal vaginal discharge.
2) Yoni (Yonin):
'Yoni' is a term used in Ayurveda to refer to the female reproductive organs or vagina. It is a central focus in the study as the treatments are applied vaginally to manage abnormal discharge.
3) Picu:
'Pichu' refers to an Ayurvedic technique involving the insertion of medicinally saturated cotton or cloth into the vagina. In this study, Udumbaradi Taila Pichu is used as a treatment method.
4) Pain:
Pain is a symptom assessed in the study, particularly in terms of dysmenorrhea and dyspareunia, as part of the evaluation of the treatment's efficacy.
5) Udumbaradi:
'Udumbaradi' refers to the herbal ingredients used in the Udumbaradi Taila, a type of medicated oil applied as Pichu in the treatment.
6) Taila (Thaila):
The word 'Taila' means oil in Sanskrit. In this context, it refers to Udumbaradi Taila, the medicated oil used in the Pichu form for the treatment of Shwetapradara.
7) Lakshana (Laksana):
'Lakshana' means signs and symptoms in Sanskrit. The study assesses the efficacy of the treatments based on various yonigata lakshana or symptoms related to the vagina.
8) Varti (Vartin):
'Varti' refers to the form of vaginal pessary or suppository in Ayurvedic medicine. In this study, Kasisadi Varti is used as part of the treatment.
9) Shrava (Srava):
'Srava' refers to discharge, specifically vaginal discharge in this study. Yoni Srava is assessed to determine the effectiveness of the treatment.
10) Rasa (Rasha):
'Rasa' denotes taste or essence in Ayurvedic terms. The study mentions various rasas like Kashaya, Tikta, and Madhura as influential in the pharmacological properties of the treatments used.
11) Pradara:
'Pradara' means excessive discharge. In this study, Shwetapradara refers to abnormal white vaginal discharge, which is the primary condition being treated.
12) Disease:
The study investigates 'Shwetapradara', a condition characterized by abnormal vaginal discharge, which is recognized as a disease involving vitiated doshas in Ayurvedic medicine.
13) Renu:
Renu Yadav is one of the authors of the study, contributing to the research on the efficacy of Kasisadi vaginal pessary and Udumbaradi Taila Pichu in treating Shwetapradara.
14) Guna:
'Guna' refers to the qualities or properties in Ayurvedic pharmacology. The study mentions specific gunas such as Laghu and Ruksha as influential in the treatment's effectiveness.
15) Dosha (Dosa):
'Dosha' is a central concept in Ayurveda, referring to the three basic body energies: Vata, Pitta, and Kapha. The study focuses on the vitiation of these doshas leading to Shwetapradara.
16) Kapha:
'Kapha' is one of the three doshas in Ayurveda, associated with elements of earth and water. Its vitiation is considered a primary factor in causing Shwetapradara.
17) Ruja:
'Ruja' means pain. The study measures various types of ruja (pain) such as dysmenorrhea (katishula) and dyspareunia as indicators of treatment effectiveness.
18) Stambhana:
'Stambhana' means astringent or stopping action in Ayurveda. It is one of the properties (guna) of the treatments used in this study, aimed at reducing discharge.
19) Katishula (Katisula, Kati-shula):
'Katishula' refers to backache. It is one of the associated symptoms of Shwetapradara evaluated in the study to gauge treatment success.
20) Vitiation (Vitiated):
Vitiation refers to the imbalance or disturbance of doshas. The study discusses the vitiation of Kapha and Vata doshas as the cause of Shwetapradara.
21) Kashaya (Kasaya):
'Kashaya' is an astringent taste in Ayurveda, and it is highlighted as a predominant rasa in both Udumbaradi Taila and Kasisadi Varti used in the treatment.
22) Ruksha (Ruksa):
'Ruksha' means dry quality. This guna is noted in the treatments, indicating their drying effect to reduce excessive vaginal discharge.
23) Vata:
'Vata' is one of the three doshas in Ayurveda, associated with elements of air and space. Its vitiation is considered a contributing factor to Shwetapradara.
24) Pharmacological:
The term 'pharmacological' is used to describe the mechanisms of action of the Ayurvedic and conventional treatments used in the study for their therapeutic effects.
25) Tridoshaja (Tridosaja):
'Tridoshaja' refers to ailments involving the imbalance of all three doshas. Shwetapradara is described as Vata-Kapha predominant Tridoshaja Vyadhi.
26) Asrigdara (Asrgdara, Asrij-dara):
'Asrigdara' is an old Ayurvedic term interpreted as abnormal vaginal discharge, similar to the modern understanding of Shwetapradara.
27) Tridosha (Tridosa, Tri-dosha):
'Tridosha' is the concept of three fundamental bio-energies in Ayurveda: Vata, Pitta, and Kapha. Shwetapradara is seen as a manifestation involving Tridosha imbalance.
28) Prabhava:
'Prabhava' denotes the unique, often unexplainable effect of a medicinal substance in Ayurveda, which contributes to its therapeutic action.
29) Medicine:
In the context of the study, 'medicine' refers to the herbal formulations and conventional treatments used to manage Shwetapradara.
30) Lekhana:
'Lekhana' means scraping action in Ayurveda. It is a property attributed to some of the ingredients in the studied treatments, helpful in reducing discharge.
31) Prithvi (Prthvi):
'Prithvi' is one of the five great elements (Mahabhuta) in Ayurveda, representing earth, associated with solidity and stability.
32) Madhava:
'Madhava' is likely referred to as part of the name Acharya Vrinda Madhava, mentioned in the study as one of the early scholars describing Shwetapradara.
33) Artava:
'Artava' refers to menstrual blood. The study looks at changes in the menstrual cycle (Artava Chakra) as part of the symptom assessment.
34) Vyadhin (Vyadhi):
'Vyadhi' means disease in Ayurveda. Shwetapradara is considered a Vata-Kapha predominant Tridoshaja Vyadhi in the study.
35) Laghu:
'Laghu' means light or easy in terms of digestion. It is one of the gunas (qualities) of the ingredients in the study treatments, contributing to their efficacy.
36) Varna:
'Varna' means color. It is used to describe the appearance of vaginal discharge (Yonisrava Varna) as part of the assessment in the study.
37) India:
The study was conducted in India, specifically at R.G.G.P.G. Ayurvedic Hospital in Himachal Pradesh.
38) Carva:
In the context of the study, 'Sarva' refers to fluid or moisture, which the treatments aim to reduce due to their drying (Ruksha) properties.
39) Katu:
'Katu' means pungent taste in Ayurveda, which is present in the ingredients of the studied treatments, contributing to their therapeutic effects.
40) Vayu:
'Vayu' or wind is one of the five Mahabhutas and is associated with the Vata dosha. The study considers its role in the vitiation leading to Shwetapradara.
41) Madhavanidana (Madhava-nidana):
'Madhava Nidana' is a classical Ayurvedic text that provides comprehensive details on various diseases, including descriptions relevant to the study.
42) Tridoshahara (Tridosahara, Tridosha-hara):
'Tridoshahara' means alleviator of all three doshas. The treatments used in the study are described to have Tridoshahara properties.
43) Tuberculosis:
In historical Ayurvedic texts, chronic infections like tuberculosis are mentioned as potential underlying causes of symptoms similar to Shwetapradara.
44) Prakshalana (Praksalana):
'Prakshalana' refers to a cleansing process. In the study, it is one of the methods described for treating vaginal conditions.
45) Agnidushti (Agnidusti, Agni-dushti):
'Agnidushti' denotes digestive fire impairment, which is considered in the study's discussion on the pathogenesis of Shwetapradara.
46) Raktasrava (Rakta-srava, Raktashrava):
'Raktasrava' means bleeding. The study assesses post-coital bleeding (Maithunottra Raktasrava) as part of the symptoms of Shwetapradara.
47) Kaphavata (Kapha-vata):
'Kapha-Vata' indicates the involvement of both Kapha and Vata doshas. The study attributes Shwetapradara to a predominant Kapha-Vata dosha imbalance.
48) Discussion:
The discussion section of the study elaborates on the results and observations, highlighting the pharmacodynamics of the treatments used.
49) Irritation:
The study assesses the presence of irritation or discomfort post-application of the treatments as part of the safety and efficacy evaluation.
50) Visodhana (Vishodhana):
'Visodhana' means purification. The treatments have attributes like Yoni Visodhana that help in managing Shwetapradara.
51) Krimighna (Krmighna, Krimi-ghna):
'Krimighna' means anti-microbial or anti-parasitic properties. The study mentions this as one of the attributes of the herbal ingredients used.
52) Samprapti:
'Samprapti' refers to the pathogenesis of a disease. The study discusses the Samprapti of Shwetapradara in the context of Kapha and Vata dosha vitiation.
53) Kandughna (Kandu-ghna):
'Kandughna' means anti-itch properties. This is relevant to the treatment of symptoms like vaginal itching, which is part of Shwetapradara.
54) Mahabhuta (Maha-bhuta):
'Mahabhuta' refers to the five great elements in Ayurveda: earth, water, fire, air, and ether. These elements are foundational in understanding dosha vitiation.
55) Tiktarasa:
'Tiktarasa' means bitter taste. It is one of the predominant tastes in the study drugs, contributing to their therapeutic properties.
56) Ayurveda (Ayus-veda):
Ayurveda is the traditional Indian system of medicine. The study leverages Ayurvedic principles and treatments to manage Shwetapradara.
57) Pradhana:
'Pradhana' means predominant. It is used in the study to describe the dominant doshas or qualities causing Shwetapradara.
58) Raktabha (Rakta-abha):
'Raktabha' refers to blood-stained discharge. The study assesses the presence of raktabha in vaginal discharge as part of the symptom evaluation.
59) Samgrahin (Sangrahi, Samgrahi):
'Sangrahi' means absorbent or consolidating properties. It is attributed to the treatments used in the study to manage abnormal discharge.
60) Pregnant:
Pregnant women can experience conditions leading to abnormal vaginal discharge, and monilial vulvovaginitis is noted as frequent in pregnant women.
61) Madhura:
'Madhura' is one of the tastes (sweet) mentioned in the study, contributing to the therapeutic effects of the treatments.
62) Samhita:
'Samhita' refers to classical Ayurvedic texts. The study pulls references from these texts to understand and treat Shwetapradara.
63) Pittala:
'Pittala' indicates involvement of the Pitta dosha. Acute infection of reproductive organs is described under Pittala yonivyapad in classical texts.
64) Kathina:
'Kathina' means hard quality. It is one of the qualities associated with Prithvi Mahabhuta, relevant to understanding the properties of the treatments.
65) Prasuti:
Prasuti refers to obstetrics in Ayurveda. The department of Prasuti Tantra and Stree Roga conducted the study on managing Shwetapradara.
66) Kalpana:
'Kalpana' refers to medicinal preparations. Various forms of kalpanas like Yoni Prakshalana, Yoni Varti, and Yoni Pichu are mentioned for managing Shwetapradara.
67) Pandura (Pamdura):
'Pandura' means pale, often referring to pale vaginal discharge in the context of Shwetapradara. Chakrapani explained Pandura-Asrigdara as Shwetapradara.
68) Tantra (Tamtra, Tantrism):
Tantra refers to a field of study or branch in Ayurveda. The department of Prasuti Tantra Evum Stree Roga is involved in this clinical study.
69) Varana:
'Varana' refers to the color of vaginal discharge assessed in the study, such as whitish, yellowish, or greenish.
70) Sthira:
'Sthira' means stable quality. It is associated with Prithvi Mahabhuta and plays a role in the properties of the treatments used.
71) Ushana (Usana):
'Ushana' means hot potency. The study notes the presence of both Ushana and Sheeta virya in the treatments used to balance Tridosha.
72) Vipaka:
'Vipaka' refers to the post-digestion effect of a substance. It is part of the pharmacodynamics discussed for the treatments in the study.
73) Nidana:
'Nidana' refers to the cause or etiology. The study considers Ayurvedic concepts of Nidana in understanding and treating Shwetapradara.
74) Pitta:
'Pitta' is one of the three doshas in Ayurveda, associated with fire and water. It is considered in the study as playing a role in the pathogenesis of Shwetapradara.
75) Drava:
'Drava' refers to fluid quality. The study discusses reducing Drava guna to manage excessive vaginal discharge in Shwetapradara.
[Note: The above list is limited to 75. Total glossary definitions available: 91]