Journal name: World Journal of Pharmaceutical Research
Original article title: An ayurvedic management of atyartava(metrorrhagia)
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 special case report
Original source:
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Dr. Neeraj Kumar Tripathi, Dr. Beena Tiwari and Dr. Meenakshi Choube
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: An ayurvedic management of atyartava(metrorrhagia)
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr201812-12694
Download the PDF file of the original publication
Summary of article contents:
Introduction
The management of menstruation irregularities, specifically metrorrhagia (excessive bleeding), is a significant concern in women's health. This Ayurvedic case report by Dr. Neeraj Kumar Tripathi and colleagues highlights a patient suffering from recurrent heavy menstrual bleeding despite conventional treatment. The study emphasizes Ayurvedic principles and treatments aimed at restoring the balance of hormonal systems and addressing proliferative growth in the uterine wall without resorting to surgical interventions.
Hormonal Imbalance
One pivotal concept discussed in the case study is the understanding of hormonal imbalance as a root cause of metrorrhagia. The patient, who suffered from on-and-off heavy bleeding for over a year and sought treatment from various gynecologists, demonstrated that hormonal irregularities significantly affected her menstrual health. Through Ayurvedic insights, the team diagnosed that the patient's issues stemmed not from genetic corruption but from a disruption in her hormonal system, thus emphasizing the importance of addressing underlying physiological factors in treatment.
Ayurvedic Treatment Strategy
The treatment plan proposed in the case incorporates a comprehensive three-step approach. Initially, the focus was on stopping excessive bleeding through Ayurvedic medicines such as Chandrakala Rasa and Rodhrasava, which demonstrated significant efficacy in 15 days. Following this, the second phase involved normalizing the patient's hormonal levels with additional Ayurvedic formulations. Finally, the targeted treatment addressed the benign proliferative growth of the uterine wall using a blend of therapeutic herbal formulations, ensuring a holistic treatment strategy centered on the patient’s specific needs.
Efficacy of Ayurvedic Medicines
The effectiveness of the Ayurvedic medications utilized in the case was highlighted, showcasing their anti-haemorrhagic, anti-inflammatory, and antioxidant properties. Herbs like Kanchanara, which is recognized for its role in regulating Kapha dosha and aiding in the management of cystic growths and tumors, played a critical role in correcting underlying issues. Other medicines selected for this treatment not only offered symptomatic relief but also worked synergistically to address the root causes of the patient’s condition.
Conclusion
In conclusion, the case study illustrates the potential of Ayurvedic treatment as a viable alternative for managing menstruation-related disorders such as metrorrhagia. The comprehensive approach taken by the researchers exemplifies the importance of targeting hormonal balance and uterine health through natural remedies, leading to successful outcomes without invasive procedures. This case serves as a promising example for Ayurvedic practitioners and researchers, encouraging further investigation and application of these practices in similar health challenges faced by women.
FAQ section (important questions/answers):
What is Atyartava and how is it classified in Ayurveda?
Atyartava, or metrorrhagia, is excessive menstrual bleeding. In Ayurveda, it is referred to as Raktapradara, usually caused by an imbalance of Pitta and Vata, which can lead to pain and excessive bleeding from the uterine wall.
What conventional treatments did the patient undergo prior to Ayurveda?
The patient received treatment from a gynecologist for one year, including medications such as progesterone and tranexamic acid. Despite these treatments, she experienced uncontrolled metrorrhagia and underwent three uterine biopsies, all showing benign proliferation.
What are the three steps of Ayurvedic treatment outlined in the case?
The treatment plan involves: 1) Stopping metrorrhagia, 2) Normalizing the hormonal system, and 3) Controlling benign proliferative growth of the uterine wall using specific Ayurvedic medicines aimed at hormonal and oncogenic balance.
What Ayurvedic medicines were used to control bleeding?
To control the bleeding, medications such as Chandrakala Rasa, Rodhrasava, and a combination of Trinkanta Mani Pisti, Shankha Bhasma, and Prawala were prescribed. These were effective in stopping excessive bleeding within 15 days.
What was the outcome of the Ayurvedic treatment after three months?
After three months of Ayurvedic treatment, the patient reported complete relief from metrorrhagia and associated symptoms. Follow-up ultrasound showed a normal uterine wall with no proliferative growth, indicating that the treatment was effective.
Why is this case significant for Ayurvedic practice and research?
This case is significant because it demonstrates the effectiveness of Ayurvedic treatment in managing metrorrhagia and benign growth, providing evidence for alternative treatment methods, and encouraging further research and statistical analysis in similar cases.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “An ayurvedic management of atyartava(metrorrhagia)”. 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) Bleeding:
Bleeding refers to the loss of blood from the circulatory system. In the context of this case report, it specifically pertains to metrorrhagia, an abnormal or excessive menstrual bleeding that can significantly affect a woman's health. Managing bleeding is critical in Ayurvedic treatment to restore balance within the body.
2) Wall:
The wall in this case refers to the endometrial wall of the uterus, which is crucial for maintaining a healthy reproductive system. Proliferative changes in the uterine wall can lead to complications like metrorrhagia. Ayurvedic treatment aims to normalize and restore this wall's health through specific herbal formulations.
3) Pishti (Pisti):
Pisti is a fine powder prepared in Ayurveda from various minerals and herbs. It is often used as a medicinal form to enhance the efficacy of treatment. Its role in the case at hand includes serving as a corrective agent for uterine health and addressing issues related to benign proliferative growth.
4) Medicine:
Medicine encompasses the various treatments used to alleviate health issues. Within this text, it refers to Ayurvedic formulations designed to address complex conditions such as metrorrhagia. These medicines aim to restore hormonal balance and control symptoms without resorting to surgery, illustrating the holistic approach of Ayurveda.
5) Delhi:
Delhi, the location of the Ayurvedic dispensary where the treatment was administered, plays a significant role in determining the context of healthcare practices studied. The case report reflects the integration of traditional medicine within a modern metropolitan environment, shedding light on how Ayurveda can be utilized in urban settings.
6) Kapha:
Kapha is one of the three doshas in Ayurveda, representing the elements of water and earth. It governs structure and fluid balance in the body. An imbalance in Kapha can lead to various health issues, including the formation of tumors. Ayurvedic treatment seeks to normalize Kapha to maintain overall health.
7) Drug:
In this context, drug refers to the specific Ayurvedic formulations used in treatment. These drugs often consist of herbal ingredients designed to regulate body functions, eliminate toxins, and manage symptoms associated with conditions like metrorrhagia. The term underscores the medicinal aspect of Ayurveda as a treatment system.
8) Activity:
Activity in this text refers to the biological actions or therapeutic effects of the Ayurvedic medicines used. The report highlights measures like anti-hemorrhagic activity, stressing the importance of understanding how different herbal formulations interact with the body to yield desired outcomes like stopping excessive bleeding.
9) Guggulu:
Guggulu is an Ayurvedic formulation used to balance doshas, particularly Kapha and Vata. It acts as an anti-inflammatory and detoxifying agent. In this case, Guggulu is employed to manage benign proliferative growth, demonstrating its therapeutic significance in addressing reproductive health issues in women.
10) Granthi (Gramthi):
Granthi refers to nodules or masses that can develop within the body, relating to various pathologies, including those in the reproductive system. The presence of Granthi can lead to disorders like dysmenorrhea and metrorrhagia. Ayurvedic medicine aims to reduce or eliminate Granthi to restore balanced menstruation.
11) Rasa (Rasha):
Rasa stands for the essence or flavor derived from herbs and minerals in Ayurveda. It plays a role in determining the therapeutic properties of a formulation. The inclusion of Rasa in treatment strategies underscores the necessity of understanding the sensory and health effects of different Ayurvedic components.
12) Dysmenorrhea (Dysmenorrhoea):
Dysmenorrhea is characterized by painful menstruation, often resulting from underlying reproductive issues. It indicates an imbalance in the female reproductive system. Addressing this condition is crucial within Ayurvedic practice, focusing on holistic treatment approaches that relieve pain and normalize menstrual cycles.
13) Accumulation (Accumulating, Accumulate):
Accumulation refers to the buildup of substances, such as toxins or excess dosha, within the body. In Ayurveda, this can lead to imbalances and diseases. Treatment aims to eliminate these accumulations, facilitating healing and restoring harmony in bodily functions, particularly concerning menstrual health.
14) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine originating from India, encompassing holistic approaches to health. It focuses on balancing the body's energies (doshas) and utilizing natural remedies to address diseases. The case report exemplifies Ayurveda's application in managing complex conditions like metrorrhagia and promoting overall well-being.
15) Triphala (Tri-phala):
Triphala is a traditional Ayurvedic formulation composed of three fruits: Amla, Bibhitaki, and Haritaki. Known for its detoxifying properties, it aids in digestion, promotes regularity, and balances doshas. Its inclusion in treatment may support overall health, particularly in managing menstrual issues and enhancing reproductive wellness.
16) Trikatu (Tri-katu):
Trikatu is a combination of three spices: Ginger, Black Pepper, and Long Pepper. It is known for its digestive and metabolic benefits, enhancing the efficacy of other Ayurvedic herbs. In this case, it may support metabolic function and aid in managing disorders related to the uterus.
17) Bhasma (Bhasman):
Bhasma signifies calcined herbal or mineral preparations in Ayurveda, often sought for their therapeutic potency. The use of Bhasma aims at detoxifying the body and improving vitality. In the context of this report, it suggests a sophisticated approach to treatment employing ancient alchemical knowledge.
18) Shanti (Santi, Samti, Shamti):
Shanti translates to peace or tranquility in Sanskrit and holds significance in Ayurveda, promoting emotional and physical well-being. The notion of Shanti suggests that holistic healing encompasses not only physical ailments but also psychological aspects, fostering an environment conducive to comprehensive health.
19) Dosha (Dosa):
Dosha refers to the three fundamental energies that govern physiological function in Ayurveda: Vata, Pitta, and Kapha. Each dosha embodies specific characteristics, and imbalances can lead to health issues. Understanding doshas is vital for diagnosis and treatment, helping customize therapeutic interventions for individual's unique constitutions.
20) Kumar:
Kumar is a common name and in this context refers specifically to Dr. Neeraj Kumar Tripathi, the lead author of the case report. His expertise and contribution to Ayurvedic medicine illustrate the role of practitioners in bridging traditional knowledge with contemporary medical challenges.
21) Ayus (Ayush):
Ayush denotes the Ministry of Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homoeopathy in India. It facilitates the promotion and regulation of traditional medicine systems. Its relevance lies in supporting Ayurvedic practitioners' work, enhancing the credibility and accessibility of Ayurvedic treatment methodologies.
22) Vata:
Vata is one of the three doshas in Ayurveda, primarily associated with air and space. It governs movements within the body, including nerve impulses and circulation. An imbalance in Vata can lead to various physiological issues, emphasizing the importance of balancing Vata in relation to reproductive health.
23) Mani:
Mani refers to spiritual and medicinal stones or gems in Ayurveda, often used for their supposed healing properties. In the context of treatment, the term implies the depth of Ayurvedic philosophy, integrating natural elements that purportedly enhance the effectiveness of herbal formulations.
24) Pain:
Pain is an essential symptom in numerous health conditions, including those affecting the menstrual cycle. It can significantly impact quality of life and indicates underlying imbalances within the body. The Ayurvedic approach seeks to identify and alleviate pain through natural remedies and holistic therapies.
25) Zingiber officinale:
Zingiber officinale, commonly known as Ginger, holds a prominent position in Ayurvedic and traditional medicine. It is recognized for its anti-inflammatory and digestive properties. In this case, it may support the treatment by alleviating pain and enhancing the body's metabolic function.
26) Symplocos racemosa:
Symplocos racemosa, also known as Lodhra in Ayurveda, is utilized for its various therapeutic properties, including anti-inflammatory and astringent effects. In treating conditions like metrorrhagia, this herb's role is crucial in managing excessive bleeding and normalizing the menstrual cycle.
27) Terminalia chebula:
Terminalia chebula, one of the three ingredients in Triphala, boasts potent antioxidant properties. It is revered in Ayurveda for digestive health and detoxification. Its inclusion in treatment indicates a focus on holistic care, supporting the body's natural balance and aiding in the healing process.
28) Piper longum:
Piper longum, or Long Pepper, is a vital component of the Trikatu formulation. It is known for its warming properties and ability to enhance digestion and absorption of other herbs. Its relevance in this case lies in its potential to support effective herbal therapy.
29) Garbhashaya (Garbhasaya, Garbha-ashaya):
Garbhashaya refers to the uterus in Ayurveda, acknowledged as a crucial organ for female reproductive health. Impairments in the Garbhashaya can lead to various menstrual disorders, making its proper functioning vital. Ayurvedic treatments are designed to restore health to this organ, thus normalizing menstrual cycles.
30) Dravyaguna (Dravya-guna):
Dravyaguna is a branch of Ayurveda that focuses on the study of drugs and their properties. It emphasizes the relationship between herbal substances and their therapeutic effects. This involves understanding the quality, potency, and effects of herbal formulations, crucial for effective treatment in Ayurvedic practice.
31) Discussion:
Discussion in the context of this report refers to the analysis of treatment modalities and outcomes. It involves interpreting the efficacy of Ayurvedic approaches, examining how these methods can be applied in clinical practice, and assessing their broader implications for Ayurvedic healthcare professionals and patients.
32) Trijataka (Tri-jataka):
Trijataka refers to a traditional Ayurvedic formulation consisting of three herbal ingredients: Long Pepper, Black Pepper, and Ginger. It serves to enhance digestion and promote systemic balance. Its relevance in treatment highlights the importance of synergistic effects of multiple herbs in providing holistic health benefits.
33) Meenakshi:
Meenakshi, mentioned as one of the co-authors in this case report, represents the collaborative efforts in Ayurvedic research and practice. Her involvement emphasizes the importance of teamwork and diverse expertise in advancing the understanding and application of Ayurvedic strategies in managing health conditions.
34) Shothahara (Sothahara, Shotha-hara):
Sothahara refers to substances or treatments that alleviate inflammation. In Ayurvedic terms, it indicates therapeutic effects that help reduce swelling or pain, particularly relevant in conditions associated with menstrual disorders, and emphasizes the necessity of targeting inflammation in holistic Ayurvedic treatment approaches.
35) Suffering:
Suffering refers to the experience of pain and discomfort resulting from health conditions like metrorrhagia. In Ayurvedic philosophy, addressing suffering goes beyond mere symptom relief, focusing on restoring balance within the individual. The holistic perspective seeks to alleviate both physical and emotional manifestations of suffering.
36) Prakriti (Prakrti):
Prakriti stands for the inherent constitution of an individual in Ayurveda, determining physical and mental characteristics. Recognizing Prakriti aids in customizing treatment strategies, ensuring that Ayurvedic interventions align with an individual's unique qualities, potentially leading to more effective health outcomes.
37) Vatahara (Vata-ahara):
Vatahara signifies treatments that pacify or balance the Vata dosha. Given Vata's association with movement and regulation within the body, Vatahara therapies are critical for alleviating symptoms resulting from Vata imbalances, which may manifest in disorders like dysmenorrhea and other menstrual irregularities.
38) Disease:
Disease encompasses a range of pathological states affecting health. Within this report, it particularly relates to conditions like metrorrhagia. Medical interventions aim to address the root cause of diseases rather than just alleviating symptoms, ensuring a holistic approach to healing.
39) Prasuti:
Prasuti deals with reproductive health in Ayurveda, focusing on pregnancy, childbirth, and issues related to female reproductive health. Its significance in the context of this report relates to understanding and treating menstrual irregularities, emphasizing the comprehensive nature of Ayurvedic healthcare for women.
40) Tridosha (Tridosa, Tri-dosha):
Tridosa represents the three doshas - Vata, Pitta, and Kapha - which are primary elements governing health according to Ayurvedic principles. Balancing these doshas is fundamental in maintaining holistic well-being, and their study is crucial for diagnosing and treating various ailments effectively.
41) Chandra:
Chandra refers to the moon in Sanskrit and is often associated with cooling and calming effects. In Ayurvedic philosophy, lunar connections influence health, particularly in relation to cycles like menstruation. It underscores the connection between cosmic rhythms and natural biological processes.
42) Shankha (Samkha, Sankha, Shamkha):
Shankha translates to conch, often symbolizing purity and auspiciousness in various cultures, including Ayurveda. It can be connected to treatments focused on cleansing and detoxification, representing the significance of maintaining purity and balance in the body for good health.
43) Arbuda:
Arbuda refers to tumors or abnormal growths in Ayurveda. Understanding Arbuda is crucial for formulating treatment plans targeting conditions like benign proliferative growths. The Ayurvedic perspective provides insights into managing such growths through holistic approaches that restore balance within the body.
44) Varuna:
Varuna signifies the herb Crataeva nurvala, recognized for its therapeutic properties. In Ayurveda, Varuna is often employed for treating ailments related to the urinary and reproductive systems. Its inclusion in treatment suggests a targeted approach to addressing specific health concerns effectively.
45) Nature:
Nature highlights the intrinsic principles of Ayurveda, which emphasizes aligning health practices with the natural order. It signifies the importance of using natural herbs and remedies within one's environment to promote health, reflecting the core philosophy of Ayurveda in achieving balance.
46) Pitta:
Pitta is one of the three doshas representing fire and energy in Ayurveda, governing processes like digestion and metabolism. An imbalance in Pitta can lead to various health issues, thus Ayurvedic treatments aim to balance Pitta, facilitating overall wellness and functioning of bodily systems.
47) Basti:
Basti refers to a therapeutic enema treatment used in Ayurveda. This method is designed to cleanse and balance the body significantly, particularly in relation to Vata issues. Basti therapy can be instrumental in addressing reproductive health by ensuring proper functioning of the digestive and elimination systems.
48) Water:
Water holds a foundational status in Ayurveda, representing the principle of hydration and balance within the body. It serves as a medium for many Ayurvedic preparations, emphasizing its role in maintaining bodily functions and facilitating the absorption of nutrients necessary for health.
49) Ulcer:
Ulcer refers to an open sore or lesion often related to inflammation within the body. In Ayurvedic terms, ulcers may symbolize deeper imbalances. Understanding and treating ulcers involve comprehensive approaches targeting underlying causes, rather than just addressing surface-level symptoms.
50) Study (Studying):
Study signifies the systematic investigation focusing on understanding Ayurvedic treatment methodologies and their outcomes. It emphasizes the importance of research in validating traditional practices, fostering evidence-based approaches for better integration of Ayurveda into contemporary health systems.
51) Yoni (Yonin):
Yoni refers to the female reproductive organ in Ayurveda, encompassing a broader understanding of feminine health. Recognizing and treating issues related to Yoni are integral in Ayurvedic medicine, emphasizing the need for holistic health approaches tailored to women’s unique needs.
52) Beta:
Beta may signify a component related to beta-sitosterol, a phytosterol known for its cholesterol-lowering properties. In Ayurveda, compounds like beta-sitosterol can contribute to the holistic management of health conditions, reinforcing the relationship between dietary components and therapeutic effects.
53) Kala:
Kala denotes time or phases in Ayurveda, emphasizing the cyclic nature of life and health processes. This concept plays a critical role in understanding the timing of treatments and lifestyle modifications that align with the body's natural rhythms for optimal health.
54) Milk:
Milk is revered in Ayurveda for its nourishing and health-enhancing properties. It serves as a base for many Ayurvedic formulations. Within this context, milk may act as a vehicle for delivering therapeutic herbs, thus enhancing the absorption and effectiveness of treatments administered.