Indian Journal of Ancient Medicine and Yoga

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 Women have been placed on an extreme worshiping place due to their power of ‘Janani’- creation. Acharya Manu has stated that, for happiness of the human society, it is needed to give proper care and respect to women. God has blessed the female with the most valuable gift of motherhood.1 The preparation of motherhood starts with puberty when Rajah-pravriti i.e. menstruation begins2 and by the age of 16 it is fully completed after which she is capable of childbearing3 . Udavarta Yonivyapada or painful menstruation (dysmenorrhoea in modern medical terms) is a common problem of the females in the reproductive age group; has got a detailed patho-physiology and treatment in the classical literature of Ayurveda4 . In the present study KH compound orally and Dashmoola-Trivrita taila uttar basti has been tried in 20 patients in two groups for evaluation of its clinical efficacy and adverse / side effects if any. It was observed that in group I, patients wherein KH compound and Dashmoola-Trivrita taila uttar basti was given, showed better results (20% cured & 80% markedly improved) in comparison to group II in which only KH compound was given (20% cured, 30% markedly improved & 50% moderately improved). None of the patient reported any adverse effect during or after the treatment.

KEY WORDS: Udavarta Yonivyapada, Uttarbasti, Kshobha Artava, Vatanulomaka, Menstruation, Dysmenorrhoea

 Vicharchika (Eczema) is one of the skin disorder described in all ancient texts of Ayurveda. Sushruta described it as the Raktaja Vyadhi and the choice of treatment is Raktamokshana. The present study was carried out by two modalities of the Raktamokshana (bloodletting) i.e. Jalukavacharan and Siravyadha. In the first group the Raktamokshana was done with the help of Jalauka where Vicharchika was localized. In second group the Raktamokshana with the help of Siravyadha was conducted where Vicharchika was not localised rather found all over the body. The data from the ancient text related to the Ayurvedic concepts of Vicharchika and Raktamokshana were elaborately described in the study. All the concepts related to the eczema along with treatment and adverse effects were described in detail from the modern texts. Observations on the clinical study were mentioned in the table and graphical form where as results of two groups were drawn separately. Discussion was made on the basis of observations and effect of Raktamokshana in Vicharchika. Total 54 patients were treated, in which Raktamokshana was done by Jalauka in 34 patients and Siravyadha was done in 20 patients. Out of 34 patients treated with application of Jalauka, 28 patients (82.35%) were cured completely where as 6 patients (17.64%) were improved. Out of 20 patients treated by Siravyadha, 14 patients (70%) were cured and 6 patients (30%) improved. Overall result found that, Jalauka had 82.35 % cure rate where as Siravyadha brings 70% cure rate. Finally it was found that in both groups the effect of Raktamokshana in Vicharchika was significant. Lastly it had been concluded that the Raktamokshana had very good effects in Vicharchika without any adverse effect and recurrence.

KEY WORDS: Bloodletting, Eczema, Jalauka, Raktamokshana, Siravyadha, Vicharchika

Senile vaginitis is one of the commonest gyaecological problems among the ageing women in developing countries. According to a survey study carried out in dept. of Kaumarbhritya & Prasutitantra, IIM, University of Colombo, its prevalence was found 33% in women from age group of 55 to 75 years. Oestrogen deficiency is considered as the main cause behind this, but oestrogen produces several complications when it is used to treat the problem in this age group. The aim of the study was to compare the effect of oral Shatavari Churna on senile vaginitis when it is used along with the Yoni Avagaha with the decoction of barks of Ashwattha , Nyagrodha, Udumbara and Nimba ( in group B) over the Yoni Avagaha alone with same drugs (group A). Highly significant relief was found in both the groups with 86.66% in group A and 89.74% in group B. In addition, Shatavari treated group showed encouraging results in the associated symptoms like dyspareunia, dryness of vagina and backache. Recurrence during the follow up period of 3 months was found 47.05% in group A and 08.82% in group B. It was concluded that Yoni Avagaha works significantly to remove senile vaginitis but recurrence can be reduced more significantly, if oral Shatavari is added because it helps to rejuvenate the vaginal epithelium by its phytoestrogen containing property.

KEY WORDS: Senile vaginitis, Shatavari, Yoni Avagaha

 The commonest ailments in ano rectal region are Arsha (piles), Bhangadar (fistula in ano), Parikartika (Fissure in ano), Gudakandu (pruritus ani) and Guda vidradhi (abscess), etc. As per classics Parikartika is a vyapad (complication) due to Basti and Virechan karma. It is mostly situated at the midline posterior of anus and very painful condition. As per massive and random study of the Indian proctology Society the prevalence rate of anal fissure may be more than 20% of ano rectal disorders, but it varies region to region from 15-30%. To treat Parikartika conservative & surgical interventions are available but those are having disadvantages and recurrence. In order to explore some new intervention the study had been carried out to achieve satisfactory & radical cure by Ksharakarma. Kshara has different properties as krimighna, vishaghna, chhedan, Bhedan, Lekhan, shodhan, stambhan, ropan, etc. and it has also capability of allying doshas -Vata, Pitta & Kapha. In this study mridu Kshara of Apamarga was used in the forms of Lepa and Tail in acute condition of anal fissure. Total 30 patients were divided into three groups, in group AKshara Lepa, in group B- Kshara Taila and in group C- Both Taila and Lepa were used. The local application of those Kshara form were done up to two weeks. The findings were noted after 7th and 14th days of treatment and assessment of the results was done. After completion of 7 days treatment of local application in ABC group, it was observed up to 40% of relief in average but after completion of 14 days it was seen that the results were above 80% in A & C group where as in Group B it was above 90%. Statistically the results in all the groups were found highly significant without any adverse effect and recurrence. The follow up period was for 3 months. It was concluded that in acute condition of the Parikartika Kshara was very effective.

KEY WORDS: Basti, Fissure in ano, Parikartiaka, Kshara, Lepa, Tail, Virechan.