APPROACH
TO ABNORMAL UTERINE BLEEDING
Pradeepkumar
P.P, Dept. of Prasutitantra and Streeroga,
Govt. Ayurveda College, Thiruvananthapuram
Govt. Ayurveda College, Thiruvananthapuram
The abnormal uterine
bleeding is one of the commonest conditions we come across in Ayurvedic
clinical practice, even if there is always an
small area of uncertainty of understanding the modern disease in
ayurvedic perspective, its possible to an extent if its understood properly within the basic principles of ayurveda, the work aims
at understanding the normal uterine bleeding, & abnormal uterine bleeding
in terms of tri dosas/dhatus and gunas,
it also emphasis the importance of history taking and use of investigation more
precisely to arrive at a diagnosis, the management principles, and commonly
practiced medicines in AUB, with respective to various conditions. The abnormal
uterine bleeding is basically due to impaired Rakta pitta at the level of garbhasya gata sira (endometrium) The tridosa
play an important role in the pathogenesis, the immediate management is to
arrest bleeding with , drugs having kashaya,madhura,tikta rasa, seeta veerya
,and stambhana karma. Later the management should be directed to reverse the associated pathology.
PRECONCEPTIONAL
CARE
Abha
L Ravi, Dept. of
Prasutitantra and Streeroga,
Govt. Ayurveda College, Thiruvananthapuram
Preconceptional care is
the care given to woman before she gets pregnant. In Ayurvedic treatises our
Acharyas had given utmost importance to preconceptional care right from the
selection of couple itself. Preconceptional care comprises of treatment methods
like proper sodhana therapy along with diet restriction, abstinence and
religious rituals to ensure Beeja sudhi, Kshethra sudhi and Mano sudhi for
getting a better child. Garbhadana samskara, a child begetting religious
ceremony is the observation of the reformatory method for a worth full child in
order to fulfil the parental obligation to continue the human race.
Modern obstetrics
forwarded the preconceptional concepts as an extension of ante-natal care, to
provide optimal health to mother and baby. Presently when the pregnant woman
approaches the obstetricians it is too late in terms of preconceptional care as
organogenesis would have been completed by that time. It makes obstetricians
incapacitated to take steps to prevent any hereditary and genetic problems. The
main objectives of preconceptional care are identification of high risk
factors; improve basic health level status, stabilization of pre-existing
chronic diseases etc. It includes medical screening, genetic counselling and
basic health checkups.
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