INTIMATION FOR BODHIKA SEMINAR 17/07/2024
DEPARTMENT OF PRASUTITANTRA EVUM STREEROGA
NAME OF FIRST PRESENTEE:Dr Anjana L.R
DISSERTATION TITLE: EFFECT OF KASMARYA KUTAJA GHRITA MATRA VASTI IN RAKTAYONI
TIME: 2:00-4:00 PM
VENUE: COLLEGE AUDITORIUM
ABSTRACT
Raktayoni is a gynecological condition manifested as excessive bleeding per vaginum during menstruation. Excessive menstrual blood loss that interferes with a woman’s physical, social, emotional, or material quality of life is called Heavy menstrual bleeding, which is a form of Abnormal uterine bleeding. In India, the reported prevalence of Abnormal uterine bleeding is around 17.9%. Nearly 30% of all gynecological outpatient attendants are for AUB. Traditionally it is managed with medical therapy and surgical intervention which are costly for common people and sometimes associated with side effects. In samprapti of Raktayoni, Rogadhishtana is Garbhasaya,i.e, Apana kshetra, and the main vitiated dosha is pitta rakta. Raktasthapana is the line of management advised by Acharyas in this condition. Acharyas have mentioned Vasti karma in Raktayoni in order to pacify vata especially apana vayu. Matra Vasti is a type of Sneha Vasti, which has been highly praised for its extensive and multi-dimensional use as it doesn’t cause any complication and it can be administered at any time to any age of person. Kasmarya kutaja ghrita mentioned by Acharya Charaka in Yonivyapat Chikitsa Adhyaya, while explaining the treatment of Raktayoni, indicated for Raktayoni, Arajaska and Putragni is used here in this study for administering Matra Vasti. As the drugs included in the yoga are mainly Kashaya Tiktha rasa, it helps to reduce the bloodloss, and Vata Pitta and Kapha samaka properties of drugs helps to balance the doshas vitiated. Study design is pre and post interventional with a sample size of 20, in the age group of 18-50 years who are diagnosed with Raktayoni, attending the OPD of Prasutitantra and Streeroga. Matra Vasti is administered for duration of 7 days starting from first day of menstrual cycle. Amount of blood loss is analyzed at the end of that menstrual using Pictorial Bloodloss Assessment Chart score. Data will be statistically analyzed using appropriate statistical technique.
NAME OF SECOND PRESENTEE:Dr Avani Suresh C.K.
DISSERTATION TITLE:EFFECT OF SATISIDHA GHRITA IN ASTHENOZOOSPERMIA
TIME: 2:00-4:00 PM
VENUE: COLLEGE AUDITORIUM
ABSTRACT
Infertility is a problem of global proportions
and is defined as the inability to conceive even after one year of unprotected
coitus. It affects about 10-15% couples & male factor is directly
responsible in about 30-40% cases. Asthenozoospermia is a common cause of male
infertility and is characterized by reduced sperm motility. The prevalence is
18.71% for asthenozoospremia and 63.13% for Asthenozoospermia associated with
Oligo-and/or teratozoospermia. According to WHO criteria 2021, a man does not
suffer from Asthenozoospermia when he presents 42% or more motile spermatozoids
(Progressive and Non progressive) or 30% or more spermatozoids with progressive
motility. Complete Asthenozoospermia, ie 100% immotile spermatozoa in the
ejaculate is reported at a frequency of 1 of 5000 men.
Ayurveda classics has elaborately
explained about the causes of male infertility and more focus is given to the
pathological conditions of sukra
along with its management, these are included under the concept of Ashta sukradushti by Acharyas. Grandhisukradushti caused by Kaphavatadoshadushti
is one among them in which sukra
will be incapable to combine with or penetrate the beeja and it will be slowly progressive in nature thus becomes
inefficient in the formation of garbha,
hence treatment aims at pacifying kaphavatadosha. While analysing the clinical features of Grandhisukradushti, it is better to
correlate it with Asthenozoospermia due to increased viscosity of semen. So that the treatment mentioned for Grandhisukradushti can be tried in
treating the condition Asthenozoospermia.Satisidha
Ghrita mentioned in Susruta Samhita
sareera sthana Sukrasonitha sudhi
adhyaya, Grandhisukradushti chikitsa
is selected for the study. Analysing the doshakarma of the above formulation,
easy availability and cost effectiveness of the drug ensure this medicine as a
right choice. Study design is Pre and post interventional with a sample size of
20. Males in the age group between 25-45 years who are diagnosed with
Asthenozoospermia will be selected from Infertility clinic (OPD) of
Prasutitantra&Streeroga, Government Ayurveda College, Thiruvananthapuram.
Study tools include case proforma and semen analysis. Participants satisfying
the inclusion criteria will be selected in the study. Duration of the study
will be 30 days and patients will be advised to take 12 ml of Satisiadha Ghrita twice daily before food for 30
days. Assessment is done after a period of 30 days intervention. Result will be
analysed statistically at the end of study. The pre and post test data will be
assessed with appropriate statistical method.
NAME OF SECOND PRESENTEE:Dr Sruthi SU
DISSERTATION TITLE:COMBINED EFFECT OF SAPTHASARAM KASHAYA AND SELECTED AYURVEDIC TREATMENT MODALITIES IN CONGESTIVE DYSMENORRHOEA
TIME: 2:00-4:00 PM
VENUE: COLLEGE AUDITORIUM
ABSTRACT
Dysmenorrhea literally means ‘difficult menstrual flow’
which implies painful menstruation. It is commonly classified into primary
dysmenorrhea when there is no co-existent pathology and congestive dysmenorrhea
where there is an identifiable pathological condition. About 40-70% of women of
reproductive age suffers with dysmenorrhea and is associated with significant
psychological, physical, behavioural and social distress. According to
Ayurveda, vatavikriti is the main
cause of pain.Viguna Apanavata causes
yonivyapath.Among 20 Yonivyapath, congestive dysmenorrhea can
be included under vatiki which is mentioned
as” vathala karkkasa sthabda
soolanisthoda peeditha8” which means vatala yoni is rough, stiff and associated with acute and pricking
pain. Moreover “vathalayam tu athivedana
bodhavya9” in which
the pain is very pronounced in vatiki.
Considering the above facts Sapthasram
kashaya mentioned in Sahasrayogam Gulma prakarana, Dhanwantharam taila mentioned in Ashtanga hridyam Sareeram Garbhavyapath sareeram and Dasamoola kwatha are taken for the
study. The selected treatment modalities abhyanga,
avagaham and matravasthi is
highly beneficial in correcting apanavata
vaigunya. In the phalasruthi of Sapthasaram
kashaya it is said that “ruchamathi
mahathim yonihrit kukshi prishtasronidesheshu sadhyasamayathi7” which means it is effective in severe
pain in yoni, kukshi, prishta and sroni. Dhanwantharam taila is sarvavatavikarajit, yoniroga kshayapaham
as well as vatahara drug. Dasamoola kwatha is tridosha samaka especially vata
samaka. Hence the combined effect of Sapthasaram
kashaya and selected modalities can be tried in the management of
congestive dysmenorrhea. The study
is interventional with pre and post with a sample size of 23 who are diagnosed
with congestive dysmenorrhea attending OPD of Prasutitantra & Streeroga,
Govt Ayurveda college Thiruvananthapuram. The internal administration of 48ml Sapthasaram kashaya twice daily 1hour
before food is continued for 3 consecutive cycles.Abhyangam with 100ml Dhanwantharam
taila and avagaham in 15 litres
of Dasamoola kwatha will be done
prior to matravasthi with Dhanwantharam vasthipakam 72ml.The
procedure is done for 7 days, 15 days prior to menstruation. The study is done
for three consecutive cycles. Patient is advised to report on 31st,61st
and 91st day of study period and 121st day for follow up.
Changes in pain and associated symptoms will be assessed before and after the
study. Pain will be assessed by visual analogue scale and verbal descriptive
scale. Results will be analyzed statistically by paired t test or Wilcoxan sign
rank test. Result will be drawn, summarized and conclusion will be made.
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