artava dushsti.pptx

about artava dushti

1. Artava vyapad By Dr Tejaswini K.R

2. Ashta artava dushti Causes: There is no specific nidana mentioned for ashta artava diushti . kashyapa says that use of ati tikshna ushna anna paana . Use of thikshna and ruksha dravyas during menstruation. Use of thikshna dravyas for shodhana karmas to the women having mridu koshta .

3. Classification: Based on causative dosha : Vaataja,pittaja,kaphaja,raktaja,vatapitta,pittakapha,vatakapha and sannipataja Based on clinical features: Vataja Pittaja Kaphaja Kunapagandhi [ raktaja ] Grantibhuta [ vaata-kapha ] Putipuya [ pitta-kapha ] Ksheena [ vaata-pitta ] Mutrapurishagandhi [ sannipataja ]

4. Lakshanas : Vaataja artava dushti : Artava vitiated by vaata which is having vaata varna i,e red,black or dark violet in color .& also tanu , ruksha , frothy and alpam which is scattered [very small clots mixed with liquid substance]. It is excreted vicchinnam sarujam [slowly with pain] Vaataja artava dushti appears to be description of oligomenorrhoea associated with dysmenorrhoea.

5. Pittaja artava dushsti : The artava vitiated by pitta having yellowish or bluish in colour. having burning sensation and feeling of heat at the time of its excretion. Harita defined the colour as resembling the japa flower and also added dysuria in the symtoms . Pittaja artava dushsti seems to be oligomenorrhoea associated with chronic pelvic cellulitis .

6. Kaphaja artava dushsti : The artava vitiated by kapha having shleshma varna i,e whitish or majjopa samsrusta means appears as if mixed with bonemarrow due to yellowish. harita added saghana,picchila , mutra rodha and jadhya . Oligomenorhhoea with chronic inflammation or endometritis or endocervicitis .

7. Kunapagandhi [ raktaja ] The kunapagandhi artava dushsti mainly caused by rakta . The artava having dead boby smell. The amount of blood flow is more during menstruation &like fresh blood colour. It is also having other pittaja features. Kunapagadha is foundin necrosis of the tissue mainly seen in carcinoma condition hence can be corelated with early stage of endometrial carcinoma.

8. Grantibhuta [ vaata-kapha ]: The artava in gerantibhuta dusti having clotted [ granti ] appearence and caused by combintion of vaata & kapha and also having mixed features of vaata&kapha . This artava dusti seems to be description of malignant disordes specially cervical malignacy .

9. Putipuya [ pitta-kapha ] Putipuya mainly the artava resembling like pus discharge having putrid smell. This condition is caused due to pitta and kapha is the opinion of sushruta , but astanga 1&2says it s due to rakta and pitta . This condition can be corelated with severe endometritis leading to pyometra .

10. Ksheena [ vaata-pitta ]: This artava dusti caused due to vaata & pitta.in this condition artava is delayed , menstrual blood is scanty associated with pain in vagina. This can be corelated with hypooestrogenic oligomenorrhoea due to nutritional deficiency.

11. Mutrapurishagandhi [ sannipataja ]: The menstrual blood which is having smell of utrine & feces hence it is called as mutrapurishagandhi.it s caused due to vitiation of all thridoshas . This condition can be seen in 3 rd or 4 th stage of cervical carcinoma.

12. Artava dushsti updrava : The artava vitiated by doshas has absence of bija or the woman suffering from these menstrual disorders becomes infertile.

13. Sadhyasadhyata : Sushruta says that kunapagranthi,granthirbhuta,putipuya,ksina and mutrapurish a gandhi are incurable where as other condition caused by single dosha are curable. Astanga hridaya says other than mutrapurishagandhi rest all are kricchrasadhya . Mutrapurishagandhi is asadhya .

14. Ashtartava Dusti chikitsa Saamanya chikitsa : In all artava vyapad all the panchakarmas should be employed including uttara basti . The treatment plan should be consists of : Poorva karma[ snehana,swedana ] Pradhana karma [ vamana , virechana , niruha & anuvasana basti , nasya , uttara basti ]

15. Sthanika chikitsa [ kalka dharana , pichu dharana , yoni dhavana ] All the procedure should be advised according to the vitiation of doshas . Uttabasti should be employed accordingly. Rasayana , vajikarana drugs, drugs which are explained in guhya roga , drugs used in urinary disorders are benificial . The pathya which is explained in yushadhyaya or the milk madicated with jivaniya gana drugs are benificial . Virechana karma is most beneficial.

16. Abhyantara prayoga : Shatapushpa / shatavari kalpa Yoga raja guggulu Chandra prabha vati Pugapaka Bhahya prayoga : Jivantyadi anuvasana yamaka . Mustadi yapana basti Sahacharadi yapana basti Pathya : Shali,yava,madhya,mamsa preperation capable of increasing the pitta are beneficial

17. Vataja artava dusti chikitsa

18. Snigdha,ushna,amla,lavana dravya prayoga . Grita made up of bharangi , madhuka etc.. Kashmari siddha ksheera . Yonikalka preparedwith priyangu and tila Sarala-mudgaparni kashaya for yoni prakshalana . Niruha basti works like amrita.

19. Pittaja artava dusti chikitsa Madhura shita kashaya Yoni dhavana with pitta hara dravya Yoni dharana with chandana payasya kalka Virechana is beneficial Paste of chandana , ushira , manjishsta , patola , madhuka , yastimadhuka , rakta chandana , punarnava sariva ghana etc,,,.... Drugs should be given with sugar and milk.

20. Kaphaja artava dusti chikitsa Vamana is beneficial. Kashaya of kutaja,katuka , and ashwagandha . Madhu mishrita ksheerivriksha patra kwatha . Yoni purana with madanaphala kalka . Yoni dhavana with lodra abnd tinduka kashaya .

21. Kunapagandhi artava dusti chikitsa Yoni dhavana with triphala kwatha . Yoni purana with triphala kalka . Kashaya of bhadraashraya and chandana orally.

22. Granthibhuta artava dusti chikitsa Patha,trayushana,vrukshaka kashaya paana . Patha , trikantaka and vrukshaka paana .

23. Putipuya artava dusti chikitsa Yoni dhavana with triphala kwatha . Yoni purana with triphala kalka . Kashaya of bhadrashraya and chandana orally.

24. Ksheena artava dusti chikitsa Vamana karma Shitakalyana grita Rakta vardhaka chikitsa Use of tila masha , sura , shukta etc....