ROLE OF BASTI IN THE MANAGEMENT OF PCOD (ARTAVAVYAPAD)

 

Dr. Vishnu Bawane ¹, Dr. Manasi Deshmukh ²

 

¹ Professor and HOD, Department of Prasutitantra and Striroga, B. R. Harane Ayurvedic Medical College, Thane, Maharashtra, India

² BAMS MD PANCHAKARMA Y.M.T. Ayurvedic Medical College and Hospital, Kharghar, Maharashtra, India

 

1. INTRODUCTION

Polycystic ovary syndrome (PCOS) includes major complications among females of all age. In a group of 5-6 female average 1 woman is facing serious complications regarding pregnancy, irregular menses, and also obesity. PCOD is also termed as, Multicystic ovarian condition, Schlerocystic Ovaries, Stein Leventhal – given after an American gynecologist irving F Stein, SR, and Michael L. Leventhal Plowden (2016). When PCOD is taken into account, mental as well as physical stress, weight gain, hormonal imbalance are the key factors Teede et al. (2010) . Females of age group 18-44 get affected commonly with endocrine disorders Legro (2009) and 5-15 % of females worldwide Azziz (2016). PCOD is a condition where fluctuation in hormonal level disturbs ovarian mechanism which turns into cyst formation inside ovarian sac. Whereas male hormone androgen increases above its normal values in females suffering from PCOD Reddy et al. (2016). In simple way PCOD can be conclude as a condition with increased levels of androgen (male hormone), in more specific manner testosterone causes increase in levels of luteinizing hormone (LH) and decrease in levels of follicle stimulating hormone (FSH), together inhibits follicles to get develop into mature eggs and finally resulting into anovulatory cycle which is lastly responsible for menstrual irregularity in females

 

2. CLINICAL FEATURES

·        Infertility

About 70% of females are infertile because of this condition Diamanti-Kandarakis and Dunaif (2012), Anonymous (2011)

·        Hirsutism and Acne

Due to elevated androgen levels.

·        DM type 2

An insulin resistance leads to metabolic dysfunction

·        Irregular menses

Hormonal imbalance causes irregularity in menstrual cycle

·        Depression and Anxiety

Females suffering from PCOD are seen mentally affected Helvaci et al. (2017)

·        Discoloration of the skin

Neck, area under breast, elbows, groin, and knees are commonly involved.

·        Overweight

Among all female population of PCOD, on an average 80% of them are confined to weight gain/ Obesity issues.

·        Migraine

Fluctuation in hormonal levels can lead to headaches.

 

3. AYURVEDIC VIEW ON PCOD

Acharya Charak has explained the specificity of each patient. He explained that it’s okay if one did not give any kind of nomenclature to each disease condition Agnivesha, Charka Samhita (2011). In Ayurveda PCOD is not directly mentioned as any diseased condition. Acharya indulges commonly more of the gynecological conditions as Yoniyapada or Aartavavyapda. The prognosis of Vyadhi in each patient is different. Stages of Dosha dushya dushti, Involment of Srotas, Srotadushti prakara, Sthan of the dosha and roga and Samuthan of Vyadhi, are major keys involved in the proper diagnosis and treatment of any disease-causing condition. From Ayurvedic point view, Artava Dhatu under the guidance of Vata helps in evolution of reproductive system with the comprise of secondary sexual characters, ecstasy etc, in the female body. By bringing of puberty age; Rutuchkra- the reproductive/ menstrual cycle of perpetutation of the pip (Beejartha) and decumbent for implantation (Garbhashayya). When there is no implantation (Garbhasthapan), the Shayya becomes obsolete (Purana Raja) and is dispense in the form of Rajasrav. The cycles get repeated every month from the onset of puberty till menopause. This Chakar may get disturbed sometimes. The main cause in irregularity of Rutuchakra is inappropriate execution of Artav Dhatu (stands for Shukra Dhatu of male) which is under dominance of vata.

Ditoriation or deficit (Unmarga gaman or Kshay) are the two major conditions for any activity to get disturbed, along with barriers (Srothorodha). When Rutuchakra, is consider activity of vata may get deficit along with obstcal (Srotorodha) due to Vatakapha dosha at the site of Beejartha; Which results irregularity menses. Two common conditions were described are Vataj and Vatakaphaja Yonivyapad. Rasayan, Lekhan and Bhedan chikitasa   respectively works as Promoter, decrement, and breakdown treatment in this condition Nagral (2014)

 

4. ROLE OF PANCHAKARMA (BASTI) IN PCOD

In PCOD main involment of vata is of Apanvayu and as given in Ayurveda Basti is the prime effective chikitasa for such condition. The major goal of the panchkarma chikitasa is to maintain proper menstrual flow. Mulstahana of Aartavasritas is Garbhashya and Aartava vahini dhamni – the ultimate stahan of the Apanvayu Deepali and Zanwar (2021).

Figure 1

Figure 1 Basti Chikitasa in PCOD Includes Following Goals

                

5. MODE OF ACTION OF BASTI

 The specialty of Ayurveda is that it explains the compounded things/topic with simple clarification by using analogy seen in day-to-day life.  Such way of explaining the things were used, as there was lack of non involment of objective criteria for explanation. This easy explanation makes one to understand the pathophysilogy, prognosis and treatment very comfortably. Which also includes the concept of Basti.

1)     Pharmacodynamics of basti Yadaiah (2008):

 

 

 

 

Figure 2

                                                               

Figure 2 Pharmacodynamics of Basti

 

2)     Systemic action of the Basti (13):

Figure 3

Figure 3 Systemic Action of the Basti

 

6. Basti- A Supreme Line of Treatment

·        It is the prime therapy in regulating Vata Dosha- main factor for all the physiological and pathological activity of body and the mind. Agnivesha, Charka Samhita (2011)

·        It has effect of both the Upakramas viz.Langhana and Brumhana and combines all advantages of Panchakarma by virtue of its different type and variety of drugs used. Agnivesha, Charka Samhita (2011)

·        It has effect of Samshodhan as well as Samsaman Sushruta Samhit (2011) it gives instant strength, thereby prime line of treatment, mainly for children, women, and geriatric age. Agnivesha, Charka Samhita (2011).

·        By the permutation and combination of Varity of drugs used for basti it become useful in wide range of diseases. Agnivesha, Charka Samhita (2011) and Sushruta Samhita (2011)

·        It removes the Doshas/ Mala situated in the body, resulting in healthylife. Agnivesha, Charka Samhita (2011)

 

 

 

7. CONCULSION

With Ayurveda’s basic concept of Dosha, Dushya, Dhatu, Srotas and Sthanadusti any rog condition can be diagnosed and treated. In such presentation of PCOD Panchakrma chikitasa of Basti helped in maintaining proper ovarian function to have hormonal balance in regular manner for normal menstrual cycles. So, from this we can say that Ayurveda helps in freeing symptoms of PCOD along with fruitful treatment of   Pachakarma without any adverse effect.

 

CONFLICT OF INTERESTS

None. 

 

ACKNOWLEDGMENTS

None.

 

REFERENCES

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