WELCOME TO ALL
JOURNAL PRESENTATION
DEPARTMENT OF SAMHITA SAMSKRITA SIDDANTA
BY
Dr.S.KAMALAKAR PURIPANDA
1ST YEAR PG
THE HEALTH OF NATION MAINLY DEPENDS ON THE
HEALTH OF WOMAN,BECAUSE HEALTHY AND HAPPY WOMAN
LAYS THE FIRST STEP OF A PROSPEROUS NATION
CONCEPTUAL STUDY ON NIDANA AND SAMPRAPTI OF SVETAPRADARA WITH SPECIAL REFERENCE TO
LEUCORRHOEA
AUTHOR: B IT I SINGH,DEPARTMENT OF BAS IC PR INC IPLES
S .V.AYURVEDIC COLLEGE, T IRUPAT I , ANDHRA PRADESH
SOURCE: International Journal of Ayurvedic Medicine
YEAR:2013
SEVERAL STUDIES WERE DONE ON SVETAPRADARA AND ITS TREATMENT,
BUT NO WHERE ITS N IDANA AND SAMPRAPTI WERE D ISCUSSED IN
DETAIL.
THIS STUDY MAINLY DEALS WITH DETAILED DISCUSSION ON NIDANA
AND SAMPRAPTI OF SVETAPRADARA . .
AIM OF THE ARTICLE
CLASSICAL AYURVEDIC TEXTS ALONG WITH THE COMMENTARIES WERE
CAREFULLY STUDIED TO COMPILE INFORMATION ABOUT SVETAPRADARA AND TO EVALUATE THE
NIDANA AND SAMPRAPTI OF THE DISEASE
METHOD EMPLOYED BY
AUTHOR
■VERY S IMPLE, EASILY UNDERSTANDABLE LANGUAGE
■GRAMATICALLY CORRECT,STRAIGHT TO POINT
■HAS SYSTEMATICALLY ARRANGED THE INFORMATION UNDER PROPER HEADINGS
AUTHOR LANGUAGE STYLE AND EXPRESSION
HIGHLIGHTS OF THE ARTICLE
CONTENTSINTRODUCTIONSAMANYA NIDHANA& SAMPRAPTHIVISISTA NIDHANA &SAMPRAPTHISAMPRAPTI GHATAKASAUTHOR’S CONCLUSIONFURTHER UNDERSTANDINGDISCUSSIONMY CONCLUSION
INTRODUCTION♥ SVETAPRADARA IS A CONDITION CHARACTERIZED BY WHITE VAGINAL DISCHARGE NOT ASSOCIATED WITH FOUL SMELL, PAIN, BURNING SENSATION AND ITCHING THUS WE CAN CORRELATE IT WITH LEUCORRHOEA.
♥THE WORD SVETAPRADARA HAS NOT APPEARED IN BRIHATRAYI..BUT COMMENTATOR CHAKRAPANI AND THE AUTHORS OF SARANGADHARA SAMHITA, BHAVA PRAKASH AND YOGA RATNAKARA HAVE USED THE WORD SVETAPRADARA FOR WHITE VAGINAL DISCHARGE.
♥SVETAPRADARA IS QUITE FREQUENT COMPLAINT OF MORE THAN 60% OF WOMEN IN GYNAECOLOGIC CLINIC.
SAMANYA NIDHANA AND SAMPRAPTHI
NIDANA OF YONIVYAPADNIDANA
CHARAKA SUSRUTHA VAAGBHATA
Mithyachara (improper conduct)
Pravrddha linga purshati sevana (excessive indulgence into sex with a man of abnormally developed penis)
Dushtabhojana (vitiated food), visamanga seyana bhrshamaithuna sevana (intercourse in improper position and excessive indulgence into sexual act]
Artava dushti (menstrual disorder)
Atimaithuna(excessive indulgence into sexual act)
Apadravya sevana (use of artificial things for sexual pleasure]
Beeja dosha (genetic morbidity)
Beeja dosha Beeja dosha
Daiva (devine factors)
Daiva Daiva
VATA PRAKOPA AHARA VIHARA ↓
AGGRAVES VATA ↓
STHANIKA VATA PRAKOPA
↓
VISHAMAGNI ↓ TAKES STHANASAMSHRAYA IN YONI PRADESHA ↓ ASHAYAPAKRSHA OF KAPHA DOSHA AND RASA DATHU ↓ ATIPRAVRITTI OF RASA DATHU AND KAPHA FROM YONI PRADESHA
KAPHA PRAKOPA AHARA VIHAR ↓ AGGRAVATES KAPHA ↓ CAUSES MANDAGNI AND AMA FORMATION ↓ OBSTRUCT THE SROTHAS ↓ AGGRAVATES VATA IN YONI ↓ VATA VITIATES STHANIKA KAPHA AND RASA DATHU IN YONI PRADESA
SAMPRAPTIAS THE IMPORTANT CAUSE OF ALL YONIVYAPADA IS VITIATION OF VATA. SO, THE MAIN ETIOLOGICAL FACTOR FOR SVETAPRADARA AS DESCRIBED IN YONIVYAPAD IS VATA AND THE DISCHARGE IN SVETAPRADARA IS OF PANDURA VARNA WHICH SHOWS PREDOMINANCE KAPHA DOSHA.
THIS VITIATED VATA TAKES STHANASAMSHRAYA IN YONI PRADESHA, THERE IT VITIATES STHANIK KAPHA AND RASA DATHU AND EXPELS IT EXCESSIVELY IN THE FORM OF WHITISH DISCHARGE FROM YONI.
VISISTA NIDHANA AND SAMPRAPTI
VATA PRAKOPA:RITU VAISHAMYA
RATRIJAGARANA
VEGASANDHARANA
MANASIK BHAVAS
IUD[APADAVYA PRAYOGA]
ILL HEALTH AND CHRONIC DISEASES
MUCUS POLYP
NIDANAKAPHA PRAKOPASAMASHANA VISHAMASANA ATIMATRA BOJANA
GURU SEETHA MADHURA AHARA
CHRONIC CERVICITIS
DADHI SEVANA
VATA AND KAPHA PRAKOPASNANA WITH ATI SEETHALA JALA
SHEETALA JALA
VITIATES VATA AND KAPHA
TAKES STHANA SAMSHRAYA IN YONI PRADESA, VITIATES STHANIKA DOSA AND DATHU IN YONI PRADESHA
VRIDDHA VATA EXPELS OUT ALONG WITH KAPHA AND RASA DATHU
SAMPRAPTHI♥DUE TO VATA PRAKOPA AHARA VIHARA, VATA VITIATES AND MAKES JATARAGNI IRREGULAR, EVENTUALLY FORMED UNDIGESTED MATERIALS[AMA]
♥LATER DUSTA AMA CIRCULATES ALL OVER BODY THROUGH RASA VAHA SROTHAS BY THE MOTIVE FORCE OF VYANA VAYU
♥CIRCULATING AMA CAUSES SROTO AVARODHA
♥DUE TO AGNI VAISHAMYA AND SROTOVARODHA KAPHA DOSHA AND RASA DHATHU ARE FORMED EXCESSIVELY IN YONI PRADESHA
♥APPEARANCE OF WHITE DISCHARGE THROUGH VAGINA BY THE ACTIVITY OF EXPULSION OF APANA VAYU
SAMPRAPTI GHATAKAS
DOSA VATA AND KAPHADUSYA RASADATHUADHISTANA YONI,GARBHASAYAUDHBAVA STHANA AMASAYASROTHAS RASAVAHASROTHODUSTI ATIPRAVRITTIVYAKTHA STHANA YONIROGAMARGA ABHYANTARA
CONCLUSIONAYURVEDA TREATMENT MAINLY DEPENDS ON NIDHANA AND SAMPRAPTI.
IF PHYSICIAN UNDERSTANDS THE SAMPRAPTI IN A PROPER WAY PHYSICIAN WILL NEVER FAIL IN THE MANAGEMENT OF DISEASE
FURTHER UNDERSTANDING
SVETAPRADARA(YONI SRAVA) RELATED TOPICS
IN BRIHATRAI
2.ACHARANA&VIPLUTHA
3.UPAPLUTHA
1.KAPHAJA YONI vyapad
CA.CHI.30,SU.UT 38,A,S.U.38,A.H.UT.33
1.KAPHAJA YONI vyapad [VAGINITIS/CANDIDIASIS]
A CLINICAL ENTITY CHARACTERISED BY ITCHING
AND MUCOID DISCHARGE
SHEETALA YONI - DEVOID OF NORMAL TEMPERATUREYONI KANDU - ITCHINGPAICHILYA YONI - MUCOID SECRETIONALPA VEDANA - LOW GRADE PAINPANDU VARNA - WHITISH DISCHARGE
2.ACHARANA&VIPLUTHA[PRURITIS VULVA]
CH.CHI.30SU.UT.38
UNCLEANINESS OF GENITAL ORGAN
KANDU – ITCHINGSRAVA – DISCHARGEATI NARA KAAMKSHA – INCREASE INTREST IN SIC
3.UPAPLUTHA[CANDIDIASIS]
CH.CHI.30A.S.UT.38A.H.UT.33
A CLINICAL ENTITY CHARACTERISED BY WHITE MUCOID DISCHARGE WITH
PAIN
PAANDU[SHWETHA SRAVA] – WHITE DISCHARGEKAPHA SRAVA – MUCOID DISCHARGETODA YUKTHA SRAVA – DISCHARGE WITH PAIN
MODERN POINT OF VIEW
NORMAL VAGINAL ENVIRONMENT
A DYNAMIC INTERELATIONSHIP BETWEEN LACTOBACILLUS ACEDOPHILINS AND OTHER ENDOGENOUS FLORA, OESTROGEN,GLYCOGEN,VAGINAL PH AND METABOLIC BY PRODUCTS OF FLORA AND PATHOGENS CHARACTERISE THE NORMAL VAGINAL ENVIRONMENT.
L.A. PRODUCES HYDROGEN PEROXIDE WHICH IS TOXIC TO PATHOGENS AND KEEP THE VAGINAL PH BETWEEN 3.8-4.2
SEEN IN NEWBORN BABY FOR A WEEK DUE TO MATERNAL OESTROGEN.SEEN IN GIRLS DURING PUBERTY DUE TO HORMONAL CHANGES.AT THE TIME OF OVULATION AND IN EARLY PREGNANCY.DURING SEXUAL EXCITEMENT.
GENERAL ILL HEALTH AND UNDER NUTRITION.DYSFUNCTIONAL STATE IN GENITAL TRACT.PSYCHOLOGICAL FACTORS.
LEUCORRHOEANormal Discharge Abnormal Discharge
HORMONAL RELATEDMODERATEODORLESS,PAIN LESSWITH OUT PRURITISMILKY DISCHARGE
HORMONAL RELATEDEXCESSIVEFOUL SMELL,PAIN FULLITCHING,STICKY,FROTHYCURDY DISCHRGE
LEUCORRHOEA PHYSIOLOGICAL PATHALOGICAL
1.WHAT IS THE COMMON TYPE OF VAGINAL DISCHARGE?
2.WHAT IS QUITE FREQUENT COMPLAINT OF MORE THAN 60% OF WOMEN IN GYNAECOLOGIC CLINIC?
CANDIDIASISDEFINITION:- A CLINICAL ENTITY CHARACTERISED BY WHITE CURDY DISCHARGE WITH PAIN AND ITCHING.ETIOLOGY AND PATHOGENISIS:-1] EXCESSIVE USING OF ANTIBIOTICS- THEY CAN KILL THE NORMAL GOOD BACTERIA IN VAGINA. 2]BEING OVER WEIGHT 3]DM 4]USING STEROIDS.SYMPTOMS:- VULVA VAGINAL ERYTHEMA,ODEMA,THICK WHITE CURDY DISCHARGE THAT ADHERES TO VAGINAL WALLS,ITCHING.
LEUCORRHEA IS NOT A DISEASE,BUT SYMPTOM OF SO MANY DISEASES
Kaphaja yoni
vyapad[chronic cervicitis]
Upaplutha[Candidiasiss]
Durbalata and jirna
vyadhi[health and chronic
diseases]
Acharana&viplutha
Antarmukhi/
Mahayoni[retroverted/
prolapsed uterus]
Karnini[mucus polyp]
CLINICAL DIAGNOSIS
Excessive normal
secretion
Vaginal Thrush[VT]
BV
Cervical Erosion[CE]
Endocervicitis[EC]
Carcinoma of
cervix[Ca.Ce]
Foreign body[FB]
Endometrial Polyp[EP]
Trichomoniasis,Gonococal,
Chlamydia,Candidiasis
DIAGNOSIS
DISEASE CAUSITIVE ORGANISM
DISCHARGE ODOR SYMPTOMS
CANDIDIA CANDIDIA ALBICANS [YEAST]
WHITE CURD LIKE
NO ODOR
ITCHING,ERYTHMATOUS VULVA
CHLAMYDIA TRACHOMATIS [BACTERIA]
MUCOPURULENT
VARIES LAP,LBP,ITCHING
TRICHOMONIASIS
TRICHOMONOS VAGINALIS
WHITE-YELLOW, PURULENT,FROTHY
PRESENT
ITCHING, ERYTHMATOUS
BACTERIO VAGINALIS
GARDENELLA [BACTERIA]
WHITE-GREY FISHY ITCHING
GONORRHEA NEISSERIA [BACTERIA]
THICK YELLOW
PRESENT
BURNING,ITCHING
LAB INVESTIGATIONS
High vaginal swabHVS+Wet saline microscopySpeculum examinationEndocervical swabCervical smearBiopsyHysteroscopy
QUESTIONS AND ANSWERS
1.WHAT IS THE SOURCE OF VAGINAL DISCHARGE?
V.D IS NOT FROM THE VAGINA AS THE VAGINA CONTAINS NO GLANDS.THE DISCHARGE IS FROM THE CERVIX.
2.WHAT IS THE COMMON TYPE OF VAGINITIS?
C.V.
3.WHAT IS PRURITIS VULVAE,WHAT SYSTEMIC DISORDERS ASSOCIATED WITH PRURITIS?
ITCHING. HEPATITIS,DIABETIS,CRF.
4.WHAT SKIN DISEASES CAN CAUSE PRURITIS?
SCABIES,PSORIASIS,TINEA.
5.HOW IS PREGNENCY RESPONSIBLE FOR INCREASED V.D?
THE INCREASED OESTROGEN LEVELS DURING PREGNENCY MAKES THE V.PH FAVOURBLE FOR V.D
6.WHAT LESIONS WILL YOU RULE OUT ON THE CERVIX IN CASE OF EXCESSIVE V.D?
CH.CERVICITIS,C.P,CE.
7.WHAT IS THE ROLE OF RBS ESTIMATION IN CASE OF V.D?
RECCURENT VD/VAGINITIS SEEN IN PATIENTS OF DM.THE GLYCOGEN CONTENTS OF THE VAGINAL CELLS INCREASE S THEREBY PREDISPOSING FOR VAGINAL INFECTION.
8.WHAT ARE THE FACTORS CAUSING CANDIDIASIS?
IMPROPER HYGIENE,UNTIDY UNDERGARMENTS,UNCLEANED NAILBEDS,CLEANING THE GENITAL PARTS WITH SOAPS .
S9.HOW OCP ARE RESPONSIBLE FOR INCRESED
INCIDENCE OF VD?
OESTROGEN ENCOURAGES THE INCREASED LEVEL OF
GLYCOGEN IN THE VAGINAL CELLS WHICH FAVOUR THE
GROWTH OF ORGANISMS IN THE VAGINA.
10.WHAT IS STRAWBERRY CERVIX?
IT IS SEEN IN THE TRICHOMONAL VAGINALIS
INFECTION.COLPOSCOPIC FINDINGS WHERE PETICHIAL
LESIONS IN THE CERVIX APPEARS AS STRAWBERRY LIKE
MY CONCLUSIONVAGINA IS SELF-CLEANING. A DELICATE BALANCE OF GOOD BACTERIA AND NATURAL FLUIDS KEEPS THE VAGINA HEALTHY AND FREE FROM INFECTIONS.
LUCHORRHEA IS NOT A DISEASE,BUT SYMPTOM OF SO MANY DISEASES HOWEVER ,SOMETIMES THIS SYMPTOM IS SO SEVERE THAT IT OVERSHADOWS SYMPTOM OF ACTUAL DISEASE AND WOMEN COME FOR THE TREATMENT OF ONLY THIS SYMPTOMS.
AYURVEDA HAS GIVEN MORE EMPHASIS TO NIDHANA AND SAMPRAPTI AS SAMPRAPTI VIGHATANA IS CHIKITSA.
THANK U DOCTORS