Gabhashaya mukha shotha psr

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Clinical evaluation of efficacy of Avachoornana with certain indigenous drugs(Kaseesa, Tuttha, Gairika, Lodhra) in Gabhashaya Mukha Shotha W.S.R to Primitive cervical cell pathology, Padmasaritha, Department of post graduate studies in Prasooti Tantra & Stree roga, S. D. M. COLLEGE OF AYURVEDA, UDUPI

Text of Gabhashaya mukha shotha psr

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES BANGALORE, KARNATAKA

I hereby declare that this dissertation entitled clinical evaluation of

efficacy of Avachoornana with certain indigenous drugs(Kaseesa,

Tuttha, Gairika, Lodhra) in Gabhashaya Mukha Shotha W.S.R to

Primitive cervical cell pathology is a bonafide research work carried

out by me under the guidance of Dr.VNK Usha. M.D. (Ayu),

Professor&HOD, Department of Prasooti tantra & Stri-roga and co-

guidance of Dr. Sucheta, Assistant Professor, Department of Prasooti

tantra & Stri-roga.

Date: Signature of the candidate Place: Udupi Dr. Padmasaritha

DECLARATION

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES BANGALORE, KARNATAKA

This is to certify that the dissertation entitled clinical evaluation of

efficacy of Avachoornana with certain indigenous drugs(Kaseesa,

Tuttha, Gairika, Lodhra) in Gabhashaya Mukha Shotha W.S.R to

Primitive cervical cell pathology is a bonafide research work done by

Padmasaritha in partial fulfilment of the requirement for the degree of

Master of surgery (M.S)

Date: Signature of the Guide

Place: Udupi Dr. VNK Usha. M.D. (Ayu)

Professor&HOD

Dept.Of Prasooti tantra & Stri-roga

CERTIFICATE

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES BANGALORE, KARNATAKA

This is to certify that the dissertation entitled A clinical study on the

effect of Upanaha Sveda in Pakshaghatha is a bonafide research work

carried out by me under the guidance of Dr. VNK Usha. M.D. (Ayu),

Professor&HOD, Department of Prasooti tantra & Stri-roga and co-

guidance of Dr. Sucheta, M.D. (Ayu), Assistant Professor, Department

of Prasooti tantra & Stri-roga.

Signature of the H.O.D Signature of the Principal Dr. VNK Uska. M.D. (Ayu) Dr. U.N. Prasad M.D. (Ayu)

Date: Date:

Place: Udupi Place: Udupi

ENDORSEMENT

I hereby declare that the Rajiv Gandhi University of Health Sciences,

Karnataka shall have the rights to preserve, use and disseminate this

dissertation in print or Electronic format for academic / research purpose.

Date: Dr. Padmasaritha Place: Udupi Rajiv Gandhi University of Health Sciences, Karnataka

COPYRIGHT

ACKNOWLEDGEMENT

In the beginning of the treatise, I bow to the almighty;

At this happiest juncture of successful completion of this research work, I prostrate to the feet of

My Mother, whose blessings and pain brought me up to this position.

I am greatly indebted to my revered teacher and guide Dr. VNK Usha, Professor and

HOD, Department of Prasooti tantra & Stri-roga, SDM College of Ayurveda and Hospital. It is

my fortune to have her as my guide whose excellent guidance, assistance and support in every

step during my course of study gave me a way to success for the dissertation and in future

profession also.

I express my sincere gratitude to my Co-Guide Dr. Sucheta kumari, Asst. Professor,

Department of Prasooti tantra & Stri-roga, for her timely guidance in carrying out this project.

Its my great pleasure to express my deep gratitude to Prof. Muralidhara Sharma,

Department of Shalya tantra, my preceptor and role model whose erudite expositions and

benevolent ideas had given me a propitious direction in all stages of my life and I am ever

thankful for his support and guidance.

I express my heartfelt thanks to Dr. Mamatha K.V, Professor, for her immense inspiration,

valuable training and constructive ideas, throughout my study period.

I am thankful to my teachers, Dr.Ramadevi.G, Dr. Veena Mayya, Dr.Vidya Ballal,

Dr.Krishna Bai, for their support thought out these 3years.

It will not be out of the way to express my whole hearted thanks to my most lovable

persons on earth my Sister Dr.Abhilasha & Brother Prathap for their encouragement in all

aspects of my life.

I thank my batchmates, Dr.Prathima, Dr.Rekha, Dr. Rachana, Dr. Sunitha,

Dr.Deerashree, for their presence & support throughout the my work.

I would like to put on record the affection with which my friends Dr.Ravikanth,

Dr.Chaitra, Dr.Yashaswini, Dr.Radhika, Dr.Prakash, Dr.Seetharam for their support.

I thank all my patients for their co-operation, which was crucial for the successful

completion of this work.

I acknowledge my sincere thanks to all those who helped me during this study.

Dr.Padmasaritha

Abstract

Clinical evaluation of efficacy of Avachoornana with certain indigenous drugs (Kaseesa, Tuttha, Gairika, Lodhra) in Garbhashaya mukha shotha w.s.r to Primitive cervical cell pathology

ABSTRACT

Reproductive age of women is crucial involving complications of labour, infections during purperium, hormonal imbalance, etc predisposing to different kinds of pathology, where Cervical pathology being common, disturbes the lifestyle of women and her family.

Primitive cervical cell pathology, which includes the main clinical conditions Cervical hypertrophy, Cervical hyperplasia, Chronic cervicitis, Cervical erosion, which can be considered as Garbhashaya Mukha Shotha, has been given importance in the present study, as these pre-clinical conditions carry the risk of carcinogenesis.

Under the guidelines and treatment modalities of Sushruta, from the time tested Ayurvedic formulations, Avochoornana of shodhana dravyas, mentioned for Shotha-Samutthana has been planned to cut the root cause of the disease.

The Drugs Kaseesa, Tuttha, Gairika, Lodhra, having Shothahara, Granthihara, Ropana, Lekhana and Krimighna properties are selected for the present study.

Materials and Methods:

20 patients diagnosed as Garbhashaya mukha shotha(Cervical Hypertrophy, Cervical Hyperplasia, Chronic Cervicitis and Cervical Erosion ) were taken for study from OPD and IPD sections of SDM Ayurveda Hospital , Kuthpady , Udupi.

The diagnosed patients of Garbhashaya Mukha Shotha were subjected to Tutthadi Avachoornana karma.

Duration of treatment: 7 days

Follow Up period : Follow up after 15 days of completion of the treatment.

Results: Statistically significant results were seen in Subjective parameters of Vaginal discharge(86%), Dysmenorrhoea(84%), Backache(82%), Burning micturition. In Objective parameters, satisfactory results were seen on Nabothian cysts(60%) and Pap-smear changes(71%), where as significant results were obtained on Area of Erosion(80%), Cervical Hypertrophy(67%) and Irregularity of Os(90%).

Key words: Garbhashaya mukha shotha, Cervical hypertrophy, Cervical hyperplasia, Cervical erosion, Chronic cervicitis, Tutthadi-Avachoornana.

Dedicated to

MY BELOVED

MOTHER

Surekha surya

CONTENTS Acknowledgement

Abstract

List of Tables

List of Graphs

List of Abbreviations

Page No PART - I: Introduction 1

PART - II: Objectives of the Study 2

PART III: Conceptual Study

Chapter I Historical Review 3

Chapter II Garbhashaya- mukha shareer 5

Shotha 8

Ekadeshothita Shotha 18

Chapter III Anatomy of Cervix 25

Cervical Hypertrophy 30

Cervical Hyperplasia 30

Chronic Cervicitis 31

Cervical erosion 31

Chapter IV Drug Review 32

PART -V: CLINICAL STUDY

Materials and Methods 41

Observations 46

Results 67

PART V1: DISCUSSION 76

PART V11: SUMMARY AND CONCLUSION 84

BIBLIOGRAPHY 88

APPENDIX-CASE SHEET

Abbreviations

Clinical evaluation of efficacy of Avachoor