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This paper presents a conceptual framework interpreting endometriosis through the lens of Ayurvedic medicine, correlating the condition with Vataja Yonivyapada based on symptoms like dysmenorrhea and chronic pelvic pain. The authors propose that the Tridosha theory explains the disease pathophysiology, attributing cell displacement to Vata, inflammatory and hormonal involvement to Pitta, and cellular overgrowth to Kapha. Treatment strategies outlined include dietary modifications and specific therapies such as Ampachana, Vaatanulomana, and Lekhan Chikitsa to balance these doshas. This paper is centrally about endometriosis — specifically framing its etiology and management within traditional Ayurvedic diagnostic and therapeutic models.
Abstract
Endometriosis is one of the most mysterious and fascinating benign gynecological disorders defined by implantation of functioning endometrial tissue outside the uterine cavity. The prevalence is about 10 percent. However, prevalence is high amongst the infertile women (30–40%) as based on diagnostic laparoscopy and laparotomy. It is estrogen dependent condition hence increases due to high estrogen level in the body and regression occurs during pregnancy & after menopause. Women with endometriosis are usually confronted with one or both of the two major problems- pain and infertility. Pain includes dysmenorrhea, dyspareunia, and chronic pelvic pain. In Ayurvedic it can be correlate with Vataja Yonivyapada on the basis of two symptoms dysmenorrhea and chronic pelvic pain. It can be correlate with different Yonivyapada on the basis of other symptoms. Ayurvedic management can be done on the basis of Tridoshic theory in which Vata is responsible for displacement of endometrial cells from their original location in the uterus to places outside the uterine cavity. Pitta responsible for involvement of blood, hormones, and menstruation as well as the inflammatory nature of the disease. Kapha responsible for increasing buildup of cells and overgrowing much like a tumor. So treatment approach can be Ampachana & correction of Agni, Vaatanulomana, Mridu Virechana, Vatashamaka, Raktasravarodhaka, Granthihar and Lekhan Chikitsa, etc. Life style and diet modifications are also to be advocated as their role in the establishment of any disease cannot be ignored.
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A conceptual view of Endometriosis through an Ayurveda Perspective
DOI:
https://doi.org/10.21760/jaims.8.4.29Keywords:
Endometriosis, Tridosha, Ayurveda, Vataja Yonivyapada, LekhanAbstract
Endometriosis is one of the most mysterious and fascinating benign gynecological disorders defined by implantation of functioning endometrial tissue outside the uterine cavity. The prevalence is about 10 percent. However, prevalence is high amongst the infertile women (30–40%) as based on diagnostic laparoscopy and laparotomy. It is estrogen dependent condition hence increases due to high estrogen level in the body and regression occurs during pregnancy & after menopause. Women with endometriosis are usually confronted with one or both of the two major problems- pain and infertility. Pain includes dysmenorrhea, dyspareunia, and chronic pelvic pain. In Ayurvedic it can be correlate with Vataja Yonivyapada on the basis of two symptoms dysmenorrhea and chronic pelvic pain. It can be correlate with different Yonivyapada on the basis of other symptoms. Ayurvedic management can be done on the basis of Tridoshic theory in which Vata is responsible for displacement of endometrial cells from their original location in the uterus to places outside the uterine cavity. Pitta responsible for involvement of blood, hormones, and menstruation as well as the inflammatory nature of the disease. Kapha responsible for increasing buildup of cells and overgrowing much like a tumor. So treatment approach can be Ampachana & correction of Agni, Vaatanulomana, Mridu Virechana, Vatashamaka, Raktasravarodhaka, Granthihar and Lekhan Chikitsa, etc. Life style and diet modifications are also to be advocated as their role in the establishment of any disease cannot be ignored.
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References
DC Dutta’s text book of Gynecology including contraception edited by Hiralal Konar published by Jaypee Brothers Medical Publishers (P) Ltd, Seventh edition 2016. 22nd chapter pg 248.
Howkins and Bourne Shaw’s text book of Gynaecology edited by V.Padubidri and Shirish N. Daftary, Published by B.I. Churchill Livingstone Pvt Ltd, Eleventh edition 1994, 32nd chapter pg 526.
Endometriosis. Women’s health.gov. 13 February 2017. Retrieved 20 May 2017.
Howkins and Bourne Shaw’s text book of Gynaecology edited by V. Padubidri and Shirish N. Daftary, Published by B.I. Churchill Livingstone Pvt. Ltd, Eleventh edition 1994, 32nd chapter pg.530.
Acharya YT. Charaka Samhita of Agnivesa with Ayurveda Dipika Commentary of Chakrapani Datta. Reprinted. Varanasi: Choukambha Orientalia; 2001;Cha.Chi 30/24.
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