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Evaluate kukkutand bhasma and yastimadhwadi for shweta pradara.

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Journal name: Ayushdhara
Original article title: To evaluate the efficacy of kukkutand bhasma with pushyanuga choorna and yastimadhwadi sidda kashaya prakshalana in shweta pradara
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

Suvarna.P.Nidgundi
Professor, Dept. of Rasashastra and Bhaishajya Kalpana, D.G.M. Ayurvedic Medical College and Hospital, Gadag, Karnataka


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: To evaluate the efficacy of kukkutand bhasma with pushyanuga choorna and yastimadhwadi sidda kashaya prakshalana in shweta pradara

Year: 2018

Copyright (license): CC BY-NC-SA 4.0


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Summary of article contents:

1) Introduction

Leucorrhoea, referred to as Shwetapradara in Ayurveda, is a prevalent gynecological disorder affecting women, regardless of their socio-economic status. Caused by the vitiation of Kapha dosha, it manifests as a discharge from the genital tract and can lead to serious gynecological complications if left untreated. The current study aims to evaluate the efficacy of a specific Ayurvedic formulation comprising Kukkutand bhasma in combination with Pushyanuga choorna and Yastimadhwadi Sidda kashaya prakshalana in treating this condition. The assessment will involve subjective and objective criteria to measure the treatment's effectiveness over a specified period.

2) Efficacy of Ayurvedic Treatments

The study highlights the potential of Kukkutand bhasma and Pushyanuga choorna in addressing Shwetapradara. Kukkutand bhasma, known for its therapeutic properties in gynecological disorders, is often combined with Pushyanuga choorna to enhance efficacy. Yastimadhwadi Sidda kashaya has also been included for Yoni Prakshalana, a cleansing process intended to eliminate excessive discharges and secretions from the vaginal area. The treatment protocol involves administering these formulations over a period of 30 days, followed by a follow-up of 15 days. The study aims to document the observable clinical improvements in symptoms like abnormal discharge, pain, and other related discomforts.

3) Assessment and Results

The assessment of treatment efficacy is primarily based on the reduction in specific symptoms of Shwetapradara, including Yoni srava (discharge), Yoni vedana (pain), Yoni daurgandhya (odor), and Yoni kandu (itching). A variety of scoring criteria are established to objectively quantify the changes in these symptoms before and after treatment. Preliminary results indicate that a substantial number of patients experienced significant symptom relief post-treatment, with varying degrees of response classified into well, moderate, and poor categories. The treatment demonstrated promising outcomes, suggesting that the Ayurvedic approach could effectively alleviate the symptoms associated with leucorrhoea.

4) Conclusion

Shwetapradara is a critical health concern that requires timely intervention to prevent complications. The current study illustrates the effectiveness of an Ayurvedic treatment strategy combining Kukkutand bhasma with Pushyanuga choorna and Yastimadhwadi Sidda kashaya to address this condition. The observed positive results affirm the potential of traditional Ayurvedic formulations in managing gynecological disorders, emphasizing the importance of holistic and natural approaches in women’s health. Further research is warranted to explore these treatments' long-term benefits and establish standardized protocols for their application in clinical settings.

FAQ section (important questions/answers):

What is Shwetapradara and how is it related to leucorrhoea?

Shwetapradara, known as leucorrhoea, is a common gynecological disorder characterized by abnormal genital discharge. It affects over 75% of women and can be caused by imbalances in Kapha dosha, leading to significant discomfort and potential complications if untreated.

What are the main ingredients used in the study for treatment?

The study evaluates the efficacy of Kukkutanda Bhasma combined with Pushyanuga Choorna and Yastimadhwadi Sidda Kashaya Prakshalana, aiming to treat Shwetapradara. These formulations are chosen for their therapeutic properties in addressing gynecological issues.

What were the results of the treatment in the study?

Out of 20 patients, 35% experienced good response to treatment, while 45% showed moderate improvement. The remaining 20% had poor response. The treatment significantly reduced symptoms of Shwetapradara, improving patients' overall health and well-being.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Evaluate kukkutand bhasma and yastimadhwadi for shweta pradara.�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Yoni (Yonin):
In the context of the provided text, 'Yoni' refers to the female genital tract. Traditional Ayurvedic references like 'Yoni Prakshalana' use it to describe procedures involving the cleansing or treatment of the vaginal area. It is implicated in conditions described such as 'Swetapradara' which involves the reproductive system.[see source text or glossary: Yoni]

2) Kapha:
'Kapha' is one of the three doshas (bio-energies) in Ayurveda, responsible for lubrication, stability, and structure within the body. In the study, 'Kapha dosha' is linked with the cause of 'Shwetapradara', and vitiation (imbalance) of Kapha leads to various symptoms related to this condition.[see source text or glossary: Kapha]

3) Prakshalana (Praksalana):
'Prakshalana' refers to the process of washing or cleansing. In the given study, 'Yoni Prakshalana' using 'Yastimadhwadi Sidda Kashaya' is described as part of the treatment used to clean the female genital tract, removing accumulated secretions or discharges that could cause infections.[see source text or glossary: Prakshalana]

4) Kashaya (Kasaya):
'Kashaya' generally refers to a medicinal decoction in Ayurveda. In this study, 'Yastimadhwadi Sidda Kashaya' is used for 'Prakshalana' (cleansing) the genital tract to treat symptoms related to 'Swetapradara'. It is prepared freshly and used to mitigate symptoms like discharge and inflammation.[see source text or glossary: Kashaya]

5) Bhasma (Bhasman):
'Bhasma' is a term for Ayurvedic calcinated preparations made from metals or minerals. In the text, 'Kukkutand Bhasma', a form of calcined eggshell, is used in combination with 'Pushyanuga Choorna' for its therapeutic properties, particularly in 'Shwetapradara'.[see source text or glossary: Bhasma]

6) Disease:
The term 'Disease' refers to an abnormal condition affecting the body. In the text, 'Shwetapradara' is the main gynecological disease under scrutiny. Ayurveda offers various remedies, including 'Kukkutand Bhasma' and 'Pushyanuga Choorna', to address the symptoms and vitiations causing this condition.[see source text or glossary: Disease]

7) Pradara:
'Pradara' in Ayurvedic terminology denotes abnormal vaginal discharge. 'Shwetapradara' specifically refers to white discharge or leucorrhoea, a common gynecological problem. The study evaluates the efficacy of traditional formulations like 'Kukkutand Bhasma' and 'Pushyanuga Choorna' in its treatment.[see source text or glossary: Pradara]

8) Vedana:
'Vedana' means pain. In the study, 'Yoni Vedana' refers to genital pain, which is one of the symptoms assessed during the treatment of 'Shwetapradara'. The therapies aim to alleviate this pain among other symptoms like discharge and itching.[see source text or glossary: Vedana]

9) Kandu (Kamdu):
'Kandu' translates to itching. 'Yoni Kandu' specifically refers to itching in the genital area, which is a symptom described in the context of 'Shwetapradara'. The efficacy of the treatment aims to reduce this symptom along with others like discharge and pain.[see source text or glossary: Kandu]

10) Pittahara (Pitta-hara):
'Pittahara' denotes substances that neutralize or balance 'Pitta' dosha in Ayurveda. Several ingredients used in the study, like 'Yastimadhu' and 'Udumbara', are mentioned for their 'Pittahara' properties, helping in managing symptoms like inflammation and discharge in 'Shwetapradara'.[see source text or glossary: Pittahara]

11) Yoniroga (Yoni-roga):
'Yoni-roga' denotes diseases of the female genital tract. 'Shwetapradara' falls under this category, and the study aims to evaluate treatments for these conditions using Ayurvedic medicines.[see source text or glossary: Yoni-roga]

12) Shrava (Srava):
'Srava' means discharge. 'Yoni Srava' is a symptom involving abnormal vaginal discharge, central to the diagnosis of 'Shwetapradara'. The study measures the treatment's impact on reducing this discharge along with its associated symptoms.[see source text or glossary: Srava]

13) Vrana:
'Vrana' refers to ulcers or wounds. In the study, 'Yoni Vrana' is an indication of ulcerations in the genital area. Treatments are assessed for their effectiveness in healing these ulcers along with symptoms like discharge and itching.[see source text or glossary: Vrana]

14) Daha:
'Daha' means burning sensation. 'Yonidaha' indicates a burning sensation in the genital area, another symptom noted in 'Shwetapradara'. The treatments tested aim to relieve this discomfort along with other symptoms like discharge and pain.[see source text or glossary: Daha]

15) Pain:
Pain, referred to as 'Vedana' in the text, is a common symptom in 'Shwetapradara'. Treatment efficacy is evaluated based on the alleviation of pain along with other symptoms like discharge and itching.[see source text or glossary: Pain]

16) Kaphadosha (Kaphadosa, Kapha-dosha):
'Kapha-dosha' pertains to one of the three fundamental bodily humors in Ayurveda. The vitiation (imbalance) of Kapha-dosha is identified as a cause of 'Shwetapradara', and treatments aim to restore the balance to alleviate symptoms.[see source text or glossary: Kapha-dosha]

17) Dosha (Dosa):
'Dosha' refers to the three bio-energies in Ayurveda: Vata, Pitta, and Kapha. In the study, 'Kapha-dosha' vitiation is connected to 'Shwetapradara'. Treatments are targeted towards balancing the dosha to manage and treat the disease.[see source text or glossary: Dosha]

18) Drug:
In the text, 'drug' refers to herbal and mineral formulations used in Ayurvedic treatments. For 'Shwetapradara', drugs such as 'Kukkutand Bhasma' and 'Pushyanuga Choorna' are analyzed for their therapeutic efficacy.[see source text or glossary: Drug]

19) Vitiation (Vitiated):
'Vitiation' indicates the imbalance or disturbance of a dosha. In the context of 'Shwetapradara', it refers to the imbalance of 'Kapha-dosha', resulting in symptoms that the treatments aim to mitigate.[see source text or glossary: Vitiation]

20) Ayurveda (Ayus-veda):
'Ayurveda' is a traditional system of medicine from India focused on balancing the body’s doshas (Vata, Pitta, Kapha). The study explores Ayurvedic treatments for 'Shwetapradara' using formulations like 'Kukkutand Bhasma' and 'Pushyanuga Choorna'.[see source text or glossary: Ayurveda]

21) Shitata (Sitata):
'Sheetata' signifies coldness. 'Yoni Sheetata' refers to a sensation of coldness in the genital region, associated with 'Shwetapradara'. Treatments in the study aim to alleviate this along with other symptoms like discharge and pain.[see source text or glossary: Sheetata]

22) Suvarna:
In the context of the text, 'Suvarna' is the first name of Dr. Suvarna P. Nidgundi, the author of the study evaluating Ayurvedic treatments for 'Shwetapradara'. She is affiliated with D.G.M Ayurvedic Medical College and Hospital.[see source text or glossary: Suvarna]

23) Rasashastra (Rasa-shastra, Rasasastra):
'Rasashastra' is a branch of Ayurveda dealing with alchemical and herbo-mineral preparations. Dr. Suvarna P. Nidgundi, the study's author, specializes in this field, contributing to the formulation of treatments for 'Shwetapradara'.[see source text or glossary: Rasashastra]

24) Yashtimadhu (Yastimadhu, Yashti-madhu):
'Yastimadhu', or licorice, is an Ayurvedic herb used in the decoction for 'Yoni Prakshalana'. It has properties like 'Tridoshahara', and is effective against inflammation, one of the symptoms of 'Shwetapradara'.[see source text or glossary: Yastimadhu]

25) Bhaishajya (Bhaisajya):
'Bhaishajya' refers to medicinal therapy in Ayurveda. The term relates to Dr. Suvarna's department (Bhaishajya Kalpana) at the Ayurvedic college where she conducts her research.[see source text or glossary: Bhaishajya]

26) Shothahara (Sothahara, Shotha-hara):
'Shothahara' denotes anti-swelling or anti-inflammatory properties. In the study, certain herbs used in 'Kashaya' preparations like 'Yastimadhu' are recognized for their 'Shothahara' effects, aiding in managing symptoms of 'Shwetapradara'.[see source text or glossary: Shothahara]

27) Karnataka:
Karnataka is the Indian state where the research was conducted. Dr. Suvarna P. Nidgundi is associated with D.G.M. Ayurvedic Medical College in Gadag, Karnataka.[see source text or glossary: Karnataka]

28) Kalpana:
'Kalpana' refers to formulations/preparations in Ayurveda. The department of 'Rasashastra and Bhaishajya Kalpana' focuses on medicinal preparations like 'Kukkutand Bhasma', used in this study for 'Shwetapradara'.[see source text or glossary: Kalpana]

29) India:
India is the country where this Ayurvedic research study was conducted. Ayurveda is an ancient Indian medical system, and treatments for 'Shwetapradara' are a part of this heritage.[see source text or glossary: India]

30) Blood:
In the study, blood investigations (Hb%, TC, DC, ESR) are conducted to diagnose and evaluate the general health and any potential issues related to 'Shwetapradara'.[see source text or glossary: Blood]

31) Vata:
'Vata' is one of the three doshas in Ayurveda. The imbalance of 'Vata', along with Kapha, is suggested as a cause of symptoms in 'Shwetapradara'. Treatments target the vitiation of these doshas.[see source text or glossary: Vata]

32) Food:
In the text, recommendations like taking the treatment after food indicate its administration protocol. 'Kukkutand Bhasma' and 'Pushyanuga Choorna' are advised to be taken post-food intake for efficacy.[see source text or glossary: Food]

33) Ashtangasamgraha (Astangasamgraha, Astangasangraha, Ashtanga-samgraha, Ashtanga-sangraha, Ashtangasangraha):
'Astangasangraha' is one of the classical Ayurvedic texts. 'Shwetapradara' is mentioned within it, providing historical and foundational knowledge for formulating treatments in the study.[see source text or glossary: Astangasangraha]

34) Tridoshahara (Tridosahara, Tridosha-hara):
'Tridoshahara' refers to substances that balance all three doshas: Vata, Pitta, and Kapha. 'Yastimadhu' is noted for its 'Tridoshahara' properties, aiding in the multifaceted treatment of 'Shwetapradara'.[see source text or glossary: Tridoshahara]

35) Inflammation:
Inflammation, or 'Shoth', is a symptom addressed in the study. Treatments targeting 'Yoni Kandu' (itching) and 'Yoni Vedana' (pain) include anti-inflammatory ingredients to reduce these symptoms.[see source text or glossary: Inflammation]

36) Abhyantara (Abhyamtara):
'Abhyantara' refers to internal treatment in Ayurveda. In the study, 'Kukkutand Bhasma' and 'Pushyanuga Choorna' are administered internally as part of the 'Abhyantara Chikitsa' for 'Shwetapradara'.[see source text or glossary: Abhyantara]

37) Garbhapata (Garbha-pata):
'Garbhapata' refers to miscarriage. It's listed as one of the factors that can vitiate the doshas leading to 'Shwetapradara'. The study includes patients with a history of 'Garbhapata' for evaluation.[see source text or glossary: Garbhapata]

38) Agnikarma (Agni-karma):
'Agni-karma' is an Ayurvedic technique involving heat/fire applied for therapeutic purposes. While not used in the study, it's mentioned as one of the local treatments for 'Yonirogas' like 'Shwetapradara'.[see source text or glossary: Agni-karma]

39) Samprapti:
'Samprapti' refers to the pathogenesis or development of a disease in Ayurveda. Understanding the 'Samprapti' of 'Shwetapradara' involves identifying how doshas like 'Kapha' and 'Vata' lead to its symptoms.[see source text or glossary: Samprapti]

40) Daurbalya:
'Daurbalya' means weakness or debility. It is a systemic symptom seen in 'Shwetapradara' linked to general health issues like anemia and fever.[see source text or glossary: Daurbalya]

41) Katurasa (Katu-rasa):
'Katu-rasa' is the pungent taste in Ayurvedic terminology, and its excessive intake is listed as a cause of dosha vitiation leading to 'Shwetapradara'.[see source text or glossary: Katu-rasa]

42) Lakshana (Laksana):
'Lakshana' means symptoms or clinical features. In 'Shwetapradara', symptoms like 'Yoni Srava', itching, and pain are documented and assessed for treatment efficacy.[see source text or glossary: Lakshana]

43) Sthanika:
'Sthanika' refers to local or localized in Ayurveda. 'Sthanika Kapha' vitiation is described in the study’s explanation of the pathogenesis of 'Shwetapradara'.[see source text or glossary: Sthanika]

44) Udumbara:
'Udumbara' is a type of tree used in Ayurvedic medicine. It’s listed for its properties like 'Kapha Pittahara' and is included in the decoction for treating 'Shwetapradara'.[see source text or glossary: Udumbara]

45) Samhita:
'Samhita' refers to the classical texts of Ayurveda. 'Shwetapradara' is discussed in these texts, guiding the treatment options researched in the study.[see source text or glossary: Samhita]

46) Parisa (Parisha):
'Parisha' is an herb used in Ayurvedic medicine with properties like 'Pittahara' and 'Sthambhaka', useful in treating 'Shwetapradara' as part of herbal decoctions.[see source text or glossary: Parisha]

47) Dharana:
'Dharana' means retention. In the context of the text, therapies include 'Picchu Dharana', although not used in this study, for treating vaginal disorders like 'Shwetapradara'.[see source text or glossary: Dharana]

48) Snigdha:
'Snigdha' pertains to oily or unctuous qualities in Ayurveda. The intake of 'Snigdha' substances is mentioned as a possible cause of Kapha vitiation leading to 'Shwetapradara'.[see source text or glossary: Snigdha]

49) Khadira:
'Khadira' is an herb cited for its 'Kapha Shamaka' (Kapha-pacifying) and 'Kandughna' (anti-itching) properties, utilized in the decoctions for 'Yoni Prakshalana' to treat 'Shwetapradara'.[see source text or glossary: Khadira]

50) Samaka (Shamaka):
'Shamaka' means pacifying. Herbs like 'Khadira' are described for their 'Kapha Shamaka' property, aimed at reducing Kapha-related symptoms in 'Shwetapradara'.[see source text or glossary: Shamaka]

51) Dhavana:
'Dhavana' means washing or cleansing, particularly of the genital tract. In this study, 'Yoni Dhavana' or cleansing with medicinal decoctions is a key treatment for 'Shwetapradara'.[see source text or glossary: Dhavana]

52) Vikara:
'Vikara' means disorder or disease. Symptoms of 'Artavavaha mootravaha soto vikara' are compared to gynecological disorders under study, specifically 'Shwetapradara'.[see source text or glossary: Vikara]

53) Vidahi:
'Vidahi' refers to substances causing a burning sensation, and their intake is one of the causes of dosha vitiation leading to 'Shwetapradara'.[see source text or glossary: Vidahi]

54) Alasya:
'Alasya' means lethargy. It is a systemic symptom observed in 'Shwetapradara', indicative of overall debility along with other signs like weakness and pain.[see source text or glossary: Alasya]

55) Yashti (Yasti):
'Yashti' refers to 'Yastimadhu', an herb used for its 'Tridoshahara' and anti-inflammatory properties in the decoction for 'Prakshalana' to treat 'Shwetapradara'.[see source text or glossary: Yashti]

56) Nidana:
'Nidana' means causative factors or diagnosis. For 'Shwetapradara', factors like dietary habits ('Vidahi', 'Katu', etc.) and behavioral issues are mentioned as causes.[see source text or glossary: Nidana]

57) Krodha:
'Krodha' means anger. This emotional state is mentioned among factors like 'Chinta' (anxiety) that can lead to dosha vitiation, contributing to 'Shwetapradara'.[see source text or glossary: Krodha]

58) Chinta:
'Chinta' indicates anxiety or worry, factors that can lead to vitiation of doshas like Kapha and contribute to the development of 'Shwetapradara'.[see source text or glossary: Chinta]

59) Lavana:
'Lavana' represents salty taste. Excessive intake of salty foods is listed as a causative factor for the vitiation of doshas, leading to 'Shwetapradara'.[see source text or glossary: Lavana]

60) Aruci:
'Aruchi' means loss of appetite, a systemic symptom noted in conditions like 'Shwetapradara'. Addressing this is part of the holistic treatment approach.[see source text or glossary: Aruchi]

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