Kaphaja Yoni Vyapat Management with Panchavalkala Arka: Case Report
Journal name: Ayushdhara
Original article title: Management of Kaphaja Yoni Vyapat by Panchavalkala Arka w.s.r to Vuvlovaginal Candidiasis- A Case Report
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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Deepthi.G.B
PG Scholar, Dept. of Prasuti tantra and Stree Roga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan, India.
Gayathri. Bhat.N.V
Professor and HOD, Dept. of Prasuti tantra and Stree Roga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Management of Kaphaja Yoni Vyapat by Panchavalkala Arka w.s.r to Vuvlovaginal Candidiasis- A Case Report
Year: 2021 | Doi: 10.47070/ayushdhara.v8i3.708
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Vulvovaginal candidiasis, primarily caused by the yeast Candida albicans, affects a notable percentage of women globally, with its prevalence in India estimated to be around 30%. This condition can be physiological but becomes pathological, presenting symptoms like pruritus, backache, and foul-smelling discharge, correlating to the Ayurvedic concept of Kaphaja Yoni Vyapat, characterized by an excess of Kapha dosha throughout the body. The management of this condition according to Ayurvedic principles involves using specific herbal preparations and local treatments that aim to restore balance and alleviate symptoms.
Panchavalkala Arka and Its Efficacy
One of the primary interventions explored in the study is the use of Panchavalkala Arka as a treatment for Kaphaja Yoni Vyapat. Panchavalkala Arka, prepared through a traditional distillation process, incorporates five sacred plants known for their medicinal properties, designed to help manage symptoms like excessive discharge and vaginal inflammation. The study demonstrated that this preparation is effective in treating the symptoms associated with vulvovaginal candidiasis. After administering Panchavalkala Arka for a week, it was observed that symptoms diminished significantly, and laboratory examinations confirmed the absence of Candida growth in the vaginal smear.
Importance of Local Treatments
The research emphasizes the significance of localized Ayurvedic interventions, such as Yoni Prakshalana (douching), Yoni Pichu (tamponing), and Yoni Varti (use of pessaries), as effective treatments for conditions like Kaphaja Yoni Vyapat. These methods utilize the properties of Ruksha (dry), Katu (pungent), and Ushna (hot) substances to counter excess moisture, restore normal flora, and alleviate inflammation. The use of Panchavalkala Arka, informed by Ayurvedic principles, not only addresses the symptoms physically but also aims to rebalance the doshas within the body, promoting overall health.
Conclusion
The study indicates that Ayurvedic approaches, specifically the administration of Panchavalkala Arka, are effective in managing Kaphaja Yoni Vyapat due to their properties that combat the underlying issues of excess Kapha dosha. As more women seek holistic and natural alternatives for treating conditions like vulvovaginal candidiasis, this Ayurvedic herbal wash offers an accessible solution for home care. Thus, integrating traditional Ayurvedic practices with modern medical understanding may enhance women's health care, providing effective, safe treatments for common gynecological issues.
FAQ section (important questions/answers):
What is vulvovaginal candidiasis and its prevalence?
Vulvovaginal candidiasis, commonly caused by Candida albicans, affects 1-14% of women globally, with an estimated prevalence of 30% in India. Symptoms include pruritus, backache, and abnormal white discharge.
How is Kaphaja Yoni Vyapat managed in Ayurveda?
Management involves using Ruksha, Katu, Ushna dravyas, along with local therapies like Yoni Prakshalana (douching), Yoni Pichu (tampon), and Yoni Dhoopana (fumigation) to effectively treat Kaphaja Yoni Vyapat.
What are the findings after using Panchavalkala Arka treatment?
After seven days of treatment with Panchavalkala Arka, there was no growth of Pseudohyphae detected in vaginal smears, indicating the treatment effectively addressed the candidiasis symptoms.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Kaphaja Yoni Vyapat Management with Panchavalkala Arka: Case Report�. 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 Ayurveda, the term 'Yoni' refers to the female reproductive system, specifically the vagina. It is the focal point of various treatments for conditions like Kaphaja Yoni Vyapat discussed in the text, where therapies such as Yoni Prakshalana, Yoni Pichu, Yoni Varti, and Yoni Dhoopana are employed.
2) Arka:
Arka is a distilled liquid preparation in Ayurveda, known for its concentrated therapeutic properties. The preparation mentioned, Panchavalkala Arka, is used as a vaginal wash for treating vulvovaginal candidiasis. It is derived using an Arka-yantra, which distills the active ingredients from the herbs.
3) Kaphaja:
Kaphaja refers to conditions or imbalances caused by kapha, one of the three doshas in Ayurveda. Kaphaja Yoni Vyapat is a gynecological disorder characterized by symptoms like white discharge and itching, caused by an excess of kapha in the body.
4) Ayurveda (Ayus-veda):
Ayurveda is a traditional system of medicine originating from India, focusing on balancing the body's doshas—vata, pitta, and kapha. The treatments mentioned in the text, such as the use of Panchavalkala Arka for Kaphaja Yoni Vyapat, follow Ayurvedic principles.
5) Vedana:
Vedana in Ayurveda refers to pain. It is one of the symptoms assessed in conditions like Kaphaja Yoni Vyapat, where the severity of yoni vedana (vaginal pain) is a key criterion for diagnosis and treatment efficacy.
6) Kapha:
Kapha is one of the three doshas in Ayurveda, associated with earth and water elements. An imbalance in kapha leads to conditions like Kaphaja Yoni Vyapat, characterized by symptoms such as heavy, sticky, and cold discharges.
7) Kandu (Kamdu):
Kandu in Ayurveda means itching, a common symptom in Kaphaja Yoni Vyapat. It's evaluated as one of the subjective parameters to assess the effectiveness of treatments like Panchavalkala Arka in reducing vaginal itching.
8) Disease:
In the context of Ayurveda, disease refers to any condition resulting from the imbalance of doshas. Kaphaja Yoni Vyapat is a disease caused by an imbalance in kapha, leading to symptoms such as white discharge and itching.
9) Dravya:
Dravya in Ayurveda refers to substances or materials used in treatments. Panchavalkala Arka, mentioned in the text, is a medicinal dravya made from five specific trees (ksheerivruksha) used for treating Kaphaja Yoni Vyapat.
10) Ruksha (Ruksa):
Ruksha denotes dryness in Ayurveda. Treatments for Kaphaja conditions, such as Kaphaja Yoni Vyapat, often include ruksha (dry) substances to counteract the wet, sticky qualities of kapha.
11) Roga:
Roga is the Sanskrit term for disease. In the text, Kaphaja Yoni Vyapat is an example of a roga treated through Ayurvedic interventions like Panchavalkala Arka aimed at restoring balance.
12) Katu:
Katu denotes the pungent taste in Ayurveda, often used for its drying and heating properties. Katu dravyas are part of the treatment for Kaphaja Yoni Vyapat, helping to reduce kapha dosha in the body.
13) Inflammation:
Inflammation in Ayurveda is often related to pitta dosha. However, in Kaphaja Yoni Vyapat, inflammation like yoni shotha is treated using anti-inflammatory and kapha-reducing remedies like Panchavalkala Arka.
14) Samprapti:
Samprapti refers to the pathogenesis or the detailed process through which a disease develops. The text provides a samprapti of Kaphaja Yoni Vyapat, explaining the role of kapha dosha in the condition's development.
15) Sthanika:
Sthanika refers to localized treatment in Ayurveda. Sthanika Chikitsa for Kaphaja Yoni Vyapat includes specific local therapies like Yoni Prakshalana (douching) and Yoni Pichu (tamponing), designed to treat the vaginal area directly.
16) Nidana:
Nidana means the causative factors or etiology of a disease. For Kaphaja Yoni Vyapat, nidana includes dietary and lifestyle factors that aggravate kapha, such as consuming kaphagenic foods or a sedentary lifestyle.
17) Shrava (Srava):
Srava refers to discharge in Ayurveda. In the case of Kaphaja Yoni Vyapat, the main symptom is picchila srava, which is a thick, sticky, and often foul-smelling vaginal discharge.
18) Rasa (Rasha):
Rasa in Ayurveda stands for taste and includes six types: sweet, sour, salty, bitter, pungent, and astringent. Katu, tiktakashaya rasa (pungent, bitter, astringent tastes) are recommended for treating Kaphaja conditions like Kaphaja Yoni Vyapat.
19) Arkayantra (Arka-yantra):
Arkayantra is a specialized distillation apparatus used in Ayurveda. It is employed to prepare Panchavalkala Arka, a therapeutic liquid used in the treatment of Kaphaja Yoni Vyapat.
20) Prakshalana (Praksalana):
Prakshalana means washing or cleansing in Ayurveda. Yoni Prakshalana, or vaginal douching, is a local treatment method used for Kaphaja Yoni Vyapat, helping to remove excess kapha and relieve symptoms.
21) Picchila:
Picchila describes a sticky or slimy quality in Ayurveda, commonly associated with kapha dosha. In Kaphaja Yoni Vyapat, the vaginal discharge is described as picchila srava, indicating its thick, sticky nature.
22) Lakshana (Laksana):
Lakshana refers to the symptoms or features of a disease in Ayurveda. The lakshanas of Kaphaja Yoni Vyapat include picchila srava (sticky discharge), yoni kandu (itching), and shweta srava (white discharge).
23) Pradhana:
Pradhana means main or primary in Ayurveda. In the case report, the pradhana vedana, or main complaint, of the patient is white discharge associated with vaginal itching, indicating Kaphaja Yoni Vyapat.
24) Prasuti:
Prasuti refers to obstetrics in Ayurveda. The text is authored by specialists from the Dept. of Prasuti Tantra and Stree Roga, indicating its focus on women’s health and diseases associated with the reproductive system.
25) Tantra (Tamtra, Tantrism):
Tantra in Ayurveda refers to a system or methodology of treatment. Prasuti Tantra focuses on obstetrics and gynecology, as illustrated by the study on treating Kaphaja Yoni Vyapat using Panchavalkala Arka.
26) Yantra (Yamtra):
Yantra means instrument or apparatus in Ayurveda. The arka-yantra is a specific instrument used for distillation in the preparation of remedies like Panchavalkala Arka for the treatment of Kaphaja Yoni Vyapat.
27) Sthana:
Sthana refers to a place or location in Ayurveda. In the context of Kaphaja Yoni Vyapat, vyakta sthana is the uterus (garbhashaya), indicating where the disease manifests.
28) Varti (Vartin):
Varti refers to medicinal sticks or pessaries used in local treatments. Yoni Varti is employed in the management of Kaphaja Yoni Vyapat, allowing direct application of medicinal substances to the vaginal area.
29) India:
India is the country of origin for Ayurveda and its traditional practices. The study mentioned is conducted in SDM College of Ayurveda and Hospital, Hassan, India, following Ayurvedic principles for treating Kaphaja Yoni Vyapat.
30) Picu:
Pichu refers to a tampon or swab used in Ayurvedic treatments. Yoni Pichu, where a medicated swab is inserted into the vagina, is one of the local therapies for Kaphaja Yoni Vyapat.
31) Guna:
Guna refers to the qualities or properties of substances in Ayurveda. The text mentions dravyas with ruksha (dry), teekshna (sharp), and ushna (hot) gunas as effective in treating Kaphaja Yoni Vyapat by reducing kapha.
32) Pain:
In Ayurveda, pain is referred to as vedana. The yoni vedana, or vaginal pain, is assessed in Kaphaja Yoni Vyapat to determine the severity of the condition and the efficacy of treatments like Panchavalkala Arka.
33) Drug:
In the context of Ayurveda, a drug is a substance used for medicinal purposes. Panchavalkala Arka is an Ayurvedic drug used to treat Kaphaja Yoni Vyapat by leveraging its therapeutic properties.
34) Discussion:
The discussion section in a scientific study interprets the results and evaluates their significance. The text discusses the effectiveness of Panchavalkala Arka in treating Kaphaja Yoni Vyapat, comparing it to other treatments and highlighting its benefits.
35) Prakasha (Prakasa):
Prakasha means illumination or clarity. Arka Prakasha is a classical Ayurvedic text detailing the preparation of Arka, including Panchavalkala Arka, used in the study for treating Kaphaja Yoni Vyapat.
36) Marriage:
Marriage in Ayurveda can influence doshas and lifestyle. The case report mentions changes in the patient's lifestyle after marriage, contributing factors to Kaphaja Yoni Vyapat, such as alterations in daily routine and diet.
37) Valkala:
Valkala refers to the bark of trees used in Ayurveda. Panchavalkala includes the barks of five trees, which are key ingredients in Panchavalkala Arka, utilized to treat Kaphaja Yoni Vyapat.
38) Ropana:
Ropana means healing or repairing in Ayurveda. The healing properties of Panchavalkala Arka, including vranashodana (wound cleansing) and ropana, aid in treating Kaphaja Yoni Vyapat by alleviating symptoms and promoting tissue repair.
39) Shotha (Sotha):
Shotha means swelling or inflammation in Ayurveda. In the context of Kaphaja Yoni Vyapat, therapies like Panchavalkala Arka are used to treat yoni shotha, reducing inflammation and associated symptoms.
40) Vihara:
Vihara refers to lifestyle practices in Ayurveda. Improper vihara, such as a sedentary lifestyle, is a nidana (causative factor) for Kaphaja Yoni Vyapat, necessitating lifestyle adjustments as part of the treatment.
41) Srotas (Shrotas):
Srotas are the channels or systems in the body according to Ayurveda. Arthava vaha srotas refer to the reproductive channels, which are implicated in Kaphaja Yoni Vyapat, influencing treatments aimed at restoring srotas function.
42) Panca (Pancan, Pamca):
Pancha means five in Sanskrit. Panchavalkala refers to the combination of five specific tree barks used in the preparation of Panchavalkala Arka, an Ayurvedic medicinal formulation for treating Kaphaja Yoni Vyapat.
43) Dosha (Dosa):
Dosha refers to the three fundamental bodily bio-elements in Ayurveda: vata, pitta, and kapha. Kaphaja Yoni Vyapat is a disease predominantly caused by the imbalance of the kapha dosha.
44) Karma (Karman):
Karma in Ayurveda refers to action or therapeutic activity. The guna karma (qualities and actions) of Panchavalkala Arka, such as vranashodana and ropana, are essential for its effectiveness in treating Kaphaja Yoni Vyapat.
45) Ushna (Usna):
Ushna means hot in Ayurveda. Ushna dravyas are recommended for treating kapha disorders like Kaphaja Yoni Vyapat, as their heat counteracts the cold, heavy qualities of kapha.
46) Ahara:
Ahara means food in Ayurveda. The text advises against kaphagenic ahara (foods that increase kapha) as part of the treatment for Kaphaja Yoni Vyapat to help balance the dosha.
47) Vrana:
Vrana refers to wounds or ulcers in Ayurveda. The vranashodana and ropana properties of Panchavalkala Arka make it suitable for treating the symptoms of Kaphaja Yoni Vyapat, including inflammation and irritation.
48) Purva:
Purva means previous or prior in Ayurveda. Purva Chikitsa Vrutanta refers to the patient's previous medical history, which is considered in the diagnosis and treatment planning for Kaphaja Yoni Vyapat.
49) Rupa:
Roopa refers to symptoms or manifestations of a disease in Ayurveda. The roopas of Kaphaja Yoni Vyapat include white discharge, itching, and mild pain, which guide the therapeutic approach.
50) Food:
Food, or ahara, in Ayurveda has a significant impact on the balance of doshas. Kaphavrudhikara ahara (foods that increase kapha), such as carbohydrate-rich foods, can exacerbate conditions like Kaphaja Yoni Vyapat.
51) Milk:
Milk is considered a kapha-aggravating substance in Ayurveda. Overconsumption of milk and milk products can contribute to the development or worsening of Kaphaja Yoni Vyapat by increasing kapha dosha.
52) Antibiotic (Antibacterial):
Anti-bacterial properties in Ayurveda help combat infections. Panchavalkala Arka, used for treating Kaphaja Yoni Vyapat, may exert antibacterial effects on the vaginal flora, aiding in the reduction of pathogenic microorganisms.
53) Phytochemical:
Phytochemicals are bioactive compounds found in plants. The text highlights that Panchavalkala Arka contains numerous phytochemicals, contributing to its efficacy in treating Kaphaja Yoni Vyapat.
54) Garbhashaya (Garbhasaya, Garbha-ashaya):
Garbhashaya refers to the uterus in Ayurveda. Kaphaja Yoni Vyapat is linked to the garbhashaya as the vyakta sthana, where the disease manifests, making it a focal point for treatment.
55) Prashamana (Prasamana):
Prashamana means pacification or alleviation in Ayurveda. Panchavalkala Arka has prashamana properties that help alleviate the symptoms of Kaphaja Yoni Vyapat by reducing kapha dosha.
56) Siddhanta (Siddha-anta, Siddhamta):
Siddhanta means principle or doctrine in Ayurveda. The text follows Charaka acharya's siddhanta for treating Kaphaja Yoni Vyapat, emphasizing the use of ruksha, katu, and ushna dravyas to balance kapha.
57) Prakriti (Prakrti):
Prakriti refers to an individual's constitution in Ayurveda, composed of dosha proportions at birth. The patient's prakriti, like kaphavataja, influences susceptibility to conditions like Kaphaja Yoni Vyapat.
58) Amasaya (Amashaya, Ama-ashaya):
Amashaya refers to the stomach in Ayurveda, often considered the origin of many diseases. In Kaphaja Yoni Vyapat, amashaya is mentioned as the udbhava sthana, the place where the disease begins.
59) Udumbara:
Udumbara is one of the five trees used in Panchavalkala. The bark of Udumbara contributes to the medicinal properties of Panchavalkala Arka, effective in treating Kaphaja Yoni Vyapat.
60) Medicine:
Medicine in Ayurveda refers to therapeutic substances used for healing. Panchavalkala Arka is an Ayurvedic medicine prepared for treating Kaphaja Yoni Vyapat, providing relief from symptoms like discharge and itching.
61) Pregnant:
Pregnant women often experience changes in vaginal flora, increasing the risk of conditions like Kaphaja Yoni Vyapat. Treatments must be safe and effective, like the Panchavalkala Arka vaginal wash discussed in the text.
62) Sanskrit:
Sanskrit is the classical language in which Ayurvedic texts are written. Terms like Arka, Ropana, and Shotha are derived from Sanskrit, illustrating the traditional basis of treatments for Kaphaja Yoni Vyapat.
63) Prakopa:
Prakopa means aggravation of doshas in Ayurveda. In Kaphaja Yoni Vyapat, kapha prakopa occurs due to various nidanas, leading to symptoms like picchila srava and requiring specific therapeutic interventions.
64) Kalpana:
Kalpana refers to the formulation or preparation of Ayurvedic medicines. Panchavalkala Arka is a specific kalpana, or form of medicine, designed to treat Kaphaja Yoni Vyapat by targeting kapha dosha.
65) Plaksha (Plaksa):
Plaksha is one of the five trees used in the preparation of Panchavalkala Arka. Its medicinal bark contributes to the efficacy of the Arka in treating Kapha-related disorders like Kaphaja Yoni Vyapat.
66) Ghataka:
Ghataka refers to components or factors involved in the manifestation of a disease. The Ghataka of Kaphaja Yoni Vyapat includes kapha dosha, dushya (affected tissues), and specific nidanas (causative factors).
67) Kashaya (Kasaya):
Kashaya denotes an astringent taste in Ayurveda, known for its drying and binding properties. Kashaya dravyas are typically used to balance kapha dosha, as seen in the treatment of Kaphaja Yoni Vyapat.
68) Sevana:
Sevana means consumption or indulgence in Ayurveda. Nidana sevana refers to indulging in practices that increase kapha, such as consuming excessive dairy, which can lead to Kaphaja Yoni Vyapat.
69) Dushya (Dusya):
Dushya are tissues or elements that become vitiated in a disease. In Kaphaja Yoni Vyapat, the dushyas include rasa and rakta, which are affected by the aggravated kapha, causing symptoms like thick discharge.
70) Vyakta:
Vyakta means manifested in Ayurveda. Vyakta sthana is the location where a disease manifests, such as the garbhashaya (uterus) in Kaphaja Yoni Vyapat, guiding treatment strategies like using vaginal washes.
71) Vyadhin (Vyadhi):
Vyadhi is the term for disease in Ayurveda. Kaphaja Yoni Vyapat is an Ayurvedic diagnosis for vulvovaginal candidiasis, a condition treated by balancing kapha dosha through specific therapies like Panchavalkala Arka.
72) Nature:
Nature in Ayurveda refers to the intrinsic qualities of a substance or individual. The patient’s innate nature (prakriti) and the natural properties of dravyas influence the treatment of Kaphaja Yoni Vyapat.
73) Laghu:
Laghu means light in Ayurveda. Laghu dravyas are used to counteract the heavy and sticky qualities of kapha. Panchavalkala Arka, containing laghu (light) properties, is used to treat Kaphaja Yoni Vyapat effectively.
[Note: The above list is limited to 75. Total glossary definitions available: 92]
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