Efficacy of Vamana Karma for Uterine Fibroid Management
Journal name: Ayushdhara
Original article title: Efficacy of Vamana Karma in the Management of Kshetra Dushti Janya Bandhyatva (Uterine Fibroid)
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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Lavina
MS Scholar, Department of Prasutitantra evam Striroga, National Institute of Ayurveda, Deemed to be University, Jaipur, Rajasthan, India.
Sonu
Assistant Professor, Department of Prasutitantra evam Striroga, National Institute of Ayurveda, Deemed to be University, Jaipur, Rajasthan, India.
Hetal H Dave
Associate Professor, Department of Prasutitantra evam Striroga, National Institute of Ayurveda, Deemed to be University, Jaipur, Rajasthan, India.
Vipin
Assistant Professor, Department of Panchkarma, National Institute of Ayurveda, Deemed to be University, Jaipur, Rajasthan, India.
Rozina Sheikh
BAMS, MS, Department of Prasutitantra evam Striroga, National Institute of Ayurveda, Deemed to be University, Jaipur, Rajasthan, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Efficacy of Vamana Karma in the Management of Kshetra Dushti Janya Bandhyatva (Uterine Fibroid)
Year: 2024 | Doi: 10.47070/ayushdhara.v11i3.1569
Copyright (license): CC BY-NC-SA 4.0
Summary of article contents:
Introduction
Infertility, defined as the inability to conceive after one year of unprotected coitus, is often linked to various underlying health issues, including the presence of uterine fibroids. In Ayurveda, infertility is referred to as "Bandhyatva," and fibroids—noncancerous growths within the uterus—can significantly hinder conception and lead to pregnancy loss. The case discussed in this report involves a 31-year-old married woman experiencing infertility attributed to a uterine fibroid, which was identified through ultrasonography. The management strategy included the Ayurvedic detoxification technique known as "Vamana Karma," aimed at addressing the Kapha Dosha imbalance.
Understanding Vamana Karma
Vamana Karma is a therapeutic procedure in Ayurveda that induces emesis (vomiting) to eliminate accumulated toxins from the body, particularly from the gastrointestinal tract. This treatment is believed to purify the body and restore balance between the Doshas, especially in conditions associated with Kapha. For the female patient, Vamana Karma was administered following a preparatory regimen to prepare her body for the cleansing process. The procedure involved the ingestion of specific herbal formulations designed to stimulate the digestive fire (Agni) and promote the elimination of toxins, ultimately aiming to correct the environment conducive to conception and improve fertility.
Impact of Uterine Fibroids on Fertility
Uterine fibroids can interfere with fertility through several mechanisms, such as obstructing sperm ascent or disrupting the implantation of a fertilized egg. The presence of fibroids may complicate reproductive outcomes and lead to recurrent pregnancy loss. In this case, the treated patient presented with a history of infertility and associated symptoms linked to fibroid presence, including menstrual irregularities and discomfort. Following Vamana Karma, the patient's condition improved, indicated by a positive pregnancy test approximately a month later, leading to the successful delivery of a live female child.
Conclusion
This case study demonstrates the efficacy of Vamana Karma in managing infertility associated with uterine fibroids as per Ayurvedic principles. The approach not only addresses the physical manifestation of fibroids but also targets underlying imbalances within the body that contribute to infertility. The positive outcomes observed in this single patient suggest potential benefits of Ayurvedic treatment strategies in larger populations, warranting further research into the role of detoxification therapies in reproductive health.
FAQ section (important questions/answers):
What is the purpose of Vamana karma in uterine fibroid treatment?
Vamana karma is an Ayurvedic treatment method aimed at eliminating Kapha Dosha. It helps cleanse the body, may arrest further growth of uterine fibroids, and provides symptomatic relief in conditions like infertility associated with Kshetra dushti janya Bandhyatva.
What symptoms did the patient experience before treatment?
The patient reported being unable to conceive for a year, experiencing menstrual pain, nausea, vomiting, and a history of spontaneous abortion. An ultrasound revealed a bulky uterus with an intramural fibroid, correlating to her infertility diagnosis.
What were the outcomes after the treatment with Vamana karma?
After undergoing Vamana karma, the patient missed her period and subsequently tested positive for pregnancy. She later delivered a healthy female child without complications, indicating the effectiveness of the treatment for managing uterine fibroids related to infertility.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Efficacy of Vamana Karma for Uterine Fibroid Management�. 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) Karma (Karman):
Karma in this context refers to the processes and actions taken within Ayurvedic treatment to address certain health conditions. Specifically, Vamana Karma is an Ayurvedic procedure aimed at eliminating Kapha dosha from the body to treat conditions such as Kshetra dushti janya Bandhyatva.
2) Vamana:
Vamana refers to an Ayurvedic treatment method involving therapeutic emesis or vomiting. This procedure helps to remove excess Kapha dosha, which is believed to be responsible for certain ailments like uterine fibroids contributing to infertility. Vamana Karma played a crucial role in the successful management of the patient's condition in this case study.
3) Kshetra (Ksetra):
Kshetra in Ayurveda signifies the reproductive organs, specifically the uterus when discussing conditions like Bandhyatva (infertility). The term is used in this article to describe the uterine environment that should be free of diseases such as fibroids to facilitate conception.
4) Kapha:
Kapha dosha is one of the three doshas in Ayurveda, associated with elements of water and earth. In this case study, the elimination of Kapha through Vamana Karma was shown to be beneficial in treating uterine fibroids, which are often correlated with an imbalance in this specific dosha.
5) Arbuda:
Arbuda in Ayurveda refers to benign tumors or abnormal growths, like uterine fibroids described in this case. It can obstruct bodily channels and hinder normal physiological functions, contributing to conditions such as infertility. The management of Arbuda is essential for restoring reproductive health.[see source text or glossary: Arbuda]
6) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India that utilizes a holistic approach to diagnose and treat illnesses. This case study demonstrates how Ayurvedic principles like Vamana Karma are applied to treat infertility due to uterine fibroids, emphasizing the importance of balancing doshas and cleansing the body.
7) Jaipur:
Jaipur, specifically the National Institute of Ayurveda in Jaipur, Rajasthan, is the location where the patient received her treatment. The case study illustrates the Ayurvedic practices used at this institution to manage infertility associated with uterine fibroids.
8) Dosha (Dosa):
Dosha in Ayurveda refers to the body’s constitutional types, including Vata, Pitta, and Kapha. An imbalance in any of these doshas can lead to health issues. The case study specifically discusses the elimination of Kapha dosha through Vamana Karma to treat uterine fibroids contributing to infertility.
9) Goghrita (Goghrta, Go-ghrita):
Go-ghrita is medicated ghee (clarified butter) used in Ayurvedic treatments. In this case, Murchchit go-ghrita was used during the Snehapana phase to facilitate the cleansing process in Vamana Karma, supporting the removal of toxins and balancing of doshas.
10) Striroga (Stri-roga):
Striroga refers to gynecological conditions in Ayurveda. The department of Prasuti tantra evam Striroga at the National Institute of Ayurveda handled the patient's case, focusing on female reproductive health issues such as uterine fibroids and infertility.
11) Ghrita (Ghrta):
Ghrita, or ghee, is used in various Ayurvedic treatments for its therapeutic properties. Specifically, Murcchit go-ghrita was administered to the patient during Snehapana as part of the Vamana Karma procedure to aid in detoxification and dosha balance.
12) Family:
The case study mentions that the patient had no relevant family history of diseases that could contribute to her condition, making her case primarily one of lifestyle and physiological imbalance rather than hereditary factors.
13) Pain:
The patient experienced pain during menstruation, along with other symptoms like nausea and vomiting. These symptoms are important indicators of underlying issues such as uterine fibroids, which were treated using Ayurvedic methods like Vamana Karma.
14) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha is one of Ayurveda’s three doshas, representing the elements of water and earth. Its imbalance can lead to conditions like uterine fibroids. Vamana Karma helps to remove excess Kapha-dosha, improving symptoms and facilitating better health outcomes.
15) Abhyanga (Abhyamga):
Abhyanga refers to an Ayurvedic therapeutic massage with oil, used to prepare the body for procedures like Vamana Karma. In this case, Sarvanga Abhyanga was performed prior to the emesis induction to help liquify toxins and doshas.
16) Pariksha (Pariksa):
Pariksha refers to the Ayurvedic examination process. In this study, Vaigiki and Laingiki Pariksha were conducted to assess the effectiveness of the Vamana Karma treatment, highlighting symptoms like lightness of the body and overall well-being.
17) Granthi (Gramthi):
Granthi refers to cysts or nodules, which are akin to benign tumors like fibroids in Ayurveda. The uterine fibroids discussed in this case study can be considered a type of Granthi or Arbuda, obstructing normal physiological processes.
18) Snehana:
Snehana is the process of internal and external oleation in Ayurvedic treatment. In this case, Snehana with Murcchit go-ghrita was performed to prepare the body for Vamana Karma, aiding in the liquefaction of toxins.
19) Prasuti:
Prasuti refers to obstetrics in Ayurveda. The Prasuti tantra department handled the patient's treatment, focusing on reproductive health issues such as infertility related to uterine fibroids.
20) Allergy:
The patient had a history of allergies to dust, cheese, chocolates, and Amla dravya (sour substances), which were considered in her Ayurvedic treatment plan to avoid exacerbating her conditions.
21) Tantra (Tamtra, Tantrism):
Tantra in Ayurveda refers to specific branches of knowledge or systems of treatment. Prasuti tantra deals with childbirth and female reproductive health. In this case, the department of Prasuti tantra evam Striroga handled the patient's treatment.
22) Dravya:
Dravya refers to substances or medicinal herbs used in Ayurveda. Various dravyas like Phala ghrit and Madana pippli churna were used in the treatment protocol for managing the patient's uterine fibroid and associated infertility.
23) Basti:
Basti is an Ayurvedic enema treatment used to cleanse and nourish the body. The patient received Yapna basti and Matra basti treatments, using substances like Phala ghrit and Jivaniya Gana Dravya, to support pregnancy and maintain uterine health.
24) Blood:
Abnormalities in menstrual blood, such as color and the presence of clots, were noted in the patient's case. These signs indicate underlying conditions that were addressed through Vamana Karma and other Ayurvedic treatments.
25) Food:
Dietary habits play a significant role in Ayurveda. The patient was given specific Ayurvedic formulations with food and was advised on dietary changes to support her treatment and overall health.
26) Saindhavalavana (Saindhava-lavana, Saimdhavalavana):
Saindhava-lavana, or rock salt, was a component of the Vamana yoga mixture used in the Vamana Karma procedure to induce therapeutic vomiting, aiding in the elimination of Kapha dosha.
27) Pradhana-karma:
Pradhana-karma is the main procedure in an Ayurvedic treatment regimen. In this case, Vamana Karma was the Pradhana-karma, involving therapeutic emesis to remove excess Kapha dosha, thereby addressing the patient's uterine fibroids.
28) Kaphotklesha (Kaphotklesa):
Kaphotklesha refers to the accumulation and agitation of Kapha dosha. Patients are often asked to consume Kaphotklesha Ahara (Kapha-provoking food) before the Vamana Karma procedure to enhance the efficacy of therapeutic emesis.
29) Matra-basti:
Matra-basti is a type of Ayurveda enema that uses a small quantity of medicated oil or ghee. In this case, Matra basti with Phala ghrit was administered to the patient during pregnancy to maintain uterine health and support gestation.
30) Garbhashaya (Garbhasaya, Garbha-ashaya):
Garbhashaya refers to the uterus. The case study explores the Ayurvedic treatment of uterine fibroids, a condition known as Garbhashayagata arbuda, which can lead to infertility and other reproductive health issues.
31) Amladravya (Amla-dravya):
Amla-dravya refers to sour substances. The patient had an allergy to such substances, which was a factor taken into consideration during her Ayurvedic treatment to avoid exacerbating her symptoms.
32) Purvakarma (Purvakarman, Purva-karman):
Purva-karma are preparatory procedures in Ayurveda, performed before the main therapeutic process. In this case, Deepan, Pachana, and Snehapana were some of the Purva-karmas conducted before Vamana Karma to prepare the patient's body.
33) Mamsadhatu (Mamsha-dhatu):
Mamsadhatu refers to the muscle tissue in Ayurveda. Along with other dhatus, Mamsadhatu is considered a dushya affecting the occurrence of conditions like uterine fibroids, which are managed through treatments like Vamana Karma.
34) Anuvartana:
Anuvartana refers to the quality of retaining or continuing the effects of a therapy. In this case, the Murcchita Go-ghrita used has Anuvartana quality, enhancing the potency of the treatment substances and supporting the elimination of toxins.
35) Discussion:
Discussion in this context involves a detailed analysis of the treatment protocol and its outcomes. The case study examines the effectiveness of Vamana Karma in managing uterine fibroids and emphasizes the importance of balancing the doshas for reproductive health.
36) Saindhava (Saimdhava):
[see source text or glossary: Saindhava]
37) Samprapti:
Samprapti refers to the pathogenesis or development of a disease in Ayurveda. This case study describes the Samprapti of Garbhashayagata Arbuda (uterine fibroids), emphasizing the role of Kapha dosha and improper lifestyle choices in disease manifestation.
38) Rasadhatu (Rasa-dhatu):
Rasadhatu refers to the plasma and lymph tissue in Ayurveda. Rasadhatu, along with Mamsadhatu and other tissues, is considered a dushya affecting the occurrence of uterine fibroids, which can be managed through treatments like Vamana Karma.
39) Rajasthan:
Rajasthan, specifically the National Institute of Ayurveda in Jaipur, is where the patient received her Ayurvedic treatment for uterine fibroids and infertility. The study emphasizes the efficacy of Ayurvedic practices in managing such conditions.
40) Murcchita:
[see source text or glossary: Murcchita]
41) Garbhini:
Garbhini refers to a pregnant woman in Ayurveda. The patient in the case study followed Garbhini Paricharya, a set of guidelines and practices for expectant mothers to support a healthy pregnancy after undergoing Vamana Karma.
42) Shodhana (Sodhana):
Shodhana refers to detoxification or cleansing procedures in Ayurveda. Vamana Karma, employed in this case study, is a Shodhana procedure used to eliminate Kapha dosha and manage conditions like uterine fibroids contributing to infertility.
43) Triphala (Tri-phala):
Triphala is an Ayurvedic herbal formulation often used for its detoxifying and rejuvenating properties. In this study, Triphala yavakuta was one of the substances used to prepare Murcchita Go Ghrita for the Snehana part of Vamana Karma.
44) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
Acharya Kashyapa is an ancient Ayurvedic sage whose guidelines on Shodhana Chikitsa (purification therapy) were followed in this study. His principles were applied to manage infertility resulting from uterine fibroids.
45) Pradhana:
[see source text or glossary: Pradhana]
46) Prakriti (Prakrti):
Prakriti refers to the fundamental nature or constitution of an individual in Ayurvedic philosophy. Treatment plans are often tailored according to one's Prakriti to restore balance and health, as seen in this case study involving uterine fibroids.
47) Jivaniya:
[see source text or glossary: Jivaniya]
48) Amadosha (Amadosa, Ama-dosha):
[see source text or glossary: Amadosha]
49) Mutation:
In the context of this study, genetic mutations are mentioned as one of the factors influencing the development of uterine fibroids. Such factors were taken into account while planning the Ayurvedic treatments provided to the patient.
50) Vomiting:
The patient experienced vomiting as part of her menstrual symptoms and during the Vamana Karma procedure, which induces therapeutic vomiting to eliminate excess Kapha dosha. This was key in managing her uterine fibroids.
51) Vighata:
[see source text or glossary: Vighata]
52) Haridra:
Haridra, or turmeric, is an Ayurvedic herb with multiple health benefits. It was one of the ingredients used in preparing Murcchita go-ghrita for the Snehana phase of treatment in this case study.
53) Siddhi:
Siddhi refers to the signs of successful treatment in Ayurveda. The case study observes Vamana samyak siddhi lakshna, such as lightness of the body and feeling of happiness, indicating the effectiveness of the Vamana Karma performed.
54) Kukshi (Kuksi):
[see source text or glossary: Kukshi]
55) Bhasma (Bhasman):
[see source text or glossary: Bhasma]
56) Sadhya:
[see source text or glossary: Sadhya]
57) Garbha:
Garbha refers to the fetus. The case study discusses the successful conception and healthy delivery of a baby after treating the patient's uterine fibroids with Ayurvedic procedures like Vamana Karma.
58) Artava:
Artava refers to menstrual blood in Ayurveda. A healthy Artava is crucial for conception, and its abnormalities, like those seen in this patient, are treated using Ayurvedic methods such as Vamana Karma.
59) Madana:
[see source text or glossary: Madana]
60) Nidana:
Nidana refers to the causes or etiology of diseases. The case study discusses improper dietary habits and a sedentary lifestyle as Nidana for developing uterine fibroids and their treatment with Vamana Karma.
61) Dugdha:
[see source text or glossary: Dugdha]
62) Lavana:
Lavana, or salt, is used in different formulations in Ayurveda. In this case, Saindhava Lavana (rock salt) was part of the Vamana yoga mixture to induce therapeutic emesis, aiding in detoxifying the body and balancing doshas.
63) Nausea:
[see source text or glossary: Nausea]
64) Phala:
[see source text or glossary: Phala]
65) Madhu:
[see source text or glossary: Madhu]
66) Matra:
Matra refers to a measure or quantity. In the Ayurvedic enema treatment Matra basti, a specified small quantity of medicated oil or ghee is used, as seen in the patient's treatment plan to support and maintain uterine health.
67) Ahara:
Ahara refers to diet or food. Dietary interventions and specific formulations given with food played a significant role in the patient's Ayurvedic treatment to manage uterine fibroids and promote conception.
68) Purva:
[see source text or glossary: Purva]
69) India:
India is the origin of Ayurveda, the traditional system of medicine applied in this case study. The National Institute of Ayurveda located in Jaipur, Rajasthan, played a pivotal role in the patient's successful treatment.
70) Ayus (Ayush):
AYUSH stands for Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homoeopathy. The journal AYUSHDHARA publishes research studies like this one on the efficacy of Vamana Karma in treating infertility caused by uterine fibroids.
71) Sanga (Samga, Shanga, Shamga):
[see source text or glossary: Sanga]
72) Pulse:
[see source text or glossary: Pulse]
73) Anger (Angry):
Post Vamana Karma, the patient was advised to rest and avoid extremes like loud speaking, overeating, and anger, which can disturb the balance of doshas and impede the healing process.
74) Vaca:
[see source text or glossary: Vacha]
75) Hara:
[see source text or glossary: Hara]
[Note: The above list is limited to 75. Total glossary definitions available: 87]
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