CLINICAL EVALUATION OF BRIHAT SHATAVARI GHRITA LOCALLY AND ORALLY IN PITTAJ YONIVYAPAD WITH SPECIAL REFERENCE TO PELVIC INFLAMMATORY DISEASES

Yoni Vyapad is a compilation of various disorders of the genital tract ranging from vulva till the uterus. Local infectious conditions like vulvo vaginitis, pelvic inflammatory diseases have also been described. Among the various treatment modalities described for Yoni Vyapad, the emphasis given to Sthanika Chikitsa is noteworthy. The mode of approach through local route (with or without oral treatment) is with the aim to give instantaneous relief to the suffering woman. Pichu Prayoga is one such intervention among which “Shatavari ghrita pichu” has been specifically mentioned in the context of Pittaja Yoni Vyapad. The symptoms which are seen in the stubborn vulvo vaginitis conditions need effective treatment procedures. The use of a topical medicine like Pichu will act directly on the vaginal mucosa and enable easier and target specific action. Therefore it helps to combat the local disease causing agent and simultaneously strengthen the vagina as well as prevent recurrence. Simultaneous oral ingestion of the drug alongside, takes care of the complete eradication and relief of the disease symptoms. Since Ghrita is the best Pitta Shamaka, Shatavari Ghrita is chosen for our study in Pittaj Yonivyapad which is a Pitta pradhan vyadhi seen frequently these days. A Clinical Trial was carried out on 60 patients detected with Pittaj Yonivyapad with a trial group of 30 patients undergoing oral treatment of Shatavari Ghrita orally and Shatavari Ghrita Pichu vaginaly for 7 days in comparison with same number of patients taking oral tablets of Clindamycin with Clindamycin pessaries kept vaginally for equal number of days. The drugs were prepared in the College Pharmacy and the Research conducted in the PTSR OPD of Loknete Rajaram Bapu Ayurvedic College, Hospital and PG Institute, of which we got satisfactory results of 50 – 75% in comparison with the allopathic drugs for Pelvic Inflammatory Disease

TO ACCESS THE EFFECT OF PIPALLI CHOORNA AND SHATAVARI CHOORNA IN STANYAKSHAYA

Aim: To access the effect of Pipalli and Shatavari choorna with Shukhoshna godugdha in Stanyakshaya. Objective: Study of literature regarding Stanyakshaya and Pippli choorna. Observation on the effect of Pippali choorna with Godugdha on lactating mother and observe if any adverse effect.Method: Study Group: 60 patients were observed & treated, Study divided in two groups 30 patients in each group. In Group A (Trial Group) 30 patients are randomly selected in which Stanyakshaya will be treated with Pipplichoorna, 500 mg twice daily after meals with Sukhoshana Godugdha. In Group B (Control Group) 30 patients are Group of randomly selected in which Stanya Jananan drug Shatavarimool choorna 2 gm twice daily with Godugdha after meal. A follow up was done on each patient after every 7 days. Initially all the signs and symptoms were noted thoroughly. Change in signs and symptoms in each follow up were observed and noted in case paper. Follow up was done for 3 weeks during treatment and for 2 weeks after treatment. The total duration of treatment was 21 days.Results: Comparing all the symptoms before and after treatment had positive results of  treatment given to group B (Shatavari Choorna) showed slightly better results over treatment given to group A (Pippali choorna). The Statistical Analysis reveals that Shatavari Choorna with Shukhoshna godugdha in the management of Stanyakshaya is more effective than Pippalichoorna with Shukhoshna godugdha. Conclusion: Treatment given to group B (Shatavari Choorna) showed better results over treatment given to group A (Pippali choorna), we can conclude that treatment Shatavari Choorna given to group B is better for this disease Stanyakshaya

EFFECT OF SHARPUNKHAMULACHURNA WITH TANDULODAK IN ASRUGDARA

Any abnormality in Rutuchakra (menstrual rhythm) leads excessive and irregular uterine bleeding which is known as “Asrugdara” in classical text. In routine practice of Striroga and Prasutitantra number of patients present with excessive and irregular bleeding vaginally. To study the effect of Sharpunkhamulachurna with Tandulodak in Asrugdara. Asrugdara gives rise to various systemic and psychological disorders which needs treatment. 30 patients were diagnosed with symptoms of Asrugdara attending OPD of our institute and fulfilling criteria are taken for the study. A special proforma was prepared with all points of history taking, physical signs and symptoms and lab. Investigations. The parameters were scored on the basis of standard methods of statistical analysis.In the study, Artavapraman shows 78.8% of relief, Rajastarvaavadhi shows 49.0% of relief, Daha shows 36.9% of relief, Adhoudarshula shows 59.2% of relief, interval between 2 cycle shows 0% of relief, consistency of bleeding shows 44.8% of relief, Varna shows 41.1% of relief and by wilcoxon test it is found that it is highly significant. So it can be concluded that efficacy of Sharpunkhamula churna is significant in Asrugdara on this symptom.Among the available treatment for Asrugdara, Sharpunkhamulachurna is beneficial in curing the vitiated Doshas. The treatment which includes Sharpunkhamulachurna which have been used based on their properties like Tikta and Kashayarasatmak which helps in Stambankarma, it is also Vatakaphaghna - all these objectives are fulfilled to the greater extent