DIPLOMA Ayurvedic Practitioners Course Module 9 1st & 2nd June 2019

Stree Roga (Gynaecology) Pancha Nidhana

Stree Roga According to physiological changes a woman’s life is divided into four stages or epochs: Bāla(child stage)- kapha dominant Rajomathi(adolescent)-pitta dominant Yuwthi(adult)-pitta dominant Pravdā (post menopausal) vata dominent

Menstruation Age of menarche and menopause According to Ayurveda 12 and 50 years is the age of menarche and menopause respectively. This age can be influenced by dietetics and health. Menstrual cycle Menstruation is a normal physiological process indicating womanhood. It is a cyclical process and repeats every month.

Menstruation Factors influencing the menstrual cycle Rasa - Menstrual blood is upadatu of rasa Rakta – menstrual blood Dhamani - blood vessels, components of blood Doshas – menstruation is governed by the doshas

Impregnation Appropriate age for conception when fully mature: Male - 25 years Female - 16 years

Sexual Intercourse Contra indicated condition for sexual intercourse Woman who: has over eaten / hungry is frightened, averse, angry has no desire for sex / chronically ill / suffering from gynaecological disorders / early pregnancy / emaciated / dirty / elderly / wife of teacher Women in these states either do not conceive or risk congenital disorders   Normal postures for sexual intercourse For the reception of sperm and ova the woman should lie in supine position

Factors essential for conception Ritu (season or period near ovulation) Bija (healthy sperm and ovum) Kshetra (healthy reproductive system) Ambu (nourishing substances)

Embryology (Garbha vignana) Gharba (embryo) = the union of sperm (sukra dhatu), ovum (arthava) The constitution(prakriti) is developed at this stage

Antenatal care Antenatal care The pregnant woman balanced diet and lifestyle Perform dharma Comfortable and proper sleep Good personal hygiene Avoid the factors likely to harm the foetus eg. avoid sex for 3 months Receive emotional and physical support from loved ones

Antenatal care Nutrition. Rasa dhatu plays the main role Nutrition to the foetus Nutrition to the mother Nutrition for breast feeding

Antenatal care Kapha prominent food which increase rasa dhatu Palatable, sweet, liquid, unctuous, Satmya (wholesome), Milk Meat soup Cooked green vegetable butter, ghee Fruits according to mother’s taste & dosha

Chikitsa Chikitsa Yonidhawana To clean yoni and prevent unhygienic infections With water or Kwatha or Kshirpaka Kaphaja Artava Dushti, Yoni Srava, Yoni Kleda, Yoni Kandu & Yoni Arsha

Chikitsa Uttarbasti Basti insertion of medicament into yoni dysuria, vaginal pain, yonivyapada, Asrigadara, amenorrhoea and dysmenorrhoea

Chikitsa Yoni Pichu insertion of tampons soaked in medicinal liquid into vaginal cavity improves musculature of vaginal canal Yonikandu, Shweta Pradar, Apara Sanga, Garbha Sanga, Upapluta, Yonivyapad & Raktagulma.

Chikitsa Yonidhupan medicated smoke to disinfect vaginal cavity Yonikandu, Shweta Pradar, Apara Sanga, Garbha Sanga, Upapluta Yonivyapad, Sutika Paricharya and Santati Pratibandhak

Chikitsa Yoni Lepana external application of medicaments as paste around the affected area of vagina Vivrutta Yonivyapada & Yoni Arsha

Chikitsa Yonivarti suppositories made with medicaments Acharana Yonivyapad, Yonishopha, Yonikleda, Yoni paichilya, Kaphaja Yonivyapada, Yonikandu & Anartava

Chikitsa Yoni Puran filling vaginal cavity using powders, pastes & medicated oils

Chikitsa Yoni Parishek hot fomentation with medicated oil around external parts of vagina YoniVrana, YoniPitika & YoniShotha

Chikitsa Pinda Chikitsa insertion of boiled paste of drugs wrapped in the cloth into vagina acute local therapeutic relief