MANAGEMENT OF PRASRAMSINI YONIVYAPADA (PELVIC ORGAN PROLAPSE) WITH STHANIKA CHIKITSA: A CASE REPORT
Authors: Damachiya D , SHARMA N AND ASOKAN V*

ABSTRACT
Introduction: Vata Dosha plays a critical role in disorders related to female reproductive system. If the woman adopts abnormal posture or uncomfortable bed during sexual intercourse, other Vata Prakopaka Nidana like sitting in squatting position, lifting heavy weights, straining for stools due to constipation, prolonged labour, or genital tract injuries during labour, night vigil, excessive dry stale food intake, intake of less nutritious food and at improper period, etc. then the Vayu gets aggravated to cause dilatation of the openings of reproductive tract, uterus and vagina. This abnormal stretching of pelvic organs and supporting structures leads to Vedana and Ruksha, Phena mixed Srava of blood from Yoni with protuberance of the Mamsa, i.e.; Uterus, Pelvic organs, Vaginal walls and suffers from Shoola in the joints and Vakshana Pradesh due to abnormal stretch of pelvic organs and ligaments. Diagnosis, intervention and outcome: On the basis of symptoms and genital organ examination the diagnosis of Prasramsini Vyapada was made and Sthanika Chikitsa- Yoni Prakshalana, Yoni Pichu and Yoni Abhyanga was done for 15 days twice daily. Assessment was done using Pelvic organ prolapse distress inventory questionnaire (POPQ), urinary inventory, colorectal, anal distress inventory and pelvic organ prolapse quantification. Patient got remarkable relief in a span of 15 days which was notable in primary complaints and assessment criteria. Conclusion: Ayurveda explains many methodologies for treating gynaecological disorders Sthanika Chikitsa holds great significance in Prasuti Tantra and Stree Roga. Sthanika Chikitsa possess very promising results in the management of various gynaecological disorders. Thus, it can be concluded that Sthanika Chikitsa can be used combined with oral drugs to provide symptomatic relief in patients who may not be fit for surgical correction or do not opt for surgery. Keywords: Ayurveda, Prasramsini, Pelvic organ prolapse, POPQ, Sthanika Chikitsa
Publication date: 01/03/2024
    https://ijbpas.com/pdf/2024/March/MS_IJBPAS_2024_7883.pdf
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https://doi.org/10.31032/IJBPAS/2024/13.3.7883