AYURVEDIC MANAGEMENT OF PARIPLUTA YONI VYAPADA- A CASE STUDY
Authors: Damachiya D* And Bhagat L

ABSTRACT
Yoni Vyapada comprises around 70% of Gynaecological problems and is most commonly encountered in the practice of gynecology. Some of them cause painful coitus, dysmenorrhoea, etc., and Paripluta is one of them. Among the twenty Yoni Vyapada mentioned in the classics, Paripluta is one of them. Pitta and Vata Dusti are presumed to be the main causes of this disease. Given its similarity to clinical characteristics, it may be associated with Pelvic inflammatory disease. PID, in particular, concerns public health. Particularly in developing countries, due to its broad impact on the economy and societies. Delayed management of PID may result in higher rates of miscarriage, chronic pelvic pain, STD, progressive organ damage, and long-term reproductive disability due to its recurrence. Introduction: A common infection of the reproductive tract in active women is Pelvic inflammatory disease. Multiple organisms such as Neisseria gonorrhoeae, and Chlamydia trachomatis can cause pelvic inflammatory disease, Mycoplasma hominis, non-hemolytic Streptococcus etc. In modern medicine, it is commonly treated with systemic antibiotic therapy but this infection does not get under control even after a reasonable course of broad-spectrum antibiotics are administered. Leaving this condition untreated results in hydrosalpinx, pelvic abscess, pelvic adhesions, infertility, dysmenorrhea, etc. This disease manifests with irregular, excessive vaginal bleeding, bilateral lower abdomen pain, abnormal vaginal discharge, dyspareunia, nausea, vomiting, fever, etc. In Ayurveda, this painful condition can be compared to Paripluta Yoni Vyapada based on the clinical manifestations i.e., pain in the abdomen, tenderness, dyspareunia, abnormal vaginal discharge, fever, etc. Dosha is the masculine Vata associated with Pitta Dosha, in Paripluta Yoni Vyapada. There was tenderness in both quadrants of the abdomen during palpation of the lower abdomen in this patient. Per speculum examination revealed abnormal vaginal discharge which was purulent, congestion of the cervix, and tenderness in fornices especially on movement of the cervix. These are the classical clinical characteristics of Paripluta Yoni Vyapada. The Ultrasonography also confirmed this. Discussion: Because of the cardinal features of PID, i.e., pain in the lower abdomen, tenderness, dyspareunia, etc., it can be compared with Paripluta within an Ayurveda system. Because of Pitta's predominant status, the treatment with Vataja Vyadhi should be developed in conjunction with medicinal products containing Pitta-Vata-Hara's properties and this study Yoni Prakshalana, Yoni Pichu, Pushyanuga Churna, etc. have chosen a specific reference to Paripluta for PID management. Conclusion: The case study of Ayurvedic management Paripluta Yoni Vyapada, with Sthanik Chikitsa and Shaman Chikitsa. Keywords: Ayurveda, Paripluta, Sthanik Chikitsa, Shaman Chikitsa, Yoni Vyapada, Yoni Prakshalana, Yoni Pichu
Publication date: 01/03/2025
    https://ijbpas.com/pdf/2025/March/MS_IJBPAS_2025_8827.pdf
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https://doi.org/10.31032/IJBPAS/2025/14.3.8827