Abstract

ROLE OF STHANIK CHIKITSA IN YONIBHRAMSHA: A CASE STUDY

Dr. Shivani Katna*, Dr. Seema Shukla and Dr. Meena Parmar

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Abstract

Yonibhramsha or pelvic organ prolapse is one of the commonest complaints among women of menopausal age group. Pelvic organ prolapse develops from weakening of the pelvic muscles and supportive tissues. Ayurveda explained this condition as Yonibhramsha.[1,2] Yonibhramsha refers to any displacement of pelvic organ from its anatomical position. A 60 years old female patient suffering from incontinence of urine, increased frequency of urine, and feeling of something coming out of vagina off and on since two years with aggravation of symptoms from two weeks presented to Prasuti Tantra Evam Stree Roga OPD. It was associated with Katishool. On enquiry, it was found that she was menopausal since 18 years. She had given birth to four children, all at home through normal spontaneous vaginal delivery during her reproductive years. She had no history of any hypertension, diabetes or thyroid disorder. She also gave no history of any prolonged illness or any surgical history. On local examination it was found that she was suffering from 2nd degree cystocele and 1st degree uterine prolapse.[3] Thus line of management was planned to control her symptoms by prescribing Ayurvedic drugs along with Sthanik Chikitsa and yogic exercises and treated her with Yonilepam[4] of Madhuyashti Churan, Madanphala Churan and Karpura Churana followed by Yonidhawana with Triphla Kashaya along with practice of Moolbandha and Ashwini Mudra[5] for 7 days. She had followed the schedule of Sthanik Chikitsa, oral medicines and Pathya-Apathya properly. It was observed that, symptoms were started to reduce gradually which has been depicted by documentation of symptoms and local examination in this case study.

Keywords: Yonibhramsha pelvic organ prolapse, Sthanik Chikitsa, Yoni, Yonilepam, Yonidhawana, Moolbandha, Ashwinimudra.