Abstract

CLINICAL ASSESSMENT TO EVALUATE THE EFFICACY OF BALA TAILA MATRA BASTI IN THE MANAGEMENT OF VANDHYATVA (INFERTILITY)

*Dr. Arpuli Johari and Dr. Kaushalya Khakhlary

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Abstract

Introduction: Vandhyatva is defined as the inability of a couple to achieve conception after 1 yr of unprotected coitus. Acharya Susruta equating germination of a seed with achievement of conception says that if ritu (season or period near ovulation or ritukaala), beeja (seed i.e. ovum and sperms), kshetra (field i.e. female reproductive system) and ambu (water i.e. nourishing substances) assemble together, the conception will definitely occur. Vitiation in any of these factor cause infertility. He mentioned that in cases of vandhyatva (sterility) basti(enema) should be prescribed to women with bala taila who has undergone evacuation as described under Mudhagarbaha chikitsa. Aacharya Charak says that all the gynaecological disorder is because of vitiation of Vata. Vatadosha is the prime causative factor of any yoniroga including infertility. Acharya Charak also says that BASTI is the ardhha chikitsa of vata. Considering this, it has been planned to evaluate the significance and impact of Matrabasti with Bala taila in cases of vandhyatva because it is Brimhaniya, Balya as well as Prajasthapana. Methodology: A total of 30 patients unable to conceive even after a year of unprotected coitus, were registered for an Open Randomised Clinical Trial conducted at the Outpatient and Inpatient Department of Prasuti Tantra Evum Stree Roga Department Government Ayurvedic College and Hospital, Ghy-14, Assam. Result: Only 1 patient out of 30 patients conceived, where statistically no comment can be made. Discussion: The trial drug was found effective after the first follow up i.e. one month from the starting of the clinical study incase of Ritu. But in case of Kshetra and Beeja, the effect was seen only after the completion of treatment. Due to the relatively short duration of the treatment, the results regarding conception have been limited. A longer treatment period is necessary to achieve more definitive outcomes and to allow for a more thorough evaluation.

Keywords: Vandhyatva, Matrabasti, Infertility, Bala Taila, Ritu.