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Manju Joseph, Mamatha K. V. and Suprabha K.*


Context: Pelvic Inflammatory Disease is a spectrum of symptoms which are defined as ascending, often recurring infections of female genital tract, which involves uterus and adnexae. Among the various Yoniroga (diseases of reproductive tract) mentioned in Ayurveda, based upon the similarity in clinical presentations and complications, Pittala Yonivyapat can be correlated with the Pelvic Inflammatory Disease. This disease (PID) requires an extensive management as the untreated or unsuccessfully treated women may develop serious complications and even adequately treated women are at higher risk of its recurrence. Aim: To evaluate the therapeutic effect of certain Ayurvedic indigenous drugs in Pelvic Inflammatory Disease. Materials and methods: In a single blind clinical study, 14 patients diagnosed with PID were given local treatment in the form of Yoni Parisheka with Dashamula Kashaya (300 ml) and Yoni Kalkadharana with Lodhradi Kalka Choorna (15 g) for initial 7 days after the cessation of menstrual period. Oral therapy with Shigruwadi Guggulu capsules (1g) tid, Guggulu Tiktaka Kashaya 30 ml bd, and a combination of Pushyanuga Choorna (5 g), Amritha Satwa (1 g) and Trivanga Bhasma (125 mg) bd with Tandulodaka and honey as Anupana were given for 45 days. Result: A statistically significant reduction were seen in the signs and symptoms of PID such as lower abdominal tenderness (<0.001), cervical motion tenderness (<0.001), lower abdomen pain (<0.001), backache (=0.003), vaginal congestion (=0.047), cervical congestion (<0.001), vaginal discharges (=0.003), microbial load (<0.001). Conclusion: PID can be efficiently managed by following extensive Ayurvedic treatment by integrating both internal and local Ayurvedic medications.

Keywords: Pittala Yonivyapath, Pelvic inflammatory disease, Yoniroga.

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