scholarly journals STHANIK CHIKITSA (LOCAL THERAPIES) IN STRI ROGA: CRITICAL REVIEW

2021 ◽  
Vol 9 (7) ◽  
pp. 1474-1479
Author(s):  
Simran Simran ◽  
Shashi Sharma ◽  
Shikha Sharma
Keyword(s):  
Critical Review ◽  
Vaginal Discharge ◽  
Uterine Cavity ◽  
Application Site ◽  
Vaginal Suppository ◽  
Chemical Cauterization

Ayurveda is one of the oldest systems of health gives a detail description of Stree Roga. Women combat with quite common gynecological problems like white discharge, itching at vulva, foul smelling vaginal discharge, burning micturition etc. Sthanik Chikitsa has given excellent results in these problems. Sthanik Chikitsa preferably includes Yonidhawan (Douching per vaginum), Yoni-Pichu (Tampooning per vaginum), Yoni Dhoopan (Fumigation of vagina), Yoni-Varti (Vaginal suppository), Yoni-Lepana (Vaginal painting), Uttarbasti (Medicated oil or decoction is pushed into the uterine cavity through vagina), Agnikarma (Cauterization) and Ksharakarma (Chemical cauterization) etc. In the present study all these local therapies are revised through ancient Samhitas, and these therapies are reviewed with their meanings, indications, procedures, application site and probable mode of actions. It is my sincere and optimistic effort to encourage most of the Ayurveda physician towards Sthanik Chikitsa in the management of Stree Rogas. Keywords: Sthanikchikitsa, Local therapies, Stree Roga.

ROLE OF YONIPICHU IN STREE ROGA AND PRASUTITANTRA

2020 ◽  
Vol 8 (02) ◽  
Author(s):  
Ekta Rajendra Lambole Ekta
Keyword(s):  
Uterine Cavity ◽  
Local Therapy ◽  
Application Site ◽  
Application Procedure

There are some Sthanik Chikitsa (Local Therapies) in Ayurvedic Stree Rogas described by Ancient Acharyas that possess outstanding and satisfactory outcomes in the management of Stree -Rogas. Some of these local therapies show amazing results in the management of Stree Rogas. ‘These extraordinary local therapies should be highlighted and of course used in the management of Stree Rogas for the fruitful outcomes. Sthanik Chikitsa preferably includes Yonidhawan (Douche of vagina), Yoni-Pichudharan (tampoon soaked in medicated oil or liquid is placed into the vagina), Uttar -Basti (Medicated oil or decoction is pushed into the uterine cavity through vagina), Yoni -Dhupan (Fumigation of vagina, with medicated smoke),Yoni-Varti (Insertion of medicated wick into the vagina), Yoni-Puran (vaginal packing),Yoni-Lepan (vaginal painting), Yoni-Parisheka, Pinda Chikitsa etc. In the present study  local therapies are revised through ancient samhitas and these therapies are reviewed with their meanings, indications, application procedure and application site of the local therapy. The procedure of  local therapy is discussed considering aseptic precautions. Through this study it is my hopeful and truthful effort to motivate most of the vaidyas towards Sthanik Chikitsa in the management of Stree Rogas. This study with its simple and appropriate terms will definitely help the Vaidyas to reach to the depth of the concept and will subsequently prove to be helpful to give admirable and satisfactory outcomes to Vaidyas.

scholarly journals Postpartum endometritis prevention in abdominal delivery planning in pregnant with severe anaerobic vaginal dysbiosis

2015 ◽  
Vol 96 (1) ◽  
pp. 5-9 ◽  
Author(s):  
K V Voronin ◽  
A M Alale ◽  
I I Alale ◽  
R M Banakhevich
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Vaginal Discharge ◽  
Bacterial Flora ◽  
Uterine Cavity ◽  
Test System ◽  
Control Group ◽  
Study Group ◽  
Septic Complications ◽  
Ascending Infection

Aim. Prevention of purulent and septic complications in females after planned caesarean section.Methods. Out of 60 pregnant women, who underwent comprehensive examination during the trial, 35 (58.3%) were included in the study group and were delivered off by planned cesarean section; 25 (41.7%) pregnant women, included in the control group, were delivered off by urgent cesarean section. Considering the goal of the study, bacteriology of vaginal discharge, amniotic fluid and placental tissues, DNA detection of vaginal discharge bacterial flora before and after treatment (using «Femoflor-16» test system) according to classification by M.N. Boldyreva (2010), uterine cavity aspirate cytology according to classification by M.A. Kupert (2003), sonography of the uterus and uterine adnexa on the 4-5 day after the surgery according to classification of A.P. Milovanov were added to the training program for pregnant women. In the study group, pregnant patients with severe anaerobic vaginal dysbiosis at the 36-38 weeks of gestation were administered causal treatment of severe anaerobic vaginal dysbiosis, pregnant patients of the control group were not treated if severe anaerobic vaginal dysbiosis was diagnosed.Results. Performed correction of vaginal microbiota in the study group has significantly improved the course of postoperative period, reduced the incidence of uterine subinvolution, signs of chorioamnionitis as a manifestation of ascending infection compared to the control group. Postpartum endometritis has developed in 1 (2.8%) patient of the study group and in 5 (20.0%) cases in the control group. Offered method for preparing the patients with vaginal dysbiosis to cesarean section reduced the risk for postpartum endometritis by 6.8 times.Conclusion. Strategy of preparation for planned Caesarean section should include vaginal discharge bacteriology and treatment of severe anaerobic vaginal dysbiosis, which reduces the risk for postpartum endometritis by 6.8 times.

scholarly journals Huge cervical pedunculated leiomyoma with uterine prolapse: a case report

2019 ◽  
Vol 8 (2) ◽  
pp. 772
Author(s):  
Shweta Avinash Khade ◽  
Balaji Jadhav ◽  
Rohini Raut
Keyword(s):  
Blood Circulation ◽  
Vaginal Discharge ◽  
Uterine Prolapse ◽  
Uterine Cavity ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
The Body ◽  
Artery Ligation ◽  
Internal Iliac ◽  
Endocervical Canal

Leiomyoma uterus is the most common benign solid tumor in female. Most of it situated in the body of the uterus.  cervical myoma account 3%-8% of uterine myoma. Cervical myoma can frequently cause diagnostic dilemmas. Pedunculated cervical myoma can arise from the endocervical canal or from the uterine cavity and protrude through the cervix, may become necrotic, infected and gangrenous due to inadequate blood circulation through a long pedicle or if the pedicle of leiomyoma twists. This can cause menometrorrhagia, recurrent vaginal discharge leading to anemia and sepsis. A case of huge pedunculated cervical leiomyoma has been reported here. A 40 years old female, para 4, with menometrorrhagia, excessive vaginal discharge and severe anemia with haemoglobin 5gm% and challenging huge cervical pedunculated leiomyoma of size 13cm*9cm*9cm prolapsed outside introitus which is congested necrotic, infected causing uterine prolapse with bilateral hydroureter and hydronephrosis. Patient underwent bilateral internal iliac artery ligation and fibroid excision followed by total abdominal hysterectomy with bilateral salpingectomy after tracing both ureters.  Post-operative period was uneventful. Histopathology was confirmatory of leiomyoma.

scholarly journals MODE OF ACTION OF STHANIK CHIKITSA IN COMMONLY USED IN STREE ROGA

AYUSHDHARA ◽  
2020 ◽  
pp. 36-41
Author(s):  
Priyanka Teva ◽  
Kalpna Sharma ◽  
Hem Prakash
Keyword(s):  
Surface Area ◽  
Blood Supply ◽  
Mode Of Action ◽  
Uterine Cavity ◽  
Vaginal Wall ◽  
Vaginal Epithelium ◽  
Large Surface Area ◽  
Vaginal Route ◽  
Vaginal Suppository ◽  
Posterior Fornix

Yoni Roga do not occur without vitiation of Apana Vata, thus first of all Vata should be normalized then treatment of other Doshas should be done. Sthanika Chikitsa (local therapies) prescribed by ancient Acharyas as Yoni Prakshalana (cleansing of vagina), Yoni Pichu (medication soaked tampon place in the vagina), Yoni Purana (vaginal packing), Yoni Lepa (semisolid drug applied in vaginal wall), Yoni Varti (vaginal suppository), Yoni Dhoopana (vaginal fumigation) & Uttarbasti (medicated oil/Ghrita pushed in the uterine cavity). For better result of this therapy the appropriate knowledge of mode of action of drug ought to be important. Our Acharyas very well know the mode of action of this Sthanika Chikitsa and describe the specific Sthanika Chikista according to different Yoni- Vyapada or vitiated Doshas. The reason behind for chosen the vaginal route because of the rugae of the vaginal epithelium create a invoulted surface and results in a large surface area provide, this large surface area allows the trans-epithelial absorption of medications via the vaginal route & the posterior fornix have rich blood supply so actively absorption of drug. The main objective of this literature to find out the probable mode of action of special drug in specific Sthanik Chikitsa.

scholarly journals Recurrent vaginal discharge causing by retained foetal bones in a bitch: a case report

2009 ◽  
Vol 54 (No. 6) ◽  
pp. 287-290 ◽  
Author(s):  
G. Serin ◽  
U. Parin
Keyword(s):  
Case Report ◽  
Vaginal Discharge ◽  
Uterine Cavity ◽  
Uterine Wall ◽  
Aerobic Bacteria ◽  
Ultrasound Scan ◽  
Transabdominal Ultrasound ◽  
Temperature Pulsation ◽  
Corpus Uteri ◽  
Mixed Breed

An 18-month-year old mixed breed bitch was referred to the Animal Hospital of Adnan Menderes University suffering from recurrent serous vaginal discharge for two months. Her temperature, pulsation, appetite and also hematologic parameters were normal. Transabdominal ultrasound scan revealed fullness in bifurcation uteri and bright echoes suggestive of bone caudally. During hysterotomy, retained foetal bones were observed in corpus uteri but not removed as they had become embedded in the uterine wall. Therapy of this case was completed with ovariohysterectomy operation. No aerobic bacteria were isolated from both samples taken from the vaginal discharge and retained foetal bones in the uterine cavity. Although rare, veterinary clinicians should be aware of this problem also in young bitches with no general symptoms and are well advised to use genital ultrasonography in examinations.

scholarly journals Case report on Textiloma of Uterus

2013 ◽  
Vol 26 (2) ◽  
pp. 100-102
Author(s):  
Rahima Begum ◽  
Shakila Khanum
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Ct Scan ◽  
Vaginal Discharge ◽  
Uterine Cavity ◽  
Lower Abdomen ◽  
Huge Amount ◽  
Iatrogenic Complication

A 30years of old hypothyroid lady , presented with foul smelling excessive whitish per vaginal discharge, associated with itching in vulva & pain in the lower abdomen following caesarean section 3 months back. Her uterus was palpably enlarged and firm. USG revealed bulky uterus with wall echo shadow sign. A CT scan of whole abdomen was done that revealed intrauterine textiloma. During laparotomy huge amount of pus came out through wound and a mob was found within uterine cavity. Textiloma is a rare problem of surgery arising from retained gauze during operation. Careful counting of surgical gauze before closure and identification by newer techniques is required to prevent this iatrogenic complication DOI: http://dx.doi.org/10.3329/bjog.v26i2.13791 Bangladesh J Obstet Gynaecol, 2011; Vol. 26(2) : 100-102

scholarly journals Detection of protozoal Trichomonas vaginalis and abnormal vaginal flora in high vaginal smear

2017 ◽  
Vol 6 (2) ◽  
pp. 563
Author(s):  
Wills G. Sheela ◽  
P. Vijayalakshmi ◽  
. Mohanambal ◽  
Deepa Dharishini
Keyword(s):  
Rural Women ◽  
Trichomonas Vaginalis ◽  
Vaginal Discharge ◽  
Female Genital Tract ◽  
Uterine Cavity ◽  
Vaginal Flora ◽  
Vaginal Smear ◽  
Sexually Transmitted ◽  
Quality Life ◽  
Abnormal Vaginal Flora

Background: Vagina is the fibro muscular membrane sheath communicating with the uterine cavity and to the exterior at the vulva. Infection of female genital tract results from vaginal flora, extraneous agents and sexually transmitted diseases. The objective of the study was: a) high vaginal smear screening to find out incidence of abnormal vaginal flora of micro-organisms, b) prevalence of protozoal Trichomonas vaginalis.Methods: Rural women from in and around Ammapettai in the age group of 20-50 years attending Gynaecology OPD of SSSMC&RI for vaginal discharge and itching vulva. Exclusion criteria were age less than 20 and above 50 and pruritis vulva due to other causes the study size comprised of 50 women. After getting Institutional ethical committee’s approval and written informed consent from the patients, detailed history regarding type of discharge, odour, itching, and associated bleeding was taken. Per speculum and per vaginal examination done. High vaginal smear for aerobic bacterial profile and Trichomonas infection were taken and transported to microbiology laboratory for staining and culture. Wet mount microscopic examination of Trichomonas vaginalis and Candidiasis with saline and KOH mount done.Results: Out of 100 smears 9 were normal vaginal flora organisms, aerobic pathogens 43%, Trichomonas vaginalis (TV)  30%, and Candida albicans 5% mixed infections on 7 smears. E. coli was seen in 23 samples, Klebsiella in 14, Pseudomonas aeroginosa 4, Staphylococcus in 6 samples. Gram negative organisms were 100% sensitive to imipenem, amikacin and gentamycin and 100% resistant to cefazolin, 80% to ceftazidime, 74% to cefotaxime. Gram positive staphylococcus 50% were resistant to gentamycin, ampicillin.Conclusions: This study reflects on our responsibility to create awareness among women regarding abnormal vaginal discharge through proper health education routine screening targeted treatment to envisage healthy quality life.

scholarly journals A Very Rare Case of Colosalpingeal Fistula Secondary to Diverticulitis: An Overview of Development, Clinical Features and Management

Medicina ◽  
2020 ◽  
Vol 56 (9) ◽  
pp. 477
Author(s):  
Natalia Darii Plopa ◽  
Nicolae Gica ◽  
Marie Gerard ◽  
Marie-Cécile Nollevaux ◽  
Milenko Pavlovic ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Diverticular Disease ◽  
Rare Case ◽  
Vaginal Discharge ◽  
Rare Complication ◽  
Uterine Cavity ◽  
Atypical Symptoms ◽  
One Stage ◽  
Uncomplicated Diverticular Disease

Background: Colosalpingeal fistula is a rare complication secondary to diverticular disease. The pathogenesis is still not clearly understood. We present the case of a colosalpingeal fistula and a review of the management of this pathology. Case report: A 69-year-old patient with uncomplicated diverticular disease was referred to our department for recurrent vaginal discharge. The clinical examination was unremarkable, hysteroscopy revealed the presence of air in the uterine cavity in the absence of a uterine fistula. A preliminary diagnosis of colosalpingeal fistula was made and was confirmed by computed tomography (CT) scan and hysterosalpingography. A one-stage surgery via laparotomy was successfully performed with remission of the symptoms. Conclusion: Colotubal fistula is a rare complication resulting from intestinal diverticular disease. The purpose of this paper was to emphasize the presence of a rare, but serious complication occurring in diverticular disease with atypical symptoms and one-stage surgery treatment.

Scanning and Transmission Electron Microscopy of Endomentrium in Women Wearing TCu-380-A IUD 's

1977 ◽  
Vol 35 ◽  
pp. 666-667
Author(s):  
A. Gonzalez Angulo ◽  
R. Berlioz ◽  
R. Aznar
Keyword(s):  
Copper Wire ◽  
Uterine Cavity ◽  
Morphological Evidence ◽  
Secretory Phase ◽  
Ultrastructural Studies ◽  
Proliferative Phase ◽  
Contraceptive Devices ◽  
Transmission Electron ◽  
Intrauterine Contraceptive ◽  
Myelin Figure

Recent ultrastructural studies on endometrial tissues from women wearing copper, wire intrauterine devices have disclosed morphological evidence of impaired glycogen degradation and secretion resulting in interference with the viability of blastocysts. Reduced microapocrine secretion observed with the scanning electron microscope supports this (1). In addition, organelle modifications have been observed in the epithelial cells of these women. The changes are seen in biopsies taken in the proliferative phase of the cycle and consist of mitochondrial vacuolation and myelin figure formation. These modifications disappear in the secretory phase and therefore have been regarded as reversible (2).The aim of the present studies was to investigate surface epithelial changes as well as organelle modifications in relation to the site of contact with an IUD that releases greater amounts of copper. Endometrial tissue was obtained from the uterine cavity of four young women wearing TCu-380-A intrauterine contraceptive devices for 4-6 weeks.

Semi-synthesis as a tool for broadening the health applications of bioactive olive secoiridoids: a critical review

2021 ◽  
Author(s):  
Manuela Oliverio ◽  
Monica Nardi ◽  
Maria Luisa Di Gioia ◽  
Paola Costanzo ◽  
Sonia Bonacci ◽  
...  
Keyword(s):  
Critical Review ◽  
Natural Compounds ◽  
Effective Strategy ◽  
Synthetic Analogues ◽  
Health Applications ◽  
Natural And Synthetic

Semi-synthesis is an effective strategy to obtain both natural and synthetic analogues of the olive secoiridoids, starting from easy accessible natural compounds.

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