Ayurveda women tirun gopal md

7,223 views
7,007 views

Published on

0 Comments
4 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
7,223
On SlideShare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
230
Comments
0
Likes
4
Embeds 0
No embeds

No notes for slide

Ayurveda women tirun gopal md

  1. 1. Tirun Gopal MD
  2. 2. Definitions <ul><li>Stri- comes from the word Stayi- which means making noise or movement- Sabda- i.e. one in whom the fetus or child makes movements. </li></ul><ul><ul><li>The concept is that fertilization and reproduction are some of the most important functions of the female without which the woman is considered incomplete. </li></ul></ul>
  3. 3. Definitions <ul><li>Yoni comes from the joining of the word NI to the root Yu, which means mix and separate. It is the organs in which the woman and child are united and then separated, namely the Uterus </li></ul>
  4. 4. Definitions <ul><li>Stri or woman is an embodiment of Agni. </li></ul><ul><ul><li>Agni is Fire. This is a portrayal of the natural luster that women possess. </li></ul></ul><ul><ul><li>Stri or women are given a lot of respect in Indian tradition, and they are often spoken of as Laxmi and Saraswati, the two goddesses who are the embodiment of wealth and knowledge respectively. </li></ul></ul><ul><li>Although the woman is predominantly Kapha, the reproductive aspect is Pitta, since blood and menstrual fluid is Pitta. </li></ul>
  5. 5. Life cycle of women <ul><li>1. Uvati (younger age group- menarche to reproductive age) </li></ul><ul><li>2. Elderly women (Praudha- 40 to 50 years) </li></ul><ul><li>3. Older women (Vriddha- over 50 years of age). </li></ul>
  6. 6. Definitions <ul><li>Although a male is predominantly Pitta, his reproductive system and the semen is basically Kapha. </li></ul><ul><li>The opposing biological humors or Doshas attract each other and intercourse results in the balancing of the Doshas. </li></ul>
  7. 7. Differences between man and woman <ul><ul><ul><ul><li>This is not the only difference between male and female. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>There are 13 Srotas (channels) in the male. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>There are 15 in the female!! </li></ul></ul></ul></ul><ul><ul><ul><ul><li>These channels or Srotas convey nourishment to the organ each of them serves. </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Each organ has its own Srotas or channel. </li></ul></ul></ul></ul></ul>
  8. 8. Chanels/Srotas <ul><li>Chanels or Srotas: </li></ul><ul><li>There are thirteen chanels in the human body; </li></ul><ul><li>Three which bring nourishment to the body: </li></ul><ul><li>Prana vaha srotas- intake of breath </li></ul><ul><li>Anna vaha srotas- intake of food </li></ul><ul><li>Ambu vaha srotas- intake of water. </li></ul><ul><li>Three which are responsible for excretion of waste products: </li></ul><ul><li>Sveda vaha srotas- excretion of sweat </li></ul><ul><li>Purisha vaha srotas- excretion of feces </li></ul><ul><li>Mutra vaha srotas- excretion of urine </li></ul>
  9. 9. Chanels/Srotas <ul><li>The seventh chanel is Manovaha srotas for the mind and thoughts. </li></ul><ul><ul><li>This is one of the areas where modern medicine and Ayurveda diverge since the mind is given equal , if not more importance in Ayurveda, in the make up of an individual as well as in disease. </li></ul></ul><ul><li>Seven chanels, one for each tissue: </li></ul><ul><ul><li>Rasa vaha srotas </li></ul></ul><ul><ul><li>Rakta vaha srotas </li></ul></ul><ul><ul><li>Mamsa vaha srotas </li></ul></ul><ul><ul><li>Medovaha srotas </li></ul></ul><ul><ul><li>Asthi vaha srotas </li></ul></ul><ul><ul><li>Majja vaha srotas </li></ul></ul><ul><ul><li>Sukra vaha srotas </li></ul></ul>
  10. 10. Seven tissues <ul><li>Rasa and Rakta are Pitta </li></ul><ul><li>Asthi is Vata and the rest: </li></ul><ul><li>Medas, Mamsa, Majja and Shukra are Kapha. </li></ul>
  11. 11. Chanels/Srotas <ul><ul><ul><li>Two separate channels for women: </li></ul></ul></ul><ul><ul><ul><ul><li>Artava vaha srotas for menstruation </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Stanya vaha srotas for lactation. </li></ul></ul></ul></ul><ul><ul><ul><li>When one of the channels is being used as in lactation, menstruation seldom occurs. </li></ul></ul></ul><ul><ul><ul><li>It has been documented by research that increase in the number of ovulations increases the incidence of ovarian and uterine cancers. </li></ul></ul></ul><ul><ul><ul><li>This may one of the reasons for increase in risk for uterine, breast and ovarian cancers since more women postpone pregnancies or are infertile. </li></ul></ul></ul>
  12. 12. Modern medicine
  13. 13. Postponement of childbirth <ul><ul><ul><ul><li>When the physiological process of pregnancy is postponed in the pursuit of a career, again there will be adverse consequences. </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Eg: It has been established that the more the number of times a woman menstruates, the greater her risk of breast and ovarian cancer. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Women who become pregnant and following childbirth breast feed, are at less risk for breast, ovarian and uterine cancers. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Birth control pills are associated with depression, anxiety and loss of libido. </li></ul></ul></ul></ul></ul>
  14. 14. Channels <ul><ul><li>Each of the tissue channels is responsible for feeding that particular tissue. </li></ul></ul><ul><ul><li>It is separated from the tissue by what is called as a barrier or “Kala”. </li></ul></ul><ul><ul><li>This is a membrane that is responsible for absorption and diffusion of the nutrients. </li></ul></ul>
  15. 15. Dhatus or Tissues <ul><ul><ul><ul><li>There are seven tissues in the human body: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Rasa- Plasma </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Rakta- Blood </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Mamsa- Flesh or muscle </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Medas- Fat </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Asti- Bone </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Majja- Bone marrow and reproductive tissue </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Sukra- Seminal fluid in the male and Ovum and reproductive juices in the female. </li></ul></ul></ul></ul></ul>
  16. 16. Channels <ul><li>Channels can be : </li></ul><ul><ul><li>1. partially occluded- deficiency </li></ul></ul><ul><ul><li>2. Blocked- wasting </li></ul></ul><ul><ul><li>3. Wide open- healthy </li></ul></ul><ul><ul><li>4. Overflow – growth ( benign or malignant tumor). </li></ul></ul><ul><ul><li>5. Diversion- affliction of different parts, like joints where the muscles, tendons and bones come together. </li></ul></ul>
  17. 17. Kalas <ul><li>One of the most important kalas of the body is that related to bones. </li></ul><ul><li>This kala lines the Colon which is the seat of Vata. </li></ul><ul><ul><li>The Colon is where maximum absorption of nutrients takes place and the food and air are separated into what is to be retained and what is to be excreted. </li></ul></ul><ul><li>When this kala is functioning properly, Prana is absorbed from the food in the colon and goes to forming strong bones. </li></ul>
  18. 18. Kala <ul><li>When this Kala is not functioning properly, toxins accumulate in the colon, Prana is not properly absorbed and it weakens the bone or too much air is absorbed. </li></ul><ul><li>Thus, Vata imbalance causes osteoporosis, which is a Vata problem. </li></ul><ul><li>It is also associated with lack of Prana, as manifested by dementia, loss of memory </li></ul>
  19. 19. Kala <ul><li>Which brings home the important concept that proper nutrition, proper functioning of the channels, and the Kalas, proper digestion and nourishment, proper state of mind, are all necessary for maintaining balanced Health. </li></ul>
  20. 20. Health <ul><li>In Ayurveda, health is defined as: </li></ul><ul><ul><li>Balance in all the three Doshas, </li></ul></ul><ul><ul><li>Balance in all three excretions </li></ul></ul><ul><ul><li>Proper balance of all the seven tissues </li></ul></ul><ul><ul><li>Good state of digestion </li></ul></ul><ul><ul><li>Existing in a body and mind that is abiding on the Self or Atman. </li></ul></ul>
  21. 21. Health <ul><ul><ul><ul><li>We know the three Doshas: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Vata- Space and air </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Pitta- Fire and Water </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Kapha- Earth and water. </li></ul></ul></ul></ul></ul>
  22. 22. Health <ul><ul><ul><ul><li>We know the three excretory products: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Sweda- sweat </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Mutra- Urine </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Purisha- Feces </li></ul></ul></ul></ul></ul>
  23. 23. Health <ul><ul><ul><ul><li>We know the seven Dhatus or tissues: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Rasa- Plasma </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Rakta- Blood </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Mamsa- Flesh </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Medas= Fat </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Asti- Bone </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Majja- Nerve tissue and bone marrow </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Sukra- Semen (male) and ovum and reproductive fluids (female). </li></ul></ul></ul></ul></ul>
  24. 24. Health <ul><ul><ul><ul><li>A good state of digestion means that the Agni (the main Agni being the Jatharagni in the stomach) has to be burning brightly to receive and digest the food so that we can derive good nourishment from the food. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>It also means a balanced state of mind so that thoughts are also properly digested </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Since an undigested thought can be every bit as harmful as undigested food. </li></ul></ul></ul></ul></ul>
  25. 25. Health <ul><ul><ul><ul><li>Finally, all of this is in a body and mind which are abiding in the Self or Atman. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>This is perhaps the most comprehensive definition of health </li></ul></ul></ul></ul><ul><ul><ul><ul><li>But what is important to understand is that good food needs to be consumed and that the first step in the process of digestion is RASA. </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Ayurveda believes that each of these 7 stages of formation of tissues takes approximately 5 days, so that the Sukra is formed by the 35 th day. </li></ul></ul></ul></ul></ul>
  26. 26. Shukra Dhatu <ul><ul><li>Most hormonal disorders result from deficiency of the Shukra Dhatu in the female. </li></ul></ul><ul><ul><li>But Shukra is formed from Rasa which is the first step in the metabolic process </li></ul></ul><ul><ul><li>Rasa is formed from the food that we eat and digest. </li></ul></ul><ul><ul><ul><li>Thus the metabolic cascade of good nourishment, good digestion, including proper digestion of thoughts is responsible for Health. </li></ul></ul></ul>
  27. 27. Formation of Dhatus/tissues <ul><ul><ul><ul><li>Food is consumed </li></ul></ul></ul></ul><ul><ul><ul><ul><li>In 5 days it is converted into Rasa </li></ul></ul></ul></ul><ul><ul><ul><ul><li>It takes 5 further days at each conversion including: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Rakta </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Mamsa </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Medas </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Asthi </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Majja and finally Shukra </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Thus a total of 35 days. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>Shukra us therefore the most dense and important of all the Dhatus and is not to be wasted!!! </li></ul></ul></ul></ul>
  28. 28. Shukra <ul><li>Shukra dhatu is alternately called as Ojas </li></ul><ul><li>Mental disorders can affect the Ojas and hence the Shukra. </li></ul><ul><li>Shukra is seminal fluid in the male. </li></ul><ul><li>Shukra is the reproductive organs, their excretions (hormones )and vaginal secretions in the female. </li></ul>
  29. 29. Shukra <ul><li>Therefore, when Shukra dhatu is affected, it automatically affects the hormones and fertility, causing </li></ul><ul><ul><li>Anovulation (absence of ovulation) and </li></ul></ul><ul><ul><li>infertility. </li></ul></ul>
  30. 30. Rasa Dhatu <ul><li>Menstrual fluid and lactation are upa-dhatu of Rasa dhatu. </li></ul><ul><li>Therefore, anything that affects the Rasa dhatu will affect the menses and lactation. </li></ul>
  31. 31. Metabolic cascade <ul><li>In the metabolic cascade, food that we consume turns into Rasa dhatu </li></ul><ul><li>It then goes through all the seven chanel, nourishing all the seven tissues, finally ending in the Shukra dhatu. </li></ul><ul><li>This balances the hormones, which in turn leads to regular ovulation and menses. </li></ul><ul><li>This results in a pregnancy. </li></ul>
  32. 32. Cascade <ul><ul><li>Good, nourishing, freshly prepared food </li></ul></ul><ul><ul><li>Good digestion of food and thought </li></ul></ul><ul><ul><li>Conversion into Rasa and other tissues </li></ul></ul><ul><ul><li>Finally Shukra </li></ul></ul><ul><ul><li>Regular production of hormones </li></ul></ul><ul><ul><li>Regular menses and ovulation </li></ul></ul><ul><ul><li>Combined with normal semen in male </li></ul></ul><ul><ul><li>Reproduction </li></ul></ul>
  33. 33. Physiology of menstruation <ul><li>Menstruation: </li></ul><ul><li>Has three phases: </li></ul><ul><li>Vata phase is the proliferative cycle </li></ul><ul><li>Kapha is the secretory phase and </li></ul><ul><li>Pitta is the menstrual phase. </li></ul><ul><li>The Apana Vayu is responsible for the proper flow of menstruation. When the Apana vayu is disrupted, the flow becomes irregular and menstrual irregularities result. </li></ul><ul><ul><li>Importantly, when menstruation is altered or suppressed as in modern times, it will result in other problems. Similar to the Rebellious Chi in Chinese. </li></ul></ul><ul><li>According to Ayurveda, menstruation is considered to be a time of cleansing and catabolism and this is the reason that in our culture, women are advised to rest and not participate in any activity that is physically or emotionally exacting. </li></ul>
  34. 34. PMS/ PMDD <ul><ul><ul><ul><li>Is a condition which is characterized by: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Irritability </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Bloating </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Weight gain </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Crying spells </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Anxiety </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Depression etc. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Starting approximately 7 days before the start of menses and abruptly ceasing with the onset of menstruation. </li></ul></ul></ul></ul></ul>
  35. 35. PMS/PMDD <ul><ul><ul><ul><li>Modern Medicine has no explanation for this phenomenon except that it is related to the fall in the levels of Estrogen and Progesterone just before menses starts. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Therefore, we used to give large amounts of hormones to these women in the hope that this would make them feel better. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Some improved, most did not. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Some improved even with sugar pills!!! </li></ul></ul></ul></ul><ul><ul><ul><ul><li>We are no closing to understanding the problem. </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Now we recommend that during this time women should engage in strenuous physical activity since this would result in the release of endorphins and they would feel better </li></ul></ul></ul></ul></ul>
  36. 36. PMS/PMDD <ul><ul><ul><ul><li>Ayurveda, on the other hand, believes that menses is a catabolic, depleting state and that it is important to rest physically and emotionally during this time </li></ul></ul></ul></ul><ul><ul><ul><ul><li>That this is a time for spirituality and self introspection. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>The Chinese also call this period a Yin period, one of depletion and catabolism and therefore encourage women to rest. </li></ul></ul></ul></ul>
  37. 37. PMS/PMDD <ul><ul><ul><ul><li>Gynecologists these days administer birth control pills for this condition. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>The pills have side effects: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Depression </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Loss of libido etc. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>The pills suppress the quantity and duration of bleeding. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Thus Apana Vayu is restricted by these hormones. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Therefore, Udana and Prana Vayu are affected which is why they have depression, anxiety and loss of sexual desire. </li></ul></ul></ul></ul>
  38. 38. Treatment of PMS/PMDD in Ayurveda <ul><li>IF Vata is imbalanced and the symptoms are predominantly Vata: </li></ul><ul><ul><li>Warming internally and externally </li></ul></ul><ul><ul><li>Grounding (rest and grounding Yoga) </li></ul></ul><ul><ul><li>Lubrication, internal and external. Abhyanga with warm sesame oil </li></ul></ul><ul><ul><li>Calming – herbs </li></ul></ul><ul><ul><li>Diet- predominantly Sweet, sour, salty </li></ul></ul>
  39. 39. Treatment of PMS/PMDD <ul><li>If the symptoms are predominantly Pitta </li></ul><ul><ul><li>Cooling (ghee, Shatavari) </li></ul></ul><ul><ul><li>Take away deadlines </li></ul></ul><ul><ul><li>Avoid caffeine and alcohol </li></ul></ul><ul><ul><li>Abhyanaga with coconut oil and ghee </li></ul></ul><ul><ul><li>Diet- Bitter, sweet and astringent </li></ul></ul>
  40. 40. Treatment of PMS/PMDD <ul><li>If the symptoms are predominantly Kapha. </li></ul><ul><ul><li>Warming but lightening </li></ul></ul><ul><ul><li>Drying with pungent herbs and food </li></ul></ul><ul><ul><li>Activity, physical and intellectual </li></ul></ul><ul><ul><li>Fasting </li></ul></ul><ul><ul><li>Tastes- Pungent and astringent. </li></ul></ul><ul><ul><li>Ashwagandha. </li></ul></ul><ul><ul><li>Dry massage with herbal powders. </li></ul></ul>
  41. 41. Dysmenorrhea <ul><ul><ul><li>It is important to treat dysmenorrhea at the same time since it can substantially increase the intensity of the PMS symptoms. </li></ul></ul></ul><ul><ul><ul><ul><li>Vata dysmenorrhea is treated with </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Abhyanga with Nirgundi or Mahanarayan oil </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Followed by Svedana (fomentation) </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>2 weeks before the onset of period, take ½ tsf of herbal combination of Dashamoola 500mg, Ashwagandha 400 mg, Musta 300 mg., tagar 200 mg., and Yograj guggulu 200 mg </li></ul></ul></ul></ul></ul>
  42. 42. Dysmenorrhea <ul><ul><ul><li>Dashamoola vasti should also be given with half cup of sesame oil. </li></ul></ul></ul><ul><ul><ul><ul><li>Dasha- 10 and Moola- roots. This is a combination of ten herbs. </li></ul></ul></ul></ul><ul><ul><ul><li>Vata pacifying diet </li></ul></ul></ul><ul><ul><ul><li>Yoga postures: Camel, cobra, cow </li></ul></ul></ul><ul><ul><ul><li>Pawanamuktasanas (pelvic rest postures) </li></ul></ul></ul><ul><ul><ul><li>Pranayama: Nadi shodana and anuloma viloma. </li></ul></ul></ul>
  43. 43. Dysmenorrhea <ul><ul><ul><li>Pitta dysmenorrhea is best treated with: </li></ul></ul></ul><ul><ul><ul><ul><li>Abhyanga with coconut oil or sunflower oil </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Baking soda bath is good during painful periods. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>2 weeks before periods, half tsf of combination of Shatavari 500mg., guduchi 300 mg., kama dudha 200mg., and Asoka 300 mg. This is taken with aloe vera gel before meals. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Following the period, Virechana with one tsf of Bhumi amlaki at bedtime. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Yoga: Boat, bow and bridge poses </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Shitali pranayama </li></ul></ul></ul></ul>
  44. 44. Dysmenorrhea <ul><ul><ul><li>Kapha dysmenorrhea is best treated with: </li></ul></ul></ul><ul><ul><ul><ul><li>Snehana with Visha garbha thailam </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Heating herbs like Trikatu and Chitrak. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Chitrakadi thailam is very effective </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Dry heat with ginger paste </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Wet svedana with ginger bath </li></ul></ul></ul></ul><ul><ul><ul><ul><li>2 weeks before period, take the following combination, Punarnava 500mg., Kutki 200mg., Shilajit 200 mg., and Trikatu 200 mg. Three times a day with honey </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Asanas are lotus, lion, spinal twists. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Bhastrika and Kapalabhati Pranayama. </li></ul></ul></ul></ul>
  45. 45. Case History <ul><ul><ul><ul><ul><li>48 yo white female who presents with the history that: </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>her menstrual periods are irregular </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>She has symptoms of hot flashes, night sweats, </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>she has vaginal dryness which is beginning to cause problems with painful intercourse </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>she has loss of libido. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>she has palpitations, anxiety etc. </li></ul></ul></ul></ul></ul>
  46. 46. Premenopause <ul><ul><ul><ul><li>In the perimenopausal period, Pitta peaks. </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Estrogen is considered Agni Amsa ( the most predominant female hormone responsible for menstruation and ovulation, along with other hormones) </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>The transition from reproductive period to menopause is termed Vrudha avastha. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>The Gunas of Agni (Pitta) are gradually being transformed into Gunas of Vata (Air and Space). </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Manopause is therefore a transition from Pitta to Vata. </li></ul></ul></ul></ul>
  47. 47. Symptoms of menopause <ul><ul><ul><ul><li>Menopause is Pitta/Vata phase: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Hot flushes are caused by Pitta peaking </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Intermittent nature of the hot flushes are due to Vata which is usually unsteady, unpredictable and vascillating </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Mood changes between irritability (Pitta) and depression (Vata) </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Difficulty with concentration is Vata </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Insomnia is Vata </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Decreased sex drive is due to reduction in Pitta </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Decreased vaginal lubrication is due to Vata. </li></ul></ul></ul></ul></ul>
  48. 48. Hot flushes <ul><ul><ul><ul><li>This is predominantly due to Pitta which is hot </li></ul></ul></ul></ul><ul><ul><ul><ul><li>It is also potentiated by Udana Vayu and Prana Vayu. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Apana Vayu derangement also causes flatulence and constipation. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Reduction in the Jatharagni creates problems with indigestion and constipation. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Jatharagni is the Agni in the stomach which is primarily responsible for digestion of food. </li></ul></ul></ul></ul>
  49. 49. Digestion of thought!! <ul><ul><ul><ul><li>Digestion of thought is every bit as important as digestion of food. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>An undigested thought can be as problematic as undigested food. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>For digestion of thought to occur, the Vayu of Prana and Udana have to be functioning well. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Disruption of this occurs in menopause leading to inability to concentrate, memory loss, and in worse cases, dementia. </li></ul></ul></ul></ul>
  50. 50. Treatment <ul><ul><ul><li>Hot flushes: </li></ul></ul></ul><ul><ul><ul><ul><li>Nasyam with cow’s ghee or Anutailam. </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Ayurveda believes that the gateway to the brain is through the nostrils. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>People who practice Nasyam on a daily basis, have better concentration, memory, and are less likely to develop sinus congestion, allergies etc. </li></ul></ul></ul></ul>
  51. 51. Hot flushes <ul><ul><ul><ul><li>Hot Flashes occur as a result of Pitta aggravation. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Seat of Pitta is in the small intestines. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Purgation with Avipattikar churna. 3 to 5 gms of this powder is mixed with milk and administered before bedtime, so that the hot flashes do not keep the patient awake. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Purgation is typically a Pitta reducing activity. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Incidentally it also resolves the constipation they suffer from. </li></ul></ul></ul></ul>
  52. 52. Hot flushes <ul><ul><ul><ul><li>Pinda thailam: Abhyanga and Sneha, every 3 days </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Abhyanga- is oil massage. It has the following beneficial effects: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Lubricates skin and joints. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Repairs tissue damage, muscle aches and pains </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Relaxing and helps induce sleep </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Soothes touch receptors on the skin and is therefore a satisfying experience. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>“ From the time we graduate out of our parents laps, we become increasingly starved for touch”- MONTAGU </li></ul></ul></ul></ul></ul>
  53. 53. Hot flushes <ul><ul><ul><ul><li>Ksheerabala thailam- thalam- for application to the crown of the head before shower daily. This has a stabilizing influence on the brain, especially on Prana and Udana vayu. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Massage of the crown of the head should be done in a circular manner. </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Leave the oil on for a period of approx. twenty minutes and take a warm shower. </li></ul></ul></ul></ul></ul>
  54. 54. Treatment for digestion and calcium loss
  55. 55. Treatment <ul><ul><ul><li>For excessive hot flushes and night sweats: </li></ul></ul></ul><ul><ul><ul><ul><li>Shatavari grtm: one tsf twice daily, morning and bedtime. </li></ul></ul></ul></ul><ul><ul><ul><li>For vaginal lubrication: </li></ul></ul></ul><ul><ul><ul><ul><li>Pichu: vaginal douche with sesame oil. </li></ul></ul></ul></ul>
  56. 56. Treatment <ul><ul><ul><li>For psychological problems: </li></ul></ul></ul><ul><ul><ul><ul><li>Brahmi grtm </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Kalyanaka grtm </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Brahma rasayanam. </li></ul></ul></ul></ul>
  57. 57. Treatment <ul><ul><ul><ul><li>For loss of libido: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Vasanthasukumara rasam. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Kalyanaka grtm. </li></ul></ul></ul></ul></ul>
  58. 58. Suppressed menstruation
  59. 59. Disorders of menses <ul><li>Arthava Vyapath: </li></ul><ul><ul><li>1.Excess: Athipravrti: Vata/ Pitta </li></ul></ul><ul><ul><li>2.Scanty: Aprvrti: Vata/ Kapha </li></ul></ul><ul><ul><li>1. Bleeding can be excessive and either infrequent or irregular (DUB) </li></ul></ul><ul><ul><li>2. Dark, thick and clotted blood, associated with heavy discharge in between </li></ul></ul>
  60. 60. Kunapam Ghandi <ul><li>When the menstrual blood is dark, thick and has a strong odor, it is usually a Kapha disorder. </li></ul><ul><li>Odor is associated with earth and water </li></ul>
  61. 61. Grandhi bhuta arthava vyapath <ul><li>Malignant diseases/ or benign growths of the female genital organs. </li></ul><ul><li>They are usually Kapha disorders since they involve unrestricted growth and require the earth element. </li></ul><ul><ul><li>Examples of this are fibroid tumors, ovarian cysts and tumors. </li></ul></ul>
  62. 62. Ksheena arthavam <ul><li>Hypo-estrogen from exhaustion of the ovarian hormones as in menopause </li></ul><ul><li>Therefore, this is different from Shushka which is a congenital state related to some chromosomal or genetic disorder. </li></ul>
  63. 63. Stri Rogam/ Prasudi tantra Gynecology/ Obstetrics <ul><li>Stri roga: </li></ul><ul><ul><li>1. Yoni vyapath </li></ul></ul><ul><ul><li>2. Asrg dhara </li></ul></ul><ul><ul><li>3. Anapatyatha </li></ul></ul><ul><ul><li>Yoni: reproductive tract organs of pelvis </li></ul></ul><ul><ul><li>20 types of basic gyn disorders </li></ul></ul>
  64. 64. Vulvar disorders <ul><li>Vulvar swelling: </li></ul><ul><ul><li>Yoni Shoth or Yoni Virashi. </li></ul></ul><ul><ul><li>May be caused by: </li></ul></ul><ul><ul><ul><li>Due to pressure in the veins or lymphatics. </li></ul></ul></ul><ul><ul><ul><li>Allergy </li></ul></ul></ul><ul><ul><ul><li>Cyst or abscess of Bartholin’s glands. </li></ul></ul></ul>
  65. 65. Swelling in vulva <ul><ul><li>Usually associated with pain and tenderness </li></ul></ul><ul><ul><li>Painful intercourse </li></ul></ul><ul><ul><li>Inability to have intercourse. </li></ul></ul>
  66. 66. Swelling in vulva <ul><ul><li>Ointment of </li></ul></ul><ul><ul><ul><li>Sarsap (Brassica compestris) </li></ul></ul></ul><ul><ul><ul><li>Lashuna (garlic). </li></ul></ul></ul><ul><ul><ul><li>Hingu (asafoetida) </li></ul></ul></ul><ul><ul><ul><li>Vacha (Acorus calamus) </li></ul></ul></ul><ul><ul><li>Hot fomentation with Dashamoola and ghee </li></ul></ul>
  67. 67. Swelling in vulva <ul><ul><li>For relief of pain: </li></ul></ul><ul><ul><ul><li>Guggul (Commiphora mukul) 1gm </li></ul></ul></ul><ul><ul><ul><li>Add this to a decoction of </li></ul></ul></ul><ul><ul><ul><ul><li>Punarnava (Boerrhiva diffusa), </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Devadaru (Cedrus deodara) </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Shunti (ginger, Zingiber officinale) and </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Dashamoola </li></ul></ul></ul></ul><ul><ul><li>In a dose of 50 ml three times daily. </li></ul></ul>
  68. 68. Pruritus vulvae (itching) <ul><ul><ul><li>Yoni Kandu </li></ul></ul></ul><ul><ul><ul><li>Causes: </li></ul></ul></ul><ul><ul><ul><ul><li>Infection </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Allergy </li></ul></ul></ul></ul>
  69. 69. Itching of vulva <ul><ul><ul><li>Symptoms: </li></ul></ul></ul><ul><ul><ul><ul><li>Itching </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Burning sensation </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Redness of area </li></ul></ul></ul></ul>
  70. 70. Itching of vulva <ul><ul><ul><li>Treatment: </li></ul></ul></ul><ul><ul><ul><ul><li>Local washing with decoction of Guduchi (Tinospora cardifolia) </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Triphala </li></ul></ul></ul></ul><ul><ul><ul><ul><li>And Danti (Baliospermum montanum) </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Purified Gandhaka (sulfur powder) mixed in coconut oil applied locally. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Sandalwood powder (Santalum album) mixed in coconut oil. </li></ul></ul></ul></ul>
  71. 71. Diseases of vagina vaginitis <ul><ul><ul><li>Kaphaja Yoni Vyapad </li></ul></ul></ul><ul><ul><ul><li>Causes: </li></ul></ul></ul><ul><ul><ul><ul><li>Infections such as Candida, Trichomonas or Bacterial vaginosis. </li></ul></ul></ul></ul><ul><ul><ul><li>Symptoms: </li></ul></ul></ul><ul><ul><ul><ul><li>Yellow Discharge </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Itching and/or burning </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Odor </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Blood stained discharge </li></ul></ul></ul></ul>
  72. 72. Treatment <ul><ul><ul><li>For excess secretions: </li></ul></ul></ul><ul><ul><ul><ul><li>Vaginal insertion of powder of Palash (Butea monosperma), Dhataki (woodfordia fruticosa) and Jambu (Syzygium cumini) twice daily. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Paste of five barks, Vata (Ficus bengalensis) Udumbar (Ficus glomerata), Asvatha (Ficus religiosa), Plasha (Ficus lacor) and Vatasaz (Salix caprea) </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Between insufflations. Vagina should be douched with unripe fruit of Udumbar (Ficus glomerata) mixed with sugar. </li></ul></ul></ul></ul>
  73. 73. Treatment (contd.) <ul><ul><ul><li>Ointment made from kernel of Jambu (Syzygium cumini), kernel of Amra (Mangifera indica) and powder of Dhataki (woodfordia fructicosa) mixed with honey should be applied. </li></ul></ul></ul><ul><ul><ul><li>Application of Trivit paste (Operculina terpethum) </li></ul></ul></ul><ul><ul><ul><li>Oral Triphala guggulu, 2 tablets three times daily. </li></ul></ul></ul>
  74. 74. Dryness of the vagina <ul><ul><ul><li>Shushka yoni vyapad </li></ul></ul></ul><ul><ul><ul><li>Cause: Estrogen deficiency. </li></ul></ul></ul><ul><ul><ul><li>Symptoms and signs: </li></ul></ul></ul><ul><ul><ul><ul><li>Dryness of the vagina, </li></ul></ul></ul></ul><ul><ul><ul><ul><li>feeling of irritation and burning sensation, </li></ul></ul></ul></ul><ul><ul><ul><ul><li>painful intercourse, </li></ul></ul></ul></ul><ul><ul><ul><ul><li>appearance of inflammation of the vagina and cervix, </li></ul></ul></ul></ul><ul><ul><ul><ul><li>narrowing of the vagina etc. </li></ul></ul></ul></ul>
  75. 75. Dryness of the vagina <ul><ul><ul><li>Vagina should be douched with Triphala decoction. </li></ul></ul></ul><ul><ul><ul><li>Application of Udumbar bark (Ficus glomerata) for 10 to 15 days at a time. </li></ul></ul></ul><ul><ul><ul><li>Since this is a chronic and progressive condition, this application of Udumbar bark paste should be done on a frequent basis. </li></ul></ul></ul><ul><ul><ul><li>Bala oil (Sida cardifolia) tampon. </li></ul></ul></ul>
  76. 76. Vaginal dryness <ul><li>Treatment: </li></ul><ul><ul><li>Dhanwantaram thailam pichu </li></ul></ul><ul><ul><li>Sesame oil lubrication </li></ul></ul><ul><ul><li>Any vegetable oil </li></ul></ul>
  77. 77. PID <ul><ul><ul><li>Treatment: </li></ul></ul></ul><ul><ul><ul><ul><li>Paste of Hardra (Curcuma longa0 and Daruharidra (Berberis aristata) should be applied to the vagina three times daily and at bedtime. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Sveda (hot fomentation) to the lower abdomen with Dashamoola group of herbs. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Uttar vasti: Vaginal and uterine irrigation of Bala oil (Sida cardifolia). </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Milk medicated with powder of Rasna (Pluchea lanceolata) and Ashwagandha (Withenia somnifera) consumed, 8oz. Three times daily. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Triphala guggulu (2 tabs three times daily for pain and inflammation. </li></ul></ul></ul></ul>
  78. 78. PID <ul><ul><ul><li>Abhayarishtam 40ml twice daily after meals, will help with pain and inflammation. </li></ul></ul></ul><ul><ul><ul><li>Decoction of Bala (Sida cardifolia), Eranda (Ricinus cuminis), Punarnava (Boerhaavia diffusa) and chole kateri (Solanum surattense) taken orally before meals 50ml three times daily </li></ul></ul></ul>
  79. 79. Ovarian cysts <ul><ul><ul><li>Fall under the general term of Gulma </li></ul></ul></ul><ul><ul><ul><ul><li>Causes: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Congenital </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Sex hormone imbalance </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>Symptoms: </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>No symptoms, incidental finding </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Pelvic pain, usually unilateral </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Dyspareunia </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Painful and irregular menstrual periods. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Swelling of the abdomen. </li></ul></ul></ul></ul></ul>
  80. 80. Ovarian cysts <ul><ul><ul><li>Treatment: </li></ul></ul></ul><ul><ul><ul><ul><li>Sandhava salt added to powder of Pippali (Piper longum), Chitrak (Plumbago zeylanica) and black Jeera (Carum carvi), should be taken with Dashamoola decoction. </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Drakshasava improves immunity </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Draksharishtam with powder of Ajvayan (Tachyspermum ammi), Hingu (Asafoetida), Sandhav salt, and Haritaki (Terminalia chebula) </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Gokshuradi guggulu 2 tablets three times daily. </li></ul></ul></ul></ul>
  81. 81. Yoni Rogas <ul><li>1. Vatala Yoni rogam- In this Vata type of Yoni roga, there is pain (cramps), menstrual flow is diminished. </li></ul><ul><li>This is comparable to oligomenorrhea or Spasmodic dysmenorrhea </li></ul>
  82. 82. Pittala Yoni Rogam <ul><li>Asscoiated with: </li></ul><ul><ul><li>Inflammatory disorders, like PID </li></ul></ul><ul><ul><li>Heavy and prolonged bleeding. </li></ul></ul>
  83. 83. Kaphaja Yoni rogam <ul><li>There is usually formation of clots, more than heavy bleeding </li></ul><ul><li>Thick and dark blood </li></ul><ul><li>Enlargement of uterus or ovary as in fibroids and cysts. </li></ul>
  84. 84. Lohita Kshara <ul><li>Condition associated with : </li></ul><ul><li>Erosion </li></ul><ul><li>Cervical polyps </li></ul><ul><li>Chronic cervicitis </li></ul>
  85. 85. Lohita Kshaya <ul><li>Scanty menses without pain: </li></ul><ul><ul><li>Nutritional deficiencies like anorexia, TB and other chronic disorders </li></ul></ul><ul><ul><li>This is differentiated from Vata type of menstrual disorders by the fact that there is no pain and the bleeding is scanty. </li></ul></ul>
  86. 86. Acharana <ul><li>When ability to have an orgasm is affected. </li></ul><ul><li>Occurs with menopause as a physiological event or </li></ul><ul><li>Psychological disorders </li></ul><ul><li>Due to medications like anti-depressants </li></ul><ul><li>Ojas is affected. Pt is lacking in Prana </li></ul>
  87. 87. Paripluta <ul><li>Dyspareunia </li></ul><ul><li>Vaginismus, unrelated to deeper causes like endometriosis </li></ul><ul><li>Could be psychological </li></ul><ul><li>Dryness and lack of lubrication- Vata </li></ul><ul><li>Vestibulitis- Pitta </li></ul>
  88. 88. Pudha varta yoni <ul><li>Pain and discharge of blood or other liquids </li></ul><ul><ul><li>PID </li></ul></ul><ul><ul><li>Cervicitis </li></ul></ul><ul><ul><li>Endometritis </li></ul></ul><ul><ul><li>STDs </li></ul></ul>
  89. 89. Karnini <ul><li>Karna means ring: </li></ul><ul><ul><li>Polyps </li></ul></ul><ul><ul><li>Cervical fibroids </li></ul></ul><ul><ul><li>Any growth on the cervix which causes obstruction </li></ul></ul>
  90. 90. Putragni <ul><li>Habitual abortion </li></ul><ul><li>Athulya Ghotria: or consanguinity was admonished by Caraka </li></ul><ul><li>Rh incompatibility </li></ul>
  91. 91. Anthar mukhi <ul><li>Retroverted uterus: </li></ul><ul><ul><li>Cause dyspareunia </li></ul></ul><ul><ul><li>Painful menses </li></ul></ul><ul><ul><li>Thought to cause infertility </li></ul></ul><ul><ul><li>Could be responsible for backache </li></ul></ul>
  92. 92. Suchi mukhi <ul><li>Pinhole os: </li></ul><ul><ul><li>Obstruction to free passage of blood and discharge. </li></ul></ul><ul><ul><li>Hematometra </li></ul></ul><ul><ul><li>Pyometra </li></ul></ul>
  93. 93. Sushka <ul><li>Congenital estrogen deficiency: </li></ul><ul><ul><li>Leading to underdevelopment of organs as in Turner’s syndrome </li></ul></ul><ul><ul><li>Puberty is delayed or does not occur. </li></ul></ul><ul><ul><li>Amenorrhea </li></ul></ul>
  94. 94. Shandi <ul><li>Amenorrhea:/ oligomenorrhea </li></ul><ul><li>With or without underdevelopment of the genital organs. </li></ul><ul><li>PCO </li></ul>
  95. 95. Maha yoni <ul><li>Different degrees of prolapse of the uterus and the other organs. </li></ul><ul><li>Pelvic organ prolapse </li></ul><ul><li>Vault prolapse </li></ul>
  96. 96. Vandhya <ul><li>Secondary amenorrhea </li></ul><ul><li>Infertility </li></ul><ul><li>anovulation </li></ul>
  97. 97. Athyanandha <ul><li>Nymphomaniac </li></ul><ul><li>It is important to understand that the formation and use and preservation of the Shukra is considered extremely important in Ayurveda. </li></ul><ul><li>Psychological disorders leading to too much sex or too little and abnormal sex is prohibited. </li></ul>
  98. 98. Mutra-Purish arthava vyapath <ul><li>When there is communication of the genital tract with other pelvic organs like bladder and bowels as in: </li></ul><ul><li>VVF </li></ul><ul><li>RVF and </li></ul><ul><li>Any other type of abnormal communication </li></ul>
  99. 99. Treatment <ul><li>Treatment is based on the following principles: </li></ul><ul><li>Vata is cold, dry, light and mobile. </li></ul><ul><li>Therefore, treatment will essentially consist of warming, lubricating and stabilizing or grounding </li></ul>
  100. 100. Treatment <ul><li>Spasmodic dysmenorrhea, deep dyspareunia, scanty and irregular menstrual periods: </li></ul><ul><ul><li>Diet: warming foods. Sour, salty and some pungent. Pungent should be in moderate quantities. Some sweet also since it is heavy and grounding and calming but it is cold. </li></ul></ul>
  101. 101. Treatment <ul><li>Internally lubricating should be warm ghee with hot water. </li></ul><ul><li>All beverages should be warm or hot. </li></ul><ul><li>Stay away from bitter foods like raw lettuce, endives, kale, romaine lettuce. </li></ul><ul><li>Stay away from astringent tastes like strawberry, pomegranate, cranberry. The only berry which is good is chaste berry </li></ul>
  102. 102. Treatment <ul><li>Chasteberry: Agnus castus vitex. Which relieves not only dysmenorrhea but also some of the PM symptoms. </li></ul><ul><li>Warm massage to the abdominal wall with warm sesame oil or castor oil, place a heating pad to the abdomen.Counterclockwise massage on the back. </li></ul>
  103. 103. Treatment <ul><li>Abhyanga; warm body massage with sesame or castor oil, especially to the crown of the head and feet. </li></ul><ul><li>Vasti: Dasamoola powder boiled in water for about three minutes, add 1 oz of sesame oil and instill as an enema. This is a nutritive enema and therefore can be used daily. </li></ul>
  104. 104. Treatment <ul><li>Internal herbal treatments can be of four types: </li></ul><ul><li>Tablets- Gulika </li></ul><ul><li>Kashayam </li></ul><ul><li>Grtm </li></ul><ul><li>Arishtam </li></ul>
  105. 105. Kashayam <ul><li>Ratio: 1 part of herb to 16 parts of water </li></ul><ul><li>Reduced to 1/8 th . </li></ul><ul><ul><li>Take 1 Pala (50gms of powdered herb, add 800ml of water and boil slowly with lid of container closed. </li></ul></ul><ul><ul><li>Boil until the quantity is 1/8 th of original volume </li></ul></ul><ul><ul><li>Strain and administer 50ml bid. </li></ul></ul>
  106. 106. Arishtam (alcohol preparation) <ul><li>Ratio: Prakshepa 500gms, jaggery 1kg and liquid 13 liters. </li></ul><ul><ul><li>Powder herb and prepare decoction </li></ul></ul><ul><ul><ul><li>Strain decoction and place in an earthen pot </li></ul></ul></ul><ul><ul><ul><li>Add sugar, molasses or honey </li></ul></ul></ul><ul><ul><ul><li>Add the herbal preservatives </li></ul></ul></ul><ul><ul><ul><li>Keep in a cool environment for 30 days </li></ul></ul></ul><ul><ul><ul><li>Decant, strain and bottle in a dark bottle </li></ul></ul></ul>
  107. 107. Grtm (Ghee) <ul><li>Ratio: 1 part of kalka, 4 parts sneha and 16 parts Drava dravya </li></ul><ul><ul><li>Make a paste of herb and add it to the ghee </li></ul></ul><ul><ul><li>Place this in the Kalka and boil until a good paste is produced. </li></ul></ul><ul><ul><li>This is taken 1 tsf bid. </li></ul></ul>
  108. 108. Churnam (powder) <ul><li>Pushyanugam: </li></ul><ul><ul><li>This is a herbal mixture which contains Arjuna, Bilva, Shundi, Raktachandanam, Yastimadhu, Ananta, Jambu etc. </li></ul></ul><ul><ul><li>It is excellent for the treatment of DUB and spasmodic dysmenorrhea. </li></ul></ul><ul><ul><li>It is good in the treatment of endometriosis. </li></ul></ul>
  109. 109. Treatment <ul><li>Kashayam: is a decoction of the main herb along with other supplementary herbs. It is mainly made by boiling the herb for several minutes. </li></ul><ul><li>Kashayam is mainly used for Vata and Kapha conditions. </li></ul><ul><li>The usual dosage of Kashayam is 50ml bid. </li></ul>
  110. 110. Grtm <ul><li>Grtm is any ghee containing preparation. The herb is cooked with ghee. </li></ul><ul><li>Grtm preparations are most suitable for Vata and Pitta. </li></ul><ul><li>Vata because they need lubrication, being dry. </li></ul><ul><li>Pitta because ghee has a cooling effect. </li></ul>
  111. 111. Arishtam/Fermentation <ul><li>This is a process of fermentation which produces natural alcoholic preparation of the her. </li></ul><ul><li>It is suitable mostly for Kapha and Vata. </li></ul><ul><li>It is not suitable for Pitta because it is heating in quality. </li></ul><ul><li>Such preparations are to be given carefully to Vatas. </li></ul>
  112. 112. Menstrual disorders <ul><li>Artava Aprvrti: When the quantity and duration of bleeding is increased as in menorrhagia and polymenorrhea. </li></ul><ul><li>This is considered Vata/Pitta </li></ul><ul><li>Treatment is with Vidari, Shatavari, Asoka </li></ul><ul><li>If painful: Sukumara and Lashunadi kashayam </li></ul>
  113. 113. Lashunadi <ul><li>Garlic: Allium sativum </li></ul><ul><li>Bulb. </li></ul><ul><li>Crushed bulb, wrapped in muslin cloth can be introduced into the vagina, in resistant cases of leucorrhea and vaginits. </li></ul><ul><li>Antibacterial and anti-viral properties </li></ul><ul><li>As Lashunadi kashayam, good for Vata/Kapha menstrual disorders. </li></ul>
  114. 114. Shatavari <ul><ul><li>Asparagus racemosus. </li></ul></ul><ul><ul><li>Reduces p and v and increases K. </li></ul></ul><ul><ul><li>Traditional Ayurvedic herb which is known to promote: </li></ul></ul><ul><ul><li>Fertility </li></ul></ul><ul><ul><li>Breast milk production </li></ul></ul><ul><ul><li>“ strengthens” female reproductive system </li></ul></ul>
  115. 115. Asoka <ul><li>Saraca Indica: </li></ul><ul><li>Astringent herb which is excellent for all the menstrual disorders associated with excess bleeding </li></ul><ul><li>It is said to be soothing to the Uterus and ovaries (harmonizing). </li></ul><ul><li>Cab be used in heavy bleeding, effective quickly, as Ashokarishtam </li></ul>
  116. 116. Sukumaram <ul><li>Dasamoolam with Trina Panchamoolam (5 types of grass) are the main ingredients of Sukumaram kashayam. </li></ul><ul><ul><li>Dasamoola: </li></ul></ul>
  117. 117. Artava anaprvrti <ul><li>This is a menstrual disorder characterized by scanty and irregular bleeding. </li></ul><ul><li>This is a Vata/Kapha disorder </li></ul><ul><li>Treatment usually consists of Hingu and Chitrak which can be taken in the form of Kashayam </li></ul>
  118. 118. Hingu <ul><li>Asafoetida: Ferula asafoetida </li></ul><ul><ul><li>Spicy, bitter and hot herb- resin </li></ul></ul><ul><ul><li>Used as a famous Ayurvedic formula called Hingvastak- for bloating, gas, indigestion. </li></ul></ul><ul><ul><li>It is excellent also for Candida of the bowels and vagina </li></ul></ul><ul><ul><li>It is usually taken as a powder 1tsf one hour before meals, three times daily. </li></ul></ul>
  119. 119. Raspberry leaves <ul><li>Excellent hemostatic agent and therefore used in heavy and prolonged bleedings. </li></ul><ul><li>It is used in the form of powder, 6-15gms which is made into a decoction. </li></ul><ul><li>Another indication is PPH </li></ul><ul><li>It is also considered to be good parturient, facilitating vaginal delivery. </li></ul>
  120. 120. Dhanwantaram guliga <ul><li>Another agent that enhances the apana vayu and helps with parturition is Dhanwantaram guliga. </li></ul><ul><li>To be taken 2 tablets three times daily in the 3 rd trimester. </li></ul><ul><li>This is usually given with Dadimadi churnam (Pomegranate) in the third trimester. </li></ul>
  121. 121. Other treatments <ul><li>Other treatments for Vata/Pitta include, </li></ul><ul><ul><li>Virechana- purgation. </li></ul></ul><ul><ul><li>This is based on the principle that the small intestines is the seat of Pitta. Purgation relieves and passifies Pitta. </li></ul></ul><ul><ul><li>It also increases the downward moving force of Apana Vayu, thus facilitating the treatment of excess and irregular bleeding </li></ul></ul><ul><ul><li>(Acute disc prolapse)!!! </li></ul></ul>
  122. 122. Kapha discharge <ul><li>Use Asokarishtam, either orally or Asoka as a douche. </li></ul><ul><li>This is pitta increasing and Kapha reducing </li></ul><ul><li>Therefore it is not to be used for inflammatory disorders. </li></ul>
  123. 123. Inflammatory vaginal disorders <ul><li>Kumariasavam </li></ul><ul><li>Chandanadi vati </li></ul><ul><li>Pushyanuka churnam: in the handout </li></ul><ul><ul><li>This is best done in harmony with the lunar cycle, in women who have unexplained infertility. Ayurveda states that it harmonizes the genital organs and enhances fertility. </li></ul></ul><ul><ul><li>Balances hormones </li></ul></ul>
  124. 124. Male infertility <ul><li>Causes: </li></ul><ul><ul><li>Somatic causes- congenital, sperm count and motility and impotence </li></ul></ul><ul><ul><li>Dietary causes </li></ul></ul><ul><ul><li>Behavioral- excessive sex, excess exercise, suppression of natural urges etc. </li></ul></ul>
  125. 125. Treatment <ul><li>Poorva karma- Snehana, Svedana and Virechana </li></ul><ul><li>Pratama karma: Sneha vasti (oil enemas) and Yapana Vasti (rejuvenating enemas) </li></ul><ul><li>And Uttara vasti (urethral enemas) </li></ul><ul><li>Pascat Karma: management after main treatment (as follows) </li></ul>
  126. 126. Treatmement <ul><li>Grtms: </li></ul><ul><ul><li>Ashwagandhadi grtm, Sukumara grtm, Palasarpis </li></ul></ul><ul><li>Lehyams: </li></ul><ul><ul><li>Satavari lehyam, Chyavanaprasam </li></ul></ul><ul><li>Tonics: </li></ul><ul><li>Dasamoolarishtam, Draksharishtam </li></ul>
  127. 127. Female infertility <ul><li>Kshetra: organ like uterus, ovaries etc </li></ul><ul><li>Ambu: Hormonal problems </li></ul><ul><li>Beeja; Ovum problems </li></ul><ul><li>Maithuna: disorders of intercourse, like frigidity, dyspareunia, vaginismus, loss of libido. </li></ul>
  128. 128. Menopause <ul><li>Menses is calculated in Chandra Masa. One masa is 28 days </li></ul><ul><ul><li>Bleeding phase is Pitta dominant, raja kala </li></ul></ul><ul><ul><li>12 days of kapha pradhanya kala (proliferative) </li></ul></ul><ul><ul><li>14 days of mrtu vatita kala (secretory phase). </li></ul></ul>
  129. 129. Menopause <ul><li>When Pitta becomes depleted and Vata becomes predominant </li></ul><ul><li>Pitta represents hot flushes, night sweats </li></ul><ul><li>Vata causes, insomnia, irritability, difficulty with mentation, dryness of the skin, constipation and brittling of the bones. </li></ul>
  130. 130. Menopause <ul><li>Bone is the ashraya or host in which Vata is situated. </li></ul><ul><li>Bone is primarily made of earth element and when Vata predominates, it becomes more space and air. </li></ul><ul><li>Osteoporosis is asthya kshaya </li></ul><ul><li>Another feature of vata is pain and therefore bone and joint pains </li></ul>
  131. 131. Menopause symptoms <ul><li>Hot flushes and night sweats: </li></ul><ul><ul><li>Pitta –hot, vata-intermittent </li></ul></ul><ul><ul><li>Irritability, anxiety, depression- vata </li></ul></ul><ul><ul><li>No menses or irreg menses- Pitta/ Vata </li></ul></ul><ul><ul><li>Vaginal dryness and dyspareunia- Vata </li></ul></ul><ul><ul><li>Decreased libido- decreased Pitta </li></ul></ul><ul><ul><li>Loss of memory, confusion etc- Vata </li></ul></ul>
  132. 132. Manopause treatment <ul><li>1 st treat Pitta- Hot flushes/irritability </li></ul><ul><ul><li>Abhyanga with Ksheerabala thailam or coconut oil.- cooling to the head and body </li></ul></ul><ul><ul><li>Use same oils as Nasya or cow’s ghee </li></ul></ul><ul><ul><li>Shatavari lehyam or Kumari lehyam 1tsf bid </li></ul></ul><ul><ul><li>Sm. Int is seat of Pitta and therefore purgation with Avipattikar churna or milk and trvrth churna </li></ul></ul><ul><ul><li>Mahatiktaka kashayam </li></ul></ul>
  133. 133. Night sweats <ul><li>Shatavari grtm </li></ul><ul><li>Ashwagandha. </li></ul><ul><li>Both of these can also be calming and help with restful sleep. </li></ul>
  134. 134. Mood changes <ul><li>Brahmi (Gotu kola) </li></ul><ul><li>Manasamitram </li></ul><ul><li>Brahma rasayanam </li></ul><ul><li>Mentat </li></ul><ul><li>Mental clarity </li></ul>
  135. 135. Menopause treatment <ul><li>Pravala pishti- 500 mg bid </li></ul><ul><li>Black, lightly roasted sesame seeds- 1 tsf bid </li></ul><ul><li>Both are excellent sources of calcium </li></ul><ul><li>Pan and Chuna </li></ul><ul><li>Kamaduga rasam is excellent for hot flushes </li></ul>
  136. 136. Menopause treatment <ul><li>Mood changes: </li></ul><ul><ul><li>Manasamitram vatakam </li></ul></ul><ul><ul><li>Mentat </li></ul></ul><ul><ul><li>Brahmi (gotu kola) churnam </li></ul></ul>
  137. 137. Libido <ul><li>Vasantha kusumara rasam </li></ul><ul><li>Kalyanaka grtm </li></ul>
  138. 138. Lactation <ul><li>Sthanya is the upadhatu of Rasa dhatu </li></ul><ul><li>Therefore as long as Rasa is well made, the lactation will do well. </li></ul><ul><li>This is why, PP women in India are well fed, given a lot of rest and are kept away from a lot of stress. </li></ul><ul><li>Milk, Fruits, ghee, dates, raisins and a lot of well cooked vegetables like asparagus etc. </li></ul>
  139. 139. Hyperemesis <ul><li>Cumin, lemon, pomegranate plus ginger.(matulanga rasayanam) </li></ul><ul><li>1 tsf 1 hour before meals </li></ul><ul><li>Jeeraka vilvadi lehyam: root of vilva- make paste, make syrup, add coriander, cumin, cinnamon, cardamom, saffron, ginger, pepper, pippali; make paste </li></ul><ul><li>Cool and add honey (!!!) </li></ul>
  140. 140. Ashta churnam <ul><li>Excellent for IBS, indigestion, constipation, spamodic dysmenorrhea, abdominal pain of unknown etiology. </li></ul><ul><li>Ashta means 8 </li></ul><ul><ul><li>Ginger, Pepper, pippali, cumin, rock salt, bl. Cumin, celery, hing. </li></ul></ul>
  141. 141. Herpes <ul><li>Pitta disorder (inflammation) </li></ul><ul><ul><li>Sudarshanam churnam </li></ul></ul><ul><ul><li>Tiktaka grtm </li></ul></ul><ul><ul><li>Locally- triphala grtm </li></ul></ul><ul><ul><li>Madhusnuhi 5gm bid </li></ul></ul>
  142. 142. Menopause paste <ul><li>Fennel, sesame seeds, aloe vera, satavari, pravala pishti, jeeraka, arjuna for the heart or chandraprabha, or dashamoola haritaki </li></ul>
  143. 143. Recurrent ovarian cysts <ul><li>Sapthasaram kashayam with hingu </li></ul><ul><li>Sukumaram lehyam </li></ul><ul><li>Varunadhi guggulu </li></ul><ul><li>kumariasavam </li></ul>

×