presentation-Comparative study of Sutika Dashmmola and Dashmoola Kwatha in well being of Sutika

3. Guided by
Prof. C. M. Jain
Professor, Ex. HOD
Co-guide Co-guide
Dr. Sushila Sharma Dr. Hetal H. Dave
Asso. Prof.,HOD Lecturer
Scholar
Shikha Sharma
PG Final year
PG Department of Prasuti & Stri Roga, National Institute of Ayurveda, Jaipur

4. INTRODUCTION

5.  Sutika in Ayurveda is called for a lady who has just delivered a baby
with expulsion of complete placenta. Of course Sutika is not a Rogi,
the Paricharya explained to Sutika in Prasavottara Kaala is like
Dinacharya, Ritucharya explained for Swashta.
 Puerperium is the time period following childbirth during which
the body tissues, especially the pelvic organs revert back
approximately to the pre pregnant state both anatomically &
physiologically.

6. Need of study
 According to Acharya Charaka the Sharira of Sutika is Shoonya
Sharira due to exertion of labour pains & loss of Kleda and
Rakta & there is a profuse Dhatukshaya due to development of
foetus.
 So there is a need of proper Ayurvedic treatment which not only
improves her physiological condition but also protect her from
the upcoming diseases.

7. Aims & Objectives
 Conceptual and clinical study of Sutika.
 To study Sutika and its Paricharya in Ayurvedic perspectives, its
possible management and preventive aspects of Sutikagat Vyadhi.
 To evaluate the effect of Sutika Dashmool Kwatha / Dashmool
Kwatha in Sadya Prasuta regarding her physical, mental &
functional condition.
 To provide more effective, safe, cheap & side-effect free
management to the Prasuta.

8. PLAN OF STUDY
 CONCEPTUAL STUDY
 DRUG REVIEW
 CLINICAL STUDY
 DISCUSSION
 CONCLUSION

9. CONCEPTUAL STUDY
• Ayurvedic review
• Modern review

10. AYURVEDIC REVIEW
Definition:
Acharya Kashyap defined it very clearly in Kashyap Khilsthana as
“A woman can’t be called Sutika till the placenta has not expelled,
in other words Sutika term can be used only after expulsion of
placenta”.
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Description regarding Sutika Paribhasha, Kaala, Paricharya
is available in all the Grantha’s of Brihatrayee and Laghutrayee.
Elaborated explanation of Sutika Paricharya according to Desha
and Jaati is found in Kashyap Samhita. A list of Sutika Vyadhis is also
explained here with treatment.

11. Sutika-Kaala
This is the time period which a Sutika is to spend in a
planned manner at a proper place until her body possibly regains its
previous state back.
Sutika-Kaala as per different Acharyas are given below-
• Acharya Sushruta - 1 ½ months,
• Acharya Vagbhat - 1 ½ months,
• Acharya Kashyap - 1 month / 6 months,
• Bhavmishra - 1 ½ months/ 4 months,
• Yogratnakara - 1 ½ months/ 4 months

12. Physiological changes in Sutika
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Starting from the Garbha Dharana upto the time of delivery, there
are so many physiological, changes seen in a Stree. These changes are
described under following sub headings-
Dhatu shaithilya and Dosha kshaya
Doshadi prakop and
Agnivaishamya
Shoonya Sharira

13. 1.Dhatu Shaithilya and Dhatu Kshaya:
 Acharya Kashyap has mentioned that there are three divisions of
maternal diet.
Matru
Poshan
So somewhere there is lack of nutrition which is needed for proper
Dhatu Poshana.
Garbha
Poshan
Stanya
Poshan

14.  Lack of nutrition due to development of foetus
Month Effect on Garbhini Effect on foetus
5th Krishata Mans shonit upchaya
6th Bal varna hani Bal varna upchaya
7th Klantatma Sarvang Sampurnata

15.  At the time of delivery, the exertion due to labour pains
causes
Dhatus to become more languid and unsteady
 The excretion of Kleda (moisture) and Rakta during delivery
causes
Rasa and Rakta Dhatu Kshaya
causes
decline in successive all Dhatus.

16. 2. Doshadi Prakopa and Agni Vaishamya:
Acharya Charaka has mentioned that Dhatu Kshaya is the leading
cause of Vata Prakopa.
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Excessive strain during the process of labour is also responsible
for Vata Prakopa. In Sutika, due to Dhatu Kshaya and Vatadi Dosha
Prakopa Agni Vaishamya causes Sutika Roga on ignorance.

17. 3. Shoonya Sharira:
Due to excessive excretion of Kleda and Rakta and exertion
of labour pains at the time of delivery, there is feeling of emptiness
in Sutika Sharira. Her digestive power, muscle mass and strength
decreases.

18.  As there are so many physical, physiological and psychological
changes in a lady after delivery, she needs specific place to live with
all favorable conditions along with that special care which may help
her to regain her health back.
Keeping this in mind our Acharyas have mentioned a special
ward termed as “Sutikagara” and the well planned treatment given to
the Sutika in Sutikagara during Sutika-Kaala is described as “Sutika
Paricharya”

19. Sutikagara Or Accouchement Ward –

20. Time of entry in Sutikagara:
 Acharya Charaka - in 9th month of pregnancy.
 Acharya Bhela - in 8th month of pregnancy.

21. Sutika Paricharya –
 Nursing care of the pregnant women from entry to the Sutikagara
to complete Sutika-Kaala is Sutika Paricharya.
 As there is Dhatu Kshaya, Bala Kshaya and Agnimandya after
delivery, the Sutika needs a proper regimen to replenish the Dhatus
and maintain Dosha Samya.
 Acharya Kashyap has mentioned some specific Paricharya
accordingly Desha, sex of the child etc.

22. Importance of Sutika Paricharya:
 For proper Naveekarana (rejuvenation) of Sutika.
 For Dhatu poshana of sutika.
 To avoid Apatarpanajanya vyadhis to Sutika, which are
difficult to treat or incurable.
 Sutika Paricharya is a part and parcel of every Prasava.

23. Sutika Samanya Paricharya according to different Acharyas:
Ahara
Upto
7 days
Charaka Sushruta Vagbhat Kashyap
Snehapana
(Pippalyadi
Dravyas )
↓
Yavagu
Pana
(Pippalyadi
Dravyas)
Vatahara
Ausadha
Kwatha Pana
and Ushna
Gudodaka
(Pippalyadi
Gana Dravyas)
2-3 days.
↓
Sneha or
Ksheera Yavagu
Vidarigana
Sadhita
Dravyas)
4th -6th day
Sutika Taila/
Snehapana
(Pippalyadi
Dravya with
saindhava),
Ushna
gudodaka/
Vatahara Kwatha
2-3 days,
Vatahara Ausadha
Peya,
Ksheera Yavagu /
Yavagu Pana
(Pippalyadi
or Vidarigana
Dravya)
4th-7th day
Mandapana
↓
Hita Bhojana
3-5 days.
↓
Sneha Pana
↓
Sneha Yavagu Pana (Pippali,
Nagara Yukta and Lavana
Rahita)
5th -7th day.

24. Ahara
Upto
7 days
Snehapana
(Pippalyadi
Dravyas )
↓
Yavagu
Pana
(Pippalyadi
Dravyas)
Vatahara
Ausadha
Kwatha Pana
and Ushna
Gudodaka
(Pippalyadi
Gana Dravyas)
2-3 days.
↓
Sneha or
Ksheera
Yavagu
Vidarigana
Sadhita
Dravyas)
4th -6th day
Sutika Taila/
Snehapana
(Pippalyadi
Dravya with
saindhava),
Ushna
gudodaka/
Vatahara Kwatha
2-3 days,
Vatahara Ausadha
Peya,
Ksheera Yavagu /
Yavagu Pana
(Pippalyadi
or Vidarigana
Dravya)
4th-7th day
Mandapana
↓
Hita Bhojana
3-5 days.
↓
Sneha Pana
↓
Sneha Yavagu Pana (Pippali,
Nagara Yukta and Lavana
Rahita)
5th -7th day.

25. Ahara
8th -
11th
day
Apyayana
and
Swasthavrit
ha
Palana
Jangala
Mamsarasa
Siddha with
Yava, Kola,
Kulatha Yusha,
and Shaali
Bhojana.
Jeevaneeya
Madhura,
Bruhmaniya,
Balya, Vatahara
Dravya Sadhita
Annapana
Yavagu Pana (Lavana, Sneha
Aushadha
Yuktha)
Ahara
12th
day
onwa
rds
Jangala
Mamsarasa
Kulattha Yusha, Jangala
Mamsarasa.
Gritha bharjita
Shaka (Kushmanda,Mulaka,
Earvaruka);Ushna Jala
Sevana
1month.

26. Vihara Abhyanga
+
Udara
Vestana
+
Ushnodaka
Parisheka
Abhyanga
(sarvadaihika,
Bala Taila)
+
Parisheka
(Vatahara
Aushadha -
Badradarvadi
Kashaya etc)
Abhyanga
(Yoni and
Sarvadaihika
- Bala Taila)
+
Sthanika
Udara abhyanga
And Udara
Vestana
+
Udvartana,
Avagaha Parisheka,
Abhyanga (Jeevaniya,
Madhura,
Bruhmaniya
Varga Aushadh
Siddha)
Rakshoghna Dravya
+
Kukshi, Parshva Prusta
Abhyanga,
Samvahana
Nyubja Shayana
+
Udaravestana,
Bala Taila Purita Ushna
Charmavanaddha Asana
+
5.Yoni Swedana
(Priyanguka,
Krishara)
+
Sutika Ushna Jala Snana
+
Vishrama
+
Dhupana
(Kustha, Guggulu etc.)

27. Diseases of Sutika -
Acharya Kashyapa has advised specific management of Prasuta,
an explicit description is given .
What so ever diseases afflict the Sutika, are difficult to cure or may
become incurable because all the Dhatus of Sutika become languid
or unsteady due to development of foetus.
• Sutika Roga-
Acharya Kashyap has mentioned Sutika Vyadhies at two places- 35
in ‘Duhprajatachikitsa Adhyaya and 64 in ‘Sootikopkramaniya
Adhyaya. 25 diseases are common at both the places. Thus, total no.
of diseases becomes 74 .

28. General aetiology of puerperal disorders
• Ratri Nirgamana (Outing during night),
• Terror/ fright
• Sudden fall from height,
• Jealous, grief, fear, anger,
• Vega Vidharana (Suppression of natural urges),
• Divaswapna (Day sleeping),
• Ajeernaashana (Eating even in indigestion),
• Adhyashan (Eating before the digestion of previous meal)
• Mithyopcharata (Improper behavioral)
• Samklesha (Dosha aggravating dietetics and mode of life)
• Vishama Bhojana (Incompatible food)

29. Clinical Features of Sutika Roga
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• Angamarda (Bodyache),
• Jwara (Fever),
• Kampa (Tremors),
• Pipaasa (Excessive thirst),
• Gurugatrata (Heaviness of body),
• Shotha (Generalized oedema),
• Udarashoola (Pain in abdomen),
• Atisaara (Diarrhoea)

30. General Principles of treatment for Puerperal Disorders
• Nidana Parivarjana,
• Ashwasana Chikitsa,
• Bed rest,
• Congenial diet containing Sneha in adequate amount,
• Massage, anointment, Parisheka, Avagaha,Annapana with Ghrita-oil-
decoction etc. of Jeevaniya-Madhura-Brihmaneeya-Vatahara
drugs.
• Yavagu Pana (Deepaniya Ausadha Siddha)
• Suppression of Vayu Dosha
• Aggravation of physical strength of the Prasuta

31. MODERN REVIEW
 Puerperium is the period of adjustment after childbirth during which
the mother’s reproductive system returns to its normal prepregnant
state.
 It generally lasts six to eight weeks and ends with the first ovulation
and the return of normal menstruation.
 Puerperal changes begin almost immediately after delivery, triggered
by a sharp drop in the levels of estrogen and progesterone produced
by the placenta during pregnancy.
 Majority of the alarming complications arise immediately following
delivery.
 Postpartum Changes: There are some anatomical and
physiological changes in the postpartum period like:

32. Involution of Uterus:
The uterus shrinks back to its normal size and resumes its prebirth
position by the sixth week. During this process, called involution,
the excess muscle mass of the pregnant uterus is reduced, and the
lining of the uterus (endometrium) is re-established, usually by the
third week.

33. Lochia – discharge escapes from the genital tract during the first 3-4
weeks of puerperium.
Lochia rubra –1 to 4 days
[
Red in colour
consists of blood, foetal membranes, decidua, vernix
caseosa, epithelial cells etc.
Lochia serosa - Next 5 to 9 days
Initially yellowish then brownish in colour.
RBCs, leucocytes, mucus from cervix and
microorganisms.
Lochia alba –10 to 15 days after lochia serosa
White in colour
plenty of decidual cells, leucocytes, mucus, crystals,
epithelial cells and microorganisms.

34. • Haematinic changes:
Fall in haemoglobin concentration due to
haemodilution during pregnancy
Returns to
Base line within 2-4 weeks of puerperium.
• Lactation: Colostrum, a high-protein form of milk
on second day after the birth
normal breast milk by the middle of the second week.

35.  Postpartum Care
The immediate postpartum period most often occurs in the
hospital setting, where the majority of women remain for
approximately 2 days. It includes
• Vital monitoring
• Shifting of patient to the ward
• Providing her light and nutritious diet
• general counselling etc.
• Puerperal disorders - The chief medical problems associated
with the puerperium include
• Mild, transient depression
• Resulting from emotional letdown
• Discomfort associated with puerperal changes
• Clotting disorders
• Bleeding from a retained placenta
• Puerperal fever

36. Here some puerperal disorders are discussed which are
commonly seen after delivery:
• Haemorrhage
Postpartum hemorrhage is defined as excessive blood
loss during or after the third stage of labour.
The average blood loss at vaginal delivery -500 ml
at caesarean delivery-1000 ml

37. • General Infections/ Disorders during
Puerperium:
• Endometritis
• Urinary Tract Infections
• Mastitis
• Wound Infection
• Endocrine Disorders
• Psychiatric Disorders

38. DRUG REVIEW

39.  In the context of “Comparative study of
Sutika Dashmoola Kwatha and Dashmoola
Kwatha in well being of Sutika”, the
proposed drugs are-
1) Sutika Dashmoola Kwatha,
2) Dashmoola Kwatha.

40. Need of study of the proposed drugs:
The role of Dashmool kwatha in Sutika is well known as
it is Tridoshahara and is considered as one of the best
Vatahara. The Vatanulomana property is very much needed
here for the proper excretion of mala, thus preventing the
most common problem of constipation in puerperial women
and even favours excretion of Sashesha Doshas from
Garbhashaya. Analgesic property of Dashmoola also helps
Sutika to overcome the afterpains.

41. Sutika Dashmool is mentioned in Bhaishajya Ratnawali as
Sutika-Roghara drug. Acharya has mentioned it in two
formulations(Kwatha and Taila). As this drug, in spite of
having drugs like Laghu Panchmoola, Guduchi, Shunthi etc. is
not frequently used in trend, it was needful to do some
research over its effect on Sutika. To get appropriate statistical
results, its Kwatha formulation was used in trial against
Dashmoola Kwatha.

42. Contents of Sutika Dashmoola Kwatha 
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S.no Drug Botanical-name Part used
1. Shalparni Desmodium gangeticum Panchanga
2. Prishniparni Uraria picta Moola
3. Brihati Solanum indicum Moola
4. Kantakari Solanum surattence Panchanga
5. Gokshura Tribulus terrestris Moola
6. Sahchara Barleria prionitis Panchanga
7. Prasarini Paederia foetida Moola
8. Shunthi Zinziber officinale Kanda
9. Guduchi Tinospora cordifolia Kaanda
10. Mustaka Cyperus rotundus Kanda

43. Contents of Dashmoola Kwatha 
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• x.k% 'oklgjks ás"k dQfiÙkkfuykig%A
vkeL; ikpu’pSo loZTojfouk’ku%AA ¼lqålwå 38@72½
S.no Drug Botanical-name Part used
1. Bilwa Aegle marmelos Moola
2. Agnimanth Premna mucronata Moola-twak
3. Shyonaka Oroxylum indicum Moola-twak
4. Patala Stereospermum suaveolens Moola-twak
5. Gambhari Gmelina arborea Moola
6. Shalparni Desmodium gangeticum Panchanga
7. Prishniparni Uraria picta Moola
8. Brihati Solanum indicum Moola
9. Kantakari Solanum surattence Panchanga
10. Gokshura Tribulus terrestris Moola

44. BILWA
AGNIMANTHA

45. SHYONAKA
PATALA
GAMBHARI

46. BRIHATI
GOKSHURA
KANTKARI

47. SHALPARNI
PRISHNIPARNI
SAHCHARA

48. PRASARINI
SHUNTHI MUSTAKA
GUDUCHI

49. Material prepared for Sutika-Dashmoola Kwatha & Dashmoola
Kwatha

50. CLINICAL STUDY

51. Criteria for Selection of
Patients
• The trials were conducted on
36 patients, randomly selected
from IPD & OPD of PG Deptt.
of Prasuti & Stri-Roga, NIA,
Jaipur, irrespective of caste &
religion.
• Complete description
regarding the details of each
research case was recorded in a
pre-designed proforma. Proper
consent in a pre-designed
proforma was taken from every
patient before the trial started.
Materials And Methods:

52. Inclusion criteria :
•Puerperal women of age 20-35 years.
•Women who delivered without any significant
surgical procedure.
•Women without any previous or present infection
upto delivery.

53. Exclusion criteria :
• Women of age < 20 years or >35 years of life.
•Women with a delivery by any surgical procedure.
•Women having any fibroid along with pregnancy.
•Woman having complications during delivery.
•Women having any infection during pregnancy.
•Women having any systemic disorder.
Withdrawal criteria :
• If any woman develops any complication.

54. Selection of drugs:
As there is Kshaya of Dhatus which cause Vata-
Vriddhi & both ultimately cause lack of immunity by which
the Sharira of Sutika gets prone to many diseases.
So the treatment should be focusing on
•Vatashaman
•Vedna-Sthapana
•Agni-Sandeepana state.
As far as Samhitas are concerned, the basic line of treatment
of Sutika is given as………..
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55. The role of Dashmool kwatha in Sutika is
well known as it is Tridoshahara and is considered as one
of the best Vatahara drugs.
The Sutika Dashmool is mentioned in
Bhaishajya Ratnawali as Sutika-Roghara drug. Acharya
has mentioned it in two formulations(Kwatha and Taila).
Sutika Dashmool has drugs like Laghu-Panchmoola
(Vatapitta nashaka, Brimhana, Balavardhaka),Guduchi
(Shreshtha Rasayana,), Shunthi(Garbhashaya-Shodhaka,
Deepana) etc.
So the drugs selected for present study were Sutika
Dashmoola Kwatha and Dashmoola Kwath for Group A
& B respectively.

56. Pharmaceutical preparation of Sutika
Dashamoola Kwatha / Dashamoola Kwatha:
Sha. Sam. Madhy. Kha. 2/1-2
Sr.no Particulars Ratio Quantity
1. Sutika Dashamoola /Dashamoola Kwatha
Churna (8 #)
1 15 gm
2. Water 16 240 ml
Reduced to 1/8th 30 ml

57. Methods of study:

58. Grouping-
Groups
No. of
registered
patients
Patients completed
their follow up
Drug used
Group A 20 18 Sutika Dashmoola Kwatha
Group B 20 18 Dashmoola Kwatha
Follow up Study:
Cases were followed on 3rd & 10th day during administration of drug.
Clinical assessment was done after 10 days of trial of both drugs to
evaluate their efficacy in well being of Sutika

59. Clinical Assessment of the Disease

60. Non-parametric
criteria-
Pallor
 Fatigue
 Backache
Pain lower abdomen
Oedema
Mental stress
Feel of healthiness
Emotional instability
Temperature
 Anorexia
 Sleep
Bowel (GIT)
 Micturition
 Uterine involution
 Bleeding p/v
 lactation.

61. Parametric criteria-
Hb
 TLC
 ESR
 Urine RBCs
 Urine WBCs
Urine epithelial cells
Protein in urine was also investigated but due to its
amount in traces, it was not included in the criteria.

62. Grading of
Subjective Criteria

63. Physical Parameters
S.no Features Grading Score
1 Pallor G0- No pallor 0
G1-Pallor restricting itself to only conjunctiva. 1
G2- Pallor in conjunctiva tongue, nails. 2
G3- Palmer crease and skin is also affected 3
2 Fatigue G0- No fatigue 0
G1- Fatigue after excessive physical work 1
G2- Fatigue on routine work. 2
G3- Fatigue even on rest. 3
3 Backache G0- No backache. 0
G1- Backache on sitting or bending only/Occasionally 1
G2- Backache on bending, sitting & walking /sometimes 2
G3- Backache in all positions/ all the time 3
4 Pain Lower Abdomen G 0- No pain 0
G1- Pain lower abdomen for one day 1
G2- Pain lower abdomen for two days. 2
G3- Pain for more than two days. 3
5 Oedema G0- No oedema 0
G1- Pedal oedema in one particular region 1
G2- Oedema more than two different sites. 2

64. Psychological Parameters
S.no Features Grading Score
1 Mental Stress
G0- No stress 0
G1- Occasional Stress due to some Reason 1
G2- Occasional Stress without any reason 2
G3- All time mental stress without any particular reason 3
2
Feeling of
Healthiness
G0- Perfect feel of healthiness 0
G1- Moderate feel of healthiness 1
G2- Mild feel of healthiness 2
G3- No feel of healthiness 3
3
Emotional
Instability
(Puerperal Blues)
G0- No instability 0
G1- Mild instability 1
G2- Moderate instability 2
G3- Full instability 3

65. Physiological Parameters
G- Constipation with no bowel Irritations 11
G- Constipation with mild bowel Irritations S.no Features Grading Score
1 Temprature G0- Normal body temperature 0
G1- Temperature about 99°F 1
G2- Temperature about 100°F 2
G3- Temperature more than 100°F 3
2 Anorexia G0- Normal appetite 0
G1- Unwilling to take food but eat 1
G2- Intake of food decreases 2
G3- No interest to intake food 3
3 Sleep G0- Sleep more than 10 hrs 0
G1- Full night sleep (8-10 hr) 1
G2- Little sleep during night / day 2
G3- No Sleep 3
4 Bowel (GIT) G0- Bowel clear 0

66. 5 Micturition G0- Frequent painless micturition 0
G1- Burning micturition (on & off) 1
G2- Burning micturition 2
G3- Burning micturition with dysuria 3
6 Uterine Involution G0- Uterus perfectly contracted (upto pelvis) 0
G1- Contracted uterus (12–16 wks). 1
G2- Contracted utrerus(16–20 wks). 2
G3- Contracted uterus (>20wks). 3
7 Bleeding P/V G0- Bleeding p/v within normal limits (upto 2 pads per day). 0
G1- Approx 3 pads per day. 1
G2- Approx 4 pads per day. 2
G3 -5 or More than 5 pads per day. 3
8 Lactation G0- Proper lactation (baby gets fully Satisfied). 0
G1- Moderate lactation (baby also needs Top feed 2-3 times a day ) 1
G2- Mild lactation (baby needs Top feed >3 times a day). 2
G3- Unable to lactate. 3

67. Criteria for the clinical assessment of overall effect of therapy:
The data generated from the above parameters before and after the
therapy were utilized for the purpose of overall effect of therapy on the
basis of following scale:
•Complete Improvement - 100 % relief in clinical symptoms
•Marked Improvement - 75 - 100 % relief in clinical symptoms
•Moderate Improvement - 50 - 75 % relief in clinical symptoms
•Mild Improvement - 25 - 50 % relief in clinical symptoms
•No improvement - 0 - 25 % relief in clinical symptoms.

68. OBSERVATIONS

69. Observations and results
•Total 40 clinically diagnosed cases of Sutika were registered for the
present study and randomly divided in 2 groups A and B.
•2 patients from both groups, group A and group B dropped out from
the study and study was completed in 36 patients with 18 patients in
each group.
Various observations studied include-incidence of age, religion,
educational status, marital status, socio- economic status, family type,
occupation, habitat, past histories, diet habits, status of appetite, bowel
and urine habits, addiction, sleep patterns, type of Kostha, Agni, past
menstrual history, parity, Prakriti, Sattva, Satmya, Samhanan, Vyayam
Shakti, Vaya, term of delivery and type of delivery . Incidences of
different symptoms of Sutika-kaala, studied in the present study, are
also presented in the form of table and column diagram.

70. % of maximum no. of patients observed in
69.44
72.22
52.22
33.33
61.11
94.44
86.11
52.78
72.22
52.78
97.22
22.22
different catagories
VP Prakriti Term Delivery
Multipara No Addiction
Reg. Bowel Habit Mix diet
Urban Area House wife
Poor Uneducated
Muslim Age 20-25 yrs

71. Further the effect of the treatment on signs and symptoms
were analyzed statistically by Mean, SD, SE, ‘paired Wilcoxan
Signed rank test’ and ‘unpaired Mann-Whitney test’ for non-parametric
study and ‘paired t- test’ and ‘unpaired t- test’ for
parametric studies. Study of improvement in subjective/ clinical
parameters was done in both groups.

72. RESULTS

73. Effect of “Sutika Dashmoola Kwatha” (Group A)
Improvement in Subjective Parameters
S- Significant; NS- Not Significant; HS- Highly Significant
S.
No. Symptoms N
Mean
% Relief S.D. S.E. w P Result
BT AT Diff.
1. Pallor 10 1.50 0.70 0.80 53.33 0.89 0.25 36 < 0.05 S
2. Fatigue 18 1.67 0.33 1.33 80.00 0.49 0.11 171 <0.001 HS
3. Backache 18 1.67 0.28 1.39 83.33 0.50 0.12 171 <0.001 HS
4.
Pain lower
abdomen
18 1.39 0.11 1.28 92.00 0.46 0.11 171 <0.001 HS
5. Edema 09 1.44 0.44 1.00 69.23 0.50 0.17 36 <0.001 HS
6. Mental stress 11 1.36 0.73 0.63 46.67 0.67 0.20 21 < 0.05 S

74. 7.
Feel of
healthiness
18 1.11 0.17 0.94 85.00 0.24 0.06 153 <0.001 HS
8.
Emotional
instability
13 1.31 0.38 0.92 70.59 0.28 0.08 78 <0.001 HS
9. Temperature 03 0.67 0.33 0.33 50.00 1.15 0.67 02 > 0.05 NS
10. Anorexia 14 1.14 0.29 0.86 75.00 0.53 0.14 66 <0.001 HS
11. Sleep 18 1.22 0.39 0.83 68.18 0.38 0.09 120 <0.001 HS
12. Bowel (GIT) 06 1.33 0.50 0.83 62.50 0.98 0.40 15 > 0.05 NS
13. Micturition 06 1.17 0.50 0.67 57.14 0.52 0.21 10 < 0.05 S
14.
Uterine
involution
18 3.00 0.83 2.17 72.22 0.38 0.09 171 <0.001 HS
15. Bleeding P/v 18 2.11 0.22 1.89 89.47 0.32 0.08 171 <0.001 HS
16. Lactation 18 1.56 0.28 1.28 82.14 0.46 0.11 171 <0.001 HS

75. Effect of “Dashmoola Kwatha” (Group B)
Improvement In Subjective Parameters
S. N. Symptoms
Mean
% Relief S.D. S.E. w P Result
BT AT Diff.
1. Pallor 1.06 0.13 0.93 88.24 0.25 0.06 120 < 0.001 HS
2. Fatigue 1.61 0.17 1.44 89.66 0.62 0.15 171 < 0.001 HS
3. Backache 1.56 0.17 1.39 89.29 0.50 0.12 171 < 0.001 HS
4.
Pain lower
abdomen
1.67 0.22 1.44 86.67 0.62 0.15 171 < 0.001 HS
5. Edema 1.30 0.20 1.10 84.62 0.32 0.10 55 < 0.001 HS
6. Mental stress 1.25 0.25 1.00 80.00 0.60 0.17 55 < 0.001 HS

76. 7.
Feel of
healthiness
1.11 0.06 1.06 95.00 0.24 0.06 171 < 0.001 HS
8.
Emotional
instability
1.17 0.17 1.00 85.71 0.60 0.17 55 < 0.001 HS
9. Temperature 1.20 0.4 0.8 66.67 0.45 0.20 10 > 0.05 NS
10. Anorexia 1.20 0.13 1.07 88.89 0.46 0.12 105 < 0.001 HS
11. Sleep 1.31 0.13 1.19 90.48 0.54 0.14 120 < 0.001 HS
12. Bowel (GIT) 1.50 0.50 1.00 66.67 1.41 0.71 07 > 0.05 HS
13. Micturition 1.13 0.25 0.88 77.78 0.35 0.13 28 < 0.05 S
14.
Uterine
involution
2.94 0.72 2.22 75.47 0.46 0.11 171 < 0.001 HS
15. Bleeding P/V 2.17 0.11 2.06 94.87 0.24 0.06 171 < 0.001 HS
16. Lactation 1.50 0.11 1.39 92.59 0.50 0.12 171 < 0.001 HS

77. %Relief in symptoms (non-parametric study) in Group-A& Group-B
S.N.
Symptoms
% relief in symptoms
Group-A Group-B
1. Pallor 53.33 % 88.24 %
2. Fatigue 80.00 % 89.66 %
3. Backache 83.33 % 89.29 %
4. Pain lower abdomen 92.00 % 86.67 %
5. Edema 69.23 % 84.62 %
6. Mental stress 46.67 % 80.00 %
7. Feel of healthiness 85.00 % 95.00 %
8. Emotional instability 70.59 % 85.71 %
9. Temperature 50.00 % 66.67 %
10. Anorexia 75.00 % 88.89 %
11. Sleep 68.18 % 90.48 %
12. Bowel (GIT) 62.50 % 66.67 %
13. Micturition 57.14 % 77.78 %
14. Uterine involution 72.22 % 75.47 %
15. Bleeding P/v 89.47 % 94.87 %
16. Lactation 82.14 % 92.59 %

78. Comparative Effect of Therapy between Group A and Group B:
S. N. Symptoms
(In Subjective Parameters)
Group A Group B
N Mean ± SEM N Mean ± SEM d.f. p Result
1. Pallor 10 0.80 ± 0.25 16 1.00 24 > 0.05 NS
2. Fatigue 18 1.33 ± 0.11 18 1.44± 0.15 48 > 0.05 NS
3. Backache 18 1.39 ± 0.12 18 1.39± 0.12 34 > 0.05 NS
4.
Pain lower
abdomen
18 1.28 ± 0.11 18 1.44± 0.15 34 > 0.05 NS
5. Edema 09 1.00 ± 0.17 10 1.10± 0.17 17 > 0.05 NS
6. Mental stress 11 0.64 ± 0.20 12 1.00± 0.06 21 > 0.05 NS
7. Feel of healthiness 18 0.94 ± 0.06 18 1.06± 0.17 34 > 0.05 NS

79. 8.
Emotional
instability
13 0.92 ± 0.08 12 1.00± 0.20 23 > 0.05 NS
9. Temperature 03 0.33 ± 0.67 05 0.80± 0.20 06 > 0.05 NS
10. Anorexia 14 0.86 ± 0.14 15 1.07± 0.12 23 > 0.05 NS
11. Sleep 18 0.83 ± 0.09 16 1.19± 0.14 32 > 0.05 NS
12. Bowel (GIT) 06 0.83 ± 0.40 04 1.00± 0.71 08 > 0.05 NS
13. Micturition 06 0.67 ± 0.21 08 0.88± 0.13 12 > 0.05 NS
14. Uterine involution 18 2.11 ± 0.11 18 2.22± 0.10 34 > 0.05 NS
15. Bleeding P/V 18 1.89 ± 0.08 18 2.06± 0.06 34 > 0.05 NS
16. Lactation 18 1.28 ± 0.11 18 1.39± 0.12 34 > 0.05 NS

80. % relief in symptoms (parametric study) in Group-A& Group-B
S.No Lab Investigations
GROUPA GROUP B
1. Hb 5.20% 16.91%
2. ESR 23.62% 24.79%
3. TLC 0.88% 10.56%
4. Urine RBCs - -54.17%
5. Urine WBCs -69.66% -11.76%
6. Urine Epithelial Cells -14.75% -1.90%

81. S.n Lab. findings
Group A Group B
t d.f. p
Result
N Mean ± SEM N Mean ± SEM
1. Hb 18 0.58 ± 0.24 18 1.68 ± 0.23 3.35 34 > 0.05 NS
2. ESR 18 10.94 ± 2.93 18 11.44±2.23 -0.14 34 > 0.05 NS
3. TLC 18 66.67±487.62 18 855.56±579 -1.40 34 > 0.05 NS
4. Urine RBCs 03 -2.50 ± 1.53 05 -1.30± 2.02 -0.41 06 > 0.05 NS
5. Urine WBCs 18 -1.72 ± 1.05 18 -0.44 ±1.12 -0.83 34 > 0.05 NS
6.
Urine
Epi.Cells
18 -0.45 ± 0.31 18 -0.07 ±0.38 -0.78 34 > 0.05
NS
Comparative Effect of Therapy bet. Group A and Group B
in Lab Findings

82. Total effect of therapy in both Groups
Criteria Group A % Group B %
Complete Improvement 00 00 00 00
Marked Improvement 07 38.88 12 66.67
Moderately Improvement 10 55.56 06 33.33
Mild Improvement 01 5.56 00 00
No Improvement 00 00 00 00

83. 66.67
33.33
Complete Improvement Marked Improvement Moderately
Improvement
Mild Improvement No Improvement
0
38.88
55.56
5.56
0 0
0 0
Group A Group B

84. DISSCUSSION

85. DISSCUSSION
Probable mode of action of Sutika Dashmoola Kwatha:
Drug Property Action
Laghu
Panchamoola
Vata-Pitta
Shamaka,
Brihmana, Balya
Dhatu Poshana
Guduchi Rasayana -Improve immune system
-Dosha-Dhatu Samyata
Shunthi Katu vipak ,Ushna
virya
-Deepana, Paachana, and --
Vatahara
-Garbhashaya-Shodhana
Mustak Stanyashodhan Improves lactation
Sahachar Vat-kapha shamak,
Vedanahar
Relives pain
Prasarini Tridosh
shamak,Balya
Dhatu Poshana

86. Probable mode of action of Dashmoola Kwatha
Drug Property Action
Dashmoola Vatahara,
Vatanulomana
Excretion of Sashesha
Doshas from
garbhashaya.
anti-septic, anti-microbial
and anti-inflammatory
Prevent infections
Vedanasthapana overcome the
afterpains.
Mutrala Shothahara,
Bastirogahara
Vrana Shodhana,
Ropana, Sandhaneeya
Enhances the healing of
episiotomy.

87. CONCLUSION

88. Sutika Dashmoola Kwatha and Dashmoola Kwatha showed
satisfying results statistically.
Comparing the symptomatic improvement in both groups it was
found that overall relief was highest in Group-B followed by
Group-A.
It showed better efficacy of Dashmoola Kwatha in relieving the
symptoms.

89. SUGGESTIONS

90. Study should be carried out in large sample group.
As for as Sutika-Kaala is concerned (1½ months), the time period
of 10 days was insufficient to study the role of drug over Sutika
thoroughly. So the drug should be used for more duration to see the
results.
The same study should be conducted using more advanced
scientific parameters to prove its antiseptic, anti-allergic, anti-pyretic,
analgesic and immuno-modulating effects in a Sutika after caesarean
delivery.
Palatability of Kwatha was a major issue during the trial. It should
be available in some concentrated forms (syrup, Ghana, Vati or
capsules) with better potency.

91. Thank you for your attention !