Sootikopachara By Dr. Mamatha K.V. Professor Dept of Prasooti Tantra SDM College of Ayurveda, Udupi
Health of a sootika if lost it can never be corrected – a folklore saying. Indian tradition inherits the wealth of this through their ancestors – needs no special training. Sootikopachara a rejuvenation ‐ shodhana followed by brihmana.Care of soothika compared to walking with taila poorna patra on head
Problems are multiple Garbha vriddi, prasava vedana, kleda and rakta nisruti Agnimaandya Vaata Prakopa Dhatu Shaithilya Dhatukshaya Shunya Sharira
Soothikopachara to make it punarnavaby achieving Agnisandhukshan. Vata shamana. Garbhaashaya shodhana. Yoni SamrakshanKumarabharana with good breast care, stanya pravartan and stanya pushti.
Comparison of brihatrayis view Charaka Sushruta VagbhataUshnajala parisechana Balataila abhyanga and AbhyangaSneha pana with any of vatahara kashaya Snehapana with yavanithe chatusneha upachara upakunchika panchakolaUdara vestana Panchakola choorna with drugsSneha yukta yavagu gudodaka for 2‐3 days Udara vestana after Ushnajala parisechana Sneha yavagu or ksheera yamaka snehabhyanga yavagu of vidari Yavagu pana gandhadi gana drugs. Apyayana with Jangala Yava kola kulatta sidda mamsa rasa jangala mamsa rasa with shalyodana
Contributions of Kashyapa Individualized the paricharya based on the desha, kula, satmya and sex of the child. Samanya and vishesha paricharya. Samanya paricharya: Rakshoghna karma –nyubja shayana –udara patta bandhana – asandika – priyangu krashara abhyanga /swedanam‐ ushnaambu snana – dhupana – sasneha manda yavagu paana
Vishesha paricharya – deshanusara In anupa desha – sneha should not be used in the beginning Agni vardhaka & bala vardhaka mandadi prayoga, Swedana, Nivaata shayana, Ushna dravya sevana. In jangala desha – sneha pana with pippalyadi kashaya anupana for the strong woman and snaha yavagu or snigdanna prayoga for weak. Sadharana desha – sadharana kriya
Vishesha paricharya In kumari prasava – snehanarta taila prayoga In case of kumara prasava – ghrita prayoga. Mleccha – kanda moola phala, mamsa rasa acc to their saatmya. Given the freedom to change the diet and oushadas as per the kula saatmyata
Bhava prakasha ‐ Hita aahara vihara, vyayama, vyavaya,krodha,sheeta sevana varjana, daily massage & swedana for one month. Yoga ratnakara has added that immediately after delivery ,vaginal canal should be compressed to avoid entry of air.
Harita opines Kashaya pana ‐lodhra, arjuna,kadamba, bijaka, devadaru,, & karkandu for rakta & yoni shodana. Yoni purana with oil. Abhyanga and swedana. fasting on first day, 2nd day morning nagara, haritaki + jaggery, afternoon kulattha yusha pana. 3rd day panchakola yavagu 4th day chaturjata mishrita yavagu From 5th day shali anna sevana till 10thor 15th day.
Physiological considerations of soothika Pulse Temperature Weight loss Diuresis Care of the bowel Involution of uterus Lochial discharges Personal hygiene Perineal care Breast care Menstruation and ovulation
Practical problems encountered in wards Early Exhaustion Giddiness, black outs Vomiting Bleeding Hematoma Retention of urine After pains Pain in wound Feeding difficulties
IntermediateAfter painsConstipationPain in episiotomy woundInadequate lactationCracked nipples, breast engorgementInfections leading to sepsis ‐ UTI, genital tractThrombophlebitis in the i.v lineEpisiotomy wound gaping
Late Secondary pphPuerperal sepsisFistulasVenous thrombophlebitis / embolismWound problems of the LSCS woundBreast abscess
Special cases in puerperiumPost abortal managementCounseling – loss of fetus/ childCare after multiple pregnancyCare in case of placenta previaCare in retained /adherent placentaCare after LSCS or forceps deliveries
Recipes of sutika used in costal belt of ‐KarnatakaAhara / oushada –Anna with rasam or pickles or chutneyKrishna jeeraka kashaya pana – 3 daysShunti choorna with guda and ghee – for 3‐5 daysPreparations of ajamoda ‐3 daysLashuna paka next 5 daysBrihmana payasam of different spices /chicken soupsPaka of dry fruits with coconut scrapings with lot of ghee.Abhyanga Snana –with kashaya of vasa/ pancha valkala.Udara bandhana ‐Dhoopana – gandha dravyas