5. AUTHOR: BITI SINGH,
DEPARTMENT OF BASIC
PRINCIPLES
S.V.AYURVEDIC COLLEGE,
TIRUPATI, ANDHRA PRADESH
SOURCE: International Journal of Ayurvedic
Medicine
YEAR:2013
6. SEVERAL STUDIES WERE DONE ON
SVETAPRADARA AND ITS
TREATMENT,
BUT NO WHERE ITS NIDANA AND
SAMPRAPTI WERE DISCUSSED IN
DETAIL
.
THIS STUDY MAINLY DEALS WITH
DETAILED DISCUSSION ON NIDANA
AND SAMPRAPTI OF
SVETAPRADARA..
AIM OF THE ARTICLE
7. CLASSICAL AYURVEDIC
TEXTS ALONG WITH THE
COMMENTARIES WERE
CAREFULLY STUDIED TO
COMPILE INFORMATION ABOUT
SVETAPRADARA AND TO
EVALUATE THE NIDANA AND
SAMPRAPTI OF THE DISEASE
METHOD EMPLOYED BY AUTHOR
11. INTRODUCTION
♥ SVETAPRADARA IS A CONDITION CHARACTERIZED BY
WHITE VAGINAL DISCHARGE NOT ASSOCIATED WITH FOUL
SMELL, PAIN, BURNING SENSATION AND ITCHING THUS WE CAN
CORRELATE IT WITH LEUCORRHOEA.
♥THE WORD SVETAPRADARA HAS NOT APPEARED IN
BRIHATRAYI..BUT COMMENTATOR CHAKRAPANI AND THE
AUTHORS OF SARANGADHARA SAMHITA, BHAVA PRAKASH
AND YOGA RATNAKARA HAVE USED THE WORD
SVETAPRADARA FOR WHITE VAGINAL DISCHARGE.
♥SVETAPRADARA IS QUITE FREQUENT COMPLAINT OF MORE
THAN 60% OF WOMEN IN GYNAECOLOGIC CLINIC.
13. NIDANA OF YONIVYAPAD
NIDANA
CHARAKA SUSRUTHA VAAGBHATA
Mithyachara (improper
conduct)
Pravrddha linga
purshati sevana
(excessive indulgence
into sex with a man of
abnormally developed
penis)
Dushtabhojana (vitiated
food), visamanga seyana
bhrshamaithuna sevana
(intercourse in improper
position and excessive
indulgence into sexual
act]
Artava dushti
(menstrual disorder)
Atimaithuna(excessive
indulgence into sexual
act)
Apadravya sevana (use
of artificial things for
sexual pleasure]
Beeja dosha (genetic
morbidity)
Beeja dosha Beeja dosha
Daiva (devine factors) Daiva Daiva
14. VATA PRAKOPA AHARA VIHARA
↓
AGGRAVES VATA
↓
STHANIKA VATA PRAKOPA
↓
VISHAMAGNI
↓
TAKES STHANASAMSHRAYA IN YONI
PRADESHA
↓
ASHAYAPAKRSHA OF KAPHA DOSHA
AND RASA DATHU
↓
ATIPRAVRITTI OF RASA DATHU AND
KAPHA FROM YONI PRADESHA
KAPHA PRAKOPA AHARA
VIHAR
↓
AGGRAVATES KAPHA
↓
CAUSES MANDAGNI AND AMA
FORMATION
↓
OBSTRUCT THE SROTHAS
↓
AGGRAVATES VATA IN YONI
↓
VATA VITIATES STHANIKA
KAPHA AND RASA DATHU IN
YONI PRADESA
15. SAMPRAPTI
AS THE IMPORTANT CAUSE OF ALL YONIVYAPADA IS
VITIATION OF VATA. SO, THE MAIN ETIOLOGICAL FACTOR FOR
SVETAPRADARA AS DESCRIBED IN YONIVYAPAD IS VATA AND
THE DISCHARGE IN SVETAPRADARA IS OF PANDURA VARNA
WHICH SHOWS PREDOMINANCE KAPHA DOSHA.
THIS VITIATED VATA TAKES STHANASAMSHRAYA IN YONI
PRADESHA, THERE IT VITIATES STHANIK KAPHA AND RASA
DATHU AND EXPELS IT EXCESSIVELY IN THE FORM OF WHITISH
DISCHARGE FROM YONI.
18. VATA AND KAPHA PRAKOPA
SNANA WITH ATI SEETHALA JALA
SHEETALA JALA
VITIATES VATA AND KAPHA
TAKES STHANA SAMSHRAYA IN YONI
PRADESA, VITIATES STHANIKA DOSA AND DATHU IN YONI
PRADESHA
VRIDDHA VATA EXPELS OUT ALONG WITH
KAPHA AND RASA DATHU
19. SAMPRAPTHI
♥DUE TO VATA PRAKOPA AHARA VIHARA, VATA VITIATES AND MAKES JATARAGNI IRREGULAR, EVENTUALLY FORMED
UNDIGESTED MATERIALS[AMA]
♥LATER DUSTA AMA CIRCULATES ALL OVER BODY THROUGH RASA VAHA SROTHAS BY THE MOTIVE FORCE OF VYANA VAYU
♥CIRCULATING AMA CAUSES SROTO AVARODHA
♥DUE TO AGNI VAISHAMYA AND SROTOVARODHA KAPHA DOSHA AND RASA DHATHU ARE FORMED EXCESSIVELY IN YONI
PRADESHA
♥APPEARANCE OF WHITE DISCHARGE THROUGH VAGINA BY THE ACTIVITY OF EXPULSION OF APANA VAYU
21. CONCLUSION
AYURVEDA TREATMENT MAINLY DEPENDS ON NIDHANA AND SAMPRAPTI.
IF PHYSICIAN UNDERSTANDS THE SAMPRAPTI IN A PROPER WAY PHYSICIAN WILL NEVER FAIL IN
THE MANAGEMENT OF DISEASE
30. A CLINICAL ENTITY CHARACTERISED BY
WHITE MUCOID DISCHARGE WITH PAIN
PAANDU[SHWETHA SRAVA] – WHITE DISCHARGE
KAPHA SRAVA – MUCOID DISCHARGE
TODA YUKTHA SRAVA – DISCHARGE WITH PAIN
32. NORMAL VAGINAL
ENVIRONMENT
A DYNAMIC INTERELATIONSHIP BETWEEN LACTOBACILLUS ACEDOPHILINS AND
OTHER ENDOGENOUS FLORA, OESTROGEN,GLYCOGEN,VAGINAL PH AND
METABOLIC BY PRODUCTS OF FLORA AND PATHOGENS CHARACTERISE THE
NORMAL VAGINAL ENVIRONMENT.
L.A. PRODUCES HYDROGEN PEROXIDE WHICH IS TOXIC TO PATHOGENS AND
KEEP THE VAGINAL PH BETWEEN 3.8-4.2
33. SEEN IN NEWBORN BABY FOR A
WEEK DUE TO MATERNAL OESTROGEN.
SEEN IN GIRLS DURING PUBERTY
DUE TO HORMONAL CHANGES.
AT THE TIME OF OVULATION AND
IN EARLY PREGNANCY.
DURING SEXUAL EXCITEMENT.
GENERAL ILL HEALTH AND UNDER
NUTRITION.
DYSFUNCTIONAL STATE IN GENITAL
TRACT.
PSYCHOLOGICAL FACTORS.
LEUCORRHOEA
Normal Discharge Abnormal Discharge
34. HORMONAL RELATED
MODERATE
ODORLESS,PAIN LESS
WITH OUT PRURITIS
MILKY DISCHARGE
HORMONAL RELATED
EXCESSIVE
FOUL SMELL,PAIN FULL
ITCHING,STICKY,FROTHY
CURDY DISCHRGE
LEUCORRHOEA
PHYSIOLOGICAL PATHALOGICAL
35. 1.WHAT IS THE COMMON
TYPE OF VAGINAL
DISCHARGE?
2.WHAT IS QUITE FREQUENT
COMPLAINT OF MORE THAN
60% OF WOMEN IN
GYNAECOLOGIC CLINIC?
36. CANDIDIASIS
DEFINITION:- A CLINICAL ENTITY CHARACTERISED BY WHITE CURDY DISCHARGE
WITH PAIN AND ITCHING.
ETIOLOGY AND PATHOGENISIS:-1] EXCESSIVE USING OF ANTIBIOTICS- THEY CAN
KILL THE NORMAL GOOD BACTERIA IN VAGINA.
2]BEING OVER WEIGHT 3]DM 4]USING STEROIDS.
SYMPTOMS:- VULVA VAGINAL ERYTHEMA,ODEMA,THICK WHITE CURDY
DISCHARGE THAT ADHERES TO VAGINAL WALLS,ITCHING.
41. QUESTIONS AND ANSWERS
1.WHAT IS THE SOURCE OF VAGINAL DISCHARGE?
V.D IS NOT FROM THE VAGINA AS THE VAGINA CONTAINS NO GLANDS.THE DISCHARGE IS FROM THE
CERVIX.
2.WHAT IS THE COMMON TYPE OF VAGINITIS?
C.V.
3.WHAT IS PRURITIS VULVAE,WHAT SYSTEMIC DISORDERS ASSOCIATED WITH PRURITIS?
ITCHING. HEPATITIS,DIABETIS,CRF.
4.WHAT SKIN DISEASES CAN CAUSE PRURITIS?
SCABIES,PSORIASIS,TINEA.
5.HOW IS PREGNENCY RESPONSIBLE FOR INCREASED V.D?
THE INCREASED OESTROGEN LEVELS DURING PREGNENCY MAKES THE V.PH FAVOURBLE FOR V.D
42. 6.WHAT LESIONS WILL YOU RULE OUT ON THE CERVIX IN CASE OF EXCESSIVE V.D?
CH.CERVICITIS,C.P,CE.
7.WHAT IS THE ROLE OF RBS ESTIMATION IN CASE OF V.D?
RECCURENT VD/VAGINITIS SEEN IN PATIENTS OF DM.THE GLYCOGEN CONTENTS
OF THE VAGINAL CELLS INCREASE S THEREBY PREDISPOSING FOR VAGINAL
INFECTION.
8.WHAT ARE THE FACTORS CAUSING CANDIDIASIS?
IMPROPER HYGIENE,UNTIDY UNDERGARMENTS,UNCLEANED NAILBEDS,CLEANING
THE GENITAL PARTS WITH SOAPS .
43. S
9.HOW OCP ARE RESPONSIBLE FOR INCRESED INCIDENCE OF VD?
OESTROGEN ENCOURAGES THE INCREASED LEVEL OF GLYCOGEN IN THE VAGINAL
CELLS WHICH FAVOUR THE GROWTH OF ORGANISMS IN THE VAGINA.
10.WHAT IS STRAWBERRY CERVIX?
IT IS SEEN IN THE TRICHOMONAL VAGINALIS INFECTION.COLPOSCOPIC FINDINGS
WHERE PETICHIAL LESIONS IN THE CERVIX APPEARS AS STRAWBERRY LIKE
44. MY CONCLUSION
VAGINA IS SELF-CLEANING. A DELICATE BALANCE OF GOOD
BACTERIA AND NATURAL FLUIDS KEEPS THE VAGINA
HEALTHY AND FREE FROM INFECTIONS.
LUCHORRHEA IS NOT A DISEASE,BUT SYMPTOM OF SO MANY
DISEASES HOWEVER ,SOMETIMES THIS SYMPTOM IS SO SEVERE
THAT IT OVERSHADOWS SYMPTOM OF ACTUAL DISEASE AND
WOMEN COME FOR THE TREATMENT OF ONLY THIS SYMPTOMS.
AYURVEDA HAS GIVEN MORE EMPHASIS TO NIDHANA AND
SAMPRAPTI AS SAMPRAPTI VIGHATANA IS CHIKITSA.
