E-ISSN:2456-3110

Case Report

Kumari Tail Uttarbasti

Journal of Ayurveda and Integrated Medical Sciences

2023 Volume 8 Number 5 May
Publisherwww.maharshicharaka.in

Effect of Kumari Tail Uttarbasti on Fallopian tube blockage

Sakharamsing Bayas A.1*, Madhuri Sanjay B.2
DOI: http://dx.doi.org/10.21760/jaims.8.5.41

1* Ayodhya Sakharamsing Bayas, Post Graduate Scholar, Department of Prasuti Tantra and Stri Rog, Shri Vivekanand Nursing Home Trusts Ayurved Mahavidyalaya, Rahuri factory, Ahmednagar, Maharashtra, India.

2 Bhalgat Madhuri Sanjay, Professor and HOD, Department of Prasuti Tantra and Stri Rog, Shri Vivekanand Nursing Home Trusts Ayurved Mahavidyalaya, Rahuri factory, Ahmednagar, Maharashtra, India.

Susruta has explained in detail about Garbha Sambhavasamagri (factors for conception). They are Ritu (fertile period), Kshetra (reproductive system - Artavavaha Srotas), Ambu (nourishment) and Bija (ovum and sperm). Derangement in these factors especially Artavavaha Srotas results Vandhyatva (infertility). Infertility is the inability to get pregnant (for whatever reason) after a year of unprotected sexual activity. About 10 to 15 percent of couples who are of reproductive age are affected. Tubal blockage is one of the most important factors for female infertility. This condition is not described in Ayurvedic classics, as the fallopian tube itself is not mentioned directly. The present study was carried out to evaluate the role of Uttar Basti in tubal blockage, in order to establish it as a safer and cost-effective Ayurvedic treatment modality.

Keywords: Kumari Tail Uttarbasti, Fallopian tube blockage, Garbha Sambhavasamagri, Uttar Basti, Ayurveda

Corresponding Author How to Cite this Article To Browse
Ayodhya Sakharamsing Bayas, Post Graduate Scholar, Department of Prasuti Tantra and Stri Rog, Shri Vivekanand Nursing Home Trusts Ayurved Mahavidyalaya, Rahuri factory, Ahmednagar, Maharashtra, India.
Email: 		Ayodhya Sakharamsing Bayas, Bhalgat Madhuri Sanjay, Effect of Kumari Tail Uttarbasti on Fallopian tube blockage. J Ayu Int Med Sci. 2023;8(5):241-244.
Available From
https://jaims.in/jaims/article/view/2393

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2023-03-25 2023-03-27 2023-04-03 2023-04-10 2023-04-16
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 19%

© 2023by Ayodhya Sakharamsing Bayas, Bhalgat Madhuri Sanjayand Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

Journal of Ayurveda and Integrated Medical Sciences 2023;8(5)241
Bayas A et al: Effect of Kumari Tail Uttarbasti on Fallopian tube blockage

Introduction

Tubal blockage is the second most common cause of female infertility, accounting for 25–35% of cases. It is also one of the most well-known and challenging conditions to treat.[1] The only treatment options for it are tubal reconstructive procedures and in vitro fertilization (IVF), both of which are only offered in a small number of difficult-to-access infertility clinics in impoverished nations. There is also a chance of having an ectopic pregnancy and other issues. On the other hand, no effective Ayurvedic treatment for tubal obstruction has been developed. Essential Factors for conception[2]: For conception of a healthy foetus, Ayurveda explains four necessary elements: Rutu (Appropriate period for conception) - Here period indicates two things a) Age of both male and female partners, b) Days eligible for conception depending upon ovulation. Kshetra (Seat for conception) - The word Kshetra refers to the Uterus, Uterus should be in healthy state so that it can hold the foetus for upcoming 9 months and provide nourishment and safety. Ambu (Nourishment for conceived foetus) - Ambu means water, here it specifies nourishment to the foetus growing in the womb, this depends upon the generalized nutrition of the mother. Beej - Beej explains the need of competent male sperm and equally healthy female ovum. Both the sperm and ovum are termed as Shukra Dhatu in Ayurveda, meaning the reproductive tissue.

Materials and Methods

A single Patient attending the OPD of the Stree Roga and Prasooti Tantra, Shri Vivekanand Nursing Home Trust's Ayurved Mahavidyalaya, Rahuri factory, Ahmednagar.

Case Report

A female patient of 29 years age, teacher by profession, residing in Trivandrum, Kerala came along with her husband to OPD of Stree Roga and Prasooti Tantra, Shri Vivekanand Nursing Home Trust's Ayurved Mahavidyalaya, Rahuri factory, Ahmednagar with complaint of inability to conceive since 3 yrs. of unprotected intercourse. At 25 yrs. of age, she was married to a non-consanguineous man of 30 yrs. on 2016. They tried to conceive since then but failed even after 1.5 year of unprotected intercourse.


General examination

Pulse - 78 beats/min

BP - 130/80 mm of Hg

Weight - 50.4 kg

Systemic examination

CVS - S1S2 normal

CNS - Conscious well oriented

RS - Air entry clear bilateral

Per Abdominal examination

Soft, non-tender abdomen

Ashtavidha Prakisha

  • Nadi - Pittaj Kaphaj
  • Mala - Vibandh
  • Mutra - Samanya Matra, Shukla Varna, Sahaj Pravritti
  • Jivha - Shweta Varna, Sama Malaavritta
  • Shabda - Spasta
  • Sparsha - Anushnoshita but Ushna at the site of rashes
  • Drik - Rakta Varna, Kanduyukta Prakriti
  • Aakriti - Madhyam

Dashwidha Prakisha

  • Prakriti - Sharirik - Pittak-Kaphaj Mansika – Rajasika
  • Vikrati - Prakriti Samasamvaya
  • Saara - Rakta
  • Samhanana - Madhyama
  • Pramaana - Madhyam
  • Satmya - Sarwarasa
  • Satva - Madhyam
  • Ahara Shakti - Abhyav Aharana Shakti - Madhyam, Jaran Shakti - Madyama

Treatment protocol: Uttarbasti of Kumari Taila (five milliliters) was given for six days (with interval of three days in between), after cessation of menses for two consecutive cycles,[3] with the consent of the patient. Snehana (oleation) of Bala Taila[4] followed by Nadi Sveda (fomentation) with water steam was done on the


Journal of Ayurveda and Integrated Medical Sciences 2023;8(5)242
Bayas A et al: Effect of Kumari Tail Uttarbasti on Fallopian tube blockage

lower abdomen, back and lower limbs to the patients, before each Uttarbasti. For sterilization of peri vaginal part Yoni Prakshalana with Panchavalkala Kvatha[5] was performed. The procedure was carried out in the operation theatre with all antiseptic and aseptic precautions and then the patient was kept in head low for two hours. The lower abdomen was fomented with hot water bag. The HSG was repeated for the analysis of results after the cessation of menstruation in third cycle.

Precautions: The patients were asked to avoid very spicy food during treatment. Coitus was prohibited during the course of Uttarabasti. Proper care was taken for not allowing patients to suffer from constipations.

Assessment of complications: The chances of complications cannot be ignored totally, because the Taila prepared with Ushna-Tikshna Dravyas was administered inside the uterus. Lower abdominal pain and per vaginal bleeding were the most apparent complaints during and after procedure. It was considered as complication, only if it is was very much irritating for the patient. Any type of features of urogenital infection during and after procedure was considered as complication. Hence, close study was kept to detect complications as early as possible.

Discussion

Probable mode of action of intra uterine Uttarabasti on tubal blockage All three Doshas are involved in the pathogenesis of tubal block with predominance of Vata Dosha. Kapha is also one of the responsible factors for vitiation of Vata due to its Avarodhatmaka Guna. Vata vitiated on its own as well as by Kapha which is able to vitiated Vata by its property to cause Avarodha. For administration of the drug in tubal blockage, a medium is always required. The medium adapted must not be having any adverse effect in Samprapti Vighatana and it would be more appreciable, if it will contain some adjuvant role to open tubal blockage. So, Tila Taila was selected for this purpose, as it has most of the qualities, which were required for the present study. Several contents of Kumari Taila are highly efficacious & established for their role in menstrual disorders and hormonal imbalance. In case of tubal blockage, effect seems to be more local than systemic. The Tila Taila[6-9] is Vranashodhaka & Vranapachaka. It is Krimighna too.


In addition, its specific role on uterus and reproductive tract is also mentioned as Garbhashayashodhana & Yonishulaprashamana. These all the properties indicate towards its antiseptic as well as anti-inflammatory actions. Its Vyavayi & Vikasi Guna show its potency to enter in minute channels and to get spread easily. Thus, it should be the best medium for any drug to reach in tubal cavity and remove the blockage. Kumari (Aloe vera)[10-12] is now well established for its anti-inflammatory, ulcer-healing and antibacterial properties.

Conclusion

The findings of the study demonstrate the excellent efficacy of intrauterine Uttar Basti of Kumari Taila in clearing the tubal obstruction with a remarkable rate of conception. Considering that its numerous ingredients have an impact on the ovarian and hormonal activities, it may also be useful for other causes of female infertility and menstruation problems, such as oligomenorrhea, hypomenorrhea, and dysmenorrhea. In this study, with this treatment, no notable complications are seen. In a long-term research, its impact on patients who have a history of tubal obstruction and infertility was examined.

Reference

1. Dutta.D. C. Textbook of Gynaecology. 5th ed. New Central Book Agency; 2009:222p.

2. Kashinath Shastri and Gorakhnath Chaturvedi. Vidyotini Vyakhya, Charaka Samhita. Varanasi, Chikitsa 9/70: Chaukhamba Bharati Academy; 2005.

3. Acharya Agnivesha, Kashinath Shastri, Gorakhnath Chaturvedi. Charaka Samhita, Vidyotini Vyakhya. Varanasi, Chaukhambha Bharati Academy; 2005: Siddhi Sthana 9:69.

4. Vagbhatacharya, Srikantha Murthy. Ashtanga Hridaya. Varanasi, Krishnadasa Academy; 2006:Chikitsa Sthana 21:73-81.

5. Sharangdharacharya, Brahmananda Tripathi. Sharangadhara Samhita, Dipika Hindi Vyakhya. Varanasi, Chaukhambha Surabharati Prakashana; 2008: Madhyama Khanda;2:149:155p



Journal of Ayurveda and Integrated Medical Sciences 2023;8(5)243
Bayas A et al: Effect of Kumari Tail Uttarbasti on Fallopian tube blockage

6. Shri Bhavamishra, Pandit Shri Brahma Shankara Mishra, Shri Rupalalaji Vaisya. Bhava Prakasha Nighantu, Vidyotini Hindi commentary. 11ed. Varanasi;Chaukhambha Sanskrita Bhavana;Taila Varga;2007. 779p.

7. Shri Bhavamishra, Pandit Shri Brahma Shankara Mishra, Shri Rupalalaji Vaisya. Bhava Prakasha Nighantu, Vidyotini Hindi commentary. 11ed. Varanasi;Chaukhambha Sanskrita Bhavana;Dhanya varga;2007. 651-652p.

8. Anonymous. Govt. of India, Ministry of Health & Family Welfare, dept. Of ISM & H. The Ayurvedic Pharmacopeia of India. New Delhi, 2006:4:143p.

9. Sushruta, Yadavaji Trikamji Acharya, Narayana Ram Acharya. Shushruta Samhita, Dalhana commentary. Varanasi;Chaukhambha Surbharati Prakashana;2012. 205p.

10. Shri Bhavamishra, Pandit Shri Brahma Shankara Mishra, Shri Rupalalaji Vaisya. Bhava Prakasha Nighantu, Vidyotini Hindi commentary. 11ed. Varanasi; Chaukhambha Sanskrita Bhavana; Guduchyadi varga;2007. 419p.

11. Anonymous, Govt. of India. Dept. of ISM&H, Ministry of Health & Family Welfare. Database on Medicinal plant used in Ayurveda C.C.R.A.S. New Delhi;2000; Vol.1:225p.

12. Mukund Sabnis. Chemistry and Pharmacology of Ayurvedic medicinal plants. Varanasi; Chaukhamba Amarbharti Prakashana;2006. 100p.


Journal of Ayurveda and Integrated Medical Sciences 2023;8(5)244