E-ISSN:2456-3110

Case Report

Ovarian Cyst

Journal of Ayurveda and Integrated Medical Sciences

2023 Volume 8 Number 7 July
Publisherwww.maharshicharaka.in

Ayurvedic treatment regime of Ovarian Cyst: A Case Report

Deepika.1*, Panda J.2, Tanwar S.3
DOI: http://dx.doi.org/10.21760/jaims.8.7.40

1* Deepika, Post Graduate Scholar, Department of Prasuti Tantra Evum Stree Roga, Shri Krishna Government Ayurvedic College and Hospital, Kurukshetra, Haryana, India.

2 J.K. Panda, Professor, Department of Prasuti Tantra Evum Stree Roga, Shri Krishna Government Ayurvedic College and Hospital, Kurukshetra, Haryana, India.

3 Suniti Tanwar, Associate Professor, Department of Prasuti Tantra Evum Stree Roga, Shri Krishna Government Ayurvedic College and Hospital, Kurukshetra, Haryana, India.

Introduction: Ovarian cysts are fluid-filled sacs that develop on or within the ovaries, which are part of a woman's reproductive system. Most ovarian cysts are benign (non-cancerous) and do not cause any symptoms. However, in some cases, ovarian cysts can grow larger, rupture, become painful, or cause other complications. Hormonal contraceptives and Surgery only the treatment follow by modern system of medicine. A hormonal contraceptive contributes untoward effect. In Ayurveda it can be correlated with Granthi (Kaphaja Granthi). Methods: In this present case study, a 36 years old woman patient consulted to the OPD with the complaint of Pelvic pain come and go, Bloating in the abdomen, Changes in menstrual patterns, and Pain during sexual intercourse. She had also brought her ultrasonography (USG) and finding suggested a right ovarian complex cyst measuring 36mm×36mmx34mm. She was supposed to be treated with traditional ayurvedic formulations; the case was treated for three months with a combination of different traditional Ayurvedic drugs, with the goal of relieving symptoms and dissolving the ovarian cyst. This patient was treated with traditional Ayurvedic formulations like Varunadi Kashyam, Guggulu Panchapala Churnam, Dashmoola Kwatha, Ajmoodadi Choorna. Result: Only Ayurvedic medicines were used during the course of the treatment. Follow-up USG showed complete disappearance of cyst and symptoms also subsided to a great extent. Discussion: The present study emphasizes the role of Ayurveda in bringing a positive result in the management of ovarian cyst.

Keywords: Granthi, Ovarian cyst, Ovaries, Kaphaja Granthi, Ayurveda

Corresponding Author How to Cite this Article To Browse
Deepika, Post Graduate Scholar, Department of Prasuti Tantra Evum Stree Roga, Shri Krishna Government Ayurvedic College and Hospital, Kurukshetra, Haryana, India.
Email: 		Deepika, J.K. Panda, Suniti Tanwar, Ayurvedic treatment regime of Ovarian Cyst: A Case Report. J Ayu Int Med Sci. 2023;8(7):208-212.
Available From
https://jaims.in/jaims/article/view/2623

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2023-06-01 2023-06-03 2023-06-10 2023-06-17 2023-06-24
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Nil Nil Yes 18%

© 2023by Deepika, J.K. Panda, Suniti Tanwarand 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(7)208
Deepika et al: Ayurvedic treatment regime of Ovarian Cyst A Case Report

Introduction

Ovarian cysts are fluid-filled sacs that develop on or within the ovaries, which are part of a woman's reproductive system. They are quite common and can occur at any age, although they are most commonly found in women during their childbearing years.[1] An ovarian cyst is a common gynaecological problem and is divided into 2 main categories; physiological and pathological.[2] Physiological cysts are follicular cysts and luteal cysts. Pathological cysts are considered as ovarian tumors, which might be benign, malignant, and borderline. Benign tumors are more common in young females, but malignant are more frequent in elderly females.[3] Most ovarian cysts are benign (non-cancerous) and do not cause any symptoms. In fact, many women may have ovarian cysts without even being aware of them, as they often resolve on their own without any treatment. However, in some cases, ovarian cysts can grow larger, rupture, become painful or cause other complications. It's important to understand the symptoms, potential risks and treatment options associated with ovarian cysts.

Symptoms: Pelvic pain or aching, which may be dull or sharp and may come and go, Bloating or swelling in the abdomen, Changes in menstrual patterns, Pain during sexual intercourse, Frequent urination or difficulty emptying the bladder completely, feeling full quickly while eating.[4]

Complications: Most ovarian cysts do not cause complications. However, certain types of cysts can lead to complications, such as:

  • Rupture: If a cyst ruptures, it can cause sudden and severe In some cases, it may require immediate medical attention.
  • Ovarian torsion: If a cyst causes the ovary to twist, it can result in severe abdominal pain and may restrict blood flow to the This is a medical emergency.
  • Ovarian cancer: While most ovarian cysts are benign, some can be It's important to monitor any changes in size, appearance, or symptoms and consult a healthcare professional for evaluation.[5]

Diagnosis and Treatment: Based on symptoms, physical examination, pelvic ultrasound, or other diagnostic tests to evaluate the cyst.

Treatment for ovarian cysts depends on various factors, including the size, type, and symptoms associated with the cyst. In modern system of medicine options may include: Medications (Hormonal contraceptives, such as birth control pills) and Surgery. In some cases, they may also remove the ovary or perform a hysterectomy if necessary.

In Ayurvedic Samhita, a detail description about Granthi[6] is available. Ovarian cyst can be correlated to Kaphaja Granthi Roga[7], Pathogenesis of Granthi Roga is Vata Kapha dominating Tridosha, for which Vata Kapha Hara medication are required, whereas involved Dushya are Rakta, Mamsa, Meda hence the medication should possess Vathara and Lekhana properties.[8]Here, we introduce a case of ovarian cyst that was successfully treated after Ayurvedic management.

Case Report

A 35 years old female patient was came to Prasuti Tantra and Stri Roga OPD with chief complaint of Pelvic pain come and go, Bloating in the abdomen, Changes in menstrual patterns, Pain during sexual intercourse since 2-3 months. She had also brought her USG report and some other blood investigations along with her. She was diagnosed as Right Ovarian Complex Cyst (36mm×36mmx34mm). She took advice from allopathic hospital and took one month oral contraceptive pills. She was not happy with that treatment and her body show some side effects. Then, she came to our hospital for Ayurvedic management.

Menstrual History - Patient told that her duration of menstrual cycle was of 5-7 days with irregular interval of 20 days to 25 days, amount of bleeding was increased, and associated with lower abdominal pain.

Obstetric history - GoP0A0L0

Family history - No relevant family history

Past surgical history - There was not significant history found.

Personal history - Her appetite, sleep, micturition, bowel were all normal.

Clinical findings
General examinations: Built - Normal, Weight - 65kg, height - 152cm, Pulse rate - 76/min, B.P. -


Journal of Ayurveda and Integrated Medical Sciences 2023;8(7)209
Deepika et al: Ayurvedic treatment regime of Ovarian Cyst A Case Report

120 /80 mm of hg, Respiration rate - 18/min, Temp. - 98.6°F

Per abdomen - tender and no organomegaly was detected.

Physical examination

Ashtavidha Pariksha

  • Nadi - VK
  • Mutra - Samyak Mutra Pravriti
  • Mala - Sama
  • Jihwa - Sama
  • Shabda - Samyak
  • Sparsha - Ushna
  • Drika - Samanya
  • Aakriti - Krisha

Dashvidha Pariksha

  • Prakriti (nature) - Kaphavataja
  • Sara (Purest body tissue) - Madhyama (medium)
  • Samhanana (Body compact) - Madhyama (minimum)
  • Pramana (Body proportion) - Madhyam (medium)
  • Satmya (homologation) - Madhyam (medium)
  • Satva (mental strength) - Madhyam (medium)
  • Vaya (age) - Yuvati
  • Vyayamshakti (to carry on physical activities) - Madhyama (least capability)
  • Aharashakti (food intake and digestive power) - Abhyavarana Shakti & Jarana Shakti - Madhyam

Systemic Examination

CVS: Heart sounds (S1S2): normal

Respiratory system: normal bilateral air entry, no added sounds. No abnormality found on other system

Samprapti Ghataka (Pathogenic factor)

Dosha - Vata, Kapha

Dushya - Mamsa (muscles), Rakta (blood)

Agni (digestive fire) - Mandagni, Jatharagnimandya.

Srotas (channel) - Artavahasrotas (channels carrying menstrual blood)

Srotodushti - Siragranthi, Sanga

Treatment Schedule: The treatment was carried out with the following medicines for three months.

SN Medicine Dose
1. Varanaadi Kashyam-20 ml Bid with double amount of water (half hr before food)
2.  Guggulupanchapalam 1 tsp with honey at early morning
3. Dashmoola Kwath-20 ml Bid( one hour after meal)
4. Ajmodaadi Churna- Half tsp HS ( with warm water)

jaims_2623_01.JPG
Before Treatment (USG Findings)

jaims_2623_02.JPG
After Treatment (USG Findings)


Journal of Ayurveda and Integrated Medical Sciences 2023;8(7)210
Deepika et al: Ayurvedic treatment regime of Ovarian Cyst A Case Report

Result

In the last patient was satisfied with the result. Her ultrasound reports revealed no evidence of complex ovarian cyst along with symptoms. Her pain was also reduced, and she was completely cured with Ayurvedic treatment. There is no recurrence of any symptoms and sign until now.

Discussion

In Ayurveda the treatment is designed on specific set of principles. It includes Nidan Parivarjan - avoiding use of causative factors which are responsible for formation of disease. From Hetu Sevana to formation of a disease, the pathological sequence - Samprapti was observed and treatment accordingly was designed.

Varunaadi Kashyam - It is a popular formulation mentioned as Shodhanaadi Gana. It is Kapha Medo Hara in nature. Due to this property it help in Samprapti Vighatan of Granthi Roga. It is also useful in indigestion, Satholya, Gulma Roga, Vidridhi Roga, Adhyavata.[9]

Guggulu Panchapala Churnam - It’s a formulation mentioned in Nadi Vrana Chikitsa. When administered with Madhu, it has Lekhaneeya (scraping) property. Due to anti-inflammatory and antioxidant properties, it helps in aiding in the treatment of Kaphaja Granthi.[10]

Dashmool Kwatha - Collective properties of Dashmool Kwath are Katu Rasa, Katu Vipaka, Laghu - Ruksha Guna, and Ushna Veerya. By virtue of these properties Dashmool act as Aamapachana and remove the Avarana of Kaphadi Doshas. As Dashmool are Ushna Veerya and other properties associating to that are acting on Vata Dosha also. It has potent anti-inflammatory and uterine tonic action.[11]

Due to Ushna, Deepan, Kaphamedo Hara, Lekhaniya properties of drugs help in complete removal of cyst in that case.

Conclusion

In the modern medical system, hormonal and surgical interventions are the only available treatments for ovarian cysts. In today era, as many people are afraid of hormonal intervention, the recurrence of ovarian cysts is so likely that it cannot

be guaranteed to recurrence of disease. In Ayurvedic science, drug availability is an opportunity for a patient to be completely cured without a recurrence of the disease. This Ayurvedic treatment helps treat patients with ovarian cysts. From this case study, we can conclude that Ayurvedic drugs are effective in treating complex ovarian cysts.

Reference

1. Crum C.P. The female genital tract, In : Kumer V., Abbas A.K., and Fansto N.,Robbins and Cotran pathologic basis of disease, 7thed, China, Elsevier Sanders, 2005:1092-1105.

2. Grimes DA, Jones LB, Lopez LM, Schulz KF. Oral contraceptives for functional ovarian cysts. Cochrane Database Syst Rev. 2014;4:CD006134.

3. Hongqian L, Xiangao W, Donghao L, Zhihong L, Gang S. Ovarian masses in children and adolescents in China: analysis of 203 cases. J Ovarian Res. 2013;6:47.

4. Farghaly SA. Current diagnosis and management of ovarian cysts. Clin Exp Obstet Gynecol. 2014;41:609–612.

5. Goh W, Bohrer J, Zalud I. Management of the adnexal mass in pregnancy. Curr Opin Obstet Gynecol. 2014;26:49–53.

6. Acharya Yadavji Trikamji, Granty Apachi Arbuda Galaganda Nidana, Sushruta Samhita, with Nibanda sangraha commentary by Dalhana,Varanasi, Choukhamba Sanskrit Sansthan; 2022, Reprint. P.310

7. Hari Sadasiva Sastri, Granthi Arbuda Shlipada Apachi Nadi Vijnaniyam, Astanga Hrudya with Sarvangasundara of Arunadutta and Ayurveda Rasayana of Hemadri, Varanasi, Choukambha Sanskrit Sansthan; 2022 Reprint.

8. Tiwari premvati. Ayurvedic prasutitantra evum streerogapart 2 second Edition. varanasi. Chaukhamba Orientalis; 358-360.

9. Yadunandan Upadhyay Ashtana Hridaya, Reprint ed. Chaukhambha Prakashan, Varanasi, 2008:755.

10. Vidyanath R, editor. Astanga Hrdaya of Vagbhata, Suthra Sthana. Vol. 1. Ch. 15, Ver. 21 22. 1st edition. Varanasi: Chaukhamba Surbharati Prakashan; 2012. p. 243 44


Journal of Ayurveda and Integrated Medical Sciences 2023;8(7)211
Deepika et al: Ayurvedic treatment regime of Ovarian Cyst A Case Report

11. Bhaishajya Ratnavali of Kaviraj Govind Das Sen Edited with ‘Siddhiprada’ Hindi commentary by Prof. Siddhi Nandan Mishra, Chaukhamba Surbharati Prakashan, Varanasi, Edition 2019, Hikka-shwasarogadhikara shlok, 25-26 [pg 460].


Journal of Ayurveda and Integrated Medical Sciences 2023;8(7)212