E-ISSN:2456-3110

Review Article

Shatapushpa Taila Matra

Journal of Ayurveda and Integrated Medical Sciences

2024 Volume 9 Number 6 JUNE
Publisherwww.maharshicharaka.in

Clinical efficacy of Shatapushpa Taila Matra Basti in Artava Kshaya with Low AMH - Case Study

Archana1*, Sheela Mallikarjun2, Sonalika Hiremath3, Sridevi Swamy4, Ishwari Patil5
DOI:10.21760/jaims.9.6.56

1* Archana, Post Graduate Scholar, Dept of Prasuti Tantra and Stree Roga, Nk Jabshetty Ayurvedic Medical College and Pg Research Centre, Bidar, Karnataka, India.

2 Sheela Mallikarjun, Professor, Dept of Prasuti Tantra and Stree Roga, NK Jabshetty Ayurvedic Medical College and PG Research Centre, Bidar, Karnataka, India

3 Sonalika Hiremath, Assistant Professor, Dept of Prasuti Tantra and Stree Roga, NK Jabshetty Ayurvedic Medical College and PG Research Centre, Bidar, Karnataka, India

4 Sridevi Swamy, HOD and Professor, Dept of Prasuti Tantra and Stree Roga, NK Jabshetty Ayurvedic Medical College and PG Research Centre, Bidar, Karnataka, India

5 Ishwari Patil, Associate Professor, Dept of Prasuti Tantra and Stree Roga, NK Jabshetty Ayurvedic Medical College and PG Research Centre, Bidar, Karnataka, India.

Ayurveda is a branch of Medicine, which has been serving for humanity since ancient time by both preventive and curative aspects. In today’s fast and competitive world, many gynecological cases are rapidly increasing because of sedentary life style, faulty food habits etc. In gynecological disorder, Artava Kshaya is a common menstrual disorder. According to different studies 13.5% and 12.95% of woman are suffering from Oligomenorrhea and Hypomenorrhea respectively. In modern science on basis of signs and symptoms of Artava Kshaya can be compared to oligomenorrhea and hypomenorrhea. According to Acharya Kasyapa in Kalpasthana, Shatapushpa is just like nector to the women who suffer from menstrual problems like amenorrhea, oligomenorrhea, hypomenorrhea, menometrorrhagia, infertility etc. Shatapushpa can be used in the form of Churna, Kwatha and Taila. Shatapushpa Taila should be used in form of Nasya, Pana, Abhyanga and Basti according to Kasyapa and Charaka. Hence in this study Shatapushpa Taila was selected for Matra Basti in Artava Kshaya as it is having the Agneya property and Aritava Janana.

Keywords: Artava Kshaya, Shatapushapa Taila, Matra Basti

Corresponding Author How to Cite this Article To Browse
Archana, Post Graduate Scholar, Dept of Prasuti Tantra and Stree Roga, Nk Jabshetty Ayurvedic Medical College and Pg Research Centre, Bidar, Karnataka, India.
Email: 		Archana, Sheela Mallikarjun, Sonalika Hiremath, Sridevi Swamy, Ishwari Patil, Clinical efficacy of Shatapushpa Taila Matra Basti in Artava Kshaya with Low AMH - Case Study. J Ayu Int Med Sci. 2024;9(6):339-343.
Available From
https://jaims.in/jaims/article/view/3517

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2024-04-15 2024-04-25 2024-05-06 2024-05-13 2024-05-23
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
Authors state no conflict of interest. Non Funded. The conducted research is not related to either human or animals use. 12.13 All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

© 2024by Archana, Sheela Mallikarjun, Sonalika Hiremath, Sridevi Swamy, Ishwari Patiland 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].

J Ayu Int Med Sci 2024;9(6)339
Archana et al. Clinical efficacy of Shatapushpa Taila Matra Basti in Artava Kshaya

Introduction

In Ayurveda, Prasuti Tantra and Stree Roga is a specialized branch of science contributed purely for women ailments and their managements including pregnancy. A healthy women is a promise of healthy family in different phases of women’s life, from Puberty to Menopause. In today’s fast world due to lack of time, mode of life and mental stress, gynecological problems are increasing day by day. The common one is Artava Kshaya. In Ayurveda clinical condition of Oligomenorrhea[1] and Hypomenorrhea[2] is known as Artava Kshaya. If we review our classics Artava Kshaya has not been mentioned as a separate disease but it has described as a symptom of many gynecological disorders. Acharya Sushruta explained symptoms of Artava Kshaya[3] i.e., Yathocita Kala Adarshanam - The menstruation does not appear in its appropriate time or delayed (intermenstrual period is prolonged), Alpa Artavam - scanty menstruation, Yoni Vedana - Pain in vagina.[4]

Artava Kshaya is one of Artava Dusti described in Brihatrayee and Laghutrayee.[5,6] In Ayurvedic literature Chikitsa for Artava Kshaya is Samshodhana and Agneya Dravyas[7] (Tila, Masha, Sukta, Sura etc.). Acharya Kasyapa mentioned Artava Vyapads, for all Artava Vyapads Shatapushpa Shatavari acts as Amruta Samana.[8] In this study Shatapushpa Taila is selected due to its Vatakapha Shamaka and Pitta Vardhaka properties, it may act as Yonivisodhana and Artavajanana. Shatapushpa Taila can be used in form of Pana, Abhyanga, Nasya and Basti. Basti is one of most important Samshodhana procedures which can be used in management of Artava Kshaya as it not only balances vitiated Doshas (Vata, Pitta, Kapha) but also provides nutrition hence correcting the overall condition of patient.

Aim and Objectives

To evaluate the efficacy of Shatapushpa Taila Matra Basti in Artava Kshaya with Low AMH.

Methods and Materials

It is a conceptual study of Artava Kshaya and role of Matra Basti with Shatapushpa Taila in management of Artava Kshaya gathered from Ayurvedic classics and modern books.

Case Study

A 25yrs old married woman visited to OPD of SSCH and RC on 19|08|2023 with the complaints of delayed menstrual cycle with scanty menstrual flow since 7 months associated with lower abdominal pain with H/O 8 years married life.

Past History

Medical history: No H/O HTN, DM, TSH

Surgical history: No any surgical history

Family History: All family members are healthy

Personal History

  • Diet: Mixed (Veg and Non veg)
  • Appetite: Good 
  • Sleep: Sound
  • Bowel: 1-2 times/day
  • Micturition: 4-5 times/day

Menstrual History

  • Menarche: 14years   
  • Menstrual cycle: Irregular
  • Interval: 40 – 45 days
  • Amount: 1pad/day
  • Pain: present
  • Clots: absent
  • Duration: 1-2 days
  • LMP: 18/08/23

Asthavidha Pariksha

  • Nadi: 72times/min
  • Mala: 1-2 times/day
  • Mutra: 4-5 times/day
  • Jihwa: Nirlipta
  • Shabda: Avisesha
  • Sparsha: Anushna sita
  • Drik: Prakruta
  • Akruti: Madhyama

Dashavidha Pariksha

  • Prakruti : Vata - Kapha
  • Vikruti : Pitta

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Archana et al. Clinical efficacy of Shatapushpa Taila Matra Basti in Artava Kshaya
  • Sara : Madhyama
  • Samhanana : Madhyama
  • Pramana : Madhyama
  • Satwa : Madhyama
  • Satmya : Madhyama
  • Ahara Shakti : Madhyama
  • Vyayama Shakti : Madhyama
  • Vaya : Youvana

General Examination

  • Built : Lean
  • Height : 5.1ft
  • Weight : 60kg
  • Temperature : 97.4°F
  • P : 120/70mmHg
  • Pulse : 84bpm
  • Pallor : Absent
  • Odema : Absent
  • Cynosis : Absent
  • Icterus : Absent
  • Lymph nodes : Normal

Systemic Examination

CVS : S1 S2 Heard

RS  : BLAE Clear

CNS : Concious and Well Oriented

P/A : Soft

Investigations

  • Hb%: 9.4gms%
  • HIV: Negative
  • HBSAg: Negative
  • USG: Appears Normal
  • TSH: 1.98 µIU/ml
  • AMH: 0.48ng/mL
  • FSH: 2.43mIU/L
  • LH: 8.64 mIU/L
  • Prolactin: 6.64 mIU/L

Differential diagnosis

  • Ksheena Artavadushti
  • Vataja Artavadushti
  • Artava Kshaya

Diagnosis: Artava Kshaya

Treatment given

DateTreatment
30/09/23Matra Basti with Shatapushpa Taila for 7 days. Dose : 70ml
Given after complete cessation of menstruation.
Follow up - on 5th day of cycle
06/11/23Matra Basti with Shatapushpa Taila for 7 days. Dose : 70ml
Given after complete cessation of menstruation.
Follow up - on 5th day of cycle
07/12/23Matra Basti with Shatapushpa Taila for 7 days. Dose : 70ml
Given after complete cessation of menstruation.
Follow up - on 5th day of cycle

Observations and Results

SNSigns and SymptomsBefore treatmentAfter treatment2nd cycle3rd cycle
1st cycle
1.Duration of menstrual flow1-2 days2-3days3-4 days4-5 days
2.Amount of blood loss1pad/day1-2 pads/day1-2 pads/day1-2 pads/day
3.Inter menstrual period40-45 days35-40 days30-35 days28-30 days
4.Yoni Vedana (Pain)Severe lower abdominal pain on 1st dayMild lower abdominal painMild lower abdominal painAbsent

Before Treatment
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J Ayu Int Med Sci 2024;9(6)341
Archana et al. Clinical efficacy of Shatapushpa Taila Matra Basti in Artava Kshaya

jaims-3517-02.jpg

After Treatment
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Discussion

The Menstrual cycle is essential physiological phenomenon observed in female reproductive era i.e., Ritu Chakra. In Artava Kshaya the vitiation of Vata and Kapha Doshas takes place, due to this the menstruation does not appear in its appropriate time or delayed (intermenstrual period is prolonged), scanty menstruation, Pain in Yoni and also due to low AMH there is irregular ovulatory functions. In this condition, the 4 main principles - Nidana Parivarjana, Swayonivardhana Dravyas,

Samshodhana and use of Agneya Dravyas are beneficial to remove Srotoavarodha and brings up the normal menstrual flow. In Artava Kshaya, Tikshna Ushna Gunas and Agneya Dravyas are beneficial. It will be helpful in removing Ama and Srotoroadha. In this study Matra Basti Chikitsa is selected. As it does Vatanulomana and there by normalizes Apana Vata and physiological functioning of Vata, which may help in regularization of menstruation and ovulation. Here Shatapushpa Taila is used for Matra Basti and the Gunas of Shatapushpa are Balya, Deepan, Pachan, Yonivishodhana, Artavaajanana, and Beejotsarga. Hence Matra Basti is effective on various parameters of Artava Kshaya like it has improved the interval, duration, flow of menstruation as well as it was effective in reducing the pain during menstruation in the management of Artava Kshaya and also patient got conceived in next cycle.

Conclusion

In our classics Artava Kshaya is not directly explained as a disease but has been explained under Artava Vikaras as a symptom. Artavavaha Srotas are obstructed by the Vikruti of Apana Vata and Kapha, results in Artava Kshaya. To maintain the normalcy of Agni and Vata, removing Kapha is the basic line of treatment. It can be achieved by Samsodhana and Samshamana (in the form of Agneya Dravyas). Hence for the present study the use of Matra Basti with Shatapushpa Taila was found to be effective in the management of Artava Kshaya.

References

1. C.Dutta Text book of Gynaecology including contraception, New Central Book Agency Kolkata, Edited by Hiralal Konar, Reprinted-2009 Edition – 6th, 8th chapter, Menstruation, pp 79,627.

2. C.Dutta Text book of Gynaecology including contraception, New Central Book Agency Kolkata, Edited by Hiralal Konar, Reprinted-2009 Edition – 6th ,8th chapter, Menstruation, pp 79,627.

3. Shastri Kaviraj Ambikadutta; Edited Sushrutaa samhita Sutra sthana 15/12, Varanasi: Chaukhambha Sanskrit sansthan; Reprint 2007, pp 59.


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4. Shastri Kaviraj Ambikadutta; Edited Sushrutaa samhita Sutra sthana 15/12, Varanasi: Chaukhambha Sanskrit sansthan; Reprint 2007, pp 59.

5. Shastri Kaviraj Ambikadutta; Edited Sushrutaa samhita Sutra sthana 14/6, Varanasi: Chaukhambha Sanskrit sansthan; Reprint 2007, pp 48.

6. Shastri Kasinatha and Chaturvedi Gorakhanatha; Edited Charaka samhita Sharira sthana 4/5, Vol-1 Varanasi: Chaukhambha bharati academy; Reprint 2009, pp 867.

7. Shastri Kaviraj Ambikadutta; Edited Sushrutaa samhita Sutra sthana 15/12, Varanasi: Chaukhambha Sanskrit sansthan; Reprint 2007, pp 59.

8. Pandit Hemraj Sharma, Kasyapa samhita or vriddajivakeeya tantra, Varanasi Chaukambha Sanskrit bhavan uttarpradesh 2006, Kalpa Sthana 10th, 13th slokas shatapushpashatavarikalpa adhyaya, pp 186.


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