Effect of Sthanika Chikitsa in the management of Kaphaja Yoni Vyapath w.s.r to Candida Albicans - Case Series

Abstract

Background: Kaphaja Yoni Vyapath is a common condition in present days which can be correlated with Vulvo vaginal candidiasis which stands as second most commonest genital infection in world wide. It is a distressed condition that woman face and also it affects the interpersonal relationship. In India the incidence rate of vaginal candidiasis is of 70-75% and Worldwide 80 %. According to Acharyas it is due to Kapha Vrudhi and usage of Abhisyandi Aharas with symptoms like Kandu, Alpa Vedana, Pichila Srava in Yoni. Hence Kapha Hara Chikitsa with Ruksha and Ushna Guna Dravyas are helpful. Among Sthanika Chikitsa, Yoni Prakshalana and Yoni Varthi are treatment modalities which can be adopted to clear the Sthanika Kapha Dusti in yoni. By these treatment there will be quick and faster absorption of drugs through vaginal mucosa which clears the symptoms easily. Hence drugs having Tikta, Kashaya Rasa with Kandughna, Krimighna, Tridosha Hara Karmas are beneficial in the managemet of Kaphaja Yoni Vyapath. Objective: Management of Kaphaja Yoni Vyapath by Yoni Prakshalana with Guduchadi Kashaya and Guduchyadi Yoni Varti. Materials and Methods: Subjects of 3 Married women aged between 20-40 years having symptoms of Kaphaja Yoni Vyapath and with vaginal smear positive for pseudo hyphae were selected from PTSR OPD and IPD from SDMCAH Hassan, treated with Yoni Prakshalana by Guduchyadi Kashaya for 7 days twice daily and Guduchyadi Varti kept in Yoni till Aamutra Kala for 7 days. After treatment vaginal smear was repeated and subjective and objective symptoms were assessed. Result: After 7 days of treatment there was a considerable improvement noticed and vaginal smear found negative for pseudo hyphae. Conclusion: Herbal formulation which is cost effective, easily available can be very well made use in the management of Kaphaja Yoni Vyapath which pacifies Kapha- Vata Doshas.