Understanding the Nidana Panchaka of Sthoulya induced Fibroid Uterus (Garbhashaya Granthi) through its Ayurvedic management

Chaithra TM; Pramod Katti

doi:10.21760/jaims.9.4.26

Chaithra TM Post Graduate Scholar, Dept. of Kayachikitsa, Ayurveda Mahavidyalaya and Hospital, Hubballi, Karnataka, India.
Pramod Katti Professor, Dept. of Kayachikitsa, Ayurveda Mahavidyalaya and Hospital, Hubballi, Karnataka, India.

DOI: https://doi.org/10.21760/jaims.9.4.26

Keywords: Sthoulya, obesity, Santarpanottha Vikara, Fibroid Uterus, Garbhashaya Granthi

Abstract

Sthoulya (obesity) is one among the non-communicable disease which is a threat for human health. The overweight population have been doubled in a few decades in urbanised societies as a result of changes occurring in Food Habits, Lifestyle and Occupational patterns, and these have significant health implications as they produce Santarpanottha Vikaras. In Ayurveda metabolic disorders can be corelated with the Santarpanottha Vikaras. Sthoulya is enumerated under Santarpanottha Vyadhi. Dustha Kapha and Medo Dhatu when they take Sthanasamshraya in Garbhashaya Mamsa Dhatu and results in the manifestation of Granthi, Arbuda, which are enumerated under Santarpanotha Vyadhi. In the Nidanaarthakara Roga, the Ubhayarthakara Roga is explained which refers to the manifestation of secondary disease with persistence of primary disease. Here in this Vyadhi Sthoulya acts as a Ubhayarthakara Roga for Garbhashaya Granthi. In the literatures of Ayurveda, research articles, Allopathic books, Modern research articles we have found a link between Kapha Dosha, Meda Dhatu, Sthoulya (Obesity) having relation with manifestation of Fibroid Uterus (Garbhashaya Granthi). To come out with line of treatment, as direct line of treatment is not explored hence, we want to explore the line of treatment for Sthoulya (Obesity) induced Fibroid Uterus (Garbhashaya Granthi). The present article is focused on understanding of pathophysiology of Sthoulya induced Fibroid Uterus (Garbhashaya Granthi) with its different dimensions of Ayurvedic treatment.

Downloads

Download data is not yet available.

References

Charaka, Charaka Samhita of Agnivesha, edited by Vaidya Harishchandra Vaidya kushawa Sutra sthana Chapter 23 Santarpaniyam adhyaya Verse number 5-7, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:327.

Vagbhata, Astanga Hrudayam, Edited by Dr. Bramhanand Tripati, Sutra Sthana Chapter 1 Ayushkamiya adhyaya verse number 12, Chowkhamba Sanskrit Pratistana, Varanasi. Reprinted, 2022:pg no 11.

Vridda Vagbhatta, Astanga Sangraha, Edited by DR.K.R.Srikanth murthy, Sutra Sthana Chapter 19 Dosa vijnaniya Adhyaya Verse number 19,20-24, Chowkhamba Sanskrit Pratistana, Varanasi, Reprinted, 2018, Pg No:351,362

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa Nidana sthana Chapter 8 Apasmara nidanam Verse number 21, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:583.

Ross RK, Pike MC, Vessey MP, Bull D, Yeates D, Casagrande JT. Risk factors for uterine fibroids: Reduced risk associated with oral contraceptives. Br Med J (Clin Res Ed) 1986;293:359–62.

Lumbiganon P, Rugpao S, Phandhu-fung S, Laopaiboon M, Vudhikamraksa N, Werawatakul Y. Protective effect of depot-medroxyprogesterone acetate on surgically treated uterine leiomyomas: A multicentre case-control study. Br J Obstet Gynaecol. 1996;103:909–14.

Marshall LM, Spiegelman D, Manson JE, Goldman MB, Barbieri RL, Stampfer MJ, et al. Risk of uterine leiomyomata among premenopausal women in relation to body size and cigarette smoking. Epidemiology. 1998;9:511–7.

Sato F, Nishi M, Kudo R, Miyake H. Body fat distribution and uterine leiomyomas. J Epidemiol. 1998;8:176–80.

Shikora SA, Niloff JM, Bistrian BR, Forse RA, Blackburn GL. Relationship between obesity and uterine leiomyomata. Nutrition. 1991;7:251–5.

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa Sutra sthana Chapter 23 Santarpaniyam adhyaya Verse number 3-4, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:327.

DC Datta’s textbook of Gynecology, Edited by Hiralal Konnar, Chapter 20, Benign lesions of the Uterus, 7th edition, The health science publisher, New Delhi, Reprint : 2016, pg no:222.

Madhavnidanam of Madhavkara, Edited by Prof. Srikanth Murthy, Chapter no-34, Meda roga nidanam, Verse num-8, Chaukhambha Orientalia, Varanasi, Reprint edition 2009, pg,no:121.

Govind Dasji Bhisagratna, Bhaisajya Ratnavali, commented upon by Vaidya Shri Ambika Datta Shastri, English translation by Dr.Kanjiv Lochan, Volume 2, Chapter 39, Medo roga prakarana Verse number 1-3,Chaukhambha Sanskrit Sansthan, Varanasi, The C.S.B Series 67, Reprint 2009, Pg no:551.

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa Sutra sthana Chapter 22 Astaninditha adhyaya Verse number 20, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:312.

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa Sutra sthana Chapter 22 Astaninditha adhyaya Verse number 9, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:310.

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa Sutra sthana Chapter 22 Astaninditha adhyaya Verse number 5-6, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:310.

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa, Sutra sthana Chapter 22 Astaninditha adhyaya Verse number 4, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:310.

Suśruta. Suśruta Saṁhitā, Edited by Dr Keval Krishna Takaral, Nidana sthana, Chapter no 11, Granthiapachiarbudagalaganda nidana adhyaya, verse no 7: Chaukhambha orientalia, Varanasi, First edition 2014, Reprint 2023, Page no: 825.

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa Sutra sthana Chapter 23 Santarpaniyam adhyaya Verse number 8-25, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:328.

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa Sutra sthana Chapter 22 Astaninditha adhyaya Verse number 21-28, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:313.

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa Sutra sthana Chapter 28 Vividaashthapithiya adhyaya Verse number 26, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:477.

Vagbhata, Astanga Hrudayam, Edited by Dr. Bramhanand Tripati, Sutra Sthana Chapter 13 Doshopakramaniya adhyaya verse number 10-12, Chowkhamba Sanskrit Pratistana, Varanasi. Reprinted, 2022:pg no 186.

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa Chikitsa sthana Chapter 12 Shvayatu adhyaya Verse number 81-82, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:303.

Suśruta. Suśruta Saṁhitā, Edited by Dr Keval Krishna Takaral, Nidana sthana, Chapter no 18, Granthiapachiarbudagalaganda chikitsa adhyaya, verse no 4: Chaukhambha orientalia, Varanasi, First edition 2014, Reprint 2023, Page no: 378.

Vagbhata, Astanga Hrudayam, Edited by Dr. Bramhanand Tripati, Uttara tantra Chapter 30 Granthi arbuda shlipada apachi nadipratishedha adhyaya verse number 1 and 6, Chowkhamba Sanskrit Pratistana, Varanasi. Reprinted, 2022:pg no 1105-1106.

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa Chikitsa sthana Chapter 12 Shvayatu adhyaya Verse number 87, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:304.

Suśruta. Suśruta Saṁhitā, Edited by Dr Keval Krishna Takaral, Nidana sthana, Chapter no 18, Granthiapachiarbudagalaganda chikitsa adhyaya, verse no 35-36, Chaukhambha orientalia, Varanasi, First edition 2014, Reprint 2023, Page no: 378.

Vagbhata, Astanga Hrudayam, Edited by Dr. Bramhanand Tripati, Uttara tantra Chapter 30 Granthi arbuda shlipada apachi nadipratishedha adhyaya verse number 7/1, Chowkhamba Sanskrit Pratistana, Varanasi. Reprinted, 2022:pg no 1106.

Charaka, Charaka Samhita of Agnivesha, Edited by Vaidya Harishchandra Vaidya kushawa Chikitsa sthana Chapter 30 Yoni vyapat chikitsa adhyaya Verse number 225-228, Chaukhambha orientalia, Varanasi, First edition 2019, Reprint 2022, Pg no:829.

A Case control study of the relationship between visceral fat and developmental of uterine fibroid, Kejcian sun, Ying Xie and Zengning Spandidos Publications.