Development and validation of a Refined Grahani Assessment Scale based on constitutional features for evaluating Grahani Roga

Abstract

Introduction: Grahani is regarded as the seat of Agni, and their interdependent relationship underscores the need to preserve their integrity. Grahani Roga manifests with symptoms such as Muhur Badham and Muhur Dravam Mala. Earlier Grahani assessment scales are predominantly based on consistency of Mala rather than comprehensive Lakshanas of Grahani Roga and neither these scales were validated. Hence, development and validation of Refined Grahani Assessment Scale (RGAS) based on the Lakshanas of Grahani Roga is essential. Methodology: A thorough literature review and expert consultations were carried out to identify the most relevant signs and symptoms of Grahani disorders. Following this, the content was validated, questions were refined, and the questionnaire underwent pilot testing and validation. The finalized questionnaire was then prepared as a Google Form. The study results were used to assess the reliability of the questionnaire. Results: 235 participants participated in the survey, among whom 103 individuals were diagnosed with Grahani Roga according to specific criteria and the responses revealed validation and reliability of Refined Grahani Assessment Scale (RGAS). Conclusion: Currently, investigations into Grahani Roga focus on specific symptoms. To address this, the Refined Grahani Assessment Scale (RGAS) was developed. The creation and validation of RGAS represent a significant advancement in evaluating this condition. Applying this scale in research can enhance our understanding Lakshanas of Grahani Roga based on Agni, Kosta, Nidra, Manas and other systematic symptoms. Furthermore, its application in research can enhance understanding of Grahani Roga, leading to further progress in the field.