Yonivyapat Chikitsa: Difference between revisions
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|title=Yonivyapat Chikitsa | |title=Yonivyapat Chikitsa | ||
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<big>'''[[Chikitsa Sthana]] Chapter 30. Management of disorders of genital tract </big>''' | <big>'''[[Chikitsa Sthana]] Chapter 30. Management of disorders of genital tract </big>''' | ||
{{Infobox | {{Infobox | ||
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|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]] | |data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]] | ||
|label6 = Translator and commentator | |label6 = Translator and commentator | ||
|data6 = Suman S. Wanjarkhedkar P., Sabnis M., Gujarathi J.,Deole Y. S. | |data6 = Suman S. Wanjarkhedkar P., Sabnis M., Gujarathi J., [[Yogesh Deole|Deole Y. S.]] | ||
|label7 = Reviewer | |label7 = Reviewer | ||
|data7 = Roy A.,Gujarathi J. | |data7 = Roy A., Gujarathi J. | ||
|label8 = Editors | |label8 = Editors | ||
|data8 = Gujarathi J., Deole Y.S., Basisht G. | |data8 = Gujarathi J., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]] | ||
|label9 = Year of publication | |label9 = Year of publication | ||
|data9 = 2020 | |data9 = 2020 | ||
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}} | }} | ||
<big>''' Abstract </big>''' | <big>''' Abstract </big>''' | ||
< | <p style='text-align:justify;'>[[Yonivyapat Chikitsa]] mainly deals with the management of disorders of male and female genital tract and reproductive system. It also includes the abnormalities of breast milk and its impact on baby and some guidelines for the management of diseases in children. The last part comprises of some important general principles in clinical management of diseases like factors influencing disease process, time of administration of medicine and route of administration. | ||
[[Yonivyapat Chikitsa]] mainly deals with the management of disorders of male and female genital tract and reproductive system. It also includes the abnormalities of breast milk and its impact on baby and some guidelines for the management of diseases in children. The last part comprises of some important general principles in clinical management of diseases like factors influencing disease process, time of administration of medicine and route of administration. | <br/> | ||
The disorders of the female genital tract are described under twenty ''yonivyapat'' (''yoni''(vagina),''vyapat''(disorders)) based upon the vitiation of [[dosha]] and dushyas. ''Rakta yoni'' (per vaginal bleeding) and ''pradara'' (menorrhagia) are described separately considering its importance in gynecology practice. The local and generalized management of these disorders with [[Panchakarma]], [[basti]] and ''uttara basti'' procedures, vaginal douches are enlisted. | The disorders of the female genital tract are described under twenty ''yonivyapat'' (''yoni''(vagina),''vyapat''(disorders)) based upon the vitiation of [[dosha]] and dushyas. ''Rakta yoni'' (per vaginal bleeding) and ''pradara'' (menorrhagia) are described separately considering its importance in gynecology practice. The local and generalized management of these disorders with [[Panchakarma]], [[basti]] and ''uttara basti'' procedures, vaginal douches are enlisted. | ||
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Various disorders of the male genital tract, causes of impotency, defects of semen and their management are elaborated further. The chapter is comprehensive manual of management of disorders of male and female genital tract as well as guidelines for pediatric practice. | Various disorders of the male genital tract, causes of impotency, defects of semen and their management are elaborated further. The chapter is comprehensive manual of management of disorders of male and female genital tract as well as guidelines for pediatric practice. | ||
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'''Keywords''': ''Yonivyapat'' (disorders of female genital tract), ''shukra'' (semen and sperm), [[artava]] (menstruation), ''klaibya'' (impotency), disorders of male genital tract, ''stanya'' (breast milk), ''pradara'' (menorrhagia), dysmenorrhoea, pediatrics,circadian rhythm, ''aushadha sevana kala'', chrnonopharmacolgy. | '''Keywords''': ''Yonivyapat'' (disorders of female genital tract), ''shukra'' (semen and sperm), [[artava]] (menstruation), ''klaibya'' (impotency), disorders of male genital tract, ''stanya'' (breast milk), ''pradara'' (menorrhagia), dysmenorrhoea, pediatrics,circadian rhythm, ''aushadha sevana kala'', chrnonopharmacolgy. | ||
</ | </p> | ||
== Introduction == | == Introduction == | ||
<div style="text-align:justify;"> | <div style="text-align:justify;"> | ||
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==== Male genital tract and its disorders ==== | ==== Male genital tract and its disorders ==== | ||
By ''retovaha srotas'' the pathway through which the semen flows out shall be considered; which can be correlated to the seminal vesicles and ejaculatory duct. ''Retovaha srotas'' has been discussed separately to make it understand that is is different than ''shukravaha srotas''. As mentioned earlier ''shukravaha srotas'' comprises of ''medhra'' (the penis) and ''vrishana'' (the scrotum), which is referred for stationary semen; while ''retas'' is the word for virile semen, that is flowing semen. Therefore the words | By ''retovaha srotas'' the pathway through which the semen flows out shall be considered; which can be correlated to the seminal vesicles and ejaculatory duct. ''Retovaha srotas'' has been discussed separately to make it understand that is is different than ''shukravaha srotas''. As mentioned earlier ''shukravaha srotas'' comprises of ''medhra'' (the penis) and ''vrishana'' (the scrotum), which is referred for stationary semen; while ''retas'' is the word for virile semen, that is flowing semen. Therefore the words [[shukra]] and ''retas'' have been used separately in different context as per the suitability and the intention of description. [133-139] | ||
===== Abnormal semen ===== | ===== Abnormal semen ===== | ||
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====== The characteristics of abnormal semen ====== | ====== The characteristics of abnormal semen ====== | ||
The | The [[shukra]] dushti has been mentioned as of eight types by Sushruta, although the nomenclature is different. | ||
'''Table : 1 Classification of | '''Table : 1 Classification of [[shukra]] dushti according to Sushruta<ref>Sushruta. Sharira Sthana, Cha.2 Shukrashonitashuddhi Sharira Adhyaya verse 2-3. In: Jadavaji Trikamji Aacharya, Editors. Sushruta Samhita. 8th ed. Varanasi: Chaukhambha Orientalia;2005. p.1.</ref> and ''Ashtanga Sangraha''''' | ||
{| class="wikitable" | {| class="wikitable" | ||
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! scope="col"| Clinical Conditions | ! scope="col"| Clinical Conditions | ||
|- | |- | ||
| | | [[Vata]] dushta | ||
| | | Aruna, krishna varna, phenila, tanu, rooksha, alpa, vilambita vedana yukta | ||
| Oligospermia and azospermia, injury, chronic inflammation, low fructose, obstruction in seminal vesicle | | Oligospermia and azospermia, injury, chronic inflammation, low fructose, obstruction in seminal vesicle | ||
|- | |- | ||
| | | [[Pitta]] dushta | ||
| | | Neela varna, ushna, putigandha, daha chosha type of pain during ejaculation | ||
| Acute prostitis | | Acute prostitis | ||
|- | |- | ||
| | | [[Kapha]] dushta | ||
| | | Shukla varna, atipicchila, prabuta, kandu yukta, visra gandha | ||
| Chronic inflammatory condition, hypofunction of male sex accessory glands | | Chronic inflammatory condition, hypofunction of male sex accessory glands | ||
|- | |- | ||
| | | Kunapa – Shonita dushta | ||
| Cadaver smelling, ''analpa'', associated with ''osha'' and ''chosha'' | | Cadaver smelling, ''analpa'', associated with ''osha'' and ''chosha'' | ||
| Hemospermia (benign prostate hypertrophy) or acute injury to external genitals. | | Hemospermia (benign prostate hypertrophy) or acute injury to external genitals. | ||
|- | |- | ||
| | | Granthi–[[Kapha]] [[vata]] dushta | ||
| Clot formation | | Clot formation | ||
| Prostatic dysfunction and inflammation | | Prostatic dysfunction and inflammation | ||
|- | |- | ||
| | | Putipuya - [[pitta]] [[kapha]] dushta | ||
| Foul smelling, semen containing ''puya'' | | Foul smelling, semen containing ''puya'' | ||
| Pyospermia, Chalmydia infection, STD | | Pyospermia, Chalmydia infection, STD | ||
|- | |- | ||
| | | Kshina – [[pitta]] [[vata]] dushta | ||
| Hypospermia and oligospermia | | Hypospermia and oligospermia | ||
| Decreased semen volume because of obstruction in seminal vesicle. | | Decreased semen volume because of obstruction in seminal vesicle. | ||
|- | |- | ||
| | | Mutrapurishagandhi - Tri[[dosha]] | ||
| Semen with smell of urine and feces | | Semen with smell of urine and feces | ||
| Carcinoma, recto – genital urinary tract fistula | | Carcinoma, recto – genital urinary tract fistula | ||
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===== Characteristics of normal semen ===== | ===== Characteristics of normal semen ===== | ||
The | The shuddha [[shukra]] should be white like ''sphatika'', liquid, viscous, sweet in taste, smell of honey also should look like mixture of oil and honey. | ||
Following are the criteria for normal semen according to modern science: | Following are the criteria for normal semen according to modern science: | ||
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These temporal characteristics of cardiovascular disease indicate the importance of careful timing in their assessment, monitoring, and treatment (120). [299] | These temporal characteristics of cardiovascular disease indicate the importance of careful timing in their assessment, monitoring, and treatment (120). [299] | ||
</div> | </div> | ||
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== References == | == References == | ||