HTML Full Text

Introduction

In today's High-Tech era women have become more ambitious, and are trying to conquer the world. But some physiological things may trouble them and make them slow down. One of such problems is Dysmenorrhoea.1 In this women suffer with severe abdominal pain, backache during and before menstruation. Menstruation is a cyclical process occurring every month which is physiological. Ayurveda science has mentioned it as Rutuchakra2. According to Ayurveda Normal Rutuchakra should occur cyclically and should be without anysymptoms  like Shula (Pain) or Daha (Irritation). Menstruation occurs for 3 to 7 days every month3. The painful menstruation refers to Udavarta Yonivyapada.4It occurs due to vitiation of vata. Hence the treatment advised is VatashamanDravyas, Snehan, Swedan and Basti5. The important chikitsaupakram for Vatadosha is Basti. As mentioned in CharakSanhita, it has decided to give the Basti using Vataghnadravya  mentioned for Niruha. This Basti should be given along with Taila and Amla (i.e. Kanji).6As a VataghnaDravya we have selected ErandaMool (Ricinus Communis) for Niruha and Anuvasana is given with TilaTaila.

OBJECTIVE: To study the efficacy of Erandmool Niruha Vyatasat Tila Taila Anuvasana (Yogbasti) in Dysmenorrhoea (UdavartaYonivyapada).

METHODS:

1. Drugs - Erandmool, TilaTaila.
2. Instruments for Basti.
3. 30  prediagnosed Udavarta Yonivyapada patients having regular menstrual cycle  within the age group  15 to 40 yrs. were selected for the said study by Random sampling method.
4. Patients with pelvic inflammatory disease and patients with irregular menstrual cycle  were excluded from the study.
5. The selected patients were administerd with Erandmool NiruhaBasti and Tila Taila Anuvasana Basti  on alternate days for 8 days 8 to 10 days prior to menstruation i.e. rutuvyatitkala, for 2 consequetive cycles. After taking detail history and  it is recorded in specially prepared case record forms. Written informed consent were taken prior to inclusion for the said study.

6)     Observations were recorded on 5th day of every menstrual cycle for three consecutive cycles.

               7)           Case record form maintained.

8)           Data collected, recorded and analysed.

OBSERVATIONS AND RESULTS

               As assessment was done using Oxford Pain Chart and gradation were noted on the scale of 0 to 4 for 3 consecutive cycles on the 5th day of each menstrual cycle.  The data recorded has repetitive measures hence Friedman's Test is applied.

Udarshool :

It is observed that Udarshool decreases over the period of treatment.  We can see that standard deviation between second cycle and third cycle has increased indicating that there is reduction the symptoms.  The P value is <0.005 showing that the treatment is highly significant.

Katishoola

The mean and standard deviation of values for all the patients observed for each time point shows that mean and standard deviation values decreased over  the period of treatment.  Showing reduction in symptom of Katishool.   The P value reported to be <0.05 which is highly significant.

Hrullas :

As per descriptive statistics the mean and standard deviation value for observed patients are decreasing over the treatment period the P value reported to be <0.05 which is highly significant. The data shows significant reduction in the symptoms like Katishool, Udarshool and Hrullas.

Discussion

Udavarta yonivyapad (Dysmenorrhoea) is related to menstruation were the predominant symptoms are Udarshool, Katishool and Hrullas.  Some times we may find variation in the quantity of Rajastrava.  Out of 30 patients 6 patients were found with scanty menses and 5 were having severe menstrual flow.  These patients were also included and treated. The diseases caused by vitiation of vata dosha  especially apana vayu hence basti treatment is very much useful in management of Udavarta yonivyapad (Dysmenorrhoea).  In this study we have used eranda mool for niruha and tila taila for anuvasan basti as both are useful in treating vata dosha.  Erandamool being the best vataghna dravya it has been used for niruha basti.  Also tila taila is best sneha  for vitiated vata. While conducting the study the demographic data was maintained it is observed that about 50% population was from the age group below 20 years 46% from age group of 21 to 35 yrs. And 3% from age group 36 yrs and above.   Anxiety during adolescent age may be the aggravating factor for pain. The lifestyle disorder one of the may be causative factor. The  data also showed that most of patient enrolled were students that from the same age group (63.33%). 

The least sufferers were the labourers (6.67%) emphases the role of physical activity.  The socio-economic data shows middle class as the most common sufferers being 46.66% .  It is also noted that unmarried patients 63.33% are suffering more than the married being 36.66%.  The data also shows Nullipara having dysmenohoea are more (86.67%) and multipara are (13.33%).  All this data emphasis the need of lifestyle modification especially in younger population.

Conclusion

The Treatment i.e., Erandmool Niruha and Tila Taila Anuvasana given alternately (Yogbasti) is highly effective on Katishool (P-value < 0.005) and Udarshool (P-value < 0.005) and Hrullas (P-value < 0.005). The treatment is also effective for normalising the menstrual flow (Rajasravapramana) - P-value = 0.028.

The treatment is highly effective in treating Dysmenorrhoea i.e., Udavarta Yonivyapada.