A CLINICAL STUDY TO EVALUATE THE EFFICACY OF YAVAKSHARA IN GARBHASHAYAGREEVAGATA VRANA W.S.R. TO CERVICAL EROSION
Abstract
Garbhashaya Greevagata Vrana, which can be correlated to Cervical Erosion, is one among the common conditions seen in Gynaecology OPD. Garbhashaya Greevagata Vrana is caused by vitiation of vata and kaphadosha, it is condition in which squamous epithelium of ectocervix is replaced by columnar epithelium which is continuous with that lining the endocervix. This may present with other symptoms like vaginal discharge, itching, foul smell etc. If it is not treated for long time it may land up in female infertility and in the due course of time the same may lead to cervical carcinoma. In the classics treatment of Vrana with Kshara which has vranashodhana, ropana property is proposed as a local treatment. In the present study Yavakshara has been selected for the same.
Objectives: 1) To evaluate the efficacy of Yavakshara in GarbhashayaGreevagataVrana.2) To evaluate the incidence of Garbhashaya Greevagata Vrana in general population of Prasooti Tantra Evam Stree Roga Department of SKAMCH & RC, Bangalore.
Materials and Methods: It is a clinical study with pre and post test design which was conducted on 40 patients diagnosed of Garbhashayan Greevagata Vrana (Cervical Erosion) and randomly assigned into two equal groups.
Group A: 20 patients were treated with Sthanikachikitsa where in Yavakshara was applied on Garbhashaya Greevgata Vrana for a period of 5 minutes, after which the Kshara was neutralized with Nimbu Swarasa. This was done once in a day for 10 consecutive days along with Pathyaahara and vihara of Vrana as told in the classics.
Group B: 20 patients were advised to follow Pathya and Apathya for 10 days as advised in the classics.
Follow up was done after 7th day of next menstrual cycle for both the groups.
Results: The comparison between the groups showed statistically significant result in majority of the parameters of assessment criteria. Which means that there was marked difference in between the groups.Group A has showed highly significant results within the group in all the parameters whereas Group B has showed significant result in only one parameters and the other parameter were non significant?
Conclusion: “Application of Yavakshara” has shown successful results in all the cardinal symptoms of Garbhashaya Greevagata Vrana.
Key words: Garbhashaya Greevagata Vrana, Cervical Erosion, Yavakshara.
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