A CASE STUDY TO EVALUATE THE EFFECT OF LEKHAN BASTI AND NASYA KARMA WITH DASHMOOLA TAILA IN ARTAV KSHAYA W.S.R TO PCOD
DOI:
https://doi.org/10.22159/prl.ijayush.v15i06%20(June).2115Keywords:
Lekhana Basti, Nasya Karma, Dashmoola Taila, Artav Kshaya, PCOD, Kapha Meda DushtiAbstract
Background: Artav Kshaya, a condition characterized by scanty or irregular menstruation, can be correlated with Polycystic Ovarian Disease (PCOD) in modern gynecology. Ayurveda emphasizes the role of Vata and Kapha vitiation and Avarana of Artava Vaha Srotas in the pathogenesis. Lekhana Basti and Nasya Karma with Dashmoola Taila are indicated for Kapha Meda Lekhana, Vata Anulomana and Artava Janana. Aim: To evaluate the efficacy of Lekhana Basti and Nasya Karma with Dashmoola Taila in the management of Artav Kshaya w.s.r. to PCOD. Objectives: To assess the effect of Lekhana Basti on menstrual regularity and associated symptoms. To evaluate the role of Nasya Karma with Dashmoola Taila in neuroendocrine balance and Vata-Kapha alleviation. To observe changes in ultrasonographic findings pre- and post-treatment. To analyze overall improvement in quality of life and metabolic parameters. Methods: A 24-year-old female patient presenting with oligomenorrhea, weight gain, and ultrasound-confirmed bilateral polycystic ovaries was treated. The protocol included Deepana-Pachana, followed by Lekhana Basti for 16 days and Nasya Karma with Dashmoola Taila for 14 days. Clinical parameters such as menstrual regularity, duration, amount of flow, and associated symptoms were assessed. Ultrasonographic findings were also evaluated pre- and post-treatment. Results: Significant improvement was noted in menstrual regularity, increased menstrual flow, reduction in body weight, and alleviation of associated symptoms such as acne and hair fall. Follow-up ultrasonography showed a reduction in ovarian volume and follicular cysts. Conclusion: The combined approach of Lekhana Basti and Nasya Karma with Dashmoola Taila demonstrated effective management of Artav Kshaya w.s.r. to PCOD by addressing the underlying Kapha Meda Dushti, Vata Anulomana, and Srotoshodhana.
References
Tiwari PV. Ayurvediya Prasutitantra Evam Striroga. Vol. 2. 2nd ed. Varanasi: Chaukhamba Orientalia; 1999. p. 163.
Dutta DC. Textbook of Gynecology. 7th ed. New Delhi: Jaypee Brothers Medical Publishers; 2016. p. 378-381.
Kunjal V, Pandey S, Sharma P. Conceptual study of Artav Kshaya with special reference to PCOS. Int J Ayurvedic Med. 2019;10(3):256-260.
Tiwari PV. Ayurvediya Prasutitantra Evam Striroga. Vol. 2. 2nd ed. Varanasi: Chaukhamba Orientalia; 1999. p. 168.
Kusha VN. Striroga Vijnan (Textbook of Gynaecology). Delhi: Chaukhamba Sanskrit Pratishthan; 2010. p. 51-80.
March WA, Moore VM, Willson KJ, Phillips DI, Norman RJ, Davies MJ. The prevalence of polycystic ovary syndrome in a community sample assessed under contrasting diagnostic criteria. Hum Reprod. 2010;25(2):544-551. doi:10.1093/humrep/dep399.
Palomba S, Santagni S, Falbo A, La Sala GB. Complications and challenges associated with polycystic ovary syndrome: current perspectives. Int J Womens Health. 2015;7:745-763. doi:10.2147/IJWH.S70314.
Legro RS. Obesity and PCOS: implications for diagnosis and treatment. Semin Reprod Med. 2012;30(6):496-506. doi:10.1055/s-0032-1328878.
Tiwari PV. Ayurvediya Prasutitantra Evam Striroga. Vol. 2. Varanasi: Chaukhamba Orientalia; 1999. p. 630.
Sharma R, Sharma S. Sahasrayogam. Kashaya Prakaran. Gulmahara Kashaya. Varanasi: Chaukhamba Sanskrit Pratishthan; p. 22.
Sharma PV. Dravyaguna Vijnana. Vol. 2. Varanasi: Chaukhamba Bharati Academy; 2003. p. 706.
Sastry JN. Dravyaguna Vigyana. Vol. 2. Varanasi: Chaukhamba Orientalia; 2005. p. 258-259.
Uniyal M. Prayogatmak Abhinava Dravyaguna Vigyanam. Varanasi: Chaukhamba Orientalia; 2008. p. 318.
