Basti Therapy (medicated enema) in gynecological practice: A way forward in managing oligo-hypomenorrhoea (Artavakshaya)

V. Monisha, Anuradha Roy, Binay Sen
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引用次数: 1

Abstract

Artavakshaya (oligo-hypomenorrhoea) is a condition described in Ayurvedic classics in which vitiated vata and kapha dosha causes obstruction in the artavavahasrotas (channels that carries menstrual blood or artava). The characteric features of Artavakshaya include yathochitakalaadarshana (prolonged intermenstrual period), alpata (scanty bleeding) and yonivedana (pain in vagina or pain during menses). Artavakshaya is a condition very much similar to the oligohypomenorrhoea which is characterized by cycle which are longer than 35 days and with bleeding less than 2 days. The principles of management of Artavakshaya are vatakaphashamaka (vata and kapha dosha pacifying) and agnivardhaka (stimulant, digestive and pitta analogue) therapy. Basti (medicated enema) which comes under Panchakarma (five biopurificatory measures) is considered as superior treatment in vata and vata predominant conditions. Matrabasti (low dose medicated oil enema) is a type of anuvasana basti (medicated lipid enema) which can be administered without much contraindication. Matrabasti administered with vatakaphashamaka and agnivardhaka drug can be better choice in the treatment of artavakshaya. Basti which is administered through guda maarga (rectal route) reaches the pakwashaya (large intestine) and spreads the virya (potency) of the drug to sarvasharira (whole body) through the microchannels. Basti which can act on the enteric nervous system and thereby act on the Central Nervous System can further stimulate the Hypothalamo-Pituitary-Ovarian (HPO) axis. A well co-ordinated HPO axis can normalise the menstrual cycle.
Basti疗法(药物灌肠)在妇科实践中:一种治疗少经少经的方法
少经血症(少经血症)是阿育吠陀经典中描述的一种情况,在这种情况下,vata和kapha dosha被破坏,导致aravavahasrotas(经血或经血的通道)阻塞。Artavakshaya的特征包括yathochitakalaadarshana(月经间期延长),alpata(少量出血)和yonivedana(阴道疼痛或月经期间疼痛)。阿尔塔瓦克沙雅是一种非常类似于少经的情况,其特点是周期超过35天,出血少于2天。治疗的原则是vatakapashamaka (vata和kapha dosha安抚)和agnivardhaka(刺激、消化和皮塔类似物)疗法。属于Panchakarma(五种生物净化措施)的basi(药物灌肠)被认为是vata和vata主要条件下的优越治疗方法。Matrabasti(低剂量药油灌肠)是一种无禁忌症的anuvasana basi(药油灌肠)。Matrabasti与vatakapashamaka和agnivardhaka药物联合使用是治疗aravakshaya的较好选择。Basti通过guda maarga(直肠途径)到达pakwashaya(大肠),并通过微通道将药物的virya(效力)传播到sarvasharira(全身)。Basti可以作用于肠神经系统,从而作用于中枢神经系统,进一步刺激下丘脑-垂体-卵巢(HPO)轴。协调良好的HPO轴可以使月经周期正常化。
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