Abstract
Ovarian cyst is an emerging problem among the women of reproductive age group worldwide. Reports suggest that between 8 and 18% of both premenopausal and postmenopausal women have ovarian cyst. Most of the cysts are asymptomatic and discovered only in routine ultrasonography. Some of them are highly symptomatic hindering day to day activities of women. Symptoms depend to a large extent on the size of cysts. Modern management includes combined oral contraceptive pills and surgical management. Since the oral contraceptive pills contribute many untoward effects, the need for alternative management especially in patients who wish to avoid surgical intervention is on high demand. Ayurveda addresses ovarian cyst under the broad classification of Granthi in which it can be correlated to Kaphaja Granthi in particular. Here a case of 35 year old female patient, detected with Ovarian Hemorrhagic Cyst with internal echoes septations of size 27×33 mm & bulky Uterus with complaints of early menses, lower abdominal pain, bloating of abdomen with constipation and burning micturition &discomfort in daily routine work. Treatment protocol was based upon Samprapti Vighatan & also focused on Prakriti of patient, Dosha pradhanyalakshana & Dosh Dushya Sammurchana. Patient was given Panchatikta Ghrita with dadimashtakchurna & Panchakolchurna, Kanchanaraguggulu, Falatrikadikashayam, Jeerakadyarishta etc for a period of three months. Follow up USG showed complete disappearance of cyst and symptoms also subsided to a great extent. The present study emphasizes the role of Ayurveda in bringing a positive result in the management of ovarian cyst.
Keywords: Granthi, Hemorrhagic cyst, Panchatikta Ghrita, Ovaries, Prakriti, Ayurveda.
References
- Grimes DA, Hughes JM. Use of multiphasic oral contraceptives and hospitalizations of women withfunctional ovarian cysts in the United States. Obstet Gynecol 1989;73: 1037–9.
- S Pudasaini, M Lakhey, S Hirachand, J Akhter and B Thapa, A study of ovarian cyst in a tertiary hospital of Kathmandu valley, Nepal Med Coll J 2011; 13(1): 39-41.
- Beers, Mark H., MD, and Robert Berkow, MD, editors. "Pelvic Pain." Section 18, Chapter 237. In The Merck Manual of Diagnosis and Therapy. Whitehouse Station, NJ: Merck Research Laboratories, 2004
- Patel MD, Feldstein VA, Filly RA. The likelihood ratio of sonographic findings for the diagnosis of hemorrhagic ovarian cysts.J Ultrasound Med2005;24(5):607–614;quiz 615.
- Luque-Ramírez M Mendieta-Azcona C del Rey Sánchez JM Matíes M Escobar-Morreale HF, Effects of an antiandrogenic oral contraceptive pill compared with metformin on blood coagulation tests and endothelial function in women with the polycystic ovary syndrome: influence of obesity and smoking.Eur J Endocrinol.2009 Mar;160(3):469-80
- SusuanaKuek, Wen-Jun Wang, Sui-gi-Gui, Efficacy of Chinese Patent medicine Tian Gui-Capsule in Patient with Poly Cystic Ovarian Syndrome: A randomized control trial, Journal of Chinese Integrative Medicine , Sep 2011, Vol-9, No-9, 965-72.
- Dayani Siriwardene, S. A., et al. "Clinical efficacy of Ayurveda treatment regimen on Subfertility with poly cystic ovarian syndrome (PCOS)."AYU (An international quarterly journal of research in Ayurveda)1 (2010): 24.
- Khot, Bhagyashri Mahavir, Meenal Dipak Lad, and Arun Jagannath. "Clinical Efficacy Of Ayurveda Treatment On Polycystic Ovarian Syndrome."IOSR Journal Of Pharmacy, Www.Iosrphr.Org Volume 3, Issue 4 (May 2013), Pp 21-25
- Sehgal, Himanshu; Rao, M. M. Management of ovarian cyst by ayurvedic treatment: a case report, International Journal of Research in Ayurveda & Pharmacy; Nov2011, Vol. 2 Issue 6, p1679.
- Verma D, Gupta P, Singh AK, Singh OP, Sanjeevani V (2011) Ayurvedic Therapeutic with Special Reference to Samprapti Bhang. IJAP 2: 1642-44
- Mishra BS, editor. 11th Varanasi: Chaukhambha Prakashana; 2007. Bhavaprakasha Nighantu of Shree Bhava Mishra, Haritakyadi Varga, Ver.252-255; p. 163. [Google Scholar]
- Mishra SN, editor. Reprint ed. Varanasi: Chaukhamba Orientalia; 2003. Rasamanjari of Acharya Shalinatha, Ch.9, Ver. 52-54. [Google Scholar]
Corresponding Author
Dr Ankita Pandey
Junior Resident, (Prasuti Tantra Evam Stree Roga Dept.)
DOI: https://dx.doi.org/10.18535/jmscr/v11i2.20
