role of narayana taila matra basti in … vihariya.pdfproper function of vayu ... narayana taila...
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ROLE OF NARAYANA TAILA MATRA BASTI IN INFERTILITY W.S.R. TO ANOVULATORY FACTOR
DEPARTMENT OF STRIROGA & PRASUTI TANTRA
I.P.G.T. & R.A., G.A.U.,
JAMNAGAR
Dr. Pooja VihariyaM.S.2 nd year
Dr.S.B.DongaM.D.(Ayu) PhD,Asso.Prof.S.R.P.T. Dept., Jamnagar.
Prof.L.P.DeiM.D. (Ayu) PhD, Prof.HOD.S.R.P.T. Dept. ,Jamnagar.
A WORK DONE BY DR.KRUPA DONGA
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Infertility is a disease of the reproductive system defined
by the failure to achieve a clinical pregnancy after 12
months or more of regular unprotected sexual intercourse.
Childlessness brings:
Marital disharmony
Social rejection: Results in Anxiety and Disappointment
Increased Anxiety: Hampers sexual functions
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Prevalence
Most of couples (84 out of 100)conceive within a year.
About 15% of all couples experience difficulty in
conceiving.
Male is directly responsible in about 30-40%; Female in 40-
55%.Both are responsible in about 10% cases. The
remaining 10% is unexplained.
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40%
40%
10%
10%
Female Infertility Factors
Ovulatory dys.
Tubal and Pelvic
Unusal
Unexplained
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ABEEJOTSARGA
Revati Jataharini
Ashtartava Dushti
Avarana
Beeja Dushti
Vandhya Yoni Vyapad
Asrik Dosha
Artavavaha Srotas Viddhata
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Importance of the Present Study
Anovulatory factor is an important subset in infertility
among women, accounting about 40% of cases. In
such patients Ovulation induction is a rescuer.
Hormonal therapy, In-Vitro Fertilization (IVF) - Embryo
Transfer (ET), Gamete Intra Fallopian Transfer (GIFT) etc.
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Unsatisfactory results, enormous expenses and lots of side
effects like ovarian hyper stimulation,frequent abortion,
multiple gestations and major long term possibility of
ovarian cancer.
It is therefore crucial to consider alternative methods to
control Infertility.
DRAWBACKS
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Act of ovulation is regulated by Vata especially Apana Vata. Basticures all the diseases of Vata. So it may act on Anovulation.
बस्ततर्वातहरवणवां। -(Ch. Su. 25/40).
Why Matrabasti?
It is one type of Anuvasana basti which is indicated in Infertility.
अल्पपुष्पनष्टपुष्पनष्टबीजाकर्मण्यबीज परीता अनुवास्या इतत॥-Ka.S.Si.7/11.
जनयेदप्रजवनवां च प्रजव तरीणवां तथव नणृवम॥्-Ch.Si.4/23.
नवरीणवमप्रजवतवनवां नरवणवां चवपऩ अऩत्यदवाः।उभयवथाकरव दृष्वाः तनेहबस्ततननरुहय ाः॥च.सां.सस.१२/२२
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Ovulation is under the control of Vata.
Narayana Taila cures all the diseases of Vata
including Vandhyatva. So it will definitely acts on
Anovulation.
तत्तऱैां नवर्नङभ्यङगे ऩवने बततौ च य जयेत।् अतय प्रभवर्वद् र्न्ध्यवपऩ नवरीऩरुां प्रसयूते॥
-Sha.S.Mad.Kha./9.
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Aims and Objectives
To evaluate the efficacy of Narayana Taila Matrabasti
on anovulation.
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ETHICAL CLEARANCE
Study was started after obtainingEthical clearance from theInstitutional Ethics Committee,IPGT&RA, Jamnagar.
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Materials and Methods
The Patients were selected from the O.P.D of Stri
Roga and Prasuti Tantra Department I.P.G.T. &
R.A. Jamnagar.
The drug Narayana Taila was prepared in the
Pharmacy of Gujarat Ayurved University,
Jamnagar.
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Inclusion Criteria
Clinical study was conducted on patients of
age group 19-40 years having complaint of
failure to conceive for one or more years with
two consecutive anovulatory cycles in serial
trans-vaginal sonography.
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Exclusion Criteria
Patients having infertility due to Tubal blockage, Cervical
factors and other causes were excluded.
Disorders of Reproductive tract like T.B., Carcinoma and
congenital deformities of reproductive tract were excluded.
Patients suffering from the known chronic illness, Cardiac
diseases, Thyroid disorders were excluded.
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Diagnostic
Criterion
Routine HaematologicalExamination
Hb, TC, DC, ESR, PCV.
URINE:- (1) Routine (2) Micro
Trans Vaginal Sonography (B.T. & A.T.) for Ovulation Study.B.T. for 2months
A.T. for 2month
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Production of Ova & Ovulation
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Multiple small follicles Follicles 12-16 mm size
Well developed follicle Follicular cyst
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Trans vaginal sonography is basic and primary
investigation for this study. it was done from 8th – 9th
day of menstrual cycle up to at least 22nd day of cycle
to diagnose anovulation.
In all patients, for consecutive 2 cycles Serial
Sonography was carried out to establish anovulation
from both the ovaries.
TVS
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Drug Selection
TAILA
• The choice of a Taila or
Ghrita depends on the
accompanying Dosha.
• If Vata is associated
with Kapha the Taila
has to be preferred.
NARAYANA TAILA
• Many classics have
mentioned effectiveness
of Narayana Taila in
case of Vandhyatva.
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नवरवयण तैऱअश्र्गन्धधव बऱवां बबल्र्ां ऩव्ऱव बहृतीद्र्यम।् श्र्दांषरवङनतबऱव ननम्बां श्य नवकां च ऩुननार्व॥
प्रसवररणीमस्ननमथां कुयवाद् दशऩऱां बधृक्। चतुर्द्रोणे जऱे ऩकत्र्व ऩवदशषेां श्रुतां नयेत।् तैऱवढकेन सांय ज्य शतर्यवा रसवढकम।् क्षऺऩेत ्तर च ग क्षऺरां तैऱवत ्ततमवच्चतुगुाणम॥् शनैपर्ाऩवचयेदेसभाः कल्कैर्दाऩसऱकैाः ऩथृक्। कुषठैऱव चन्धदनां मूर्वा र्चवमवांसी ससैन्धधर्ैाः॥
अश्र्गांधव बऱवरवतनव शतऩुषऩेन्धदवरुसभाः ऩणीचतुषयेनैर् तगरेण च सवधयेत।् Sha. S. Mad Kha 9/101-106
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Drug preparation
According to AFI for approx 2.5 kg of Narayana
Taila:-
Tila Taila 3.072 kg.Oil;
96 gms Kalka Dravyas each;
Shatavari Swarasa 3.072kg;
Godugdha 12.288 litres,
Kwatha Dravyas 480 gms each in 49.152litres
of water reduced to ¼ i.e 12 litres.
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Drug Dose Route Duration
Narayana Taila
Matrabasti
60 ml Rectal route
After cessation of menses for 8 days in two consecutive menstrual cycles
POSOLOGY
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NARAYANA TAILA
Rasa Guna Veerya Vipaka Karma
Katu Tikta Laghu Snigdha Ushna Katu
AnulomanaDeepanaPachana
DeepanaPachanaKaphahara
Kaphahara Vatahara PachanaVilayana
Srotoshodhana
Srotoshodhana
Amapachana ,Vata kapha shamana
Remove Sanga & Avarvana
Proper function of Vayu
Regulation of Beeja Granthi karma
Beejotsarga
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0 =<12 mm
1 = 12-19 mm
2 = 19-23 mm
3 = Ovulated
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Assessment of overall effect
of the therapies
The over all assessment was graded into 4 types.
(i) Conceived: The patient’s husband otherwise
normal was conceived after the treatment.
(ii) Complete cured: Ovulation occurred.
(iii) Improved: Ovulation not occurred but only
improvement in the size of follicles i.e. 12-19 mm
(iv) Unchanged.
FOLLOW UP
Follow up study was conducted for one cycle after
completion of the treatment.
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Distribution of the patients
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Follicular Size (B.T.)
0
20
40
60
80
100
<12mm 12-19mm 19-23mm
cystic
Ovulation
81.82
018.18
0
In
%
Narayana Taila Matra Basti
Narayana Taila Matra Basti
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Follicular Size (A.T.)
0
10
20
30
40
50
60
70
<12mm 12-19mm 19-23mm cystic
Ovulation
27.28
9.09
0
63.63
In %
Narayana Taila Matra Basti
Narayana Taila Matra Basti
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OVERALL EFFECT OF THE THERAPY
• In the study, ovulation was achieved in 63.63% of thepatients.
• 9.09 % of patients conceived after one cycle of MatraBasti.
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Matra Basti
Guda ( Sharira Mula having
both local and systemic
effect )
Normalizes the Apana Vayu
( Sthana Adhopradesha)
Vata Anulomana leading to the extrusion of ovum
from the follicle & Ovulation
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Abeejotsarga (Anovulation) is mainly due to VataDushti.
As the Basti is the Pradhana Chikitsa in Vata Vikara itdefinitely acts on Anovulation.
Matrabasti is more convenient form of Basti as thereis no need of any restrictions during its application.
Narayana Taila Matra Basti is effective treatmentmodality in infertility due to anovulatory factor.
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Abeejotsarga (Anovulation) is mainly due to VataDushti.
As the Basti is the Pradhana Chikitsa in VataVikara it definitely acts on Anovulation.
Matrabasti is more convenient form of Basti asthere is no need of any restrictions during itsapplication.
Narayana Taila Matra Basti is effective treatmentmodality in infertility due to anovulatory factor.