SAMPRAPTI
Shwetpradar
was selected for the present clinical study as it is the most common complaint
by almost all the women seen in day to day clinical practice. In Ayurveda,
it is not described as a separate entity but there is description of different
types of srava along with white under different strirog (yonivyapad,
jataharini).Pradaras explained by Chakrapani is excessive
flow so when it is associated with excessive physiological or pathological
vaginal discharges can be taken as ShwetPradar. The treatment of ShwetPradar
was also mentioned by some ancient scholars. So after collecting all the
description regarding ShwetPradar it was seen that it is a kaphavatapradhantridoshajavyadhi.
In modern science, ShwetPradar can be correlated with leucorrhoea, which
is physiological white vaginal discharge. However if we observe all the
symptoms associated with strirog mentioned in Ayurveda in which srava
is mentioned, it can be seen that it also includes pathological vaginal
discharges along with physiological white discharges. Thus ShwetPradar
can be taken under abnormal vaginal discharges both physiological and
pathological.
In Ayurveda,
various treatment modalities are mentioned including sthanikachikitsa
which plays an important role in striroga,having many benefits. The
medical therapy given nowadays include local application of antibacterial
antifungal pessaries, ointment which may disturb the normal vaginal flora
leading to reccurrence of disease.
So the present study
was conducted to provide a more effective, rationale treatment for the ShwetPradar.
In the present clinical trial, total 40 patients were selected randomnly and
divided in 2 groups of 20 each. Group I was treated with Dhatkyaditailapichu,
15 ml oil soaked pichu was given for local vaginal application for 7 days in
night and Group II was treated with Lodhradivarti, 3 gmvarti was given
for vaginal insertion at night for 7 days. 2 follow ups were given one after 7
days of insertion and second after 15days of drug free period. This protocol
was repeated after 15 days of drug free period, if required in both the groups.
After completing the
clinical study, it was found that maximum no of patients were in sexually
active reproductive age group. Maximum patients were multiparous suffering from
non specific infections. It was also found thatShwetPradar is a chronic
recurrent disease. Group I treated with Dhatkyaditaila showed more
significant results on discharge, pruritus, foul smell, cervix congestion
compared to group II treated with Lodhradivarti clinically though
statistically it was seen only on discharge and wet film examination. Overall
effect of therapy was also seen more significant in GroupI.Recurrence was
observed in 10 patients, 4 in Group I and 6 in Group II. This may be due to wrong
application of medicine by patients or they may not followed the advice given
to them. Medicine was repeated again according to protocol then 2 patients in
Group I and 2 patients in Group II got relief.
Dhatakyaditaila seem to possess tridoshashamaka,
krimighna, kandughna, shothhara, srotoshodhaka, vranaropaka,yonishodhaka,stambhaka
properties by virtue of its kashaya,madhura,katu andtikta rasa,
laghurukshaguna, sheetaveerya and katuvipaka.Lodhradivarti
seem to possess tridoshashamaka, stambhana, kaphashodhaka,sravashoshaka
properties by virtue of its kashaya, madhura rasa, gururukshaguna, sheetaveerya, katumadhuravipaka.Both the drugs
contain tannins, flavonoids, saponins and tri terpenoids which have anti-microbial,
anti-inflammatory, anti-oxidant, astringent and wound healing properties.
After the completion of trial and comparing the
study with other previous works done on the same disease, it can be said that
oral therapy should be used in conjunction with the local therapy or duration
of local therapy should be increased for the complete management of ShwetPradar.
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