INTRODUCTION
–
Ayurveda is very
ancient science. The word ‘Ayurveda’ is composed of two words ‘Ayu’ means
life and ‘Veda’ means knowledge, wisdom and science. The one, which
provides the knowledge of life, is called Ayurveda. According to Ayurveda good
health is based on the proper balancing of Dosha, Dhatu, Mala.1
“Ikz;kstua pkL; LoLFkL; LokLF;j{.ka
vkrqjL; fodkj iz’keua pA”
(p-lw-30/26)
The purpose of Ayurveda is to
maintain the health of a healthy individual and to cure the disease of the patients.2
Ayurveda deals with comfort and discomfort, physiological, pathological and
psychological aspects of life. It is a science of humans physical & mental
health and disease.3
“vxnrU=a uke
liZdhVywrkew”kdkfnn”Vfo”kO;atukFkZa fofo/kfo”kla;ksxksi’keukFkZa pA”
(lw-lw-1/14)
Agadatantra is one of the
incredible branch of indigenous branches derived from the ancient sciences of Astang
Ayurveda.4 Agadatantra
deals with signs and symptoms and also the management of poisoning,
resulting from the bite of snakes, insects and worms, spider etc. as well as
from the combination of various other poisons.5 The word Agadatantra is derived from
two words ‘Agad’ and ‘Tantra’. Agad itself is derived from word ‘Gada’. The
word Gada has two manings, one is disease and other is poison. Agad means
anything that conquers a poison and Agadatantra is the system of
knowledge for conquering poisons.6
Viruddha Aahara is
incompatible diet. It is referred in terms of food to food interaction or food
processing interaction which develops toxicity because of antagonism. Ayurved
clearly defines good food habits along with certain diet and its bad
combination that creat Toxicity in the body tissues. Many people are consuming
incompitable food like Junk food, fast food, deep fried food etc in current era
unknowingly.7
“ ;r~
fdfUpn~ nks”kekL=kO; u fugZjfr dk;r% A
vkgkjtkra rr~ loZefgrk;ksii|rs AA ”
(p-lw-
26/85)
According to Acharya Charaka all
kinds of food which aggravate (increase)
the Dosha but do not expel them out of the body and when all of
them become unstable or unhealthy for the body is called Viruddha. It is
of 18 type and produces various types of disease.8
“ ;fRdfP´íks”keqRDGs’;
Hkqäa dk;ké fugZjsr~ A
jlkfn”o;FkkFkZa ok rf}dkjk;
dYirs AA ”
(lw-lw-20/20)
According to Acharya Sushruta Viruddha Aahara not only provokes the Dosha but
they also aggravetes the Dhatu.9
“ fo:)efi pkgkja fo|kf}”kxjksiee~ AA ”
(v-g`-lw-7/29)
According
to Acharya Vagbhata Viruddha Aahara is equivalent to Vish (Sthavar,
Janagam) and Garavish (Kritrim vish).10
As per the Ayurvedic perspective,
to digest the food properly, Jatharagni is necessary. It creates Aahar
Rasa, which nourishes all of the Dhatu. All Dhatu have its
own Agni called Dhatwagni which work at tissue level.11
Continuous intake of Viruddha Aahara leads to vitiation of Agni. There
fore vitiated Jatharagni does not digest even the lightest of food
substances resulting in Agnimandya (Indigestion / Ajirna). Agnimandya
is source of several diseases. This undigested food material turns source
and acts like a poison, which is called Ama visha. The resulting Aahara
Rasa will not properly nourish Dhatus.12 It vitiates the Rasa Dhatu which leads
to Dhatwagnimandya (Reduced metabolism) and Srotorodha
( Obstruction in body channels ). Artava
is Updhatu of Rasa Dhatu. When the Dhatwagni of Rasa dhatu is deranged,
there is decreased formation of Updhatu Artava i.e. and causes Aartavakshaya.
Acharya
Sushruta has explained the symptom of Aartavakshaya -
vkrZo{k;s ;FkksfpRRkdkykn’kZueYirk ok
;ksfuosnuk p A
(lq-lw-15/12)
In
the disease of Aartavakshaya the
menstruation does not appear in its appropriate time or is delayed (Inter
menstrual period is prolonged), scanty and does not lasts for three days. There
is also pain in vaginal region (i.e. pelvis). Chakrapani opines that
this pain is due to aggravate of Vayu causes loss of Aartava
which fills this region.14
Aartavakshaya
is caused due to the involvement of Vata and Kapha Dosha which
leads to Marga Avrodha of Artava Vaha Srotas.15 According
to Modern science Aartavakshaya can
be co-related with Poly cystic ovarian disease. It is a heterogeneous,
multisystem endocrinopathy in woman of reproductive age with the ovarian
expression of various metabolic disturbance and a wide spectrum of clinical
features such as oligomenorrhoea and/or hypomenorrhoea, hirsutism and obesity
associated with enlarged poly cystic ovaries.
In modern medical science, the treatment for PCOD
is based on hormonal therapy which may have its own complications on prolonged
duration of therapy where as in Ayurveda science there is an effective and safe
therapy is available. In Aartavakshaya the line of treatment mentioned is use of agneya drugs which have the properties of Amla and Katu
rasa, Ushna vipaka and Guru
guna. Satapushpa is specialy idicated in Kashyap Samhita for the treatment of scanty menstruation,
oligomenorrhoea and infertility problems and Pathadi
kwath described by Acharya Sushruta. Pathadi
kwath shows properties like Ushana & Tikshan. Hence, these formulations may be helpful in the management of Viruddha Aahara janya Aartavakshaya w.s.r. to PCOD
NEED
OF STUDY
·
In today,s
modern era, due to lack of awareness about correct balanced food combination people
blindly follow the Viruddha
Aahara i.e. unhealthy food habits like Junk food, Fast food, deep fried food etc. Poly cystic ovarian
disease is a common endocrine disorder in women of reproductive age group.
Incidence of this disease is increasing now a days because of changing
sedentary lifestyle, psychological stress, and excessive intake of unhealthy
food habits (Viruddha
aahara). It is one of the leading
causes of infertility. Risk factors include insulin resistance, cardiovascular
disease, hypercholestremis & osteoporosis, obesity. Patients of PCOD are
increasing day by day in gynaecological OPDs. As per Ayurvedic view, clinical picture of PCOD seems to be vata-kapha dosha and Aartava-vaha
srotasadushti . It can also be
correlated with Aartavakshaya like Oligomenorrhoa & Hypomenorrhoea if predominance of Vata is there.
·
The Global
prevalence rate of PCOD is found 7% among reproductive age group of female
population in world wide. In India it is about 10% in reproductive age group of
female population. Its prevalence rate is increasing now a day due to sedentary
life style, psychological stress, and excessive intake Viruddha Aahara (unhealthy food habits). The PCOD has adverse
effect on the reproductive life of woman. Infact one of the major cause of
infertility in Indian females is found to be PCOD. To fulfill the expectation
from the Ayurvedic field and to find out more effective and safe
therapy for Viruddha
Aahara Janya Aartavakshaya w.s.r. to PCOD, this topic is selected for research
work.
·
The treatment
of the PCOD in morden system of medicine is mainly dependent on hormonal
therapy and other drugs which may have its own complications on prolonged
duration of therapy likewise weight gain, hormonal imbalance etc. Where as Ayurvedic treatment is comparatively safe, having less or no
complications, and has high curative rate. In Kashyap
samhita (Shatapushpa-shatavari kalpadhyaya 5/19) the drug Shatapushpa
is specially prescribed for treatment of menstrual disorders associated with
symptoms while Acharya
Sushruta has described Pathadi Kwath
(Shukra-shonita-shudhhi
shariradhyaya 2/16) for the
same purpose. The agneya
property of the Pitta
dosh increases due to the Ushana, Tikshana, Lekhana and Pchana
guna of Pathadi Kwath. This may increase the duration of menses and the
amount of bleeding. The ingredients of Shatapushpa and Pathadi Kwath
are easily available herbal drugs having minimum
cost and safe for human being therefore both of item are selected for the
clinical management of PCOD in this study.
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