Gynecological disorders are those disorders that affect the female reproductive system. Cervical erosion is one of them. Normally endocervix is covered by columnar epithelium and ectocervix is covered by squamous epithelium, but in erosion, it is replaced by columnar epithelium. Many of the times infection is the reason for change in epithelial covering. But sometimes hormonal changes also play a pivotal role in the changes of epithelial lining, patient suffers with offensive, irritant, profuse vaginal discharge, formation of nabothian follicle, contact bleeding, dyspareunia, intermenstrual bleeding, bowel irritating pelvic pain etc. If it is associated with cervicitis that leads to low back pain. It is also a cause of infertility and constitutional ill-health and sometimes it produces great psychological upset in women. If it is left untreated, in the chronic stages the columnar epithelium undergoes squamous metaplasia.

In Ayurveda classics almost all of the gynecological disorders are described under the topic of yonivyapad which are twenty in numbers.Karnini Yonivyapadis one among them, seems to be near to Cervical erosion. . Its prevalence is more than 50% of all the gynecological conditions

 In the present study two procedures are selected for comparison purpose in which first is Agnikarma and second is Virechana karma. Acharya Charaka quoted that there is a chance of recurrence in disease treated by shaman therapy but Shodhan therapy cure the disease from its root and there is no chance of recurrence.  For that Virechana karma has been selected as a Panchkarma procedure in present study.Virechana karma have been described in various Samhitas for Yonidosha .and GranthiChikitsa.  There is need of study to rule out the  effective, safer and economical methods of  Doshas shodhna for the management of cervical erosion. 30 patients suffering from  karnini Yonivyapad (Cervical erosion) from OPD & IPD National Institute of Ayurveda, Jaipur will be selected  according to the inclusion criteria , irrespective of religion, occupation and socio-economic status. Patients will be randomly divided into two groups. In group A  Agnikarma with shalaka  and group B Virechana karma  with Trivrit lehya. 

Agnikarma procedure - The patient is in lithotomy position and the part is cleaned with aseptic solutions and draping done. Speculum is to be introduced into the vagina and assessment of the cervical erosion done. Then cervix is to be cleaned. There after Agnikarma  done by sterile pre heated shalaka instrument applied to the eroded part of cervix.The sign of Samyaka Dagdha is the Kapota / Talaphalavata and bluish brown colour will be marked.

 Virechana karma procedure -  First of all  Deepana ,Pachna with Panchkola churna(3gm ) twice a day before food till apperances of Nirama lakshana,snehapana with Go ghrita till samyaka snigdha lakshna. than virechana  karma will be induced by  Trivrit lehya. Virechana karma followed by Sansarjana karma per the type of shuddhi.

Colposcopy will be used as the objective parameter, follow up will be done after 7 days of treatment which will be carried out for 1 month. Assessment will be done on the basis of objective and subjective parameter before treatment, after treatment,  and during last follow up. Appropriate statistical test will be applied.