OA03.05. A clinical study on the effect of vamana in anartava wsr to secondary amenorrhoea

PURPOSE: Anartava have been described by Sushruta and Vagbhata as non appearance of artava. The doshas obstruct the passage or orifices of channels carrying artava (artava vaha srotasa), thus artava is destroyed. Aggravated kapha and vata obstruct the passage of artava, thus menstrual blood is not discharged. So anartava is a Kaphaavrittvata predominant disease. Panchakarma is the most essential part of Ayurveda treatments. It is preventive, preservative, promotive, curative and rehabilitative therapy. Vamana karma has been considered as the best line of treatment for the kaphaja disorders Vamana is clearly indicated in presence of Kaphaavritta vata lakshanas i.e. Anartava and Artava kshaya in our classics. METHOD: Research was conducted on 4 patients from IPD & OPD of Prasuti Tantra & Stree Roga department of SDM College of Ayuveda, Hassan. The selection was done on the basis of chief complaints of anartava (secondary amennorhoea) irrespective of duration. In pathological point of view USG was carried out before starting the course of treatment. As purvakarma snehana and swedana was carried out according to deha bala and prakrati of patients. Vamana was given to patients as pradhana karma and followed by samsarjana karma. The follow up was one week. RESULT: After treatment, out of 4 patients, 3 patients got their mensus within time period of one week and one patient was remain unchanged. CONCLUSION: Vamana is one among the Shodhana procedures, through which Doshas are eliminated through Urdha Bhaga. It is a Doshapratyanika Cikitsa for Kapha Dosha because the main seat of Kapha is Uras/Amashaya & principle is to eliminate vitiated doshas from the nearest route. Just like the flower, fruits and branches which are destroyed at once as soon as the tree is rooted out, the diseases originated due to excessive Kapha are subdued after the elimination of Kapha through the process of Vamana. So, Vamana removes kapha (saumya) substances resulting into relative increase in agneya constituents of the body, consequently artava also increases.