2. DIPLOMA Ayurvedic Practitioners Course Module 9 1st & 2nd June 2019

3. Stree Roga (Gynaecology)
Pancha Nidhana

4. Stree Roga
According to physiological changes a woman’s life is divided into four stages or epochs:
Bāla(child stage)- kapha dominant
Rajomathi(adolescent)-pitta dominant
Yuwthi(adult)-pitta dominant
Pravdā (post menopausal) vata dominent

5. Menstruation Age of menarche and menopause
According to Ayurveda 12 and 50 years is the age of menarche and menopause respectively. This age can be influenced by dietetics and health.
Menstrual cycle
Menstruation is a normal physiological process indicating womanhood. It is a cyclical process and repeats every month.

6. Menstruation Factors influencing the menstrual cycle
Rasa - Menstrual blood is upadatu of rasa
Rakta – menstrual blood
Dhamani - blood vessels, components of blood
Doshas – menstruation is governed by the doshas

7. Impregnation Appropriate age for conception when fully mature:
Male - 25 years
Female - 16 years

8. Sexual Intercourse Contra indicated condition for sexual intercourse
Woman who:
has over eaten / hungry
is frightened, averse, angry
has no desire for sex / chronically ill / suffering from gynaecological disorders / early pregnancy / emaciated / dirty / elderly / wife of teacher
Women in these states either do not conceive or risk congenital disorders  
Normal postures for sexual intercourse
For the reception of sperm and ova the woman should lie in supine position

9. Factors essential for conception
Ritu (season or period near ovulation)
Bija (healthy sperm and ovum)
Kshetra (healthy reproductive system)
Ambu (nourishing substances)

10. Embryology (Garbha vignana)
Gharba (embryo)
= the union of sperm (sukra dhatu), ovum (arthava)
The constitution(prakriti) is developed at this stage

11. Antenatal care Antenatal care The pregnant woman
balanced diet and lifestyle
Perform dharma
Comfortable and proper sleep
Good personal hygiene
Avoid the factors likely to harm the foetus eg. avoid sex for 3 months
Receive emotional and physical support from loved ones

12. Antenatal care Nutrition. Rasa dhatu plays the main role
Nutrition to the foetus
Nutrition to the mother
Nutrition for breast feeding

13. Antenatal care Kapha prominent food which increase rasa dhatu
Palatable, sweet, liquid, unctuous,
Satmya (wholesome),
Milk
Meat soup
Cooked green vegetable
butter, ghee
Fruits according to mother’s taste & dosha

14. Chikitsa Chikitsa Yonidhawana
To clean yoni and prevent unhygienic infections
With water or Kwatha or Kshirpaka
Kaphaja Artava Dushti, Yoni Srava, Yoni Kleda, Yoni Kandu & Yoni Arsha

15. Chikitsa Uttarbasti Basti insertion of medicament into yoni
dysuria, vaginal pain, yonivyapada, Asrigadara, amenorrhoea and dysmenorrhoea

16. Chikitsa
Yoni Pichu
insertion of tampons soaked in medicinal liquid into vaginal cavity
improves musculature of vaginal canal
Yonikandu, Shweta Pradar, Apara Sanga, Garbha Sanga, Upapluta, Yonivyapad & Raktagulma.

17. Chikitsa Yonidhupan medicated smoke to disinfect vaginal cavity
Yonikandu, Shweta Pradar, Apara Sanga, Garbha Sanga, Upapluta Yonivyapad, Sutika Paricharya and Santati Pratibandhak

18. Chikitsa
Yoni Lepana
external application of medicaments as paste around the affected area of vagina
Vivrutta Yonivyapada & Yoni Arsha

19. Chikitsa Yonivarti suppositories made with medicaments
Acharana Yonivyapad, Yonishopha, Yonikleda, Yoni paichilya, Kaphaja Yonivyapada, Yonikandu & Anartava

20. Chikitsa
Yoni Puran
filling vaginal cavity using powders, pastes & medicated oils

21. Chikitsa Yoni Parishek
hot fomentation with medicated oil around external parts of vagina
YoniVrana, YoniPitika & YoniShotha

22. Chikitsa Pinda Chikitsa
insertion of boiled paste of drugs wrapped in the cloth into vagina
acute local therapeutic relief