A Comparative Study of Shyamatrivruttadi Kalka and Bruhatiphala-Dwiharidra Kalka Yonipuran in Kaphaja Yonivyapad

Introduction: A healthy woman is a promise of healthy family. The concept of healthy yoni has been asserted in various phase of woman’s life from puberty to marriage to child birth and thereafter. Due to change in lifestyle, modern food habits of fast food, junk food she is unable to follow the rules of Dincharya, Rutucharya, Rajaswala, Rutumati and Sutikaparicharya which are explained by Aacharyas for women’s health. Thus she is prone to various yonirogas, one of which is Yonigat Shewta-Picchilsrava, Yonikandu, Yonigata Alpa vedana which are the features of Kaphaja yonivyapada and is neglected by women as minor symptoms. Aims and Objectives: 1.To evaluate the efficacy of Shyamatrivruttadi kalka in kaphaja Yonivyapad & Bruhatiphala-Dwiharidra kalka in kaphaja yonivyapad. Materials and Methods: The female patients within 18 to 45 years of age group complaining mainly of kaphaja yonivyapad were selected irrespective of occupation, religion and prakruti. Conclusion: Most of the patients in experimental group showed better relief in sign symptoms as compared to the control group, it is obvious from the all analysis of data that the drug in experimental group had definitely better role than control group to alleviate clinical features in Kaphaj yonivyapad.


Introduction:
In the modern world, the Life style, food habit and unhygienic practice have increased stress, strain and restlessness which have resultantly expanded the spread of menstrual disorders. Ratio of Menstrual disorder is raising in gynecological practice which precursor of infertility and other problems, so it requires more attention. Today woman is playing a pivotal role in each and every sphere, so woman's good health has to be part and parcel of her life but while catering to several requirement of today's life style woman falls prey to several ailments. Every attempt should be made to maintain healthy womanhood.
In order to give healthy progeny special attention must be given to conserver maternal health. Infections pertaining to the *Corresponding Author: Chandraprabha D.Pinge 281 "Mai" Sakkardara, Nagpur-09. Email: drchandraprabha4156@gmail.com Cell: 9420248023 yoni are a burning problem for women irrespective of their age or socioeconomic status. We must protect her from all these diseases, so she can produce healthy well being.
A healthy woman is a promise of healthy family. The concept of healthy yoni has been asserted in various phase of woman's life from puberty to marriage to child birth and thereafter. As mentioned in Asthanghridaya any abnormality of female genital tract is responsible for various disorders like infertility, menorrhagia, piles etc out of several gynecological disorder encroaching woman body, Kaphaja yonivyapad is one of the problem which ruins both physically and psychologically(1).
As the Stree is mula of reproduction, as Garbhadharan, Garbhaposhan and giving to baby and after that his nourishment bringing up is done by Stree her health is our prime importance which leads to plan of best Gruhasthashram.(2,3) Stree is important part of our society and family. Being Daughter, wife, mother, carrier oriented women, she plays different roles and fallows social and family responsibilities. Nature has given special role to Stree to become mother. She takes care of baby's nourishment, bringing up and her physical, mental, social growth so as to make him good human being. Along with as today's women are carrier oriented she is becoming independent, making her own decision and thus making her own space in the society.

Informed Consent & Ethical Clearance
An informed written consent will be obtained from every patient before including trial. Ethical clearance has been taken from IEC of the college.

Method of Kalka Preparation:
Shyamatrivruttaadi kalka (Shyamativrutta,Aargvadha, Sudha, Tilvaka, Saptala, Shankhini Danti,Dravanti) with all drug taken together for making kalka as per guideline. Shuska dravya is powdered and filtered with cloth and mixed with appropriate quantity of water, kept in khalva yantra and made into paste form by rubbing. Kalka is taken on gauge and tampon is made. It's sterilization done.

Mode of administration:
Kalka was taken on gauge and tampon was made and it was sterilized well before insertion into vagina. Then sterile kalka was kept in yoni upto 4-5 cm in Lithotomic position. As kalka was tikshna it was placed for 2 hrs. Then removed and irrigation of yoni was done with lukewarm water.

Follow up
During the course of treatment all the clinical signs and symptoms were noted on day 0th, 3rd, 7th day. Examination of patients was done again on day 15 to study the recurrence of the symptoms.
Thus Bruhatiphala Dwiharida causes sampraptibhanga of Kaphaja yonivyapada and reduces the symptoms which increase the overall quality of life of patients. Likewise in symptoms of Shwetastrav Swarup, Gandha, Yonigat Vedana Score statistically found extremely significant (P<0.0001).  The Difference between before treatment and after treatment score of both group compared by 'Wilcoxon-Mann-Whitney Test'. It was found that the sum of rank of experimental group for the symptoms Shwetastrav swarup U' was 477, Test statistic (U) was 423, and SEd was 0.11 where the test statistic U was between Population Mean 1.96 SD which was insignificant at 5% level of significance. (P>0.05) Therefore the difference between Symptoms Score of Shwetastrav swarup of Experimental and Control group is statistically insignificant, so therefore we can conclude that both groups were equally effective statistically. While in Shweta sravpraman p value is <0.001 where test statistic U value is 713 which was significant at 5 level of significance hence in the symptoms of shwetstravpraman, yonivedana and yonikandu in experimental group treatment is extremely found to be effective as compare to control group.

Assessment of Clinical Result in Percentage:
1.

Effect on Symptoms Score:-
In experimental group the significant symptomatic relief i.e. statistically significant result was observed in most of the symptoms vi. Shwetstrav in terms of praman while near about same result obtained in both group for the Shweta strav swarup and gandh after administration of Shyamatrivruttaadi Kalka. However yonivedana and yoni kandu were more relived in experimental group as compared to control group.
Therefore the difference between Symptoms Score of Shweta strav swarup of Experimental and Control group is statistically insignificant, so we can conclude that both groups were equally effective statistically however in the symptoms of shwetstrav praman, yonivedana and yonikandu in experimental group treatment is extremely found to be effective as compare to control group.
Total Effect of Therapy: While assessing the total effect of therapy in experimental group, 16.67% patients were markedly improved, 50% were moderately, 30% mild improved while 03.33% was not improved.
While assessing the total effect of therapy in control group 6.67% patients were markedly improved, 33.33% were moderately, 50% mild improved while 10% was not improved.

Side Effect:-
In the study of 30 patients of experimental group no patient developed any side effect during the period of trial. However only two patients were having local irritation after treatment with kalka in control group and this was very minor just relieved within 2-3 hours.

Conclusion
After the present study, Most of the patients in experimental group showed better relief in sign symptoms as compared to the control group, It is obvious from the all analysis of data that the drug in experimental group had definitely better role than control group to alleviate clinical features in Kaphaj Yonivyapad, so it can be concluded that Shyamatrivruttaadi Kalka's yonipuran is reasonably effective on Kaphaja Yoniyapada as compare to Bruhatiphala-Dwiharidra Kalka Yonipuran.