Ayurvedic Management of Pelvic Inflammatory Disease (Paripluta Yonivyapad.) - A Case Report

Abstract

Background: Paripluta Yoni Vyapad is one among the twenty yoni vyapads mentioned in the Ayurvedic classics. Yonivyapadas are resulted due to vitiation of the doshas, mainly manifested by vata dosha. In the Paripluta yoni vyapad both Vata and Pitta Doshas attribute in the manifestation. Pelvic inflammatory disease (PID) is defined as an inflammation of the upper genital tract due to an infection, commonly seen in active reproductive women.  It affects around 4% of women in India. Characteristics of PID. includes lower pelvic pain, white discharge, dysmenorrhoea and genital tract tenderness. If PID left untreated leads to many complications. Objectives: To Assess the efficacy of Sthanik chikitsa - yoniprakshalana, yoni pichu and Shaman chikitsa in Paripluta Yoni Vyapad. Methods: It is a single clinical case study of -thirtyfour years married female having white discharge per vagina, dysmenorrhoea, lower abdominal pain which was dull in nature along with dyspareunia. The condition was diagnosed as Paripluta yoni vyapad and treated with Sthanik Chikitsa, yoni prakshalana and yoni pichu along with Shaman Chikitsa. Result: After treatment patient had shown relief from white discharge, dysmenorrhoea, abdominal pain, and dyspareunia. Patient conceived within 2 months of treatment. Conclusion: PID. is one of the commonly seen gynaecological infection in outpatient department (OPD). If left untreated it may lead to complications like infertility, chronic pelvic pain, fallopian tubal block and ectopic pregnancy.  In the present case, combination of modalities viz. Yoni Prakshalana, Yoni Pichu along with oral medications have shown encouraging results in providing relief in Paripluta yoni vyapad.