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Abstract

ROLE OF STHANIK CHIKITSA IN THE MANAGEMENT OF YONIKSHATA (POST OPERATIVE COMPLICATION OF EPISIOTOMY): A CASE STUDY.

*V. D. Yennawar Sandhya M.B.A.M.S. D.G.O.

ABSTRACT

Sutika awastha is the post puerperal period, explained in many samhitas . In Kashyap samhita Acharya Kashyapa discribe 74 sutika vyadhis (purperial diseases) in “Sutikopakramaniya Adhyay” and “Dushprajatha chikitsa Adhyay” in Khila Sthana. Yonikshata is one of those. To prevent the Yonikshata we take surgical planned incision on the perineum and posterior vaginal wall during the 2nd stage of labour i.e. Episiotomy (perineotomy). If post- operative episiotomy care is not taken properly remote complication takes place like wound infection, wound dehiscence. wound dehiscence means wound disruption or nonunion. It may be correlated with Dushta Vrana according to Acharya Sushruta. A Sutika of 10 days visited at our OPD of Streerog prasuti dept. complaining of Jwar, mutradaha, malavarodha, perineal pain and tenderness as well as discomfort while seating. On examination we observed Yoni kshata with Vrana Dushti at perineum where episiotomy was taken. Acharya Sushruta has described “Shashti upakramas” (60 measures) for vrana chikitsa. So we proposed plan for treatment. We use Sthanik chikitsa includes- Yoni parishek, yoni dhupan, yoni pratisaran in management of vrana due to yoni kshata along with vrana dushti. From 7th day of treatment and onwards we observed maximum relief from signs and symptoms in sutika (vrana due to yoni kshata). By this case study we conclude that the holistic approach of Ayurvediya Sthanik chikitsa plays an important role in the Management of Yonikshata (Post operative complication of episiotomy).

Keywords: Jwar, mutradaha, malavarodha, perineal pain and tenderness.


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