Abstract

EFFECT OF KSHARA KARMA WITH APAMARGA KSHARA PRATISARAN FOLLOWED BY PANCHAWALKAL KWATH YONIDHAVAN IN CERVICAL EROSION WITH COLPOSCOPIC EXAMINATION- A CASE REPORT

Vda. Veena Jawale*, Vda. Pournima Hiremath and Vda. Meghna Gandhi

.

Abstract

Ectropion is defined as erosion, eversion of cervical mucosa and is usually associated with leucorrhea due to chronic endocervicitis. It is seen as red circular, granular surface surrounding the cervical Os bathed in discharge. Cervical erosion happens when cells that line the inside of cervix grow on the outside of cervix. That means the squamous epithelium of the cervix is replaced by columnar epithelium. The women with cervical erosion complaints of vaginal discharge, vulval itching, dyspareunia, low backache etc. This condition can be correlated with Garbhashayamukhagata Vrana or Karnini Yonivyapada. In the parallel medical field, it is managed by electrocautery, cryotherapy, CO2 laser vaporization, etc. In Ayurveda, it can be treated by Ksharakarma and Yonidhavan. On study of etiological factors and sign and symptoms of the disease it is found to be caused by Kapha Pitta Dosha Prakopa affecting Yoni and Garbahshayamukha leading to Samprapti which further manifests as cervical erosion. Based on the effecting Doshas and etiological factors the therapy selected is Apamarga Kshara Pratisaran and Panchvalkal kwath Yonidhavana. So, in the study, a 30-year-old woman was suffering from foul smell-white discharge with backache and weakness since 2-3 years. Now her problems aggravated since 4 months with left side abdominal pain and vulval itching. On P/S examination cervical erosion was present over both cervical lips with thick white discharge. Colposcopy was done before & after treatment to locate exact margins and areas covered by erosion and also to exclude CIN. She was treated with Apamarga Kshara Pratisaran followed by Panchawalkal Kwath Yonidhavan for 7 days for two cycles, starting from 8th day of the menstruation. After this combined Ayurvedic therapy of Sthanik Chikitsa cervical erosion as well as associated symptoms have been completely cured.

Keywords: Cervical Erosion, Apamarga Kshara, Panchawalkal Kwath, Colposcopy