Abstract

A COMPREHENSIVE REVIEW OF UPAPLUTA YONIVYAPADA W.S.R. TO LEUCORRHOEA AND IT’S AYURVEDIC MANAGEMENT

Akshita Gangwar*, Bhappil Sharma, Ayushi Baranwal

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Abstract

Upapluta Yonivyapad is one of the twenty major Gynaecological disorders (Yonivyapad) described in classical Ayurvedic texts, primarily by Acharya Sushruta and Charaka, Its clinical presentation bears a striking resemblance to the modern condition of leucorrhoea, characterized by excessive, abnormal vaginal discharge often associated with local inflammation and infection. Despite its high prevalence, a comprehensive review correlating the ancient wisdom of Upapluta with contemporary understanding of leucorrhoea is lacking. Objective: This article aims to provide a detailed review of Upapluta Yonivyapad by critically analyzing its etiology, pathogenesis, clinical features, and management principles from Ayurvedic classics and correlating them with the modern pathology of Leucorrhoea. Materials and Methods: A systematic literature review was conducted by scrutinizing classical Ayurvedic texts including Sushruta Samhita, Charaka Samhita, Ashtanga Hridaya and their commentaries. Relevant research articles, modern medical texts, and databases like PubMed, Google Scholar, and AYUSH Research Portal. Results: Upapluta is primarily caused by the vitiation of Kapha and Vata doshas, often in conjunction with Pitta, leading to a state of inflammation and infection (upapluta) of the vaginal tract. Ayurvedic management emphasizes Shodhana Chikitsa (bio-purification) like Vamana (therapeutic emesis) and Virechana (therapeutic purgation), followed by a plethora of local and oral Shamana (palliative) therapies using herbs with antimicrobial, anti-inflammatory, and rejuvenative properties. Conclusion: Upapluta Yonivyapad is the Ayurvedic equivalent of pathological leucorrhoea. The holistic Ayurvedic approach, which focuses on correcting the systemic imbalance (doshic vitiation) alongside providing local symptomatic relief, offers a effective and comprehensive treatment strategy. Further clinical research is warranted to validate the efficacy of these classical interventions for modern practice.

Keywords: Upapluta, Yonivyapad, Leucorrhoea, Ayurvedic Gynaecology, Vaginal Discharge.