Female infertility is a complex clinical condition affecting nearly 10–15% of reproductive-age couples globally. It arises due to ovulatory dysfunction, tubal pathology, uterine abnormalities, and endocrine imbalance. Ayurveda describes infertility under Vandhyatva, emphasizing derangement of Ritu, Kshetra, Ambu, and Beeja. Among Panchakarma therapies, Uttarbasti is a specialized intrauterine therapeutic procedure that plays a pivotal role in managing female infertility. The present paper deals with total three cases of female infertility which were successfully treated with Ayurvedic intervention specially with Uttar basti Case 1- Primary infertility due to bilateral tubal blockages – IUUB was given with kshara taila and kasisadi taila for three consecutive cycles patient conceived and delivered healthy baby. Case 2- Primary infertility due to bilateral tubal blockages – IUUB was given with kshara taila, kasisadi taila and phala grita for two consecutive cycles, later patient got conceived and delivered a healthy baby. Case 3-Secondary infertility due to PMOS –IUUB was given with Mahanarayana taila and phala grita for one cycle, later patient got conceived and delivered a healthy baby. All the above cases signifies the importance and practical utility of Uttara basti in in female infertility.
The study's objective is to conduct a comprehensive systematic review for assessing the safety and efficacy of Ayurvedic interventions in managing hemiplegia/Pakshaghata. The study involved a search across multiple online databases and online clinical trial registries. Additionally, major Ayurveda postgraduate institutes were contacted to acquire unpublished trial data related to hemiplegia/Pakshaghata. The review covered articles published until July 2023. Two reviewers independently performed data extraction and risk of bias assessment. The risk of bias assessment utilised the RoB 2 tool for randomised trials and the ROBINS-I tool for non-randomised trials. The screening process identified 28 articles from online databases and two dissertations from online repositories. However, practical challenges prevented access to grey literature from Ayurveda institutes. The 30 studies selected for this review, comprises nine randomised controlled trials (RCTs), eight non-randomised comparative trials, and thirteen pre-post studies. Quantitative analysis was unfeasible due to inadequate studies, leading to a qualitative analysis. All studies, except one, exhibited substantial bias upon risk of bias assessment. Moreover, most studies demonstrated methodological weaknesses attributed to a lack of masking, improper sampling techniques, non-validated outcome measurement tools, inadequate follow-up procedures, and confounding factors. The trials frequently did not document safety parameters, adverse events (AE), and adverse drug reactions (ADR). Current review could not definitively establish the efficacy and safety of Ayurvedic interventions in hemiplegia/Pakshaghata. Hence, the authors strongly advocate for good quality research incorporating proper methodology.
Introduction: In Ayurveda Charmakhya is one among the type of Kshudra Kushta in which there will Twak vaivarnyata like Hasti Charmavat, Khara Sparsha, kandu and Raga are seen. This condition in contemporary science can be compared with Lichen simplex Chronicus based on its signs and symptoms. Charmakhya is mainly caused by vitiation of Tridosha mainly Vata and Kapha dosha along with this there will be vitiation of Rasa, Rakta and Mamsa dhatu. Ayurveda treatment mainly helps in treating the disease from root. Clinical findings: A 33-year-old female visited to Rajashekharaiah Ayurvedic hospital, Bangalore with OPD number 4326 on 16th April 2025, complaints of tvak vaivarnya, specially over bilateral Ankle joint. Accompanied by Kandu (itching), Raga (redness), and Khara Sparsha (rough texture). The symptoms developed gradually and were unresponsive to previous standard treatments. Intervention: Ayurvedic treatment included Deepana-Pachana (strengthening of the stomach), Snehapana (oleation), followed by Abhyanga (body massage), Parisheka (pouring), Virechana (purgation), Matra basti and Shamana Chikitsa (palliative treatment). Outcome: The patient attained Madhyama Shuddhi of Virechana; after Virechana and Shamana chikitsa noticeable improvement in symptoms and a decrease in disease severity. Itching decreased from severe to mild, lichenification markedly reduced, erythema, scaling and pigmentation showed gradual improvement’s, this indicates effective twacha gata dosha and kapha-vata dosha prashamana. Conclusion: Following 26 days of Shodhana and 60 days of Shamana chikitsa, the patient with chronic, non-responsive Charmakhya (Lichen Simplex Chronicus) shown a marked improvement. When Virechana, Matra Basti and Shamanoushadi were used together, the underlying dosha imbalance was successfully corrected without any side effects. These findings imply that Ayurvedic treatments could aid in the creation of more successful treatment plans for these kinds of long-term skin conditions.
