Yoni Vyapad (योनिव्यापद) | Live veda

 

Introduction - 

योनिव्यापद = योनि + व्यापद

योनि - अप्त्यपथ, गर्भाशय, जनन्पथ
व्यापद - दोष, व्याधि, विकार
Samanya Nidana (सामान्य निदान) - 
Acharya Charaka :
मिथ्याचारेण ता : स्त्रीणां प्रदुष्टेनार्तवेन च |
जायन्ते बिजदोशाच दैवाच्च श्रुणु ता : पृथक् || ( च.चि ३०/८)
Abnormal dietetics and mode of life , Abnormalities of artava and bija (either ovum or sperms and ovum both) and curses or anger of god ( in absence of apparent cause, the disease are said to develop due to curses of god) are the causative factors of all disorders of yoni as the opinion of Charaka.
आ. सुश्रुता - (सु.उ. ३८/५) -- Same explaination

विंशतिर्व्यापदो योनेर्जायन्ते दुष्टभोजनात |
विशमस्थाङ्गयनभरुशमैथुनसेवनै : ||
दुष्टार्तवादपद्रव्यैर्बिजदोषेण दैवतः || (अ.सं.उ. ३८/३२) (अ. हृ.उ. ३३/२७-२८)
Both Vaghbatas accepting abnormalities of artava and bija (abnormality of a portion of bija responsible for development of yoni during embryonic life) as well as curses of god as causative factors are added that, abnormal diet, having coitus in abnormal postures of body , excessive coitus and use of objects made of iron etc. for sexual pleasure are also causes of gynecological disorders.

आ. चरक, आ. सुश्रुत-

        वाग्भट

1.       मिथ्याचार

(असम्यक आहार  विहार)

 

2.       प्रदुष्ट आर्तव

3.       बीज दोष

4.       दैव (अदृष्ट/अज्ञात कारण)

1.       दुष्ट भोजन

2.       विषमस्थान्गशयन

3.       भृश मैथुन

4.       अपद्रव्य प्रयोग

5.        दुष्ट आर्तव

6.       बीज दोष

7.       दैव


प्रवृद्धलिङ्गं पुरुषं याs त्यर्थमुपसेवते |
रुक्षदुर्बला या तस्या वायुः प्रकुप्यति ||
स दुष्टो योनिमासाद्य योनिरोगाय कल्पते ||
त्रयाणामपि दोषाणां यथास्वं लक्षणेन तु |
विम्स्तिर्व्यपदो योनेर्निर्दिष्ट रोगसन्ग्रह || (सु.उ. ३८/3-4)
Sushruta has added that when a women having ruksha(dry) body or else a weak or very young women does excessive coitus with a man having big size penis, then her vayu gets aggravated. This vayu withholding pitta and shleshma already vitiated due to their specific causes, reaches the region of yoni and produces various disorders.

Nidana-Samprapti (निदान - संप्राप्ति)
निदान सेवन ( रुक्ष,दुर्बल, बाला स्त्री -भृशं मैथुन)
                 ↓
          वात प्रकोप 
                 ↓
कफ and पित्त both combinely reaches yoni pradesh
                ↓
Doshanusar and lakshan of 20 yoni roga
Yonivyapad Sankhya (योनिव्यापद संख्या)

All the classics have given the number of yoni vyapad as twenty.

विंशतिर्व्यापदो योनेनिर्दिष्टा रोगसंग्रहे | ( च.चि.३०/7)

विंशतिर्योनिव्यापद् इति वातिका पैतिकी श्लैष्मिकी सान्निपतिकी  चेति चतस्त्रो  दोषाजाः, दोषदुष्यसंसर्गप्रकृतिनिर्देशैरवशिष्ट : षोडश निर्दिष्ययअनते |(ch.su. 19/3)
charaka says that vatiki, pittiki, slaishmiki these four disorders are due to vitiation of respective doshas, remaining sixteen are either due to interaction of dushyas with doshas (raktayoni etc.) or are described on the basis of the line of treatment.
त्रयाणामपि दोषाणां यथास्वं लक्षणेन तु |
विंशतिर्व्यापदो योनेनिर्दिष्टा रोगसंग्रहे || (सु.उ.३८/4)
Acharya sushruta has classified five conditions due to vitiation of each doshas 
vataja -5
pittaja -5
kaphaja - 5
sannipataja - 5 
total = 20
 

 

आचार्य चरक

आचार्य सुश्रुत

वातज

 (11)   वतिकी, अचरणा, अतिचरणा, प्राक्चरणा, अन्तर्मुखी, शुष्का, षण्डी, पुत्रघ्नि, उदावर्तिनी, महायोनि

(5) उदावर्ता, बन्ध्या, परिप्लुता, विप्लुता, वातला

पित्तज

(3) पैत्तिकी , रक्तयोनि, अरजस्का

(5) रुधिरक्षरा, वमिनि, स्रंसिनि, पुत्रघ्नि, पित्तला

कफज

(1)    श्लैष्मिकी

(5) कर्णिनि, अचरणा, अतिचरणा, अत्यानन्दा, श्लेष्मला

संनिपातज

(1)    सन्निपातिकी

(5) षण्डा, फलिनी, महति, सुचिवक्त्रा, सर्वजा

वात-पित्तज

(2)    वामिनि, परिप्लुता

 

वात– कफज

(2)  उपप्लुता , कर्णिनि

 

Acharya kashyapa has only said number of yoni i,e 20
Bhavaprakash - Same as that of acharya sushruta , but in place of अचरणा - अनन्दचरणा
                                                                                                          फलिनी - अण्डिनि
There are some names that are given by acharyas in some place but are described as same lets discuss  about it-

                           

    आ. चरक

आ.सुश्रुत

   प्राक्चरणा

प्रस्रंसिनि

   शुष्का

विप्लुता

   उपप्लुता

अत्यानन्दा

   अन्तर्मुखी

फलिनी

आ.चरक

वाग्भट

अरजस्का(p)

लोहित्क्ष्या (vp)

अचरणा (V)

विप्लुता (कृमिजन्य)

वामिनि (VP)

वमिनि (V)

असृज

रक्तयोनि

पुत्रघ्नि

जातघ्नि

 Upadrava (उपद्रव)(complications of yoni vyapad or gynecological disorders)

भगवान! यदपत्यनां मूलं नार्याः परं नृणाम् 

तद्विधातो गदैश्चासा क्रियते योनिमाश्रितै : || (च.चि. ३०/५)

चक्रपाणि - "

तद्विधातो अपत्यकारनविघात: " 

न शुक्रं धारयत्येभिर्दोशैर्योनिरुपद्रुता |
तसमाद्गर्भा न गृण्हाति सत्रि गच्छत्यामयान बहुन |
गुल्मार्श : प्रदरादिंश्च वाताधैश्चातिपिडनाम || (च.चि. ३०/३८-३९)

Charak says that yoni( reproductive system) of women afflicted with doshas or diseases, doesnot retain shukra or the female become infetile, besides, she also suffers from gulma, arsha (piles) and pradara (menometrorrhagia) and other disorders of vata.
Chakrapani clarifies that pradara described later as a disease due to vitiation of doshas, While here it is a complication of these twenty disorders.
Both Vagbhatas have added stambhana(stiffness or numbness) and shula (pain) in the list of complications. 

शुध योनि गर्भाधान ( Conception only in healthy yoni)

एवं योनिषु शुद्धासु गर्भं विन्दति योषितः |
अदुष्टे प्राकृते बीजे जिवोपक्रमणे सति || (च.चि. ३०/१२५,१२६
)
After achievement of healthy state of yoni(reproductive system) with the help of treatment, conception occurs with the union of healthy seed (shukra or sperms and shonita or ovums) processing all its normal quality and descendance of jiva propelled by deeds of previous life, is the opinion of charaka and vagbhata.
Coitus is contraindicated to the women suffering from yonirogas.

सध्यासध्यता (Prognosis)

The five gynecological disorders developing due to vitiation of all the three doshas are incurable is the opinion of sushruta
Acharya charaka - shandi yonivyapad is Asadhya.

चिकित्सा सिद्धान्त (General principles of treatment) 

1. वात शमन -
 
न हि वातादृते योनिर्नारिनां संप्रदुष्यति |
शमयित्वा तमन्यस्य कुर्यद्दोषस्य  भेषजम् || (च.चि.३०/११५-११६)

The yoni disorders donot occur without vitiation of vata, thus first of all vata should be normalised, only then treatment for other doshas can be done.

2. शोधन चिकित्सा -

सर्वां व्यापन्न्योनिं तु कर्मभिर्वमनादिभि : |
मृदुभि: पञ्चभिर्नरी स्निग्धस्विन्नमुपाचरेद |
सर्वतः सुविषुद्धाय: शोषं कर्म विधीयते || (च.चि. ३०/४५,४६)

In all the gynecological disorders, after proper oleation and sudation, emesis etc. all five purifying measures should be used. Only after cleansing of doshas through upper and lower passages, other medicines should be given. These emesis etc. cleansing measures cure the gynecological disorders in the same way as they cure the diseases of other systems. 

    

वातज योनिरोग

वतनाशक स्नेहन, स्वेदन, बस्ति कर्म

पित्तज योनिरोग

रक्तपित्त नाशक शितक्रिया

कफज योनिरोग

रुक्ष and उष्ण क्रिया

संनिपातज योनिरोग,

द्वन्द्व (विमिश्रं)

मिश्र चिकित्सा according to दोष प्रधान्य


3. शमन चिकित्सा -

सर्वतः सुविशुद्धायाः शोषं कर्म विधीयते |
बस्त्यभ्यङ्ग परिषेक प्रलेप पिचुधारणं || (अ.स.उ.३९/४७)

After proper snehana and swedana, other measures i.e uttarabasti, abhyanga, parisheka, pralepa and pichu(tampons) etc. should be used.
4. विशिष्ट चिकित्सा - (सु.उ.३८/३१-३२)
The treatment prescribed for diseases of shukra, artava, stanaroga, klaibya, mudagarbha(obstructed labor) along with monthwise treatment of pregnant women with history of repeated abortion(Garbhini roga), and congenital diet prescribed for every month or whole pregnancy period should be used.
5. Use of Virechana(purgatives) is benefitial.
6. Milk is benefitial.
बाह्य प्रयोगार्औषधिया (Extetnal medicines)
1. योनि प्रक्षालन - दशमूल क्वाथ, पञ्च्वल्कल क्वाथ , त्रिफला क्वाथ
2. पिचु (tampons) - Mushika kwatha (Kwatha prepared with minced meat of rats cures all types of yoni roga)
3.  योनि पुराण  - गोघृत , वृष वासा.
4. बस्ति (basti)(Vaginal irrigation) - In Yoni and garbhashaya rogas, Firstly women is given 2-3 Asthapana basti and then Uttarabasti. Uttarabasti should be give in Rutukala because in this period the yoni/garbhashay has its orifice extended due to which it can absorb oleatio therapy very easily.
a) Niruha basti with palasha
b) Anuvasana basti with shatavaryadi or guduchyadi rasayana,
c) Anuvasana basti with baladi yamaka,
d) Rasayana basti with shatavaryadi gana.
अभ्यन्तर प्रयोगार्औषधिया (Internal medicines)
1. Churnas - Pushyanuga churna
2. Ghritas - Brihat shatavari churna
                   Phala ghrita or phalasrpi,
                   Laghu phala ghrita 
                   Triphala ghrita.
3. Kwathas - Nyogrodhadi kwatha, maharsnadi kwatha
4. Modaka - Jeerakadi modaka.The 

Pathya -
  • Sura, asva, arishtas according to predominant dosha.
  • Lashuna swarasa in the morning.
  • Plenty of milk and meat soup regularly
  • Diet prepared with yava dhanya or barley
  • Seedhu and taila
  • Abhayarishta, pippali choorna, loha bhasma, pathya churna with honey,
  • Balataila, misraka sneha and sukumaraka sneha
  • Lashunakalpa is the best medicine for any gynaecological problem and it is also the best tonic to maintain the healthy physic of a women.

Apathya - 

  • Manda or the scum of the boiled rice.

स्थान-वुच्युत, विवृत, and संवृत् योनिरोग चिकित्सा सूत्र (Principles of treatment of sthan-vichuta, vivruta and samvruta yoni rogas)

The displaced(prolapsed) yoni should be replaced after giving oleation and sudation. The jihma yoni (जिह्म) (crooked, tortuous or bent) should be straightened by bending it downwards or upwards ( with hand inside the yoni, if elevation is not possible, then elevated portion should be brought downwards , resulting into elevation of downward displaced part).
 samvrita yoni ( due to constriction, the orifice becoming either pinhole or narrow), should be dialated with the help of fingers, the yoni protubering outside should be inserted by gently pressing with  hand, the vivruta (dilated like central hollow of bamboo) should be considered from all around.
The yoni displaced downwards from its original place becomes just like shalya (foreign body) or gives pain like foregn body.
In uterovaginal prolapse or disorders arising due to uterovaginal prolapse, after two or three asthapana bastis, medicated uttarabasti is beneficial.


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