Pelvic Inflammatory Diseases- An Ayurvedic Perspective.

Pelvic Inflammatory Disease (PID) is responsible for a considerable disease burden and represents an important healthcare issue in worldwide. PID is the clinical syndrome associated with upper genital tract infection and inflammation caused by the spread of micro-organisms from the lower to upper genital tract. Prevention of PID and recurrent PID is also a public health priority in the present scenario. Clinical signs and symptoms are relayed by clinician to diagnose PID, mainly due to the lack of a minimally or non-invasive diagnostic test that reliably identifies women with upper genital tract inflammation. Aim and objectives: The search for an Ayurveda equivalent of PID in Ayurveda classics doesn’t yield any one disease entity that entirely matches the clinical picture of this condition. Material and Methods: Diagnosis of PID is based on centers for disease control and prevention 2015 PID guideline. Considering it as ‘Anukta Vyadhi’ (unexplained disorder), this review attempts to understand the disorder by deriving its Vikaraprakriti (nature of disease), Adhishtanantarani (structures and sites affected), and Samutthanavishesha (specific etiological factor) based on a detailed analysis of the clinical features and other findings regarding the disease available in various textbooks and articles in the light of related references in Ayurvedic classics. Discussion and conclusion: PIDs are established in terms of Nidana Panchaka (five components of understanding a disease). Pittala and Paripluta Yonivyapad can be implied as pelvic inflammatory diseases

Diagnosis In Ayurveda With Special Reference To Trividha Bodhya Samgraha

Ayurveda is comprehensive in its approach which emphasizes naming a disease is not necessary rather knowledge about Nidana (Etiological Factors), Dosha, Dushya and Samprapti of disease (Pathology) are crucial. Several diseases mentioned in the Samhitas (Classical texts) does not match with clinical presentation of disease thus in order to ascertain a working diagnosis clinical history and detailed physical examination are critical to the diagnostic process. Based on the ‘Purush Purush Veekshya Nyaya’, various Siddhantas (principles) ought to be adopted to diagnose the disease, as diagnosis is always individual to each patient. Acharya Charaka has mentioned the concept of Trividha Bodhya Samgraha (Vikara Samuthana, Vikara Adhishtana and Vikara Prakruti Vishesha that deals with the principles of etiology and different stages of pathology of a disease. This concept holds basis for Ukta Gada (listed diseases) as well as for Anukta Gada (unlisted diseases). Thus it can be applied to diagnose any of the disease. If accurate diagnosis is made in proper and sequential manner it provides the best outcome by assessing the response to multimodal approach of Ayurveda through treatment modality. This present article aims to provide an insight to develop a clinical approach to Ayurveda diagnosis enunciated in Samhitas in context of Trividha Bodhya Samgraha underneath the spectrum of Anukta Vyadhi.