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Introduction

P – Poly
C – Cystic
O – Ovary
D – Diseases / Syndrome
PCOD is very common in infertile women prevalent in young reproductive period. The word syndrome is used to describe the PCOD because, it is a complex

manifestation involving many factors and organs, such as –

  • Obesity
  • Insulin resistance
  • Irregular menstrual bleeding
  • Abnormal menstrual period and cycle
  • Lack of ovum production / anovulation

    • Organs involved:

  • Ovary
  • Adrenal gland
  • Pancreas
  • Pituitary gland

    • Causes

    No particular cause identified.
    May be hereditary.
    Improper diet and life style, over eating, eating before previous food digestion, etc.,

    Pathology

    There 2 types of pathology:
    1. Due to Ama in the Ovaries
    2. Due to Ama in the body

    Due to Ama in the Ovaries

    Due to above causative factors, Ama formation takes place in the body. Ama starts circulating in the body, it finds the weak point and settle over there. In this situation ama finds place to settle in ovaries (may be one ovary or both). This leads to enlargement of the ovaries, 2 to 5 times the actual size. Ovary which is normally oval in shape, will turn to round shape.
    Note: Pitta -Hormones
    Actual physiology of ovulation is, Pituitary gland secrets the Follicle Stimulating Hormone (FSH), to ovary. Maturity of ovum takes place in Graafian follicle which is present in the ovary and then matured ovum will be released from the ovary.
    When FSH (Pitta) comes to ovary – Ama which is settled in the ovary all ready, will reduce the FSH (Pitta). Due to less FSH (Pitta), ovum maturity does not take place in Graafian follicle. Resulting in no ovulation (Anovulation) resulting in infertility OR immature release of ovum if seen, resulting in miscarriage

    Due to Ama in the body

    Ama in the pelvic region obstructs the vata channels (main place of vata is large intestine). Leading to accumulation of kapha and pitta, as well as vata in the body. Resulting in aggravation of all the three doshas in the body. These doshas in turn vitiates the dhatus as well as up-dhatus.
    Ama which is circulating in the body, will reduce the agni (pitta) present in the dhatus (dhatvagni). Resulting in improper formation of the dhatus OR only one dhatu (meda) will be nourished more and further dhatus are not nourished. This results in obesity and obesity relating diseases.

    Involvement of dosha and dhatu in PCOD

  • Dosha: All the three doshas.
  • Dhatu: Rasa, rakta and medha.
  • Up-dhatu: Artava (Upa-dhatu of rasa).

    • Symptoms

    Vata dosha

  • Dysmenorrhea
  • Pain in lower abdomen
  • Low back pain
  • Scanty menstrual blood flow
  • Menstrual irregularity
  • Constipation

    • Pitta dosha

  • Hormone imbalance
  • Acne
  • Hair fall
  • Anovulation
  • Metabolism reduces
  • Sometimes burning sensation in the urine and extremities

    Kapha dosha

  • Weight gain
  • Infertility
  • Diabetic tendencies
  • Abdomen distention

    • Treatment

    Line of treatment:
    Vamana: To remove excess kapha
    Virechana: To remove excess pitta
    Basti: To remove excess vata
    Vata pacifying
    Mild laxative
    Nourishing
    Hormone balancing

    Internal medicine

  • Chitrakadi vati
  • Varnadi Kashaya
  • Panchakola churna
  • Arogyavardhini vati
  • Triphala
  • Punarnavadi kashaya

    • Home remedies

    Ama pachana
    Ginger juice – 1tsp, honey – 2tsp, pepper powder – 2pinch and luke warm water – 30ml. 2 times a day, before food. For about 5 to 7 days.
    ObesityLemon juice – 2tsp, honey – 2tsp and warm water – 50ml. Early morning in empty stomach. For 3 to 6 months.
    DiabeticBitter guard seeds – 5-6, smashed and mixed with water taken in morning in empty stomach. OR Fenugreek seeds – 2tsp, soaked in water – 200ml, overnight. Crush the seeds in the water and filter it. Drink the water every day in empty stomach.
    Scanty bleeding during menstruation Aloe vera juice – 2tsp, 3 times a day. For 3 days. During menstruation.
    Dysmenorrhoea
    Externally: Lower abdomen and low back massage with sesame oil for about 5min. Followed by hot towel pack for 2min. Start 2 days before the menstruation and continue for 3 days during menstruation.
    Internally: Asafoetida – 2 pinch in banana, once a day after breakfast. Start 2 days before menstruation and continue for 3 days during menstruation.
    Acne
    Externally: Neem powder, multani mitti, chandana powder taken in equal quantity, mixed well. Mix the powder with rose water and applied to the affected area. Leave to dry and wash. Twice a week.
    Internally: Triphala churna 10gm with hot water. At bed time. For 1 month.
    Hair fall
    Externally: Coconut oil – 2tsp and aloe vera pulp – 2tsp, mix well apply to the scalp. Leave for 30min and wash with warm water. Twice a week.
    Internally: Triphala churna 10gm with hot water. At bed time. For 1 month.

    About Dr.Asha

    dr.asha
    Dr. Asha Vinay Pathange, BAMS., MS(Ayu)
    Dr. Asha Vinay Pathange completed her M.S (Ayu) from Rajiv Gandhi University, Bangalore in Shalya Tantra.
    She stayed in Japan for long years and she was first lady Ayurvedic master degree holder in Japan. She did lot of health counselling and was did seminars in different health topics. Some of topics were, child care, menopause, skin care, dinacharya, ritucharya, pancha karma, etc., Some courses like Abhyanga, kati basti, janu basti, netra tarpana, etc.,
    After setting back to India, she practiced in one of esteem Ayurveda centre in Kerala. Then she started her own chikitsalaya by name Sakura Ayurveda Clinic, in Mysore. She treated lots of diseases with much positive results. Some of main treated successfully are, Infertility, PCOD, Piles and Fistula, Psoriasis, Osteo-arthritis, Rheumatic arthritis, Allergic rhinitis, skin allergies, many Skin problems, etc.,
    She is doing various Ayurvedic therapies like, Pancha karma (Vamana, Virechana, Nasya karma, Basti and Rakta mokshana), Full body massage, Steam, Patra pinda sweda, Shirodhara, Shashtika shali pinda sweda, Netra tarpana, kati basti, Janu basti, etc.,

    sakura-Clinic

    Sakura Clinic
    Contact: 91-81058-87261
    e-mail: ashavinay.pathange@gmail.com
    Centre: Sakura Ayurveda Clinic
    Address: #512, 1st main, 13th cross, Srirampura 2nd stage, Myrose-23