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|keywords=Yonivyapat (disorders of female genital tract), shukra (semen and sperm), artava (menstruation), klaibya (impotency), disorders of male genital tract, stanya (breast milk), pradara (menorrhagia), dysmenorrhoea, pediatrics,circadian rhythm, aushadha sevana kala, chrnonopharmacolgy
|keywords=Yonivyapat (disorders of female genital tract), shukra (semen and sperm), artava (menstruation), klaibya (impotency), disorders of male genital tract, stanya (breast milk), pradara (menorrhagia), dysmenorrhoea, pediatrics,circadian rhythm, aushadha sevana kala, chrnonopharmacolgy
|description=Chikitsa Sthana Chapter 30. Management of disorders of male and female genital tracts
|description=Chikitsa Sthana Chapter 30. Management of disorders of genital tract
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<big>'''[[Chikitsa Sthana]] Chapter 30. Management of disorders of male and female genital tracts </big>'''
<big>'''[[Chikitsa Sthana]] Chapter 30. Management of disorders of genital tract </big>'''
<big>''' Abstract </big>'''
<big>''' Abstract </big>'''
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Now we shall expound the chapter dealing with ''Yonivyapat'' (disorders of the genital tract)”. Thus said Lord Atreya.[1-2]
Now we shall expound the chapter "Yonivyapat Chikitsa" (Management of disorders of the genital tract). Thus said Lord Atreya.[1-2]
==== Agnivesha’s query ====
==== Agnivesha’s query ====
Agnivesha asked to Punarvasu who was self controlled, seer of the ideas, spiritual knowledge, wandering besides Himalaya which was endowed with sacred water sources like ''Ganga'', devine herbs, various metals and stones of different colors, as well as inhabited by gods, virtue of knowledge of penance accomplished by the sages. [3-4]
Agnivesha asked to Punarvasu who was self controlled, seer of the ideas, spiritual knowledge, wandering besides Himalaya which was endowed with sacred water sources like ''Ganga'', devine herbs, various metals and stones of different colors, as well as inhabited by gods, virtue of knowledge of penance accomplished by the sages. [3-4]
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Oh Lord ! The prime source of progeny is the woman. An offspring cannot be conceived if there are disorders in the genital tract. Hence,for the welfare of people, I want to hear or know the causes of disorders of the genital tract,their symptoms as well as the treatment. [5-6]
Oh Lord ! The prime source of progeny is the woman. An offspring cannot be conceived if there are disorders in the genital tract. Hence,for the welfare of people, I want to hear or know the causes of disorders of the genital tract,their symptoms as well as the treatment. [5-6]
=== Twenty disorders of female genital tract ===
==== Explanation by Atreya ====
==== Explanation by Atreya ====
The disorders of the female genital tract along with the symptoms, causes and treatment have been said in detail by the sage Atreya. [127]
The disorders of the female genital tract along with the symptoms, causes and treatment have been said in detail by the sage Atreya. [127]
=== Disorders of Male genital tract ===
==== Agnivesha’s queries about disorders of male genital tract ====
==== Agnivesha’s queries about disorders of male genital tract ====
Impotency secondary to the aging shall be treated as the ''kshayaja'' with ''snehana, swedana'' and unctuous purification therapies.
Impotency secondary to the aging shall be treated as the ''kshayaja'' with ''snehana, swedana'' and unctuous purification therapies.
Cow milk, ghee, and aphrodisiac formulations aling with ''yapana basti, rasayana'' treatment are the remedies illustrated as the remedy for the impotency.[196-204]
Cow milk, ghee, and aphrodisiac formulations aling with ''yapana basti, rasayana'' treatment are the remedies illustrated as the remedy for the impotency.[196-204]
=== Menstrual disorders ===
==== ''Asrigadara'' (menorrhagia) ====
==== ''Asrigadara'' (menorrhagia) ====
The treatment which is advised for ''raktatisara'' (diarrhea with expulsion of blood), ''raktapitta'' (internal hemorrhage) and ''raktarsha'' (bleeding piles) should be administered in ''pradara roga''.[228]
The treatment which is advised for ''raktatisara'' (diarrhea with expulsion of blood), ''raktapitta'' (internal hemorrhage) and ''raktarsha'' (bleeding piles) should be administered in ''pradara roga''.[228]
=== Abnormalities of breast milk ===
==== ''Stanya dushti'' (abnormalities of breast milk and lactation) ====
==== ''Stanya dushti'' (abnormalities of breast milk and lactation) ====
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''Trivrt'' or ''haritaki'' mixed with the decoction of ''triphala'' or only powder of ''haritaki'' mixed with
''Trivrit'' or ''haritaki'' mixed with the decoction of ''triphala'' or only powder of ''haritaki'' mixed with
honey should be given.These drugs can also be given with cow’s urine, by a wise physician for the purpose of purgation. [254-255]
honey should be given.These drugs can also be given with cow’s urine, by a wise physician for the purpose of purgation. [254-255]
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Thus these eight defects of breast milk have been described here with their causes, symptoms and treatment and some ailments caused by the defects of milk have also described here. [281-282]
Thus these eight defects of breast milk have been described here with their causes, symptoms and treatment and some ailments caused by the defects of milk have also described here. [281-282]
=== Pediatrics ===
==== Principles of management in pediatrics ====
==== Principles of management in pediatrics ====
Thus, in brief, the directions regarding the treatment of all the diseases occurring in children, and the physician well versed in science should treat the diseases after meticulously differentiating these factors (mentioned above).[282-287]
Thus, in brief, the directions regarding the treatment of all the diseases occurring in children, and the physician well versed in science should treat the diseases after meticulously differentiating these factors (mentioned above).[282-287]
=== Colophon of [[Chikitsa Sthana]] ===
==== Importance of [[Chikitsa Sthana]] ====
==== Importance of [[Chikitsa Sthana]] ====
These chapters have been added by Dridhabala, Son of Kapilabali to fulfil the aim of completion of this great treatise. [289-290]
These chapters have been added by Dridhabala, Son of Kapilabali to fulfil the aim of completion of this great treatise. [289-290]
=== Important factors in management of diseases ===
==== Guiding principles to understand ''anukta vyadhi'' (untold diseases that are not mentioned here)====
==== Guiding principles to understand ''anukta vyadhi'' (untold diseases that are not mentioned here)====
Greediness in eating, due to the inactivity of ''doshas'' or wrong disease process leads to loss of taste and appetite which can be corrected by wholesome diet and activity or change in the previously advised diet.[327-333]
Greediness in eating, due to the inactivity of ''doshas'' or wrong disease process leads to loss of taste and appetite which can be corrected by wholesome diet and activity or change in the previously advised diet.[327-333]
=== Summary ===
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== Vidhi Vimarsha (Applied Inferences ) ==
== Vidhi Vimarsha (Applied Inferences ) ==
==== Female genital tract and its disorders ====
==== Female genital tract and its disorders ====
===== Penile & Testicular diseases of Chronic Inflammatory etiology =====
===== Penile & Testicular diseases of Chronic Inflammatory etiology =====
Veneral diseases
#Veneral diseases
#Benign and malignant tumors of male genitalia
Benign and malignant tumors of male genitalia
#Penile fractures [174-175]
Penile fractures [174-175]
After age 40 years, testosterone levels in men begin to decrease. This decline, alternatively referred to as the male climacteric, andropause, viropause, or partial androgen deficiency of the aging male (PADAM), may account for a number of pathophysiologic changes associated with aging. Decreased bone density, loss of lean body mass, depressed erythropoiesis, oligospermia, sexual dysfunction; cognitive deficits, memory problems, and depression have all been hypothesized to result from a reduction in serum androgen levels. The symptoms of andropause are indolent, because the nature of androgen loss with age is slow and progressive3. [179-180]
After age 40 years, testosterone levels in men begin to decrease. This decline, alternatively referred to as the male climacteric, andropause, viropause, or partial androgen deficiency of the aging male (PADAM), may account for a number of pathophysiologic changes associated with aging. Decreased bone density, loss of lean body mass, depressed erythropoiesis, oligospermia, sexual dysfunction; cognitive deficits, memory problems, and depression have all been hypothesized to result from a reduction in serum androgen levels. The symptoms of andropause are indolent, because the nature of androgen loss with age is slow and progressive3. [179-180]
Causes for ''Kashyaja Klaibya'', per recent researches:
'''Causes for ''Kashyaja Klaibya'', per recent researches:'''
#Vasal agenesis – absence of Vasa deferentia
#Vasal agenesis – absence of Vasa deferentia
#Bilateral testicular atrophy
#Bilateral testicular atrophy
#Genetic factors
#Genetic factors
Concept of shukrashmari & ejaculatory duct obstruction
==== Concept of shukrashmari & ejaculatory duct obstruction ====
Surgical measures described in the treatment of ''klaibya'' (impotency):
==== Surgical measures described in the treatment of ''klaibya'' (impotency)====
''Medhrachheda'': Partial and /or complete penectomy
''Medhrachheda'': Partial and /or complete penectomy
''Vrishana patana'': Orchiectomy [181-191]
''Vrishana patana'': Orchiectomy [181-191]
==== Times of administration of medicines ====
Last part of this chapter discuss the importance of ''pathya'' (wholesome diet) in treatment and dosage timings of administrations can be termed as slots and ''Sharangdhara Samhita'' elaborates this time of administration in five different slots.
Last part of this chapter discuss the importance of ''pathya'' (wholesome diet) in treatment and dosage timings of administrations can be termed as slots and ''Sharangdhara Samhita'' elaborates this time of administration in five different slots.
These temporal characteristics of cardiovascular disease indicate the importance of careful timing in their assessment, monitoring, and treatment (120). [299]
These temporal characteristics of cardiovascular disease indicate the importance of careful timing in their assessment, monitoring, and treatment (120). [299]
== References ==
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