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Line 71: + − • Psychological support (ashwasana) [Ka.Sa.Khila Sthana 11/18]+ − • Internal administration with diet and medicines (abhyantara upakrama)+ − • External therapies (bahya upakrama)+ − + − + + + + + + − + + + − • If the patient is not suitable for administration of fats, then decoction of drugs alleviating [[vata]], or laghu panchamoola (the roots of Solanum indicum, Solanum xanthocarpum, Desmodium gangeticum, Uraria picta, and Tribulus terrestris) is prescribed. + − • Panchakola powder with hot water prepared by adding jaggery (gudodaka) for two to three days. + − • Rice gruel with ghee(sneha yavagu) and processed with the drugs of the group called “vidarigandhadi gana” ( group of herbs) [Su.Sa.Sutra Sthana 38/4-5] for the next three days.+ − • Soup of Hordeum vulgare Linn.(yava), Ziziphus jujuba Lam(kola), Dolichos biflorus Linn.(kulatha) with an easily digestible diet.+ − • After 12 days, meat soup of animals of arid region (jangala desha) is advised. + − • Vegetables like pumpkin guard (kushmanda), radish, cucumber etc. fried in ghee are recommended.+ − • Boiled and cooled water should be used for drinking.+ − • Drugs that are vitalizing (jeevaniya), nourishing (brimhaniya), sweet, and alleviating [[vata]] are prescribed in general to restore the health of a woman. [A.S..Sharira Sthana 3/38]+ − + − • Whole-body massage (abhyanga), especially on the pelvic region with oil processed with Sida cordifolia (bala taila ).+ − • Application of a mixture of unctuous substances (ghee, oil, animal fat etc.) on the abdominal region and bandage using a long, comfortable, and clean cloth (udara veshtana).+ − • Per vaginal administration of oil and hot water sudation+ − • Hot water bath or body wash with decoction prepared using vata alleviating drugs E.g. drugs of “Bhadradarvyadi gana” (group of herbs) twice a day.+ − • Sitz bath or hip bath (avagaha)+ − • Fumigation of the vaginal region with drugs like Saussurea lappa (Kushtha), Commiphora wightii (guggulu), Aquilaria agallocha (agaru) mixed with ghee.+ − • Oleation, sudation, and use of hot water are recommended to be followed at least for one month. [Ka. Sa. Khila Sthana 10]+ − [Cha. Sa. Sharira Sthana 8/48], [Su.Sa.Sharira Sthana 10/16-17], [A.S.Sharira Sthana 3/38], [A.Hr.Sharira Sthana 1/99], [Ka. Sa. Khila Sthana 10], [Ha. Sa.Trutiya Sthana 53/1-5]+ + + + + + + + + + + + + + + + + +
→Postnatal care
=== Postnatal care ===
=== Postnatal care ===
<div style="text-align:justify;">
Postnatal care includes the following guidelines :
Postnatal care includes the following guidelines :
*Psychological support (ashwasana) [Ka.Sa.Khila Sthana 11/18]
Internal administration with diet and medicines (abhyantara upakrama):
*Internal administration with diet and medicines (abhyantara upakrama)
Administration of fats :
*External therapies (bahya upakrama)
====Internal administration with diet and medicines (abhyantara upakrama):====
'''Administration of fats :'''
Oral administration of fatty substance (sneha) with powder of panchakola (mixture of Piper longum (pippali and pippalimula), Piper chaba Hunte (chavya), Plumbago zeylanica (chitraka), and Zingiber officinale (nagara)) is prescribed. The quantity of fat is determined as per the digestive capacity. The scum of boiled rice (manda) is used as an after drink (anupana).
Oral administration of fatty substance (sneha) with powder of panchakola (mixture of Piper longum (pippali and pippalimula), Piper chaba Hunte (chavya), Plumbago zeylanica (chitraka), and Zingiber officinale (nagara)) is prescribed. The quantity of fat is determined as per the digestive capacity. The scum of boiled rice (manda) is used as an after drink (anupana).
In contemporary practices, ghee is the most widely used form of fat in post natal care. Studies show that ghee prepared by traditional methods contain a higher amount of docosahexaenoic acid (DHA) and omega-3 long-chain polyunsaturated fatty acids. Maternal n-3 fatty acids levels, particularly DHA, are decreased during pregnancy. A low n-3 fatty acids level is found to be associated with postpartum depression (PPD). Oral administration of ghee may be useful to prevent the incidence of PPD.
In contemporary practices, ghee is the most widely used form of fat in post natal care. Studies show that ghee prepared by traditional methods contain a higher amount of docosahexaenoic acid (DHA) and omega-3 long-chain polyunsaturated fatty acids. Maternal n-3 fatty acids levels, particularly DHA, are decreased during pregnancy. A low n-3 fatty acids level is found to be associated with postpartum depression (PPD). Oral administration of ghee may be useful to prevent the incidence of PPD.
Judicious administration of fats is recommended in the postpartum protocol. Ghee in greater quantity may lead to weight gain. Post-partum obesity is an associated risk factor for cardiovascular diseases. Therefore, the ghee administration is indicated in vata and pitta dominant constitution individuals. It shall be used with precautions in conditions associated with increased kapha dosha and meda dhatu.
Judicious administration of fats is recommended in the postpartum protocol. Ghee in greater quantity may lead to weight gain. Post-partum obesity is an associated risk factor for cardiovascular diseases. Therefore, the ghee administration is indicated in [[vata]] and [[pitta]] dominant constitution individuals. It shall be used with precautions in conditions associated with increased [[kapha dosha]] and [[meda dhatu]].
Panchakola powder is observed to increase the serum levels of nutritional substances such as coenzyme Q10 & beta carotene and lengthen their serum half-lives. In addition, it can act as a thermal nutrient and increase the absorption of certain nutritional substances from the gastrointestinal tract by producing a local thermogenic action. Furthermore, these herbs have marked central stimulant activity, immune-stimulatory effect, and anti-inflammatory action. It also has bioavailability enhancer property and central dopaminergic activity. Thus, panchakola can help in relieving pain, promote uterine involution by contraction, autolysis and regeneration.
Panchakola powder is observed to increase the serum levels of nutritional substances such as coenzyme Q10 & beta carotene and lengthen their serum half-lives. In addition, it can act as a thermal nutrient and increase the absorption of certain nutritional substances from the gastrointestinal tract by producing a local thermogenic action. Furthermore, these herbs have marked central stimulant activity, immune-stimulatory effect, and anti-inflammatory action. It also has bioavailability enhancer property and central dopaminergic activity. Thus, panchakola can help in relieving pain, promote uterine involution by contraction, autolysis and regeneration.
*If the patient is not suitable for administration of fats, then decoction of drugs alleviating [[vata]], or laghu panchamoola (the roots of Solanum indicum, Solanum xanthocarpum, Desmodium gangeticum, Uraria picta, and Tribulus terrestris) is prescribed.
*Panchakola powder with hot water prepared by adding jaggery (gudodaka) for two to three days.
*Rice gruel with ghee(sneha yavagu) and processed with the drugs of the group called “vidarigandhadi gana” ( group of herbs) [Su.Sa.Sutra Sthana 38/4-5] for the next three days.
*Soup of Hordeum vulgare Linn.(yava), Ziziphus jujuba Lam(kola), Dolichos biflorus Linn.(kulatha) with an easily digestible diet is advised.
External therapies:
*After 12 days, meat soup of animals of arid region (jangala desha) is advised.
*Vegetables like pumpkin guard (kushmanda), radish, cucumber etc. fried in ghee are recommended.
*Boiled and cooled water should be used for drinking.
*Drugs that are vitalizing (jeevaniya), nourishing (brimhaniya), sweet, and alleviating [[vata]] are prescribed in general to restore the health of a woman. [A.S..Sharira Sthana 3/38]
====External therapies:====
*Whole-body massage (abhyanga), especially on the pelvic region with oil processed with Sida cordifolia (bala taila ).
*Application of a mixture of unctuous substances (ghee, oil, animal fat etc.) on the abdominal region and bandage using a long, comfortable, and clean cloth (udara veshtana).
*Per vaginal administration of oil and hot water sudation.
*Hot water bath or body wash with decoction prepared using vata alleviating drugs E.g. drugs of “Bhadradarvyadi gana” (group of herbs) twice a day.
*Sitz bath or hip bath (avagaha)
*Fumigation of the vaginal region with drugs like Saussurea lappa (Kushtha), Commiphora wightii (guggulu), Aquilaria agallocha (agaru) mixed with ghee.
*Oleation, sudation, and use of hot water are recommended to be followed at least for one month.
[Cha. Sa. Sharira Sthana 8/48], [Su.Sa.Sharira Sthana 10/16-17], [A.S.Sharira Sthana 3/38], [A.Hr.Sharira Sthana 1/99], [Ka. Sa. Khila Sthana 10], [Ha. Sa.Trutiya Sthana 53/1-5]
===Day wise schedule in postnatal care===
===Day wise schedule in postnatal care===
Day 1 • Decoction of any of the herbs like Symplocos racemosa (lodhra), Terminalia arjuna(arjuna), Neolamarckia cadamba (kadamba), Cedrus deodara (devadaru), Pterocarpus marsupium Roxb (bijaka) and Ziziphus mauritiana (karkandhu)
Day 1 • Decoction of any of the herbs like Symplocos racemosa (lodhra), Terminalia arjuna(arjuna), Neolamarckia cadamba (kadamba), Cedrus deodara (devadaru), Pterocarpus marsupium Roxb (bijaka) and Ziziphus mauritiana (karkandhu)