Conceptual Study On Nidana and Samprapti of Svetapradara With Special Reference To Leucorrhoea
Conceptual Study On Nidana and Samprapti of Svetapradara With Special Reference To Leucorrhoea
Conceptual Study On Nidana and Samprapti of Svetapradara With Special Reference To Leucorrhoea
in
ISSN: 0976-5921
International Journal of Ayurvedic Medicine, 2013, 4(4), 252-263
Review article
Abstract
The reputation of a physician depends upon his skill in diagnosing and treating the
patients. Ayurveda has given much importance to nidana (etiology) and samprapti
(pathogenesis) as these two are important components of nidana panchaka. Nidana is defined
as the fundamental or root cause of a disease and samprapiti is defined as the evolution of an
illness. Svetapradara is a condition characterized by white vaginal discharge which is not
associated with foul smell, pain, itching, burning sensation etc. thus it can be correlated with
Leucorrhoea. It is an annoying complaint of more than 60% of women seen in gynaecological
OPD. The symptoms and treatment of Svetapradara is given in Ayurvedic texts but no where
its nidana and samprapti is discussed. This study mainly deals with detailed discussion on
nidana and samprapti of Svetapradara. Method – Classical Ayurvedic texts along with the
commentaries were carefully studied to compile information about Svetapradara and to
evaluate the nidana and samprapti of the disease. Observation – Ayurveda has given more
emphasis to nidana and samprapti. It was observed that different ahara, vihara, agantuja,
mansika etc karana influences the samprapti of the disease. Result –Vata prakopaka and
kapha prakopaka karana are important nidana of Svetapradara and various nidana factors
affects the samprapti in different process and accordingly treatment schedule must be
adopted.
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Singh Biti et.al., Conceptual study on nidana and samprapti of Svetapradara w.s.r. to Leucorrhoea
correlate it with Leucorrhoea(1). The word Charaka, Susruta and Vagbhata have some
Svetapradara has not appeared in different opinion regarding the etiology of
brihatrayi i.e. Charak, Susruta and Yoni vyapad as described in their
Vagbhata Samhita. Commentator Samhitas(3,4,5). Among Laghutrayi, both
Chakrapani and the authors of Madhavakara and Bhava Mishra followed
Sarangadhara Samhita, Bhava Prakash and Susruta’s description. In Sarangadhara
Yoga Ratnakara have used the word samhita only names of Yonivyapad have
Svetapradara for white vaginal denoted but not the detailed description(6).
discharge(2). The symptoms and treatment Nidana of yonivyapada according
of Svetapradara are given in several to different Acharyas has shown below:
ayurvedic texts but no where its nidana
and samprapti are discussed. In present Charaka
era, Svetapradara is quite frequent Mithyachara (improper conduct)
complaint of more than 60% of women in Artava dushti (menstrual disorder)
gynaecologic clinic. It becomes the Beeja dosha (genetic morbidity)
necessity of the time to find out an Daiva (devine factors)
efficacious and harmless therapy to
manage this condition, but it is not
possible without getting correct knowledge Susruta
of nidana and samprapti, this is the reason Pravrddha linga purshati sevana
why ayurveda has given more emphasis to (excessive indulgence into sex with a
nidana and samprapti before treating a man of abnormally developed penis),
disease. Atimaithuna(excessive indulgence into
sexual act),
Early work carried out: Vyavaya with ruksha, durbala, atibala
Several studies were done on Beeja dosha
Svetapradara and its treatment but no Daiva
where its nidana and samprapti were
discussed in detail. This study mainly Vagbhata
deals with the detailed discussion on Dushtabhojana (vitiated food),
nidana and samprapiti of Svetapradara. visamanga seyana bhrshamaithuna
sevana (intercourse in improper
Materials and Methods: position and excessive indulgence into
Classical Ayurvedic texts, sexual act),
commentaries and modern text were Apadravya sevana (use of artificial
thoroughly studied to evaluate the nidana things for sexual pleasure)
and samprapti of the disease and only Dushta Artava
nectar part is presented and discussed in Beeja dosha
the present article. Daiva
Nidana: In brief, all the Acharyas have
Nidana is one of the basic mentioned four main etiological factors
principles in the Ayurvedic line of with partial modification. Here these
pathology, hence physician should get nidana factors are going to be discussed in
acquainted with the nidana, in order to detail-:
eradicate a disease. So, here the details
regarding with the nidana of Svetapradara Mithyachara: (Improper conduct)
are discussed: The word Achara embodies in
itself the entire mode of living. The
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International Journal of Ayurvedic Medicine, 2013, 4(4), 252-263
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Singh Biti et.al., Conceptual study on nidana and samprapti of Svetapradara w.s.r. to Leucorrhoea
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International Journal of Ayurvedic Medicine, 2013, 4(4), 252-263
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Singh Biti et.al., Conceptual study on nidana and samprapti of Svetapradara w.s.r. to Leucorrhoea
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International Journal of Ayurvedic Medicine, 2013, 4(4), 252-263
Svetapradara vyadhi
Manifest the disease
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Singh Biti et.al., Conceptual study on nidana and samprapti of Svetapradara w.s.r. to Leucorrhoea
Causes kapha dosha and rasa dhatu dushti Causes kapha and rasa dhatu vitiation
in yoni
Expels kapha and rasa dhatu out from
Causes atimatra pravritti from yoni
bahirmukha srotas
Vishishtha Samprapti (according to
different kapha prakopak nidana):
Ill health and chronic diseases
(Durbalata and jirna vyadhi): Samashana, Vishamashana, Atimatra
bhojana
Mithayahara vihara
Indigestion of ingested food leading to
production of ama
Vata prakopaka and dhatwagni vaishamya
Ama causes srotas avarodha
Aggravated vata causes ashayaapakarsha
of kapha in yoni
Vitiates kapha dosha and rasa dhatu
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International Journal of Ayurvedic Medicine, 2013, 4(4), 252-263
samshana and the intake of diet untimely blocking substances) as clearly explained
is vishamashana, these dietary habits by Susruta are those which possess the
causes agni mandhya and produces ama, capacity to produce kleda in the doshas,
simultaneously aggravates kapha and after dhatus, malas and srotas by the pichhila
getting localized in the female genital and guru gunas, it obstructs the srotas
organs it results into Svetapradara. (channels), dhatu poshana (nourishment)
hampered. Due to its guru guna it
Ritu vaishamya(seasonal increases the kapha as well as the kleda.
variations)(18): So, in the Svetapradara the excessive
According to Charaka, ritu consumption of abhisyandi dravya
enhances the vaginal discharge and
vaishamya has a direct impact on
thereby causes other signs and symptoms.
jatharagni (C.Ci.15/42-44). Vitiation of
jatharagni produces ama, resulting Jalaja / Anupa mamsa sevana – Having
improper digestion of ingested food. This kleda guna, increases the klinnata in
ama causes srotas avarodha vitiates vata, srotoas.
kapha and rasa dhatu and manifests Ritu kala – Kapha dhatu vriddhi causes
pathogenesis for the disease. excessive secretion from yoni marga.
Aggravated kapha follow the same vicious Takes sthanasamshraya in yoni pradesh
cycle of pathogenesis, as mentioned above
to manifest the disease.
Vitiates sthanik dosha and dhatu in yoni
Dadhi and amaksheer – pradesha
Both have abhishayandi property,
causing the srotoavarodh (obstruction) and Vriddha vata expels out
kapha vriddhi. The abhisyandi (channel
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Singh Biti et.al., Conceptual study on nidana and samprapti of Svetapradara w.s.r. to Leucorrhoea
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International Journal of Ayurvedic Medicine, 2013, 4(4), 252-263
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