Ayurvedic Treatment of the Vagina Disorders in Ashtang Hridayam

 Yoni vyapat (Disorders of the Vagina)



"Yoni Vyapat Chikitsa" translates to "treatment of vaginal disorders" in Ayurveda, a traditional Indian system of medicine. It encompasses a range of Ayurvedic therapies and practices aimed at addressing various gynecological conditions.  Twenty diseases of the vagina arise because of consuming bad food. 27b.

Vatiki

Improper postures during lieing/sleeping, excess of sexual intercourse, vitiation of the menstrual flow, use of bad materials (as substitutes for the phallus), disorders of the seed (ovum) and effects of actions of previous lives-by these causes vata gets aggravated and produces pain, pricking and dilating types of pain, loss of sensation, feeling of ants crawling, loss of movement, roughness and noise (gas coming out with noise) and discharge of menstrual blood which is frothy, slight reddish black, thin and dry (non unctuous) drooping of groins and flanks, discomfort and gradual development of abdominal tumour. All these different kinds of diseases are called as vatiki (yoni vyapat). 27b-31a. 

Aticarana

Aticarana is a similar one accompained with swelling (of the vagina) caused by excess of copulation. 31b

Prakcarana

Copulation in a very young girl produces pain in her back, calves, thighs and groins and vayu (vata) vitiates the vagina. It is known as Prakcarana. 32. 

Udavrtta

Maruta (vata) aggravated by suppression of the urges, torments the vagina and expels frothy menstrual blood whith difficulty, this diseases is Udavrtta. 33. 

Jataghni

Jataghni is caused by anila (vata) which, by increasing the dryness of the vitiated menstrual blood, kills every child that is born. 34. 

Antarmukhi

Indulging in copulation after a heavy meal or adopting abnormal postures, vata localised in the vagina gets aggravated, leading to distortion of the orifice, the bones and muscles, and severe pain, this is called Antarmukhi. 35-36a. 

Sucimukhi 

Vata getting aggravated in those women who indulge in foods which cause increase of vata, producing narrowing of the vaginal passage-this called Sucimukhi. 36b-37a. 

Suska yoni

Due to the habit of suppressing the urges during the period of menstruation, vata getting aggravated causes accumilation of faeces and of urine and causes dryness of the vagina, accompanied with severe pain. This known as Suska yoni. 37b-38a. 

Vamini

Either on the sixth or seventh day, the semen is vomitted (expelled) out of the uterus, either accompanied with pain or without pain by vata-this is called Vamini. 38b-39a. 

Sandha

The woman who presents features of aggravation of vata in her vagina and uterus due to defect in the seed, who hates men and has no (developed) breasts is known as Sandha and cannot be cured. 39b-40a. 

Mahayoni

Vata getting aggravated, obstructing the vaginal passage, the mouth and cavity of the uterus, causes them to dilate, droop down and painful like that of vatiki (described earlier) the muscles protrude out and cause severe pain. This known as Mahayoni. 40b-41. 

Paittiki yoni vyapat

Pitta getting aggravated by its own causes getting localised in the vagina produces burning sensation, suppuration/ulceration, warmth, foul smell, fever, discharge of menstrual blood which is very hot, large quantity, of cadaveric smell, blue, yellow or black in colour. These are features of paittika (yoni vyapat). 42-43a. 

Raktayoni

When there is copious discharge of blood it is known as 43b. 

Slaismiki yoni vyapat

Kapha getting aggravated by use of foods which increase moisture leads to slaismiki (Kaphaja yoni vyapat) charactorised by absence of pain, feeling of cold, itching and discharge of pale, slimy blood. 44. 

Lohitaksaya

Loss or decrease of menstrual blood is caused by aggravation of vatapitta together and is accompanied with burning sensation, emaciation, discolouration. This is called Lohitaksaya, 45. 

Paripluta

The woman belonging to pitta constitution who suppresses the urges of sneezing and belching during copulation, goes in for aggravation of vata along with pitta which together vitiate the vagina, which becomes swollen, intolerant to touch, painful, exuding blue, yellow blood, associated with feeling of heaviness of the urinary bladder and abdomen, diarrhoea, loss of taste / appetite, pain in the waist, groin, pricking pain and fever. This disease is Paripluta. 46-47

Upapluta

This having the features of increase of vata and kaphaexudes blood which is white and slimy, this is Upapluta yoni. 48. 

Vipluta 

Vipluta is due to not washing (cleaning the vagina), givess rise to growth of worms (bacteria etc.) and itching, because of itching the woman desires copulation often. 49. 

Karnini

By premature initiation of the urges, vata getting aggravated along with slesma (kapha) and rakta (blood) produces karnika (sprouts of muscles) obstructing the channel of the menstrual blood. This is known as Karnini. 50. 

Sannipatiki-yoni vyapat

Diseases arise along with secondary affections from the aggravation of all the dosas together, having all the features. 51. 

These are the diseases of the vagina, by which the woman does not retain the semen, nor develop the embryo and becomes a victim of difficult diseases such as menorrhagia, haemorrhoids, abdominal tumour etc. produced by vata etc. 52

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