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The regimen prescribes practices for each month and stage of pregnancy. These systems are, in fact, diligently followed as traditional practices in innumerable households even today. Garbhini Paricharya prescribes ahara (diet), vihara (lifestyle) andvichara (thought process) to be followed during pregnancy as these have a direct effect on the mother and the child. Of these, wholesome diet is given great importance as it aids foetal growth, maternal health and lactation after childbirth. Great care is also recommended during the first three months and after the completion of the seventh month of pregnancy. During the first three months of pregnancy, the foetus is in a formative stage. During this stage, the embryo is nourished directly by upsnehan (percolation). Therefore, more liquid diets such as fruits with juice content, coconut water, milk are recommended. While milk and a light diet is recommended during the first month; in the second and third months, milk medicated with life-building herbs such as Vidari,
Shatavari (Asparagus), Yashtimadhu (Licorice) andBrahmi are prescribed along with honey and ghee. Brahmi helps in calming the nerves and is also a good prajasthapan (sustainer of pregnancy). Garbhini Paricharya considers milk an ideal constituent of diet for pregnant women as it is a source of calcium, lactose and butter fat. Milk also has moderate amounts of protein with anabolic properties that give strength. Ayurveda is particular that pregnant women should not get constipation. While mild laxatives and enema is recommended if there is a tendency to constipation, it is found that usually, milk alone is sufficient to cope with the constipation. Towards the end of the third month, the foetus starts showing distinct development and sensory perceptions. Motor reactions start developing and heartbeat can also be heard. The fourth month sees the formation of dhatus (tissues) in the foetus. In the fifth month, blood and muscles are formed. In the sixth month, fatty tissue is formed. In the seventh month, foetal growth is complete. Foetal organs are well formed and acquire strength by the sixth and seventh months. Skin, hair and nails are also noticed at this stage. Medicated ghee is recommended as a nutritional supplement to the diet.
The embryo gets its nourishment through the umbilical cord. Rice, milk, butter and ghee along with fruits and leafy vegetables are recommended. This is useful for foetal growth, for maternal health and for further lactation. As per Ayurveda, pregnancy is the time to consume nutritional food substances like urad dal and amla. From the fourth to the seventh month, medicinal supplements such asAshwagandha, Kraunch beej and Guduchi (Shindilkodi in Tamil,Gulancha in Bengali). Aswagandha and guduchi are given to strengthen the uterine muscles and also to nourish the embryo. These also help in the prevention of intrauterine growth retardation. Fat, salt and water should be reduced in the diet from the seventh month onwards. Rice kanji with ghee is a recommended diet. Small amounts of basil can be taken as antispasmodic. Herbs such asGokshura and Sariba, which are mild diuretics and urinary antiseptics, can also be taken. Ayurveda advises certain concoctions (available in Ayurvedic pharmacies) during pregnancy, for the growth of the foetus and for the health of the mother. Ghrita preparations (medicated ghee) like Phala Sarpis can be taken from the first month of pregnancy. Dadimadi Ghritham improves the growth of the foetus while Kalyanaka Ghritham improves mental growth. These concotions can be taken from the seventh month of pregnancy. In
addition, Sukhaprasava Ghritham helps in easy delivery of the baby. These Ghrita preparations can be included as an integral part of the diet, during pregnancy. Interestingly, the suggested Ayurvedic diet correlates to modern nutrition recommended for pregnant women such as high protein, vitamins and minerals.
MOTHER AND CHILD CARE IN TRADITIONAL MEDICINE Diagnosis Of Pregnancy The topic of Prasoothi Tantra itself it divided into three areas viz. 1. The ante-natal phase - which includes - diagnosis of pregnancy and care during pregnancy - garbhini-paricharya. 2. Natal phase - namely the process of delivery - from the onset of the labour pains upto delivery of the placenta -prasava kaala paricharya.
3. Post-natal phase - namely the post-partal period or looking after the new-born baby, care of t h e mother during lactation -soothika paricharya. The first phase ofgarbhini-paricharya starts off with the diagnosis of pregnancy. Diagnosis of pregnancy can be based on: i. ii. iii. Presumptive signs and symptoms Probable signs Positive signs
Our Aachaaryas have classified them assadyogruheeta -garbha lakshanas andvyaktha-garbhalakshanas. Sadyogruheeta- garbha-lakshanas (including presumptive and probable signs) are the set of signs and symptoms which help in the detection of pregnancy within a week of conception or even just after coition.Vyaktha-garbha-lakshanas (positive sings) are generally observed after amenorrhea i.e. these symptoms are observed after her first missed period and are symptoms which help in confirming the pregnancy. 1. Sadyogruheeta garbha lakshanas
The signs and symptoms that can be seen immediately after conception are follows: Charaka lists them as "Nishteevika gowravamangasaadas-tandra apaharshow hrudaye vyatha cha trupthischa beejagrahanam cha yonyaam garbhasya sadhyonamgathesya lingam" i.e. repeated spitting, heaviness, malaise, drowsiness, horripilation, uneasiness, pain in the chest, a feeling of satisfaction, retention of the ejaculated semen in theyoni (Cha. Sam., Sha. 2/23). Sushrutha lists them as "Shramoglaanihi pipaasaa sakthisadanam
shukrashonithayoravabandhahasphuranam cha yonehe" i.e.fatigue, langour, excessive thirst, lassitude of the thighs, retention ofshukraandshonitha (absence of menstrual and coital discharges) and quivering in the vagina (Sus. Sam., Sha. 3/10). Vaagbhatta II states "...angagrahaha, hrudaya spandanam trupthirgurutwam, thandra trudglaanihi
lomaharshanam" i.e. body pain, satisfaction, heaviness, quivering, retention and combination of shukra and aarthava, palpitation, dizziness, excessive thirst, langour, horipulation are the immediate sings of pregnancy (Ash. Hru., Sha. 1/37-38).Vaagbhatta I includes nausea and excessive salivation also in the list of symptoms.
e. Vaagbhatta in Ashtaanga .. They are described byCharaka as : "Aarthavaadarshanamasya cha visheshena samsravanam anannaabhilasha chardihi bhaveshu arochakomlakaamatha shraddha pranayanamucchaavacheshu gurugaatratwam chakshusho glaanihi sthanayoho. development of romaraji (the vertical streak of hair line extending to the umblicus) and dilation of vagina (Cha.e. anorexia. the moment the shukra andaarthava unite. excessive salivation.Vruddha Vaagbhatta inAshtaanga Sangraham along with the other signs and symptoms also mentions "yatha yatha cha garbho vruddhimaapnothi tatha bharahara . langour of eyes. Sha.rasaapchaaraatcha sthriyaa balakshaya" . Sha. blackening of lips and areola.Charakaexplains these signs and symptoms as that of dowhrudyam or that of having twohrudayas and states that their knowledge is essential to facilitate their management. twamithi garbhe shwayathuhu paadayoreeshallomaraajyudgamo roopani yonyaaschataala lakshanas are paryaagate bhavanthi". In addition to these. vomiting. Thevyakthagarbha amenorrhea. 4/16).There are various interpretation of the term "sadyogruheetha". Poo. 2. Some others say that they are the signs and symptoms before the cessation of menstruation. Vyaktha garbhalakshana / dowhrudya lakshana These are the signs and symptoms observed after the growth of the embryo becomes conspicuous. It is also explained as signs and symptoms of women having become recently pregnant (5). According to some Aachaaryas these are the signs and symptoms which are seen and felt by the pregnant woman immediately after conception i. 3/42). Gar. According to others they are the signs and symptoms which appear within seven days of conception. sthanyamoshtayoho. slight odema of feet. vomiting without apparent cause. alternate desires for article which are of high or low quality (beneficial/nonbeneficial). milk secretion in breasts. aversion to good smells and excessive salivation and tiredness as symptoms (Sus.repeated drooping of eyes. the increase in the weight of the embryo causes diversion for her nuterients and thus her energy also decreases (Ash. These signs and symptoms are seen during the third month of gestation.. dislike for food. San.i. or even just after maithuna (copulation) which results in conception. Sam. Sushrutha and Bhaavamisra mention . 2/9 and 59). 3/11) and Bha. Pra. Sha. Sam. craving for sour substances. stanamandalayoshcha kaarshynyamatyartham. heaviness of body.
Asa. 4/20). balavarnahaanim. Seven month . Fifth month - Charaka states : "Panchame maasi garbhasya. Sam. Sha. the signs and symptoms for each month maasaanumaasika-lakshana have also been described from the fourth upto seventh month which are as follows: 1. In Charaka Samhitha and Kaashyapa Samhitha. Sam. maasebhyaha.e. Fourth month . due to stability in the foetus the woman feels more weariness in the body (Cha. Kaashyapa has also mentioned a similar symptom namely "Garbhinee panchemaasi tasmaat kaarshyen yujyate" i. there is a comparitive increase in the strength and complexion of the foetus during the sixth month of gestation.Sapthame maasi garbha sarvairbhaavaihi aapyaayyathe. Therefore the lady loses her strength and complexion considerably (Cha.e The nutrition of the mother is utilised for the growth of the child during this month. adhikam anyebhyo maasebhyaha tasmaat tada garbhini kaar-shyamaapadyathe visheshena. aapadyathe visheshena i.e. Sam. 4/22). During the fifth month. due to this the pregnant woman grows excessively thin (Cha. Sha. There is an all round development of the foetus during the seventh month of gestation. thasmaat tada garbhini sarvaakaaraihi klaanthathama. 3. Sixth month . indigestion. Sha..Chakrapani Dattas commentary on Charaka slines are "Yatho garbha maamsaadi poshanenaiva ksheena ahaara rasona maathur maamsaadi samyak poshayathi" i.Charaka states thatShashte maasi garbhasya thasmattada bala garbhini varnopachayo bhavatyadhikamanyebhyo. a pregnant women becomes .).. 2. (Kaa.e. Therefore. burning sensation of the whole body and expression of various desires. Sha 4/21). Sam.Hrudaya -adds the symptoms emaciation.. hence the mother grows thin.Chathurthi maasi sthiratwam apadyathe garbhaha thasamaat tada garbhini guru gaathrathwam adhikam aapadyathe visheshna" i. maamsa shonitopachayo bhavathi. there is an excessive increase of flesh and blood of the foetus in comparison to the other months.. in the fifth month the pregnant woman is associated with leanness. 4.
The care of the pregnant woman reflects on the quality and health of the offspring For these reasons our aachaaryaas has given a detailed and systematic and monthwise regimen plus a list of do's and dont's to be followed in the antenatal phase. its delivery. Hence our aacharyas do not consider this month fit for labour (Cha. The garbhini paricharya is broadly discussed under three topics: . would only increase her fear. Sam. Sam.During the eighth month of gestation there is cross movement of theojas through the channels carrying nourishment from the mother to the foetus. flesh. which in turn will aggravate vaatha in her body and may lead on to dangerous consequences like premature delivery or even death of the foetus.4/23) 5. The ojas is responsibe for the life to be sustained and is also the source for the internal strength and resistance power. The proper garbhini charya would result in the proper development of the foetus...4/24). 4/23). Sam.. It is advised that one should not even mention about the eighth month to the pregnant woman because the knowledge of the danger involved in this month. Sha. because of the immaturity of the foetus. Eighth month . Garbhini Paricharya : Care Of The Pregnant Woman Garbhini paricharya or antenatal care is the most important aspect in the whole area of Prasuthi Tantra. Sha. During the eight month theojas is not stable. in the seventh month all the factors viz. Get reduced simultaneously (Chakrapani Dattas commentary onCha. Though there has been reduction in the physical state of the mother.exceedingly deficient in all aspects of her health (Cha. Sha. Ojas is defined as ojastejo dhaathunaam i. blood. If theojas has moved to the mother the foetus will die and if it is still with the foetus then the mother’s life will be in danger. the health of the mother and thus her ability to withstand the strain of labour and have an eventless post-partal phase. the essence of all the dhaathus is called the ojas. etc.. This is so because all other aspects depend on this phase.e.
waist. the pregnant woman. 8/32) and (Ash. Promotion of strength and complexion 6. the mother should take non-medicated cold milk separately in desired quantity (considering her digestive power and strength) Congenial food should be taken in the morning and evening. 3. Having understood this change in requirements. Massage with oils should be given but rubbing of unguents should be avoided (as they would liquify the doshas) (Cha. They are recommended for the pregnant woman right from the first month upto the ninth month of pregnancy. complexion and voice. Sha. Recommended diet and regimen for various months First Month As soon as pregnancy is suspected. Thus the requirements of the mother also change. Delivery with ease of a healthy child endowed with excellent qualities in proper time. according to their effects on the garbha. San. The maasaanumaasika pathya help in: 1. By following these dietetic regimens prescribed.. Garbhopaghaathakara bhaavas : Activities and substances that are harmful This can also be listed as the various foods and activities that are prescribed and proscribed. Garbhasthaapaka dravyaas : Substances which are beneficial to pregnancy and c. Maasaanumaasika pathya : Monthwise dietary regimen As there is a constant development of the embryo there would also be difference in its requirements of food and nutrition. theAayurvedic Aachaaryaas have given in detail the monthwise dietetic regimen. energy. Softening of placenta (apara). strength. pelvis. remains healthy and delivers a child possessing good health. sides of the chest and back 2. Maasaanumasika pathya : monthwise dietary regimen and prescriptions b..a. having normal development of foetus. Normalisation of the urine and stool and their elimination with ease 4. Sam. The child would also be sturdy. Downward movement of vaatha(vathaanulomana) . Sha 3/3) . Softening of her skin and nails 5.this is needed for the normal expulsion of foetus during delivery.
As it is quite common to notice retention of urine. Sha. the woman should be given milk medicated with madhura drugs and liquid foods which are sweet and cold (Cha. ghee is given (mixed with milk) instead of butter.Second month In the second month. In the first three months of pregnancy the product of fertilization is in a fluid/jelly state and thus the woman should be given more of liquids or fluids. Sam. Seventh Month The diet given in the seventh month should be the same as in the sixth month. and more of solid food is advised.. 10/3) should be given to the pregnant women during the fourth month. Cooked shasti (a variety of rice) with curds. mixed with milk and butter and meat of wild animals (Sus. Sam. Sixth Month Ksheera sarpis medicated with the drugs of madhura gana . in this phase of pregnancy.for thismadhura andsheetha veerya substances should be given which help in the formation of the cellular mass and promote growth.. 5/32). . Also during these three months the major part of mass is formed .ghrutha or rice gruel medicated with gokshura (Tribulus terrestris) should be given in the sixth month. Sha. Third month In the third month she should take milk with honey and ghee (Cha. 8/32 and Sus. Sha. So there is more need of solids.. madhura gana drugs andgokshura would help as diuretics.. Sha. pleasant food. During the fourth month there is solidification and the development of the limbs. Fourth Month Butter extracted from milk (not from curds) in the quantity of one aksha (approximately 10 grams) or milk with the same amount of better should be given (Cha. Sam. This would help in the proper development of the foetus. Sam. Sam. 8/32) and shasti (a variety of rice) cooked in milk. Fifth Month Ghee prepared with butter extracted from milk (Ksheera sarpis) and food similar to that of the fourth month should be given except that. 10/3). Sha. along with ghee medicated with pruthak parnyaadi (Vidaarigandhaadhi) group of drugs.
shatapushpa(Foeniculum vulgare).basthi i. oil.e.madanaphala(Raundia dumentorum) honey and ghrutha and followed byanuvaasana basthi (a medicated . the expulsion of gas.Eight Month Before we list out the diet and regimen for the eighth month it would not be out of place to mention the role of vaatha in the process of delivery and how important it is to maintain it. all efforts are taken to keep thevaatha in an unvitiated state. faeces. masthu (sour buttermilk).e. As has been said earliervaatha plays an important role in the delivery of the garbha . For this reason. and also vaginal tampons (pichu) with the same oil for lubrication . Ninth Month The pregnant woman should be given anuvaasana basthi with oil prepared with the drugs of madhura group. San. milk. Anuvaasana basthi or sneha basthi differs from aasthaapana basthi ornirooha basthi by the proportion of thekashaayas (decoctions) and snehas (oils) used in preparing the enema.unctuous enema) with oils medicated with milk and decoction of drugs of madhura group. 20/4). These would help in clearing the retained faeces and invaathaanulomana (regulation of vaatha by its downward movement). We see that the regimen and diet prescribed are of the nature of controlling vaatha especially the apaana Vaayu. curds. Hence to have normal delivery it is very important that we maintain thevaatha and due to this reason we find that towards the last few months of delivery. It forms one of thepanchakarmas which are the five types of eliminative therapies. Sut. Basthi is broadly of two types -anuvaasana basthi(unctuous enema) and aasthapana basthi (corrective enema). theaasthapana has lesser quantity ofsneha. Sushrutha has advisedaasthaapana basthi (a medicated enema with non unctuous substances like kashaaya) with decoction of badari (Zizyphus jujube) mixed withbala (Sida cardifolia). palaala (pasted sesamum seeds). athibala (Abutilon indicum).thus care is taken to maintain it.aartava(menstrual discharge) and the delivery of the foetus (Ash.shukra (semen). While anuvaasana has a lesser proportion ofKashaayas. salt. is administered during the eighth month. Basthi in general is the therapy of choice to eliminatevitiated vaatha. urine. medicated enema. The functions of apaana Vaayu are "Vaathavinmoothra shukraartava garbha nishkramanaadikriyaaha" i.
the pregnant woman should totally give up coitus. Sha 1/44-47).teekshna(sharp)katu (pungent).Substances beneficial for maintenance of pregnancy Garbha sthaapaka dravyas counter act the effect of thegarbhopaghathakara bhaavas and help in the proper maintenance of thegarbha. Sam. Meat soups with cooked rice and fat or rice gruel mixed with good quantity of fat should be given as diet. Daily bath with cold decoctions of vaathahara drugs are also advised. Vihaaras (activities and behaviour) to be avoided during pregnancy The pregnant woman should avoid strenuous exercise and coitus (both excessive) harsh or violent activities. 3. They can also be used in the treatment and prevention of abortion. with all the good qualities These can be grouped under two different headings namelyaahaara and vihaara. Sam.of garbhaashaya (uterus) and prasava maarga (birth canal). Sha. Sam. These should be kept in close contact with the mother and can be used as amulets around the right arm and on the head.. Garbhopghaatha kara bhaavas . Sha..Sushrutha has said that . guru and vishtambhi (hard and heavy to digest) foods (Cha. 4/18). Hru. 4/18). (Sus. A bath with cold decoction of these drugs should be given during pushya nakshatra. These are to be used as a routine as they are beneficial for the maintenance of proper health. ushna (hot). meat (in excess). braahmi (Bacopa monnieri).Activities harmful to the foetus Garbhopghaatha kara bhaavas are the aahaara and vihaara which are harmful to thegarbha (foetus). Garbhasthaapaka aushadhi . shathaavari (Asparagus racemosus). Sha. Aaahaara (food) to be avoided during pregnancy The pregnant woman should avoid use of intoxicating substances like wine. growth and development of the mother and foetus. etc. Drugs of the jeevaneeya gana can also be used in a similar way. travel in vehicles (on uneven road) (Cha. exercise santarpana (satiation or . These may cause some congenital defects in the child and are not conducive to the birth of a healthy child. (Ash. Some of the garbhasthaapaka aushadhis are aindri.12). doorva (Cynodon dactylon).. These should be taken orally as preparations in milk and ghee..
10/2). Her mind should be always in a pleasant state and she should neither touch nor see unpleasant things of disfigured persons (with some physical defects) scary objects.in some families the recitation (paaraayana) of suitable texts such as the Sundara Kandam (from the Ramaayana) or the tenth skanda ofBhaagavatha is performed routinely. 3/3).Sam. Over sleeping during pregnancy could result in a child who is sleepy.all these physical and mental activities would harm the foetus (Sus. She should not talk in high pitch and avoid thoughts which would promote her anger or fear .kshaara (alkalies) foods along with polluted food andviruddhaahara. Sam. of Ayurvedic Principles of Food and Nutrition. avoidance of foods which are vidaahi and constipative and vegetables like yam.anabolic foods and regimen).San. control of natural urges. infertility emaciation. premature aging. 3/49). (Yog. weakness and disorders like flatulence and eructation respectively. use of pungent hot foods and exertion would cause intra uterine death of foetus death of foetus or premature delivery or abortion. Vaagbhatta has said that she should also avoid prolonged stay in the hot sun and peeping into pits and wells (Ash. Sha. Regular use of wine or other intoxicants would result in a child with a poor memory and an unstable mind. Sha.. skin and eye disorders. garlic and onions. nor listen to exciting and scary stories. The effects of the variousgarbhopagathakarabhaavas have been mentioned as follows: squatting or sitting in abnormal postures.urinary disorder.LSPSS Monograph II. utkataasana (squatting or the posture of sitting on the hams with the soles of feet touching the ground). Sleeping in supine position with stretched extremeties would cause the encircling of the umbilical cord around the neck. ksheera dosha chikitsa). Indulgence (excessive)in sex would cause deformed impudent or lazy child. The author of Yogaratnakara has contra indicated the use of sudation. (Haa. the reader is referred of Section I of Chapter VIII. For a detailed description ofVirudhddhaahaara. Rat. swapna viparyaya (sleeping in the day and keeping awake at night). 2/61). emesis. She should not suppress her natural urges and she should not undergosnehana (oleation therapy) andrakthamokshana (blood letting). Hence one is advised to listen to scriptures . Haaritha advices. (Cha. ignorant and has a weak agni (power of digestion). The excessive use of any of the six rasas would cause . Sha.. It is said that the mental state of the mother can influence the outcome of pregnancy as well as the child to be born. Sam. .
She is called a dowhrudini. According to our Aachaaryaas the foetus grows upto a period of four months the "chetna" or the life gets associated with the foetus and this causes the longings of the mother. varying and erratic likes and dislikes. there seems to be no understanding of its actual cause. Some suggestions in this regard are as follows: 1. In such cases one should use one's "yukthi" of power of reasoning. as they are peculiar to the sex of the unborn baby. It is said that these special desires can also help in the assessment of the sex of the child. As the foetus reaches the fifth month the chetna (i. 3. Not doing so may cause abnormalities of the foetus like dwarfism. Desires for ushna theekshna hot/pungent foods like pickles can be fulfilled by intake of lime juice and ginger. Though these symptoms have been mentioned and described. These desires are not always beneficial. The reason for the manifestation of dowhrudyam is the presence of a second hrudaya in the foetus.e. These likes and dislikes are peculiar to the state of pregnancy and they vary in vary in each woman. so as to fulfill her desire and at the same time render it harmless. and may prove harmful to the foetus (even when fulfilled). . Desire for charcoal and ash can be fulfilled by taking burnt aamalaki alone or in combination with harithaki(Terminalia chebula) and vibhithaki (Terminalia bellerica). If there is an execessive desire for salt and raw (sour) mango the same can be substituted by rock salt (saindhava lavana) and aamalaki (Phyllanthus emblica) 2. consciousness) enters it and starts having its own individual desires. these along with those of the mother are manifested as a contrasting combination of likes and dislikes. Some of these desires are very strong. in a pregnant woman irrespective of the culture or the part of the World she belongs to. These longings and desires are to be satisfied. As such she has two hrudayasone of her own and the other of the foetus.Dowhrudya One often comes across. This is a unique concept that explains the sudden and abnormal likes and dislikes. The speciality or peculiarity of these likes and dislikes are that they are very often in contrast to the usual desires of the same woman when she is not pregnant. Aayurveda has a definite understanding of these varied desires and terms the condition as dowhrudyam. that pregnant women may manifest.
The sense organs which are not satisfied during pregnancy would result in some defect or abnormality (physical or functional) or the corresponding organ in the child (Sus. but the individual consciousness. Local Practices There are various practices followed in the rural areas (including tribal areas). A few of them which are still in practice are listed below. It has been observed in Bangladesh that sexual intercourse is discouraged in the last few months of pregnancy . Thus the presence of the garbha hrudaya does not merely mean the formation of the organ-heart. A similar practice is observed in other areas also. For e. it is reported that the sexual intercourse in late pregnancy is prohibited since "it would amount to incest. Desire for clay.4. Sam.. Desires of the mother are said to have some relationship with the character of the child. which have a rationale in Aayurveda. 30/3-4).the reason given is that it may harm the foetus. It is described as the seat of the mind. 3/16-18) Hrudayam does not literally mean the organ heat (which is defined as a hollow muscular cone shaped organ). its likes and dislikes which are manifested after the chetna (consciousness/life) enters it in the fourth month. five objects of senses. prajaayet suthasyaarthisthasminsthathendriye. Some of the practices that are followed during pregnancy have a great significance. consciousness and the soul together with its qualities like happiness etc. This is so because. sense faculties. alabhdha dowhrudaa garbhe labhetaamani vaa bhayam yeshu yeshu indriyaartheshu dowhrude vai vimaananaa. saa praaptadowhruda puthram janayet gunaan vitham. since the body of the child is already . Sometimes. the lady whose dowhrudam (special desires) is fulfilled will beget a healthy child and if it is not fulfilled either she or the child would be affected . Sam. the objects of mind.. Indriyaarthaasthu yaan yaan saa bhokthum icchathi garbhinee. The physician (who wishes for the well being of the mother and the foetus) should satisfy all the desires of the mother related to all the five sense organs. Sut. garbhaabaadha bhayaat thaamsthaan bhishagaahrutya dopayet. (Cha. It is said that if a women desires to see a king. she will have a son who becomes prosperous etc. Sha. mud and brick can be replaced by gairika (red ochre) fried in ghee.g.
which are not good both for the woman and the foetus.formed. As we have mentioned earlier this practice is sound and aachaaryaas have proscribed sex during pregnancy. which would not be so strenuous and would also keep her active. Some of them are pumpkin. These are healthy practices and have a rationale. Food restrictions are also followed meticulously and to many a modern investigator these do's and dont's appear in-comprehensible. some are listed here. This again is "guru" and in "aama" from. These foods were considered too "ushna" (which may cause abortion) or very heavy to digest (straining her agni). Lying on the back or in supine position may cause the twisting of the umblical cord around the neck of the foetus. gongura. because over exertion may lead to abortions or other complications. banana. the reason being "to avoid a large foetus resulting in a difficult delivery". Some are of the opinion that eggs can be given if the digestive power of the pregnant woman is good as per the dictum "Garbham . The same reason can be given to the next practice of "not-peeping into wells and pits" the risk is more in pregnant woman as their body is a little more delicate also they may feel guiddy more easily than normal people. and so may fall into pits or wells by accident. Excess of santarpana is not advised during pregnancy. So it is best to resort to mild house work. There are also a number of foods that are to be avoided during pregnancy. Among the advice on various prescriptions and proscriptions. These in turn may lead on to aamaja garbha sravam (abortion due to aama). Lying on the back (supine position). Woman is allowed to do her normal daily household chores and some specify that she should not exert herself too much by carrying heavy loads or by running (8). hence this is a good practice. carrying water from the well or peeping into pits and wells are also prohibited. which may cause indigestion and formation of aama. carrying water can be tiresome work and also involves risk of slipping and falling down. Execessive hard work is prohibitted for pregnant woman. Not doing any work is also not advisable as it would make the child dull and sleepy. Yet another study in Andhra Pradesh (10) found that eggs were to be avoided. One basic advice is to avoid food in large quantities or even over nourishing foods. guava and papaya. brinjal.
sheetha (cold) madhura (sweet) and hrudya (pleasing). the pregnant woman should be treated with all the care as when carrying a pot filled with oil. Night blindness 7. All the pacifying drugs should be mrudu. 8/22). Sam. (i. Nausea.) mild and be given along with food or drinks. 2/62-63). Blurred vision .e. In short. San. Swelling / oedema 6. Conditions during Pregnancy and their treatment 1. Therapeutics During Pregnancy The physical and psychological disorders of a pregnant woman are no different from any other individual as the doshasand dooshyas of the body remain the same. But when mother's life is in danger then she should be saved by the use. The treatment in a pregnant woman depends on the month of gestation as well as the severity of the disease. (Cha. Sha. Sha. Just as the slightest oscillation of the pot causes spilling of oil. Body pain and joint pain 2. if necessary of drastic measures and pungent drugs.. Dizziness 3.they must be mrudu (mild). even if it may be harmful to the foetus (Ash. katu and strong medicines would harm the foetus. If the disease is acute and/or serious emetics can be given followed by the use of sweet and sour substances mixed with anulomaka drugs (carminatives).aamagarbhena" which means that the foetus can be nourished by other substances having the same quality. However. By and large these practices are sound and are supported Aayurveda. in the words of Charaka. Weakness (Paandu roga/anemia) 4. morning sickness 5. Thus the choice of drugs for the disorders occuring during pregnancy should be restricted . vomiting. the principles of management differ as teekshna. the slightest excitement to the pregnant woman can initiate complications like abortion etc.
However it is essential that the root cause of dizziness should be detected and treatment given.8. Convulsions 19. and other Vaatha hara thailas is recommended. . Insomnia 22.general weakness or toxaemia. Visha garbha thaila. Burning sensation while urinating 18. Dizziness The suggested medicine is the swarasa of shathaavari (Asparagus racemosa). Sahacharadi thaila. Body pain/Joint pain External application of Dhanvantra thaila. Worms 9. treatments and preventive measures for the various conditions. We have also tried to give the causes. Diarrhoea 12. Fever 13. Measles 15. Kikkisa (Striae gravidarum) We have made an attempt to outline some of the most common conditions and diseases that are encountered during various stages of pregnancy. Excessive vaginal discharge (white/red) 17. as it may have various causes. Jaundice 14. Pain in the abdomen 20. Some of the medications* which can be administered in the common ailments of pregnant women 1. like paandu. Itching in the vulva 16. Piles 10. Head ache 21. 2. Constipation 11.
3. Vaatha Vaigunya b. or anemia during pregnancy. There are three specific causes for this garbhaja chardiroga a. Garbha nimittha or due to the foetus . Lohasavam with Draksharishtam (Draksharishtam acts as a mild laxative) b. there is lot of aamalaki (Phyllanthus emblica) which controls the nausea and constipation. Vommiting. The medications given here are based on the suggestions made by Aayurvedic Vaidyas in a meeting held atAalandi (see Appendix II). The reader is advised to consult an Aayurvedic Vaidyas. This is NOT meant to be used as a "manual" for treatment. for any ailment.e).In this preparation. Dauhrida .avamaanana or non fulfillment of dauhrudya c. Dhaatri loha . This iron supplement does not find a good compliance with the pregnant woman as it increases the vomiting sensation and nausea and also causes constipation in many women. Madhukosha commentary says that vaayu being pushed upward by foetus gets provoked and causes vomiting. also taking care not to cause any side effects which are often seen during the administration of iron supplement in the form of ferrous sulphate and folic acid. To avoid such reactions it is advised to take the necessary iron supplement in a form that is most suitable for her body and also in combination with other drugs which help in controlling such reactions.Punarnava (Boheavia diffusa) acts as diuretic and hence helps to prevent any retention of urine or oedema which if often seen in pregnant woman especially at the end of the second trimester and in the third trimester 4. Sushrutha has included pregnancy also while describing the nidaana of chardiroga (i. Punarnava mandooram . Nausea and vomiting All the classics have mentioned excessive salivation and nausea etc. morning sickness) as symptoms of normal pregnancy. Paandu rogaOne of major disturbing conditions during pregnancy is paandu. There is also some yashtimadhu (Glycyrrihiza glabra) and guduchi (Tinospora cordifolia) which also help in alleviating the side effects c.Aayurvedic aachaaryaas have recognised this condition and prescribed adequate medication. Some of the combinations in practice are: a.
9. 7. naaga puspha. root of ravi and Punarnava (Boehavia diffusa). ash etc. External application . If constipation is the cause then it should be rectified. The treatment here is two fold .Sudation/fomentation with hot water should be done. Nutritive food also should be given. If the constipation occurs due to Udavartha during the eighth month of pregnancy and is not relieved either by use .Some "Loha" preparation should be given. Sopha (Oedema/Swelling) This is another common condition. Preparation likeAbhayarishtam and Dantyaarishtam are advised. usheeram (Vetiveria zizanioides).Power of laaja (puffed rice) with honey can be given. However the cause for vomiting is to be checked. as it is the best among anti-emitics. If the constipation is mild. madhuka (Glycyrrhiza glabra). ajasringa. Constipation: Constipation is another common condition during pregnancy. A paste of chandana (Santalum album). Blurred vision This generally occurs as a secondary symptom in conditions of paandu. tila (Sesamum indicum). Worms Vidanga (Emblica ribes) in the dose of 3 grams with honey is suggested Pregnant women are prone to have worm infestation because they have dowhrudya which often results in the desire for mud. so it can be cured by treating paandu. since vomiting may be a symptom for some other disease. Piles Untreated constipation may also be one of the causes for piles in pregnant woman. manjishta (Rubia cordifolia). 8. Night blindness Flowers of agasthi (Agathi grandiflora) can be given. 5.oral medication : Decoction of roots ofvarshabhoo (Boheavia diffusa) mixed with paste of devadaaru (Cedrus deodara) and moorva (Mardensia tenacissima) or only devadaaru with honey can be given. draaksha (Vites vinifera) and dry rose buds can be given. Siddha vaidyas advise Nathai odu bhasma or Nathai kari lehyam (The preparations of snail shell and snail flesh) 10. is beneficial 6.
heavy andabhishyandhi dravyas. indigestion. This can be due to the use of incompatible foods. consumption of hard or solid substances (eg. 12. polluted water. excessives tharpana(satiation) and langhana(emaciation). eating before the digestion of the previous meal. retention of normal faeces. This is generally caused due to vegadhaarana (control of urges) 11. the lady is advised a fast for one day (fasting is contraindicated in pregnancy as a general rule. improper use of snehana. and also hunger. faeces and urine have an upward movement (unlike the normal movement which is downwards0. then it should be considered as incurable. over eating. After the doshas have subsided. A decoction of bilwa (Aegle marmalos). uncooked pulses and grains). but during jwara (fever) it can be advised for a day). seeds. paachana drugs (like Ashta choornam) should be given (Kas.excessive hunger. Before the fourth month. The foetus is also affected due to transfer of heat of fever from the mother to the foetus. followed by liquid diet (rice gruel) free from fat and salt. heat. Constipation may be caused due to the iron supplement. Fever may be due to . Diarrhoea: Diarrhoea or athisaara can be due to a number of reasons. climbing on mountains and smell of grass and flowers (pollen). So while administering any loha preparation. Udavartha is a variety of vaatha raga where in the vaayu (flatus). mustha (Cyperus rotundus). cereals with soups . we have to augment it with drugs or preparations which would prevent constipation. grief or fear. Fever This is the most troublesome diseases in a pregnant woman.. exertions. dryness. Nirooha basthi is given as a next step of treatment. In conditions of aama. this is due to downwards). dhaanyaka (Corriandum sativum)and jeeraka (Cuminum cinimum)can be used.of anuvaasana basthi(oils medicated with the drugs ofmadhurangana) or by intake of substances which are unctuous and vaathahara. swedana and agni karma psychological strain. water. Sam. eating uncooked roots and tubers. abhyanga. vega dhaarana (control of urges). this is due to prathiloma (moving in the opposite direction) of vaatha. massage. Khi 10).
A decoction of mustha (Cyperus rotundus). Measles A decoction of nimba(Melia azadirachta). parpataka (Mollungo pentaphylla). Excessive vaginal discharge Some amount of discharge (Both as mucous and bleeding)is normal during pregnancy but when it is recurrent and excessive. stamina and toleranceof the woman and the month of gestation. exercise and sudation should be avoided. 19. chirata (Swertia chirata) and daaruharidra (Berberis aristata) are given in the form of decoction. During and after the fourth month medicines should be given only after considering the month of pregnancy and the doshas involved and their degree of vitiation. 16. chandana (Santalum album) andsunti (Zingiber Officinallis) can be given. dhaanyaka (corriandrum sativum).should be prescribed. Aayurvedic Principles of Food and Nutrition Part I. No medicine need be given.the complications of the disease. Convulsion (aakshepa) . 15. For details on Aama please refer section on aama Chapters III. Lekhana karma and other such measures which make the body light should be done after considering properly . The flowers of silk cotton tree (Bombax malabaricum) should be fried in ghee and taken with sugar early in the morning. nimba (Azadirachta Indica) and chandanam can be applied twice daily. LSPSS Monograph II 14. advised meat soups and milk. Pungent diet and drinks. or just the decoction ofgokshura be should given. 18. medical advice is to be taken immediately. Itching in the Vulva : A paste of haridra (Curcuma longa). Burning sensation during micturition Gokshuradi choornam with warm water. The case for the discharge should be properly investigated and required treatment should be given. 17. Jaundice: For treating jaundice the juice of bhooaamalaki (Phyllanthus nirun) with honey and sugar can be given orguduchi (Tinosposa cordifolia). katuki (Pipcorrhiza kurrpa). guduchi(Tinosposa cordifolia) andpatola (Trichosanthus dioica) should be given.
seeds of arjaka (Orthosiplion pallidus). Internally she can be frequently given butter treated with themadhura gana drugs. Insomnia Buffalo's milk can be given and externally abhyanga over the head can be done. in the dose of 10 ml (approximately). Externally. then she is given garlic boiled in milk orHingwashtaka choornam orLavana Bhaskaram. The result of this itching are the linear lines on the abdomen. manjishta(Rubia cordifolia) andsurasa (Occmim sanctum). 21. . especially around the umblicus due to the stretching of the skin caused by the growing foetus. The decoction of yashtimadhu (Glycyrrhiza glabra). bida lavana (rock salk) and saindhava lavana or a decoction of agnimantha (Premna latifolia) and varuna (Crataeva nurvala). 20. mushta (Cyprus rotundus) andharidra (Curcuma longa) can be applied. She can also use more of asafoetida in her diet to avoid accumulation of gas. The Aayurvedic view is that the growing foetus displaces all the doshas upwards and reaching the chest region produces burning and itching sensations. Pain in the abdomen Pain in the abdomen may be to various reasons. a mixture of lime juice. the paste of chandana (Santallum album) andusheera (Vetiveria zizanioides) or the paste of kutaja bark (Holarrhena antidysentrica). 22. 23. shunti (Zingiber officinale) and devadaaru (Cedrum deodara) can be given to give relief. the actual cause should be detected and treatment given. If the pain is due to accumulation of gas. Irrigation of the abdomen and breasts should be done with decoction of patola (Trichosanthes dioica). nimba (Azadirachta indica). It can also be treated according to the doshic predominance In the later stages of pregnancy ghrutha seka (sprinkling with ghee) is advised. She should be given internally. Kikkisa (Striae gravidarum) Stiriae gravidarum is defined as the lines which appear on the abdominal skin. Headache A paste of dhaanyaka (Corriandrum sativum) in milk is applied externally Here also the causative factors should be detected and avoided.Convulsions may occur as a complication of garbhajanya vishamayatha. The seka can be hot or cold according to the condition of the disease.
Dizziness and nausea are managed by oral administration of powder of dhanyaka Corriandrum sativum) with sugar in Uttar Pradesh and Tamil Nadu. Some others are interesting and need further study. Kerala and Karnataka. nimba manjishta. milk. chutneys and pickles made of gigner. Oil massage and hot water bath is advised for body pain in Tamil Nadu. Siddha Vaidyas prescribed the chutney made of thiruvatchi leaves in conditions where the pittham is vitiated and also when there is nausea and anorexia (9). mint leaf and leaves ofthiruvatchi (Bauhinia Tomentosa) were also given. A comprehensive list of conditions encountered during the various stages of pregnancy and their treatment have been given earlier. fruits and nourishing food is also advised. in Tamil Nadu and Karnataka. Local Traditions It is interesting to note that rural and tribal people are not only competent enough in diagnosis and care during pregnancy but are equally good in the management of diseases and conditions during pregnancy. While most of their practices are healthy and should be encouraged. Both of them are mutrala (diuretics) and help to reduce the fluid retention. In Gujarat it is reported that warm water with leaves of shigru (Moringa olifera) is more useful. surasa etc. Weakness and anemic conditions are managed by intake of powder of badam (almonds) with milk. arjaka mustha. If the itching becomes irresistable then the powders ofkutaja. Some people in Tamil Nadu also take ginger in the form of chutney. patola.One should avoid scratching to avoid disfigurement of the stretching skin. For conditions like night blindness and blurred vision there were no significant responses. Lemon juice is widely used in Tamil Nadu and Karnataka. In conditions of worm infestation the woman is given a decoction of jyothismathi (Cordiospermum lelicacabum). should be rubbed or paste of chandana should applied will suppress itching sensation due to its coolness. All the conditions (barring a few) are managed by them with locally available drugs. haridra. Similarly juice of tulasi(Ocimum Sanctum) is also used with sugar. . Decoction of cardomom seeds andaniseeds. Barley water and tender leaves of taadphal tree (Borassus flabelifer) with palm jaggery is advised for oedema in Tamil Nadu. Ghee. some are irrational and risky and should be discouraged. The report from Uttar Pradesh advises fomentation with hot water boiled with ajamoda (Apium graveolens).
Also ghruthakumari (Aloe vera) and bringaraja (Eclipta alba) are used in Orissa and Tamil Nadu Washing with salt water. In next three months it is termed as miscarriage. The woman is advised to take more milk (preferably buffalo's milk) at night. Decoctions of Trikatu (Gingiber offcinale. decoction of haritaki (Terminalia chebula) or plain hot water is advised for itching in the vulva in Kerala and Tamil Nadu. in conditions of burning sensation while micturition. Piper longum and Piper nigrum) and Tulsi are given in Kerala and Tamil Nadu for fever. Siddha vaidyas widely used preparations of the flesh of snail and the shell of snails. The woman was advised to drink barley water and decoction ofgokshura (Tribulus terrestris). in Tamil Nadu it was also reported that milk boiled with garlic (in the form of lasuna ksheera paakam) is given. Termination of pregnancy within the first three months after conception is called as abortion.Piles was treated by intake of flesh of snails in Tamil Nadu. Applying lime juice and oil cools then system and induces sleep. Pain in the abdomen is teated by giving decoctions of dhanyaka or decoction of fresh ginger with palm jaggery. apply lime juices or oil on the head. Buffalo's milk being "guru" induces sleep. The practice of avoiding chillies and leafy vegetables is good. While in parts of Kerala and Tamil Nadu oral dehydration is resorted to in diarrhoea. in Tamil Nadu to get relief from insomnia. Abortion and Miscarriage Every pregnancy does not complete the full term and result in the birth of a baby.Jaundice seems to be very common and field groups were well experienced in treating it. After the sixth month it is called as premature delivery. The pregnancy may be terminated in between due to various reasons. In cases of head ache. Gokshura being mutrala (diuretic) relieves the burning sensation.Bhooamalaki (Phyllanthus niruri) used in Tamil Nadu and Karnataka. The first signs . Lasuna ksheera paaka acts as a good aama paachana/ and agni deepana drug. Also butter milk rice is given and chillies and greens are avoided. The general advise for relief from constipation is to include green and leafy vegetables and fruits like plantains (8). Externally castor oil or coconut oil is applied over the abdomen. In Orissa it is advised to apply ghee locally. For excessive vaginal discharge a decoction of ani seeds and tender coconut was advised in Tamil Nadu. a paste of tender coconut and breast milk is applied on the forehead in Kerala and Tamil Nadu.
terror. thirst and intake of unwholesome food. it is called as abortion. If the bleeding occurs during the second or third month of pregnancy. sleep and posture. improper food. . When this happens the following symptoms are manifested : pain in the uterus. exercise. mrudu and sthambaka in nature. such as excess of-anger. The causes for these could be many. on a bed which is soft. Garbha sraava/ Garbha paatha The expulsion of foetus upto fourth month of pregnancy is termed as garbha sraava. Immediately after bleeding is noticed the mother should be advised to lie down in slanting position so that her head is at a lower level and the leg at a higher level. vihaara andaushadas. After the fourth month this may not be very critical and one can maintain the pregnancy. because the product of conception is in a fluid form. When the pregnancy gets terminated and there is bleeding. jerk. despite bleeding. Thus a woman should take medical advise. cohabitation. After the fifth and sixth months it is termed asgarbhapaatha as by this period the foetal parts have attained some stability of have become solid. the general principles for treating abortion is similar to garbha sthaapaka aahaara. This can be caused due to a number of reasons. cooling. then the pregnancy can not be stable because during this period the embryo lacks maturity. envy. 1. comfortable and cooling 2. sacral and groin region and over the urinary bladder along with bleeding. suppression of vegas (manifested urges). including the use of unwholesome food or improper regimen. Thus the treatment given is alwayssheetha. The entire body below the navel should be smeared with shathadowtha ghrutha and sahasra dowtha ghruthaand sprinkled with cold (chilled) cow's milk. The cause of the pain is the vitiation of vaayu and the bleeding is due to expulsion of aama-garbha and opening of orifices of aarthavavaha sroehases.and symptoms for an abortion or miscarriage is bleeding and severe back pain. Treatment As the Garbhopaghathakara bhaavas are ushna teekshna and saaraka in guna. decoctions of yashti madhu (Glycyrrhiza glabra) or nyagrodha (Ficua bengalensis). hunger. jealousy. fear. grief. as soon as she has any of these symptoms.
. to proceed a. caused due to the acute blood loss. chitraka (Plumbago zeylanica). c. In such cases even if the abortion is treated and stopped. When the bleeding has been very severe and would have caused irrepairable damage. She should further avoid exertion exercise and cohabitation (Cha. preventive medicines. The powder or paste of the following drugs should be used with milk in the particular months. andsaarivaa (Hemidesmus indicus) . If the bleeding is due to the factor which also causes the formation of "aama". Cotton swab dipped in milk or ghee boiled with the sunga (bud) of nyagrodha (Ficus bengalensis). She should be entertained with talks which are gentle and pleasing to her mind. Conditions when the abortion should be left untreated. payasya. cavya (Piperchaba). Second month : Ashmantaka (Banuhimia malabarica). lata. there could be some damage/deformity in the foetus. taamra valli andshataawari (Asparagousracemosa). A cotton swab dipped in ghee mixed with the powder of yashtimadhu (Glycyrrhiza glabra). utpala. which would help the foetus to grow properly. shunti (Zingiber officinale) Habitual Abortion Some women have a tendency for abortion and the slightest of exertion and even normal movements tend to cause abortion. ** They are pippali (Piper longum). In such cases. 4. Psycologically she should refrain from anger and sorrow. payasya (Ipomoea paniculata) and suradaaru (Cedrus deodara) 2. pippalimoola.blacktila. aimed at treating the cases of habitual or repeated abortion can be attempted. 8/24). b. Third month : Vrukshaadini. Sha. shaakabeeja. First month : Madhuka (Glycyrrhiza glabra). 1. Internally she can be given milk or ghee boiled with buds of nyagrodha (Ficus bengalensis) in a dose of one aksha (12 ml) or even plain milk ghee. Sam.3. 3.
tubal pregnancies. Today we come across. the improper diet and regimen of the mother. 6. but becomes a chronic disorder and causes some deformity or intra uterine death at later stages of pregnancy. Eventually the abscess ruptures and if the patient does not die from septicaemia foetal parts may be extruded through the abdominal wall or more commonly through the bladder or rectum. 5. Fifth month : Bruhatidwayam. madhuka (Glycyrrhiza glabra). These are not very easily detected. kaashmari (Gmelina arborea). When the gestation sac adheres to the intestines. saarivaa (Hemidesmus indicus). raasna (Pluchea lanceolata). Sixth month : Prishniparni (Uraria picta). calcification. the liquor gets absorbed and the abdominal enlargement decreases. padma. stem bark and leaf buds of latex yielding trees and ghruta. does not lead to garbhapaatha or garbhasraava. gestation may go on to term when a spurious labour ensures and the foetus dies. Mummification and formation of a lithopeodian occasionally ensue and the calcified products of conception may be carried for years without producing symptoms (6). A few of such conditions are described below : . infection to the gestation sac and suppuration may occur. or vacha (Acorus calamus). In some. vesicular moles and abdominal pregnancies Aayurvedic Aachaaryaas have described some conditions which have very similar signs and symptoms. mummification or adipocere formation. shigru ( Moringa olifera)swadamshtraandmadhuparnika. bala (Sida cardifolia). various conditions like uterine moles. Signs and symptoms of abdominal pregnancy Here is an exerpt from a obstetric book to show this point: If the foetus dies after reaching a size too large to be absorbed it may undergo suppuration. (This relieves even very severe pain).4. Fourth month : Ananta (Gardenia floribunda). though there may be variance in the causes and pathogenisis that have been described. Disorders Of The Foetus And Concluding Remarks There are conditions in which.
. Upavishtakam After the fourth month of pregnancy (i. Milk treated with madhuyashti (Glycyrrhiza glabra). If due to the intake of pungent and hot (ushna and teekshna) aahaaras. fruit of kaashmari (Gmelina arborea) with or without saareeva (Hemindesmus indicus) and mixed with sugar should be taken. Treatment iv. Garbha Shosha Either due to non-availability of proper diet (nourishment to the foetus) or vaginal discharges (bleeding) after conception the foetus may suffer from sosha (emaciation or dryness). this is due to the affliction by vaayu . The symptoms of this condition are as follows:1. v. milk and meat soup should be used. 3. the mother has bleeding or any other type of yonisraavam (vaginal discharge). it may lead to the improper growth of the foetus and the delay in delivery. The use of rooksha (dry) articles and those vitiating vaatha are to be avoided Bruhmaneeya (anabolic) drugs. The fetal heart sounds are also very mild. bruhmaaneeya.the foetus gets dried up. According to Sushrutha. does not fill the mother's abodomen properly and quivers very slowly. The size of the foetus is small and underdeveloped 2. mahapaishachika ghrutha. Such a foetus attains its proper growth or maturity after a long time and the woman delivers it after prolonged delay. This condition is termed as Upavishtaka Treatment Ghruthas which are generally given to treat afflictions of bhutas (semi divine beings) are prescribed o treat upavishtaka e.g. vi. Also ghrutha medicated with jeevaneeya.1. Milk and meat soups medicated with the above groups of drugs or just milk and meat soups can be given without medication. madhura and vaathahara drugs can be given.e after the attainment of saara by the foetus. guggulvaadighrutha. Vacha-ghrutha. The quivering of the foetus is very mild.
eats stale food. Leena garbha Due to obstruction in the srothases and due to vaatha the foetus becomes "leena"(clung or adhered). Are likely to harm the foetus. Concluding Remarks * As we had already outlined in the earlier chapters the local communities appear to have a very sound knowledge in the area of diagnosis of pregnancy. Treatment The treatment for naagodaram is same as that of Upavishtakam. In other areas like the care of the pregnant woman and management of diseases during pregnancy there is a wealth of knowledge and several healthy traditions. Bruhmana gruels should be given The women should be kept happy. the foetus gets dessicated and does not grow. Certain practices have been identified which deserve to be investigated in greater detail. However. She should be treated with mild and predominantly unctuous sudation. This foetus remains in the uterus for very long duration and gives rise to various complications. However. does not take fatty or oily substances and uses other vaatha vitiating articles. it is most important that we need to examine and understand Lok Swaasthya Paramparaas free of any biased ideas. because strong emetics etc. There are still a large number of "educational" pamphlets and material prepared by various government agencies that are now in circulation which reflect a Western ethno-centric bias. This foetus remains in the uterus for a very long time and does not quiver. This entity is termed as naagodara. knowledge is incomplete in some areas and it can be supplemented by inputs from ISMs. ii. emesis and purgatives. Some of them label several of our peoples practices are . i. Treatment .Naagodara/Upashushka If the woman observes fasts.
For example a well known book that is meant to educate health workers states that "a lot of people believe that there are many kinds of foods that will hurt them or that they should not eat when they are sick.. Glossary of Technical Terms Aarthava Aarthava vaha srothas Aasthaapana Basthi Agni Karma Aksha Menstrual fluid. It would be necessary to rid ourselves of this limitation and understand these practices also from the point of view of our own scientific traditions. if we are to build on the strengths of these practices. . also means the ovum The channels carrying aarthava Corrective or unctuous enema Cauterization A measurement of weight approximately 10 gms. meat. pappaya etc. It says that .namely the failure to look at the practices also from the point of view of our own scientific traditions. For example a pamphlet on Nutrition published by one of our prestigeous research institution has devoted a chapter to "Care of the pregnant woman". Since the material is continued in Part II a detailed overall conclusion will be given later.superstition. They may also avoid some foods which they have "pittham" or they may believe that many foods are for a mother with a new-born child. Such short sighted attitudes prevail not only among academicians and researchers but they also seem to prevail among community health workers who presumably have a much more thorough and intimate knowledge of local practices and customs etc. They may think of some kind of foods for "hot" sicknesses and "cold" foods for cold sicknesses. are "hot" foods and causes abortion. only some remarks are now presented.. All these beliefs have no scientific basis"(13).. These beliefs may do more harm than good" (14). because of such a biased view point . For example a point of view of our own scientific traditions. The above examples have been good to illustrate the fact that all these evaluations and educational material have been produced with a high degree of ethno-centric bias.."There are other pregnant woman who believe that foods like egg.
Anuvaasana Bashti Apaana Vaayu Apara Basthi Basthi-sheersha Beeja Chardi Roga Chetna Dowhrudya Garbha Garbha paatha Garbha sraava Unctuous enema One of the five verieties of Vaatha Placenta Enema Neck of the bladder Ovum Vomiting Life A state of having two hrudayaas Foetus Abortion Substances and regimen which are conducive to the growth of the foetus Garbhaashaya Garbhini Paricharya Gothra Gyaanendriya Jeeva Karmendriya Kshaara Kshetra Kukshi Kusha Laaja Langhana Uterus Care of the pregnant woman Clan Sense organs of perception Life Organs of action Alkali Location (here means garbhashaya) Pelvic region A variety of grass Puffed rice Fasting .
Lekhana Karma Loha Maasaanumaasika Pathya Maithuna Masthu Emaciation Iron Monthwise dietary regimen Sexual intercourse The clear supernatant part of curds or sour buttermilk Nathai Ojas Paachana Pichu Prasava maarga Prasoothi Tantra Pushya nakshathra Raktha mokshana Rasa Rithu Rithu kaala Romaraaji Snail The final essence of dhaathus Digestive Tampon/douche Birth canal Obstetrics The pushya constellation Blood letting Product of digestion Menses Period of menstruation The linear pigmented area stretching from the umbilicus to the sumphisis pubis. known as linear nigra Saaraka Sadyogruheetha Garbha lakshanas Samprapthi Seka Inducing flow or excretion Immediate pregnancy Anabolic Sprinkling signs and symptoms of .
Shaali Shasti Shonitha Shukra Snehana Soothika Paricharya Swapna viparyaya Swedana Tharpana Utkataasana Vega Vidaahi Vyaktha Garbha lakshanas Yukthi A variety of rice A variety of rice which grows in 60 days Blood or menstrual blood Semen Unction Care of the parturent Reversed sleeping habits Sudation/fomentation Anabolics Squatting posture Natural urge Inducing burning sensation Positive signs and symptoms of pregnancy Reasoning .