Ayurvedic Health Care Journal Apr2020e1

2020
Ayurvedic Health Care

Journal
Edition on
Gynaecological Issues
A Bi-Annual e-Journal
Published by
ISHAN AYURVEDIC MEDICAL COLLEGE

AND RESEARCH CENTRE
VOL-1, 2020
WWW.ISHANAYURVED.COM
KNOWLEDGE PARK-1, GREATER NOIDA, U.P., INDIA
Ayurvedic Health Care Journal Vol 1, April’ 2020
A Bi-Annual e-Journal
Published and Printed By:
Research Wing,
Ishan Ayurvedic Medical College
and Research Centre
Knowledge Park-1, Greater Noida

Uttar Pradesh, India – 201310
1st Edition, Volume-1, 2020.
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Ishan Ayurvedic Medical College & Research Centre 1

Editorial Board
Editor-in-Chief
Dr D. K. Garg
FCA, MBA, LLM, Ph.D.,
D.Litt., LLD, MIPL (Scholar)
Chairman, Ishan Ayurvedic Medical College
and Research Centre
Dr. Rajendra Baban Khedekar

B.A.M.S., M.S.
Principal, Ishan Ayurvedic Medical College
and Research Centre
Editor
Dr. Nikita Sharma
B.A.M.S., M.D. (Samhita & Siddhant)
Gold Medalist
Editorial Advisory Board

Prof. (Dr.) Ujwala Hake
B.A.M.S., M.D. (Kayachikitsa)
Prof. (Dr.) Harsharda Hatle

B.A.M.S., M.S. (Dravya Guna)
Dr. Pamil Sharma

B.A.M.S., M.D. (Ras Shastra)
Dr. Mallika Varma

B.A.M.S., M.S. (Shalya Tantra)
Dr. Akanksha Ohja

B.A.M.S., M.D. (Samhita & Siddhant)
Designed by
Mrs. Nishi Gupta
Ishan Ayurvedic Medical College and Research Centre

Mission
• To set new international standards in Ayurveda and its practice.
• To become the global leaders in imparting the knowledge for a healthy lifestyle, by guiding
mankind into the welcoming arms of Mother Nature.
• To train dedicated professionals who will strive to ensure perfect health and a state of inner
freedom (nirvana), for all mankind.
• To strive to achieve a world that lives to embrace the real joys of life and adheres to the
cycle of Karma.
Vision
In order to achieve our vision we are committed to our mission.
• To curate a state of harmonic being among all of God’s creation.

• To raise awareness about the benefits of Ayurveda.
• To reinvigorate the ancient way of life, and restore the science of Ayurveda to its legendary
eminence.
• Help students in decision-making that is underpinned by critical thinking and analytical skills.
• Faculty excellence in teaching and the thoughtful integration of research and teaching.
• The diversity of our students and the value that diversity brings to improving effectiveness in
both the classroom and outside.
• Continuous improvement inn teaching and learning experience in response to a changing
environment.
• To provide a vibrant network of students, alumni, employers, and partners as a critical
resource for individuals and for the institution.

Word From Editor
Ayurvedic Health Care Journal is first issue of Research Journal by Ishan Ayurvedic Medical
College and Research Centre, Greater Noida.There may be many other journals on Ayurveda
and Health Care but it has been decided that the journal from Ishan Ayurved College shall be
focused on a particular issue so that a broad knowledge can be shared among the readers and
the journal can also be used for a specific subject.In this journal there are total 7 articles
especially on Leucorrhoea and PCOD.The most significant writer is on different kinds of
diseases and complexities during the pregnancy.It is a sincere effort to highlight all such
diseases with suggestion to cure.”Prevention is better than cure” It is a theme of Ayurveda
which always suggest to maintain health by proper balance of Vata, Pitta, Kapha and proper
care of heath by changing food habits and by systematic lifestyle.It is our commitment to do our
best for qualitative and best articles on Ayurveda which may be in Hindi as well as in
English.Therefore I invite all creative persona to contribute their experiences, common
knowledge by means of writers.
June is a month of high level of summer where tempertaure is below tolerance limit.Therefore, I
would like to suggest to cover the head,add curd and buttermilk in the diet,Drink heavy water
that will prevent you from sunstroke,Drink liquid items like lassi, Buttermilk and lime water
etc,Use umbrella before leaving outside, Apply sun cream that will protect you from sunlight,
avoid eating Oil Foods as a precautions.This month is also not favourable for women especially
those who are pregnant.They are advised to take less spicy food and take proper care of their
health.They should take coconut water,watermelon,litchi and other fruits having ample amount
of water content as much as they can
I am highly excited in presenting this first issue to the readers.However, there may be some
errors and I request to ignore and help us by sending your valuable suggestions.
Dr. D. K. Garg
Editor-in-Chief

Table of Contents
Topic Author Page
Ayurvedic Concept of Leucorrhoea w.s.r. to Sweta Pradara Dr. Prachi Mishra 6
Ayurvedic Approach of Asrigdara (Menorrhagia) w.s.r. to 10

Dr. Naveed-Us-Saher Khan
DUB
A Review on Dysmenorrhea w.s.r to Kashtartava Dr. Sakshi Bakshi 15
Stree Rogas: Healing with Panchakarma Dr.Divya Chauhan 22
Ayurvedic Treatment of PCOD 28

Dr. Anita B. Kulakarni (Joshi)
xHkkZoLFkk esa jksx ,oa mipkj Dr. D.K. Garg, Dr. Anup Kumar 31
Mishra
योग और महिलाओ का स्वास््य (Yoga for good health of Dr. Afsha Parveen
54
women)
Etiopathogenesis of Streevandhyatva & its Chikitsa in 65

Dr. Parul
Ayurveda
Call for Papers 69
Recent Coverage by Media 71

Ayurvedic Concept of Leucorrhoea w.s.r. to Sweta Pradara

Author
Dr.Prachi Mishra
M.D. Kayachikitsa, Assistant Professor, Department of
Kayachikitsa
Ishan Ayurvedic Medical College and Research Centre, Greater
Noida
Abstract:
Gynecology is the medical practice dealing with the health of the female reproductive system literally
means “The science of women”. Women have a unique existence in the universe created by the God.
Women health is not only important for the healthy and happy status for her family, but also to the whole
society and even to the nation at large. All women have experienced some sort of vaginal discharge in
her life span. White vaginal discharge along with other symptoms like feeling of weakness, pain in the
back and calf muscles, loss of vital fluids, pruritus on and around the vulva and thighs etc. comes under
the heading of Leucorrhoea which is described as Sweta Pradara in Ayurveda classics. In Samhitas all
gynecological disorders comes under heading of Yoni Vyapada. Along with this excessive consumption
of spicy and junk food, that too at improper time, intake of alcohol, improper sleep and stress results in
hormonal imbalance causing discharge problem.
Key Word- Asrigadara, Pradara, Yoni Vyapada
INTRODUCTION:
Vaginal Discharge is a quiet normal and healthy phenomenon in females to an extent. The discharge is
actually a fluid form of all the worn out & dead cells in the vaginal tract. Along with this, problem may
occur due to unhygienic condition, infection of genital tract or impaired immune function of woman due to
some diseased condition.Management of leucorrhoea depends upon the causative factor, Prakriti of the
patient’s, involvement of Doshas etc. Usually leucorrhoea is a curable disease, but recurrence is
common due to causative factors. Some classical preparations mentioned for the management of
Leucorrhoea in Ayurveda classics oral as well as local like vaginal douche, vaginal suppositories,
Dhoopana and tampons. Research works done at various institutions give evidence of effectiveness of
such oral and local therapies. In Ayurveda literature Leucorrhoea is not mentioned as a disease entity
however white vaginal discharge is quoted as a symptom in multiple gynecological problems.
Sometimes this symptom is so severe that, it over shadows actual disease and women seek for the
treatment of only this symptom. In India, vaginal discharge is one of the commonest symptoms reported
by women. Leucorrhoea a white discharge from the vagina may be physiological or pathological. It may
also be noticed without any disease. Normally, vaginal discharge happens in regular variations of
amount and consistency during the course of the menstrual cycle. A greater than usual amount is
normal in pregnancy and a decrease is to be expected after delivery, during lactation and after
menopause. Physiological excess of vaginal discharge may not require specific treatment. However
pathological conditions involving infections like Candida, Trichomonas, and Gram negative, Gram
positive organisms may necessitate its management. Leucorrhoea neither causes mortality nor morbidity
in susceptible women, though it is accountable to cause a great extent of mental stress, problem of

sexual anxiety and even sometimes fear of carcinoma or failure to conceive also causes local
inconvenience to the patient. Sweta Pradara (leucorrhoea) is a condition characterized with white
vaginal discharge not associated with pain, itching sensation and discomfort, thus it seems to be
description of leucorrhoea.
CAUSES:
This common problem may occur due to unhygienic toilet activities, fungal infections of genital tract and
also impaired immune function of woman.
1. Fungal Infection: - Mainly the yeast can cause the infection of vaginal tract. It produces a discharge
accompanied by itching sensation. It is as vaginal thrush.
2. Unhygienic Toilet Habits: - Vaginal infection can be produce due to sharing toilet articles, eg. In
public places. It is also due to wearing unhygienic innerwear or wet innerwear which transmitted
infection to the vagina.
3. Sexually transmitted disease: - In triachomoniasis, greenish-yellow colour vaginal discharge
produced. Sometimes male partner have infection then it is transmitted to the female partner and
leads to leucorrhoea.
4. Impaired immune function: - In some diseases like TB, anemia etc, she has poor resistance to
disease due to this vaginal discharge increases. Sometimes female live on fermented diet like
mushrooms, breads etc. because of this they face leucorrhoea.
5. Pelvic Inflammatory Disease (PID) - Pelvis can get inflamed due to an infection.
6. Cervical causes: In case of cervical erosion, cervicitis, cervical polyp etc.
7. Psychosomatic causes: Stress & anxiety produces leucorrhoea by decreasing the immune response
of woman. Some psychological changes occur during menopausal condition.
8. Hormonal imbalance
9. Genital wounds caused by excessive itching.
TYPES:
1) Psychosomatic:-Vaginal discharge because of mental factors like excitement or nervousness. It is

common under the following circumstances. i) In new born because of maternal hormones like
estrogen. ii) During puberty in girls due to hormonal changes iii) During Ovulation and in early
pregnancy iv) Due to sexual excitement (they do not require treatment)
2) Pathological:-Because of improper nutrition and general bad health inflammation in vaginal mucosa
also cause leucorrhoea.
PATHOPHYSIOLOGY:
The vaginal secretion is very less in amount which is sufficient to make the surface moist. The secretion
is mainly derived from the glands of the cervix, uterus, transudation of the vaginal epithelium and
Bartholin’s glands. Normally it is depend on the endogenous estrogen level. When estrogen level
increases, then secretory activity of the endocervical glands and the superficial vaginal epithelium also
increases which is rich in glycogen.
There is increased secretion due to 3 causes.
a) Physiological cause: Normally it is increases when estrogen level in the body increases. Such as
during puberty, menstruation, at the time of ovulation, pregnancy due to hyperestrogenism during sexual
excitement (abundant secretion from the bartholin’s glands).
b) Cervical Cause: Like cervical ectopic, chronic cervicitis, mucopolyps etc. Non infective cervical lesion
may produce excessive secretion which pours out in vulva.

c) Vaginal Causes: Increased Vaginal transudation occurs along with pelvic congestion. The condition
like uterine prolapse, chronic inflammation, pill user etc. health produces excess exfoliation of the
superficial cells.
SYMPTOMS
• Most prominent symptoms occur due to abnormality in the general state of vaginal discharge
• It is frothy and foul smelling.
• Whitish sticky or yellowish discharge from vagina
• Pain in calf muscle and lumbar region
• Profuse quantity need to take a vulvar pads or creats vulval moistness.
• Itching/Burning Sensation
• Generalized Weakness
Some classical preparations mentioned for the management of Leucorrhoea-
1. Seeds, Paste, Powder or Juice of fruit Phyllanthus emblica mixed with sugar and hone and Loha
bhasma with equal quantity of honey.
2. Paste of Lodhra (Symplocos racemosa) mixed with decoction of stem bark of Vat (Ficus
bengalensis)
3. Darvyadi decoction, Juice of Nimba (Azadirachta indica) / Guduchi (Tinospora cordifolia) / Rohitaka
(Aphanamixis polystachya) / Kakodumbar (Ficus hispida) / Apamarga (Achyranthes aspera) root with
honey.
4. Powder of bark Symplocos racemosa, Saraca asoca and Berberis extract, with rice water and honey.
5. Juice of the fruit of Ficus racemosa with honey followed by diet of cooked rice, milk and sugar.
6. Paste of Rasanjana and root of Amaranthus tricolor prepared in rice water with honey
7. Triphala Ghrita.
8. Drugs for external or local use are vaginal douche, Vaginal suppositories, Tampons and Dhupana
Pushyanuga Churna, Pippali (Piper longum), Haritaki (Terminalia chebula).
Vaginal
Kariradi Kwatha, Triphala Rasa (Swarasa) with buttermilk or Sukta or cow urine, Tinospora cordifolia,
Triphala and decoction of Baliospermum montanum / Mucuna pruriens / bark of the five milk yielding
trees/plants of Rajvrikshadi Gana / purifying plants with urine of cow and salt.
Vaginal Suppositories
Varti - Arkadi Varti, Pipalyadi Varti, Palashadi Varti etc. Varti made up of powder of Ficus benghalensis
and honey/ fine powder of Symplocos racemosa. Callicarpa macrophylla, Glycyrrhiza glabra and honey/
fine powder any Astringent drugs and honey, Ajagandhadi Varti, Shodhana Dravya Varti, Varti of Piper
longum, Piper nigrum, black gram, Asparagus racemosus, Saussurea lappa and Saindhva.
Asoka – is the best due to its Kashya Rasa and Katu Vipak, it decreases the secretion i) Uttar basti of
Babul twak kwath ii) Yoni dhavan with Vatahar kwath i) Pushyanuga Churna along with tandulodaka is
the best Ayurveda preparation v) Lodhra Churna along with Ashokarishta.

CONCLUSION
Sweta Pradara is a condition which is characterized with white vaginal discharge not associated with
pain, burning sensation and discomfort, thus it seems to be description of leucorrhoea. Evidence based
Ayurveda formulations found to be effective in leucorrhoea caused due to various conditions like
Cervical Erosions, Vaginitis, Candidiasis and various gynecological disorders.
REFERENCES:
1) D.C Dutta: Abnormal Vaginal discharge, HiralalKonar, Textbook of Gynecology, 5th Edition Kolkata, New
Central book agency 2008, page no 524.
2) Ajit Virkud: Leucorrhoea, Paramount Lithof offset work, Mumbai, Modern Gynecology, The National book depot
2013, page no 47
3) Premvati Tiwari: Choukhamba Oriented AyurvedaprasutitantraEvmstrirog 2005, page no 266
4) Charak, Charaka Samhita, Ed. By Satyanarayan Shastri: Chaukhambha bharati Academy Varanasi; 2003
C.Chi30/21-22 p.843
5) Vagbhata, Ashtanga Samgraha, eds. Kaviraj Atrideva Gupta, Chaukambha Krishnadas Academy, Varanasi;
2005,A.S.utt.38/49.

Ayurvedic Approach of Asrigdara (Menorrhagia) w.s.r. to DUB

Author:
Dr. Naveed-Us-Saher Khan
M.D. Kayachikitsa, Assistant Professor, Department of Kayachikitsa,
Ishan Ayurvedic Medical College and Research Centre, Greater Noida
Abstract
Menorrhagia is heavy and prolonged menstrual flow at regular intervals. This condition is commonly
seen in women of reproductive age and should not be considered as a disease; it is rather a symptom
that indicates that something is wrong in the body. Ayurvedic Menorrhagia treatment and management
works on balancing the aggravated Doshas and reducing episodes of excessive bleeding. Dysfunctional
uterine bleeding (DUB) is a condition that affects nearly every woman at some point in her life. Also
called Abnormal Uterine Bleeding (AUB), DUB is a condition that causes vaginal bleeding to occur
outside of the regular menstrual cycle. Certain hormonal conditions and medications may also trigger
DUB. Ayurveda has explained various menstrual abnormalities under the heading of Artava dushti.
Asrigdara means heavy vaginal bleeding during or before or after menstrual period. According to the
definition, the disease Asrigdara appears to be analogous to menorrhagia, metrorrhagia and both
menometrorrhagia.Though the menorrhagia is not directly described in any textbook of Ayurveda but it is
quite similar to Asrigdara having uterine bleeding other than menstrual bleeding. Amongst all the other
causes Menorrhagia is not new for Ayurveda which is described under the heading of Asrigdara. Clinical
feature of both Menorrhagia and Asrigdara is uterine bleeding along with other complications. Asrigdara
are of four types Vataja, Pittaja, Kaphaja, and Sannipataja. Trividha Pariksha also helps to diagnose the
disease by means of Darshana, Sparshana and Prashna.
Keywords: Artava dushti, Asrigdara, Dysfunctional Uterine Bleeding, Menometrorrhagia.
Introduction
The word Asrigdara is described in Charaka Samhita, Sushruta Samhita, Astanga Hridaya and Astanga
Sangraha. Also, for excessive bleeding per vagina, the word Asrigdara is described in Sharangadhara
Samhita and Bhava Prakash. Asrigdara is not a disease, but a symptom of so many diseases.
Sometimes this symptom becomes so severe that it overshadows the other symptoms of actual disease
and patients come to O.P.D. for the treatment of only this symptom. Therefore, Charaka and Vagbhata
have described only its symptomatic treatment. It is subdivided into 4 types such as Vataja, Pittaja,
Shleshmilki and Sannipatiki.
Pathogenesis
According to Acharya Charaka, aggravated Vata affects uterine vessels and boosts amount of blood and
this increase in blood volume thus causes increase in menstrual blood and creates Rakta-pradara.

Symptoms
• Heavy blood loss during the menstrual period.
• Bleeding or spotting between periods.
• Cramping and pain in the lower abdomen and sacral region.
• Fatigue.
• Headache.
• Feeling of heaviness in the body.
• Constipation.
• Breast tenderness.
• General debility.
• Indigestion.
• Anaemia.
• Mood Swings.
• Hot flushes.
• Vaginal tenderness.
Classification
Acharya Charaka has described four types of Asrigdara i.e. Vataja, Pittaja, Kaphaja and Sannipataja
Asrigdara. Acharya Sushruta has mentioned ‘all types of Asrigdara’ along with general clinical features
of Asrigdara but has not described any classification. Mostly Acharyas have mentioned four types of
Asrigdara.
Investigation
1. Hb%
2. BT and CT
3. Thyroid function test
4. USG
5. Diagnostic hysteroscopy
Treatment
In Ayurveda, Menorrhagia is referred to as Raktapradar or ‘excessive secretion of menstrual blood’. The
causes mentioned above lead to the aggravation of Pitta Dosha and impairment of Rakta Dhatu (blood).
This contaminated blood moves towards the pelvic region and causes imbalance of Apana Vata, which
is responsible for controlling the flow of the menstrual blood through Artavavaha Strotas (channels
carrying menstrual fluids). Low Apana Vata and contaminated blood increase menstrual blood, which
leads to Menorrhagia. Menorrhagia treatment is a combined approach that includes Rasayana, Herbal
medicines, along with diet and lifestyle recommendations.

General treatment is described below:
• Medicinal treatment:
Stambhana Dravyas (for reducing excessive blood flow)
Pitta Shamaka (Balances pitta),
Vatanulomana (Vata balancing)
Rakta Prasadaka Dravyas
Examples –
Bol parpati
Gokshuradi Guggulu
Chandraprabha Vati.
Lodhrasava,
Patrangasava
Ashokarishta.
Kshirapaka of stem bark of Ashoka.
Sheetakalyanaka Ghrita
Shatavari Ghrita,
Mahatiktaka Ghrita,
Shatavari Taila and Shatapushpa Tail.
Pradarari Loha: This is an extremely useful Ayurvedic herbal remedy for heavy periods.
Pravala (coral) and Mukta (pearl) are used in the acute condition of this disease.
• Panchakarma
Panchakarma includes five therapies like Virechana, Basti, etc. External treatments like Yoni
Prakshalana (vaginal cleansing), Pichu (vaginal sterilization with medicated oil and ghee), Avagaha
Sweda (Sitz bath), Abhyanga (massaging with herb-medicated warm oil), Chakra Basti (application
of Ayurvedic medicine on the naval area)
• Yoga
Nadi-Shodhan Pranayama or Anulom-Vilom Pranayama.
Asanas like-Badhakonasana , Yoga mudra, Vakrasana, Uddiyana, Sarvangasana, Matsyasana, and
Shavasana.
Meditation.
• Ahara
The Madhur and Kashaya Rasa rich foodstuff is appreciable.

• Vihara
It remains specific to the individual’s constitution, nature of work and geographical conditions.
• Home Remedies:
➢ The bark of Ashoka tree mixed with milk and water is an effective natural remedy for those who are
suffering from DUB.
➢ Banana flower cooked with some curd can help DUB improve significantly.
➢ Intake of vitamin C can help set off the damage induced by persistently heavy periods.
➢ Red raspberry leaves are beneficial for women suffering from heavy menstrual flow
➢ Add some ginger powder to a cup of water and simmer for 5 minutes. Drink this tea two times every
day, especially post meals.
➢ Add 1 teaspoon of Cinnamon powder to 1 cup of hot water. Simmer for a few minutes. Add honey,
and drink this solution two times a day.
➢ Eat iron-rich foods such as dark green vegetables, legumes, pumpkin seeds, egg yolks, liver, red
meat, raisins, prunes, and cereals fortified with iron.
Diet & Lifestyle Advice
• Avoid the consumption of spicy, sour or heavy foods.

• Avoid tea, coffee, and icy cold drinks. Instead, have drinks at room temperature and that have
cooling properties, such as peppermint tea.
• Any kind of physical and psychological stress should be strictly avoided.
• During menstruation, raise the foot of the bed in order to keep the legs and feet elevated while
sleeping.
• Cooling showers and bathing with sandalwood and mint essence are helpful.
Precautions
• Record of your menstrual flow.

• If having abdominal pain during menstruation, apply a hot water bottle to your lower abdomen or
back.
• Drink a few cups of chamomile, or green tea daily to relax.
• Do regular moderate exercise. Enjoy a warm bath to relax your muscles and ease the pain and
tension.
• Get plenty of rest.
• Massage your lower back with warm coconut or olive oil to relieve the pain.
• At least 7 to 8 hours of sound sleep.
• Do not lift heavy weight during menstruation.
Discussion
Dysfunctional Uterine Bleeding has a wide spectrum of presentations that range from heavy bleeding
requiring hospitalisation and which also disturbs the lifestyle of the patient. It becomes necessary for a

gynaecologist to find out the exact cause leading to the condition and the Doshas involved in the
Samprapti for Samprapti Vighatana by the use of appropriate Aushadha Dravyas. . Asrigdara is very
severe and life threatening disease which may be fatal to the patient if not treated properly.
Complications includes weakness, giddiness, feeling of darkness, dyspnoea, thirst, burning sensation,
delirium, anaemia, drowsiness, convulsion and other disorders due to Vata, excessive bleeding per
vagina. The drug formulations used in the treatment of Asrigdara are mainly Kashaya Rasa and Tikta
Rasa because both of these rasa have the property of Stambhana Guna in Ayurveda. Then next aim of
treatment should be rising of blood i.e. haemoglobin level in body and for that, Rakta sthapana drugs
should be used. Use of purgation (Virechana) in treatment of Asrigdara is most appropriate and superior
therapy among Panchakarma for Pitta dosha and Raktadosha since they have quality identical to Pitta
Dosha. Virechana therapy will be also effective to treat the disease originated due to vitiation of
Raktadosha. During the treatment, as per Ayurveda text, diet restriction and life style modification,
further advice milk and ghee intake, life style modification included minimal exercise. Approach of
Ayurveda towards diagnosis and management of a patient can save the time and money. Using
Ayurveda medication DUB can be well treated without any complications.
Conclusion
Excessive menstrual blood loss is a common reason for women to seek medical help and leads to large
demands in health resources. Ayurvedic medication is effective medicine in treating Dysfunctional
Uterine Bleeding. Asrigdar can be considered parallel to Menorrhagia in modern medicine on the basis
of different signs & symptoms. Ayurvedic treatment for DUB includes internal treatment with medicines,
Panchakarma, external treatment, proper diet, positive lifestyle and other procedures. We can prevent
the incidence of Menorrhagia by improving the general health of women and increasing personal
hygiene. Treatment of Menorrhagia is mainly based predominantly on Kashaya Rasa and Rakta-pitta
Vardhak properties. Balya Chikitsa also play important role to prevent the incidence. The Aushadha
Yogas used in this case were mainly Vata-Pittahara, Raktastambhaka and Rasayana and thus helpful in
this condition.
References
1. Achaya Charaka, Charak Samhita (Chikitsasthana), Hindi Translation by Pandit Kashinath Shastri and Dr
GorakhNath Chaturvedi, Reprint, Varanasi, Chaukhambha Sanskrit Series, 1997, p. 777
2. Agnivesha, Charaka Samhita revised by Charaka & Dridhabala, with Ayurveda Dipika commentary by
Chakrapani Dutta, edited by Acharya Yadavji Trikamji, Varanasi: Choukhamba Surabharathi prakashana,
Varanasi, edition-, Chikitsasthana, 30th chapter, 2011; 225(643): 738.
3. D.C. Dutta, Textbook of Gynaecology including Contraception, New Central Book Agency, Kolkata, edited by
HiralalKonar, Edition- 7th , Reprinted-2016, 15st chapter, 154: 574.
4. Acharya Sushruta, Sushruta Samhita (Nidanasthana), Ayurveda Tatva Sandipika, Hindi commentary by
Ambika Dutta Shastri, Chaukhambha Sanskrit Series, 2003, p.231.
5. Acharya Vriddha Vagbhat, Astanga Samgrah (Sutra sthana), Jeevan Hindi Commentary by Dr Shailaja
Srivastawa, Chaukhambha Orientalia, 2006, p.328.
6. Shastri Charak Samhita Chikitsasthan (30\210-223), edition reprint Chaukhambha Publication, Varanasi
2011; 868-870.
7. Howkins & Bourne Shaw’s textbook of Gynaecology, 15th editionGynecology, 15thedition, VG Padubidri, MS,
FROCG. Published by Elsevier, a division of Reed Elsevier India private limited; 419.

A Review on Dysmenorrhea w.s.r to Kashtartava

Author:
Dr. Sakshi Bakshi
M.D. Kayachikitsa, Assistant Professor, Department of Rog Nidan
& Vikruti Vigyan.
Ishan Ayurvedic Medical College and Research Centre, Greater
Noida
Abstract
In today’s present day life,women are effectively facing challenges encountered by stressful life resulting
in Mithyaahar & vihar, over exertion & malnutrition this may direct to Vikruti in “Rituchakra’’ leading to
various Vyadhi allied to menstruation. Ayurveda recommends Ritucharya and Dinacharya, diet
modulation and Yoga in the form of asanas, pranayam and meditation on a regular basis so as to
alleviate dysmenorrhoea effectively. Similarly, Uttarbasti, Garbhashaya Balya Aushadhi, Anuvasana or
Matrabasti can also be administered if necessary.Today stress is becoming an inescapable part of
modern life. In the incessant quest for material comforts, a woman has been losing her health. The basic
reason why women are reeling under myriad problems is because she has not been following the codes
of healthy living. She has disregarded the codes for the bodily health as well as healthy mind also.
Menstruation is a natural event as a part of the normal process of reproductive life in females. Due to
today’s sedentary lifestyle and lack of exercise, dysmenorrhoea is becoming today’s burning problem
throughout the world which causes discomfort for women’s daily ensuing day to day activities and may
result in missing work or school, inability to participate in sports or other activities. In the treatment of
dysmenorrhea, no addictive, analgesic, antispasmodics are prescribed which are not good for health for
longer use. In Ayurvedic classics Kashtartava (dysmenorrhoea) is not described as a separate disease
because women were not suffering much from this problem in that era because of pin pointed
Ritucharya & Rajasvalacharya. According to Ayurvedic text, there are many other diseases in which
Kashtartava is considered and is described as a symptom. Hence, this study is particular about the
description regarding Kashtartava on the basis of scattered classical references.
Keywords: Apatyamarga, Artava, Baddhartava, Dysmenorrhoea, Kashtartava,
Artava: A substance of the body which flows out at the specific period of time is called as Artava. A
substance which flows out from Apatyamarga without pain, burning and sliminess is known as Artava.
Apana Vayu and Vyana Vayu are mainly responsible for Artava Utpatti.
Kashtartava: Kashtartava (Dysmenorrhea) is not separately described as a disease. But there are
many diseases in which Kashtartava is considered and described as a symptom.
Nirukti: The term Kashtartava is made of two words- Kashta and Artava Kashta: Painful, difficult,
troublesome, ill, forced, wrong, unnatural, a bad state of Thing.
Artava: Belonging to reasons, period of time, menstruation.

Thus the word Kashtartava can be expressed as- “Kashthenamuchyatiitikashtartava” i.e. the condition
where Artava is shaded with great difficulty and pain is termed as “Kashtartava”.

Samprapti Ghataka
Dosha –Vata PradhanaTridosha

Vata-Vyana, Apana
Pitta- Ranjaka, Pachaka
Kapha as Anubandhita Dosa
Dhatu-Rasa, Rakta, Artava
Upadhatu-Artava
Agni -Jatharagni, Rasagni, Raktagni
Srotasa -Rasa, Rakta and Artavavaha Srotasa
Srotodushti-Sanga and Vimargagamana
Roga marga-Abyantara
Sthana Samshraya-Garbhashaya
Vyakti Sthana - Garbhashaya
Ayurvedic concept of pain related to Kashtartava
Acharya Charaka has mentioned none of the gynecological disease can be arise without affliction of
aggravated Vata. Vata is the main responsible factor, though other Doshas only be present as
Anubandhi to it. So pain is produced due to vitiation of only Vata Dosha or in combination with other
Doshas.
Modern Review
Definition of Menstruation
Menstruation is a function peculiar to women and the higher apes. It may be define as a “periodic and
cyclic shedding of progestational endometrium accompanied by loss of blood”. It takes place at
approximately 28-days interval between the menarche and menopause. Menstruation is the visible
manifestation of cyclic physiologic uterine bleeding due to shedding of the endometrium following
invisible interplay of hormones mainly through hypothalamo-pitutary-ovarian endometrial axis.
Definition of Dysmenhorrhoea
The term dysmenorrhea refers to painful menstruation. Dysmenorrhea is a cramp labor-like pain in the
lower abdomen that radiates to upper abdomen, waist and thighs and is sometimes accompanied by
systemic symptoms like nausea, vomiting, diarrhea, headache and dizziness.
Mechanism of pain production
1. The Obstructive theory: This theory is that there is obstruction to the outflow of blood by the acute
bend in the uterus at the internal os, by stenosis of the internal os, aggravated by premenstrual
congestion, and that the retained blood then sets up irregular, spasmodic and painful contractions
occurs. As per Ayurveda this obstruction is caused due to Vata.

2. The Hypoplasia theory: The uterus as remained in the prepubertal state, with a small corpus,
relatively long cervix and under developed muscles which is unable to expel the menstrual blood.
The retained blood sets up painful contractions (due to Alpa Mamsa Dathu).
3. Disturbed Polarity of uterus: If the uterine polarity is disturbed menstrual blood is retained in the
uterus and sets up painful contractions (due to Apana Vata which causes Vilomagati of Rajah).
4. Clotting of the menstrual blood: According to this view dysmenorrhoea may be caused by clotting the
menstrual blood (Baddha Artava), the clots being then difficult to expel (due to Kapha).
5. Degenerative changes in the nerves supplying the uterus (due to Vyana Vata).
6. The muscle ischemia theory: It is suggested that the pain is due to ischemia of the uterine muscle
during exaggerated uterine contractions (due to Vata).
7. Increased prostaglandins, endoperoxides, and metabolite.
8. Exessive decidual formation (due to Kapha).
9. Uterine mal-formation (Beeja Dosha).
10. Corpus luteum- if there is no corpus luteum no dysmenorrhoea, as is illustrated by the painless
bleeding of anovular menstruation.
11. Low pain threshold, General ill health (Alpa Sara).
12. Psychological factors (Manasika Karanas).
13. Environmental factors causing nervous tension (Viharaja).
Aetiopathogenesis
Types of Dysmenorrhea
There are two types of Dysmenorrhoea:

Primary Dysmenorrhea
Primary dysmenorrhoea is the pain associated to ovulation cycles, without demonstrable lesions that
affect the reproductive organs. Primary dysmenorrhea is related to myometrial contractions induced by
prostaglandins originating in secretory endometrium, which result in uterine ischemia and pain.In
addition to the physiologic perspective, various psychologic theories have also been proposed,
emphasizing the role of personality factors and attitudes about menstruation.

Secondary Dysmenorrhea
Secondary dysmenorrhoea is the pain associated with ovulatory cycles caused by a demonstrable
pathology.
Differential diagnosis -The most important differential diagnosis of primary dysmenorrhoea is secondary
dysmenorrhoea.
Secondary Dysmenorrhea:-
1. Endometriosis
2. Adenomyosis
3. Uterine myoma
4. Endometrial polyps
5. Obstructive malformations of the genital tract
Other causes of pain
Chronic pelvic inflammatory disease

Pelvic adhesions
Irritable bowel syndrome inflammatory bowel disease
Interstitial cystitis
Sudden onset of Dysmenorrhea
Pelvic inflammatory disease

Unrecognized ectopic pregnancy
Spontaneous abortion
Treatment as Per Ayurvedic Classics
1. These disorders (gynecological disorders) do not occur without vitiation of Vata, thus first of all Vata
should be normalized, and only then treatment for other Doshas should be done
2. In all these gynecological disorders, after proper oleation and sudation, emesis etc. all five purifying
measures should be used. Only after proper cleansing of dosas though upper and lower passages,
other medicines should be given. These emesis etc. cleansing measures cure gynecologic disorders
in the same way as they cure the diseases of other systems.
3. In menstrual disorders caused by Vata Dosha, the specific treatment prescribed for suppressing that
particular Dosha should be used. Recipes prescribed for Yoni Rogas and Uttarbasti etc. should also
be used after giving due consideration to the vitiated Dosha.
4. Unctuous, hot, sour and salty articles should be used for the relief from menstrual disorders due to
Vata. Sweet, cold and astringent substances for the purification of Pitta and hot, dry and astringent
for Kapha

5. For Avrita Apana Vayu, treatment should be Agnideepan, Grahi, Vata, Anulomana and Pakvashaya
Shuddhikara
Treatment
Life-style changes
Exercise regularly-minimum thrice a week

Ensure sound sleep of atleast 6-8 hours
Avoid smoking and alcohol Reduce caffeine
Diet
Eat healthy, warm and fresh foods

Eat 5-6 small meals
Have fresh fruits like plums, dark grapes, apples, pomegranates.
Eat more leafy vegetables
Regularly use ginger in food preparations
Avoid high fat and sugar
Take supplements like calcium, magnesium, vitamin E, B6, B12
Yoga
Yoga activities can help to reduce and prevent the severity of many ailments that specifically women’s
health and give strength, stability, and suppleness. Yoga Asanas are considered as the most
convenient, drugless, and inexpensive method. Yoga is also found to have encouraging effect on
increasing the pain threshold capacity in individuals. In Yoga, various types of Asanas have been
mentioned. Among them Ushtrasana, Bhadrasana, Gomukhasana, and Vajrasana have a pain relieving
effect.
Ayurvedic Treatment
According to Ayurveda, menstruation is guarded by Vata Dosha. Derangement or aggravation of Vata

Dosha gives rise to this symptom. The treatment, which alleviates Vata, gives excellent results in this
disease.
Panchakarma treatments like Uttarbasti, Anuvasana or Matrabasti are the treatments which will
specifically target derangement of Vata in menstrual problems.
Garbhashaya Balya Aushadhi will also reduce associated symptoms.
Specific treatment
• Snehana karma (oleation) with Trivrita Sneha.

• Swedana karma (hot fomentation).
• Oral use of Dashmoola Ksheera.
• Vasti (enema) with Dashmoola Ksheera.

• Anuvasana Vasti (oil enema), Uttaravasti (intra uterine oil instillation) with Traivrita sneha.
• Poultice made of pasted Barley, wheat, Kinva, Kusta, Shatapushpa, Priyangu, and Bala.
• Intake of Sneha in oral form.
• Swedana with milk.
• Snehana in the form of Anuvasana Vasti & Uttaravasti.
• Other measures which are capable of suppressing the Vata. Rajah Pravartini vati, Kaseesadi vati,
Dashmoola tail, Trivrit taila for Uttarvasti.
Vata is responsible for all Yoni Rogas especially of Udaavartini. In Ayurveda various treatment
modalities are mentioned for the treatment of Vata Rogas. Among them Vasti is the better treatment
modality for Vata. Vasti is of two types based on the drug taken. Niruha or Kashaya Vasti in which
decoction is taken, Anuvasana or Snehavasti in which oil is taken as main drug. Matravasti is a sub-type
of Anuvasana Vasti.
Probable mode of action of Matravasti:

Matravasti has both local & systemic affects. It causes Vatanulomana thereby normalizing Apana Vata.
Gut is a sensory organ consisting of neural, immune & sensory detectors and cells, and provides direct
input to local (intra mural) regulatory systems and information that passes to CNS or other organs. Vasti
may stimulate the enteric nervous system and thus it can influence CNS and all bodily organs. Vasti may
act on the neurohumoral system of body by stimulating CNS through ENS. It thereby restores the
physiology at molecular level. It can also act on the inflammatory substances like prostaglandins and
vasopressin etc. Vasti may also help to excrete increased prostaglandins. Visceral afferent stimulation
may result in activation of the Hypothalamo-pituitaryadrenal axis and Autonomous nervous system,
involving the release of neurotransmitters like serotonin and hormones. Thus, it normalizes the
neurotransmitters, hormonal and neural pathways and relieves all the symptom complex emerged as a
result of neurohormonal imbalances in the patients of dysmenorrhoea. Spasm caused by vitiated
Apanavayu causing obstruction to the flow of menstrual blood is the general underlying pathology. Taila
enters into the srotas and removes the Sankocha (spasm) by virtue of its Sookshma, Vyavayi and Vikasi
i.e., fast spreading nature.
Discussion
Culturally, the abbreviation Primary Dysmenorrhea is widely understood in the world to refer to
difficulties associated with menses, and the abbreviation is used frequently even in casual and
conversational settings, without regard to medical rigor. In these contexts, the syndrome is rarely
referred to without abbreviation, and the intensions of the reference are frequently broader than the
clinical definition. The misery is going on endlessly. Thanks we have the solution.
Conclusion
Ayurveda views Primary Dysmenorrhea as a doshic imbalance that can potentially be impacted through
balanced living that is characterized by Dosha appropriate diet, herbal supplements, exercise, routine,
Yoga, meditation, as well as nourishing inputs through all five senses.
Ayurveda being a holistic medicine offers potential remedies which are proved beyond doubt in solving
the problem successfully. Vasti is the best treatment for Dysmenorrhoea.

Reference
1.Charaka Samhita Chikitsasthana. (30th chapter), Yoni Vyapada Chikitsa 26th sloka, Telugu translation by Vavilla
Rama Shastry& sons, India.
2. Sushruta Samhita Uttaratantra. (38th chapter), 9,10th sloka, Telugu translation by Vavilla Rama Shastry & Sons,
India.
3. Astanga Sangraha Uttaratantra. (37th chapter), 36th sloka, Telugu translation by Vavilla Rama Shastry & Sons,
India.
4. Charaka Samhita Chikitsastana. (30th Chapter), Yoni Vyapada Chikitsa, 24- 26th sloka, Chakradatta Tika, India.
5. Sushruta Samhita UttaraTantra. (38th chapter), 11th Sloka, Telugu translation by Vavilla Rama Shastry & Sons,
India.
6. Madhava Nidana, Madhukoshavyakhya. (62nd chapter), 2nd sloka, Telugu translation by Vavilla Rama Shastry
& Sons, India.
7. Yoga Ratnakara: Yoni RogaChikitsa, 6th sloka, Telugu translation by Vavilla Rama Shastry& Sons, India.
8. Rao KA. Textbook of Gynaecology.Vol. II Elsevier, a division of reed Elsevier India Pvt. Limited, India, 2008, 37.
9. Srikantha Murthy KB. AstangaHrdayam, Krishnadas Academy, Varanasi, 2001, 357.
10. Sharma RK, Dash B, Charaka Samhita, Chowkhamba Sanskrit Series Office, Varanasi 2003; 5:185.
11. Sharma PV, Sushruta Samhita. Chaukhambha Visvabharati, Varanasi 2000; l.2:6.
12. Williams MA. A Sanskrit English Dictonary, Bharatiya Granth Niketana, New Delhi, 2007, 266.
13. Sharma RK, Dash B, Charaka Samhita, Chowkhamba Sanskrit Series Office, Varanasi 2001; 5:158.
14. Srikantamurthy KB. Bhavaprakasa, Krishnadas Academy, Varanasi 1998; 2:782.
15. Sharma RK, Dash B, Charaka Samhita.Chowkhamba Sanskrit Series Office, Varanasi, 2003; 5:135.
16. Srikanthamurthy KB, Ashtanga Hridayam. Krishnadas Academy, Varanasi 2001; l.1:361

Stree Rogas: Healing with Panchakarma

Author:
Dr.Divya Chauhan
Graduate in Ayurveda Department of Panchakarma & Stree Rog
Karnataka
Abstract:
The Streeroga comprises of genital disorders of females starting from menarche (13 years) to
menopause (40-50 years). These streerogas include Arbuda, Granthi, Yoniroga, Pradar, and Aartava
Vyapada and Yoni Vyapada. Ancient Ayurveda approaches for the treatment of gynecological disorders
with Shamana and Shodhana Therapies. The therapy which posseses Tridoshahara, Balya, Medhya,
Smrittivardhaka and Vrishya properties are suggested for Streerogas to control Apana Vata Dushti
(Deranged Apanavayu).
Throughout the journey of life women pass through three
stages namely :
• Bala ( Childhood)
• Rajasvala ( Menstruation)
• Vriddha ( Menopause).
Amongst these three periods Rajasvala period is considered largest and is given much higher
importance as this represents the fertile period that is necessary for reproduction. In present era women
are working in the corporate world, so with their peaking careers and demanding lifestyle one`s health
does not get the required attention and time.
Acharya Charaka emphasised the importance of Panchakarma as:
“Doshah kadachit kupyantti jitaah langhana pachanaih |
jitaah samshodhanai ye tu na tesham apunarudhbhavah” || ( Cha.Su.16-20)
In terms of medicine various schools give special considerations to the care of women. The science of
Ayurveda on the other hand accentuates for need of specialized care. The therapies of Panchakarma
along with the need of their indications and contraindications also put special emphasis on these major
categories of patients, Bala, Vriddha, Durbala and Garbhini. In-spite of falling under these categories, if
therapies are to be given to these individuals then they are administered with appropriate precautions
and modifications.

In normal female patient the therapies to be given are not much different from the ones given to male
patients as females being soft and tender the therapies to be administered are to be selected wisely and
vigorous procedures are avoided. For instance the dose of Ghrita during Snehapana, the pressure
during massage, the degree of heat during swedana and height of Shirodhara , intensity of Vamana ,
Virechana, Basti and Shirovirechana all need to be of lower intensity .
As we look at the needs of today special attempts are required to develop special methods of
Panchakarma therapy and Samshodhana Karma for various patients.
These days INFERTILITY is considered the multi force disease with multi functional etiology from
primary deficits and oogenesis to reproductive organs, blockage of fallopian tube, etc in such scenarios
the Panchakarma treatment is followed by Samshodhana therapies. These procedures are believed to
bring about bio purification in the body. Similarly patients suffering from cervical erosion and cervical
spasm are benefitted by application of medicated Pichus and Uttarbasti. The process of Uttarbasti
removes the blockage from tubal lumen by directly acting on obstruction and restores normalcy of
endometrium. It acts on cilia and restores their normal functions by stimulating it.
LEUCORRHOEA is another commonly seen disease amongst young females. The etiological factors
include nutritional as well as hygienic factors, infections and somewhat hormonal dysfunctions .This can
be easily treated using Panchakarma Samshodhana and Matrabasti. Thus treating the patients using
these additional therapies becomes more efficacious.
As females have the ability to reproduce they are considered the most beautiful creation of god. Due to
changing lifestyle and improper diet the most commonly seen problem is of infertility. Other than that the
commonly witnessed symptoms in Prasuti Tantra are pelvic pain, vaginal itching, vaginal discharge,
abnormal vaginal bleeding, breast pain, lumps, etc.
As the age advances hormonal changes occur in females. The teenagers who enter menarche their
body face many hormonal changes in different organs of the body. Also when one reaches the
menopausal age various problems like irregularity of menses, mood swings etc occur.
Ayurvedic Samshodhana therapy helps to balance the hormones, tones the uterus, nourishes the body
and hence keeps the whole body and bodily functions in harmony.
DYSMENORRHOEA / AMENORRHOEA: All the ailments that a woman may suffer from during her
menses fall under the heading as Kashtartava. These are several conditions including Vatara, Vataja
Artavdushti, Udavarta, Suchimukhi and Aartava-Kshaya. There is associated back pain, pain in groin,
stiffness etc but there is no other abnormality with menses other than decrease in flow or duration. Use
of Matrabasti in this condition has shown miraculous results .As this involves role of Apanavayu, it is
pacified by Matrabasti. Also performing Snehana and Swedana prior to Matrabasti helps in
Vataanuloman and thus makes the Basti more efficacious.
POLYCYSTIC OVARIAN SYNDROME: The diagnostic criteria for PCOS according to ESHRE/ ARM
(THE ROTTERDAM CRITERIA)- menstrual abnormalities (oligo/anovulation), clinical or biomolecular
manifestations of hyper endrogenism such as excessive hair or raised acne production and USG
showing more than 10 follicles of 3-8 mm diameter in one ovary and increased ovarian volume of more
than10cm cube .The process of uttarbasti is considered best amongst all other treatment modalities for
this disorder.

A. STHANIKA/ LOCAL PANCHAKARMA PROCEDURES

CHIKITSA STHANA TIMING MEDICINES USED INDICATIONS
Yonidhawan / Prathamava Ritukala Kwatha/decoction Yoni Kandu / vaginal itching
vaginal rta/ vagina1
( from 6th day Ksheerpaka / Kunap Gandhi Artavdushti2
douching
of menstrual medicated milk
Kaphaja Artavdushti3
cycle for 8 days
Siddha Jala /
) Yonisrava 4 /vaginal
medicated water
discharge
Medicated oil
Yoni Kleda5
Duration : 1-1.5
min Yoni Paichhilya6
1 lit of Kwatha / 250ml
Yoni Arsha / vaginal polyps
of oil
Uttarbasti Intrauterine Rule out Vaginal disorders : Retention of urine

cavity previous Jatyadi Ghrita /Jatyadi
Dysuria
through infection . Oil
vagina Utero-vaginal prolapse
Given after
/Uttarmarga Severe vaginal pain
giving 2-3
Cervical disorders :
Asthapana
Triphalaghrita , Yoni Vyapada
Vasti
Phalaghrita , Asrigdara
Administered Shatavarighrita ,
during Ritukala Ropana Drugs Amenohroea
(after bleeding Retention of placenta
stops )
Endometrial disorders :
Brihana Dravya Cha. – ½ Pala
Duration : containing Ghritas
Charaka – 3
times a day for Su. - Decoction
3 days Tubal disorders :
Brihana Ghrita , Kshar Male:1 Prasrita
taila Female : 2 Prasrita
Hydrosalphinx : Sneha
Nirgundi tail,
Yashtimadhu taila , Til Male : 1 Prakuncha
taila Female : 1 Prasrita
Yoni Prathamvart 5-6 hrs upto Jatyadi Oil Yoni Daha8

pichudharana a / retention of
Jatyadi Ghrita Yoni Kandu9
/ Tamponing Dwityavarta7 urine
1jaymaleshirke , editor . AyurediyaStrirogavigyan 1stedi. Pune ; TathagatPrakashan 2003 P.159

2 K.R. Shrikanthamurthy , editor . Ashtangasangrahavol.II SHARIRSTHAN ,2nd ed. Varanasi , chaukhmbaorientelia
3K.R.Shrikantha Murthy ,editor Ashtangasangrahavol.II, Sharirsthana 2 nd ed. Varansi;chaukhmbaorientalia , P 14
4YadavjiTrikamjiAcarya editor , charaksamhitachikitsasthana 3rd ed. Varanasi , chaukhmbaorientalia P.368
5HarishastriParadkarVaidya , editor . Charaksamhita 3 rd ed. Chaukhmbaorientalia P.900
6 YadavTrikamjiAcarya , Narayan Ram Acarya ed. Susrutasamhita with Nimbandhasangrahacommentry 7th ed. Varanasi
chaukhmbaorientalia P.350

Yoni Paka10
Pichu should be fully Vivritta Yoni Vyapada11
socked in the
Yoni Paichhilya
medicated oil/ Ghrita
Yoni Srava12
Yoni Karkashta
Vataja Yoni Vyapada
Pittaja Yoni Vyapada
Vamini & Upapluta
Nine Month Pregnancy13
Retained Placenta 14
Yoni Bhramsha15
Yonidhupan / Bahya yoni / 3-5 min Kushtha Sweta Pradara

fumigation16 outer
Agaru Yoni Kandu
surface of
vagina Guggulu Aparasanga
Vacha Garbhasanga
Vidanga Upapluta
Nimbapatra Sutika Paricharya
Rakta Gulma
Santatipratibandhak
Yoni Lepana Prathamvrta 3-5 minutes Yoni Shaithilya

/ vaginal
Breast Apara Sang
painting
Stana Vidradhi
Yoni Arsha
Yoni Varti / 2-3 hours Dushtavrana

Yoni wick
Karnini Yoni Vyapada
Kaphaja Yoni Vyapada
Rakta Pradara
Anartava
7JayamalaShirke , editor . AyurvediyaStrirogavigyan , 1 st ed. Pune , Tathagatprakashan , P. 164

8SastriBrahmashankareditor .Yogaratanakr 5th ed. Varanasi , chaukhmbasasnkritsansthan , P.426
9YadavjiTrikamjiAcarya , editor . Cahraksamhitachikitsasthana 3 rd ed. Varansi , chaukhmbasurbharatiprakashan P. 638
10 YadavjitrikamjiAacarya , editor . Naraya Ram Acarya , editors Susrutasamhita with Nimbandhasangrahacommentry ,
uttartantra 7thed . Varanasi , chaukhmbaorientalia P.669

11YadavjiTrikamAcarya , editor charaksamhitachikitsasthana 3 rdedvaranasi , chaukhmbaprakashan verse 30/63 , p. 637
12YadavjitrikamjiAcarya editor charaksamhitachikitsasthan 3 rdedchaukhmbaprakashaN , P. 638
13 YADAV TRIKAMJI ACARYA EDITOR , CHARAKSAMHITA SHARIR STHANA 3RD ED. , VARANASI , CHAUKHMBA
PRAKASHAN P.346
14YadavjiTrikamjiAcarya , editor charaksamhitasharirsthna 3 rd ed. Varanasi , chaukhmbaprakashan , p. 348
15 K.R. SHRIKANTHA MURTHY , EDITOR , aSHTANGA SANGRAHA VOL.ii , SHARIRSTHAN CHAUKHMBA ORIENTALIA ,P.
42
16YadavTrikamjiAcarya Narayan Ram Acarya , editors susrutasamhita with nimbandhasangrha commentary uttartanta 7 th ed.
Varanasi chaukhmbaorientalia

Yoni Puran / Filling the Kalka

vaginal cavity of
Medicated oil
packing vagina
completely Powder
with Bolus
medicine.
Yoni parishek Hot 5-10 min Medicated oil Yoni Vrana

fomentation
Yoni Pitika
to all sides
of vagina / Yoni Shotha
Bahya Yoni
Pindachikitsa Inserting 3- 4 hours until

medicated retention of
drug in urine
paste
wrapped in
sterile cloth
into vagina .
B. PANCHAKARMA IN VARIOUS FEMALE DISORDERS :
VIKRITI/ PANCHAKARMA THERAPY

VYADHI
Yoni Vyapada After proper Snehana & Svedana Vamanadi Panchakarma procedures should be
used, followed by Uttarabasti and other Sthanika Chikitsa
ArtavaVyapada For all eight varities of Artava Vyapada here the basic treatment followed should be
the Shodhana Karma, Uttarabasti and Sthanika Chikitsa.
In Kaphaja Artavadusti especially there is advice for Vamana Karma using
Madanaphala Kalka.
Asrigdara Virechana Karma is very much beneficial followed by Vasti and Uttaravasti.
Aasthapan-Chandanadi / Rasnadi AP (Ca.Si.3 & A.H.Ka.4)
Kusadi Asthapanvasti (su.chi.38/51)
Rasnadi Asthapanvasti (su.chi.38)
Lodhradi Asthapanvasti (Gulma & Asrigdar) su.chi.38
Anuvasanvasti-Madhukadi Anuvasana Yaapanavasti Rajyapanavasti-(A.S.Ka.4/11)
Yoni Arsha Shodhana Karma as Purvakarma followed by Shastra Kshara and Agni karma.
Virechanottara Shastra Kshara and Agni Karma helps in easy and Samula
Nirharana of Arsha, so that it becomes Apunarbhava.
Artavakshaya Shodhana Karma followed by Agneya Dravya Prayoga.

Kashyapa considers it should be treated by Anuvasana Vastikarma
Anartava/nasht Vatakaphanashaka Chikitsa

a-artava Vasti Karma followed by Artavajanaka Pravartana Drugs
Artvavridhhi Shodhana karma followed by Kshapana Karma

Virechana Karma
Vasti karma especially Picchabasti, Kashmarya Kutajabasti
Vandhyatava Panchakarma treatment Causes of infertility
Vaman Ovarian factor , obesity
Virechan Fibroid , ovarian tumour,

hypothalamus, pituitary tumour
Nasya CNS factor, Hypogonadotrophins

Hyperprolactinemia conditions
Asthapanabasti Bad obstetric history, repeated

pregnancy loss
Anuvasanabasti Hypo estrogenic condition,

Malnourishment
Uttrabasti Ovarian, Endometrial and

Cervical factor
Granthi Shodhana karma followed by Swedana and Shalyachikitsa (Samula Nirharana).
Vidradhi Sthanakilaka - Snehapana followed by Virechana Karma .

Depending on the Pakva and Apakvaavastha of the Vidhradi Jalouka Vacharana (
Raktamokshana)
Mrudu Upanaha and Shastra karma (Patana Karma) of Vidhradi
The commonly seen reasons behind these problems are improper diet and lifestyle, poor quality of food,
nuclear family, self medication, society issues, and lack of proper sex education, excessive use of sex
related medication and climate changes.
The science of Ayurveda has its main emphasis on Nidanaparivarjana with the help of bringing about
changes in diet, nutrition and lifestyle. As the most commonly seen etiology is because of hormonal
disturbance the use of herbs like Ashokchaal, Shatavari, Ashwagandha, Lodhra, Aamla, Haridra,
Manjishtha, Neem, etc is recommended to normalize it. These drugs act by the means of both
Samshodhana and Shaman Karma.
Timely diagnosis and early diagnosis are very important for treatment in streerogas. Early diagnosis right
away increases the likelihood of success .So one can start treatment before the disease becomes more
severe. At the initial stage initiative from patients side also plays an important role.

Ayurvedic Treatment of PCOD

Author:
Vd. Anita B. Kulakarni (Joshi)
M.D (Ayurveda),. PGDMB, Ph.D.PDF(Ayu)
Assistant Professor in Vivekanand Ayurvedic College, Shrigonda
They have published 5 books on Ayurveda and have written many articles on Ayurvedic treatment .They
are also in Advisory Board for publishing the journals.The present article is on latest treatment of PCOD
which is a major problem among female and the expert treatment of PCOD is rarely available.
Introduction
PCOD (Poly cystic ovarian disease) is one of the most common endocrine disorders among females.
The current problem is increasing day by day and widely the infertility related problems are occurred if
patient neglects this disease in initial phase, there are certain other problems too like amenorrhea and
irregular mensuration due to anovulation. The causes of the disease are not fully understood but there is
evidence of theories that relates to genetic disease. It is estimated by WHO that 116 million women were
affected by PCOD in 2010(i.e. 3.4% of women) 1, 2, 3, 4, 5, 6, 7, 8, 9, 10.
Case presentation of PCOD-
IPD/ OPD Number- 10082
Gender-Female
Marital status-Unmarried.
Age-21
Admission Type-Outpatient
Patient care-Observation
The patient complaining with :
Irregular menses since 2 years.
Weight gain from last six months.
Abdominal Pain.
Hair loss.
Short history of illness
Since past two years patient is having irregular menses and from last six month she is having right side
abdominal pain. For regular menses she is taking Mala-D tablet with the interval of 3 month. But patient
was not feeling better with this treatment.
Habits (Addiction)-No
Medical history-Mala-D (3month interval)

Investigation-USG of pelvis& abd-poly cystic ovarian disease (both ovaries) & Right ovary shows cyst of
size-3.7 × 3.7cm.
Allergies - No
Current medication
Kanchnar Gugulu 500mg. Twice a day

Chandraprabha Vati 500mg. Thrice a
day.
Aarogyavardhini vati. 500mg. Twice a
day
Bharangyadi Kashaya with Tila Kwatha
as Anupana. (10 ml-Bharangyadi
Kashaya)
Follow up
Pattern of PCOD is not changed but

total symptomatic relief was there by
Ayurvedic treatment. Menses are
regular now.
Further Advice with regards to treatment
To do physical exercise. Avoid Kapha Vatakara Ahara. Patient should be advised to monitor weight and
advised not to increase her weight.
Discussion and Conclusion
As PCOD is presenting mainly Kaphatmaka Vyadhi and Vata is Anubandhi in every uterine disorder so
the treatment mainly based on Lekhana Karma. The Kaphavatmaka Avarodha is get cleared by Ushna,
Tikshna, Vatanulomana Dravya. PCOD reflects Granthiyukta Samprapti so Bharangyadi Kashaya
(mentioned by Bhavaprakasha) by its Ushna Tikshna Guna breaks the pathogenesis of the disease.
Further more clinical trials will evidence betterment of Ayurvedic therapies for Anukta Vyadhi like PCOD.
References
1. www.wikipedia.com,Kollmann M, Martins WP, Raine-Fenning N (2014). "Terms and thresholds for the
ultrasound evaluation of the ovaries in women with hyperandrogenic anovulation". Hum. Reprod. Update 20 (3):
463–4.
2. www.wikipedia.com, "Stein-Leventhal syndrome, also known as polycystic overy syndrome (PCOS), is a
disorder characterized by hirsutism, obesity, and amenorrhea because of luteinizing hormone-resistant cystic
ovaries."
3. www.wikipedia.com, Fauser BC, Diedrich K, Bouchard P, Domínguez F, Matzuk M, Franks S, Hamamah S,
Simón C, Devroey P, Ezcurra D, Howles CM (2011). "Contemporary genetic technologies and female
reproduction". Human Reproduction Update 17 (6): 829–847.

4. www.wikipedia.com,"Molecular progress in infertility: polycystic ovary syndrome". Fertility and Sterility 78 (3):
569–576.
5. www.wikipedia.com, Diamanti-Kandarakis E, Kandarakis H, Legro RS (August 2006). "The role of genes and
environment in the etiology of PCOS". Endocrine 30 (1): 19–26.doi:10.1385/ENDO:30:1:19. PMID 17185788.
6. www.wikipedia.com,Goldenberg N, Glueck C (2008). "Medical therapy in women with polycystic ovarysyndrome
before and during pregnancy and lactation". Minerva Ginecol 60 (1): 63–75.
7. www.wikipedia.com,Boomsma CM, Fauser BC, Macklon NS (2008). "Pregnancy complications in women with
polycystic ovary syndrome". Semin. Reprod. Med. 26 (1): 72–84.
8. www.wikipedia.com, Azziz R, Woods KS, Reyna R, Key TJ, Knochenhauer ES, Yildiz BO (June 2004). "The
Prevalence and Features of the Polycystic Ovary Syndrome in an Unselected Population". Journal of Clinical
Endocrinology & Metabolism 89 (6): 2745–9.
9. www.wikipedia.com, Teede H, Deeks A, Moran L (2010). "Polycystic ovary syndrome: a complex condition with
psychological, reproductive and metabolic manifestations that impacts on health across the lifespan". BMC
Med 8: 41.
10. www.wikipedia.com,Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, Shibuya K,
Salomon JA, Abdalla S, Aboyans V, et al. (Dec 15, 2012). "Years lived with disability (YLDs) for 1160 sequelae
of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study
2010". Lancet 380 (9859):2163–96.

xHkkZoLFkk esa jksx ,oa mipkj

ys[kd
M‚- Mh- d-s xxZ-
,Qlh,] ,ech,] ,y,y,e] ih,pMh] Mh-fyV-,y,yMh]
,evkbZih,yLd‚yj)
b'kkuvk;qoZsfndesfMdyd‚ystvkSjvuqla/kkudsaæ] xzsVjuks,Mk
ys[kd
M‚-vuwi dqekj feJk
,e-Mh- dk;fpfdRlk] lgk;d çksQls j] fØ;kfoHkkx
b'kku vk;qosZfnd esfMdy d‚yst vkSj vuqla/kku dsæa ] xzsVjuks,Mk
• vk;qosZn esa] xHkkZoLFkk dks ,d efgyk ds thou esa cgqr gh fo'ks"k vkSj vk/;kfRed le; ds :i esa ns[kk tkrk
gSA
• ,d xHkZorh efgyk dh vkHkk fo'ks"k :i ls pednkj vkSj lqugjh gksrh gS& ;g ml vewrZ ^^xHkkZoLFkk dh
ped^^ ds ckjs esa vk;qosZn dh O;k[;k gS ftlds ckjs esa ge lqurs gSa A ;g ,d ,slk le; gS tc ,d efgyk
dh lgt {kerk fo'ks"k :i ls mPp gksrh gS] vkSj bl le; /;ku vkSj vU; vk/;kfRed çFkkvksa dh vR;f/kd
flQkfj'k dh tkrh gSA
• XkHkkZoLFkk vkids cPps ds lkFk ca/ku dk le; gS] vkSj tSlk fd ge
vPNh rjg ls tkurs gSa] bl nkSjku vkRe ns[kHkky cgqr egROkiw.kZ gSA
bu 9 eghuksa ds nkSjku dbZ 'kkjhfjd vkSj HkkoukRed ifjorZu gks jgs
gSaA vk;qosZn ds vuqlkj] xHkkZoLFkk okr nks"k dks larqfyr djus dk le;
gS] tks ok;q vkSj varfj{k dh ÅtkZ gS] tks raf=dk ra= ij gkoh gSA
xHkkZoLFkk ds nkSjku fuEufyf[kr jksx ik, tkrs gSa

Fkk;jkbM dh leL;k
xHkkZoLFkk esa Fkk;jkbM dh leL;k c<+ tkus ij ek avkSj cPps nksuksa dh tku dks [krjk gks ldrk gSA bldk
T;knk [krjk çSXusl a h ds igys 3 eghus gksrk gSA xaHkhj Fkk;jkbM ;kuh gkbiksFkk;j‚;M gksus ls xHkZikr dh laHkkouk
cgqr c<+ tkrh gSaA ;gka rd fd Hkzw.k dh xHkZ esa gh ekSr Hkh gks ldrh gSA
bl chekjh ds gksus ij cPps ds 'kkjhfjd vkSj ekufld fodkl ij cgqr vlj iM+rk gSA

Fkk;jkbM ds y{k.k
otu dk rsth ls c<+uk ;k de gksukA
T;knk Fkdku jguk vkSj uhan u vkukA
ekalisf'k;ksa dk detksj gksuk vkSj dksysLVª‚y c<+ukA
vka[kks vkSj psgjs ij lwtu jgukA
Fkk;jkbM ls cpko
1- çSXusl
a h esa Fkk;jkbM dh leL;k gksus ij jkstkuk vk/kk ?kaVk O;k;ke djsa vkSj lkFk esa M‚DVj ls bykt djok,a
vxj vki pkgrh gSAa
2- Fkk;jkbM dk cPps ij dksbZ cqjk çHkko u iM+s rks M‚DVj dh lykg ls le; ij nokvksa dk lsou djsa vkSj
le;≤ ij bldk VsLV djokrs jgsA
3- xHkkZoLFkk ds nkSjku Fkk;j‚;M ds bykt ds fy, nh tkus okyh vkS’kf/k t:jr ds fglkc ls ?kVkbZ ;k c<+kbZ
Hkh tk ldrh gSaA
4- çsXusl
a h ds nkSjku isV vkSj ikpu fØ;k dk lgh jguk cgqr t:jh gSA ftu çsXusVa efgykvksa dks Fkk;jkbM dh
leL;k gksrh gSA
5- mUgsa vius Hkkstu esa vf/kd ls vf/kd Qkbcj ysuk pkfg, D;ksafd bl ls dCt dh leL;k ugha gksrhA
[kkuiku }kjk cpko

1- vk;ksMhu Fkk;jkbM daVªksy djus esa dkQh ennxkj gSA blds fy, uSpqjy vk;ksMhu tSls VekVj] I;kt vkSj
yglqu vkfn dk lsou djsaA
2- 3 ls 4 yhVj ikuh ih,aA blls 'kjhj ls fo"kSys inkFkZ ckgj fudyus esa enn feysxhA blds vykok 1 ls 2
fxykl twl ih,aA lIrkg esa 1 ckj ukfj;y ikuh ih,aA
3- viuh MkbV esa foVkfeu , ls Hkjiwj gjh lfCt;ksa dks 'kkfey djsAa xktj esa Hkh foVkfeu , dkQh ek=k esa
ik;k tkrk gSA
Fkk;jkbM esa vk;qosZfnd mipkj

'kkL=h; ;ksx ftudk mi;ksx fd;k tk ldrk gSA
Okeu& ¼dQ Nsnu½ & enufiIiyh] opk] ;f"Ve/kq] lSa/ko] e/kq
fojspu& feJLusg
uL; & ‘kMfcanqrsy ¼Hks"kt jRukoyh½
• iapdksypw.kZ ¼'kkjax/kj lafgrk½ e/;e [kaM 6%13&14½
• OkS’kokuj pw.kZ ¼pØnÙk vekor fpfdRlk½

• bUnqdkar ?k`r ¼lglz ;ksx½ ?k`rizdj.k

• i¥pke`re~ DokFk ¼lglz;ksx ½ dk';i izdj.k 39
• xqXxqyqfrDrdDokFk ¼v"Vkaxân;Ek fpfdRlkLFkku 21@ 57&60½
• xqMwP;kfnDokFk ¼'kkjax/kj lafgrk e/;e[kaM 2@8½
• xksj[keqaMhLojl ¼'kkjax/kj lafgrk e/;e[kaM] Lojl 16½
• fp=dkfnd"kk; ¼lqJqr fpfdRlk& 14̸ 4½
• n'kewy DokFk] esnksgjyksg] esnksgjxqXxy vkfn 250 xzke lqcg 'kke xeZikuh ds lkFk
xHkkZoLFkk ds nkSjku cq[kkj

xHkkZoLFkk ds nkSjku cq[kkj gksus ij mls xaHkhjrk ls ysuk t:jh gSA /;ku
jgs fd çsXusl
a h esa cSDVhfj;k ;k ok;jl ds dkj.k cq[kkj gksus ij eka vkSj
uotkr nksuksa ds fy, fLFkfr xaHkhj gks ldrh gSA ftu efgykvksa us
xHkkZoLFkk ls Bhd igys ;k 'kq#vkr esa cq[kkj gksus dh fjiksVZ dh Fkh] muds
uotkr f'k'kqvksa esa Û;wjyVîwcnks"k* dh vk'kadk vf/kd ikbZ xbZ FkhA
Û;wjyVîwcnks"k* efLr"d ;k jh<+ dh gìh ls tqM+k tUenks"k gS] tks xHkkZoLFkk
ds igys eghus esa gks ldrk gS A
çsXusl
a h esa cq[kkj vkus ls cPps ij çHkko iMRkk gSA
çsXusl
a h ds nkSjku cq[kkj u flQZ eka ds fy,] cfYd cPps ds fy, Hkh ?kkrd lkfcr gks ldrk gSA
xHkkZoLFkk ds igys 3 ls 8 lIrkg esa vxj xHkZorh efgyk dks cq[kkj gks tk, rks bl dkj.k cPps esa ân; vkSj
psgjs lacaf/kr fodkj gks ldrs gSaA vuqla/kkudrkZ dbZ n'kd ls ;g tkurs Fks fd igyh frekgh esa cq[kkj ds dkj.k
cPps esa ân; fodkj vkSj gksBa rFkk rkyw ds dVs gksus ds [krjs c<+ tkrs gSaA xHkkZoLFkk ds nkSjku cq[kkj fdl
çdkj f'k'kq ij udkjkRed çHkko Mky ldrk gS\
• Hkzw.k ds fodkl esa ck/kk
• vksjy DyhQ dk [krjk
• tUenks"k dh vka'kdk
• U;wjyVîwcnks"k
• v‚fVTe vkSj cPps dk fodkl çHkkfor
xHkkZoLFkk esa cq[kkj vkus ds dkj.k

xHkkZoLFkk esa çfrj{kk ç.kkyh detksj gks tkrh gS] D;ksafd bls eka vkSj cPps nksuksa dh lqj{kk ds fy, vfrfjä dke
djuk iM+rk gSA bl nkSjku 'kjhj vfrlaons u'khy gks tkrk gS vkSj laØe.k ls xzflr gks ldrk gS] tks cq[kkj dk
dkj.k cu ldrk gSA
xHkkZoLFkk ds nkSjku cq[kkj ds vU; dkj.k:

lnhZ&tqdke

xHkkZoLFkk ds nkSjku lnhZ&tqdke ls cq[kkj gks ldrk gSA bl nkSjku cgrh ukd] [kkalh] xys esa [kjk'k vkSj lkal
ysus esa dfBukbZ gks ldrh gSA vxj ;g leL;k T;knk fnu rd tkjh jgs] rks rqjar M‚DVj ls laidZ djsa A
lnhZ&tqdke eas vk;qosZfnd mipkj

1- vk/kk pEep 'kgn esa ,d pqVdh byk;ph vkSj dqN uahcw ds jl dh cwna s Mkfy,A bl flji dk fnu esa 2 ckj
lsou djsAa
2- ftruk gks lds xeZ ikuh fi,aA vkids xys esa tek dQ [kqysxk vkSj vki lq/kkj eglwl djsx
a As
3- xeZikuh esa pqVdhHkj ued feykdj xjkjs djus ls [kkalh&tqdke ds nkSjku dkQh jkgr feyrh gSA
4- viuh pk; esa vnjd] rqylh] dkyhfepZ feykdj pk; dk lsou dhft,A bu rhuksa rRoksa ds lsou ls
[kkalh&tqdke esa dkQh jkgr feyrh gSA
ba¶yq,t
a k
xHkkZoLFkk esa çfrj{kk ç.kkyh] ân; vkSj QsQM+ksa esa ifjorZu gksrk gSA blfy, xHkZorh efgykvksa dks ¶yw gksu]s cq[kkj
gksus o vU; dksbZ xaHkhj chekjh gksus dk [krjk jgrk gS A
ew=ekxZlaØe.k
xHkkZoLFkk ds nkSjku efgyk,a ;wfjujh VªSDV baQsD'ku dh pisV esa vk ldrh gSaA ;g ew=ekxZ esa gksus okyk laØe.k
gS] ftlesa is'kkc ds lkFk tyu gksrh gS] BaM yxrh gS vkSj cq[kkj Hkh gks tkrk gSA ;g xHkkZoLFkk ds nkSjku vke
leL;k ugha gS] ysfdu bldk [krjk cuk jgrk gSA
xSLVªks,UVjkbfVl ok;jl
tc xSLVªks,UVjkbfVl ok;jl 'kjhj ij geyk djrk gS] rks ;g mYVh] nLr vkSj cq[kkj tSls y{k.kksa ds lkFk vkrk
gSA
ikoksZ ok;jl ch19

lhMhlh ds vuqlkj] dsoy ikapçfr'kr xHkZorh efgykvksa dks ;g nqyZHk laØe.k gksrk gSA lkekU; ladsrksa esa Ropk
ij jS'kst] tksM+ksa esa nnZ] fljnnZ] xys esa [kjk'k vkSj cq[kkj 'kkfey gSaA
fyLVsfj;k
fyLVsfj;ksfll rc gksrk gS tc vki nwf"kr ikuh vkSj Hkkstu ysrs gSaA rstcq[kkj] fepyh] ekalisf'k;ksa esa nnZ] nLr]
fljnnZ o xys esa tdMu blds vke y{k.k gSaA
xHkkZoLFkk ds nkSjku cq[kkj ls dSls fuiVsa :-
xHkkZoLFkk ds nkSjku cq[kkj vk ldrk gS] blds fy, vki T;knk ijs'kku u gksAa ?kj esa ,d FkekZehVj t:j j[ksa
vkSj vius rkieku dh tkap djrs jgsaA vxj ;g 'kjhj ds lkekU; rkieku ¼98-6½ ls cgqr T;knk gS] rks vki

rqjar M‚DVj ls laidZ djsAa vkjkenk;d vkSj <hys&<kys diM+s igusAa lwrh diM+s vkids fy, T;knk mfpr jgsaxsA
vxj vkidks BaM yx jgh gS] rks vki pknj ;k dacy vks<+ ldrs gSaA
•vki xquxqus ikuh ls Luku dj ldrh gSaA blls 'kjhj dk rkieku dqN gn rd de gks ldrk gSA
•bl nkSjku gkbMªSV jguk cgqr t:jh gSA chp&chp esa ikuh ihrs jgsaA
xHkkZoLFkk ds nkSjku cq[kkj dks de djus ds vk;qoZsfnd mipkj

xHkkZoLFkk ds nkSjku cq[kkj dks de djus ds fy, vki çk—frd mik; viuk ldrh gSaA gcZy nok,a] vk/kqfud
nokb;ksa ls dkjxj gksrh gSa vkSj buds nq"çHkko Hkh u ds cjkcj gksrs gSaA
uhps tkfu, dqN pqfuank ?kjsyw mik;] tks vkidks xHkkZoLFkk ds nkSjku vk, cq[kkj ls futkr fnyk ldrs gSaA
&egklqn'kZu pw.kZ 3xzke] xqMwphlRo 125 fexzk lqcg 'kke] n'kewy DokFk 20 fe-yh xeZ ikuh ds lkFkA
&xHkkZoLFkk ds nkSjku dbZ rdyhQksa dks nwj djus ds fy, rqylh dk lsou fd;k tkrk gSA cq[kkj gksus ij ,d
di ikuh esa rqylh ds pkj&ikap iÙkksa dks nks&rhu feuV rd mckysa vkSj gYdk BaMk gksus ij fi,aA
&vk/kk pEep dVs gq, vnjd dks ,d di ikuh esa Mkysa vkSj ikap feuV rd vPNh rjg mckysa vkSj gYdk
BaMk gksus ij ,d pEep 'kgn feykdj fi,aA gYnh dk lsou&xHkkZoLFkk esa cq[kkj dks de djus ds fy, vki
gYnh dk bLrseky dj ldrh gSaA
&i;kZIr ty - xHkkZoLFkk ds nkSjku cq[kkj dks de djus ds fy, vki chp&chp esa ikuh ihrs jgsaA
&oklk voysg vkSj rkyhlknh pw.kZ dk ç;skx djsA

&flrksiykfn pw.kZ 1&2 xzke lqcg 'kke vk/kk fxykl ikuh esaA
& vkjksX;of/kZuh oVh 250 xzke lqcg 'kke ikuh ds lkFkA
xHkkZoLFkk esa yxkrkj gks jgh mfYV;k

bl nkSjku efgyk esa vkarfjd :i ls vkSj ckgjh rkSj ij dbZ
rjg ds cnyko gksrs gSa-A g‚eksZuy cnykoksa ds pyrs th
fepykuk vkSj mYVh gksus tSlh leL;k,a gks tkrh gSa-A ukS
eghus ds xHkZdky esa efgyk dks ,slh cgqr lh leL;kvksa dk
lkeuk djuk iM+rk gSA
xHkkZoLFkk esa mYVh ds fy, vk;qosZfnd bykt

1- vxj vkidks yxkrkj mfYV;k gks jgh gksa rks jkr ds le; ,d fxykl ikuh esa dkys pus fHkxksdj NksM+
nhft,A lqcg mBdj ;s ikuh ihys ,slk djus ls Qk;nk gksxk A

2- mYVh gksus dh fLFkfr esa vkaoys dk eqjCck [kkuk Hkh Qk;nsean jgrk gSAa
3- xHkkZoLFkk ds nkSjku vxj yxkrkj mYVh gks jgh gks vkSj th fepyk jgk gks rks lw[kh /kfu;k ;k fQj gjh
/kfu;k dks ihldj mldk feJ.k cuk y]s-a le;≤ ij ;s feJ.k xHkZorh dks nsrs jgsa-A
4- thjk] ls/a kk ued vkSj uhacw ds jl dks feykdj ,d feJ.k rS;kj dj ysa] dqN&dqN nsj esa bls pwlrs jgsa- A
5- rqylh ds iÙks ds jl esa 'kgn feykdj pkVus ls Hkh Qk;nk gksrk gS-A
xHkkZoLFkk esa VkbQkbM

VkbQkbM cq[kkj ,d thok.kq tfur laØe.k gS] tks fd lkYeksusyk VkbQh dh otg ls gksrk gSA lkYeksusyk VkbQh
ml thok.kq ls lacaf/kr gS] tks fd lkYeksusyk Hkkstu fo"kkärk ¼QwM i‚btfuax½ iSnk djrk gSA dbZ ckj VkbQkbM
dks ,aVsfjd Qhoj ;k fe;knh cq[kkj Hkh dgk tkrk gSA 'kjhj esa ços'k djus ds ckn ;s thok.kq dbZ xq.kk c<+rs tkrs
gSa vkSj vkarksa ls vkids jäçokg rd igqap tkrs gSa] ftlls dbZ vax çHkkfor gksrs gSaA
,d vU; buQsD'ku iSjkVkbQkbM cq[kkj ds Hkh VkbQkbM cq[kkj tSls gh y{k.k gksrs gSa] exj ;g vkerkSj ij de
xaHkhj jksx ekuk tkrk gSA
foMky VsLV Hkh ,d vU; VsLV gS] ftlls VkbQkbM dk irk yxk;k tkrk gSA gkykafd gks ldrk gS ;g bruk
fof'k"V ;k lw{e ;k laons u'khy ugha gksA dbZ ckj thok.kq dk irk yxkus ds fy, ldzafer O;fä ds is'kkc ;k
ey dh Hkh tkap dh tkrh gSA cksueSjks VsLV Hkh djk;k tk ldrk gS] gkykafd ;g bruk vke ugha gSA
Vk;QkbM esa vk;qoZsfnd mipkj

vxj 'kq#vkr esa chekjh ds igys dqN fnuksa esa gh mipkj 'kq# gks tk,] rks y{k.k gYds gh jgus dh laHkkouk jgrh
gSA lkFk gh nks fnu ds mipkj ds ckn ;s csgrj gksus yxrs gSaA
&iVksyknh DokFk 20 fe-yh-] f=Qyk pw.kZ 3Xkzke] iqua Zuokfn DokFk 20 feyh] ‘kMxikuh; 40 feyh vkfn xquxqus
ikuh ds lkFkA
&lathouh oVh 250 feyhxzke lqcg vkSj 'kkeA
&dLrwjhHkSjo jl 120 fexzk 'kgn ds lkFk nh tkuh pkfg,] fnu esa rhu ckjA
Ukok;l pw.kZ 2-5 feyhxzke] lhrksiyknh pw.kZ 1-5 feyhxzke]
olUrekyrhjl 120 fexzk fnu esa nks ckj 'kgn ds lkFk A
xHkkZoLFkk esa fpdui‚Dl ¼NksVh ekrk½

fpdui‚Dl ¼NksVh ekrk½ osfjlsyk tksLVj fo"kk.kq ds laØe.k
dh otg ls gksrk gSA fpdui‚Dl dk eq[; y{k.k Ropk ij
[kqtyh okys nkUks gksuk gS] tks fd QQksyksa esa rCnhy gks tkrs

gSaA ;s QQksys /khjs&/khjs lw[k dj iiM+h cu tkrs gSa vkSj laØe.k ds Bhd gksus ds lkFk ;s iifM+;ka Hkh fxjus
yxrh gSaA ;g jksx nkus fudyus ls igys vkSj iiM+h cuus rd dqN dkQh laØked gksrk gSA vxj] vkidks igys
dHkh fpdui‚Dl ugh agqvk vkSj xHkkZoLFkk ds nkSjku ;g gks tkrk gS] rks vkids vkSj f'k'kq nksuksa ds fy, ;g
[krjukd gks ldrk gSA ,d ckj ;fn vkidks NksVh ekrk gks pqdh gks] rks ;g nksckjk dHkh ugha gks ldrh
gkykafd] fpdui‚Dl dh otg ls QhVy osfjlsyk flaMªkes ¼,Q-oh-,l-½ dh fLFkfr mRiUu gksus dh Hkh FkksM+h cgqr
laHkkouk jgrh gSA
•xHkkZoLFkk ds 13osa lIrkg igys rd ;g [krjk dkQh de gksrk gSA 200 f'k'kqvksa esa ls ,d ls Hkh de f'k'kq ,Q-
oh-,l- ls çHkkfor gksrk gSA
•13 vkSj 20 lIrkg ds chp dh xHkkZoLFkk esa ,Q-oh-,l- dk [krjk FkksM+k c<+ tkrk gS] ;kfu fd 100 esa ls nks
f'k'kqvksa ds çHkkfor gksus dk [krjkA
•20 lIrkg vkSj 37 lIrkg dh xHkkZoLFkk ds chp vkidk f'k'kq 'kk;n gh ,Q-oh-,l- ls çHkkfor gksA exj] thou
ds 'kq#vkrh dqN lkyksa esa mls nkn ¼f'kaxYl½ gks ldrs gSaA
xHkkZoLFkk ds nkSjku f'k'kq dh fLFkfr tkuus ds fy, M‚DVj vkidks foLr`r vYVªklkmaM LdSu djkus ds fy,
dgsaxhA bl LdSu esa tkap dh tk,xh fd f'k'kq ds lHkh egRoiw.kZ vax LoLFk gSa ;k ughaA
fpdui‚Dl dk vk;qoZsfnd mipkj

&LFkkuh; vuqç;ksx n'kewy DokFk 20feyh] fdjkfrDr pw.kZ 3xzke] ;f’Ve/kqd pw.kZz dks xk; ds nw/k ds lkFk nkus ij
yxkus ds fy, A
&Vad.k HkLe vkSj jlkatu A
&banqdyk oVh% chekjh gksus ds nwljs lIrkg ls lqcg 'kke ikuh ds lkFk 125 feyhxzke banqdyk oVh ds ç;ksx ls
Hkh ykHk feyrk gSA
&djsys ds iÙkksa ds twl ds lkFk ,d pqVdh gfjæk ikmMj ds ç;ksx ls Hkh ykHk feyrk gSA
&tkS ds nfy;s ds nks di nks yhVj ikuh esa Mkydj mcky ys]a vkSj bl feJ.k dks ,d eghu lwrh diMs esa
cka/kdj ugkus ds Vc esa dqN nsj rd Mqcksrs jgsaA tkS dh nfy;k ml diMs esa ls Vc esa fjlrk jgsxk ftlls ikuh
ij ,d vkjke nsg ijr cu tk;sxhA ftlls Ropk dks vkjke feysxk vkSj 'kjhj ij gq, pdrs Hkh Hkjus yxsaxAs
XkHkkZoLFkk esa dCt

xHkZorh efgykvksa esa dCts vU; lHkh lnL;ksa dh rqyuk esa cgqr vf/kd gksrk gSA efgyk vka= fpduh vkSj blds
ek/;e ls Hkkstu dks ikpu /khek djus ds fy, vxz.kh çkstsLVsjksu gkeksZu dCt ds Lrj dks c<+kus ds fy, gSA bl
çfØ;k esa dkQh 'kjhj ls ikuh dks vo'kks"k.k c<+krk gS vkSj bl rjg ds rkys gksrs gSaA rsth ls vkdkj esa o`f) gks
jgh gS] xHkkZ'k; Hkh vkarksa ij ncko Mkyrk gSA ysfdu ;g vDlj dCt dk dkj.k curk gS vkSj efgykvksa dks yacs
le; rd cka>iu dk lkeuk djuk iM+rk A

xHkkZoLFkk esa dCt ds vk;qosZfnd mipkj

& ,slh voLFkk esa ,d Xykl xeZ nw/k esa ,d pEep bZlcxksy feykdj ih;saA
&vkjXo/k pw.kZ 1 xzke] iapLkkj pw.kZ 1 xzke jkr dks xquxqus ikuh ds lkFk A
&equDdk esa dCt u"V djus ds rRo ekStwn gksrs gSaA 6&7 equDdk jkst jkr dks lksus ls igys [kkus ls dCt
lekIr gksrh gSA
&blds vykok lqcg mBus ds ckn fcuk dqN [kk, gq,] 4&5 dktw ds vkSj 4&5 equDdk ds lkFk [kkb,] blls
dCt dh f'kdk;r lekIr gksxhA
xHkkZoLFkk ds nkSjku vfrlkj

vka= ds nq#i;ksx dk ,d vkSj cgqr gh vfç; ladsr nLr gS A- ;g u dsoy mls /kedkrk gS] cfYd blfy, Hkh
fd bls xHkZorh efgyk dh vksj ls ,d xaHkhj #[k dh vko';drk gS mlds isV esa iy jgs cPps dk fodkl nLr
fo"kkä Hkkstu dh otg ls gks ldrk gS] bl rjg VkbQkbM] isfp'k] gStk vkSj vU; ds :i esa xaHkhj laØked
jksxksa A vDlj] eyR;kx ds mPp ;k de 'kjhj dk rkieku Bhd blds foijhr ds lkFk blds vykok nLr dh
otg ls fdlh Hkh mRikn ds fy, ;k dkj.k th.kZ lwtu vka= jksx ls ,ythZ çfrfØ;kvksa ds fy, gksrk gSAa
gkeksZuy vojks/kksa] x.Mekyk] e/kqegs Hkh f{kç ân;rk eyR;kx ds fodkl ds fy, ,d cgkus ds :i esa lsok dj
ldrs gSa -A
vrhlkj esa vk;qoZsfnd mipkj

&dqVt?kuoVh 250 xzke] fcYokfnpw.kZ 3 xzke xquxqus ikuh ds lkFk lqcg 'kke A
&ikuh esa 1 pEep vnjd Mkysa vkSj ikuh dks mckysAa gj ,d ?kaVs esa xquxquk gksus ij feJ.k dks fi,aA
&rktk vukj dh Ropk 50 xzke ysAa bls ,d ?kaVs ds fy, 800 feyh ikuh esa fHkxks,¡A rc rd mckysa tc rd fd
ek=k dk ,d pkSFkkbZ ¼200 feyhyhVj½ u jg tk,A bl feJ.k dks lkQ] lw[kh cksry esa LVksj djsAa
&,d di ikuh esa ,d pEep phuh vkSj vk/kk pEep ued feyk,aA bl feJ.k dh NksVh [kqjkd ¼,d pkSFkkbZ di
ds vklikl½ tc Hkh jksxh dks I;kl yxs fn;k tk ldrk gSA
&,d di ngh ds lkFk blcxksy dk ,d pEep ysAa
&isLV cukus ds fy, 1 pEep nkyphuh] vnjd vkSj thjk ikmMj dks 'kgn ds lkFk feyk,aA fnu esa rhu ckj 1
pEep ysaA
xHkkZoLFkk esa ,p-vkbZ-oh- vkSj ,M~l

áqeu bE;quks MsfQf'k,alh ok;jl dks laf{kIr :i esa ,p-vkbZ-oh- dgk tkrk gSA vkerkSj ij ;g fo"kk.kq laHkksx ds
nkSjku 'kkjhfjd æO;ksa ds tfj;s ,d O;fä ls nwljs O;fä rd igqaprk gSA ;g jä ;k Lrunw/k ds tfj;s Hkh nwljksa
rd igqap ldrk gSA

,p-vkbZ-oh-] xHkkZoLFkk vkSj f'k'kq ds tUe ds nkSjku ek¡ ls f'k'kq rd igqap ldrk gSA vxj] vkidks ,p-vkbZ-oh-
gS] rks vPNk mipkj vkSj ns[kHkky f'k'kq ds fy, bl [krjs dks dkQh gn rd de dj nsrk gS blfy,] ;g t#jh
gS fd ,p-vkbZ-oh- gksus dk irk tYnh ls tYnh py ldsA
igyh ckj ,p-vkbZ-oh- laØe.k gksus ij dqN yksxksa dks ¶yw tSls y{k.k
eglwl gksrs gSaA ogha] dqN yksxksa dks dbZ lkyksa rd dksbZ y{k.k eglwl
ugha gksrsA ,M~l] ,Dok;MZ bE;wu MsfQf'k,alh flaMªkes dk laf{kIr :i gSA
,M~l rc fodflr gksrk gS] tc çfrj{k.k ç.kkyh dks ,p-vkbZ-oh- }kjk
bruh vf/kd {kfr igqap pqdh gksrh gS fd vki dbZ vU; xaHkhj laØe.kksa
dh pisV esa vkus yxrs gSaA ,M~l dks dbZ ckj ,p-vkbZ-oh- laØe.k ds
ckn dk pj.k Hkh dgk tkrk gSA
,p-vkbZ-oh- tkap dk eq[; mís'; laØe.k dks 'kq#vkrh pj.k esa gh igpkuuk vkSj nokb;ksa }kjk bldk mipkj
djokuk ;g fo"kk.kq fuEukafdr rjhdksa ls ek¡ ds tfj;s f'k'kq rd igqap ldrk gS%
• xHkkZoLFkk ds nkSjku] vijk dks ikj djrs gq, A

• tUe ds nkSjku] 'kjhj ds rjy inkFkksaZ ds laidZ esa vkus lsA
• Lruiku ds nkSjku] Lrunw/k ds tfj;sA
fo'ks"k çf'k{k.k çkIr M‚DVj f'k'kq dk ;FkklaHko lqjf{kr tUe djokus esa vkidh enn dj ldrs gSaA tUe ds ckn
Hkh os vkids f'k'kq dks lcls csgrj ns[kjs[k dj ldrs gSaA
vxj] vki ,p-vkbZ-oh- i‚ftfVo gSa] rks xHkkZoLFkk ds nkSjku vkidh fo'ks"k ns[kHkky dh tk,xh vkSj vkidks
fu;fer tkap djokuh gksx
a hA bu mipkjksa ls xHkkZoLFkk vkSj tUe ds nkSjku f'k'kq rd laØe.k igqapus dh laHkkouk
dkQh de gks ldrh gSA
mipkj 'kq# djus ds fy, dHkh Hkh nsj ugha gksrhA vxj] vkidks ,p-vkbZ-oh- i‚ftfVo gksus dk irk xHkkZoLFkk ds
vafre pj.k esa pyrk gS ;k fQj vki vafre pj.k rd M‚DVj dks ugha fn[kkrh gSa] rks Hkh vkikrdky mipkj 'kq:
fd;k tk ldrk gSA
vkidk çlo çk—frd :i ls gksxk ¼;ksfu ds tfj;s½ ;k fQj lhtsfj;u gksxk] ;g dkQh gn rd bl ckr ij
fuHkZj djsxk fd vkidk laØe.k fdruk fu;af=r gSA
vxj fo"kk.kqvksa dk Lrj de gS] rks M‚DVj vkidks çk—frd çlo dh lykg ns ldrh gSA vxj] jä tkap esa irk
pyrk gS fd fo"kk.kqvksa dk Lrj dkQh T;knk gS] rks 'kk;n vkidks lhtsfj;u v‚ijs'ku djokus dh lykg nh tk
ldrh gSA
lhtsfj;u çlo ds tfj;s tUe ds nkSjku f'k'kq ds ,p-vkbZ-oh- ls laØfer gksus dk [krjk de gks tkrk gSA f'k'kq
dk tUe fdl rjg gksxk] ;g bl ckr ij Hkh fuHkZj djrk gS fd vki fdl rjg dk mipkj ys jgh gSaA
;g tkuuk cgqr gh t#jh gS fd vkids f'k'kq dks vkils vyx ugha fd;k tk,xk & pkgs vki ,p-vkbZ-oh-
i‚ftfVo D;ksa u gksA cfYd] f'k'kq dks LoLFk j[kus ds fy, vkidks dkQh lg;ksx fn;k tk,xkA ,p-vkbZ-oh- ds
lkFk thus ds fy, Hkh vkidh enn dh tk,xhA

tUe ds ckn tYn ls tYn vkids f'k'kq dks ,aVh&jsVªksok;jy nokb;ka nsuk 'kq: fd;k tkuk pkfg,A ;s nokb;ka
mls pkj ls Ng lIrkg rd nh tkuh pkfg,A
fpfdRldh; funsZ'kksa ds vuqlkj] vxj ek¡ dks ,p-vkbZ-oh- gS] rks tUe ds rqjar ckn fo"kk.kqvksa ds Lrj dk irk
yxkus ds fy, f'k'kq dh tkap dh tkuh pkfg,A f'k'kq ds Ng lIrkg dk gksus ij ;g tkap nksckjk dh tkrh gSA
tc f'k'kq 12 lIrkg dk gks tkrk gS rks ;g tkap fQj ls dh tkrh gSA
xHkZorh efgyk dks iM+us okyk fexhZ dk nkSjk

fexhZ dk nkSjk tPpk vkSj cPpk nksuksa ds fy, rdyhQnk;d gks ldrk gSA mfpr ns[kHkky vkSj ;ksX; mipkj ls
og Hkh ,d LoLFk f'k'kq dks tUe ns ldrh gSA
fexhZ dk nkSjk ,d efLr"d dk jksx gS] tks fnekx esa vlkekU;] vfu;af=r rjaxksa ds mRiUu gksus vkSj 'kjhj esa
muds çokfgr gksus ds dkj.k vkrk gSA fexhZ ds nkSjs fdlh dks Hkh vk ldrs gSa] xHkZorh efgyk dks Hkh t:jr gS
rks flQZ mfpr mipkj ds lkFk dqN rF;ksa dks /;ku esa j[kus dh&
çR;sd 200 xHkZorh ekrkvksa esa ,d xHkZorh ekrk fexhZ jksxh gksrh gSA
xHkkZoLFkk ds nkSjku fexhZ&jksx nkSjksa esa rhu çdkj ls ifjorZu vkrs gSaA yxHkx ,d frgkbZ ejhtksa esa nkSjksa esa
vkaf'kd deh ;k vkaf'kd o`f) gks ldrh gSA
fexhZ jksx ds nkSjksa esa c<+ksrjh vDlj xHkkZoLFkk dh vafre frekgh esa ns[kh tkrh gSA ;g varj mu ejhtksa esa gh
T;knk gksrk gS] ftUgsa xaHkhj fexhZ jksx gksrk gSA
fexhZ jksx dh nokvksa dks xHkkZoLFkk ds nkSjku bl Mj ls can dj nsuk fd xHkZLFk f'k'kq esa fo—fr;k¡ vk tk,¡xh]
?kkrd fl) gks ldrk gSA
xHkZorh ekrk ds jä esa fexhZ jksx dh vkS"kf/k dk ^jä&Lrj^ Kkr dj laHkkfor nq"ifj.kke ds Hk; dks de fd;k
tk ldrk gSA nokvksa ds ^jä&Lrj^ dk ç;ksx'kkyk esa fu/kkZj.k nkSjksa ds çHkkoh fu;a=.k esa vR;ar mi;ksxh gksrk
gSA
fexhZ jksxh xHkZorh ekrk dk çlo lnSo vLirky esa gh djokuk pkfg,A blls ekrk o f'k'kq nksuksa dks csgrj
fpfdRldh; ns[kHkky fey ikrh gSA
xHkZorh efgyk dks iM+us okyk fexhZ dk nkSjk vk;qosZfnd mipkj

& es/; jlk;u 250 feyhxzke] czkãh ?k`r 3 xzke] es/kks orhZ
250 xzke lqcg 'kke fexhZ jksxh dks „‡å xzke cdjh ds nw/k esa
‡å xzke esagnh ds iÙkksa dk jl feykdj fuR; çkr% nks lIrkg
rd ihus ls nkSjs can gks tkrs gSaA
& jkstkuk rqylh ds „å iÙks pckdj [kkus ls jksx dh xaHkhjrk esa fxjkoV ns[kh tkrh gSA

& isBk fexhZ dh loZJs"B ?kjsyw fpfdRlk esa ls ,d gSA blesa ik;s tkus okys ikS"kd rRoksa ls efLr"d ds
ukMh&jlk;u larqfyr gks tkrs gSa ftlls fexhZ jksx dh xaHkhjrk esa fxjkoV vk tkrh gSA
& xk; ds nw/k ls cuk;k gqvk eD[ku fexhZ esa Qk;nk igqapkus okyk mik; gSA nl xzke fuR; [kk,aA
çsxusalh esa gsisVkbfVl&ch gksuk

gsiVs kbfVl ch ,d QSyus okyk bUQSd'ku gS ftlesa yhoj dksf'kdk lwt tkrh gSA ;s ,d balku ls nwljs esa 'kjhj
ds æo ls QSy ldrh gS] ;s oh;Z vkSj ;ksuh ds æo ls Hkh QSy tkrk gSA
y{k.k
blds y{k.k ;k rks fn[krs gh ugha ;k de fn[krs gSaA ;s bUQSd'ku gksus ds nks ls rhu eghus ckn blds y{k.k
fn[krs gSaA [kwu dh tkap ls bldk irk pyrk gS] tks lcls vPNk rjhdk gSA vxj ifj.kke i‚ftfVo vk, rks
ns[kk tk,xk dh vkidks nokbZ nsuh gSa ;k ughaA vxj okbjl dqN t~;knk gh QSy x;k gS rks vkidks oks nokbZ nh
tk,axh ftlls vkids cPps dks ;s okbjl QSyus dh laHkkouk dks de tkrh gSA vxj okbjl de QSyk gS rks
mipkj fMfyojh ds ckn gks ldrk gSA
çsxusalh esa gsisVkbfVl&ch ds fy, vk;qoZsfnd mipkj

• iquuZoklo 20 feyh lqcg 'kke xquxqus ikuh ds lkFk A
• Hkàxjkt ds ,d pEep jl dk lqcg&'kke lsouA LoLFk yksx Hkh ;fn lsou djsa rks ;g Qk;nsena gh gksxkA
• Hkwfe vkaoyk ds jl dk lsou Hkh dj ldrs gSaA
xHkkZof/k e/kqesg ¼tsLVs'kuy Mk;fcVht½

xHkkZof/k e/kqegs ,slh fLFkfr gS] ftlesa xHkZorh efgyk esa
CyM 'kqxj ¼'kdZjk½ dk Lrj c<+ tkrk gSA ftUgsa igys ls
'kqxj ugha gS] oks Hkh bldh pisV esa vk ldrh gSaA ,slk
rc gksrk gS] tc vkidk 'kjhj i;kZIr ek=k esa balqfyu
uked gkeksZu iSnk ugha dj jgk gksrk gSA balqfyu dh
ek=k de gksus ls tsLVs'kuy Mk;fcVht gks ldrh
gSAvc blds dkj.kksa dks le>rs gSaA
xHkkZoLFkk esa e/kqesg ds dkj.k

tSlk fd geus crk;k] tc 'kjhj esa i;kZIr ek=k esa balqfyu ugha cu ikrk] rc xHkkZof/k e/kqegs gksrk gSA balqfyu
'kjhj esa iSnk gksus okyk og gkeksZu gS] tks 'kjhj esa Hkkstu o Xywdkst dks ÅtkZ esa cnyrk gSA xHkkZoLFkk ds nkSjku
fofHkUu gkeksZal ds Lrj esa c<+ksÙkjh gksrh gS] ftlls 'kjhj esa otu c<+us tSls dbZ cnyko gksrs gSaA bu gkeksZal ds

c<+us ls 'kjhj esa CyM 'kqxj dk Lrj fcxM+ tkrk gSA bl fLFkfr dks balqfyu çfrjks/kd dgk tkrk gSA balqfyu
çfrjks/kd ds dkj.k 'kjhj dks balqfyu dh t:jr vkSj T;knk c<+ tkrh gSA
dqN efgykvksa dks xHkkZoLFkk ds vkf[kjh eghuksa esa balqfyu çfrjks/kd dk lkeuk djuk iM+rk Åij geus xHkkZof/k
e/kqegs ds dkj.kksa ds ckjs esa crk;kA
xHkkZoLFkk esa e/kqesg ds y{k.k %
vxj vki xHkZorh gSa vkSj vkidks xHkkZof/k e/kqegs ds ckjs esa tkx:d jguk gS] rks uhps crk, x, y{k.kksa ij /;ku
nsAa ;g y{k.k xHkkZoLFkk esa e/kqegs ds y{k.k gks ldrs gSa %
• cgqr tYnh Fkd tkukA

• ckj&ckj I;kl yxukA
• tYnh&tYnh is'kkc tkus dh t:jr gksukA
• th&fepykukA
• /kqa/kyk fn[kkbZ nsukA
• ew=k'k;] ;ksfu vkSj Ropk ds yxkrkj laØe.k gksukA
xHkkZof/k e/kqesg dh tkap

M‚DVj xHkkZoLFkk ds 24osa lIrkg ls 28osa lIrkg ds chp esa xHkkZof/k e/kqegs dh tkap t:j djokus dh lykg nsrs
gSa A
bldh iqf"V djus ds fy, vksjy Xywdkst VsLV fd;k tkrk gSA bl VsLV esa ns[kk tkrk gS fd 'kjhj dh dksf'kdk,a
Xywdkst ¼'kqxj½ dks vo'kksf"kr djus esa fdruh leFkZ gSaA
a h esa eka vkSj cPps dks 'kqxj ds tksf[ke :-

çsXusl
xHkkZoLFkk esa e/kqesg gksus ij uhps crk, x, tksf[ke gks ldrs gSa %
1- cPps dk vkdkj cM+k gksuk % vxj fdlh xHkZorh efgyk dks e/kqesg gS] rks xHkZ esa cPps dk vkdkj lkekU; ls
T;knk cM+k gks ldrk gS A blls fltsfj;u fMyhojh dh vk'kadk c<+ tkrh gSA
2- le; iwoZ fMyhojh dk [krjk % xHkkZof/k e/kqegs ls ihfM+r efgykvksa esa le; iwoZ fMyhojh dk [krjk c<+ tkrk
gSA
3- Vkbi&2 Mk;fcVht % ftu efgykvksa dks xHkkZof/k e/kqegs gksrk gS] mUgsa vkSj muds cPps dks Hkfo"; esa Vkbi&2
Mk;fcVht gksus dk [krjk gks ldrk gS A
4- e`r cPps dk tUe % vxj xHkkZof/k e/kqesg dk bykt le; ij u fd;k tk,] rks e`r cPps dk tUe gksus dk
[krjk c<+ ldrk gS A
5- çhDysEifl;k % xHkkZof/k e/kqegs ds nkSjku çhDysEifl;k ¼mPp jäpki ls lacaf/kr fLFkfr½ dk [krjk gks ldrk
gSA
xHkkZof/k e/kqegs dk tksf[ke fdUgsa T;knk gksrk gS\

• vk;q % 25 lky ls vf/kd mez dh efgykvksa dks xHkkZof/k e/kqegs gksus dk [krjk jgrk gSA
• vxj ifjokj esa fdlh dks gks % vxj ifjokj esa fdlh dks e/kqegs gS] rks xHkkZoLFkk esa e/kqegs dk [krjk c<+
ldrk gS A
• igys ls gS e/kqesg % vxj vkidks igys ls gh e/kqesg gS] rks bldk [krjk vkSj Hkh c<+ ldrk gSA
• vxj igys Hkh jgk gS xHkkZof/k e/kqegs % vxj vkidks igys dh çsXusl a h esa Hkh e/kqesg Fkk] rks vxyh xHkkZoLFkk
esa Hkh blds gksus dh vk'kadk gks ldrh gSA
• vR;f/kd otu % vxj xHkZorh efgyk dk otu lkekU; ls T;knk gS] rks xHkkZof/k e/kqegs dk [krjk c<+
ldrk gSA
xHkkZoLFkk ds e/kqesg ds fy, vk;qosZfnd mipkj

• & vkeydh pw.kZ 3 xzke] xqMwph pw.kZ 3 xzke lqcg 'kke xquxqus ikuh ds lkFkA
& vkSlr vkdkj dk ,d VekVj] ,d [khjk vkSj ,d djsyk dks yhft,A bu rhuksa dks feykdj twl fudky
yhft,A bl twl dks gj jkst lqcg&lqcg [kkyh isV yhft,A blls Mk;fcVht esa Qk;nk gksrk gSA
& Mk;fcVht ds ejhtksa ds fy, lkSaQ cgqr Qk;nsean gksrk gSA lkSaQ [kkus ls Mk;fcVht fu;a=.k esa jgrk gSA gj
jkst [kkus ds ckn lkSaQ [kkuk pkfg,A
& e/kqegs ds jksfx;ksa dks tkequ [kkuk pkfg,A dkys tkequ Mk;fcVht ds ejhtksa ds fy, vpwd vkS"kf/k ekuh tkrh
gSA tkequ dks dkys ued ds lkFk [kkus ls [kwu esa 'kqxj dh ek=k fu;af=r gksrh gSA
& Mk;fcVht ds ejhtksa dks 'krkojh dk jl vkSj nw/k dk lsou djuk pkfg,A 'krkojh dk jl vkSj nw/k dks ,d
leku ek=k esa ysdj jkr esa lksus ls igys e/kqegs ds jksfx;ksa dks lsou djuk pkfg,A blls e/kqegs fu;a=.k esa
jgrk gSA
& e/kqegs ejhtks dks fu;fer :i ls nks pEep uhe dk jl vkSj pkj pEep dsys ds iÙks ds jl dks feykdj
ihuk pkfg,A
& pkj pEep vkaoys dk jl] xqM+ekj dh iÙkh feykdj dk<k+ cukdj ihus ls e/kqegs fu;a=.k esa jgrk gSA
vxj vki FkksM+h&lh lko/kkuh cjrs]a rks xHkkZof/k e/kqegs dks vklkuh ls fu;af=r fd;k tk ldrk gSA blds fy,
uhps ge dqN fVIl ns jgs gSa] tks vkids dke vk ldrs gSa %
• jä 'kdZjk ij utj cuk,a % vxj vkidks xHkkZof/k e/kqegs gS] rks fnu esa rhu ls pkj ckj vki viuh jä
'kdZjk dh tkap djsAa blls vkidks jä 'kdZjk fu;af=r j[kus esa enn feysxhA
• cPps ij /;ku nsa % vxj fdlh dks xHkkZof/k e/kqesg gS] rks cPps ds tUe ds ckn mlds CyM 'kqxj ij utj
cuk,a j[ks]a rkfd mls ;g chekjh Hkfo"; esa ijs'kku u djsA

xHkkZoLFkk esa e/kqesg dks dSls jksdsa

• LoLFk [kkuiku % tc vki xHkZ/kkj.k djus dh dksf'k'k dj jgh gks]a rks vius [kkuiku dk fo'ks"k [;ky j[ksaA
xHkkZof/k e/kqegs ls cpus ds fy, LoLFk [kkuiku csgn t:jh gSA vki Qkbcj ;qä vkSj de QSV okyk [kkuk
[kk,aA blds vykok] rys gq, [kkus ls ijgst djsa A
• O;k;ke djsa % fQV jgus ds fy, O;k;ke t:jh gSA t:jh ugha fd blds fy, vki fte tk,a ;k dM+h
dljr djsAa fQV jgus ds fy, fu;fer :i ls lSj dj ldrs gSa ;k fQj rSjkdh vkrh gS] rks Vªsuj dh
ns[kjs[k esa bls Hkh dj ldrs gSaA
• otu fu;af=r j[ksa % vxj xHkkZoLFkk ls igys vkidk otu lkekU; ls T;knk gS] rks igys viuk otu
fu;af=r djsa vkSj fQj xHkZ/kkj.k dh ;kstuk cuk,aA
• y{k.k utj vkus ij M‚DVj ds ikl tk,a % vxj bu lcds ckotwn vkidks e/kqegs ds y{k.k utj vkrs gSa] rks
fcuk nsjh fd, M‚DVj ds ikl tk,a vkSj viuh tkap djk,aA
xHkkZoLFkk esa e/kqesg ds nkSjku vkgkj
• vukt ftuesa Hkjiwj ek=k esa Qkbcj gks] tSls lkcqr vukt [kkuk pkfg,A
• gjh lfCt;ksa o Qfy;ksa vkfn dk lsou djuk pkfg,A
• Qy] nw/k o ;ksxVZ ¼,d rjg dk ngh½ [kkuk Qk;nsean jgsxkA
Vh ch vkSj xHkkZoLFkk
Vh ch vkt Hkh fo'o dh lcls tkuysok chekfj;ksa esa ls ,d gSA 40 yk[k ls Hkh t~;knk fL=;k¡ gj lky bl
chekjh dk f'kdkj curh gSa vkSj dbZ yk[k ekSrsa Hkh gksrh gSaA xHkZorh efgykvksa esa lcls t~;knk ik;h tkus okyh
Vh ch QsQM+kas dh gSA blds vykok gìh xqnkZ] isV] lymph nodes ] meninges] ;gka Hkh Vh ch gks ldrk gSA
vxj fdlh efgyk dks Vh ch gS vkSj og xHkZorh gks tkrh gS rks ;g ns[kk x;k gS fd Vh ch dh chekjh mlls
vçHkkfor jgrh gSA
Vh ch dk çsxusalh ij vlj
vxj lgh le; ij funku gks tk, vkSj laiw.kZ mipkj fd;k tk;s rks Vh ch ls xHkZorh efgyk vkSj f'k'kq nksuksa
dks gh dqN Hkh gkfu ugha gksrhA ;fn ,slk uk gks ik, ;k bykt dks chp esa gh NksM+ fn;k tk;s rks dbZ rjg dh
leL;kvksa dk lkeuk djuk iM+ ldrk gSA
xHkZikr&isV esa gh cPps dh e`R;q

& xHkZ dk Bhd ls uk c<+uk
& uotkr f'k'kq dh e`R;q
vxj efgyk dk [kku iku le; ij vkSj ikSf"Vd uk gks ;k mlesa

[kwu dh deh gks rks mls dbZ rjg dh ijs'kkfu;k¡ gks ldrh gSaA
çsxusl
a h dk Vh ch ij vlj
vxj fdlh efgyk dks Vh ch gS vkSj og xHkZorh gks tkrh gS rks ;g ns[kk x;k gS fd Vh ch dh chekjh mlls
vçHkkfor jgrh gSA
& mcdkbZ ;k mYVh
& otu dk de gksuk
& cq[kkj tSlk yxuk
& ân; dh /kM+du dk rst gksuk
Vh ch dh tk¡psa
&ekaVwd VsLV
&cyxe dh tk¡p
Vh ch dk VªhVesVa
yglqu
yglqu esa ekStwn ,yhflu uked rRo Vhch ds thok.kqvksa ds fodkl dks ckf/kr djrk gS A bl jksx ds mipkj esa
yglqu dk mi;ksx djus ds fy, vki ,d di nw/k esa 4 di ikuh feykdj blesa 5 yglqu dh dyh ihldj
feyk,a vkSj bls pkSFkkbZ Hkkx 'ks"k jgus rd mckysa- vc bls mrkjdj BaMk gksus ij fnu esa rhu ckj ysaA
I;kt dk jl vkSj fgax
'kgn
#narh o`{k dh Nky
dsyk
vkaoyk
çsxusl
a h ds nkSjku CyMçs'kj
xHkkZoLFkk ds nkSjku ;wa rks Hkkoh eka dks cgqr lkjh 'kkjhfjd vkSj ekufld ijs'kkfu;ka gksrk gS ysfdu buesa lcls
T;knk [krjukd CyM çs'kj esa mrkj&p<+ko dk gksuk gksrk gS- eka ds lkFk gh xHkZLFk f'k'kq ds fy, Hkh ;g ?kkrd
gks ldrk gS- bl voLFkk ds nkSjku vkidks vius CyM çs'kj dks fu;af=r j[kus dh dksf'k'k djuh pkfg, A
vxj jäpki dks fu;a=.k esa u j[kk tk, rks xHkkZoLFkk ds 20osa lIrkg rd ;g voLFkk çh&,dySefIl;k dk :i
ys ldrh gS ftls V‚Dlsfe;k ;k fQj xHkkZoLFkk tfur mPp jäpki dgrs gSa A ;g ,d xaHkhj fLFkfr gS ftlds

dkj.k vkids efLr"d ds lkFk gh 'kjhj ds vU; vaxksa esa ?kkrd çHkko iM+rk gSA bl fLFkfr esa gkFkksa&iSjksa esa
vlekU; lwtu vkSj yxkrkj fljnnZ tSls y{k.k fn[kkbZ ns ldrs gSaA
;g xHkZLFk f'k'kq dh o`f) nj dks Hkh çHkkfor djrk gSA
mPp jäpki ds fy, dbZ vk;qosZfnd mipkj

& xHkkZoLFkk esa vf/kd ued [kkuk vPNk ugha gksrk A ;fn vki mPp jäpki ls ihfM+r gS rks 3 xzke ls vf/kd
ued u ysa A
& fnu Hkj esa T;knk ls T;knk ikuh vkSj twl ihus dh vknr Mkysa D;ksafd jäpki de djus ds fy, ;g lcls
vPNk mik; gSA
& xHkZLFk f'k'kq ds LokLF; dks vPNk cukus ds fy, lks;kchu] v[kjksV] vylh rFkk ikyd tSlh xgjs gjs jax
okyh iÙksnkj lfCt;ksa dk lsou djuk cgqr Qk;nsean jgrk gSA
& xHkkZoLFkk ds nkSjku ;fn vki mPp jäpki dks fu;af=r djus ds fy;s tw> jgh gSa rks d‚M fyoj v‚;y]
v[kjksV dk VksQw vkfn [kk,aA
& yglqu /kefu;ksa dh Fkdku dks de djrk gS A ân; ds nj dks fu;af=r djrk gS ftlls jäpki de gks
tkrk gSA
& xHkkZoLFkk esa gYdk odZvkmV Hkh djsa rkfd 'kjhj lfØ; jgs vkSj vkidk fnekx 'kkafr eglwl dj lds A
blds fy, Vgyus tk,a vkSj bl nkSjku xgjh lkal ysdj NksMa+s- NksVs&NksVs dne ysa vkSj ldkjkRed phtsa lkspas A
blls vkidk mPp jäpki de gksus yxsxk A
& tM+h&cwfV;k¡% yglqu ¼,fy;e lfroe½] iquuZok ¼cksgjfovk fM¶;wtk½] xks{kqj ¼fVªcqyl VsjsfVªl½] 'krkojh ¼'krkojh
tkfreksll½] tVkekalh ¼u‚MksZLVsfll tVkekalh½] czkãh ¼lsVa syk ,f'k;kfVdk½ vkfn ns[kjs[k esa nh tk ldrh gSAa
& vU; xfrfof/k;k¡ tSls pyuk] /;ku] xgjh lk¡l ysuk vkfn Hkh lgk;d gSaA
çsxusl
a h esa uhan uk vkus dh leL;k ¼bulksefu;k½
xHkkZoLFkk esa vPNh uhan u vkuk dkQh vke gS vkSj djhc ,d frgkbZ ls Hkh vf/kd xHkZorh efgyk,a ikrh gSa fd
xHkkZoLFkk ds nkSjku vkjke dh uhan ys ikuk muds fy, cgqr eqf'dy gksrk gSA
vkidh cSpus h Hkjh jkrksa ds fy, cgqr ls dkj.k ftEesnkj gSa] buesa
'kkfey gSa%
• fcLrj ij vkjkensg voLFkk esa lks ikuk eqf'dy yxrk

gSA
• vkidks T;knk ckj is'kkc ds fy, tkuk iM+rk gSA
• Vkaxksa esa ,sBa u ;k daiu dh otg ls lks ugha ikrhaA
• gks ldrk gS vki f'k'kq ds tUe dks ysdj fpafrr gksaA

vklkuh ls lks ikus ds fy, mik;
• lksus ds le; dk fu/kkZfjr djsaA

• lksus vkSj tkxus dk ,d fuf'pr le; fu/kkZfjr djsAa ;g vkidh c‚Mh Dy‚d dks fu;fer djrk gSA lksus ls
igys nw/k ls cuk gYdk xeZ is; ;k fQj dSQhueqä gcZy pk; dk lsou vkidks uhan vkus esa enn dj
ldrk gSA
• [kkus&ihus ij /;ku nsa A
oSdfYid rkSj ij vki fjySDl gksus ds fy, ;ksx Hkh vktek ldrh gSaA vki xHkZ laLdkj tSlk lqdwu nsus okyk
laxhr Hkh lqu ldrh gSa] tks vkidks u dsoy vkjke nsxk cfYd xHkZLFk f'k'kq ds lkFk vkids tqM+ko dks
c<+k,xkAvki 'kk;n ik,a fd çlo ds fy, tks fjySDls'ku rduhd lh[kha gSa] os uhan ykus esa esa lgk;d gSaA viuk
Qksu] VscysV] ysiV‚i vkSj Vhoh dks can dj nsAa vius csM:e dks dsoy lksus dk gh LFkku cuk,a A csM ij lksus
ls igys ;g lqfuf'pr dj ysa fd vkids dejs dk rkieku lksus ds yk;d gSA dbZ ckj bulksefu;k volkn dk
y{k.k gksrk gSA ,d vU; fodYi ;g gS fd ;fn xHkkZoLFkk ds var esa vki T;knk Fkdku eglwl dj jgh gSa rks
vki 36 lIrkg dh xHkkZoLFkk ds vklikl n¶rj ls viuk ekr`Ro vodk'k ys ldrh gSaA gks ldrk gS fd vki
viuh eSVjfuVh yho f'k'kq ds tUe ds ckn ysuk pkgrh gks]a ysfdu vkidks vHkh Hkh ?kj ij jgus dk Qk;nk
feysxkA vki tc Hkh t#jr gks >idh ys ldrh gSa] vkSj eka cuus ds ckn E;wftd Fksjsih laxhr esa tknw gksrk gSA
;s eu dh Fkdku dks de djrk gS] ftlls 'kjhj dh Fkdku Hkh de gks tkrh gSA lksus ls igys e/kqj laxhr lqu]sa
uhan tYnh vkrh gSA vPNh uhan ds fy, iatks dk elkt Hkh djsAa fnuHkj dh Fkdku ds ckn tc vkids iSjksa esa
elkt fd;k tkrk gS rks blls vkidks vkjke feyrk gS vkSj uhan vPNh vkrh gSA
xHkkZoLFkk esa lQsn ikuh dh leL;k

xHkkZoLFkk esa dqN efgykvksa dks lQsn ikuh dh leL;k gks tkrh gSA fpfdRlh; Hkk"kk esa bls Y;wdksfj;k dgk tkrk
gSA ;g dksbZ xaHkhj leL;k ugha gS] D;ksfa d xHkkZoLFkk ds nkSjku lQsn ikuh vkuk lkekU; ckr gS] ysfdu dbZ ckj
efgyk,a blls ?kcjk tkrh gSaA muds ?kcjkus dk eq[; dkj.k xHkZ esa iy jgs f'k'kq dh lqj{kk dks ysdj gksrk gSA
[kklrkSj ij] mu efgykvksa ds fy,] tks igyh ckj eka cuus okyh gksaA mUgsa bl laca/k esa T;knk tkudkjh ugha
gksrh] ftl dkj.k oks dHkh&dHkh ruko esa vk tkrh gSaA
xHkkZoLFkk ds nkSjku E;wdl Iyx xzhok ds ekxZ dks vo#) djrk gS] rkfd xHkkZ'k; esa fdlh rjg dk cSDVhfj;k
ços'k u dj ldsA ,sls esa xHkkZoLFkk ds vkf[kjh le; esa ;g E;wdl Iyx ;ksfu dh vksj f[kldus yxrk gSA bl
nkSjku vkidks lkQ] xqykch ;k gYdk jä okyk otkbuy fMLpktZ gks ldrk gSA vkerkSj ij ;g yscj 'kq: gksus
ds dqN fnu igys gksrk gS A ;g efgyk ds çtuu vaxksa dks lkQ j[krk gS vkSj laØe.k ls cpkrk gSA
xHkkZoLFkk esa lQsn ikuh fxjus ds dkj.k

xHkkZoLFkk ds nkSjku] efgyk dk 'kjhj T;knk ,LVªkt
s u dk mRiknu djrk gS] ftl dkj.k lQsn lzko c<+ tkrk gSA

• tSls&tSls xHkZ esa f'k'kq dk fodkl gksrk gS] rks mlds flj ls xHkkZ'k; xzhok ij ncko c<+rk gS] ftl
dkj.k lzko c<+us yxrk gSA ,slk T;knkrj xHkkZoLFkk ds vafre pj.k esa gksrk gSA
• xHkkZoLFkk ds nkSjku xzhok vkSj ;ksfu dh nhokj uje gks tkrh gS] ftlls lQsn rjy fudyrk gS] tks ;ksfu
ds tfj, gksus okys laØe.k ls cpko djrk gSA
xHkkZoLFkk esa lQsn ikuh vkus ds ifjorZu
ƒ- igys ds ƒ ls ƒ… lIrkg esa
bl le; ikuh iryk vkSj jaxghu gksrk gS ij tSls&tSls le; vkxs c<+rk gS ;s dqN xk<+k tSls gksus
yxrk gSA vxj vkidks yxrk gS dh blds y{k.k fHkUu ;k vlkekU; fn[kkbZ ns jgs gS rks vki vius
M‚DVj ls jk; ysA
„- nwljh ƒ† ls „ˆ lIrkg esa
nwljh frekgh esa xHkkZoLFkk esa lQsn lzko dk ikuh FkksM+k xk<+k vkSj xa/kghu ,oa lkekU; jax dk gS rks fpark
djus dh dksbZ ckr ughaA ysfdu vxj bles fdlh çdkj dk [kwu vk, rks vki rqjar vius M‚DVj ls
laidZ djsA
…- rhljh „‰ ls †å lIrkg
bl lIrkg ds nkSjku igys ls ikuh dk jax vkSj xk<+kiu FkksM+k T;knk jgsxkA gks ldrk gS fd xHkkZoLFkk
ds vk[kjh g¶rksa esa ikuh ds lkFk [kwu vk, tks dh lkekU; gSA bles dHkh L=ko ds lkFk [kwu ds FkDds
Hkh vk ldrs gSA
†- çlo ls igys
xHkkZoLFkk ds vkf[kjh esa ikuh vkuk ;s ladsr nsrk gS dh vkidk 'kjhj cPps dks tUe nsus ds fy, [kqn dks
rS;kj dj jgkA ;fn çlo ls dqN fnu igys ;k le; ls igys vkidks is'kkc tSlk iryk i<+kFkZ
fudyrk gS rks Mjus dh ckr ugha gSA
D;k lQsn ikuh vkus ls f'k'kq dks uqdlku gks ldrk gS\
xHkkZoLFkk ds nkSjku lQsn ikuh vkuk xHkZorh ds 'kjhj vkSj xHkZ esa iy jgs cPps ds fy, vPNk ekuk tkrk gSA ;g
f'k'kq dks lqj{kk çnku djrk gS vkSj dbZ rjg ds laØe.k ls cpkrk gS] ysfdu vxj lQsn ikuh vkuk T;knk vkus
yxs ;k blesa nqxZa/k gks] rks ;g f'k'kq dks uqdlku igqapk ldrk gSA ;g laØe.k dk y{k.k gks ldrk gSA xHkkZoLFkk
ds nkSjku vlkekU; lQsn lzko vxj vkidks lQsn lzko esa uhps crk, x, y{k.k fn[kkbZ ns]a rks ;g vlkekU; gks
ldrk gS %
vxj ;g ihys] gjs ;k Hkwjs jax dk gksA
vxj blesa rst nqxaZ/k vk,A
vxj ;ksfu ekxZ yky gks tk, ;k [kqtyh eglwl gksA

;hLV bUQsD'ku % vxj nwljh frekgh esa lQsn xk<+s ikuh ds lkFk ;ksfu esa tyu gks] rks ;g ;hLV bUQsD'ku dk
y{k.k gks ldrk gSA ,sls esa vki rqjar vius M‚DVj ls laidZ djsAa
• cSDVhfj;y osftuksfll % cSDVhfj;y osftuksfll ,d efgyk dh ;ksfu esa ekStwn lkekU; cSDVhfj;k esa vlarqyu
ds dkj.k gksrk gSA gkykafd] ;g Li"V ugha gS fd vlarqyu dk dkj.k D;k gSA M‚DVj dh ekus]a rks ;g
çsXusl
a h esa [krjk iSnk dj ldrk gSA blls le; iwoZ fMyhojh ;k xHkZikr dk [krjk c<+ ldrk gSA
• czkmu fMLpktZ % ;g xHkZikr ;k ,DVksfid çsXusl
a h dk ladsr gks ldrk gSA ,DVksfid çsXusl
a h oks voLFkk gS]
tc vaMs xHkkZ'k; dh txg QSyksfi;u Vîwc esa gksrh gSA ;g ,d xaHkhj leL;k gS] tks eka vkSj cPps nksuksa ds
fy, [krjukd gSA
lQsn ikuh ds dkj.k bUQsD'ku ls cpus ds lk/kkj.k mik;

Y;wdksfj;k ds çca/ku ds fy, dqN 'kkL=h; rS;kjh dk mYys[k fd;k x;k gSA A
➢ jlaktu dk isLV vkSj vejaFkl frjaxk fyu dh tM+ A

➢ 'kgn ds lkFk pkoy ds ikuh esa rS;kj f=Qyk ?k`rA
➢ ids gq, pkoy] nw/k vkSj phuh ds vkgkj ds ckn 'kgn ds lkFk सेवनA
xHkkZoLFkk ds nkSjku fljnnZ

xHkkZoLFkk ds nkSjku fljnnZ Hkh cgqr vke leL;k gSA T;knkrj ekeyksa esa fljnnZ ds dkj.k dks le>uk vkSj bls
lq/kkjuk dkQh lqfo/kktud] vkSj vki vklkuh ls bl lk/kkj.k leL;k ls fuiV ldrs gSaA dksbZ utnhdh M‚DVj
ds ikl çsxusalh ds nkSjku flj nnZ dh nok ys ldrs gSa D;ksafd xHkkZoLFkk ds nkSjku gkjeksuy psatsl vf/kd gksrs
gSa blhfy, çsxusalh ds nkSjku flj nnZ gksuk vke ckr gS çsXusl
a h ds nkSjku flj nnZ dh nok ls lkbM bQsDV gks
ldrs gSa vkSj vki dks uqdlku Hkh igqapk ldrs gSa blhfy, M‚DVj dh lykg ysdj gh flj nnZ ls NqVdkjk ikus
dh nok dk lsou djsa vf/kdka'k efgykvksa esa nwljh frekgh rd fljnnZ de ;k fQj fcYdqy [kRe gks tkrk gSA
xHkkZoLFkk esa flj nnZ D;ksa gksrk gS\
1 gkeksZuy ifjorZu % xHkkZoLFkk esa efgyk ds vanj gkjeksu ds larqyu esa varj vkus ds dkj.k flj nnZ gks ldrk
gSA bl gkeksZuy ifjorZu ds dkj.k jä&f'kjkvksa esa QSyko vk tkrk gS ftlds dkj.k Fkdku] fpM+fpM+kgV vkSj
fljnnZ dh ijs'kkuh gks ldrh gSA
2 fdlh chekjh dk ladsr ;k ifj.kke% dHkh&dHkh ,slk gksrk gS fd xHkZorh L=h dks ukd laca/kh dksbZ rdyhQ
tSls lkbul] ukd esa teko] dksbZ ,ythZ ds dkj.k flj nnZ gks ldrk gSA
3-fMçs'ku% dqN xHkZorh efgyk,a ewM&fLoax ds dkj.k rhljh frekgh esa fMçs'ku dk f'kdkj gks tkrh gSaA bl
fLFkfr esa Hkh oks fljnnZ fd f'kdk;r dj ldrha gSaA
4 Hkzw.k dk lEiw.kZ fodkl iw.k%Z rhljh frekgh ds var vkus rd f'k'kq ds fodkl fd çfØ;k yxHkx iwjh gks pqdh
gksrh gSA

5-/ofu çnw"k.k% tc xHkZorh ds vklikl dk okrkoj.k 'kksjxqy ls Hkjk gks rc uhan dh deh] ;k Bhd ls uhan u
vkus ds dkj.k flj nnZ gks ldrk gSA
6-iks"k.k dh deh% tc fdlh dkj.ko'k xHkZorh ds 'kjhj esa iks"k.k dh deh gks tkrh gS rc 'kjhj esa jä dh deh
dh ijs'kkuh gks ldrh gSA
7-thou'kSyh% rhljh frekgh ds vkus ij Hkh ;fn xHkZorh /kweziku vkSj efnjkiku dk R;kx ugha djrha gS rc u
dsoy ruko c<+rk gS cfYd fljnnZ dh f'kdk;r Hkh fujarj cuh jg ldrh gSA
8-çh&,DysefIl;k% dqN nqyZHk ekeyksa esa ;g leL;k gks ldrh gSA mnkgj.k ds rkSj ij ;fn vkidks gkbZ CyM
çs'kj ;k is'kkc esa çksVhu gks rks] vkidk fljnnZ] çh&,DysefIl;k dk ladsr gks ldrk gSA ;g xHkkZoLFkk esa gkbZ
CyM çs'kj dk xaHkhj :i gSA cgjgky] vf/kdka'k efgykvksa ds fy, xHkkZoLFkk esa fljnnZ gksuk dsoy ,d vlgt
exj vLFkkbZ lkbM bQsDV gSA
9-fMgkbMª's ku ¼ikuh dh deh½& xHkkZoLFkk ds nkSjku de rjy inkFkZ ;k ikuh dk lsou djus ls vkidks
fMgkbMª's ku dh leL;k gks ldrh gSA
10 /kwi esa T;knk nsj rd jgukA
xHkkZoLFkk esa flj nnZ ls dSls cpk tk ldrk gS%

Mk;jh esa fy[kdj j[ksa fd vkidks fljnnZ ;k ekbxzsu dc gksrk gS] blls dkj.k dk irk yxkus esa enn feysxhA
gj jkst fuEu ckrsa uksV djs%a
• fljnnZ fdl le; gksrk gSA
• fljnnZ fdruk rst gksrk gS] fdl txg gksrk gS vkSj fdruh nsj rd jgrk gSA
• gj fnu vkius D;k [kk;k vkSj dc [kk;kA
• vki 'kkjhfjd rkSj ls fdruh fØ;k'khy jghaA
• vki ruko esa jgha ;k vkjke eglwl dj jgh FkhaA
• vkius fdruh uhan yhA
• vkius dksbZ nok yhA
djhc ,d lIrkg ds ckn] gks ldrk gS vki vius fljnnZ dk ,d iSVuZ ns[k ik,a] blls vki nnZ dh otg dks
igpku ldsx
a hA

xHkkZoLFkk esa vki fuEu mik;ksa ds ek/;e ls flj nnZ dks gksus ls jksd ldrha gSa%
1- ges'kk larqfyr o ikSf"Vd Hkkstu gh djsAa
2- jkr dks lksus ds fy, ,d fu;fer le; lhek dk fu;e l[rh ls viuk,¡A
3- vxj e/kqegs dh f'kdk;r gS rks Hkw[ks u jgsaA
4- le; ls vkjke t:j djsA a
5- ज्यादा dls gq, diM+s u igudj] <+hys o vkjkenk;d oL= dk p;u djsa A
6- cgqr rst 'kksj vkSj jks'kuh ls nwj jgsAa
7- rkth gok esa lSj t:j djsAa
8- dke djus ds fy, ges'kk lgh eqæk esa cSBAsa
9- ruko ls cpus ds fy, esfMVs'ku t:j djsAa
10- dSQhu vkSj lacfU/kr çksMDV dk lsou dqN le; ds fy, can dj nsAa
11- ikuh dh deha u gksus nsAa ,d ;k nks fxykl ikuh fi,a vkSj xgjh lkal ysAa
xHkkZoLFkk esa fljnnZ dk mipkj

1- ,d pEep uhacw dh ifÙk;ka vkSj dseksekby pk; dk mi;ksx djds gcZy pk; cuk;sA vc blesa vk/kk pEep
'kgn o lkSaQ feyk,a vkSj bls ih ysA ;g fpark o ruko esa gksus okys fljnnZ rks vPNh rjg ls de djrk
gSA
2- ,d fxykl nw/k esa 1 pEep nkyphuh ikmMj feyk,a vkSj bls mcky ysA BaMk gksus ij blesa Lokn ds fy,
'kgn feyk,a vkSj ih ysA
3- ,d fxykl ikuh esa nks pEep lsc dk fljdk vkSj nks pEep 'kgn feykdj ihus ls Hkh lj nnZ esa vkjke
feyrk gSA
4- vnjd esa ekStwn ,aVhvkDlhMsVa flj nnZ dks de djus esa enn djrs gSaA vki vnjd dh pk; ;k dk<+k
cukdj ih ldrh gSA
5- ySosM
a j rsy flj nnZ ls jkgr fnykus esa enn djrk gSA ;g xHkkZoLFkk ds nkSjku csgrj uhan ykus esa Hkh enn
djrk gSA
6- xeZ ikuh dk Hkki ysus ls lkbul nwj gksrk gS vkSj can ukd ls jkgr feyrh gS ftlls vkidks flj nnZ ls
vkjke feyrk gSA
7- da/ks ihB vkSj xnZu ij vPNh rjg ls ekfy'k djs]a blls ekbxzsu ls jkgr feyrh gSA /;ku j[ks fd ekfy'k
fdlh ,slh efgyk ls gh djok,a ftuds ikl xHkZorh efgykvksa dh ekfy'k djus dk vPNk [kklk vuqHko gksA
blds vykok vki vkS"kf/k,a rsyksa dks mi;ksx dj ldrh gSaA bl rjg dh ekfy'k ,d gn rd ruko ls gksus
okys fljnnZ dks Hkh de djus esa enn djrh gSA
8- BaMs ikuh ls Luku djus ls Hkh vLFkkbZ :i ls flj nnZ ls jkgr feyrh gSA vxj vf/kd nnZ gks vkSj ugkuk
uk pkgsa rks vki psgjs ij BaMs ikuh dh dqN cwna sa Hkh Mky ldrh gSaA blds vykok xeZ ikuh esa ls/a kk ued
Mkydj Luku djus ls Hkh fljnnZ ls vkjke feyrk gSA

xHkkZoLFkk esa gkFkksa o iSjksa esa lwtu ¼bfMek½
bls bfMek ;k 'kksQ dgk tkrk gS] vke Hkk"kk esa ;g okVj fjVs'a ku ;kfu ikuh çfr/kkj.k ds uke ls tkuk tkrk
gSA bldk eryc gS fd vkidk 'kjhj cgqr T;knk rjy çfr/kkfjr dj jgk gSA vfrfjä rjy vkids gkFkksa
vkSj iSjksa ;k V[kuksa esa lwtu dk dkj.k curk gSA çsXusl
a h ds nkSjku bfMek gksuk dkQh vke gSA ;g ,d
lkekU; fLFkfr gS] [kkldj fd xHkkZoLFkk dh rhljh frekgh esAa
tSls&tSls vkidk f'k'kq c<+rk gS] vkidk xHkkZ'k; Jksf.k {ks= dh ulksa vkSj ohuk dkok ¼'kjhj ds nkfgus fgLls
esa cM+h ul] ftls fupys vaxksa ls jä çkIr gksrk gS½ ij ncko Mkyrk gSA blls jä lapj.k /khek gks tkrk gS
vkSj 'kjhj ds fupys fgLls esa [kwu bdëk gks tkrk gSA
lwtu lqcg ds le; Bhd jgrh gS] D;ksafd vki fcLrj esa ysVh gqbZ FkhaA fnu xqtjus ds lkFk&lkFk ;g vkSj
T;knk c<+rh tkrh gSA
xHkkZoLFkk ds vafre pj.k esa igqapus ij ;g lwtu vkidks
gkFkksa ij Hkh vlj Mky ldrh gSA xHkkZoLFkk esa bfMek
gksuk dkQh vke gS] fo'ks"kdj dh rhljh frekgh esaA djhc
50 ls 80 çfr'kr LoLFk xHkZorh efgykvksa dks dqN gn
rd lwtu gksrh gS] vkSj xehZ ds ekSle esa ;g vkSj c<+
ldrh gSA gkykafd] vxj vkids psgjs] gkFkksa ;k iSjksa ij
vpkud ls ;k cgqr T;knk lwtu gks tk, rks M‚DVj ls
ckr djsAa ;g çh&,DysefIl;k dk ladsr gks ldrk gS] tks
fd vkids vkSj vkids f'k'kq ds fy, xaHkhj fLFkfr gks
ldrh gSA
gkFkksa vkSj iSjksa esa lwtu dk mipkj

• tc Hkh laHko gks] vius iSjksa dks FkksM+h Åaph lrg ij j[kdj cSBAsa n¶rj esa viuh MsLd ds uhps LVwy ;k
cDlk j[kdj iSjksa dks mlij j[ksAa chp&chp esa mBsa vkSj FkksM+k pys&fQjsAa
• ?kj esa tc Hkh laHko gks vius ckbZa rjQ djoV ysdj ysVsa D;ksafd blls ohuk dkok ul ij ncko ugha iM+rkA
• vxj vkidks yacs le; rd dkj esa cSBuk gks] rks vius iSj lh/ks djus vkSj fQj ls mfpr jä lapj.k 'kq#
djus ds fy, chp&chp esa fu;fer czsd ysrh jgsaA
• lqcg fcLrj ls fudyus ls igys lhou ;k tksM+ jfgr tqjkcsa igu ys]a rkfd [kwu dks vkids V[kuksa ds ikl
bDëk gksus dk ekSdk u feysA vxj bl mik; ls enn u feys] rks viuh M‚DVj ls ckr djsAa os vkidks
dEçs'ku LV‚fdax iguus ds ckjs esa lykg ns ldrh gSaA

• [kwc lkjk ikuh ih,aA gSjr dh ckr ;g gS fd vki ftruk T;knk ikuh ih,axh] mruk gh de ikuh vkidk
'kjhj çfr/kkfjr djsxkA
• fu;fer O;k;ke djs]a [kkldj fd pyuk&fQjuk] rSjkdh] çloiwoZ ;ksx ;k ,Dljlkbt ckbd dk bLrsekyA
lanHkZ
1 pjd lafgrkA laiknd vkj-ds- 'kekZ vkSj Hkxoku nkl] pkS[kEck laL—r Jà[kyk dk;kZy;] xksy?kj] Hkkjr] 2003 iqueqZæ.k] iÀ
391A
2 lqJqr lafgrk] [kaM 2A dfojkt dqaty Hkh"ex`g pkS[kEck laL—r Jà[kyk dk;kZy;] okjk.klh] Hkkjr] f}rh; laLdj.k] 2002] i`"BA
159A
3- dk';i lafgrk&ihihA gsejkt 'kekZ d';I lafgrk] pkS[kEck laL—r laLFkku okjk.klh] laLdj.k laor „åât d';i [khy ƒåA
4- pjd lafgrkA&iaA dk'khukFk 'kkL=h 8 oha bZMhA 2004; pkS[kEck çdk'ku] ubZ fnYyhA
6- ;ksx jRukdj& dr-indradev f=ikBh vkSj M‚-n;k 'kadj f=ikBh edi-1st 1998] —".knkl vdkneh] okjk.klhA stree ph
v/;k; 11
7- pjd lafgrkA&iaA dk'khukFk 'kkL=h 8 oha bZMhA2004; pkS[kEck ifCyds'ku] ubZ fnYyhA
8- Mh lhA nÙkk&çlwfr&çlax dh ikBî iqLrd] 6 oha bZ Mh 2004-
9- L=h rFkk iq#"k jksx funku-----M‚- Mh- d-s xxZ-

योग और महिलाओ का स्वास््य (Yoga for good health of women)
ys[kd
M‚A vQ'kk ijohu
,e-Mh- vxn ra=] lgk;d çksQslj] vxn ra= foHkkx
bZ'kku vk;qosZfnd esfMdy d‚yst vkSj vuqla/kku dsaæ] xzsVj uks,Mk
पररचय:
स्त्स्ियों में पुरूषों की अपेक्षा जहिल शारीररक स्त्स्िति िोिी िै । प्रजनन अंगसंबध
ं ी यिा गर्ााशय, गर्ाधारण, गर्ा में स्त्स्िि
शशशु का ववकास, माशसक धमा में कमी या अधधकिा, रक्िप्रदर, श्वेिप्रदर, योनीशोि व रजोतनववृ ि संबध
ं ी समस्याएं
महिलाओं को िी िोिी िै परू
ु षों को निीं। स्िी िो या पुरुष योग सर्ी के स्वास््य के शलए आवश्यक िै यि अच्छे स्वास््य और
अच्छे जीवन की आधार शशला िै | योग के तनयशमि अभ्यास से शारीररक, मानशसक, आध्यास्त्ममक और र्ावाममक ववकास
मनुष्य के शरीर में िोिा िै | योग महिलाओं के शरीर को स्वस्ि बनाने के अतिररक्ि और र्ी बिुि से काम करिा िै । यि मन
को संिुशलि करिा िै ििा आममा को पोवषि करिा िै ।इसशलए महिलाएं को योग में ववशेष रूधि लेनी िाहिए |
योग और प्राणायाम द्वारा महिलाओ का स्वास््य
महिलाओं के शलए योग की ककशोरावस्िा से लेकर मािमृ व, मेनोपॉज वाली उम्र से लेकर बुढापे िक खास र्शू मका िै ।
महिलाओं में शारीररक बदलाव आने के बाद उसकी मानशसक परे शानी बढ सकिी िै और जीवन से जिां शारीररक िौर पर
संिुशलि बनाए रखिा िै िो विीं इससे मानशसक िौर पर शांति र्ी शमलिी िै । युवावस्िा में महिलाओं के शलए योग की
जरुरि िोिी िै ये महिलाओं की उस सोि के बबलकुल ववपरीि िै की यव
ु ावस्िा में योग की कोई जरुरि निीं िै ये िो शसर्ा
वद्
ृ धा अवस्िा की जरुरि िै । महिलाओं के शलए यि जरुरी िै कक योग को अपने जीवन में उसी प्रकार सस्त्ममशलि करें जैसे

सांस लेिे िैं । बार-बार तनयशमि अभ्यास करें , यि ककसी र्ी आयु वगा की महिला के शलए लार्दायक शसद्ध िोगा।
नियममत तौर पर योगासि
प्रणायम ना शसर्ा महिलाओं के स्वास््य को ठीक रखिा िै बस्त्कक मातनशसक पररविान और शारीररक असंिुलन जैसी आने
वाली समस्याओं से तनपिने में र्ी बेिद कारगर िै ।
योग के ववशर्न्न िमव ककशोरावस्िा, मािमृ व, रजोतनववृ ि ििा वद्

ृ धावस्िा के अनेकों पररविानों में महिलाओं को मनोरोग,
िुनकशमजाज, धिड़धिड़ापन से दरू रखिे िै । स्त्जसके कारण उनके जीवन में असामयिा और असंिुलन आ जािा िै । आयु
और आवश्यकिा के अनुसार प्रतिहदन का व्यायाम, आसन महिलाओं के शलए बनाए गए िैं। इनकी सिायिा से वि शारीररक
संिुलन और मानशसक शांति प्राप्ि कर के र्रपूर जीवन जी सकिी िैं। बिुि से योगासन इस आयु की महिलाओं के शलए
बनाए गए िैं, स्त्जनकी सिायिा से वि बिुि सारे पररविानों को आसानी से और बबना ददा के अपना लेिी िैं । इन आसनों के
तनयशमि अभ्यास से महिलाओं की मांसपेशशयां मजबूि िोिी िैं, मोिापे से मुस्त्क्ि शमलिी िै ििा स्वस्ि प्रजनन अंगों का
ववकास िोिा िै , स्त्जससे िामोनल संिुलन बना रििा िै ।
स्री रोगों के मुख्य कारण
* कब्ज पैदा करनेवाला आिार-वविार अधधक करना।
* र्ूख से अधधक या कम खाना।
* बबना र्ूख लगे ठूंस-ठूंसकर खाना।
* काम-काज में खुद को व्यस्ि रखिे िुए र्ख

ू को नज़रअंदाज करना और र्ख
ू सिना।
* शरीर की क्षमिा और साम्या से अधधक श्रम करना।
* गररष्ठ और अप्राकृतिक र्ोजन करना।
* कर्ी-कर्ी जीर् के स्वाद के िलिे खूब डिकर ििपिे व िैलीय पदािों का सेवन करना।
स्री रोगों के बचिे के मलए महिलाएं क्या करें ?
 हदनियाा, खान-पान व रिन-सिन को संिुशलि रखें।
 कब्ज निीं रिें । ऐसा आिार उपाय ककया जाना िाहिए। कब्ज से गैस बढिी रििी िै स्त्जससे पेि में िनाव िोने से समपण
ू ा
स्नायववक संस्िान र्ी िनावग्रस्ि रििा िै ।
 सुबि सूयोदय से पिले का गासन (उकड़ू) बैठकर िीन से िार ग्लास पानी पीएं।
 स्त्जिनी उम्र िै उिने िी दानें दाना मैिी के साि तनगल लें।

 राि में काले िने शर्गों कर रखें और अंकुररि करके खाएं या आधा िममि घी में छौंक कर खाएं। मौसमी र्ल को अच्छी
िरि सार् पानी से धोकर सेवन करें । िौकर यक्
ु ि मोिे आिे की रोिी विरी सस्त्ब्जयों का सेवन करें । र्ोजन के एक कोर को
कम से कम 32 बार िबाकर खाना िाहिए।
 शसर और पेि पर आधा घंिा ठण्डे पानी की पट्िी रखनी िाहिए।
 प्रािः ििा सायं भ्रमण, व्यायाम, योग, आसन व ध्यान के प्रति सजग रिें ।
 हदन में दो बार ववश्रामासन (कायोमसगा) जरूर करें ।
 िावल, घी, मलाई यक्

ु ि दध
ू , आलू, िाय, कॉर्ी, केला, बेसन, मैदा, ब्रेड, अधधक नमक, अधधक सोना, ििपिा आिार,
ववरोधी आिार, बबस्त्स्कि व धिप्स आहद का सेवन निीं के बराबर करें ।
महिलाओं के स्वास्थय के मलए ववशेष योग :
ववशेषज्ञों के अनुसार महिलाओं के शलए साधारण योग के अतिररक्ि कुछ अन्य ववशेष योग करने की सलाि दी गयी िै िाकक
वो अपने को स्वस्ि रख सके ,डडलीवरी के समय ,माशसक धमा से समय बिुि ददा की स्त्स्िति से निीं गज
ु रना पड़े।
1. योग- महिलाओं के प्रजिि समय के मलए उत्तम- पूवव प्रसव योग
महिलाएं गर्ाधारण ििा मां बनने के समय पर बिुि सारे शारीररक बदलावों से गुजरिी िैं। योग से महिलाओं का प्रजनन
स्िर अच्छा िो जािा िै । महिलाओं को गर्ाावस्िा के समय बिुि सी ‘ बािरी र्ावनाओं ’ का सामना करना पड़िा िै । यि
आवश्यक िै कक वि इस समय पर अच्छा शारीररक और मानशसक स्वास््य प्राप्ि करें । इस समय पर बिुि से िामोन
पररविान िोिे िैं, स्त्जनको कई बार रोकना कहठन िोिा िै । ववशेषज्ञ इस समय पर कुछ ववशेष आसनों को करने की सलाि
दे िे िैं, जो कक उनको शारीररक और र्ावनाममक स्िर पर स्वस्ि रख सकें । योग से महिलाओं के शरीर में लिीलापन रििा
िै स्त्जससे वि सामान्य प्रजनन कर सकने में सक्षम िोिी िैं। गर्ाावस्िा या प्रसव के समय िोनेवाली कहठनाइयों से तनपिने में
वि स्वयं को कार्ी िद िक िैयार कर सकिी िैं। पूवा प्रसव योग बिुि लार्दायक िै - शारीररक आवश्यकिा और क्षमिाओं के
अनुसार शरीर को िैयार करने में । इस से महिलाओं की गर्ााशय की मांसपेशशयां मजबूि िो जािी िैं ििा रीढ की िड्डी
अतिररक्ि दबाव झेलने के शलए मजबूि िो जािी िै । प्रसव पूवा योग करने से प्राणायाम और यौधगक श्वासों के द्वारा
महिलाएं जकदी िी प्रसव की पीड़ा से बािर तनकल जािी िैं। मांसपेशशयों में जकदी मजबि
ू ी आ जािी िै ििा स्िनपान कराने
में वद्
ृ धध िो जािी िै ।
2 संक्रमण कालीि अवधि में योग
यि ककसी र्ी शलंग के शलए सबसे कहठन आयु िै । परन्िु महिलाओं को यि जहिलिा अकेले िी संर्ालनी पड़िी िै । महिलाओं
को मेनोपॉज का अनुर्व िोिा िै , वजन बढना, िायराइड समस्या ििा अन्य समस्याएं। इस समय पर महिलाओं को योग
र्रपूर लार् दे िा िै । योग में उपिाराममक शस्त्क्ियां िोिी िैं जो कक िामोस को संिशु लि कर दे िी िैं, वजन तनयंिण में रखिी
िैं, मेनोपॉज का समय सरलिा से तनकल जािा िै ििा पािन िंि स्वस्ि िो जािा िै । प्राणायाम और ध्यान महिलाओं को
इस कहठन समय में या उिार-िढाव वाले समय में अनधगनि रुप से लार् पिुंिािा िै । महिलाओं के शलए मुख्य योग और

शारीररक किया ये :महिलाओं की शारीररक संरिना, उनके रोग और िकलीफें परु

ु षों से अलग िोिी िैं । ऐसे में महिलाओं के
शलए कुछ िुतनंदा आसन िैं, स्त्जसे आसानी से िककये या कर्र दीवार के सिारे से घर में ककया जा सकिा िै ।
1. नौका संिालन और िक्की िलाना:
ये दोनों िी आसन महिलाओं के शलए बिुि िी लार्प्रद िै | महिलाओ के गर्ाविी िोने के पिले और बाद में यि आसन उन
के स्व|स््य में अिम र्शू मका तनर्ािा िै | नौकासंिालन और िक्की िलाना ये दोनों िी आसन महिलाओं के शलए बिुि िी
लार्प्रद िै | महिलाओ के गर्ाविी िोने के पिले और बाद में यि आसन उनके स्वास््य में अिम र्शू मका तनर्ािा िै | इसे
करने से पेि की िबी िो कम िोिी िै िी साि िी साइहिका के तनवारण में र्ी र्ादे मद
ं िोिा िै |
िौका संचालि आसि
पेरो को सामने की और र्ैलाकर बैठ जाइये और अपने शरीर को नौका िलाने के अंदाज़ में संिाशलि कीस्त्जये | स्त्जिना संर्व
िो सके आगे पीछे शरीर को झक
ु ाएं | इस िरि से कम से कम 10 से 12 बार करें | यि आसन करिे समय पिले ववशेषज्ञों की
राय अवश्य ले | इस आसन को करने से पेि के सर्ी अंगो और मांसपेशशयों की माशलश िोिी िै ििा कब्ज र्ी ठीक रििा िै
| पिले िीन मिीनों वाली गर्ाविी महिलाओ के शलए यि लार्दायक िै |
चक्की चलािा आसि
पैरों को र्ैलाकर बैठ जाये ििा िािो को सामने की ओर सीधा करिे िुए अंगशु लयों को एक दस
ू रे में र्ंसा लें | कमर को
झुकािे िुए िािो को इस प्रकार िलाये की आप िक्की िला रिे िै | ऐसा आप दोनों िरर् से 10-10 बार करें | साइहिका के
तनवारण के शलए यि एक अच्छा आसन िै | लगािार अभ्यास से पेि की िबी कम िोिी िै |
कमर और छािी के शलए र्ी यि र्ायदा पिुंिािा िै |
2 सूयि
व मस्कार
अगर महिलाएं अपने शलए ज्यादा समय निीं तनकल पािी िै और योगासन को र्ी कम समय दे ना िाििी िै िो सूयन
ा मस्कार
की 12 ववधधयों को करना र्ी लार्प्रद िोिा िै | इससे आपके शरीर का व्यायाम र्ी िो जािा िै और मानशसक िकान र्ी दरू
िो जािी िै साि िी आप िरोिाज़ा मिसूस करिे िै |
यि सि िै कक िमारा जीवन बिुि सी स्त्जममेदाररयो से तघरा रििा िै | परन्िु समय-समय पर अपनी शारीररक जरुरिो का
आंकलन करना र्ी जरुरी िै | अगर िम स्वस्ि और तनरोग रिें गे िर्ी िो अपनी स्त्जममेदाररयो को अच्छे से तनर्ा पाएंगे |
3. बालकासि
मन-मस्त्स्िष्क में िुरंि शांति का अनुर्व करािा िै | खास कर िॉमोनल बदलाव के वक़्ि यि आपकी मानशसक स्त्स्िति को
स्त्स्िरिा प्रदान करिा िै |

ववधि :
• सबसे पिले जमीन या ििाई पर अपनी एड़ी ऊंिी करके बैठ जाएं और सांस (breath in) लें।
• अपने पैरों के दोनों घुिनों को एक दस
ू रे से धिपकाकर या एक दस
ू रे से िोड़ी दरू ी पर रखें।
• इसके बाद धीरे से आगे की ओर इस िरि से झुकें कक आपका मािा जमीन को छू जाए। इस दौरान िकके (slowly) से
अपनी सांस छोड़ें।
• अपने दोनों िािों को शरीर के दोनों िरर् रखें और ध्यान दें कक आपकी ििेशलयां (palm) शरीर को छूिी रिें ।
• इसके बाद अपनी र्ज
ु ाओं (arms) को जमीन या ििाई पर आगे की ओर बढाएं और ििेशलयों को जमीन पर र्ैला कर
छोड़ दें ।
• इस मुद्रा में आने के बाद धीरे -धीरे अपने सीने को जांघों (thigh) की ओर दबाव दे कर लाएं।
• आपका सीना दोनों जांघों (thighs) से छूना िाहिए औऱ ििेशलयां शरीर के बबककुल आगे जमीन पर र्ैली िोनी िाहिए।
• इस मुद्रा में ४५ सेकेंड से १शमनि िक बने रिें और धीरे -धीरे लगािार सांस लेिे रिें ।
• इस दौरान कम से कम ४ से १२ बार सांस लेने औऱ छोड़ने का अभ्यास करिे रिें और मन में वविार लाएं कक आपके
मस्त्स्िष्क एवं शरीर से ववकार बािर तनकल रिे िैं।
• इसके बाद अपनी ििेशलयों को कंधे के नीिे लाएं और धीरे -धीरे अपने शरीर के ऊपरी हिस्से (upper body) को उठाएं
और पिले की पोस्त्जशन में वापस लौि आएं और एडड़यों पर बैठकर सांस लें । इन सर्ी कियाओं को बबककुल आराम से
करें ।
• इस योग मुद्रा का अभ्यास कई बार करें ।
4. अिोमख
ु स्वाि आसि
पूरे शरीर का र्ैलाव कर स्र्ूतिा दे िा िै | शरीर के ऊपरी हिस्से, कंधे और िािों को मज़बि
ू ी दे िा िै | रक्ि का प्रवाि शसर की
िरफ रिने से मन को शांति और िनाव की स्त्स्िति में िुरंि आराम शमलिा िै |
ववधि :
अधोमख
ु स्वान आसन एक कुिे (श्वान / स्वान) की िरि सामने की ओर झक
ु ने का प्रिीकाममक िै इसशलए इसे
अधोमुखस्वान आसन कििे िैं।
अपने िािों और पैरों के बल जाएं । शरीर को एक मेज़ की स्त्स्िति में ले आएं । आपकी पीठ मेज़ की ऊपरी हिस्से की िरि
िो और दोनों िाि और पैर मेज़ के पैर की िरि । सांस छोड़िे िुए कमर को ऊपर उठाएं । अपने घि
ु ने और कोिनी को
मजबूिी दे िे िुए सीधे करिे िुए अपने शरीर से उकिा v आकार बनाएं। िाि कंधो के स्त्जिने दरू ी पर िों । पैर कमर के दरू ी
के बराबर और एक दस
ू रे के समानांि रिे । पैर की उं गशलया बबककुल सामने की िरर् िों। अपनी ििेशलयों को जमीन पर
दबाएं, कंधों के सिारे इसे मजबूिी प्रदान करें । गले को िना िुआ रखिे िुए कानों को बािों से स्पशा कराएं । लमबी गिरी
श्वास लें, अधोमुखस्वान की अवस्िा में बने रिें । अपनी नज़रें नाशर् पर बनाए रखें। श्वास छोड़िे िुए घुिने को मोड़े और
वापस मेज़वाली स्त्स्िति में आजाएं िमपश्चाि ववश्रामकरें ।
लार्ः पूरे शरीर का र्ैलाव कर स्र्ूतिा दे िा िै । शरीर के ऊपरी हिस्से, कंधे और िािों को मज़बि
ू ी दे िा िै । रक्ि का प्रवाि
शसर की िरफ रिने से मन को शांति और िनाव की स्त्स्िति में िुरंि आराम शमलिा िै ।

5. सेतब
ु ंिासि
पेस्त्कवक और कोर ( core) को मज़बूिी दे ने वाला यि आसन कई मामलों में फायदे मद

ं िै . गर्ाधारण करने वाली महिलाओं
के शलए, अतनयशमि पररयड या पेनर्ुल पीररयड में असरदार िोने के साि सर्ी ज़रूरी अंगों में प्राणशस्त्क्ि का संिार करिा िै |
ववधि :
सबसे पिले पीठ के बल लेि जाएं और अपने दोनों पैरों को कूकिे की िरर् खींिें। अब दोनों पैरों में िोड़ा अंिर रख कर िािों-
पैरों के िखनों को पकड़ लीस्त्जए। इस बाि का ख्याल रखें कक आपके पैर एक-दस
ू रे के समानांिर न िों । अब अपनी पीठ,
कूकिे और जांघों के साि ऊपर की ओर उठने की कोशशश करें । कमर को ज्यादा से ज्यादा ऊपर उठा लें और शसर व कंधे
जमीन पर िी रिने दें । ध्यान रखें कक आप की ठुड्डी आप की छािी से िि करिी िो । इसके बाद
सामान्य सांस ले और कुछ दे र रूके। सामान्य स्त्स्िति में आने से पिले अपनी पीठ को जमीन पर
लाएं, कर्र कमर का ऊपरी हिस्सा और आखखर में कमर जमीन पर ले आएं।
6. सुप्तबद्िकोणासि
अतनयशमि या पेनर्ुल पीररयड में लार् पिुंिािा िै | डडलीवरी (प्रसव) के दौरान की शारीररक िैयारी करािा िै | इसे करने से
र्ेर्ड़े और हदल को मज़बूिी शमलिी िै |
ववधि :
• शवासन की मुद्रा में पीठ के बल लेि जाएं \

• बांिों को शरीर के दोनों िरर् पैर की हदशा में र्ैलाकर रखें. इस स्त्स्िति में ििेशलयां छि की हदशा में रिनी िाहिए \
• ु नो को मोड़ें और िलवों को ज़मीन से लगाकर रखें \
घि
• ू रे के करीब लाकर ज़मीन से लगाएं \
दोनों िलवों को नमस्कार की मुद्रा में एक दस
• स्त्जिना संर्व िो ऐडड़यों को जंघा की ओर करीब लाएं \
• इस मुद्रा में 30 सेकेण्ड से 1 शमनि िक बने रिें \
• िािों से दोनो जंघा को दबाएं और धीरे -धीरे सामान्य स्त्स्िति में लौि आएं \
साविानिया : सुप्िबद्धकोणासन का अभ्यास करिे समय कुछ सावधातनयों का र्ी ख्याल रखना िाहिए | घुिनों
में िकलीर् िोने पर आसन का अभ्यास निीं करना िाहिए | हिप्स एवं कमर में परे शानी की स्त्स्िति में र्ी इस
आसन का अभ्यास उधिि निीं िोिा िै |
7. उपववस्टकोणासि
योग मानिा िै कक उपववस्िकोणासन पॉज़ीहिव ऊजाा और सज

ृ नाममकिा को बढािा िै | पीररयड से संबंधधि अतनयशमििा
और इन्फहिाशलिी से छुिकारे में सियोग दे िा िै |

ववधि :
सबसे पिले बैठ जाइए, कर्र पैरों को र्ैला लीस्त्जये और पैरों को इस िरि र्ैलाये की जैसे वे आपके श्रोखण(pelvic) के साि ९०
डडग्री का कोण बनाये। अपने पंजो को सीधा रखे और उं गशलयों को अंदर की और मोड़े| इससे आपको अपनी पीठ के तनिले
हिस्से में एक कवा मिसूस िोगा। यहद आप इसे निीं कर पा रिे िै िो प्राप का इस्िेमाल कर सकिे िै | आप र्मा के िककया पर
बैठ जाये, इससे आपके पेस्त्कवस में स्त्स्िरिा आएगी और नीिे की और झुकने में आसानी िोगी|अपने ििेशलयों को र्शा पर
रखें, और इसे उस िरि रखना िै की स्त्जससे यि आपके कूकिों के पीछे रिे । लमबी और गिरी श्वास ले। श्वास इस िरि ले की
आपका शरीर िकका लगे और स्पाइन में जगि खाली प्रिीि िो। इस स्त्स्िति में कुछ सेकंड िक रुके जब िक आपके पैरों में
खखिाव अच्छा लग रिा िो अब अपने पीठ के तनिले हिस्से को सिारा दे | पेि से िवा को लेिे िुए सांसो को छोड़े। कर्र धीरे
धीरे िांिो को सामने की िरर् लाये। स्त्जिना ज्यादा लमबी आप सांस ले सकिे िै उिना ज्यादा शरीर को स्रे ि करे | आपको
अपनी रीढ की िड्डी को िब िक स्रे ि करना िै जब िक आप कर सके| जब आप असवु वधाजनक मिसूस करने लगे िब
श्वास को रोके| लंबे और गिरी सांस लें और कोशशश करे की आप एक शमनि के शलए इस मुद्रा में रुक सके|कर्र श्वास छोड़िे
िुए वापस सामान्य स्त्स्िति में आ जाये। अपने घुिनों को मोड़ लें और अपने पैरों को एक साि करले|
8. सवाांगासि
दीवार के सिारे पांव रख कर ककए जानेवाले इस सरल आसन के इिने लार् िै कक यिां धगनाएं निीं जा सकिे िैं. पांव, घुिने,
वैररकॉज़वेन (varicose vein) से संबधं धि ददा में शीघ्र रािि दे िा िै.इन्फहिा शलिी, यूरीन संबंधधि समस्या में फायदा पिुंिािा
िै . इसके साि िी िन-मन को शांि कर नई ऊजाा से र्रिा िै .
ववधि :
• दीवार से करीब 3 इंि की दरू ी पर कमबल र्ैलाएं।

• पैरों को दीवार की ओर र्ैलाकर कमबल पर बैठ जाएं।
• शरीर के ऊपरी र्ाग को पीछे की ओर झुकाकर कमबल पर लेि जाएं। इस अवस्िा में दोनों पैर दीवार से ऊपर की ओर
िोने िाहिए।
• बांिों को शरीर से कुछ दरू ी पर ज़मीन से लगाकर रखें। इस अवस्िा में ििेशलयां ऊपर की ओर की िोनी िाहिए।
• सांस छोड़िे िुए शसर, गदा न और मेरूदं ड को ज़मीन से लगायें।
• इस मुद्रा में ५ से १५ शमनि िक बने रिें ।
• घुिनों को मोड़ेिे िुए दायीं ओर घूम जाएं और कर्र सामान्य अवस्िा में बैठ जाएं।
साविािी:
पीररयड के वक्ि ककसी र्ी ववपरीि पोज़ीशन वाले आसन को ना करें |

प्राणायाम
आसन के बाद प्राणायाम का अपना खास लार् िै | खासिौर पर स्त्जिना फोकस स्लो डीप ब्रीहदंग पर िोगा, उिना
िी वो िन-मन को बेििर रखेगा | प्राणायाम न शसफा श्वास और जीवन के स्िर को बढािा िै, बस्त्कक िुरंि बबगड़े
मूड को बेििर करने में कारगर िोिा िै |

प्राणायाम करिे के तरीके

1.जब ऊजाा कम िोः छोड़ने की िुलना में ज्यादा लंबी सांस लेने पर करें फोकस, जैसे उज्जयी प्राणायाम.
2. र्ावनाममक असंिुलन में सांस के लेने-छोड़ने का अनुपाि सामान रखें, जैसे र्स्त्स्िका प्राणायाम में .
3. िनाव में सांस लेने की िुलना में सांस के छोड़ने का अनुपाि ज्यादा रखें, जैसे ओंकार, भ्रामरी
प्राणायाम.
महिलाओ के मलए अन्य व्यायाम –
१ महिलाओ के मलए रस्सी कूदिा
२ सब
ु ि टिलिा
महिलाओ के मलए रस्सी कूदिा
रस्सी कूदने में शरीर के लगर्ग सर्ी अंगो का प्रयोग िो जािा िै । इसमें आपके पैर, पेि की मसकस,
कंधे और कलाइयााँ, िािा और अंदर के अंगो का र्ी व्यायाम िोिा िै।
रस्सी कूदने से िड्डडयों की बनावि में घनापन आिा िै , स्त्जससे िड्डडयााँ मजबि
ू बनिी िै । रस्सी कूदने में
लय, रणनीति और सिी संिालन िीनों की जरुरि िोिी िै , इसशलए ये हदमाग के शलए र्ी एक बहढया
एक्सरसाइज िै। रस्सी कूदने से वजन कम करने में बड़ी मदद शमलिी िै । िर रोज अगर बस आधे घंिे
िक रस्सी कूदा जाये, िो एक िफ्िे िक लगािार कूदने से 500 ग्राम िक वजन कम ककया जा सकिा िै।
वजन कम करने के इक्छुक लोगों को रस्सी कूदने (Rope skipping) को अपने एक्सरसाइज रूिीन में
शाशमल करना िाहिए।
2 सुबि टिलिा
वैसे िो सब
ु ि िेिना सर्ी आयु की महिलाओं के शलए जरुरी िै ,ये उन को लमबी उम्र िक स्वस््य बनाये
रखिा िै। प्रेग्नेंसी के दौरान महिलाओं को मॉतनिंग शसकनेस, िाईबीपी, कब्ज, खन
ू की कमी, िक्कर आना
और नींद ना आना जैसी कई िे कि प्रॉब्लमस का सामना करना पड़िा िै। विीं कई बार महिलाएं
गर्ाावस्िा में िनाव का शशकार र्ी िो जािी िै , जो बच्िे के शलए िातनकारक िै। ऐसे में बच्िे को िैकदी
रखने और प्रेग्नेंसी पीररयड में स्रै स फ्री रिने के शलए आपको रोजाना सैर करनी िाहिए। प्रेग्नेंसी के
दौरान ििलने से शरीर में ऊजाा बना रििा िै और साि िी एस्त्क्िव र्ी रखिा िै।
प्रेग्िेंसी में क्यों जरूरी िै टिलिा?

गर्ाावस्िा में िे वी-वेि एक्सरसाइज करने से बिना िाहिए इसशलए इस दौरान ििलना सबसे बेििर
ऑप्शन िै। डॉक्िर र्ी प्रेग्नेंसी में ििलने की सलाि दे िे िैं। क्योंकक इससे िनाव कम िोिा िै और
नॉमाल डडलीवरी के िांसेस बढ जािे िैं । इिना िी निीं, रोजाना ििलने से डडलीवरी के बाद ररकवरी र्ी

बिुि जकदी िोिी िै।

टिलिे का सिी समय:
यहद आप कर्ी-कर्ार िी ििलने जािी िैं िो इससे आपको तनयशमि व्यायाम के र्ायदे निीं शमलेंगे ।
ऐसे में जरूरी िै कक आप रोजाना कम से कम 30 शमनि जरूर ििलें। गर्ाविी महिला को रोजाना सुबि
आधा घंिा जरुर ििलना िाहिए क्योंकक सुबि की िाजी िवा मां और बच्िे के स्वास््य के शलए
र्ायदे मंद िै। साि िी इस से दोनों को िी र्रपूर ऑक्सीजन र्ी शमलिी िै । इसके अलावा प्रेग्नेंसी के
दौरान र्ोजन करने के बाद कम से कम 15 से 20 शमनि जरुर ििलें। इससे खाना आसानी से पि जािा
िै।
टिलिे के ववशेष फायदे
िे ल्दी बेबी
अगर मां का शरीर स्वस्ि रिे गा िो बच्िा र्ी िे कदी रिे गा । इसके शलए जरूरी िै कक आप रोज जरूर
ििलें । ििलने से शरीर में ब्लड का स्िाव सिी रििा िै , जो बच्िे के स्वास््य के शलए र्ायदे मंद िोिा
िै। साि इस से वजन र्ी सामान्य रििा िै।
स्रे सबस्
ू टर
प्रेग्नेंसी के दौरान महिलाएं अक्सर िनाव का शशकार िो जािी िै , स्त्जससे गर्ा में पल रिे बच्िे पर र्ी
असर पड़िा िै। ििलने से एंडोकर्ा न नाम क िामोन ररलीज िोिा िै , जो िनाव को दरू करने के साि-साि
मूड़ स्त्स्वंग की समस्या को र्ी दरू रखिा िै ।
योग से कैसे ठीक करें PCOS-
जो महिलाओं र्ावनाममक रूप से असरु क्षक्षि और परे शान रििी िैं, उनमें िामोनल इमबैलेंस की परे शानी
ज्यादा दे खने को शमलिी िै।
िमे यि िमेशा याद रिना िाहिए कक र्ले िी िमारे ऊपर लाख स्त्ज़ममेदाररयााँ आ जाएं लेककन सबसे
पिली स्त्ज़ममेदारी िमारे स्वास््य के शलए िोनी िाहिए, क्योंकक अगर आप अपने स्वास््य का ध्यान निीं
रखेंगी िो आप स्त्जंदगी में कुछ निीं कर पाएंगी।
बािें जो आपको PCOS के बारे में निीं मालूम अगर आप को पी सी ओ एस (PCOS) िो गया िै िो
इसका मिलब िै अब आपको अपनी हदनियाा बदलने की जरुरि िै । सुबि जकदी उठे , ििलने जाए और
अच्छा र्ोजन खाए। इसके आलावा आपको अपने हदमाग को शांि र्ी रखने के जरुरि िै।
पीररयड्स के ददा में आराम हदलाए ये 5 योगासन पी सी ओ एस (PCOS) की बीमारी को काबू में रखने के
शलये योग आसन र्ी कार्ी मिमवपूणा िोिा िै ।
रोज़ योग करने से आपका शरीर िो स्वस्ि रिे गा िी, हदमाग और मन र्ी शांि रिने लगेगा। आइये
जानिे िैं कुछ ऐसे िी योग आसन स्त्जनसे महिलाओं में पी सी ओ एस की बीमारी अच्छी िो सकिी िै।
1.भद्रासि
र्द्र' का मिलब िोिा िै 'अनुकूल' या 'सुन्दर'। यि आसन लमबे समय िक ध्यान में बैठे रिने के शलए

अनुकूल िै और इससे शरीर तनरोग और सुंदर रिने के कारण इसे र्द्रासन किा जािा िैं। इसे रोज़ करने
से कमर और पीठ के तनिले हिस्से को िाकि शमलिी िै । साि िी यि माशसक धमा की परे शानी को दरू
करने में मदद करिा और पािन िंि को र्ी अच्छा रखिा िै।
2. भुजंगासि
यि आसन करिे समय शरीर का आकार र्न उठाए िुए सपा के समान िोने के कारण इसे 'र्ुजंगासन'
किा जािा िैं। इसे करने से रीढ की िड्डी लिीली बनिी िैं। गले में खराबी या दमा से पीडड़ि व्यस्त्क्िओ
के शलए र्ी यि आसन लार्दायक िै। महिलाओ में प्रजनन और माशसक संबंधी समस्या में लार् शमलिा
िैं।
3. कोणासि
इस आसन को प्रतिहदन यहद 10 शमनि िक ककया जाए िो कमर ददा से बिाव व कमर ददा में आराम र्ी
शमलेगा, यिी निीं इसे करने से बाजू, और शरीर के तनिले हिस्सों और पैरों की मांसपेशशयों को मजबूिी
शमलिी िै। साि िी साइहिका और कब्ज में र्ी आराम शमलिी िै।
4. चक्रासि
स्त्जस आसन में रीढ िि के समान आकार ग्रिण कर लेिी िै , उसे ‘ििासन' किा जािा िै । गदान, छािी,
कमर, बांि, पेि, िाि, पैर एवं घि
ु ने आहद अंग लधिले बन जािे िैं। अनेक रोगों से मक्
ु ि र्ी िो जािे िैं।
इस आसन के करिे रिने से कंधों में िाकि ििा मेरुदं ड में लिक आ जािी िै। ििासन के अभ्यास
करिे रिने वाली महिलाओं को मािवारी (माशसकधमा) के समय दख
ु दायी पीड़ा निीं िोिी ििा माशसक िि
की अतनयशमििा का सामना र्ी निीं करना पड़िा।

5. सुखासि
सुखासन बैठकर ककया जानेवाला योग िै । इस योग से शरीर को सुख और शांति की अनुर्ूति शमलिी िै ।
यि ध्यान और श्वसन के शलए लार्दायक मुद्रा िै ।
प्राणायाम:
अनुलोम – ववलोम में सााँस लेने और छोड़ने की ववधध को दोिराया जािा िै । इसे रोज़ 5 से 10 शमनि करने
से िोध, धिंिा, र्य, िनाव और अतनद्रा इमयाहद मानशसक ववकारो को दरू करने में मदद शमलिी िैं। मन
और मस्त्स्िष्क को शांति शमलिी िैं और स्मरण शस्त्क्ि बढिी िैं।
संदभव
1. िरक संहििाः आर.के. द्वारा अनव

ु ाहदि। शमाा और र्गवान दास। िौखंबा प्रकाशन 1972
2. आयुवेद िोम स्िडी: डॉ डेववड फ्रॉली द्वारा। 1992
4. योग और आयुवेद कायाशाला नोिः मागो गैल।
5. एकामम योग िठः योगीराज श्री स्वामी सस्त्च्िदानंद। 1970

Etiopathogenesis of Streevandhyatva & its Chikitsa in Ayurveda

Author
Dr. Parul Yadav
M. S., Shalya Tantra
Assistant Professor, Ishan Ayurvedic Medical College and Research
Centre, Greater Noida
Abstract
Ayurveda is a branch of medicine which has both prophylactic and curative action. Vandhyatva is failure
to conceive with in one or two years of regular unprotective coitus. According to Ayurveda four factors
are responsible for conception; Ritu (Appropriate time for conception), Ambu (Nutritional diet which is
essential for conception), Kshetra (healthy uterus & Vagina), Beeja (Healthy sperm and Ovum).
Any deformities of these factors may lead to Vandhyatva. Infertility has affected 10-15% people of
reproductive age group. Age factor, stressful life and improper diet are also some of the common
reasons that may lead to infertility.
Key words: Infertility, Vandhyatva, Yoni Vyapada
Introduction
Failure to achieve conception by a couple of mature age, having normal coitus, during appropriate
period of menstrual cycle, regularly, atleast for one year is termed as Vandhya.
Vandhyatva in Ayurveda:
1. Acharya Harita describes 6 types of Vandhya

2. Acharya Vaghbhata explains the congenital deformity of genital tract cause to Vandhya.
3. Acharya Charaka has referred Vandhyatva seen due to abnormalities of Beeja
4. Acharya Sushruta includes it in Yoni Vyapada.
Factors needed for conception
1. Minimum age for a woman to achieve conception is 16 years.

2. Sudha Artava, Sudha Sukra, Sudha Yoni Marga, Sudha Garbhashaya.
3. Normalcy of Vayu & pleasant mind.
Nidana of Vandhyatva
1. Age Factor: If woman conceives before age of 16 years, the born baby will be affected by congenital
deformities.
2. Due to improper Ahara-Vihara fetus gets destroyed by the Dosha of parents. Therefore the couple
should nourish themselves first with proper Ahara Rasa and then in Ritukala, they must union.The

fetus becomes distorted or even there is no conception by continuous use of Asatmya Ahara Rasa,
by suppressing the natural urges or due to Yoni Dosha.
3. Psychological factor: Excessive eating, hunger, excessive thirst, fear, not interested in coitus,
excessive grief, anger, liking other person or who has excessive urge for sexual act, in this condition
the conception does not occur. Atibala, Ativruddha, Dirghakalarogi are not ideal for coitus.
4. Improper position during coitus: The flexed position Vayu gets aggravated & compresses the Yoni, in
right lateral position; the Kapha getting displaced obstructs the Garbhashaya. Similarly the left lateral
position displaces the Pitta (Vidaha) burns the Rakta & Sukra. Hence for receiving the beeja the
women should lie in supine position, so that all the Dosha remains in normal site.
5. Sexual incompatibility: Acharana, Aticharana, Atyananda, Vipluta
6. Yoni Vyapada: Due to Yoni Vyapada, there is vitiation of Yoni which will not do Dharana of Sukra,
leading to Sandhyatva. When there is vitiation of Yoni there will be no Garbha Dharana.
Anatomical defect
Defect Vamini Menstrual defect
Antaramookhi Asruja Arajaska
Mahayoni Excessive Lohitakshaya
Prasramsini bleeding Vandhya
Phalini Asuja Congenital
Lohitakshara
defect
Lohitakshaya
Nutritional defect Shandhi
Congenital
Putraghni Vandhya
Soochimukhi defect
Shandhi
Vandhya
Functional
SAMPRAPTI

CHIKITSA
3. Pitta Chikista
Removal of various causative factors is the 1st These preparations are used to induce a
line of treatment. proper Ritukala.
Chikista can be given in It is used to regulate the timely ovulation
1. Shodhana Chikista To increase the receptivity of uterus, cervix
2. Shamana Chikista & vagina.
3. Pitta Chikista
4. Basti for Vata Shaman
4. Basti
1. Shodhana Chikista can be divided into 2 This method helps to remove local
type disorders. It can be used to serve
a. Sarvadehika following purpose
• Vamana To increase receptivity of genital tract
• Virechana for the entry of sperm.
• Asthapanabasti To remove obstruction of the passage
• Anuvasanabasti To facilitate proper coitus.
• Sirovirechana
b. Sthanika 5. Some of the other preparations are

• Yoni Prakshalana Phalaghrita
• Yoni Picchu Shatavari Ghrita
These help to build up the healthy Kasmaryadi Ghrita
condition of genital tract which is need for Sitakalyana Ghrita
nidation. Shatavari Taila
2. Shamana Chikista Narayana Taila
Use of medicated Ghrita & Taila. These Shatapushpa Taila for Nasya & Pana
preperation are used as Balya i;e to gain Lasuna Taila for Basti
physiological strength. Bala Tail Basti

CONCLUSION
Artava is the Upadhatu of Rasa Dhatu.It is produced by Prasad Bhag of Rasa Dhatu.and secreted by
Anulomgati of Apanavayu. Cervical mucus is the part of Artava so it is also a product of Rasa Dhatu.
Likewise disorder in Artava may lead cervical mucus disturbance and finally cause Vandhyatva.
Modern science has given many treatments for infertility but it may cause side effect and are costly.
On contrary Ayurveda offers cheaper treatment without any side effect like Uttarbasti, Matrabasti and
combination of various drugs.
REFERENCES
1. Sushruta Samhita (Ayurved Tatva Sandipika), Dr.Ambika data Shastri, Chaukhamba Sanskrit pratishthan,
Varanasi, Purvardha, 2010.p. 19 (Su. Sha. 2/33 )
2. Bedside obstetrics and gynaecology, RichaSaxena, section 7, chapter 33, 2 nd edition, Jaypee brothers
medical publishers ltd.,2014, P.1011
3. Ayurvedic concepts in Gynaecology, Dr. Nirmala G. Joshi, chapter VIII,Chaukhamba Sanskrit Pratishthan,
Delhi.,P.96
4. AshtangaHridayam, Dr.BrahmanandTripathi, Hindi Commentary, Chaukhamba Sanskrit pratishthan,
Sharira Sthana 1/8-9
5. Bhela- Samhita, Dr.AbhayKatyaan, Hindi Commentary, Chaukhamba Sanskrit pratishthan, Sharira Sthana
3/2-4
6. Ayurveda Deepika commentary, Charaka Samhita, Chaukhamba Krishnadas academy, Varanasi, Sharir
Sthana 8/6
7. Ayurveda Deepika commentary, Charaka Samhita, Chaukhamba Krishnadas academy, Varanasi, Sharir
Sthana 8/7
8. Ayurveda Deepika commentary, Charaka Samhita, Chaukhamba Krishnadas academy, Varanasi, Chikitsa
Sthana, 30/37-38
9. AmbikaDattaShastri commentary, Sushruta Samhita Hindi commentary, Chaukhamba Sanskrit
pratishthan, Chikitsa Sthana 30/10
10. AmbikaDattaShastri commentary, Sushruta Samhita Hindi commentary, Chaukhamba Sanskrit
pratishthan, Chikitsa Sthana 38/89
11. Bhela- Samhita, Dr.AbhayKatyaan, Hindi Commentary, Chaukhamba Sanskrit pratishthan, Sharira Sthana
2/8
12. The textbook of Gynaecology including contraception, by D.C. Dutta, 4th Edition pg. 21

Call for Papers for Edition on Cardiac Issues

Authors are invited to send their papers via email for publication in this Research Journal. Please
ensure that the paper you send is authentic and relates to Ayurvedic Medical Science.
SUBMISSION GUIDELINES
Authors are asked to write their manuscripts in easily readable style either in English or in Hindi. Ayurvedic
terms and other Latin terms must be italized and its equivalent English terminology should be mentioned in
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phraseology should conform to Standard English usage and should be consistent throughout the paper.
FORMAT OF PAPERS
Original Articles should include:
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2020

Ayurvedic Health Care

ISHAN AYURVEDIC MEDICAL COLLEGE

Knowledge Park-1, Greater Noida

1st Edition, Volume-1, 2020.

All rights reserved.

Ishan Ayurvedic Medical College & Research Centre 1

Dr. Rajendra Baban Khedekar

Editorial Advisory Board

Prof. (Dr.) Harsharda Hatle

Dr. Pamil Sharma

Dr. Mallika Varma

Dr. Akanksha Ohja

Ishan Ayurvedic Medical College & Research Centre 2

• To curate a state of harmonic being among all of God’s creation.

Ishan Ayurvedic Medical College & Research Centre 3

Word From Editor

Ishan Ayurvedic Medical College & Research Centre 4

Topic Author Page

Ayurvedic Concept of Leucorrhoea w.s.r. to Sweta Pradara Dr. Prachi Mishra 6

Ayurvedic Approach of Asrigdara (Menorrhagia) w.s.r. to 10

A Review on Dysmenorrhea w.s.r to Kashtartava Dr. Sakshi Bakshi 15

Stree Rogas: Healing with Panchakarma Dr.Divya Chauhan 22

Ayurvedic Treatment of PCOD 28

Etiopathogenesis of Streevandhyatva & its Chikitsa in 65

Call for Papers 69

Recent Coverage by Media 71

Ishan Ayurvedic Medical College & Research Centre 5

Ayurvedic Concept of Leucorrhoea w.s.r. to Sweta Pradara

Ishan Ayurvedic Medical College & Research Centre 6

1) Psychosomatic:-Vaginal discharge because of mental factors like excitement or nervousness. It is

Ishan Ayurvedic Medical College & Research Centre 7

Some classical preparations mentioned for the management of Leucorrhoea-

Ishan Ayurvedic Medical College & Research Centre 8

3) Premvati Tiwari: Choukhamba Oriented AyurvedaprasutitantraEvmstrirog 2005, page no 266

Ishan Ayurvedic Medical College & Research Centre 9

Ayurvedic Approach of Asrigdara (Menorrhagia) w.s.r. to DUB

Ishan Ayurvedic Medical College & Research Centre 10

Ishan Ayurvedic Medical College & Research Centre 11

General treatment is described below:

Ishan Ayurvedic Medical College & Research Centre 12

Diet & Lifestyle Advice

• Avoid the consumption of spicy, sour or heavy foods.

• Record of your menstrual flow.

Ishan Ayurvedic Medical College & Research Centre 13

Ishan Ayurvedic Medical College & Research Centre 14

A Review on Dysmenorrhea w.s.r to Kashtartava

Artava: Belonging to reasons, period of time, menstruation.

Ishan Ayurvedic Medical College & Research Centre 15

Dosha –Vata PradhanaTridosha

Mechanism of pain production

Ishan Ayurvedic Medical College & Research Centre 16

There are two types of Dysmenorrhoea:

Ishan Ayurvedic Medical College & Research Centre 17

Chronic pelvic inflammatory disease

Sudden onset of Dysmenorrhea

Pelvic inflammatory disease

Treatment as Per Ayurvedic Classics

Ishan Ayurvedic Medical College & Research Centre 18

Exercise regularly-minimum thrice a week

Eat healthy, warm and fresh foods

According to Ayurveda, menstruation is guarded by Vata Dosha. Derangement or aggravation of Vata

• Snehana karma (oleation) with Trivrita Sneha.

Ishan Ayurvedic Medical College & Research Centre 19