Tuesday, March 30, 2010

Ayurvedic Treatment for Uterine Prolapse with Lajjalu

Ayurvedic treatment of Uterine prolapse.

Case History of Prolapse Uterus:


Woman aged 44 years, an engineer with a non-vegetarian food habit had a history of bleeding per vagina associated with pain. with a history of bleeding since year ago and was repeatedly occurring during periods. She went to Gynecologist, 'Ultra sonogram of abdomen and pelvis' scanning reveals that she has 3° Uterine Prolapse and advised to wear uterine rings. She was also given some medicines. She did not wear the rings but took only the medicines. In she underwent a second check up when she was told that the condition had aggravated and was advised an operation.

She did not undergo operation, but took some medicines. Gynecologist diagnosed her condition and reported that she has 3° uterine prolapse and advised her to undergo surgical operation i.e. Hysterectomy (Surgical removal of the uterus) was the only remedy for it. She was anaemic and very weak for the operation; she visited my clinic Ayurveda treatment.

Symptoms:
She complain bleeding per vagina-quantity small with bad smell, feeling a heavy mass in the urogenital passage with occasional pain in the loins back and thighs. Medical examinations revealed that she was anemic and emaciated debility and apathy was marked.

Diagnosis and herbal treatment:
Experts advised her to undergo surgical operation hysterectomy and removal of uterus but she was not intended for surgical operation and looking for alternate remedy to overcome surgery and to save uterus from surgery and to get it normal after reading articles on ayurvedasutra.com she came to me for ayurvedic line of treatment. On their consent, I decided to treat with Lajjalu in different dosage forms like oral Churna; powder and Kashaya; decoction, Externally as application in swaras form.







Mimosa pudica Linn.
Family ; Mimosaceae.
Habitat; Native to tropical America; naturalized in tropical and subtropical regions of India.
English; Sensitive-plant, Humble- Plant.
Ayurvedic; Lajjaalu, Laajavanti, Namaskaari, Samangaa, Sanko-chini, Shamipatraa, Khadirkaa, Raktapaadi.
Unani; Chhuimui, Sharmili, Laajwanti.
Siddha/Tamil; hottalsurungi.
Action;
Leaf—astringent, alterative, anti-septic, styptic, blood purifier. Used for Diarrhoea, dysentery, Haemophilic conditions, leucorrhoea, morbid conditions of vagina, piles, fistula, hydrocele and glandular swellings. Root—used in gravel and urinary complaints.

A decoction is taken to relieve asthma. The plant contains mimosine and turgorin. The periodic leaf movements exhibited by the plant are due to presence of derivatives of 4-O- (beta-D-glucopyranosyl-6’-sulphate) gallic acid. The aerial parts of the plant contain C-glycosylflavones, 2"-O-rhamnosylorientin and 2"-O- rhamnosylisoorientin.
Dosage; Whole plant, root—10– 20 ml juice; 50–100 ml decoction. (CCRAS.) Whole plant—10–20g for decoction. (API, Vol. II.)
Ref: Indian Medicinal Plants p.416




Bhavaprakash and Kaiyadeva Nighantu describes Lajjalu properties and uses: "Lajjalu is sheeta in veerya, Tikta (bitter) and Kashaya (astringent) Kapha pitta hara, useful in Yoni roga (disease of genitourinary tract of females) Atisara (Diarrhea) and Raktapitta (bleeding from various organs) ".


Treatment:

On the basis of the above description, the drug was considered as a possible remedy and was administered as follows:

i). 30ml. Lajjalu swarasa; Juice of fresh plant given three times a day for ten days. she found slight improvement in condition; the pain decreased and the bleeding also seemed to be decreased.

ii). Fresh plants juice for drink continued with external application. i.e. a thick paste of the of plant applied over POP Prolapse inside the vaginal cavity with a tight diaper was kept in contact position for two to three hours.


On fifteen days of treatment both external and oral medication following changes noted:

a). Bleeding almost stopped.

b). Pain is slight and not continuous .

c). Erosion and Prolapse markedly reduced and gave very slight inconvenience.


Summary:

“Lajjalu is an herb useful traditionally being used in uterine bleeding and prolapse by folk, in this case I used this plant for more than 45 years in my general practice and treated hundreds of such first, second degree uterine prolapse cases, patients before visiting me, advised Hysterectomy by gynaecologists is now avoided and treated successfully treated with this herb.



It is also useful in bulky uterus, arsha (piles) bhagandar (fistula-in-ano), external and internal bleeding and non bleeding. rajah (Dysmenorrhoea) svetapradara (Leucorrhoea), yonivyapad (Vaginal-uterine disorders), raktayoni (Dysfunctional uterine bleeding -DUB) and in urinary infection.


























Herb Lajjalu treatment may help  avoid Hysterectomy;

I am treating mnay cases of uterine prolapse of different degrees since long in my general practice. I remarked one above case with clinical scanning report here in support of my statement to help young medical professionals and public who suffering with this condition. With this success I even get cases from abroad asking me to dispatch herbs with course of six months aswell and scientific community shows interest to work with us to help women who suffer from disesease of POP among them they are of 1°,2° and 3° uterine prolapse is very common in rural and in urban in working women who are very leading stressful life and lack of post natala care.

I treat such cases using powder, fresh juice, decoction, tablets and capsules based on the individuals requirement to adjust varied dosage forms to match individuals requirement it helps swallow easily, decoction is very beneficial if used externally on affected area and parts. i observed little longer duration of treatment is required to avoid relapse.

Patient aged 44 years, Scan reports dated 14.10.2009 describes her condition as follows

Uterus : Size: 8.8 x 3.8 cm. Mild prolapse of uterus. Endometrial echo thickness is normal and measures 7.9 mm

My interpretation
Scanning report reveals mild Uterine Prolapse dated 14.10.09, found to be 3° Uterine Prolapse, her visit on 20.10.09. I confirmed on above reports, as 3° Uterine Prolapse.

Ovaries : Right ovary: 3.2 x 2.1 cm; left ovary: 3.8 x 2.8 cm. Both ovaries are normal in size multiple follicles.

Impression:
Mild Hepatomegaly with fatty infiltration. –for clinical correlation. For above diagnosed by Gynaecologist on 20.10.2009 opinion that patient complain of pain lower abdomen and back for 2 weeks. Have examined and reported 3° Uterine Prolapse, utrocervical disease and vaginitis, usual tenderness, cervix on touch tender.

Condition on 28.12.2009 after treatment of 40 days with Ayurvedic drugs formulated.
Uterus is normal in size and measure 9.5x5.5x4.3 cm shown anterior wall interauteral fibroid with calcification with in it. Suggestive of degenerating of fibroid measuring 1x0.8cm

On general checkup on10.10.2009 measures normal white discharge, micturition.

Ovaries: - both ovaries are normal in size and echotrxture right ovary 2.4x2.3 cm, Was also. Butter: left ovary 2.4x2.7 cm no evident of free fluid in pouch of Douglas No tenderness of the part Conclusion: patient had advised hysterectomy but patient was not willing to undergo, then she preferred Herbs and approached us on reading blog article I published on www.ayurvedasutra.com. I prescribed Herbs which benefits during first course of 40 days medication with Herbs.

Conclusion:
Observation made from case sheet and scanning report, mild uterine prolapse reported dated 14.10.2009, found to have 3° Uterine Prolapse, her visit on 20.10.2009. I confirmed on above reports, as 3° Uterine Prolapse.

I decided to go for ayurvedic herbal treatment started on 11.11.2009 for each course of 40 days. I advised 4-5 course may be necessary to overcome and for management of the condition.

Scanning report after 1st course of treatment after of 40 days conveys earlier liver mildly enlarged in size with increased echo texture. Later after 1st course of treatment Liver is normal in its size and shows homogeneous echo texture.

Ultrasound Scan of pelvis after of 3rd course of treatment 08.05.2010: Report Uterus is normal in size and measures 6.6x3.3x5.2 cm shows small intramural fibroid measuring 9.6mm in anterior wall. Uterine endometrial echo (5.6mm) is well visualised and appears normal. 2.6x1.8x2.7cm. left ovary 2.5x1.6x2.5cm. both ovaries are normal in size and echotecxture. No evidences of free fluid in Pouch of Douglas. I observed an improvement in her condition.

our article publication in an international Journal on Integrative medicine

http://www.jaim.in/article.asp?issn=0975-9476;year=2010;volume=1;issue=2;spage=125;epage=128;aulast=Shivanandaiah

recent publication of article on uterine prolapse.

Key Words: An Ayurvedic Treatment for Uterine Prolapse or Prolapse of Uterus (Garbha Bhramsha), say no to Hysterectomy (Surgical Removal of the Uterus), For further details contact our India address

CUSTOMER CARE
Indudhar.TM.  M.Pharm, PGDM
Prakash Pharmaceuticals
D-149, First Cross, Vidyanagar
Shivamogga-577203.
Karnataka,India
Cell:+919448154436
indudhartm@gmail.com

CONTACT
Dr||T.M.Shivanandaiah
Ayurveda Consultant
Cell: +919901249108
Tel :+918182241881
Email: tmshiv@gmail.com

4 comments:

Jnaneshwara said...

Nice to see article with details. Good luck for your achievements

Anonymous said...

I am glad to know that uterus prolapse 3rd degree was treated successfully by using ayurveda medicines like (i) Lajjalu swara (2) an aqueous extract for orgal use and (3) mimosa pudica etc. I may be informed where such medicines are available or how to get such medicines IN BANGALORE as one of my relatives is suffering from 3rd degree prolapse of uterus and she did not like to undergo surgery. K

INTEGRATED MEDICAL PRACTITIONER said...

Thank you for visiting the page. Do send us your contact details so that we can give further information

Dr.T.M.Shivanandaiah said...

Thank you for visiting the page. Do send us your contact details so that we can give further information

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