An Ayurvedic Approach to Yonisopha in Puerperal women: A Case Report

Abstract

Sutika is very delicate stage of women life. She needs to be given special care during this stage. Acharya Sushruta and Vagbhat have said that after one and half months of regulated or restricted specific dietics and mode of life the women becomes free from epithet of Sutika roga developing due to use of direct air, dietics and mode of life likely to aggravates dosas, incompatible food and indigestion are very serious. Kashyapa has described puerperal disorders at 2 places once in dusprajata chikisaadhaya without giving exact number but numbering 35 and again 64 disorders in sutikoprakramaniya adhaya. Among the described disorders yoni sopha (inflammation) was one which noted in this case. In this case a primi patient had underwent full-term normal delivery with right mediolateral episiotomy without any obvious complications. Thenafter Yonisopha (inflammation) was noted noted in right side of episiotomy which could have been converted to Rakta Vidhradhi (Haemotoma) which has been explained by our classics Indu and Vhagbhat- “external and internal Rakta Vidhradhi can be seen in women after childbirth during sutikakala. A married women G1P0A0L0 came with POG 39 weeks 4 days since 7 pm 17/04/2021. We received her in NIA PTSR IPD at 1am on 18/04/2021. There was no history of leaking and bleeding p/v. Patient was admitted and further evaluation was assessed. Then, FTND with RMLE as vertex presentation an alive male child of weight 3.25 kg delivered at 4:20 am on 18/04/2021. Patient stood the procedure well. When the patient was taken for perineal care at 5pm in the evening on the same day, sign of inflammation (reddish bluish in colour) was noted on the right lateral side of episiotomy wound. On examination, severe tendernesss was noted with raised temperature locally. Oral drugs were prescribed as Triphala guggulu, Jwarhara Kashya, Kaishore Guggulu. Ice fomentation was done. Perineal care was done with Panchvalkala kwatha churna. Shatdhouta Ghrita was applied. Then the wound was completely resolved.