Changes

Purification therapy is the first line of treatment in quantitative or qualitative decrease of menstrual blood due to obstructive/occlusion pathology(avarodha). Here, therapeutic emesis([[Vamana]]) has major role as the condition is predominantly due to [[kapha]].

Purification therapy is the first line of treatment in quantitative or qualitative decrease of menstrual blood due to obstructive/occlusion pathology(avarodha). Here, therapeutic emesis([[Vamana]]) has major role as the condition is predominantly due to [[kapha]].

Some scholars opine that therapeutic purgation (virechana) is contraindicated as it may lead to further decrease of [[pitta]].[Dalhana commentry, Su.Sa.Sutra Sthana 15/12] However, in chronic pathology both therapeutic emesis (vamana) and purgation (virechana) are recommended and  practically both the procedures are found to be effective.<ref>Chauhan M; From the proceedings of Insight Ayurveda 2013, Coimbatore. 24th and 25th May 2013. OA03.05. A clinical study on the effect of vamana in anartava wsr to secondary amenorrhoea. Anc Sci Life. 2013;32(Suppl 2):S28. doi:10.4103/0257-7941.123842</ref>, <ref>Bhingardive KB, Sarvade DD, Bhatted S. Clinical efficacy of Vamana Karma with Ikshwaaku Beeja Yoga followed by Shatapushpadi Ghanavati in the management of Artava Kshaya w. s. r to polycystic ovarian syndrome. Ayu. 2017;38(3-4):127-132. doi:10.4103/ayu.AYU_192_16</ref>, <ref>Sreelakshmi Chaganti(2016), Evaluation of efficacy of virechana in polycystic ovarian syndrome,PG Dissertation, KLE Academy of higher education and research, Belgavi</ref>   

Some scholars opine that therapeutic purgation (virechana) is contraindicated as it may lead to further decrease of [[pitta]].[Dalhana commentry, Su.Sa.Sutra Sthana 15/12] However, in chronic pathology both therapeutic emesis (vamana) and purgation (virechana) are recommended and  practically both the procedures are found to be effective.<ref>Chauhan M; From the proceedings of Insight Ayurveda 2013, Coimbatore. 24th and 25th May 2013. OA03.05. A clinical study on the effect of vamana in anartava wsr to secondary amenorrhoea. Anc Sci Life. 2013;32(Suppl 2):S28. doi:10.4103/0257-7941.123842</ref> <ref>Bhingardive KB, Sarvade DD, Bhatted S. Clinical efficacy of Vamana Karma with Ikshwaaku Beeja Yoga followed by Shatapushpadi Ghanavati in the management of Artava Kshaya w. s. r to polycystic ovarian syndrome. Ayu. 2017;38(3-4):127-132. doi:10.4103/ayu.AYU_192_16</ref> <ref>Sreelakshmi Chaganti(2016), Evaluation of efficacy of virechana in polycystic ovarian syndrome,PG Dissertation, KLE Academy of higher education and research, Belgavi</ref>   

'''Pacification therapy(shamana chikitsa):'''

'''Pacification therapy(shamana chikitsa):'''