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→Tattva Vimarsha
=== ''Tattva Vimarsha'' ===
=== ''Tattva Vimarsha'' ===
*The faulty lifestyle habits, vitiated menstrual blood, defects in ''beeja'' (ovum, causing hereditary or congenital defects) and the destiny are four causative factors for diseases of female genital tract.
*In addition to above, manifestation of ''yonivyapat'' (diseases of female genital tract) depends upon the vitiation of ''doshas'' due to their own causative factors.
*The manifestation of diseases of female genital tract can occur in two ways viz. structural abnormalities and functional abnormalities. This leads to defects in menstruation, difficulty in sexual intercourse, inability to conceive i.e. infertility or abortion.
*The diseases of female genital tract are influenced by various physiological factors like age, maturity, menstruation, sexual intercourse, pregnancy, labor, menopause and suppression of natural urges.
*''Vata'' plays important role in all conditions of ''yonivyapat'', because the genital tract is inherent seat of ''vata dosha''.
*The genetic defects in female genital tract are mainly caused by improper diet and lifestyle of mother during pregnancy and vitiation of ''vata dosha''.
*Assessment of dominance of ''dosha'' must be done before starting treatment of ''yonivyapat'', because the treatment and procedures are highly specific to vitiation of ''dosha''.
*The treatment is based upon assessment of dominance of ''dosha'', its purification, general pacification and local procedures with ''dosha'' alleviating medicines.
*The purification procedures advocated in females shall always be mild in nature. Strong purification is contra-indicated in females.
*The local examination of female genital tract, vaginal discharge, vaginal structure (unctuousness or dryness, stiffness or flaccidity, displacement) shall always be done before designing treatment protocol.
*In ''rakta yoni'' (bleeding through the vagina), the color of bleeding should be observed for the association of ''doshas'' and hemostatic drugs should be used according to the involvement of ''doshas''. (86)
*When the genital tract is purified and the seeds (sperm and ovum) are normal (in their own form), undamaged, then the ''jeevatama'' or consciousness wants to come into the fetus (''garbha'') then women conceive. (125)
*In males, the ''shukra'' (semen) gets ejaculated as a result of excitement and is the sign of masculinity. The seed as an effect of delighted coitus, has been described as ''shukra'' (semen), is the male characteristic. As the seed has capacity of reproduction in favorable conditions, the ''shukra'' possess capacity of reproduction.
*Improper diet, improper lifestyle, psychological factors and improper sexual habits impair quality and quantity of ''shukra dhatu''.
*''Fenilam'' (frothy), ''tanu'' (slender), ''ruksham'' (arid), ''vivarnam'' (discolored), ''pooti'' (putrid), ''pichhilam'' (slimy), afflicted with other ''dhatus'', & precipitant are the eight ''shukra'' disorders affected by vitiated ''dosha''.
*''Retah'' (virile semen) that is ''snigdha'' (unctuousness), ''ghana'' (viscous), ''picchila'' (slimy), ''madhura'' (sweet), ''avidahi'' (non-blazing), looking like white crystal quartz; are characteristics of normal (semen).
*In case of diseases of semen, treatment principles with use of formulations mentioned in ''vajikarana'' (aphrodisiac), ''raktapitta'' and ''yonivyapat'' are applied.
*Impotency is caused by the ''beeja-upaghata'' (hereditary/congenital defect), ''dhwajopaghata'' (erectile dysfunction), ''jaraya'' (senility), ''shukrasamkshaya'' (diminished semen).
*The treatment mentioned for the ''shukra'' (semen) disorders as well as ''kshataksheena'' shall be applied for alleviation of impotency. Indications are ''basti, ksheera-sarpi'' (combination of milk and ghee), ''vrishya yoga''(aphrodisiac), & ''rasayana prayoga'' (rejuvenating medicines); all together shall be administered for the treatment of impotency, caused by excess coitus, ''dhatu viparyaya'', considering ''deha-bala'' (strength of the patient), ''dosha–bala'' (degree of ''dosha'' vitiation), ''agni-bala'' (power of ''agni'') & ''bheshaja-kala'' (time of medicine administration).
*The vitiated dosha affect menstrual blood and increase quantity and duration of menstruation leading to pradara. The clinical manifestations of pradara depend upon dosha dominance involved in pathogenesis.
• If menstrual discharge (artava) comes after a month without stickiness (sliminess), burning sensation and pain, persists for five days, neither too little nor excess in quantity then it is considered as free from doshas or normal. In colour, artava (menstrual blood) should be red like gunja fruit, red lotus flower or mahavara or red as indragopaka insect, such artava is considered as normal menstrual blood. (225-226)
• If menstrual discharge (artava) comes after a month without stickiness (sliminess), burning sensation and pain, persists for five days, neither too little nor excess in quantity then it is considered as free from doshas or normal. In colour, artava (menstrual blood) should be red like gunja fruit, red lotus flower or mahavara or red as indragopaka insect, such artava is considered as normal menstrual blood. (225-226)
• The treatment of pradara is as per principles of management for raktatisara (diarrhoea with expulsion of blood), raktapitta (internal haemorrhage) and raktarsha (bleeding piles).
• The treatment of pradara is as per principles of management for raktatisara (diarrhoea with expulsion of blood), raktapitta (internal haemorrhage) and raktarsha (bleeding piles).