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Ayurvedic Regimen in Hemorrhagic Ovarian Cyst without Peritoneal Bleeding:

A Case Report

Article  in  Journal of Homeopathy & Ayurvedic Medicine · January 2015

DOI: 10.4172/2167-1206.1000164

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 Homeopathy & Ayurvedic
Medicine Panda, et al., J Homeop Ayurv Med 2014, 3:4
http://dx.doi.org/10.4172/2167-1206.1000

Short Communication Open Access

Ayurvedic Regimen in Hemorrhagic Ovarian Cyst without Peritoneal Bleeding:

A Case Report
Panda AK1*, Das D2 and Hazra J3
1*Research Officer (Ayurveda), Department of clinical research, National Research Institute of Ayurveda Drug Development, CN-4, Sector-V, Bidhan Nagar, Kolkota-91,

India
2 Research Officer, Department of Biochemistry, National Research Institute of Ayurveda Drug Development, CN-4, Sector-V, Bidhan Nagar, Kolkota-91, India
3Director, National Research Institute of Ayurveda Drug Development, CN-4, Sector-V, Bidhan Nagar, Kolkota-91, India
Corresponding author: Panda AK, Research Officer (Ayurveda), Department of Clinical Research, India, Tel: 9573703400; E-mail: [email protected]
Rec date: March 15, 2014, Acc date: July 27, 2014, Pub date: July 29, 2014
Copyright: © 2014 Ashok KP, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted
use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

A 42 year old female patient with hemorrhagic ovarian cysts came for Ayurvedic treatment after being denied a
second operation on the basis that her hysterectomy was performed two years before. The patient is pitta prakriti
and diagnosed as Pittajaarttavadusti as per Ayurveda. The base line hormone assays for LH, FHS, testosterone and
fasting insulin were found within normal limits. The initial treatment with Sanjeevani Vati and Triphala Churna for 15
days was administrated to regularize appetite and bowel movement. The main course of treatment included
Kalyanagrita and Kanchanaragugulu in the recommended dose as per Ayurveda pharmacopeia for 120 days. After
the 120 days an ultrasound study with tras-vaginal proof was found normal. The patient had follow-up for one year
without medicine and final the ultrasound study with tras-vaginal proof was also found normal. There is no significant
change in LH, FHS, testosterone and fasting insulin after the completion of treatment. Kalyanakagrita along with
Kanchanaragugulu may have a role in curing hemorrhagic ovarian cysts. Further study is recommended.

Introduction abdomen; and breast tenderness. The history of present illness was
advice for ovarian cyst operation but she denied a second operation.
The incidence of ovarian cyst has increased dramatically and Trans-vaginal USG report dated 14-11-12 shows right ovary size
functional ovarian cysts were found to be the fourth most common 31.6×23.0×31.9 mm with hemorrhagic cyst and left ovary as
cause for hospital admission of women [1]. About 7% of women have 27.7×21.2×24.5 mm with unilocular anaechoic cyst (measuring 34×32
an ovarian cyst at some point in their lives and out of all ovarian cysts, mm within). This investigation indicated that the patient had a
13.7% are said to be hemorrhagic ovarian cysts [2]. Hemorrhagic hemorrhagic cyst in left ovary. Physical examination revealed
Ovarian cysts are the most common type of ovarian cysts in India. moderate bilateral abdominal tenderness in lumbar region. The
Painful or large ovarian cysts may need to be removed with surgery Prakruti of the patient is Pitta vata with amaliptajivha (coated tongue),
[3]. Hemorrhagic ovarian cysts are generally formed by expanding alpaaharashakti (diminished appetite), alpanidra (disturbed sleep) and
hemorrhage within a corpus luteum or other functional cyst. Ruptured mrudukosta (smooth bowel motion). The hormone assays for LH,
hemorrhagic ovarian cysts are the worst emergency condition. The FHS, testosterone and fasting insulin were found to be normal.
cyst can be diagnosed by pelvic examination and ultrasound [4].
Occasionally the retracting blood clot may become very small and may As we know that Ayurveda treatment protocol is not the same for
simulate a mural nodule or papilloma. Many women opt for treatment all patients, after the investigation and clinical examination the case
because of pain and perceived risk of torsion. Surgery is the only was diagnosed as Pittajaarttvadusti.
option except for some hormonal medication [5]. Younger women The treatment was amapachaka (digestion of undigested food),
prefer alternative therapy to avoid unnecessary surgery and not to agnideepaka (increase digestive fire), anulomana (srotosodhaka (clear
compromise any future pregnancy as shown in a randomized clinical channel) and pitta nasaka (reduce pitta). The sequence of treatment
trial conducted in Chinese Traditional Medicine [6]. Many patients was as follows:
have been successfully cured by Ayurveda-the ancient medical therapy
without much documentation. Ayurveda scientists have only recently
Preparatory therapy
been interested to generate evidence through control clinical trial and
case studies [7-9]. The knowledge of Ayurveda explored along with The initial treatment with Sanjeevani Vati and Triphala Churna for
development of modern medical knowledge provides simple therapies 15 days was administrated to regularize the appetite and bowel
that help fertile women overcome many frustrating conditions. movement.
1. Triphalchurna 10-10 gram at night with lukewarm water for first
Case Report 15 days.
A 42 year old female patient came to O.P.D dated 1-11-12, after 2. SanjeevaniVati 11–250 mg for first 15 days of initial therapy.
seeing no sign of improvement with Allopathic treatment. She
complained of dull aching pain and discomfort in the lower abdomen,
pain radiating to lower back and thighs; heaviness and bloating in the

J Homeop Ayurv Med Volume 3 • Issue 4 • 1000164

ISSN:2167-1206 JHAM, an open access journal
Citation: Jayram H, Ashok KP, Debajyoti D (2014) Ayurvedic Regimen in Hemorrhagic Ovarian Cyst without Peritoneal Bleeding: A Case Report.
J Homeop Ayurv Med 3: 164. doi:10.4172/2167-1206.1000

Page 2 of 3

Main Therapy
1. Kalyanakaghrita 12 gram in the morning an empty stomach after Kalyanakaghrita is useful when the following symptoms are
15 days of therapy upto 90 days. displayed:
2. Kanchanargugulu–1000 mg twice daily with lukewarm water
• Kasa (cough)
after 15 days of initial therapy upto 120 days.
• Pandu (anaemia)
The patient had follow-up for one year after the cessation of • Apasmara (epilepsy)
Ayurveda medicine. • Bhutonmada (smooth bowel motion)
• Balagraha (problems arising in infancy)
Follow up study and Result • Visavikara (poisoning)
The preparatory therapy began 15-11-12 and the patient was • Gara visa (artificial poisoning/toxins)
advised to have Ultrasonography (T.V.Probe) after 45 days of • Vandhyatva (female infertility)
treatment. The USG study dated 31-12-12 found the right ovary to be • Yoni roga (female genital diseases)
normal but a hemorrhagic cyst on left ovary. Again the patient went
for USG on 4-3-13 that revealed normal findings for right ovary size;
20×19 mm, and left ovary size to be 22×23 mm.
Probable Mode of Action of the Drugs
Another study dated 23-7-13 revealed normal findings with right In Ayurveda, Triphala is termed a tridoshicrasayanthat has a
ovary size; 24×16 mm, and left ovary to be 24×20 mm. balancing and rejuvenating effect on the three constitutional elements
that govern human life (i.e. vata, pitta, and kapha) [10]. Triphala is
This patient has no relapse/recurrence of the ovarian cyst after one considered as having the property of srotoshodhan (cleansing of micro
year cessation of Ayurveda medicine also. channels) and removes srotoavrodha (obstructions in the micro
channels). Sanjeevani Vati can be used for breaking the pathogenesis
Ingredients of Kalyanakakgrita: of any disease as it has deepana, pachana and anulomana properties
[11]. Kanchanargugulu has the role to cure Ovarian cysts.
• Haritaki (Terminalia chebula) Kalyalakagrita is good for pittajaartavadusti and infertility.
• Bibhitaka (Terminalia belerica)
• Amalaki (Emblica officinalis) Discussion and Conclusion
• Visala (Citrulus cholocynthis)
Kanchanaragugulu have the evidences to cure poly cystic ovarian
• Bhadraila (Amomum subulatum)
diseases [7-9]. Hemorrhagic Ovarian cysts are the most common type
• Devadaru (Cedrus deodara) of ovarian cysts in India and it may leads to emergency condition.
• Elavaluka (Aloe barbadensis extract) Therefore this study was planned to evaluate the treatment outcome of
• Svetasariva Ayurveda regimen in Hemorrhagic Ovarian cyst. The premedication
• Krsnasariva clears the channels and made fit for Abhyatara snehana (internal
• Haridra (Curcuma longa) oleation). Kalyalakagrita is good for pittajaartavadusti and is indicated
• Daru (Berberis aristata) for infertility may be due to PCOD. The base line hormone assays for
LH, FHS, testosterone and fasting insulin were found within normal
• Haridra (Curcuma longa)
limits. There is no significant change in LH, FHS, testosterone and
• Salaparni (Desmodium gangeticum)
fasting insulin after the completion of treatment.
• Prsniparni (Uraria lagopoides)
• Phalini This treatment regimen not only cures Hemorrhagic Ovarian cysts
but also patient has no relapse/recurrence of the ovarian cyst after one
• Nata
year cessation of Ayurveda medicine.
• Brhati (Solanum indicum)
• Kustha (Saussurea lappa) We may conclude that Kalyanakagrita along with
• Manjistha (Rubia cordifolia) Kanchanaragugulu may have the role in curing hemorrhagic ovarian
cysts. Further study is recommended.
• Nagakesara (Mesu aferrea)
• Dadima (Punica granatum)
References
• Vella
• Talisapatra (Abies webbiana) 1. Grimes DA, Hughes JM (1989) Use of multiphasic oral contraceptives
and hospitalizations of women with functional ovarian cysts in the
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United States. Obstet Gynecol 73: 1037-1039.
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Manual of Diagnosis and Therapy. Whitehouse Station, NJ: Merck
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J Homeop Ayurv Med Volume 3 • Issue 4 • 1000164

ISSN:2167-1206 JHAM, an open access journal
Citation: Jayram H, Ashok KP, Debajyoti D (2014) Ayurvedic Regimen in Hemorrhagic Ovarian Cyst without Peritoneal Bleeding: A Case Report.
J Homeop Ayurv Med 3: 164. doi:10.4172/2167-1206.1000

Page 3 of 3

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ISSN:2167-1206 JHAM, an open access journal

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