Chapter 6.3: Gynecological Disorders Treatment (Yonivyapat Chikitsa / योनिव्यापत्चिकित्सा)
Yonivyapat Chikitsa mainly deals with the management of disorders of male and female genital tract and reproductive system. It also includes the abnormalities of breast milk and its impact on baby and some guidelines for the management of diseases in children. The last part comprises of some important general principles in clinical management of diseases like factors influencing disease process, time of administration of medicine and route of administration. The disorders of the female genital tract are described under twenty yonivyapat (yoni(vagina),vyapat(disorders)) based upon the vitiation of dosha and dushyas. Rakta yoni (per vaginal bleeding) and pradara (menorrhagia) are described separately considering its importance in gynecology practice. The local and generalized management of these disorders with Panchakarma, basti and uttara basti procedures, vaginal douches are enlisted. Various disorders of the male genital tract, causes of impotency, defects of semen and their managemen
Source: Astanga Hridaya Sutrasthan by Vagbhata
id="Summary">Summary bhavanti cātra- The disorders of the female genital tract along with the symptoms, causes and treatment have been said in detail by the sage Atreya. [127] Disorders of Male genital tract Agnivesha’s queries about disorders of male genital tract Agnivesha approached Atreya, the best preceptor among physicians, and asked that Oh ! Innocent or sinless, you have mentioned the eight defects of semen in the chapter on diseases in Sutra Sthana. Oh best among the phsyicians, you have told about the causes of eight defects of semen (shukra), symptoms of normal and abnormal semen, its proper treatment, four types of impotency and pradara (menorrhea or D.U.B.)as mentioned as a complication of disorders of genital tract or uterus. please explain me, in brief as well as in detail about etiology, symptoms and proper treatment of those disorders. [128-131] Atreya, the foremost or leading among the sages, said to devoted Agnivesha. [132] Process of ejaculation and causes of vitiation of shukra (defects in semen and sperms) rUkShatiktakaShAyAtilavaNAmloShNasevanAt| cintAshokAdavisrambhAcchastrakShArAgnivibhramAt| As the semen (shukra) gets ejaculated as a result of excitement and it is the sign of masculinity. The reason behind calling it as seed will be explained by me . The seed as an effect of delighted coitus, has been described as shukra,it is the male characteristic known as semen. As the (plant) seed at inappropriate time, affected by unseasonal rains, worms, pests & fire does not grow out, in the same way the semen (does not grow up) in human body. Excess intercourse, excess exercise, consumption of unsuitable food, untimely coitus, other than in vagina, or complete abstinence from it, consumption of dry, bitter, astringent, salty, sour, hot food; unaware of female desire, untimely ejaculation, senility, anxiety, distress, distrust, imperfect (local) usage of surgical instruments, alkali, agni (cautery); apprehension, rage, exorcism, emaciation (secondar