Uterine fibroid is benign smooth muscle neoplasm mostly from the myometrium of the uterus. Sometimes they are asymptomatic and most of the times it has some typical symptoms.
USG of the lower abdomen is the confirmatory test and medical management includes the administration of synthetic hormones to arrest the growth of the fibroid. Most common management is a hysterectomy. Uterine fibroid appears during the childbearing age of female as estrogen plays a key role in the growth of the fibroid. After the menopause, most of the fibroid shrinks due to low estrogen.
The symptoms of Uterine fibroid
- Excessive bleeding.
- Irregular periods.
- Pressure on adjacent organs.
- Infertility
- Frequent Urination
- Low back pain
- Edema
- Loss of appetite
- Constipation
- Flatulence
- Painful Sexual Intercourse
Ayurvedic concept of Uterine Fibroid
A fibroid is named as Granthi in Ayurvedic classical texts and it’s caused due to the imbalance of Vata and Kapha doshas. When morbid doshas, vitiate Rakta (blood), Mamsa (fleshy/muscles), and Meda (fat/adipose tissue) that are admixed with Kapha produce rounded protuberant, knotty or glandular and hard swelling called Granthi. Etiopathogenesis, clinical features, and treatment of Granthis are identical to the Granthis of any other body part, however, few clinical features present due to a specific location of the disease as a result of anatomical and physiological disturbance. Granthi when present in yoni (female reproductive system)/Garbhashaya (uterus) will lead to disturbed menstrual cycle-menorrhagia, metrorrhagia, dysmenorrhea, etc., along with infertility.
In Ayurveda classical texts, nine types of fibroid have been mentioned depending upon the pathological factor ( Vata, Pitta or Kapha), and the body tissue ( Muscle, Adipose, Blood) involved.
Reasons for avoiding surgery for Uterine Fibroid
- To preserve the anatomical and functional integrity of the body.
- Fear of surgery
- Age
- Financial constraint
- Social reason
- Fear of side effects.
Ayurvedic Treatment for Uterine Fibroid
As usual, Ayurvedic management is based on the principle to break the pathogenesis. Vata and Kapha dominate in the pathogenesis of Fibroid and so medicines and procedures pacifying vitiated Vata and Kapha are selected in the treatment of Fibroid. The tissues involved in the pathogenesis are Blood, Muscles and adipose tissues. So medicines are blood purifying, fat removing and rejuvenating. Obesity is an essential associate of Fibroid in most of the times and so treatment is planned to address obesity also.
The most commonly used medicines for the treatment of Fibroid
- Varanadi qwath tablet
- Punarnavadi qwath tablet
- Saptasaram qwath tablet
- Kanchanara Gulgulu Tablet
- Gulguglupanchapalam Tablet
- Shaddharanam Tablet
- Triphala ( Vara) Churna
- Vaiswanara Churna
- Dasamulahareetaki Leha
- Kalyana Gulam
The research work on Kanchanara Gulgulu
Kanchanara Guggulu is a classical Ayurvedic formulation, used for Kapha accumulations in the tissues. As Kapha moves deeper within the system, it may manifest as swollen lymph nodes, cysts or growths. Powerful decongestants such as Kanchanara, Triphala (a combination of fruits of Terminalia chebula Retz., Terminalia belerica Roxb., and E. officinalis), and Trikatu (Zingiber officinale Rosc., Piper nigrum L. and Piper longum L.) are mixed with Guggulu to break down and eliminate hardened Kapha. This detoxifying blend supports the proper function of the lymphatic drainage and digestive systems, aiding in the prevention of further Kapha accumulation. Its main ingredients Kanchanara (Bauhinia variegate L.), Varuna (Crataeva nurvala Buch.-Ham.), Triphala, Trikatu, Trijataka may also useful in hypothyroidism. Kanchanara Guggulu supports proper function of the lymphatic system, balances Kapha Dosha, promotes elimination of inflammatory toxins; it is alterative, anti-inflammatory and tonic and is administered in cysts, malignant ulcers, syphilis, fistula, scrofula, sinus, etc., Kanchanara is very useful in extra growth or tumors and helps in reducing bleeding.
Ayurvedic Panchkarma Treatment for Uterine Fibroid
The purification of the body in wholesome is required for many diseases involving multiple organs and in this context, the treatment of Fibroid with Panchkarma is significant.
Commonly used modalities.
- 1. Sneha Pana
- 2. Swedam
- 3. Virechana
- 4. Vasti
- 5. Uttara Vasti
Snehapana for Uterine Fibroid
Intake of medicated ghee for 3- 6 days. Dosage as per the digestive power and increased day by day and stopped when the optimum result is achieved.
Swedana for Uterine Fibroid
Whole-body Fomentation for Two days.
Virechana for Uterine Fibroid
Medicated purgation by giving herbal medicines.
Vasti for Uterine Fibroid
Medicated Enema for 3- 9 days using oils and decoctions
Uttara Vasti for Uterine Fibroid
Medicated and sterilized oils administered through Vagina for 3- 9 days.
Diet for Uterine Fibroid
Dos’
- 1.Fruits and Vegetables.
- 2. Flaxseed.
- 3. Legumes.
- 4. Garlic and Onions.
- 5. Cold-water Fish.
- 6. Non-gluten grains.
- 7. Eggs from free-range birds
Don’ts
- 1. Red meat
- 2. Eggs
- 3.Coffee
- 4.Alcohol
- 5. Salt
Yoga for Uterine Fibroid
Personalized Yoga plan works well for fibroid and practice under a well-experienced trainer.
Useful Asanas
- 1. Surya Namaskar
- 2. Supta Virasana
- 3. Supta Baddha Konasana
- 4. Salamba Setu Bandha Sarvangasana
- 5. Bharadvajasana
- 6. Parivrtta Janu Sirsasana
Lifestyle for Uterine Fibroid
- 1. Avoid all preserved and junk foods
- 2. Relax properly
- 3. Take proper medications
- 4. Do regular exercises
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