Management of IUGR With Ksheera Basti
Journal name: Ayushdhara
Original article title: Management of IUGR With Ksheera Basti
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Shivani Katna
PG Scholar, Department of Prasuti Tantra evum Stree Roga, RGGPG Ayurvedic college and Hospital Paprola, H.P., India.
Meena Parmar
AMO, Department of Prasuti Tantra evum Stree Roga, RGGPG Ayurvedic college and Hospital Paprola, H.P., India.
Seema Shukla
Head of Department, Department of Prasuti Tantra evum Stree Roga, RGGPG Ayurvedic college and Hospital Paprola, H.P., India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Management of IUGR With Ksheera Basti
Year: 2024 | Doi: 10.47070/ayushdhara.v11i3.1555
Copyright (license): CC BY-NC-SA 4.0
Summary of article contents:
Introduction
Intrauterine Growth Restriction (IUGR) is a significant concern in obstetrics, characterized by a fetal weight that falls below the tenth percentile for a given gestational age. This condition affects millions globally, with India witnessing approximately 3 million low birth weight births each year, contributing to neonatal mortality. Treatment modalities from Ayurveda, particularly the use of Ksheera Basti, are gaining attention for their potential efficacy in managing IUGR. A clinical case series involving five patients aimed to evaluate the effectiveness of Ksheera Basti in increasing fetal weight and improving maternal and fetal health parameters.
Efficacy of Ksheera Basti
Ksheera Basti, classified under the Niruha Basti category, offers therapeutic benefits as a Brimhana (nourishing) treatment. The preparation comprises ingredients such as Makshika, Saindhav Lavana, Ghrita, Shatahva, Yashtimadhu, and Shatavari, known for their nutritional and restorative properties. The administered protocol consisted of Ksheera Basti for three consecutive days, during which maternal and fetal parameters, such as Estimated Fetal Weight (EFW), Fundal Height (SFH), and maternal weight gain, were meticulously monitored. Results indicated marked improvements across all patients, showcasing the potential of Ksheera Basti in enhancing fetal health in cases of IUGR.
Nutritional Significance of Ingredients
The components of Ksheera Basti, particularly Ksheera, Ghrita, Madhuyashti, and Shatavari, are noted for their rich nutritional profiles and beneficial properties. Ksheera is recognized for its Madhura (sweet), Sheeta (cooling), and Snigdha (unctuous) qualities, contributing to overall vitality and nourishment. Madhuyashti is esteemed for its anti-inflammatory and antioxidant properties, while Shatavari is acknowledged for its adaptogenic and rejuvenating effects, promoting maternal nutrition and fetal growth. The synergy of these ingredients is pivotal in addressing deficiencies and promoting adequate fetal development during pregnancy.
Conclusion
The study highlights that Ksheera Basti serves as an effective and safe therapeutic intervention for managing IUGR, with no adverse effects reported for either mother or fetus. By demonstrating improvements in crucial parameters, this Ayurvedic approach holds promise in addressing one of the leading causes of neonatal mortality. However, to further substantiate these findings, extended studies with larger sample sizes are warranted. Overall, Ksheera Basti emerges as a notable treatment option in the spectrum of maternity care.
FAQ section (important questions/answers):
What is the focus of the study about IUGR management?
The study evaluates the efficacy of Ksheera Basti in managing Intrauterine Growth Restriction (IUGR) in pregnant women, assessing maternal and fetal parameters before and after treatment.
How many patients were involved in the case series study?
The study included five pregnant women diagnosed with mild to moderate IUGR, all in their third trimester, who received Ksheera Basti treatment.
What were the main findings of the Ksheera Basti treatment?
All five patients showed improvement in maternal and fetal parameters, including fetal weight, abdominal circumference, and maternal weight gain, indicating Ksheera Basti's effectiveness in treating IUGR.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Management of IUGR With Ksheera Basti�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Basti:
Basti is an Ayurvedic enema therapy. It is considered a key component of Panchakarma treatments and is described as potentially reaching the iliocaecal junction and the large intestine, impacting various organ systems and improving nutrient absorption.
2) Shatavari (Satavari):
Shatavari is also known as Asparagus racemosus. It is used for its adaptogenic, rejuvenative, and antioxidant properties. It boosts the immune system, contains essential vitamins and minerals, and is particularly beneficial for promoting fertility.
3) Ghrita (Ghrta):
Ghrita refers to clarified butter, or ghee, which is highly valued in Ayurveda for its nutritional benefits. It is used in numerous Ayurvedic preparations, including Rasayana therapies, for its rejuvenating properties and high nutritional value.
4) Madhuyashti (Madhuyasti, Madhu-yashti):
Madhuyashti, or Glycyrrhiza glabra, is known for its Balya (strengthening) properties. It has anti-inflammatory, antioxidative, and immune-boosting effects, supporting the treatment of various ailments and promoting general health.
5) Roga:
[see source text or glossary: Roga]
6) Drug:
[see source text or glossary: Drug]
7) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India. It emphasizes holistic health, using natural therapies like herbs, diet, and Panchakarma treatments such as Basti to balance the body's doshas and promote wellbeing.
8) Rasayana (Rasa-ayana):
Rasayana therapy aims to rejuvenate and promote longevity. Ingredients like Ksheera (milk) and Ghrita (clarified butter) are considered Nitya Rasayana, meaning they provide continuous revitalizing effects due to their high nutritional content.
9) Madhura:
Madhura translates to 'sweet' and is a primary taste in Ayurveda. It is associated with nourishment and is found in ingredients like Ksheera (milk) and Ghrita, contributing to their Brimhaniya (bulk-promoting) properties.
10) Snigdha:
Snigdha means 'unctuous' or 'oily', a quality that facilitates nourishment and lubrication. Ingredients like Ghrita and milk, used in Basti treatments, embody this quality, enhancing their soothing and nutritive effects.
11) Niruha:
Niruha refers to a specific type of Basti that includes various ingredients administered rectally. It is considered a cleansing treatment that reaches up to the iliocaecal junction, targeting deep-seated toxins and restoring balance.
12) Karma (Karman):
[see source text or glossary: Karma]
13) Mridu (Mrdu):
Mridu means 'gentle' or 'soft'. For instance, Mridu Niruha Basti refers to a mild form of the Niruha Basti, aimed at producing less intense cleansing while still providing substantial therapeutic benefits.
14) Death:
[see source text or glossary: Death]
15) Birth:
Birth weight is a critical health indicator. Low birth weight, often due to conditions like IUGR, is a major risk factor for neonatal complications and is addressed in Ayurveda with treatments such as Ksheerabasti.
16) Blood:
Blood circulation and its quality are crucial in Ayurveda. Treatments like Ksheerabasti aim to enhance nutrient absorption and purification of blood, which is essential for fetal growth and overall health.
17) Asparagus racemosus:
Asparagus racemosus, commonly known as Shatavari, is highly valued in Ayurveda. It supports reproductive health, boosts immunity, and provides essential nutrients, making it vital in maternal health protocols.
18) Discussion:
[see source text or glossary: Discussion]
19) Pradesha (Pradesa):
[see source text or glossary: Pradesha]
20) Pregnant:
Pregnancy requires special care, and Ayurveda uses therapies like Ksheerabasti to address conditions like IUGR, aiming to improve both maternal and fetal health without adverse effects.
21) Shivani (Sivani):
[see source text or glossary: Shivani]
22) Disease:
[see source text or glossary: Disease]
23) Dravya:
Dravya means 'substance' or 'ingredient' in Ayurveda. Ingredients like Shatavari and Yashtimadhu (Glycyrrhiza glabra) are key dravyas in Ksheerabasti due to their nourishing and therapeutic properties.
24) Stanya:
[see source text or glossary: Stanya]
25) Shukla (Sukla):
[see source text or glossary: Shukla]
26) Family:
[see source text or glossary: Family]
27) Dosha (Dosa):
Dosha refers to the three fundamental bio-elements (Vata, Pitta, Kapha) in Ayurveda. Treatments aim to balance these doshas to maintain health, such as using Ksheera for its dosha-shamaka (balancing) properties.
28) Madhu:
Madhu or honey is used in Ayurvedic formulations like Ksheerabasti for its therapeutic properties. It acts as a carrier for other medicinal substances and provides nutritional benefits.
29) Kalka:
Kalka refers to a paste made from grinding herbs. In the preparation of Ksheerabasti, Kalka made from herbs like Shatahva is included for enhancing the therapeutic efficacy of the basti.
30) India:
India is the birthplace of Ayurveda, where traditional practices like Basti continue to be integral in treating various health conditions, including pregnancy-related issues like IUGR.
31) Balya:
Balya means 'strengthening'. Herbal ingredients such as Madhuyashti and Shatavari are known for their Balya properties, helping to enhance physical strength and resilience.
32) Diet:
[see source text or glossary: Diet]
33) Milk:
Milk, or Ksheera, is a central ingredient in Ksheerabasti. It is praised for its high nutritional value, including carbohydrates, proteins, fats, and calcium, which are essential for both mother and fetus.
34) Glycirrhiza glabra:
Glycirrhiza glabra, also known as Madhuyashti, has several therapeutic properties including anti-inflammatory and antioxidant effects. It enhances immune function and supports general health.
35) Ashtangasamgraha (Astangasamgraha, Astangasangraha, Ashtanga-samgraha, Ashtanga-sangraha, Ashtangasangraha):
Ashtanga-sangraha is one of the classical texts of Ayurveda. It is referenced for the proper preparation and application of therapies like Ksheerabasti for treating conditions such as IUGR.
36) Kashyapasamhita (Kasyapasamhita, Kashyapa-samhita):
[see source text or glossary: Kashyapa-samhita]
37) Anuvasanabasti (Anuvasana-basti):
Anuvasana Basti involves administering medicated oils or fats through an enema, often as a preparatory step before the main Basti treatment. It helps in lubrication and nourishment of tissues.
38) Sharirasthana (Sarirasthana, Sharira-sthana):
[see source text or glossary: Sharirasthana]
39) Niruhabasti (Niruha-basti):
[see source text or glossary: Niruhabasti]
40) Yashtimadhu (Yastimadhu, Yashti-madhu):
Yashtimadhu or Glycirrhiza glabra is included in Kwath used in Ksheerabasti. It is known for its immune-boosting, anti-inflammatory, and antioxidant properties, making it a valuable medicinal herb in Ayurveda.
41) Sutrasthana (Sutra-sthana):
[see source text or glossary: Sutrasthana]
42) Mamsadhatu (Mamsha-dhatu):
Mamsa-dhatu refers to the muscle tissue. Therapies like Ksheerabasti aim to nourish and strengthen the Mamsa-dhatu, promoting overall physical strength and health, especially during pregnancy.
43) Brimhaniya (Brmhaniya):
Brimhaniya refers to substances that promote growth and bulk. Ingredients like Ksheera (milk) and Ghrita in Ksheerabasti are considered Brimhaniya, supporting the nourishment and growth of both mother and fetus.
44) Udararoga (Udara-roga):
Udara-roga refers to abdominal diseases in Ayurveda. Treatments like Ksheerabasti, which involves therapeutic enema with milk and herbs, are employed to manage and alleviate these conditions.
45) Anuvasana:
[see source text or glossary: Anuvasana]
46) Asthapana:
[see source text or glossary: Asthapana]
47) Shlakshna (Slaksna):
[see source text or glossary: Shlakshna]
48) Amlapitta (Amla-pitta):
Amlapitta, or acid reflux, is one of the conditions addressed with dietary guidelines and herbal remedies in Ayurveda. Ingredients such as Ksheera are used for their soothing and balancing properties.
49) Vataroga (Vata-roga):
Vata-roga encompasses disorders related to the Vata dosha. Ayurvedic practices like Ksheerabasti use nourishing substances like milk and ghee to balance Vata and promote health.
50) Yoniroga (Yoni-roga):
Yoni-roga refers to diseases of the female reproductive system. Treatments in Ayurveda, including the use of Ksheera, aim to nourish and heal these conditions, promoting overall reproductive health.
51) Picchila:
[see source text or glossary: Picchila]
52) Nighantu (Nighamtu):
[see source text or glossary: Nighantu]
53) Vagbhata:
Vagbhata is one of the ancient sages and authors of classical Ayurvedic texts, including Ashtanga Sangraha. These texts provide valuable guidance on treatments like Ksheerabasti.
54) Makshika (Maksika):
Makshika or honey is used in the preparation of Ksheerabasti. It acts as a medium for mixing other herbs and enhances the therapeutic properties of the enema formulation.
55) Abhyanga (Abhyamga):
Abhyanga is an oil massage that precedes certain Ayurvedic treatments, including Basti. It involves massaging the body with medicinal oils to improve circulation and prepare the tissues for the main therapy.
56) Brimhana (Brmhana):
Brimhana means nourishing or promoting bulk. Procedures like Ksheerabasti are designed as Brimhana treatments, focusing on enhancing body mass and strength through nourishing ingredients.
57) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
[see source text or glossary: Kashyapa]
58) Shatahva (Satahva):
[see source text or glossary: Shatahva]
59) Ashtanga (Astanga, Ashtan-anga):
[see source text or glossary: Ashtanga]
60) Painting:
[see source text or glossary: Painting]
61) Vomiting:
[see source text or glossary: Vomiting]
62) Samgraha (Sangraha):
[see source text or glossary: Sangraha]
63) Samhita:
Samhita refers to classical Ayurvedic texts. Ashtanga Sangraha and Kashyapa Samhita are examples that provide in-depth knowledge on treatments like Ksheerabasti, guiding their application in clinical practice.
64) Mardana:
[see source text or glossary: Mardana]
65) Parshva (Parsva):
[see source text or glossary: Parshva]
66) Prasuti:
Prasuti refers to obstetrics in Ayurveda. The department focuses on maternal and fetal health, using treatments like Ksheerabasti to address pregnancy complications such as IUGR.
67) Kharala:
[see source text or glossary: Kharala]
68) Samaka (Shamaka):
[see source text or glossary: Shamaka]
69) Pradhan:
[see source text or glossary: Pradhan]
70) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]
71) Shakti (Sakti):
Shakti means energy or power. Ayurvedic treatments such as Ksheerabasti aim to enhance Shakti in both the mother and the fetus, promoting overall vitality and health.
72) Satmya:
Satmya refers to suitability or compatibility in Ayurveda. Foods and treatments that are considered Satmya, like Ksheera (milk), are well tolerated and highly nutritious, supporting optimal health.
73) Kshaya (Ksaya):
[see source text or glossary: Kshaya]
74) Shukra (Sukra):
[see source text or glossary: Shukra]
75) Lavana:
[see source text or glossary: Lavana]
[Note: The above list is limited to 75. Total glossary definitions available: 99]
Other Science Concepts:
Discover the significance of concepts within the article: �Management of IUGR With Ksheera Basti�. Further sources in the context of Science might help you critically compare this page with similair documents:
Niruhabasti, Anuvasanabasti, Clinical examination, Clinical trial, Panchakarma therapies, Maternal weight gain, Therapeutic utility, Ksheera Basti, Rasayana drug, Gestational diabetes, Obstetric history, Shatavari churna, Fetal weight gain, Neonatal death, Madhuyashti churna.