Causative factor
Apart from organism, some metabolic and hormonal disturbances are responsible for the causation of this disease. The discharge from the genital tract produces foul smell if there is infection. The consistency of the discharge varies from patient to patient depending upon the age and the menstrual phase when the patient is afflicted with this trouble.
In ayurevda this is considered to be caused by aggrevation or vititation of kapha dosa. This commonly occurs in patient who are wek, emaciated and anaemic.
Patient suffering from chronic leucorrhoea become irritable and it is often associated with digestive disturbances. There is always some difficulty in moving the bowels. They develop a black circular patcha round their eyes which is very characteristic from the diagnostic point of view. Remaining awake at night for long often precipitates the attacks of this trouble. There is a vicious circle between the disease leucorrhoea and mental worry. They are usually associated with each other.
Treatment
For the treatment of this aliment, it is always necessary to locate the exact causative factor for this trouble. Regular douching of the genital tract with a decoction of the bark of banyan tree and fig tree is very useful in this condition. One tablespoonful of the powder of each two barks should be boiled in one litre and reduce to half. The decoction is then filtered and powder thrown away. With this decoction when it is slightly(tolerably) warm, douching should be performed. This decoction keeps the tissue cells of this area healthy. The popular medicine used by ayurvedic physicians in this condition is pradarantak rasa. This drug contains some bhasmas of metals. The most important one of this bhasma is iron. For the preparation of this medicine, the ingredients are triturated with the juice of kumara(Aloe vera). Four grains of this drug is given to the patient three times a day.
Kumara alone is also used in the treatment of this condition. It tones up the tissue cells of the uterus and the genital tract and prevents exudation of abnormal fluid. It is the commonly grown plant in the hedge of garden. When fully matured this plant produces beautiful pink flowers which serves the purpose of decoration. When the outerskin of the leaf is removed, a fleshy pulp comes out which is used for the extraction of juice. One ounce of this is given to the patient two times daily with a little honey added preferably on an empty stomach. This juce stimulates the liver, promotes digestion and regulates the bowels. It has some effect in correcting the hormonal inbalances by which genital organ of the patient get toned up.
Lodhra(Symplocos racemosus) is also used for the purpose of douching. The bark of this tree is used and the decoction of this bark is prepared on the lines suggested above. This medicine is also used in the form of Lodhra asava. The alcoholic soluble fraction of this drug is extracted through a special process during which some other drugs are added to it. One ounce of this drug is given to the patient twice daily after food with equal amount of water.
Tankana or alum is also used both externally and internally for the treatment. Alum is fried in vessel over fire and then made to powder. One teaspoonful of this powder is added to the decoction described and used for the purpose of douching. Two grains of this powder are mixed with two grains of pradarantak lauha and given to the patient twice daily on empty stomach mixed with honey.
Along all with these medicine described above tandulodaka(rice-water) is given as a means to accelerate their action. Rice-wash alone is also useful when taken internally for the cure of this disease.
Diet:
Fried things and spicy food shouldnot be given to the patient. The patient should not be permitted to keep her stomach empty for long time. She shouldnot take heavy indigestible food articles. Sour especially pickles and curds are prohibited. Intake of supari(Areca nut) after taking food is very useful for both prevention and cure of this disease. This practice is commonly prevalent among the ladies.
Other regimen
As far as possible, the patient should be free from worries and she shouldnot keep herself awake for long at night. Sexual intercourse during the attack of this disease is peohibited. A brisk walk in the early morning helps in the early cure of this disease. Sanitary and hygienic measures should be followed carefully.
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