ISSN Print: 2277-4343
Article: A CASE STUDY ON MANAGEMENT OF GARBHASAYA GRANTHI WITH REFERENCE TO UTERINE FIBROID
Article Category: Case Reports
Author: Gulnar Mariam M *, Venkata Ratnakar L, Swathi C
Abstract: Uterine fibroid is the most common benign pelvic tumour in women of reproductive age. Leiomyomas, also called fibroids, have a 70-80% cumulative incidence in childbearing age due to their abundant fibrotic tissue. Most of the time, it remains asymptomatic, and the fibroids are diagnosed accidentally. The patient came with the complaint of lower abdomen pain during menses and a few days before the onset of menses for ten years. The pain is in the lower abdomen, lower back region and thigh. The character of the pain is spasmodic. On examination, multiple fibroid uterus measuring 2.1x1.8 cm fibroid noted in the anterior wall, and 4.9x4.4 cm fibroid pointed out in the posterior wall. The case was diagnosed as garbhasaya granthi. There is vitiation of tridosha with a predominance of vata kapha dosha and dushya like rasa, raktha, mamsa, and medas. Hence kapha medohara chikitsa has been given. Medicines like dashamoola kashayam, varunadi kashayam, kanchanara guggulu, saptasara kashayam, dhanwantara gulika, kanchanara guggulu have been administered. Tikshna, ushna, lekhana, chedana, and srotoshodana dravya can reduce uterine fibroid symptoms and size. The patient shows a significant reduction in pain in the lower abdomen and thigh region with the above-mentioned oral medications.
Keyword: abdominal pain, Apana Vata dusti, garbhasaya granthi, uterine fibroids