A Randomized Open Labelled Comparative Clinical Study to Evaluate the Efficacy Of Shothahara Mahakashaya Ghanvati and Palashadi Yog Basti in the management of Beej kosha Granthi w.s.r Ovarian Cyst

Ovarian Cyst is the most common Emerging disease occurring in the women of Reproductive Age Group Ovarian Cyst is a knotty raised elevation which is nodular or glandular rough swelling, can be neoplastic or non-neoplastic When the follicles (Sacs) in the ovaries do not rupture they form small cysts and called “Simple Cyst Ovarian Cyst is the most common benign neoplasm, found in approximately 20 to 40% women of reproductive age group Though many women are not aware of them but majority women with cyst are asymptomatic but in some women it shows Many symptoms like- Dysmenorrhea, Irregular Menstruation, Lower abdominal Pain, Breast Tenderness, Lower Backache

In ayurveda Classics, Special reference of granthi of female reproductive system is not available, but

i)                   Granthi described in samhitas can be considered and treated according to their doshas involvement

ii)                 On the basis of its origin beejkosha (Ovary) and its surrounding, it can be compared with beejkosha granthi

When Rakta, Mamsa & meda are vitiated by Tridoshas that are admixed with Kaphaproduce round, glandular , protuberant, knotty and firm swelling called granthi  Such Clinical entity can be Ovarian Cyst where vatadosha is the predominant pathological factor being the natural site of its location (Basti Pradesh) in the body The principle of Samprapti Vighatan i.e., to break the pathogenesis is used for the management of ovarian cyst

The Protocol for the treatment of ovarian cyst is to dissolve/reduce the size of cyst. Hence, an attempt on Shothahara Mahakashaya described by Acharya Charaka we convert in ghanvati Formation for Trialand Palashadi yog basti mentioned in Charaka Samhita