A randomised controlled clinical trial to study the effect of Bhavprakashokta Panchakashay Yonivarti Dharan in Karnini Yonivyapada with special reference to cervical erosion.

Normal vaginal secretions consist of white coagulated material involving doderlein’s bacilli, squamous cells and coagulated secretions. The vaginal contents are mostly derived from squamous cells of the vaginal mucosa. Some, from endometrial and cervical

secretions. Pathological conditions such as cervical erosion causes increased mucus secretion and patient complaints of mucous discharge at vaginal orifice. In leucorrhoea, the normal vaginal secretions are increased in amount. In such

patients there will be no excess of leucocytes present, and discharge is non purulent. Purulent discharges are due to specific infections such as tricomoniasis, moniliasis and

gonorrhoea. Ulcerated growths of cervix and discharges caused by urinary fistula are of different type and are excluded from term “leucorrhoea”. Increases in normal vaginal

secretions is physiological in pregnancy, puberty, and premenstrual phase of menstrual cycle. Non-pathogenic leucorrhoea can be classified into 1) cervical and 2) vaginal.

Discharge from endocervical glands increases in conditions such as chronic cervicitis, cervical erosion, mucous polypi, and ectropion.

Cervical erosion is benign condition if left untreated may lead to infertility and cervical malignancy.

Cervical erosion resembles to karnini yonivyapada according to ayurvedic texts. In ayurvedic classics it is mentioned that non-purulent vaginal discharge is caused due to consumption of kaphakara aahara and vihara.

Hence kaphashamaka treatment is needed to subside the symptom. According to aacharya charak and vagbhatta, vata-kapha

doshas are involved in karnini yonivyapada whereas according to aacharya sushruta, only kapha dosha along with rakt is involved and other kaphaj features like unctuousness, itching, etc are seen.

In following study, one attempt will be made by using a formulation

(panchakashaya) described by Bhavaprakasha for symptom Yonipichilta in karnini Yonivyapad, to rule out its effect by using its choorna’s yonivarti.