Background: Polycystic Ovarian Syndrome (PCOS) is a common endocrine–metabolic disorder affecting women of reproductive age and is a leading cause of anovulation and infertility. In Ayurveda, PCOS can be correlated with conditions such as Puṣpagni Jaṭahariṇi and Granthi, involving Vata–Kapha and Meda duṣṭi with Artavavaha Srotodushti. Basti Karma, regarded as Ardha Chikitsa, is the prime therapy for disorders arising from Vata Sthana. Objective: To evaluate and compare the efficacy of Varuṇadi Gaṇa Siddha Niruha Basti and Vacadi Gaṇa Siddha Niruha Basti followed by Samana Sneha with Satapushpa Taila in the management of PCOS. Methods: A comparative clinical study was conducted on diagnosed PCOS patients based on clinical and ultrasonographic criteria. Patients were divided into two groups and administered respective Niruha Basti protocols followed bySamana Sneha. Clinical parameters related to menstrual pattern, pain, and associated symptoms were assessed. Results: Both treatment groups showed significant improvement in menstrual regularity and associated symptoms, indicating effective Vata–Kapha Samana, Srotoshodhana, and Artava pravṛtti. Conclusion: Basti therapy followed by Samana Sneha is an effective, safe, and holistic Ayurvedic approach for PCOS management, addressing its metabolic and reproductive components.
Dr. Archana Gowda* (Wed,) studied this question.