Yoni Shuddhata, referring to the cleanliness and physiological integrity of the female reproductive system, is regarded in Ayurveda as a crucial factor for ensuring healthy progeny. Classical Ayurvedic literature describes twenty distinct types of Yoni Vyapad, which broadly encompass various gynecological disorders affecting women. These conditions have a significant impact on physical comfort, psychological well-being, and overall quality of life. Among these disorders, YonivyapadAcharanaholds particular clinical importance due to its close resemblance to the modern condition known as pruritus vulvae, characterized by itching of the vulvar region. Epidemiological observations suggest that approximately 10% of women visiting gynecological out patient departments report symptoms of vulvar itching. Conventional management of pruritus vulvae typically includes the use of antibiotics, antifungal agents, and corticosteroids. However, prolonged or inappropriate use of these therapies may lead to adverse effects, including disruption of the normal vaginal microbiota and alteration of the physiological environment of the vagina. In Ayurvedic perspective, AcharanaYonivyapad is primarily attributed to improper hygiene practices, leading to the vitiation of Vata and KaphaDosha. This imbalance creates a favorable environment for the proliferation of Krimi (microorganisms). The condition manifests with symptoms such as yoni kandu (itching), yoni srava (discharge), yoni daurgandhya (foul odor), yoni shoola (pain), yoni shotha (inflammation), and mutrakrichra (dysuria). Therefore, therapeutic approaches aimed at pacifying vitiated Vata and Kapha, along with agents possessing Kandughna (anti-pruritic) and Krimighna (antimicrobial) properties, are considered effective in the management of this condition.
2Dr. Richa Jaiswal 1*Dr. Akanksha Shukla (Wed,) studied this question.