Effect of Shwadranshtra Taila Basti in the Management of Mutrakricchra With Special Reference to Dysuria in Post Menopausal Atropic Vaginitis: A Case Study

In Ayurveda, various mutrarogas and their management has been described. According to Sushruta, mutrakriccha is a tridoshaja vyadhi. Physiological action of urination and defecation is predominantly under the control of Apan Vayu, seat of which is Pakvashaya and if this vayu get vitiated it causes various genitourinary and anorectal diseases. On the basis of symptomatology, mutrakriccha can be compare with dysuria in modern science. Non infectious causes of dysuria such as urinary calculi, tumors, trauma, strictures or foreign bodies, and atrophic vaginitis can result from irritation of the urethral or bladder mucosa. Physiological aging process in females accelerates after menopause, which leads to decline in estrogen level, which causes Atropic Vaginitis. Estrogen loss results in decrease in vaginal glycogen and a thin walled epithelium, promoting friability and inflammation. Menopause can also affect bladder control. This hormone can impact the lining of the bladder and urethra. As a result, a woman may experience the need to urinate more frequently. Mutrakricchra in old age, i.e, Vridha Avastha leads to Dhatu Kshaya, which causes Vata Vriddhi, leads to Rasa Kshaya and Mutravaha Shrotas Dhusti. Raja is Updhatu of Rasa that’s why Rasa Kshaya leads to Raja Kashaya. Hence due to Mutravaha Shrotas Dhusti, vitiated Vata causes Mutrakricchara and due to Raja Kshaya this leads to condition called as menopausal atropic vaginitis. Sushruta has explained various basti therapy for management of mutrakricchra. Plants like shwadranshtra has diuretic, anti urolithic, anti inflammatory, analgesic, antispasmodic properties. Here considering the factors like women post menopausal conditions, fitness, side-effect of treatment, it is decided to take a new Herbal taila i.e, Shwadranshtra taila in management of mutrakricchra with Special reference to Post menopausal Atropic vaginitis.