ROLE OF HERBAL MEDICINES IN THE MANAGEMENT OF MENORRHAGIA IN SIDDHA PERSPECTIVE- A REVIEW

Dr.P.Arul Jothi(1), Dr.G.Dhineshraman(1), Dr.G.Mohana Prabha(1), Dr.M.Suguna(1), Dr.M.Muthukumaran (2)

1. PG scholars, Department of Noi-Naadal, Government Siddha medical College and Hospital, Palayamkottai.

2. Lecturer, Department of Noi-Naadal, Government Siddha medical College and Hospital, Palayamkottai

ABSTRACT:

Siddha system is the first system to emphasize health as the ideal perfect state of the physical, psychological, social and spiritual components of a human being. Siddhars found a close relationship between the external world and the internal system of man. According to our ancient siddha science health of an individual can be defined according to the harmonious and balanced function of five fundamental elements and the three dhosas. The three dhosas are the bio-regulating forces of the human body. Any disturbance in the equilibrium of these three dhosas cause disease of human body. Siddha medical system acts as abedrock of all medicines. Our siddhars reveals remedies for most of the present day problems.

Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. It affects 30% of women in reproductive age, and causes anaemia in two thirds of women with objective menorrhagia (loss of 80ml per cycle). Prostaglandin disorders may be associated with idiopathic menorrhagia and with heavy bleeding due to fibroids, adenomyosis or use of IUDS. Fibroids have been found in 10% of women with menorrhagia overall, and in 40% of women with severe menorrhagia.

Our siddhars formulated numerous remedies for solving menorrhagia some medicinal plants formulations from the treasure of siddha literatures have reviewed in this paper and it may provide an effective impact in treatment ofmenorrhagia, which is alternative to surgery.

KEYWORDS:

Menorrhagia, Perumpaadu,Single herb therapy, Yega mooligai prayogam.

INTRODUCTION:

Siddha system is the first system to emphasize health as the ideal perfect state of the physical, psychological, social and spiritual components of a human being. Siddhars found a close relationship between the external world and the internal system of man. According to our ancient siddha science health of an individual can be defined according to the harmonious and balanced function of five fundamental elements and the three dhosas. The three dhosas are the bio-regulating forces of the human body. Any disturbance in the equilibrium of these three dhosas cause disease of human body. Siddha medical system acts as abedrock of all medicines. Our siddhars reveals remedies for most of the present day problems.

Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. It affects 30% of women in reproductive age, and causes anaemia in two thirds of women with objective menorrhagia (loss of 80ml per cycle). Prostaglandin disorders may be associated with idiopathic menorrhagia and with heavy bleeding due to fibroids, adenomyosis or use of IUDS. Fibroids have been found in 10% of women with menorrhagia overall, and in 40% of women with severe menorrhagia.

MENORRHAGIA-SIDDHA PERSPECTIVE:

Perumpaadu is a disease condition described in siddha medicine as Excessive vaginal bleeding with prolonged duration.

CAUSES:

· Exposure to heat

· Excessive intercourse

· Irritation of the external genitalia

· Excessive anger

· Tumours in the uterus

Ø According to the text of yugi vaithya sinthaamani Perumpaadu is classified into vatha, pitha, kaba & thontham.Bleeding per vagina with different colour is present in all four types of perumpadu they are,

Vatha perumpadu

· Distended abdomen with reddish black menstrual bleeding,pelvic and abdominal pain, head ache and back ache.

Pitha perumpadu

· Burning sensation of the body, and burning pain in the vagina,

Kaba perumpadu

Thontha perumpadu

· Excessive salivation, foul smell, pelvic & abdominal pain,abdominal discomfort, back ache.

Table - 1

Herbs in the management of menorrhagia

TAMIL NAME

ENGLISH NAME

BOTANICAL NAME

FAMILY

Keelanelli

Indian phyllanthus

Phyllanthus amarus

Phyllanthaceae

Kavizh thumbai

Stooping toombay flower

Trichodesma indicum

Boraginaceae

karunkaali

Black catechu, cutch tree

Acacia catechu

Fabaceae

Kadarpaasi

Ceylon moss, edible moss, sea weeds

Gracilaria lichenoids

Gracilariacaea

Othimaram(or) uthimaram

Rhus olina, wodier, Jhingam

Lannae coromendalica

Anacardiacea

Ithi

Rhomboid leaves fig

Ficus microcarpa

Moraceae

Athi

Country fig, cluster fig, gular fig.

Ficus racemosa

Moraceae

Ashoku

Ashoka tree

Saraca asoca

Fabaceae

vaaluluvai

Climbing staff plant

Celastrus paniculatus

Celastraceae

Mantharai

Kancanar,

Deva kanchanamu Bodanta-chettu

Bauhinia purpurea

Caesalpiniacea

Kattu malli

Shoe flower plant, Chinese hibiscus

Hibiscus rosa sinensis

Malvaceae

Thengumaram

Coconut palm,

Coconut tree

Cocos nucifera

Arecaceae

Jathikai

Nut meg

Myristica fragrans

Myristicaceae

Pannimonthan kizhangu

Water chestnut (Indian) catrops

Singhara nut

Trapa natans

Lythraceae

Nettilingam

False ashoka

Polyalthia longifolia

Annonaceae

Nilappusini

giant potato

Ipomoea mauritiana

Convolvulaceae

Naval

Jambul

Syziggium cumini

Myrtaceae

Kothumai

Common wheat,

Bread wheat

Triticum aestivum

Poaceae

Sengkirathandu

Red amaranthus

Amaranthus gangeticus

Amaranthaceae

Pannai keerai

Cock’s combgreens

Celosia argentea

Amaranthaceae

Table - 2

Characters of the herbs used in the treatment of menorrhagia

S.NO

HERBS

PARTS USED

POTHU SEIGAI (Actions)

1

Keelanelli

Whole plant

Deobstruent, diuretic, astringent,cooling

2

Kavizh thumbai

Whole plant

3

Karungali

-

-

4

Kadarpasi

Paachai

Restorative,emollient,demulcent

5

Othimaram

Leaves, Bark,

Astringent,tonic,styptic

6

Ithi

Tender fruit

Astringent

7

Athi

Tender fruit,

Astringent

8

Asoku

Flower, bark

Astringent, uterine sedative, uterine tonic

9

Valuzhuvai

Leaves, seed,ghee

Alternative,

Nervine tonic

10

Mantharai

Flower, bark, root

Alternative,tonic, astringent

11

Sembarathai

Leaves, flower, root

Demulcent ,refrigerant,emollient

12

Thengumaram

Leaves,

Diuretic

13

Jathikai

Unripened fruit,

Tonic,narcotic, carminative

14

Pannimothan kizhaku

Seed

Refrigerant, nutrient,tonic

15

Nettilingam

Bark

Tonic,astringent

16

Nilappusani

Tuber

Tonic, galactogogue

17

Naval

Whole plant

Astringent, stomachic, diuretic, tonic

18

Kothumai

Arisi(seed)

Nutritive, demulcent

19

Sengkirathandu

Stem , Keerai, root,

Diuretic, refrigerant

20

Pannaikkirai

Leaves ,flower ,seed

Astringent,demulcent

Methods of using herbs in the management of menorrhagia:

1. Kothumai Noi Kanju - It gives good strength for Mennorhagia patients.

2. Keezhanelli- Make it as a paste with kaluneer can be given internally.

3. Sengkeeraithandu- cures Mennorhagia.

4. Pannaikeerai -Flower decoction can be given internally.

5. Kasa- Decoction of Kasa root can be given internally twice or thrice a day.

6. Kavilthumbai -Leaves of this plant is first fried with honey and make it as a decoction can be given internally.

7. Karungali -Resin can be used internally.

8. Kadarpaasi -cures Perumpaadu.

9. Othimaram - Decoction of rootbark can be given internally.

10. Ithi- Tender fruit (Pinju) of Ithi make it as decoction(or)paste can be given internally.

11. Athi- Bark is make it as a juice with Cow’s butter milk,can be given be internally twice (or)thrice a day.

12. Ashoku - Bark juice (1/4-1 uchikarandi)can be given internally.

13. Thengu -(a)Decoction of root can be given internally.

(b)Flowers also used to treat it.

14. Sembarathai -(a)Decoction of flower can be given internally.

(b)Flower is soaked with water overnight and can be given internally.

15. Valuzhuvai - seed powder(1-2 gram)can be given internally twice(or)thrice a day.

16. Manthaarai -Decoction of flower can be given internally.

17. Jaathikai- Powder of Jaathikai(3-6 kundri)can be given internally.

Table - 3

Suvai, Thanmai, Pirivu Of Herbs:

S.NO

HERBS

SUVAI

(Taste)

THANMAI

PIRIVU

1

Keelanelli

Astringent,

Bitter,Sour

Sweet

Seetham (coolant)

Sweet

2

Kavilthumbai

Astringent

----

Pungent

3

Karungali

Astringent

Seetham

(Coolant)

Pungent

4

Kadarpaasi

Astringent

Coolant

Sweet

5

Othimaram

Astringent

Veppam

Pungent

6

Ithi

Astringent

Seetham (Coolant)

Sweet

7

Athi

Astringent

Seetham (coolant)

Sweet

8

Ashoku

Astringent

Seetham (coolant)

Pungent

9

Valuzhuvai

Bitter

Veppam

(Heat)

Pungent

10

Mantharai

Astringent

Thatpam

Sweet

11

Sembarathai

Sweet

Thatpam

(Heat)

Sweet

12

Thengumaram

Thengampaalai-root(Astrigent)

Kaai –sweet

Thatpam

Thatpam

Pungent

Sweet

13

Jathikaai

Kaai –astringent,pungent

Veppam

Pungent

14

Pannimothan kizhangu

Sweet

Thatpam

Sweet

15

Nettilingam

Astringent

Thatpam

Pungent

16

Nilappusini

Sweet

Thatpam

Sweet

17

Naval

Astringent

Thatpam

Pungent

18

Kothumai

Sweet

Thatpam

Sweet

19

Sengkirathandu

Sweet

Thatpam

Sweet

20

Pannaikeerai

Astringent ,Sweet

Thatpam

Sweet

DISCUSSION:

Perumpaadu is a common gynaecological problem in the world.Siddha System emphasis wonderful single herbs to treat many disease.The herbs having astringent taste is mostly used to treat menorrhagia.The herbs having astringent,styptic,tonic,demulcent,nutritive action are discussed in this review article to treat menorrhagia.

CONCLUSION

Herbal medicine aims to return the body to a state of natural balance so that it can heal itself. In this article, the informations regarding single drug herbal therapy for menorrhagia are collected in one bunch. This paper will be better used during therapeutic approach of menorrhagia. Further research articles will be needed to prove the efficacy of these herbs towards menorrhagia.

Acknowledgements:

Our sincere thanks to Head of the department, Faculties of Noi-Naadal department for their immense support and encouragement. We extend our thanks to Dr.K.Hina Firdouse, Dr. Bharathi, Dr.S.Kavitha,Dr.M.Yashika,Dr.K.Hariharan of Government Siddha Medical College and Hospital, Palayamkottai.

REFERENCES:

1. https://www.ijedr.org>IJEDR 1802073Alarmel Mangai ,Amala.M,Hazal.A.M.A.,Clinical evaluation of Odhiyampattai kudineer (herbal decoction)a siddha drug for Vadha Perumpadu(Menorhagia)-as pilot study.International Journal of Engineering Development and Research(www.ijedr.org)2018;6:430-433.

2. Dr. Murugesa Muthalaiyar, Siddha Materia Medica (mooligai), Fourth edition Publisher, Tamilnadu Siddha Medical council, Chennai, 1988; 1.

3. Yugi Munivar,Yugi Vaidhiya Sinthamani, Tamilnadu Siddha Medical council, Chennai,Edition-2nd:Pg.No.233

4. Dr.P.M.Venugopal,HPIM.,Magalir Maruthuvam,Tamilnadu Siddha Medical council, Chennai,Fifth Edition-2013,Pg.No.82,83,84.

5. Sivaram.N,Thileepan.T.,Literature review on Perumpadu Rogam(Menorrhagia)in Siddha Medicine,J.res.tradit.med(2018),[cited June 11,2019];4(3-4):78-82.doi:10.5455/jrtm.2018/302643176.

6. Sivashanmugarajah S.,Medicinal plants used in Siddha Medicine for treating Perumpadu-A Review,IOSR Journal of Pharmacy,(IOSRPHR),Vol.9,no.5,2019pp.52-65.