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.
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