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Line 44: − + − − · On the fourth day after stoppage of menstruation, a woman should take a bath, preferably a head bath. − − · She should wear the clean and new cloths (which are untorn or in good condition). − − · She can adorn herself with the jewelry etc. − − · Offer prayers, perform puja, read sacred scriptures etc. − − · Meet a husband − − · Acharyas have also mentioned about the Putreeya vidhi that one can perform in this period. ततो विधानं पुत्रीयमुपाध्यायः समाचरेत − − · Ayurveda also recommends a specific diet for a male and female partner in this period. A woman is advised to have a diet composed of Masha (black) grams and tailam (oil). − − · The ideal time for union is said to be of that of night. Also the husband and wife a re advised to communicate in a way that they both would develop faith and confidence in each other an have a positive and conducive atmosphere for their union. − − '''Garbhini''' + − + + − Charaka Samhita, Sushruta Samhita, Ashtanga Hrudayam, Ashtanga Samgraham and also a treatise Harita Samhita describe Garbhini paricharya in depth.<sup>[19]</sup> <sup>[20]</sup> All the acharyas have suggested a month wise specific diet starting from liquid to solid foods. The recommended diet includes use of various recipes of milk, medicated ghee, butter and rice gruel. A specific type of basti is also advised in the last month of pregnancy to facilitate easy flow of vata dosha resulting in smooth delivery. Such measures to facilitate normal delivery like use of pichu (medicated vaginal tampon), basti have been suggested by Ayurveda and one seeking help for the same should also consult a trained vaidya .+ − + + − '''Suprajanana Samskara'''+ − − Main article suprajanana samskara . − − − − '''Sutika''' + − + + − At least 12 days post delivery a new mother is advised to follow a strict diet plan. This diet plan includes use of ample amount of ghee, rice gruel, jaggery, milk, various soups made up from barley/horse gram etc and also meat broths for a non vegetarian woman. All these recipes have been described in brief and their day-wise schedule has also been given. Alon with the diet specific therapies like abhyanga (oil massage), udara-aveshtanam (wrapping the abdomen with a long cotton cloth), parisheka (pouring hot water in a stream), avagaha (sitz bath), dhupana (vaginal fumigation) use of rakshoghna dravyas (similar to anti-microbial which protects mother and child from various disease causing micro-organisms) has been recommended.<sup>[21]</sup> <sup>[22]</sup> All these measures employed under sutika paricharya. The Sutika who is weak due to development of foetus, loss of Dhatus, excretion of Kleda, blood and exhaustion due to labour pain can regain her pre-pregnancy state by following this Paricharya.+ − − + − + − === Yonivyapadas ===+ − === Vandhyatwa ===+ − == Woman's health issues in current time and how Ayurveda can help == − − Thus, it is very difficult or rather next to impossible to follow the regimen as mentioned. Due to the adaptation to the western way of life there is aversion or rather ignorance towards our classical science. The so-called outdated system has lost its importance in today’s generation. In past few years there has been a drastic rise in the menstrual problems and infertility which is posing as a major threat to the present-day population. The symptoms like lower abdominal pain, backpain, mood swings, nausea etc are considered as associated symptoms of menstrual cycle and as normal. But our classics has mentioned that a normal menstruation should be devoid of pain burning sensation. Line 114:
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==== Rtumati paricharya ====
==== Rtumati paricharya ====
At the beginning, the acharyas have described the general appearance and signs of a woman who is Rtumati (which develop as a result of particular state of hormones in her body at that time).<sup>[17]</sup> Then the paricharya has been suggested as follows,<sup>[18]</sup>
At the beginning, the acharyas have described the general appearance and signs of a woman who is Rtumati (which develop as a result of particular state of hormones in her body at that time).<ref>Sushruta Samhita (Sharirasthanam Adhyaya 3 Sutra 7-8)</ref><ref>Charaka Samhita (Sharirasthanam Adhyaya 4 Sutra 7)</ref> Then the paricharya has been suggested. On the fourth day after stoppage of menstruation, a woman should take a bath, preferably a head bath. Then she is advised to wear the clean and new cloths (which are untorn or in good condition) and can adorn herself with the jewelry and ornaments. She should then start her by offering prayers, performing puja, reading sacred scriptures etc. Some acharyas have also mentioned about the Putreeya vidhi that one can perform in this period. Specific diet for a male and female partner in this period has also been recommended. A woman is advised to have a diet composed of Masha (black) grams and tailam (oil) ideally for lunch. After all these the ideal time for union is said to be of that of night. Also the husband and wife are advised to communicate in such a way that they both would develop faith and confidence in each other and create positive and conducive atmosphere for their union <ref>Sushruta Samhita (Sharirasthanam Adhyaya 2 Sutra 27-28)</ref>
=== '''Garbhini''' ===
Garbha refers to the fetus in a womb while Garbhini means a pregnant woman. A specific regimen for a pregnant woman which includes specific diet and lifestyle has also been recommended in Ayurveda for wellbeing of mother and child in womb and it is known as Garbhini paricharya. Ayurvedic text states that, “If a pot filled with oil right up to the brim is to be carried without spilling even a single drop, every step has to be taken with care”, the texts emphasis that a similar care and attention is required in taking care of a garbhini (pregnant woman). Along with Garbhini paricharya Ayurveda acharyas have also mentioned garbhopaghatakara bhavas which refer to the various lifestyle factors of a pregnant woman that could cause serious harm to the baby developing in her womb.
Garbha refers to the fetus in a womb while Garbhini means a pregnant woman. A specific regimen for a pregnant woman which includes specific diet and lifestyle has also been recommended in Ayurveda for wellbeing of mother and child in womb and it is known as Garbhini paricharya. Ayurvedic text states that, “If a pot filled with oil right up to the brim is to be carried without spilling even a single drop, every step has to be taken with care”, the texts emphasis that a similar care and attention is required in taking care of a garbhini (pregnant woman). Along with Garbhini paricharya Ayurveda acharyas have also mentioned garbhopaghatakara bhavas which refer to the various lifestyle factors of a pregnant woman that could cause serious harm to the baby developing in her womb.
'''Garbhini Paricharya'''
==== '''Garbhini Paricharya''' ====
Charaka Samhita, Sushruta Samhita, Ashtanga Hrudayam, Ashtanga Samgraham and also a treatise Harita Samhita describe Garbhini paricharya in depth.<ref>Deshmukh, Tushar & Chitalwar, Vishakha. (2021). ROLE OF MASANUMASIKA GARBHINI PARICHARYA DURING GARBHAVASTHA. 10. 200-202. </ref> <ref>Dash, Shibani & Dhiman, Kamini & Rout, Siba. (2017). GARBHINI PARICHARYA (ANTE-NATAL CARE) – VIEW OF HARITA SAMHITA (A TREATISE OF 10 th CENTURY). Indo American Journal of Pharmaceutical Research, 2017 ISSN NO: 2231-6876. 7. 102-108. </ref> All the acharyas have suggested a month wise specific diet starting from liquid to solid foods. The recommended diet includes use of various recipes of milk, medicated ghee, butter and rice gruel. A specific type of [[Basti (बस्तिः )|basti]] is also advised in the last month of pregnancy to facilitate easy flow of [[Doshas (दोषाः)|vata dosha]] resulting in smooth delivery. Such measures to facilitate normal delivery like use of pichu (medicated vaginal tampon), basti have been suggested by Ayurveda and one seeking help for the same should also consult a trained [[Vaidya (वैद्यः)|vaidya]] .
'''It is advisable that a pregnant woman seeking guidance on garbhini paricharya for safe, uncomplicated motherhood and also for wellbeing of a baby should consult a nearby''' '''[[Vaidya (वैद्यः)|Vaidya]] for appropriate guidance and should not practice it just by reading the information.'''
'''It is advisable that a pregnant woman seeking guidance on garbhini paricharya for safe, uncomplicated motherhood and also for wellbeing of a baby should consult a nearby''' '''Vaidya''' ''' for appropriate guidance and should not practice it just by reading the information.'''
==== '''Suprajanana Samskara''' ====
Main article [[Suprajanana Samskara (सुप्रजनन संस्कारः)|Suprajanana samskara]] .
The influence of factors like diet, psyche and other routines of mother on the fetus has been talked since ages. Ancient Ayurveda scholars believed that, if we make an effort to enhance the quality of these factors which affect the final status of the developing new life, we can certainly obtain healthier, stronger and superior offspring. To achieve this, one can eliminate the adversely affecting dietary and lifestyle factors from pregnant woman's daily regime and at the same time make use of beneficial food, activities and herbs to gain the lacking attributes. It also includes mother's counseling, motivation and meditation for developing a balanced and [[Sattva (सत्त्वम्)|Sattva]] (सत्वम् one of the 3 attributes of mind that indicate the quality of goodness or excellence) predominant mind of a baby. Ayurveda describes many such simple methods to procure a healthy offspring and the planning of which starts from detoxifying the bodies of the partners for conception. These methods are popularized now-a-days as ‘Garbha samskaras’ (गर्भसंस्काराः) however, the classical treatises describe this regimen as [[Suprajanana Samskara (सुप्रजनन संस्कारः)|'Suprajananam' (सुप्रजननम्) samskara]].
The influence of factors like diet, psyche and other routines of mother on the fetus has been talked since ages. Ancient Ayurveda scholars believed that, if we make an effort to enhance the quality of these factors which affect the final status of the developing new life, we can certainly obtain healthier, stronger and superior offspring. To achieve this, one can eliminate the adversely affecting dietary and lifestyle factors from pregnant woman's daily regime and at the same time make use of beneficial food, activities and herbs to gain the lacking attributes. It also includes mother's counseling, motivation and meditation for developing a balanced and Sattva (सत्वम् one of the 3 attributes of mind that indicate the quality of goodness or excellence) predominant mind of a baby. Ayurveda describes many such simple methods to procure a healthy offspring and the planning of which starts from detoxifying the bodies of the partners for conception. These methods are popularized now-a-days as ‘Garbha samskaras’ (गर्भसंस्काराः) however, the classical treatises describe this regimen as ' Suprajananam' (सुप्रजननम्) samskara.
=== '''Sutika''' ===
The term Sutika in Ayurveda refers to the woman in her post partum period upto 1.5 months (or 6 months according to some acharyas) from the child birth. Ayurveda described different types of sutika rogas (post partum diseases) which specifically affect Sutika due to inappropriate management of her delicate state post childbirth. Thus Ayurveda has advised a specific diet & lifestyle regimen called Sutika Paricharya (post natal care of a woman) to prevent further complications & restore the health of a mother.
The term Sutika in Ayurveda refers to the woman in her post partum period upto 1.5 months (or 6 months according to some acharyas) from the child birth. Ayurveda described different types of sutika rogas (post partum diseases) which specifically affect Sutika due to inappropriate management of her delicate state post childbirth. Thus Ayurveda has advised a specific diet & lifestyle regimen called Sutika Paricharya (post natal care of a woman) to prevent further complications & restore the health of a mother.
'''Sutika paricharya'''
==== '''Sutika paricharya''' ====
At least 12 days post delivery a new mother is advised to follow a strict diet plan. This diet plan includes use of ample amount of ghee, rice gruel, jaggery, milk, various soups made up from barley/horse gram etc and also meat broths for a non vegetarian woman. All these recipes have been described in brief and their day-wise schedule has also been given. Alon with the diet specific therapies like abhyanga (oil massage), udara-aveshtanam (wrapping the abdomen with a long cotton cloth), parisheka (pouring hot water in a stream), avagaha (sitz bath), dhupana (vaginal fumigation) use of rakshoghna dravyas (similar to anti-microbial which protects mother and child from various disease causing micro-organisms) has been recommended.<ref>Dr. Astha Verma, Sonalika Hiremath, Sheela Mallikarjuna, & Sridevi Swamy. (2017). Sutika Paricharya - Post Natal Care in Ayurveda. ''Journal of Ayurveda and Integrated Medical Sciences'', ''2''(03), 175-180. Retrieved from <nowiki>https://www.jaims.in/jaims/article/view/206</nowiki></ref><ref>Poonam.P.Khot & Amit.L.Tamadaddi: Review Of Sutika Paricharya & Its Clinical Importance. International Ayurvedic Medical Journal {online} 2017 {cited July, 2017} Available from: <nowiki>http://www.iamj.in/posts/images/upload/2658_2667.pdf</nowiki></ref> All these measures employed under sutika paricharya. The Sutika who is weak due to development of fetus, loss of Dhatus, excretion of Kleda, blood and exhaustion due to labour pain can regain her pre-pregnancy state by following this Paricharya.
'''It is advisable that a woman in post natal period seeking guidance on sutika paricharya for safe, uncomplicated motherhood and also for wellbeing of a baby should consult a nearby''' '''[[Vaidya (वैद्यः)|Vaidya]]''' '''for appropriate guidance and should not practice it just by reading the information.'''
'''It is advisable that a woman in post natal period seeking guidance on sutika paricharya for safe, uncomplicated motherhood and also for wellbeing of a baby should consult a nearby''' '''Vaidya''' ''' for appropriate guidance and should not practice it just by reading the information.'''
== Various woman's health conditions described in Ayurveda ==
== Various woman's health conditions described in Ayurveda ==
Ayurveda acharyas have discussed in depth about various menstrual disorders, gynecological conditions, infertility issues and also obstetrical disorders. Although the medical conditions described in Ayurveda are not identified with the same nomenclature in today's time, their causes, signs, symptoms match with multiple reproductive health issues in woman found in today's time. Ayurveda acharyas have explained 8 different types of menstrual disorders specifically arising due to vitiation of rajas (menstrual blood) which is the [[Upadhatus (उपधातवः)|upadhatu]] of [[Rasa Dhatu (रस धातु)|Rasa dhatu]]. Rajas is vitiated by vata, pitta or kapha [[Doshas (दोषाः)|dosha]] or even by combination of any 2 or 3 doshas. These are known as Rajo doshas or rajodushti.<ref>Sushruta Samhita (Sharirasthanam Adhyaya 2 Sutra 5-24)</ref> Medical conditions like Asrugdara (menorrhagia/dysfunctional uterine bleeding) Anatomical (structural) and functional issues related to the tryawarta yoni (uterus, cervix, vagina) known as yonivyapadas, their causes and medical management has also been described in depth. Various types of specialized [[Panchakarmas (पञ्चकर्माणि)|panchakarma]] therapies have been effectively employed in these conditions. Along with these multiple Garbhavyapada (antenatal problems / pregnancy related medical conditions) and Sutika rogas (post natal disorders / health issues arising post delivery) have also been addressed. At each stage of her reproductive life, the care has been taken to maintain her fertility to the best possible level and to achieve this various paricharyas (code of conduct) have been suggested. If at all the woman happens to face infertility problems then the guidelines are given for assessment of her health status, finding out and working on the actual causative factor and multiple measures to treat such health concerns have been described in depth.
=== Rajodushti ===
== Woman's health issues in current time and how Ayurveda can help ==
to the high incidence of a variety of menstrual health problems in pre-menarche, during menstruation, perimenopause and postmenopause.
Thus, it is very difficult or rather next to impossible to follow the regimen as mentioned. Due to the adaptation to the western way of life there is aversion or rather ignorance towards our classical science. The so-called outdated system has lost its importance in today’s generation. In past few years there has been a drastic rise in the menstrual problems and infertility which is posing as a major threat to the present-day population. The symptoms like lower abdominal pain, backpain, mood swings, nausea etc are considered as associated symptoms of menstrual cycle and as normal. But our classics has mentioned that a normal menstruation should be devoid of pain burning sensation.
Menstrual irregularities
Menstrual irregularities
Infertility
Infertility - According to a report by the World Health Organization (WHO), one in every four couples in developing countries is affected by infertility.[4] The magnitude of the problem calls for urgent action, particularly when the majority of cases of infertility is avoidable.