Abstract
Leucorrhoea is one of the commonest complaints among women of reproductive age group. An increase in the normal vaginal secretion develops physiologically at puberty, at ovulation, premenstrual phase and during pregnancy. Excessive discharge causes irritation and itching in the genitalia. Ayurveda explains this condition as Shwetha pradara. Though it is not a separate disease, clinically it has great relevance. This paper is an attempt to outline the details of Shwetha pradara as described in the classics and to illustrate its clinical presentation in 50 patients as an observational study.
Highlights
Leucorrhoea is an abnormal, nonhemorrhagic vaginal discharge which may be white, yellow or greenish in colour, accounting for more than an estimated of 25% of patients visits to gynaecologist
(1) Physiologically, some amount of vaginal discharge may be noted in various phases of menstrual cycle of a female depending upon the changes in the vaginal epithelium; bacterial flora and pH of the vagina
Among 50 patient included in this study, 2% of patients were in the age group 15-20yrs, 6% in 21-25yrs, 4% in 26-30yrs, 36% in 31-35yrs, 42% in 36-40yrs and 10% in 41-45yrs respectively. 84% of patients were Hindus and 16 % were Muslims
Summary
Leucorrhoea is an abnormal, nonhemorrhagic vaginal discharge which may be white, yellow or greenish in colour, accounting for more than an estimated of 25% of patients visits to gynaecologist. (1) Physiologically, some amount of vaginal discharge may be noted in various phases of menstrual cycle of a female depending upon the changes in the vaginal epithelium; bacterial flora and pH of the vagina. (2) Anyhow, when physiological, it is not associated with any other symptoms apart from discharge. There is a mentioning of Shweta pradara in the later text books of Ayurveda like Sharangadhara Samhita (14) , Bhava Prakash, (15) Yoga Ratnakara (16) in the context of yoni srava. Anyhow in all these references, it has not been explained as a separate disease entity, but as a symptom of an underlying pathology. When the condition involves all Yonivyapat or the doshas (biohumours), it Tridoshaja or presents with shweta (white) and Sarvaja picchila (slimy) discharge along yonivyapat (18) with daha (burning sensation) and shola (pain). Shweta pradara usually exhibits itself as the main presenting symptom of an underlying pathology, and its etiopathogenesis would be that of the principal disease. The drugs used for internal administration are described in table.[3]
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