Abstract
Unexplained infertility refers to a diagnosis made in couples in whom standard investigations, including semen analysis, ovulation testing, and tubal patency, yield average results. A 29-year-old woman who had had trouble conceiving for three years got admitted. She has had regular menstruation cycles since she was 17, and bleeding usually lasts 4-5 days. Her secondary sexual signs were typical, and there was no evidence of any other systemic disease. So, treatment was planned based on the concept of kshetra shudhi (purification of the uterus). The patient was of Vata Pitta prakriti (Vata Pitta constitution), and considering kala (season) and other factors, vamana (emesis) and virechana (purgation) was planned. Vamana karma (emesis) is done with Madanaphaladi yoga (Randia dumeorum medicines) after doing snehapana (intake of medicated ghee) with Indukantham ghrita. Virechana (purgation) was done with Manibhadra gulam after doing snehapanam (intake of medicated ghee) with Kalyanaka ghrita. The patient conceived soon after her first menstrual cycle and delivered a healthy baby girl. The kshetra (uterus) should be devoid of the morbid dosha for conceptions. Vamana (emesis) and virechana (purgation) have action all over the body, and so it does kshetra shudhi (purification of the uterus).
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