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DOI: 10.4103/0974-8520.82031
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Effect of Kumari Taila Uttar Basti on fallopian tube blockage

Kamayani Shukla (Upadhyay)1, Kaumadi Karunagoda2, Nita Sata3, L. P. Dei4
1
Ayurvedic Gynaecologist & obstetrician, Pratapgarh, Uttar Pradesh, India, 2Lecturer, Kaumarbhritya
Department, IIM, Colombo, Srilanka, 3Gynaecologist & Obstetrician, Jamnagar, Gujarat, 4Associate Professor,
Department of Stri Roga and Prasuti Tantra, Institute for Post Graduate Teaching and Research in Ayurveda,
Jamnagar, Gujarat, India

Abstract
The present study was carried out to evaluate the role of Uttar Basti in tubal blockage, in order
to establish it as a safer and cost-effective Ayurvedic treatment modality. The criteria for selec-
tion of patients and assessment of results were unilateral or bilateral tubal blockage diagnosed
in hysterosalpingography (HSG). A total of 16 patients in the reproductive age group were
registered for the study, with 62.50% unilateral and 37.50% bilateral tubal blockage. Fifteen
patients completed the course of treatment. The patients with an evidence of active infection
or chronic diseases were excluded. Kumari Taila was selected for its Vata Kapha Shamaka and
Lekhana properties. The dose of Uttar Basti was 5 ml with duration of two consecutive cycles
(six days of Uttar Basti in each cycle with an interval of three days in between). Uttar Basti was
administered, after cessation of menstruation, to the screened patients, through hematological,
urinary, and serological (HIV, VDRL, HBsAg) investigations. The tubal blockage was removed in
80% of the patients, and 40% of the patients had conceived within the follow-up period of two
months. The results suggest that Uttar Basti is a highly significant treatment modality for tubal
blockage, with no apparent complications.
Key words: Tubal blockage, Uttar Basti, Kumari Taila, HSG

Introduction manage. Claims have been made with regard to the effect of
intrauterine Uttar Basti (IUUB) on tubal blockage. However,
It is always difficult to describe and understand something no database evidence of research study is available. Hence,
very large and covering several things. It is true with Ayurvedic this study was carried out as a very preliminary, but sincere
principles that Ayurveda covers all the physical, mental, step on the path of infertility management through Ayurveda.
The aims and objectives of the study include: (i) Evaluation
and spiritual aspects of human life, and hence, description
of the efficacy of Kumari Taila Uttar Basti in tubal blockage
becomes more abstract. Artavavaha Srotas is also the same. It
and (ii) a study of the complications, if any, during and after
covers the whole female reproductive tract and encompasses
the course of treatment.
it as a structural and functional unit from the hypothalamus
to the uterus. It represents not only the hormones related
to reproduction at the physiological level, but also covers all Materials and Methods
the structures related to female reproductive organs at the
anatomical level. Fallopian tubes are very important structures Patients attending the OPD of the Stree Roga and Prasooti
of the Artavavaha Srotas, as they carry Bija Rupi Artava. Artava Tantra, Institute for Post Graduate Teaching and Research in
Ayurveda Hospital, Jamnagar fulfilling the criteria for selection,
is also termed as Raja at various places in the classics. Thus,
were incorporated into the study.
fallopian tubes can be termed as Artava Bija Vaha Srotas to
prevent any ambiguity and controversy. Tubal blockage is Criteria for selection of cases
responsible for 25 − 35% of female infertility.[1] It is one of the Patients of childbearing age having complaints of failure
most notorious factors of female infertility and very difficult to to conceive due to tubal factor, diagnosed on the basis of
hysterosalpingogram (HSG) were registered for the study.
Patients having any urogenital infection, history of excessive
Address for correspondence: Dr. Kamayani Upadhyay,
menstruation, suffering from any chronic debilitating disease,
C/O Dr. C. P. Upadhyay, 359, Jail Road, Pratapgarh, U. P., India
sexually transmitted diseases, human immunodeficiency virus
E-mail: [email protected]
(HIV), hepatitis B, contagious diseases, and so on, were excluded

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 Shukla (Upadhyay), et al.: Kumari Taila Uttar Basti in tubal blockage

from the study. A total of 16 patients were registered and 15 could not be neglected totally. Per vaginal bleeding and lower
patients completed the course of treatment. One patient had abdominal pain were the most probable complaints during and
to discontinue the treatment due to personal family problems. after the procedure. They were considered as complications,
Routine hematological investigations and urinary analysis were only if were very troublesome for the patient. The feature of
done before and after the treatment. urogenital infection during and after the procedure was also
considered as a complication. Hence, close surveillance was
Selection of the drug kept to detect complications as early as possible.
Tubal blockage was considered as a Vata-Kapha-dominated
Tridoshaja condition, as Vata was responsible for Samkocha,[2] End points
Kapha for Shopha, and Pitta for Paka.[3] Thus, all the three If some conditions developed during treatment, it was decided
Dosha were collectively responsible for the stenosis or the to stop the treatment; for example: (i) if the patient conceived
obstructing type of pathology of the fallopian tubes. The in between the course of the study, (ii) if signs of any type of
drug was selected on the basis of Vata–Kaphashamaka and urogenital infections were observed, (iii) if heavy per vaginal
Tridoshaghna, having Ushna–Tikshna–Sara–Laghu–Pramathi
bleeding started, and (iv) if abdominal pain occurred, which
and Sukshma properties, so that it could remove the blockage
troubled the patient lot.
by reaching up to the minute channels. Hence, Kumari Taila
mentioned in Bhava Prakasha,[4] was selected for its contents Follow-up study
with the same type of properties. The drug was prepared in A follow-up study for pregnancy was carried out for two months
the Pharmacy of Gujarat Ayurved University, Jamnagar, as per after completion of the treatment. Any new complaint that
the method mentioned in the text after the pharmacognostical emerged during the follow-up period related to the study was
analysis of the raw drugs. The prepared drug was analyzed
also noted.
pharmaceutically. Considering the organoleptic parameters,
the drug had a dark-red color, aromatic odor, dark appearance,
and thick consistency. The results on the physicochemical Observations and Results
parameters, such as, loss on drying, refractive index, specific
gravity, acid value, saponification value, and iodine value were The observations of the study are presented in Figures 1-4 and
0.25%, 1.454, 0.522, 9.986 w/w, 192.95 w/w, and 92.50 w/w, Table 1. The X-ray of patients with cornual block are given in
respectively. Figures 5-7. The effect of therapy is shown in Tables 2-5.

Treatment protocol
Five milliliters of Uttar Basti for six days, in one cycle (after
Discussion
cessation of menstruation), was given with an interval of
three days in between,[5] for two consecutive cycles, with It has been established that in only 40% of the cases of tubal
the consent of the patient. The patient was admitted for
Uttar Basti, a day after cessation of menstruation. Snehana
(oleation) of Bala Taila[6] on the lower abdomen, back, and Table 1: Number (%) of patients with various
lower limbs followed by Nadi Sveda (fomentation) with water clinical manifestations during and after procedure
steam on the lower abdomen and back was given to patients (n = 15)
before each Uttar Basti. Yoni Prakshalana with Panchavalkala Finding No. of patients Percentage (%)
Kvatha[7] was performed to sterilize the peri vaginal part. The Abdominal pain 11 73.33
procedure was carried out in the operation theater. The oil
Severity Tolerable 10 66.67
and instruments were autoclaved. The patient was placed
on the operation table in a dorsal lithotomy position. The Intolerable 01 06.67
private part (already shaved) was cleaned with antiseptic Duration < one hour 09 60
solution. The vagina and cervix were visualized with the > one hour 02 13.33
help of the Sim’s speculum[8] and an anterior vaginal wall Per vaginal bleeding 12 80
retractor.[9] The anterior lip of the cervix was held with the Amount Spotting 12 80
help of the Allis’ forceps.[10] Uterine sounding was done and More - -
then Uttar Basti cannula, already attached with 5 mL syringe
Quality Fresh blood - -
filled with Kumari Taila was passed into the uterine cavity
Dark blood 12 80
after making a head low position. The drug was pushed above
the level of the internal os with constant force, but quickly to
make the drug reached up to the tubes. The patient was sent
to bed and the bed was kept with head low for two hours. The Table 2: Effect of therapy
lower abdomen was fomented with hot water bag. Patients were Total no. of Patients with Patients Patients with
asked to avoid very spicy food during treatment. Coitus was patients positive who negative
prohibited during the course of Uttar Basti and proper care was results conceived results on
taken to see that patients did not suffer from constipation. on block block
removal removal
Notification of complications 15 12 06 03
As the Taila prepared with Ushna–Tikshna Dravya was
(80%) 40 20%
administered inside the uterus, the possibility of complications

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 Shukla (Upadhyay), et al.: Kumari Taila Uttar Basti in tubal blockage

68.75% 56.25%
31.25%

Yathochita Kale Adarshanam Alpata Yonivedana

Figure 2: Number (%) of patients with Lakshana (features) of

Artavakshaya (n = 16)

Figure 1: Number (%) of patients with previous history of

infection (n = 16)
25.00%

18.75% 18.75% 18.75%

12.50% 12.50%

6.25% 6.25% 6.25%

l
ua ua
l al al ial al al al ial al ial
rn orn t ub tub br bri rnu t ub br t ub br
c o c id id fim fim c o id fi m id fim
g ht Left h t m ft m ight Left oth th m oth th m oth
R i Le B B B
Rig R Bo Bo
Figure 4: Number (%) of patients with various sites of tubal
Figure 3: Findings of tubal blockage in patients by HSG (n = 16) blockage (n = 16)

a b
Figure 6: a) Right cornual, left mid tubal block,before treatment,
a b b) Patent bilateral tubes after treatment
Figure 5: a) Bilateral cornual block before treatment, b) Patent
bilateral tubes after treatment
supports the same point. A history of tuberculosis has been found
in 37.50% of the patients, which is a significant data [Figure 1].
Most of the time, tuberculosis is missed by the consultant and
is evaluated at the end. The data suggest that it must be given
due importance and must not be missed. It also suggests that
the health system in India has not yet come up to the mark
to prevent the society from infective diseases like tuberculosis.
Tuberculosis is still responsible for several health hazards in the
Indian population. Infertility is no exception to this. A history
a b of sexually transmitted diseases (STDs), which are considered
Figure 7: a) Right cornual block before treatment, b) Patent very important etiological factors of infertility due to tubal
bilateral tubes after treatment blockage, has been found in only one patient (6.25%) [Figure 1].
It suggests that these diseases have become less prevalent in the
population than previously. It is because of the increasing use of
blockage, a previous history of pelvic inflammatory disease (PID) antibiotics. As an associated finding, the features of Artavakshaya,
has been found, and in 60% of the patients, it has not been reported by Sushruta[12] as, Yathochita Kale Adarshanam, Alpata,
possible to elicit the history of PID, although it is the most and Yonivedana have been found in 68.75, 56.25, and 31.25%
important etiological factor of tubal blockage.[11] It is supported of the patients, respectively [Figure 2].There was no significant
by the fact that 12.50% of the patients in this study had a difference observed in the unilateral and bilateral tubal blockage;
history of PID [Figure 1]. This data is not large enough to show 62.50% patients had unilateral tubal blockage, while 37.50%
the significance of PID in the generation of tubal blockage and patients had bilateral tubal blockage [Figure 3]. Enough

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 Shukla (Upadhyay), et al.: Kumari Taila Uttar Basti in tubal blockage

Table 3: Patients in whom the block could not be removed

Case Type of tubal block Abnormalities related to the History of other Condition of the ovary
tube diseases
First case Bilateral fimbrial block Adhered right tube and ovary History of tuberculosis Anovulation bilateral PCOD
Second case Bilateral cornual block Beaded appearance of tube History of tuberculosis Anovulation
Third case Right cornual block - - -
PCOD-Poly-cystic ovarian disease

Table 4: Evaluation of patients who did not conceive within the follow-up period after block removal
No. of patients in whom block was Patients in whom no other factor Patients in whom other factors were
open, but there was no conception could be detected involved
06 - 06

Table 5: Effect of therapy on Artavakshaya

Features No. of patients, who had Patients who got relief
Artavakshaya No. of patients Percentage (%)
Yathochitakale adarshanam (oligomenorrhea) 11 09 82
Alpata (hypomenorrhea) 09 07 78
Yonivedana (dysmenorrhea) 05 04 80%

authentic data are not available on the incidence of unilateral of the patients had pain within their tolerating capacity and
and bilateral tubal blockage. Hence, it is difficult to correlate 6.67% (one) patients beyond their tolerating capacity [Table 1].
the incidence of bilateral and unilateral tubal blockage obtained A hot water bag was given as a post-procedure measurement
in the present study in this pattern. The most significant to all the patients and it relieved the pain completely. One
point that has emerged from this observation is cornual patient who was not able to tolerate the abdominal pain was
tubal blockage. It is the most prevalent, as it is 18.75% right managed with two Shankha Vati[14] tablets of 500 mg. In 60%
cornual and 25% left cornual among all the patients [Figure 4]. of the patients, the duration of pain was less than one hour,
Proximal tubal occlusion is mostly due to an inflammatory whereas, in 13.33% of the patients, the duration of pain was
phenomenon, secondary to an ascending sexually transmitted more than one hour [Table 1]. Lower abdominal pain was not
disease, puerperal infection or septic abortion. It may also be taken as a bad sign when it was within tolerating limit, because
associated with salpingitis isthmica nodusa, endometriosis, it denoted the contractile response of the uterus to remove
tubal polyposis or other rare causes of endosalpingitis.[13] The the obstruction from the blockage site. Eighty percent of the
observations show that the factors related to cornual blocks patients complained of per vaginal bleeding as a post-procedure
have been found to be more in the study population, and feature [Table 1]. The blood was dark colored and spotting in
hence, it is found to be more common. all patients. It denoted the endometrial scraping action of the
Tikshna and Lekhana drugs administered through Uttar Basti,
It seems to be a coincidence that the findings of bilateral
which was already hypothesized.
(B/L) tubal blockage show a very symmetrical incidence of
B/L cornual, B/L mid tubal, and B/L fimbrial tubal blockage. The most probable complications of Uttar Basti, are
Although, the incidence of one side cornual and other side genitourinary infections and oil embolism. Good surveillance
block on another site and vice versa are also possible. The was carried out to diagnose any such complications as early
12.50% B/L cornual blockage, 18.75% B/L fimbrial blockage, as possible. However, the most encouraging point was that no
and 6.25% patients of B/L mid tubal blockages are suggestive feature of infection or oil embolism was observed during or
of a similar type of pattern in patients of B/L tubal blockage after the procedure and even in the follow-up period. Proper
[Figure 4]. These data support the same fact that tubal antiseptic care, before and after the procedure does not allow
blockage on any site other than the cornua or fimbria is the any infection to grow. Uttar Basti carried out gently with a
least common.[13] steady pace and confident skill prevents any complication like
oil embolism. As it was a research study, it was mandatory not
Interpretation of observations during and after to give any drug other than the test drug to evaluate its exact
the procedure role in tubal blockage. No modern antibiotics or any other
The observations regarding various complaints after the Ayurvedic drugs were given. Yet patients did not show any sign
procedure were supportive of the hypothesis that IUUB with of infection. It was because of the potent anti-inflammatory
the Ushna–Tikshna drug act on tubal blockage by removing the and anti-infective effect of various herbal drugs and Tila Taila.
whole inner lining and by the mechanical effect of stimulating These results were encouraging and prove that there should not
contractions of the uterus. Lower abdominal pain was found as be any unnecessary fear toward Ayurvedic procedures because of
a post-procedural complaint in 73.33% of the patients; 66.67% modern influence.

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 Shukla (Upadhyay), et al.: Kumari Taila Uttar Basti in tubal blockage

Interpretation of the results obtained of the cilia. It is supported by the results of Uttar Basti, because
After analyzing the complicated conditions of tubal infertility, totally 40% patients conceived, but no ectopic pregnancy was
more than 50% of the results to remove the blockage were reported. Another supporting fact is that all these patients
considered as highly significant before study was started. The conceived within two months of the follow up-period; most of
tubal block was removed in 80% of the patients [Table 2], as them in the very next cycle after treatment. Hence, IUUB with
was evident by HSG [Figures 5-7]. These results were very Vatashamaka drugs not only helps to get the patency of the tubal
encouraging for the Ayurvedic gynecologists as well as those who lumen, but also restores its normal physiological functions.
care for the infertile population. Moreover, 40% of the patients Analyzing the results and the available literature, the mode of
conceived within the follow-up period of two months after the action of Uttar Basti on tubal blockage can be summarized in the
treatment [Table 2]. following points: (i) it removes the blockage of the tubal lumen
On analyzing the effect of Uttar Basti on tubal blockage, highly by directly acting on the obstruction mechanically and restores
the normal endometrium, as the endometrial covering exists on
significant results show the potency of the drugs used and also
the inner side of the tubes also; its scraping and regenerating
the efficacy of Uttar Basti. It is clear that its action on various
also leads to normalization of tubal functions, (ii) it restores
disorders acts in both ways, local as well as systemic. In case of
the normal functions of the cilia by stimulating them, and (iii)
tubal blockage, this effect seems to be more local than systemic.
it may break the tuboperitoneal adhesions, as it is observed with
The Tila Taila[15−17] is Vranashodhaka and Vranapachaka. It is
several studies that hysterosalpingography with an oil-based dye
Krimighna too. Other than that its specific role on the uterus and
helps to break the adhesions.[25]
reproductive tract is also mentioned as Garbhashayashodhana and
Yonishulaprashamana. All these properties indicate its antiseptic Logic behind some negative results
and anti-inflammatory effects. Its Vyavayi and Vikasi Guna show With regard to the negative results in which the tubal block
its potency to enter the minute channels and to spread easily. could not be removed, which were found in a limited number
Thus, it is the best medium for any drug to reach the tubal cavity of patients, an effort was made to analyze whether they all
and remove the blockage. It is suggested that only the effect possessed a similar type of clinical picture or pathology. The
of Tila Taila Uttar Basti on tubal blockage must be studied to number of such patients was three, two of them had a history
find out a cost-effective and easily available alternative. Kumari of genital tuberculosis. Along with this, both the patients were
(Aloe vera)[18−20] is well-established for its anti-inflammatory, ulcer suffering from anovulation. It showed the strong adverse effect
healing, and antibacterial properties. It is Tikshna and Vata- of genital tuberculosis on infertility. Strong and highly effective
Kaphavardhaka by Karma. Thus, it removes the outer fibrosis antitubercular drugs, although they killed the mycobacterium,
of the endometrium and helps in its rejuvenation. Its anti- could not repair the damage caused by it on various organs.
inflammatory action decreases the inflammation and its ulcer- This fact is supported by the results of present study also. The
healing property helps the inner lining of the tubes and uterus IUUB gave more than 80% positive results, even then it could
to heal. Another important content of Kumari Taila, Bhringaraja not remove the blockage in 20%[3] of the patients. Of those three
(Eclipta alba)[21] is a very potent Vata-Kapha Shamaka drug, which patients, 66.67% had a history of genital tuberculosis [Table 3].
contains antiviral, antibacterial, antioxidant, and antihemorrhagic Hence, to obtain a peculiar conclusion regarding the significance
qualities. These properties make the medicine more potent in of the therapy in cases with history of tuberculosis, some
removing the chronic inflammation and fibrosis. Its Shothahara more research is definitely needed. It is suggested to carry out
and Vishahara Karma reduce the swelling and edema of the tube researches with no short-time limit, to evaluate the effect of Uttar
and render it in a healthier atmosphere. Another major content Basti on tubal blockage and infertility with a history of genital
of Kumari Taila and Dhatura (Datura metel)[22−24] is Krimighna, tuberculosis. All the patients, who did not conceive within the
Vranahara, and Vishaghna. It is known for its anti-inflammatory follow-up period, after block removal, were having one or more
property, and hence, it helps the inner lining of tubes to heal factors of infertility other than tubal blockage [Table 4]. Hence,
and rejuvenate. Thus, Kumari Taila helps in the scraping of the it was not possible to interpret the exact rate of conception as
obstructing substance and also removes the endometrial lining of per the data obtained from the present study.
the tubes and uterus. It is supported by 73.33% of the patients,
who complained of dark colored bleeding after Uttar Basti. It
Interpretation of the associated results of therapy
removes the fibrosed and damaged endometrium that leads Several contents of Kumari Taila are highly efficacious and
established for their role on menstrual disorders and hormonal
to its rejuvenation. This description expresses the fact that the
imbalance. For pacification of Vata too, Kumari Taila seems
IUUB of Tila Taila with Vata-Kaphaghna and Lekhana properties
to be very efficient. Thus, it is hypothesized that it can not
scrape the inner lining of endometrium (Lekhana Karma). Thus,
only remove tubal blockage, but it can also correct the ovarian
the inner fibrosed layer is removed. It rejuvenates later, as the
functions, and hence, restore normal menstrual physiology in
endometrium has the capacity to regenerate, and the antioxidant
its entirety. This has been proved with the 40% conception
and healing properties of various contents also help it for the
and results of the Artavakshaya features. Eighty-two percent
same.
of the patients have had relief in features of Yathochita Kale
It is not only the patency of the tubal lumen that is needed Adarshanam (oligomenorrhea), 78% of the patients have shown
for the treatment of tubal infertility. Restoration of the tubal relief in the symptoms of Alpartava (hypomenorrhea), and 80%
functions is also another very important objective of the study. It of the patients have got relief from Yonivedana (dysmenorrhea)
can be achieved by pacifying the vitiation of Vata. The Snigdha [Table 5]. These findings may be because of the Vata pacifying
Guna of the Taila is definitely helpful to relieve the abnormality properties and hormonal regulatory functions of the drugs.
generated by the Ruksha, Daruna, and Khara Guna of Vata. It Tila Taila, which is the medium of the drug, has already been
restores the tonic phasic contractions of the tube and movement stated to be very good for menstrual and gynecological problems.

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 Shukla (Upadhyay), et al.: Kumari Taila Uttar Basti in tubal blockage

It is an encouraging, but unexpected, finding of the study, 2. Sharma H. Vidyotni Hindi Commentary, Kashyapa Samhita, Chaukhamba
therefore, the statistical analysis of the results by various tests Samskrita samsthana,Varanasi, Sutra 2009. p. 30-1.
of significance may not be possible. However, it can be taken 3. Shastry Ambikadutta. Ayurveda-Tattva-Samdipika Vyakhya, Sushruta Samhita,
under consideration for future researches. Uttar Basti works on Chaukhamba Samskrita Samsthana,Varanasi, Sutra 2006. p.17/12.
all three features of Artavakshaya through its local and systemic 4. Srikantha Murthy KR. Bhavaprakasha of Bhavamishra. Vol. 2. Varanasi:
effects. It can be considered responsible for: (i) Uttar Basti with Krishnadasa Academy; 2002. p. 680,62/42-48.
Ushna-Tikshna drugs help to remove fibrosis (due to the Khara 5. Kashinath Shastri and Gorakhnath Chaturvedi. Vidyotini Vyakhya, Charaka
and Daruna Guna of Vata) of the endometrium, and thus help in Samhita.Varanasi, Chikitsa 9/70: Chaukhamba Bharati Academy; 2005.
its rejuvenation, (ii) after stimulating the endometrial receptors, 6. Srikantha Murthy KR.Vagbhata,Ashtanga Hridaya.Varanasi, Chikitsa 21/73-81:
it stimulates the hypothalamus–pituitary–ovarian–uterine axis Krishnadasa Academy; 2006.
to restore the normal physiological neuroendocrine state, and 7. Sharangdharacharya. Sharangadhara Samhita, Tra. Himsagar Chandra Murty,
Chaukhamba Surabharati series.Varanasi: Madhyama Khanda; 2007. p. 40-9.
(iii) after peritoneal spillage, it can also directly stimulate the
8. Harish Doshi. Companion for Obstetrics and Gynaecology examinations.
dysfunctioning ovary with its potential drugs.
India: Arihant Publishers; 2007. p. 1-2.
9. Ibid, Companion for Obstetrics and Gynaecology examinations. p 5.
Conclusion 10. Ibid, Companion for Obstetrics and Gynaecology examinations. p. 22-23.
11. Vaclav Insler and Bruno Lunenfeld. Infertility: Male and Female. 2nd ed. London:
Intrauterine Uttar Basti of Kumari Taila is highly effective in Churchill Livingstone; 1993. p. 253.
removing the tubal blockage with an amazing rate of conception, 12. Ibid, Ayurveda-Tattva-Samdipika Vyakhya, Sushruta Samhita, Su. Su. 15/12.
as is evident by the results of the study. It may also be effective 13. Vaclav Insler and Bruno Lunenfeld. Infertility: Male and Female. 2nd ed. London:
for other factors of female infertility and menstrual disorders, Churchill Livingstone; 1993. p 254.
namely, oligomenorrhea, hypomenorrhea, and dysmenorrhea; 14. Bhaishajaya Ratnavali. Ambikadatta Shastri, Chaukhamba Sanskrit Sansthana.
due to its various contents having an effect on the ovarian and Varansi 2002. p.182-3.
hormonal functions. No significant complication is evident in 15. Ibid, Bhav Prakash Dhanya varga. p 652.
this study, with this procedure. After some further researches, 16. Anonymous. The Ayurvedic Pharmacopia of India. Ministry of Health and
IUUB can be established as an easily accessible, cost-effective Family Welfare, Department of ISM and H, Government of India. New Delhi:
Ayurvedic therapy for tubal blockage, with minimum adverse API; 1999. p. 4e.
effects. With a long-term study, its effect on the tubal infertility 17. Ibid, Sushruta Samhita,Sutra sthana, 45/112.
in the patients with history of genital tuberculosis can also be 18. Ibid, Bhav Prakash Guduchyadi Varga, Shloka 230. p. 419.
evaluated. Although Uttar Basti is a nonsurgical procedure and 19. Anonymous. Database on Medicinal Plants in Ayurveda, Vol. 1, C.C.R.A.S.,
the possibility of fibrosis after its completion, in due course of Department of ISM and H, Ministry of Health and Family Welfare, Department
time, is the least, still further studies to evaluate the recurrence of of ISM and H, Government of India, New Delhi 2004. p. 225.
20. Sabnis M. Chemistry and Pharmacology of Ayurvedic medicinal plants.Varanasi:
tubal blockage are needed, to establish it as a reliable therapeutic
Chaukhamba Amarabharatin Prakashana; 2006. p. 100.
measure.
21. Ibid, Database on Medicinal Plants in Ayurveda,Vol. 2e. p. 112.
22. Ibid, Bhav Prakash Guduchyadi Varga, Shloka 85-87, p. 317.
References 23. Ibid, API,Vol 3e.
24. Ibid, Database in Medicinal Plants in Ayurveda.Vol. 2e, p. 200.
1. Dutta DC. Text Book of Gynaecology. 5th ed. Calcutta: New Central Book 25. Alper MM, Gareus PR, Spence JE, Quaringtom AM. Pregnancy rate after HSG
Agency; 2009. p. 216. in oil and water based contrast media. Obstet Gynael 1986;68:6-9.

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«µ√÷_fi- A<∑wv√-GË}√≤p GE√÷oÈ f§v∑√≤<…fiA æ>fiÍl∑ °∑√„w≤v© —wv Z¯<–™wvM¢fi —ËIÈ <ËBI ¢E<o Y§ ©√≤ 25-35 …L<o_o h] l^˙fiMË w≤v <∑fi≤
@fl}Z√fi] I√A] ©√o] Y§ $ Û∆w≤v <∑fi≤ wvK ©√A≤ Ë√∑] _Ofi-<ΙwvM∆√ @…∫Ë√≤* wvK ∆◊µ√ËA√ ∆≤ fitØv oE√ ∆Ë÷∆t∑µ AY]* Y§ $ ∆√E Y] Û∆I≤| ∆fv∑o√
wvK Z} µ] wvI Y§ $ ÛA ∆µ] o‘fi√≤* wv√≤ ˙fi√A I≤* }xo≤ Y¯fi≤ Û∆ ∆I¢fi√ wv√ ∆Ë÷∆t∑µ —ËIÈ ∆t}<¥o G√fitË≤÷Z]fi @…√fi <Ap√÷™}o wv}A≤ Y≤ot wtvI√}]
o§∑ w≤v Â√}√ «µ√÷_fi«o @fl} l¢o wv√ G˙fifiA ™wvfi√ «fi√ $ …L¢oto G˙fifiA I≤* wtv∑ 15 <hfi√≤* A≤ <Ap√÷™}o <ΙwvM∆√-wLvI wv√≤ …ÍJ÷ ™wvfi√ $
<ΙwvM∆√ wvK GË<p 2 I√Y }Y] <©∆I≤* —wv I√∆ I≤* 6 @fl} l¢o 3 <ZË∆ wv√ I˙fi√Ëwv√_ wv}w≤v Z] «fi]* $ …LMfi≤wv I√∆ I≤* <hfi√≤* wv√≤ }©# wv√∑
w≤v …ÍJ÷ Y√≤A≤ w≤v —wv <ZË∆ …–√oÈ <ΙwvM∆√ …L√}◊µ wvK «fi] $ <ΙwvM∆√ w≤v …ÍË÷ oE√ …–√oÈ <Y¢æ>≤}√≤∆√O…^«√≤«L√fvK w≤v Â√}√ æ>fiÍ°∆ wvK ¢E<o wv√
<Ap√÷}J ™wvfi√ «fi√ $ wtv∑ 80 …L<o_o <hfi√≤* I≤* æ>fiÍl∑ °∑√„wv ZÍ} YtG√ oE√ wtv∑ 40 …L<o_o I<Y∑√fi≤* «µ÷Ëo] Y√≤ «fi]* $ <ΙwvM∆√ w≤v Z√§}√A
oE√ …–√oÈ @…∫Ë√≤* w≤v ∑¥J AY]* …√fi≤ «fi≤ $ Go# fiY o‘fi …Lwv√_ I≤* G√fi√ ™wv wtv{> Z]”÷wv√∑]A G˙fifiA√≤* w≤v …–√oÈ wtvI√}] o§∑ @fl} l¢o wv√≤
æ>fiÍl∑ °∑√„wv w≤v <∑fi≤ GMfi^o @…fi√≤«], ∆t«I oE√ @…∫Ë }<Yo <ΙwvM∆√ w≤v Ô… I≤* ¢E√<…o ™wvfi√ ©√ ∆wvo√ Y§$

AYU | Oct-Dec 2010 | Vol 31 | Issue 4 429