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 Table of Contents  
CASE REPORT
Year : 2019  |  Volume : 2  |  Issue : 3  |  Page : 10-13

Management of Polycystic Ovarian Syndrome (PCOS) by Yoga and Siddha intervention - A case study


Siddha Clinical Research Unit, Sri Jayachamarejendra Govt. Ayurvedic Hospital Campus, Dhanvantri Road, Bengaluru - 560009, India

Date of Web Publication11-Oct-2021

Correspondence Address:
R Thilagavathi
Siddha Clinical Research Unit, Sri Jayachamarejendra Govt. Ayurvedic Hospital Campus, Dhanvantri Road, Bengaluru - 560009
India
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Source of Support: None, Conflict of Interest: None


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  Abstract 


Poly Cystic Ovarian Syndrome (PCOS) is a hormonal disorder among women in reproductive age. PCOS often develop around the time of first menstrual period during puberty. PCOS, a multisystem disease, is a major reason for female infertility around the world. Menstrual irregularity and the evidences of hyperandrogenism are the characteristics features of PCOS. A 23-year-old female with complaints of irregular menstruation, severe acne in the face visited Siddha Clinical Research Unit, Bengaluru in January 2018.History revealed that she was suffering from PCOS since 2010 and she was under allopathic treatment since then. She was subjected to Ultrasonogram (USG)- abdomen once in 6 monthsduring allopathy treatment, results showed no remarkable changes in USG – abdomen and PCOS persists. The patient was treated with Siddha medicines –Elathy chooranam, Arumuga chenduram along with Yoga (Salabhasanam, Pranayamam) for 30 minutes twice a day. There was a notable difference in USG abdomen and menstrual cycle after 1-year treatment with Siddha medicines and Yoga. This case demonstrates that PCOS can be well managed with Siddha medicines integrated with Yoga.

Keywords: Siddha medicine, Yoga, Salabhasanam, Pranayamam


How to cite this article:
Thilagavathi R. Management of Polycystic Ovarian Syndrome (PCOS) by Yoga and Siddha intervention - A case study. J Res Siddha Med 2019;2, Suppl S1:10-3

How to cite this URL:
Thilagavathi R. Management of Polycystic Ovarian Syndrome (PCOS) by Yoga and Siddha intervention - A case study. J Res Siddha Med [serial online] 2019 [cited 2021 Dec 3];2, Suppl S1:10-3. Available from: http://www.jrsm.com/text.asp?2019/2/3/10/328043




  1. Introduction Top


Poly Cystic Ovarian Syndrome (PCOS) is the most common endocrinopathy in women of reproductive age, resulting from insulin resistance and the compensatory hyperinsulinemia. This results in adverse effect on multiple organ systems and may result in alteration in serum lipids, anovulation, abnormal uterine bleeding, and infertility.[1] The prevalence of PCOS in Indian adolescents is 9.13%.PCOS was defined as the presence of any two of the three features, 1) Oligo/amenorrhea: absence of menstruation for 45 days or more and /or < 8 menses peryear,2) Clinical hyperandrogenism: modified Ferriman and Gallway (mFG) score of 6 or higher,3) Polycystic ovaries: Presence of >10 cysts, 2-8 mm in diameter usually combined with increased ovarian volume > 10 cm3, and an echo dense stroma in pelvic ultrasound scan[2]. In Siddha system of medicine, various herbal and herbo-mineral formulations have been used for the management of PCOS traditionally along with lifestyle changes and physical activity. In Siddha system of medicine, Yogam (Yoga) forms an important part. Many Siddhars have dealt with Yogam, among them Siddhar Thirumoolar is noteworthy. The term “Yogam” means “Union”. Siddhars have defined Yogam as an art which controls the mind by preventing it from distracting through sense and sense organs and unite it with the divinity after realizing the true entity of eternal bliss.[3] Hereby, we report in this case study, a patient diagnosed as PCOS with irregular menstruation was treated with Siddha medicines integrated with Yoga (Salabhasanam and Pranayamam). A considerable change in the USG abdomen has been noticed with regular menstruation.


  2. Case Description Top


A 25-year-old female, working as IT consultant for the past 3 ½ years in Bengaluru, who is non-smoker, non – alcoholic visited the SCRU OPD in January 2018, with the complaints of irregular menstruation, severe acne in the face, for the past 7 years. The detailed history from the patient and the laboratory investigation revealed that she was suffering from PCOS and it was first diagnosed in 2010 and she was subjected to allopathic treatment since then. After the initiation of allopathic treatment, USG-abdomen was monitored once in every 6 months. There is no relevant family history regarding her medical condition. On her visit to SCRU, OPD in January 2018, her last menstrual period (LMP) was 07/06/2017, the impression in USG abdomen was found to be Poly cystic Ovarian Syndrome (PCOS), with multiple follicles present at the periphery of right and left ovary which was taken on 12/01/2018. On physical examination her Nadi was found to be Azhal Vali, her weight was 61kg and pulse rate was 72/minute.


  3. Yoga, Therapeutic Interventions and Its Outcome Top


Siddha treatment was initiated on 23.01.2018. Initially the patient was treated for her presenting symptoms amenorrhea and severe acne in the face. Siddha medicines were given to initiate the menstruation. Menstruation started on 03/03/2018. USG – abdomen was taken on 14/03/2018 which shows the impression of Polycystic Ovarian Syndrome. The following Siddha medicines were given, Elathy chooranam and Arumuga chenduram along with Yoga (Salabhasanamand Pranayamam) [Figure 1], [Figure 2] was advised to do 30 minutes twice a day to reduce the polycystic ovary. The dosage of the drugs was prescribed as per [Table 1]. The same treatment was continued along with Yoga; USG abdomen was monitored once in 6 months. The same treatment was continued for 1 year. The menstrual cycle interval reduced. Acne in the face reduced, the patient weight reduced to 54kg, the patient did not report any adverse reaction. On 05/04/2019, USG abdomen was taken and no significant abnormally was detected. The impression of USG abdomen and LMP [Table 2] revealed the good prognosis of PCOS. Patient was followed up once a week. There were no specific complaints and adverse reactions observed.
Figure 1: Pranayamam

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Figure 2: Salabhasana

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Table 1: Administration of Drugs

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Table 2: Prognosis of PCOS

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  4. Discussion Top


The case was treated with Elathy chooranam, Arumuga chenduram along with Yogam (Salabhasanam and Pranayama) intervention as per the following criteria:

As the Siddha system of medicine is based on Mukkutram (Vali, Azhal, Aiyam) ,it is essential to normalize the elevated level of Azhalin patient. Elathy chooranam was given to reduce the heat (Azhal), which is indicated traditionally to reduce the body heat (Azhal vayu).[4]

The patient was treated with Arumuga chendooram which contains Purified ingredients of Rasam (mercury), Kantham (magnetic oxide of iron), Kanthagam (sulphur), Vengaram (borax), Inthuppu (rocksalt) and Ayappodi (iron). Amongst them Vengaram (borax)is indicated for normalizing amenorrhea and dysmenorrhea.[5]

Longevity and ageing with elegance are an important speciality of Siddha system. Kayakalpam or rejuvenation therapy is the unique therapy in Siddha system of medicine which enhances the life span, promotes health, the body lustre, improves the efficiency of the different cognitive abilities and enhances the innate health. Kayakarpam not only includes medicinal herbs (Mooligai karpam) and minerals (Thathu karpam), Siddhars have included Asanas, Pranayama and Yoga among the Karpam, for promoting rejuvenation, healing and regeneration of living tissue in the body.[6]

Salabasanam was advised to the patient to do it, daily in the morning and evening for 30 minutes. As the Salabasanam has the ability to cure the diseases related with abdomen muscles. Pranayamam was also advised along with Salabasanam for the excitability of the Central Nervous System to become active. One of the conditions for normal activity of the brain and the spinal cord is an adequate supply of oxygen to the nerve cells. The cells of the brain and spinal cord consume much more oxygen than the cells of other organs. As inadequate supply of oxygen leads to a decrease in the nerve cells and kill them. It also improves circulation in the brain.[6]


  5. Conclusion Top


This combined Siddha treatment of above- mentioned oral Siddha drugs and Yogam were helpful in treating the patient of PCOS. Simple modification in life style with Yoga has shown much more effect in hormonal disease PCOS along with Siddha medications. This approach may be taken into consideration for further treatment and research work only with Yoga practices without medication.

INFORMED CONSENT Informed consent was obtained from the patient involved in this study.

CONFLICT OF INTEREST Authors have concluded that there is no Conflict of Interest.



 
  References Top

1.
Siriwardene SA, Karunathilaka LP, Kodituwakku ND, Karunarathne YA Clinical efficacy of Ayurveda treatment regimen on subfertility with Poly Cystic Ovarian Syndrome(PCOS).Ayu2010;31(1):24-7. Available athttps://www.ncbi.nlm.nih.gov/pmc/articles/pmc3215317/  Back to cited text no. 1
    
2.
Nidhi R, Padmalatha V, Nagarathna R, Amritanshu R. Prevalence of polycystic ovarian syndrome in Indian adolescents. J Pediatr2011; 24 (4) : 223-7. Available at https://ncbi.nlm.nih.gov/pumbed/21600812.  Back to cited text no. 2
    
3.
Yoga_in_Siddha, Association of Siddha council.com. Available from https://www.Siddhacouncil.com/downloads/yoga_in_Siddha.Pdf.  Back to cited text no. 3
    
4.
Kuppusamyu Mudhaliyar KN, Uththamarayan KS, Siddha vaidhya thiratu [1st Ed]. Chennai: Department of Indian Medicine and Homeopathy; 1998; p. 224.  Back to cited text no. 4
    
5.
Thiyagarajan R. Gunapadam Thathu- Jeeva vaguppu Part- 2,3; [2nd Ed]. Chennai: Department of Indian Medicine and Homeopathy; 2009; p.439.  Back to cited text no. 5
    
6.
Thiyagarajan R. Siddha Maruthuvam Sirapu [2nd Ed]. Chennai: The Directorate of Indian Medicine and Homeopathy, 1995; p.3,4,25,37.  Back to cited text no. 6
    


    Figures

  [Figure 1], [Figure 2]
 
 
    Tables

  [Table 1], [Table 2]



 

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  In this article
Abstract
1. Introduction
2. Case Description
3. Yoga, Therape...
4. Discussion
5. Conclusion
References
Article Figures
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