Types of PCOS

PCOS cases clinically are seen of two varieties,

1. kapha pradhana-patients are obese with kapha ptakopa lakshanas.

2. pitta vataja.

1

LAKSHANA

Polycystic ovary syndrome is a condition in which a woman has an imbalance of a female sex hormones. 'This may lead to menstrual cycle changes, cysts in the ovaries, trouble getting pregnant, and other health changes.
Symptoms of PCOS include changes in your period (menstrual cycle). Some changes are:
- No period after you have had one or more normal ones during puberty (secondary amenorrhea).
- Irregular periods, that may come and go and may be very light to very heavy. PCOS can cause you to develop male-like characteristics. This is
called virilization.
Symptoms include:
- Body hair growing on the chest, belly, face, and around the nipples
- Decreased breasr size.
- Enlargement of the clitoris.
- Thinning of the hair on the head, called male-patten baldness.
- Voice gets deeper.
- Acne that gets worse.
- Dark or thick skin markings and creases around the armpits, groin, neck, and breasts.  

2

NIDANA

PCOS is linked to changes in the level of certain hormones:
- EStrogen and progesterone, the female hormones that help a woman 5 ovaries release eggs.
- Androgen, a male hormone found in small amounts in women.
It is not completely understood why or how the changes in the hormone levels occur. The changes make it harder for a woman’s ovaries to release fully grown (mature) eggs. Normally, one or more eggs are released during a woman’s period. This is called ovulation. In PCOS, mature eggs are not released from the ovaries. Instead, they can form very small cysts in the ovary.
These changes can contribute to infertility. The other symptoms of this disorder are due to the hormone imbalances.
Most of the time, PCOS is diagnosed in women in their 205 or 305. However, it may also affect teenage girls. The symptoms often begin when a girl’s periods start. Women with this disorder often have a mother or sister who has symptoms similar to those of polycystic ovary syndrome.  

3

LABORATORY

Estrogen, LH, FSH, Blood sugar, Lipid profile, Vaginal ultrasound.
Diagnosis:
USG showing necklance appearance of ovaries. Ovary enlarged with multiple cysts. High level of free estrogen in serum.

4

UPADRAVA

With treatment, women with PCOS are usually able to get pregnant. There is an increased risk of high blood pressure and gestational diabetes during pregnancy. 

5

PRICIPAL OF CHIKITSA 

In Kapha pradhana type, Shodhana Kapha-Medohara chikitsa.
In Pitta-Vata pradhana type, ShodhanaPitta-Vatahara chikitsa.
Treatment
Weight loss treatment, especially diet and exercise along with Dashamoola , Shatpuspa, Gomutra haritaki.
Also in cases With ovarian cyst hingu triguna taila orally 8-10 drops early morning with uslmodaka dissolves ovarian cyst. 

VATA-PITTA PRADHANA

1. Snehana with MTG.

2. Abhyanga and svedana.

3. Virechana.

4. Yoga Basti (NiruhaDashamula Guduchi Shatavari, Anuvasana-MTG).

KAPHA PRADHANA

1. Snehana with GTG.

2. Abhyangn and svedana.

3. Vamana and then Virechana.

4. Yoga Basti (NiruhaDashamula, Anuvasana-GTG).   

KAPHA PRADHANA PCOD

(CHIKITSA PATRA)

1. Ashokarista -15ml (3 times with water)
2. Pushyanuga churna-2gm +
Laghumalini vasant rasa-500mg +
Satavari churna-2gm +
Shankha Bhasma-150mg+
Shatpushpa churna-2gm (2 times with Water)
3. Tab. Varunadi kashaya-2tab.(2 times with water)
4. Chandraprabha vati-1tab. (2 times with 10ml MGT/Warm milk)

PITTAJA VATAJA PRADHANA PCOD

(REFERENCE CHIKITSA PATRA)

1. Ashokarista -15ml (3 times with water)
2. Pushyanuga churna-2gm +
Laghumalini vasant rasa-500mg +
Svarnamakshika bhasma-100mg +
Pravala pisti-100mg (2 times with Water)
3. Shatavari leha-1tsp (2 times with Warm milk)
4. Chandraprabha vati-1tab. (2 times with 10ml MGT/warm milk)

DIET AND LIFESTYLE
Pathya(DO):
Exercise, low calorie diet. In obese patients Vlgorous exerase, asana, pranayama.
Apathya(DON’T):
calorie, carbohydrates, Fat rich diet, bakery items, fast food.

Recommcndcd Classical Formulations

 Chandraprabha Vati-500mg BD or TID

Nityananda Rasa-250mg BD or TID

Gomootra Haritaki-500mg BD or TID

Sukumara Kashaya---20ml BD

Dashamula Kashaya-20ml BD

Asanadi Kashaya-20ml BD

Varunadi Kashaya-20ml BD

Hingutrigunadi TaiIa-8-10 drops early morning

Ashokarishta-10-20ml BD

Dashamularishta-10-20ml BD

Recommended Proprietary Formulations

Tab. Leptaden & Aloes compound (alarsin) 1 tab each 3 times before meal

Tab. Hyponid (Charaka)-l tab. 3 times a day

Tab. Piconidd 1 TID (Sneha Natura)

Syrup UTN (Sneha Natura)

Liq /Tab. M2 tone-2 tab. 2 times a day

Tab. Glucova (Vasu)-2 BD