1

LAKSHANA

Vaginal discharge may range in color from clear to gray, yellow, greenish, or milky-white and may have an unpleasant smell. The Symptoms and character of vaginal discharge depend upon the specific 00ndition that is the cause of the discharge.
- Not all women with bacterial vaginosis will have symptoms, but bactrerial Vaginosis typically produces a discharge that is thin and grayish-white in color. It is usually accompanied by a foul, fishy smell.
- Trichomonas infection produces a frothy, yellow-green vaginal discharge with a strong odor. Associated symptoms can include discomfort during intercourse and urination. as well as irritation and itching of the female genital area.
- Candidiasis caused by fungi candidia albicaus causes curdy white discharge with excessive itching. More commonly seen during pregnancy.
- A vaginal yeast infection is usually associated with a thick, white vaginal discharge that may have the texture of cottage cheese. The discharge is generally odorless. Other symptoms can include burning, soreness, and pain during urination or sexual intercourse. 

2

NIDANA

Any Change in the vagina’s the balance of normal bacteria can affect the
smell, color, or discharge texture. These are a few of the things that can
upset that balance:
- Antibiotic or steroid use.
- Bacterial vaginosis, a bacterial infection more common in pregnant women or women who have multiple sexual partners.
- Birth control pills.
- Cervical cancer.
- Chlamydia or gonorrhea (STDS), sexually transmitted infections.
- Diabetes.
- Douches, scented soaps or lotions, bubble bath.
- Pelvic infection after surgery.
- Pelvic inflammatory disease (PID).
- Trichomoniasis, a parasitic infection typically contracted and caused by having unprotected sex.
- Vaginal atrophy, the thinning and drying out of the vaginal walls during menopause.
- Vaginitis, irritation in or around the vagina.
- Yeast infections.  

3

LABORATORY

Urine Routine microscopic, Vaginal smear, Cervical smear, PAP test.
Diagnosis:
Vaginal smear showing pathogens like candidia, trichomonas, bacteria. Cervical smear confirming cervicitis and cervical erosion. PAP test rules out malignancy.  

4

PRICIPAL OF CHIKITSA 

Shodhana, Tikta-Kashaya rasa pradhana.
Prevention
To help prevent and treat vaginal discharge:
- Keep your genital area clean and dry. Avoid soap and rinse with water only. Sitting in a warm, but not hot, bath may help your symptoms.
- Avoid douching. Although many women feel cleaner if they douche after menstruation or intercourse, it may actually worsen vaginal discharge because it removes healthy bacteria lining the vagina that protect against infection.
- Eat yogurt with live cultures or take Lactobacillus acidophilus tablets when you are on antibiotics to prevent a yeast infection.
- Use condoms to avoid catching or spreading sexually transmitted infection (STI).
- Avoid using feminine hygiene sprays, fragrances, or powders in the genital area.
- Avoid wearing extremely tight-fitting pants or shorts, which may cause irritation.
- Wear cotton underwear or cotton-crotch pantyhose. Avoid underwear made of silk or nylon, because these materials are not very absorbant and restrict air How. This can increase sweating in the genital area, which can cause irritation.
- Use pads and not tampons.
- Keep your blood sugar levels under good control if you have diabetes.  

1. Snehana-

- MTG/GTG

- Bashpa Sveda

2. Virechana-

- Icchabhedi 250mg with cold triphala katuki kashaya 50ml, honey 10ml or Trivrit Leha (AVN or Nagarjuna) 30-50gm with hot water.

- Yonigata Uttara basti with Panchavalaka Kvatha 60ml + Tankana Bhasma 5gm+ 3gm spatika Bhasma + 1gm Shuddha Gandhaka, only in case of severe itching. 

1. Darvyadi kasaya/ musali Khandiradi kashaya/ Ashokarista -20ml  (Adhobhakta 2 times with water)

2. Pushyanuga churna-3gm +

Pradarantaka Rasa-125mg +

Vanga bhasma-125mg +

Spatika Bhasma-500mg+

Shuddha Gandhaka-250mg (Apana with warm water and honey)

3. Vaginala Douche with warm Panchavalkala kasaya+tankana bhasma

DIET AND LIFESTYLE

Pathya(DO):

Tandulodaka (rice water), hygiene. Maintaining Vulval hygiene, use of condoms, wearing loose fittmg clothes.

Apathya(DON’T):

Hot, spicy, fermented food. 

Classical Formulations

Pushyanuga Churna-3gm TID

Pradarantaka Rasa-250mg TID

Pradarantaka Loha-250 mg TID

Chandraprabha vati-500mg TID

Darvyadi Kashaya-20ml TID

Musali khadiradi kashaya-20ml TID

Panchavalkala kashaya +tankana (local wash)

Triphala kashaya +tankana (local wash)

Proprietary Formulations

Tab. Lukonil (AAF)--1 TID

Tab. Lucorid (Nagarjuna)-1-2 TID

Tab. Lukol (Himalaya)--1-2 TID

Cap. & Syrup Pentaphyte P-S (Dr. Palep’s)-1-2 TID

Pentaphyte cream (Dr. Palep’s)---1 TID

V-Gel (Himalaya)