A single case study on effect of pancha valkal kwatha in the management of kaphaja yonivyapda (vaginitis)

Vaginitis is the inflammation of the vagina characterized with symptoms such as abnormal vaginal discharge with foul smell, itching vulva and lower abdominal pain. The common types of vaginal infections are vaginal candidiasis, trichomoniasis and bacterial vaginosis . In Ayurveda, female genitalia diseases are explained mainly under the heading of “yoni vyapat”. Yoni vyapats are mainly characterized with symptoms of abnormal vaginal discharge with foul smell such as in slaishmiki, paittiki, paripluta, upapluta yonivyapad etc. Methods: This is a single case study of a 29 years female patient, came with complaints of vaginal discharge with foul smell, itching vulva associated with backache. So yoniprakshala was done with panchvalkal kwath for 7 days. Discussion: Yoniprakshalan was carried out with panchvalkal kwath twice a day for 7 days. Patient got gradual improvement in subsiding the symptoms and cure after 1 week. So she adviced for follow up after 1 week and also adviced to maintain local hygiene. Result: Patient showed the remarkable improvement in severity of symptoms. Conclusion: The dravya of Pancha valkal kawatha is kapha shamaka, stambhaka and having the properties (guna-karma) such as astringent (kashaya rasatmka), antiseptic (roganu-nasaka)) and wound healing (vrana ropana). Because of these properties it helps in increasing local cell immunity and prevent recurrence of symptoms.