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Prasuti Tantra: A Text Book of Obstetrics (Set of 2 Volumes)

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About the Book   Prasuri Tantra, an integrated part of Kournara-bhrirya which is one of the Ashtangas, describes everything about pregnancy and child birth. Brihat-trayi, Laghu-trayi and Kashyapa Samhita described every aspect of pregnancy & child birth like antenatal care, natal knowledge with techniques with postnatal care and perinatal care.   Observing Rajasvala-niyama, net being exposed to Garbhopaghatakara bhavas, Pumsavana des...

About the Book

 

Prasuri Tantra, an integrated part of Kournara-bhrirya which is one of the Ashtangas, describes everything about pregnancy and child birth. Brihat-trayi, Laghu-trayi and Kashyapa Samhita described every aspect of pregnancy & child birth like antenatal care, natal knowledge with techniques with postnatal care and perinatal care.

 

Observing Rajasvala-niyama, net being exposed to Garbhopaghatakara bhavas, Pumsavana described in Samhitas may provide sufficient ground in preventing pathological conditions of pregnancy. Role of Garbha-sambhava-samagri and Shad-bhavas in pregnancy is complete in its concepts and preconceptional upgrading of these elements leads to Shreyasi-praja - is a precious contribution of Ayurveda.

 

Even though brief, the knowledge of Beeja (Spermatozoon & Ovum), Kshetra (The endometrial bed of un-vitiated uterus), Ritu (The fertile period), Aparya parha (Genital tract) as described in Samhitas is precise and the preparation of these elemen rs for better progeny is commendable. The role of Sattva (the psyche) in making of psychological attitudes and potentialities of fetus described in Ayurvedic texts is in completion with the present knowledge of child psychology. The version of Sarrnya has opened long back the avenue of immunological concepts related with pregnancy e.g. Acceptance of zygote by endometrium etc. Garbhini paricharya (ante-natal care of pregnant woman), Garbhini sadvritta (code of conduct of pregnant woman), Garbhini lakshana, Garbhini pariksha etc. are described on the grounds of available contemporary knowledge.

 

About the Author

 

Born on 19.07.1963 in Vijayawada, A.P., the author has completed the graduation from Anantha Lakshmi Government Ayurveda Medical College, Warangal in the year 1985. She worked as faculty member in the Government-aided Mohta Ayurvedic College in Rajasthan and later on finished her post graduation from Government Ayurveda College, Hyderabad in 1993. She is meritorious throughout her carrier. She served as Assistant Professor, Professor & P.G. Professor in N.K.]. Ayurveda Medical College, Bidar from 1993 to 2002 and has joined the S.D.M. College of Ayurveda, Udupi and P.G. Professor since then.

 

She is scholarly teacher, research worker, clinician and compassionate social worker and is also the author of the books ‘Neurological Concepts in Ayurveda’, ‘PreConceptional Care in Ayurveda’ and ‘A Text Book of Gynaecology (Streeroga- Vijnan)’. She is the editor of annual bulletin themed on surgical aspects of Ayurveda ‘Soushruti’ and one of the organizing secretaries of’Soushruti-97’ an international seminar and many CME programmes. She is associated with different universities and national institutes in Ayurveda as examiner, P.G. examiner, Ph.D. guide and presented papers and chaired many national and international conferences and published many research papers.

 

Foreword

 

The classical Ashtanga Ayurveda though does not include the subject of ‘Prasuti Tantra’ as an independent clinical specialty, the ‘Kaumara Bhritya’ specialty in essence covers the concepts and the details of obstetrics, gynecology and pediatrics. The subject matter of Prasuti . Tantra and Stree-roga (obstetrics and gynecology) is found scattered in classical literature in various texts like Charaka Samhita, Sushruta Samhita Kashyapa Samhita, Harita Samhita and Vagbhata. It is seen in recent decades that newer specialties in Ayurveda have come up to meet the needs of the current education and clinical practice and Prasuti Tantra is one important specialty being developed on these lines. The concept of ‘Shreyasi praja’ i.e. well formed fetus with good physical, psychological, intellectual and spiritual endowments is a ma- ‘or contribution of Ayurvedic literature to the science. Bhava Mishra very comprehensively described the product of embryo as which means that the embryo is formed from the combination of Pancha mahabhuta, Sattva, Rajas, Tamas, Indriya and Bhutatma. Such highly evolved scientific thoughts, which go beyond the scope of present day modern science offer a challenge for research and its applicability.

 

The book Prasuti Tantra is written as per the needs of CCIM curriculum and the author has presented the subject matter in eleven sections. It is commendable that an elaborate and extensive reference material from different classical texts and commentaries is quite aptly presented systematically under each chapter. It is also noteworthy that relevant modern medical literature is presented in the book which makes it more useful for the reader.

 

I hope that the text book will be very useful for under graduate and post graduate students, academicians, practitioners and researchers. I congratulate Dr. V.N.K. Usha for authoring a detailed text book on Prasuti Tantra and hope that few more books on the subject including recent research in the field may also come from the experienced academician.

 

Preface

 

Reproduction is one of the basic requirements of any species to continue its existence on the universe. In comparison to lower species of mammals human reproduction is still complex, phase wise and pro- longed intricate procedure, starting from ovulation in females and spermatogenesis in males and concluding with the expulsion of fetus and placenta. Female human physiology invests a lot of energy, discipline and momentum and spends its physical, psychological and emotional energy depots.

 

Any simple deviation in this intricate, finely calculated series of events can lead to drastic pathological conditions, ego A little bit of drop of morula in its travel, in to the lower segment can lead to placenta previa or a little delay in cell division can lead to monosomy.

 

Ayurveda, the extract of all the Vedas dreams about “Shreyasi praja” (a well formed fetus with physical, psychological, intellectual and spiritual endowment who can serve the self and the society). It dreams about Kala-prasava (Full term delivery), Sukha-prasava (easy delivery) Yoni-gadheekarana, Kukshi-hrasa and Puarnaveekarana of sutika (post partum trimming of vagina, abdomen and rejuvenation of delivered woman).

 

Ayurveda advises about specific vihara during pregnancy apart from food recommendations (Masanumasika Garbhini Paricharya). It restricts few physical, psychological and social activities (Garbha- upaghatakarbhavas). It mentions simple remedies for minor ailments like Grabhini-vamana and discusses in vast about major ailments. As it describes about Prasava (normal delivery), it also gives elaborate notes on Mudhagarbha and its varieties and elaborates medical and mechanical treatments apart from maneuvers and surgery. It is not an exaggerated statement that the maneuvers described in Mudhagarbha chikitsa and Apara sanga are still in practical use with no or slight modifications in procedure but with major modifications in nomenclature.

 

It is not that Ayurveda converses only about experienced visible practical problems, its intuition about physiological and bio-chemical considerations at cell level is also commendable. Concept of Satmya stands well in contemporary advanced research as acceptance of zygote by maternal immune system. Role of Sattva (The Psyche) as Garbhakara-bhavas specifies about importance of non-stressful psychological condition during pregnancy which is a burning problem in present generation young, educated, working mothers.

 

This much knowledge hidden in Samhitas should be periodically analyzed in the form of books by various authors in the vision of their own practical experience and learnt contemporary information. Projecting the interior soul of Samhitas is book writing; and if written according to syllabus is text book writing.

 

I feel happy to share my little understanding about Prasuti Tantra, a part of Samhitas in the form of text book written according to modified CCIM syllabus.

 

Although this book has been written according to U.G. CCIM syllabus, it may also prove to be useful for P.G students.

 

Contents (Volume I)

 

 

Section 1

 

 

Stree Sharira Vijnan

 

Chapter 1

Vayo-vivechanain Stree

3-6

Chapter 2

Stree Shoroni (Female Pelvis)

7-26

Chapter 3

Shroni Mapana (Pelvimetry)

27-29

Chapter 4

Beeja Granthi (The Ovaries)

30-34

Chapter 5

Garbhashaya (The Uterus)

35-42

Chapter 6

Beejavaha Srotas (Fallopian Tube; Oviduct)

43-44

Chapter 7

Yoni (The Vagina, Kolpos)

46-49

Chapter 8

Stana (The Breasts)

51-55

Chapter 9

Strree-peshi

56-59

 

Section-2

 

 

Rajo Vijnan

 

Chapter 1

Rajotpatti

63-65

Chapter 2

Rajah Pravritti (Menarche)

66-69

Chapter 3

Ritu-Chakra (Menstrual Cycle)

72-81

Chapter 4

Artava-Vaha Srotas

84-92

Chapter 5

Rajasvala

94-97

Chapter 6

Ritumati

98-102

 

Section 3

 

 

Garbha Vijnan

 

Chapter 1

Garbha Paribhasha (Definition of Garbha)

105-106

Chapter 2

Garbhadhana & Purva-Samyoga Vidhi

107-111

Chapter 3

Garbhavakranti

113-131

Chapter 4

Garbha Sambhava Samagri (Factors Essentials for Conception)

132-143

Chapter 5

Garbhakara Shad-bhavas

144-149

Chapter 6

Panchabhautika Composition of Garbha

150-156

Chapter 7

Garbha Linga-nirmana & Nishchaya (Sex Differentiation & Determination)

158-174

Chapter 8

GGarbhasya Avayavotpatti (Organogenesis)

175-192

Chapter 9

Garbha Vriddhi (Development of Fetus)

193-211

Chapter 10

Role of Pancha Mahabhutas in Varnotpatti of Garbha (Origin of Complexion in Fetus)

220

Chapter 11

Garbha Pashana (Fetal Circulation & Nutrition)

223-232

Chapter 12

Garbha Samsthiti (Attitude)

233-236

Chapter 13

Fetal Skull

238-239

Chapter 14

Garbha Vikriti (Fetal Deformities)

240-276

Chapter 15

Investigations in Fetal Deformities

277-285

Chapter 16

Apara (Placenta)

288-293

Chapter 17

Placental Physiology & Hormones

295-297

Chapter 18

Apara Vikriti (Pathology of Placenta)

304-306

Chapter 19

Garbha Nabhi-nadi (Umbilical Cord)

307-312

Chapter 20

Jarayu (Fetal Membranes)

314-317

Chapter 21

Jarayu Dosha

318-325

Chapter 22

Garbhodaka (Amniotic Fluid)

326-330

Chapter 23

Garbhodaka Vikriti-1 (Polyhydramnios)

331-337

Chapter 24

Garbhodaka Vikriti-2 (Oligohydramnios)

338-342

 

Section-4

 

 

Garbhini Vijnan

 

Chapter 1

Garbha Lakshana

345-355

Chapter 2

Pumsavana

357-363

Chapter 3

Masanumasika Paricharya

366-381

Chapter 4

History Taking in Pregnancy

382-385

Chapter 5

Antenatal Care

390-407

Chapter 6

Garbhopaghatakara Bhavas (Factors Responsible for Damaging the Fetus)

408-417

Chapter 7

Dauhrida

418-420

Chapter 8

Garbhasrava & Garbhapata

421-431

Chapter 9

Threatened Abortion

432-435

Chapter 10

Inevitable Abortion

436-443

Chapter 11

Missed Abortion

444-445

Chapter 12

Habitual Abortion

448-462

Chapter 13

Septic Abortion

464-467

Chapter 14

Treatment of Garbhapata

468-482

Chapter 15

Garbha Vyapad

485-497

Chapter 16

Garbha-kshaya

498

Chapter 17

Intra-uterine Growth Retardation

499-507

Chapter 18

Antarmrita Garbha

508-521

Chapter 19

Mithya Garbha (Pseudocyesis-False Pregnancy)

525-524

Chapter 20

Rakta-Gulma

525-535

Chapter 21

Hydatidiform Mole

538-541

Chapter 22

Sthanantara-gamana Garbha (Ectopic Pregnancy)

543-552

Chapter 23

Bahu- apatyata (Multiple Pregnancy)

554-563

Chapter 24

Rh Incopatibility

564-568

 

Contents (Volume II)

 

 

Section-5

 

 

Garbhini Vyapad

 

Chapter 1

Garbhini Vyadhi

3-5

Chapter 2

Garbhini Vamana

6-7

Chapter 3

Garbhini Shopha

8-10

Chapter 4

Garbhini Atisara

11-16

Chapter 5

Kikkisa

17-19

Chapter 6

Garbhini Pandu (Anaemia in Pregnancy)

20-30

Chapter 7

Garbhini Jwara

31-41

Chapter 8

Prasava-purva Raktasrava (Antepartum Haemorrhage)

42-52

Chapter 9

Antepartum Haemorrhage

53-62

Chapter 10

Dauhridaja & Doshaja Chardi

64-69

Chapter 11

Hypertensive Disorders in Pregnancy

70-75

Chapter 12

Eclampsia

80-91

Chapter 13

High Risk Pregnancy

92-95

 

Section-6

 

 

Prasava Vijnan

 

Chapter 1

Prasava (Normal Labour)

99-113

Chapter 2

Different Stages of Labour

109-113

Chapter 3

Prasava Paricharya

114-124

Chapter 4

Normal Labour

125-144

Chapter 5

Care During the Labour

146-167

Chapter 6

Jatamatra Paricharya

169-175

 

Section-7

 

 

Prasava Vyapad

 

Chapter 1

Viprasava (Abnormal Delivery)

179-191

Chapter 2

Kalatika Prasava (Post-mature Labour)

192-194

Chapter 3

Vilambita Prasava (Delayed Labour)

197-199

Chapter 4

Induction & Augmentation

200-208

Chapter 5

Cephalopelvic Disportion (CPU)

209-211

Chapter 6

Garbha-klesha/Avasada (Fetal Distress)

212-217

Chapter 7

Mudha Garbha 1

218-229

Chapter 8

Mudha Garha 2

230-233

Chapter 9

Asamyaga-agata Mudha Garbha

234-252

Chapter 10

Viguna-apana-mohita Garbha

254-259

Chapter 11

Mudhagarbha Chikitsa Siddhanta

261-269

Chapter 12

Garbha Shalya Nirharana

271-291

Chapter 13

Post- operative Management after Extraction of Mudhagarbha and Sutika-Paricharya

292-295

Chapter 14

Mudha Garbha Nirharana (Forceps & Ventouse Delivery)

296-307

Chapter 15

Muladhara Chedana (Episiotomy)

308-313

Chapter 16

Udar-patana-purvaka Garbha-Nirharana

314-322

Chapter 17

Apara-Sanga

324-332

Chapter 18

Prasavottara Raktasrava (Postpartum Haemorrhage)

333-344

Chapter 19

Garbhini Klesha/Avasada (Maternal Distress)

346

Chapter 20

Uterine Inversion

347-351

Chapter 21

Abhighata (Injuries to Perineum, Cervix, Vagina)

354-359

Chapter 22

Amniotic Fluid Embolism

360-362

 

Section-8

 

 

Sutika Vijnan

 

Chapter 1

Sutika

 

Chapter 2

Puerperium

365-378

 

Section-9

379-386

 

Sutika Vyapad

314-322

Chapter 1

Sutika Roga

393-402

Chapter 2

Sutika Jwara

408-430

Chapter 3

Sutika Vyadhis

431

Chapter 4

Sutika Makkalla (After Pains)

433-434

 

Section-10

 

 

Stanya Vijnan

 

Chapter 1

Stanya-kshaya

439

Chapter 2

Breast Milk Production

440-445

Chapter 3

Stanya & Ashta-vidha Ksheera Doshas

446-454

 

Section-11

 

 

Appendices

 

Appendix 1

Shock & Septicemia

 

Appendix 2

Pharmaco-therapeutics of Durgs in Obstetrics

 

Appendix 3

The Pre-natal Diagnostic Technique

 

Appendix 4

The Medical Termination of Pregnancy

 

 

Sample Pages

Vol-I













Vol-II













Item Code: NAI366 Author: V.N.K. Usha Cover: Paperback Edition: 2015 Publisher: Chaukhamba Sanskrit Pratishthan ISBN: 9788170844855 Language: Sanskrit and English Size: 9 inch X 6 inch Pages: 1052 (70 B/W Illustrations) Other Details: Weight of the Book: 1.2 kg
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