ROLE OF STHANIKA CHIKITSA IN RAJONIVRUTTI

Dr.M.CHANDANASREE , Dr. Kola Vijaya Kumari MD(AYU)

Rajonivrutti, Post Menopausal women, Sthanika Chikitsa, Quality of life

In Ayurveda, a woman's life span is divided into different stages, among which Vriddhavastha corresponds to the geriatric age group. This stage is comparable to menopause i.e, Rajonivrutti, during which Vata dosha becomes predominant. Due to this dominance of Vata, there is an increased susceptibility to Vataja disorders such as rukshata of the yoni, leading to symptoms like vaginal dryness, discomfort, itching -yoni kandu, dyspareunia, burning sensation- yoni daha and recurrent vaginitis. Yoni shaithilya which is commonly encountered condition which may result in urinary complaints like stress and urge incontinence which further contribute to increased frequency of micturition and recurrent urinary tract infections, with advancing age there will be weakening of supports of pelvic organs which increases the risk of genital organ prolapse. There are various therapeutic approaches to manage these gynecological disorders in Ayurveda, one among them is Sthanika Chikitsa i.e, local therapeutic measures such as Yoni dhavana, Yoni pichu, Yoni dhoopana, Yoni lepana, and Yoni purana which can be employed both as preventive and curative modalities in these gynecological disorders in menopausal women. It helps in relieving discomfort caused by rukshata and manages conditions like mahayoni associated with yoni shaithilya. Each type of sthanika chikitsa has its own clinical significance and demonstrates better outcomes like, it improves local circulation, enhances tissue nourishment, maintains vaginal health, alleviates symptoms like dryness, burning sensation, dyspareunia and recurrent infections. The use of medicated oils and gh?itas possessing snigdha, vatahara, rasayana, and balya properties supports tissue rejuvenation and slows degenerative changes. Sthanika chikitsa administered with appropriate indications, strict aseptic precautions, and due care when combined with shamana and rasayana therapies, offers a holistic, safe, cost-effective and beneficial in disease management in Menopausal women, thus it plays a crucial supportive role in improving physical comfort, psychological well-being and overall quality of life in postmenopausal women.

Volume 14 Issue 3, March-2026

Pages : a496-a504