Management of Ovarian Cyst Through Ayurvedic Interventions–A Case Study

Int. Jr. of Contemp. Res. in Multi. PEER-REVIEWED JOURNAL Volume 4 Issue 6 [NovDec] Year 2025 287 © 2025 Dr Rohit Kumar Chhatria, Dr Ruchismita Dash. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY NC ND).https://creativecommons.org/licenses/by/4.0/ CASE STUDY Management of Ovarian Cyst Through Ayurvedic Interventions–A Case Study Dr Rohit Kumar Chhatria 1*, Dr Ruchismita Dash 2 1 Lecturer, Department of Prasuti Tantra and Stree Roga, KATS Ayurveda College & Hospital, Ankushpur Ganjam, Odisha, India 2 Lecturer, Department of Samhita Siddhant and Sanskrit, Gopabandhu Ayurveda Mahavidyalaya Puri, Odisha, India Corresponding Author: *Dr Rohit Kumar Chhatria DOI: https://doi.org/10.5281/zenodo.17810701 Abstract Manuscript Information Nowadays, due to an altered lifestyle, polycystic ovarian cyst (PCOD) has become a very common disease with having high incidence rate. Although ovarian cysts are functional in nature but often managing the condition requires surgery, depending upon the condition. According to the agony it creates and the avoidance of surgery by the patient, many times it requires a conservative approach. In this case report, we will discuss the effectiveness of Ayurvedic management in a single ovarian cyst. Here, a case of a 37-year-old female patient reported to the Prasuti Tantra & Stree Roga OPD (outpatient department) of KATS Ayurvedic College & Hospital, Ankushpur, Berhampur, Ganjam, Odisha, with the complaint of right iliac region pain for 5 months and heavy bleeding during menstruation since 3 cycles and sometimes feels lower abdomen pain during active movement. She was presented with the USG report suggesting of an ovarian cyst in the right ovary with the dimensions of 40x35mm. She was interested in taking traditional Ayurvedic treatment. The case was treated for six weeks with a combination of different Ayurvedic medications to alleviate symptoms and dissolve the ovarian cyst. The patient was treated with traditional Ayurvedic formulations like Varunadi Kashaya, Kanchanar guggul, Kaishor guggul, Bruhat Methi modak, Kuberaksha vatiand ashokarista.In follow-up after 30 days patient's condition was improved, and pain was reduced. In a consequent follow-up after 45 days patient's condition was assessed clinically and pre- & post-treatment USG reports. Clinically patient found improvement in symptoms, while the USG report suggests there is no evidence of ovarian cyst, indicating complete relief of the condition after treatment. The effectiveness of this Ayurvedic management approach was found satisfactory for ovarian cysts. ▪ ISSN No: 2583-7397 ▪ Received: 15-10-2025 ▪ Accepted: 29-11-2025 ▪ Published: 04-12-2025 ▪ IJCRM:4(6); 2025: 287-290 ▪ ©2025, All Rights Reserved ▪ Plagiarism Checked: Yes ▪ Peer Review Process: Yes How to Cite this Article Chhatria RK, Dash R. Management of ovarian cyst through Ayurvedic interventions – a case study. Int J Contemp Res Multidiscip. 2025;4(6):287-290. Access this Article Online www.multiarticlesjournal.com KEYWORDS: Varunadi kashaya, Kaishor gugulu, ovarian cyst, Granthi. Int. Jr. of Contemp. Res. in Multi. PEER-REVIEWED JOURNAL Volume 4 Issue 6 [NovDec] Year 2025 288 © 2025 Dr Rohit Kumar Chhatria, Dr Ruchismita Dash. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY NC ND).https://creativecommons.org/licenses/by/4.0/ INTRODUCTION Ovarian cysts are fluid-filled pockets that grow on the ovaries. Almost all ovarian cysts are non-cancerous (benign) in origin, but many become cancerous over time. Ovarian cysts affect women of all ages and most often occur during their young and childbearing years. Most ovarian cysts are small and cause no or mild premenstrual symptoms. However, some ovarian cyst symptoms may include one or more complaints like pain or discomfort in the lower abdomen, the Period may sometimes become irregular or heavier than usual. Ovarian cysts are diagnosed by ultrasound, MRI &CT scan. The modern management of ovarian cysts depends on the patient's age, the size and structure of the cyst and menopausal status. In smaller case of smaller ovarian cysts, treatment is through hormonal medicine & larger cysts are managed by surgical treatment. In Ayurveda, it may be correlated with Granthi. Granthis are of eight (8) types1-3as per classical texts. Here, as per the pain and clinical features of ovarian cyst, it can be correlated with the vata-kaphaja Granthi. Granthi is a Kapha-pradhran tridoshajavyadhi. According to Maharshi Sushruta mentioned the pathological factor & the body tissue involved are mentioned. Pathogenesis of Granthi is explained as when Rakta (blood), mansa (muscle) and meda (Adipose tissue) are vitiated by tridoshas that are produced by Granthi5. CASE REPORT A 37-year-old female patient came to the PTSR OPD with the chief complaint of particular pain in the right iliac region and sometimes positional pain. She was experiencing heavy menstrual bleeding during periods for the last three cycles. She had presented with her USG report and other blood reports. The USG report is suggestive of a right ovarian cyst of size 40x35mm. She took advice from allopathic doctors; they advised her to take oral contraceptive pills (OCP). She was not interested in taking OCP, and then she came to our Ayurvedic hospital for management. PATIENT HISTORY The patient was non-diabetic and normotensive with no other systemic illness. Menstrual History: Her menstrual cycle duration was5-6 days with irregular intervals and associated with heavy bleeding during menses, associated with positional pain. • Her LMP was14.05.2022 Obstetric History: G2P1A1L1 • Family History: No relevant family history found. • Past Surgical History: There was no surgical history found PERSONAL HISTORY Appetite - Good Sleep – Disturbed Micturition –Normal Bowel Habit - Regular No H/ODyspareunia CLINICAL FINDINGS ASTHA VIDHA PARIKSHA Nadi –Vata Kaphaja Mutra - Samyak Mutra Pravriti Mala – Sama JihwaSama Shabda – Samyak SparsaUshna Drik – Samanya AkritiMadhyama DASHAVIDHA PARIKSHA Prakruti - Vata Kaphaja SaraMadhyama (Body Tissue) Samhanana (Body Build) -Madhyama Pramana (Body Proportion)-Madhyama Satya (Proper Homologation) –Madhyama Satwa (Mental Strength)-Madhyama Vaya (Age)- Yuvati Vyayam Shakti (Physical Strength) - Madhyama Jaranashakti/ Ahata Shakti (Digestion Power) - Madhyama Vata and Kapha Doshas were mainly aggravated. SYSTEMIC EXAMINATION CVs - Normal Respiratory System – NAD Per abdomensoft, mildly tender in the right iliac region and lower abdomen. Bp136/82 mmHg Temp98.2 F Pulse – 78 b /min Hr78b/min Samprapti Ghataka (Pathological Factors) DoshaVata Kaphaja Dushya - Mansa (Muscle) Rakta (Blood) Agni -Mridu SrotasArtavavaha srotas Sroto dusti - Siragranthi, Sanga. Treatment Schedule The treatment given to the patient with the following manner for 45 days. SL. NO NAME OF THE MEDICINE DOSE WITH ANUPANA 1 Varunadi kashaya 40 ml BD with an equal amount of water on an empty stomach 2 Kanchanar guggulu (250mg) 2tabs BD with lukewarm water after food 3 Kaishor guggulu (250mg) 2tabs BD with lukewarm water after food 4 Kuberakshya vati 2tabs BD with lukewarm water after food 5 Br. Methimodak 5-gram BD with lukewarm water after food 6 Syp Ashokarista 15 ml BD with an equal amount of water after food Int. Jr. of Contemp. Res. in Multi. PEER-REVIEWED JOURNAL Volume 4 Issue 6 [NovDec] Year 2025 289 © 2025 Dr Rohit Kumar Chhatria, Dr Ruchismita Dash. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY NC ND).https://creativecommons.org/licenses/by/4.0/ Duration of treatment: The total treatment duration was 45 days 1st visit –07.06.2022 2nd visit-03.07.2022 3rd visit –21.07.2022 OBSERVATION & RESULT The patient had followed the diet restriction with proper vihara as advised. The Sonography was made after 43 days of the treatment. The findings of the sonography report before &after treatment were satisfactory, well responding to the treatment. Her pain and other symptoms were reduced with regular menses of 3-5 days & sonography report shows no evidence of ovarian cyst (reports attached). DISCUSSION In Ayurveda, ovarian cysts are compared to Granthiroga, and the medications used to treat them are based on the pathogenesis of Granthiroga. Ovarian cysts are closed sacs filled with a liquid or semisolid substance that can develop in the ovaries. They can affect women of all ages, but most often occur during childbearing years. Most ovarian cysts are harmless and functional in nature. Granthiroga is caused by a dominance of Vata and Kapha. The medications used to treat Granthiroga should have Vatahara and Lekhana (scraping or dissolving) properties. The dushyas involved in Granthiroga are Rakta, Mamsa, and Meda. PROBABLE MODE OF ACTION Varunadi Kashaya: It’s mentioned in Shodhanadigana.It acts as a gulmahara due to its Kaphamedohara properties. It is also used in Indigestion, sthaulya&vridhiroga6. Kanchanar gugulu is the best drug for the management of Granthi. It has vata-kaphahara,raktashodhaka (blood purifier),lekhana (bio scraping) and shothahara (antiinflammatory) properties7. Kaishor gugulu: It is mainly used as a blood purifier and acts as a granthihara due to its anti-inflammatory properties8. Br. Methi modak: It helps in improving digestion, promoting metabolism and maintaining healthy blood sugar levels. Kuberaskhya Vati: It has vata-kaphahara action. It normalises the vata dosha, especially the apanavata10, which is responsible for rajapravruti. Ashokarishta: It is a good uterine tonic to regulate the H-PO axis. It helps in the management of heavy menstrual bleeding11. CONCLUSION This Ayurvedic regimen is beneficial for patients suffering from ovarian cysts and their symptoms. It is also helpful in pacifying vata and kapha in the body, along with various other female menstrual disorders, with no adverse effects. This approach of treatment has been found beneficial in treating such granthi (cyst) conditions, which need further research on a large scale of ovarian cysts. REFERENCES 1. Sushruta Samhita. Vatvyadhinidan Adhyaya. In: Shastri AD, editors. Sushruta Samhita. Revised edition. Varanasi (India): Chaukhamba Sanskrit Sansthan; 2016. p. 256. 2. Sushruta Samhita. 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Dr Lekha Soni, Dr Pramod Kumar Mishra and Dr Indu Sharma, A Clinical Evaluation Of ‘Methi Modak’ Along with Udvartana (Kutaj Bark Churna) In the Management of Sthaulya (Obesity), World Journal of Pharmaceutical Research.Vol 11, Issue 13, 2022 10. Bruhat Nighantu Ratnakar, Shree Dattaram Shrikrushnalal Mathur, Khemraj Shrikrushnadas Prakashan. Part 2 P.N 653. 11. Shri Govind Das, Bhaishajya Ratnavali, Edited by Bhisagratna Shri Brahmashankar Mishra, English Translation by Dr Kanjiv Lochan, Volume III, Chaukhamba Sanskrit Bhawan, Varanasi, Reprint 2006, Pradararogachikitsa prakaranam, 66 Chapter, Sholka no-114-118, Page no 357-358. Creative Commons (CC) License This article is an open-access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY 4.0) license. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. About the corresponding author Dr. Rohit Kumar Chhatria is a Lecturer in the Department of Prasuti Tantra and Stree Roga at KATS Ayurveda College & Hospital, Ankushpur, Ganjam, Odisha. His academic and clinical work focuses on women’s health, Ayurvedic gynaecology, and evidence-based traditional interventions to support holistic patient care. Int. Jr. of Contemp. Res. in Multi. PEER-REVIEWED JOURNAL Volume 4 Issue 6 [NovDec] Year 2025 290 © 2025 Dr Rohit Kumar Chhatria, Dr Ruchismita Dash. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY NC ND).https://creativecommons.org/licenses/by/4.0/