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Case S udy
The Role o S hanik Chiki sa in he Managemen o Shwe a P ada : A
Case S udy
D . Vinee a Yada 1*, D . Anjana Saxena 2, D . Shashi Singh 3, D . Deepika Gup a 4
1 PG Schola , Depa men o P asu i Tan a E am S i oga, Rajkiya Ayu eda College, Chaukagha ,
Va anasi, U a P adesh, India
2 Associa e P o esso , Depa men o P asu i Tan a E am S i oga, Rajkiya Ayu eda College, Chaukagha ,
Va anasi, U a P adesh, India
3 H.O.D. & P o esso , Depa men o P asu i Tan a E am S i oga, Rajkiya Ayu eda College, Chaukagha ,
Va anasi, U a P adesh, India
4 Depa men o P asu i Tan a E am S i oga, Rajkiya Ayu eda College, Chaukagha , Va anasi, U a P adesh, India
Co esponding Au ho : *D . Vinee a Yada DOI: h ps://doi.o g/10.5281/zenodo.17710653
Abs ac
Manusc ip In o ma ion
Acha ya Manu has emphasised ha he happiness o humani y depends signi ican ly on he
p ope ca e and espec o women. Ensu ing he well-being o women, he e o e, is essen ial
o a heal hy and happy socie y. Shwe a P ada (leuco hea) is one o he mos common
gynaecological complain s aced by women in hei daily li es. While a mild aginal discha ge
is conside ed physiological, excessi e, oul-smelling, o i chy discha ge causes conside able
discom o and indica es pa hology.
Con en ional medica ions o en ail o p e en ecu ence, making managemen challenging.
Howe e , Ayu edic ea men s—pa icula ly localised he apies (S hanik Chiki sa)—ha e
shown p omising esul s in managing Shwe a P ada e ec i ely.
This case epo p esen s a emale pa ien wi h complain s o hin/ hick whi e aginal
discha ge, ul o- aginal i ching, low backache, and cons ipa ion. She was ad ised S hanik
Chiki sa, which included Yoni P akshalana ( aginal wash) wi h Lodh adi Kashaya and Yoni
Pichu ( aginal ampon) wi h Lodh adi Taila. The p ocedu es we e adminis e ed o 7 days
ollowing he cessa ion o mens ua ion, o e h ee consecu i e cycles. Symp oma ic elie was
obse ed om he e y i s cycle, wi h signi ican imp o emen no ed ac oss all subsequen
cycles.
This case highligh s he impo ance and e icacy o S hanik Chiki sa in he managemen o S i
Roga (gynaecological diso de s), pa icula ly Shwe a P ada .
▪ ISSN No: 2583-7397
▪ Recei ed: 15-09-2025
▪ Accep ed: 27-10-2025
▪ Published: 25-11-2025
▪ IJCRM:4(6); 2025: 237-242
▪ ©2025, All Righ s Rese ed
▪ Plagia ism Checked: Yes
▪ Pee Re iew P ocess: Yes
How o Ci e his A icle
Yada V, Saxena A, Singh S, Gup a
D. The ole o S hanik Chiki sa in he
managemen o Shwe a P ada : A
case s udy. In J Con emp Res
Mul idiscip. 2025;4(6):237-242.
Access his A icle Online
www.mul ia iclesjou nal.com
KEYWORDS: Shwe a P ada , Yoni P akshalana, Yoni Pichu, S hanik Chiki sa, S i Roga
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1. INTRODUCTION
Women a e he ounda ional pilla s o any socie y. They play a
c ucial ole in shaping heal hy amilies and, by ex ension, a
p ospe ous na ion. Acco ding o a Uni ed Na ions epo ,
women cons i u e nea ly 50% o he global human esou ce—
second only in numbe o men— possessing immense po en ial
o social and economic de elopmen .
In he mode n e a, women a e inc easingly pu suing ca ee s and
inancial independence. Howe e , his shi in p io i ies has
o en led o he neglec o hei own heal h. Changes in li es yle,
i egula die a y habi s, dis u bed sleep pa e ns, and inc eased
s ess le els ha e all con ibu ed signi ican ly o he
de e io a ion o women’s physical well-being.
Shwe a P ada —commonly known as whi e aginal
discha ge—is one such heal h issue a ising om con empo a y
li es yle changes. Physiologically, a small amoun o aginal
sec e ion is no mal and essen ial o main aining he mois u e
and cleanliness o he aginal mucosa. A sligh inc ease in
discha ge may also occu du ing mid-mens ual cycles,
p egnancy, o pe iods o sexual a ousal, and can be in luenced
by ac o s such as s ess, nu i ional s a us, emo ional well-
being, o medica ion use.
Howe e , when his discha ge becomes excessi e o
pa hological in na u e, i may p esen wi h associa ed symp oms
like a hick, oul-smelling whi e discha ge, ul a i ching,
aginal i i a ion, lowe abdominal o back pain, and
gene alised a igue. These symp oms can signi ican ly a ec a
woman’s quali y o li e, in e e ing wi h he abili y o ocus on
amily and p o essional esponsibili ies.
This pape p esen s a case s udy o Shwe a P ada (whi e
discha ge) managed h ough Lodh adi Kashaya Yoni
P akshalana ( aginal wash) ollowed by Lodh adi Taila Yoni
Pichu ( ampon he apy), illus a ing he he apeu ic e icacy o
S hanik Chiki sa (local ea men ) as desc ibed by he classical
Ayu edic Acha yas.
CASE REPORT
A -55-yea -old emale pa ien epo ed o he Ou pa ien
Depa men (OPD) o P asu i Tan a e am S i Roga,
Go e nmen Ayu edic College, Va anasi, wi h he chie
complain o hin/ hick, whi e aginal discha ge (pe aginam)
associa ed wi h ul o aginal i ching (on/o ) pe sis ing o he
pas 20 yea s. Associa ed complain s included lowe back pain
and cons ipa ion.
His o y o p esen illness. Acco ding o he pa ien , she was
su e ing om hin/ hick whi e discha ge P/V o 20 yea s
(on/o ). The discha ge was hin/ hick in consis ency. Along
wi h discha ge, she was also ha ing complain s o aginal
i ching. Also, she is ha ing complain s o cons ipa ion and
lowe back pain. She had aken medica ion se e al imes bu
did no ge a comple e cu e.
Tha 's why she decided o ake ayu edic ea men .
His o y o pas illness -Pa ien does no ha e a his o y o
majo illness.
Su gical his o y o su ge y.
Medical his o y- Pa ien does no ha e any medical his o y.
Family his o y -No amily his o y o DM/HTN/TB/Thy oid
dys unc ion,
Con acep i e his o y-Pa ien is no aking any OCP o has no
had any IUCD inse ed.
Pe sonal his o y - Pa ien does no ha e any his o y o
hospi alisa ion o blood ans usion. Pa ien does no ha e any
his o y o alle gy o any subs ance o any d ug. Pa ien is no
addic ed o ea o co ee o ciga e es, o alcohol.
Mens ual his o y-
Menopause × 3 yea s ago
Obs e ic his o y -
G3. P2. A1
P1-34 y s. Male child, FTND
P2: 30 y s. Female child, FIND
A-28 y s. Ago, 2 mon hs GA, D & C was pe o med
Examina ions
Pe abdomen examina ion -NAD
Gynecological examina ion
O/E-
Ex. Geni alia -Thick discha ges p esen on he ul a
Pe speculum examina ion-
Ce ix hype ophied wi h conges ion,
Thick whi e discha ge p esen on he ex e nal os o he ce ix, a
S awbe y spo p esen on he ce ix and he la e al wall o he
agina
Pe aginal examina ion-
An e e ed pa ous size, bulky u e us,
Tende ness p esen in he B/L o nix
Ash a idha Pa iksha (Table 1)
Dash idha Pa iksha (Table 2)
In es iga ions (Table 3)
T ea men p o ocol (Table 4)
Ad ice
1. To a oid in e cou se du ing ea men .
2. To a oid spicy ood, o e ea ing, ied ood, bake y i ems,
and e men ed i ems.
3. To a oid men al s ess.
4. To ake g een lea y ege ables & simple ood & o main ain
an adequa e amoun o luid in ake.
ASSESSMENT CRITERIA
Imp o emen o he pa ien will be assessed mainly based on
elie in he signs and symp oms o he disease. To assess he
e ec o he apy, all he signs and symp oms a e gi en a sco e
depending on hei se e i y. A special pa e n is adop ed as
ollows: -
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SUBJECTIVE PARAMETERS
S a a (Vaginal discha ge)-
G ade
Sco e
Symp om
No mal
0
No mal/ physiological discha ge
Mild
1
Sligh excessi e discha ge (occasionally we ing he unde ga men s)
Mode a e
2
Mode a ely excessi e discha ge (we ing he unde ga men s)
Se e e
3
Hea y discha ge may need pads
Consis ency
G ade
Sco e
Symp om
No mal
0
No mal
Mild
1
Thin
Mode a e
2
Thick
Se e e
3
S icky
Yonidaha
G ade
Sco e
Symp om
No mal
0
No bu ning
Mild
1
Mild-occasional bu ning
Mode a e
2
Mode a e- equen bu ning
Se e e
3
Se e e- con inuous bu ning
Yonidu gandha
G ade
Sco e
Symp om
No mal
0
Absen
Mild
1
P esen
Gene al weakness
G ade
Sco e
Symp om
No mal
0
Absen
Mild
1
P esen
Adho-Uda ashoola (pel ic pain)
G ade
Sco e
Symp om
No mal
0
No pain
Mild
1
Mild pain wi h discom o
Mode a e
2
Mode a e pain wi h discom o , bu he daily ac i i ies a e no a ec ed
Se e e
3
Se e e pain wi h discom o and he daily ac i i ies a e also a ec ed
Yonikandu ( aginal i ching)
G ade
Sco e
Symp om
No mal
0
No I ching
Mild
1
Mild- sligh ub
Mode a e
2
Mode a e i ching causing edness
Se e e
3
Se e e con inuous i ching causes edness and discom o
Ka ishoola (low backache)
G ade
Sco e
Symp oms
No mal
0
No pain (occasional, only eeling o discom o )
Mild
1
Mild pain (a a special ime o menses, wi h excessi e wo kload, o in e cou se)
Mode a e
2
Mode a e pain (con inuous, elie a e aking medicine)
Se e e
3
Se e e pain ( i a shool, no elie a e aking medicine)
OBJECTIVE PARAMETER
Vaginal pH
G ade
Sco e
pH
No mal
0
3.5-4.5
Mild
1
>4.5-6
Mode a e
2
>6-7
Se e e
3
>7
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Epi helial cells in u ine examina ion
G ade
Sco e
Symp om
No mal
0
No ound
Mild
1
Occasionally
Mode a e
2
1-3 cells
Se e e
3
>4 cells
Pus cells in u ine examina ion
G ade
Sco e
Symp om
No mal
0
No ound
Mild
1
Occasionally ound unde high high-powe ield
Mode a e
2
1-3 cells ound unde high-powe ield
Se e e
3
Abo e >4 cells ound unde high powe ield
Table 1 Shows Ash a idha Pa iksha
Nadi
Mala
Mu a
Jih a
Shabda
Spa sha
D ika
Ak i i
Kapha Pi a
Ni am
Pale yellow
P ak i a
P ak i a
Samshee oshna
Pandu a
Samanya
Table 2: Shows Dash idha Pa iksha
P ak i i
Vik i i
Saa
Samhanana
P amana
Sa mya
Sa a
Aha a
shak i
Vyaya m shak i
Vaya
Va a Pi a
A is
a a
Madhy
ama
Madhya ma
Madhy
ama
Sa a
sa
Madhy
ama
Madhy ama
Madhy ama
Madhyama
as ha
Table 3: Shows in es iga ions
CBC
RBS
HIV
HBSAG
HCV
VDRL
URINE (R/M)
Vagina l PH
USG
Pap Smea
wi hin
no ma
l limi s
Hb%
12.10
gm /dl
111
mg/d
l
NR
NR
NR
NR
R - Wi hin no mal
limi s
M- Yeas cell
p esen
. Pus cells
occasionally
y
. Epi helial
cell- 0 o 1/hp
7.5
Bulky
u e us wi h
a mild
hype ophi
c ce ix
wi h
minimal
F ee luid
in cul- de-
sac
∆ Nega i e
o
In aepi helial
Lesion o
Malignancy
Table 4shows he T ea men p o ocol
Complain s
T ea men gi en
Du a ion
Ou come
Fi s cycle – hin/Thick whi e
Lodh adi Kashaya yoni
p akshalana ( aginal douche)
Fo 7 days a e
he cessa ion o
menses
Mild elie in whi e
discha ge P/V wi h
ul o aginal i ching
discha ge P/V wi h
ul o aginal i ching
(on/ o ), Low back ache,
Cons ipa ion.
ollowed by Lodh adi aila yoni
pichu
( aginal ampon)
Chand ap abha a i 2 BD, iphala
chu na 3 gms BD wi h lukewa m
wa e o associa ed complain s
Fo 10 days
Vaginal pH-7
Go elie in low
backache &cons ipa ion
Second cycle – Mild hick
whi e discha ge P/V & mild
ul o aginal i ching (on/o )
Lodh adi Kashaya yoni p akshalan
& Lodh adi ail yoni
pichu
Fo 7 days a e
he cessa ion o
menses
Go mode a e elie in
discha ge &
ul o aginal i ching
Vaginal pH-6.5
Thi d cycle-
Thick whi e discha ge P/V on
& o go imp o ed
Lodh adi Kashaya yoni
p akshalana & Lodh adi ail yoni
pichu
Fo 7 days a e
he cessa ion o
menses
Go elie om discha ge
P/V & ul o
aginal i ching
Vaginal pH-5
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Table 5: Shows Resul s
U ine R/M
USG
VAGINAL PH
Wi hin no mal limi s
∆ U e us is no mal in shape & size.
No F ee luid in he cul-de-sac.
5
RESULTS
Following he comple ion o he d ug ial, which consis ed o
h ee cycles o 7-day ea men s, he pa ien expe ienced
signi ican elie om aginal discha ge. No ably, imp o emen
was obse ed om he e y i s cycle. Pos - ea men
in es iga ions u he con i med he clinical imp o emen (see
Table 5).
One key inding was he change in aginal pH. Ini ially, he pH
was 7 (alkaline), which is abno mal. A e he ull 21-day
ea men pe iod ac oss he h ee cycles, he aginal pH was
ee alua ed and ound o be 5, wi hin he acidic ange. This
shi owa d an acidic en i onmen is essen ial o main aining a
heal hy aginal lo a and p e en ing in ec ions.
DISCUSSION
In Ayu eda, all gynaecological diso de s a e b oadly
ca ego ised unde he e m Yoni Vyapad (gynaecological
diseases). Shwe a P ada a (whi e aginal discha ge) is a
common symp om obse ed in many ypes o Yoni Vyapad,
o en a ising due o he i ia ion o Kapha o a combina ion o
Va a and Kapha doshas. Condi ions such as A ajaska, Ka nini,
Acha ana, A icha ana, Shleshmala, Upaplu a, and P as amsini
a e commonly associa ed wi h such symp oms.
The e m Shwe a P ada a, speci ically o whi e aginal
discha ge, is desc ibed in classical Ayu edic ex s like he
Sha ngadha a Samhi a, Bha a P akasha, and Yoga Ra naka a.
In he p esen case, he pa ien p esen ed wi h complain s o
hick whi e aginal discha ge (pe aginum), along wi h
ul o aginal i ching. This clinical pic u e sugges s he
in ol emen o Kapha and Pi a doshas p edominan ly. The
Kapha dosha is esponsible o he hick, mucoid na u e o he
discha ge, whe eas he Pi a dosha accoun s o he bu ning
sensa ions expe ienced in he aginal egion and du ing
u ina ion.
Addi ionally, as s a ed by Acha ya Cha aka, no Yoni Vyapad
can mani es wi hou he in ol emen o Va a dosha. The Yoni
P adesh ( aginal egion) is go e ned by Apana Vayu, a sub ype
o Va a, which plays a c i ical ole in he egula ion o
ep oduc i e and exc e o y unc ions.
Why Lodh adi Kashaya and Lodh adi ail –
The d ug used o his case is Lodh adi Kashaya & Lodh adi
Taila, men ioned in Ash ang Sang aha U a Tan a 39/97. The
con en s a e Lodh a and Va a ha ing Ka u ipaak, Shee ee ya
and Kashaya asa P adhan (as ingen ). All hese p ope ies
make i Kapha – Pi a shamak, S ambhaka, V ana shodhaka
(wound cleane ), Vedanas hapak (analgesic), V ana opaka
(wound heale ) & Rak adoshaha a (blood pu i ie )
The Lodha adi kwa h used o yoni dhawana has an isep ic,
an imic obial well as pain- elie ing ac ion. I p e en s he
g ow h o mic oo ganisms and helps in es o ing he pH o he
agina. D ugs used o yoni dhawan a e abso bed h ough he
mucosa and he blood ci cula ion and also ha e a bene icial
e ec on he u e us. Bo h he d a yas in kwa h a e Kashaya
asa mak, so ha ing p ope ies like s ambhan, G ahi guna helps
in educing aginal discha ge and also con ains kandughan and
k imighan ac ion.
Taila diminishes he chances o in ec ion in he geni al ac , as
Taila is Yoni Vishodhaka, V ana opaka and Va aghna.
Why Yoni P akshalana and Yoni Pichu?
As he e m P akshalana deno es "cleansing," Yoni
P akshalana e e s o he he apeu ic washing o he aginal
canal. This p ocedu e aids in he emo al o excessi e
sec e ions, discha ges, o accumula ed oxins. The e icacy o
his p ocedu e la gely depends on he p ope ies o he
medica ed decoc ion (Kwa ha) used o he cleansing.
Simila ly, Yoni Pichu in ol es he inse ion o a s e ile co on
swab soaked in medica ed oil (Taila) o ghee (Gh i a) in o he
aginal canal. This me hod ensu es p olonged local e en ion o
he medicamen , allowing sus ained he apeu ic ac ion. Due o
he ich ascula supply o he aginal mucosa, he abso p ion
o he ac i e cons i uen s is enhanced. Fu he mo e, he
lipophilic na u e o he aginal mucosa suppo s be e
abso p ion o oil- o ghee-based o mula ions, making Taila and
Gh i a ideal ehicles o in a aginal d ug deli e y.
CONCLUSION
Shwe a P ada a (whi e aginal discha ge) is a common
gynaecological complain among women o ep oduc i e age
and ep esen s a signi ican clinical conce n in day- o-day
p ac ice. Beyond i s physical symp oms, i can also impac he
o e all well-being o he indi idual, po en ially leading o
psychological dis ess. The e o e, a s uc u ed and e idence-
based he apeu ic app oach is essen ial o e ec i e
managemen . The ea men modali ies discussed abo e may be
conside ed as a comp ehensi e p o ocol in he managemen o
Shwe a P ada a (whi e discha ge pe aginum), o add ess bo h
he unde lying pa hology and imp o e he pa ien 's quali y o
li e.
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Abou he co esponding au ho
D . Vinee a Yada is a PG Schola in he Depa men o
P asu i Tan a E am S i oga a Rajkiya Ayu eda College,
Chaukagha , Va anasi. She is dedica ed o ad ancing
Ayu edic esea ch in women’s heal h, ocusing on
adi ional he apeu ic p ac ices, clinical ca e, and e idence-
based app oaches o ma e nal and ep oduc i e well-being.
