Published online in http://ijam. co. in ISSN: 0976-5921 International Journal of Ayurvedic Medicine, 2015, 6 (1) Supplement, 60-66

Supplemental Issue of National Seminar on Empowering and Empanelling System of Medicine Organized by SC Mutha Aryangla Vaidyak Mahavidyalaya, Satara on 26-27 March 2015

Ayurvedic Modality for Supraja Review article

Veena Ajay Patil1*

1* Corresponding Author: Professor & H. O. D (Streerog-Prasutitantra), Government Ayurved College, Osmanabad. Mob. No:- 9881493298; Email [email protected]

Abstract Nature has given a great responsibility i.e., “Pregnancy” to human body. Now-a-day due to competitive life, the advance generation desire only one child and willing that their child should be physically, mentally& intellectually stronger than them. Youngster’s possess better management skills for every event. Pregnancy should be by appointment, not by accident. It should be by choice. So for “Su praja” they should follow Ayurvedic principles. But in stressful society couples give more importance to carrier than family and so not paying attention towards proper marital age, sex timing, dincharya & rutucharya. As a result they are more prone to physical & psychological problems. . It is the need of this era to revitalize the ancient methods of health care to incorporate its benefits for the mankind. So let us try to educate them for better new generation. Ayurved takes care of all aspects of human wellbeing. All the classics have mentioned keen descriptions about reproductory age, rutukal, dincharya, rutucharya. Yogabhyas, panchkarma, pranayam, aahar-vihar, aacharrasayan, counseling, meditation, positive thinking& garbhini paricharya i.e., regimen from 1st to 9th month of pregnancy. . It helps to reduce the risk of adverse health effect on women & foetus & risk of hereditary diseases in next generation. This aims easy delivery at proper time, desired healthy child possing all the qualities with long life.

Key word: Supraja, Ayurvedic principles, panchkarma, garbhini paricharya

Introduction - of life style, the joint family pattern is Nature has given a great breaking up and the young couples are responsibility i.e., pregnancy to human facing many problems. body. Many couples become parents Every couple has the innate desire to without much preparation for this experience the joy of parenthood. Now a important responsibility. Previously in day the advance generation desire only one traditional Indian joint families, the young child and willing that this child should be mother got the help and advice of other physically, mentally and intellectually family members’. With changing patterns stronger than themselves.

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Youngsters’ possess better conception. management skills for every event of life.  Maximizes maternal & foetal health. Our future depends how well we have  Intervenes to achieve optimal planned in our present. We spend so much outcomes. time and money in planning investments that will help us live securely and happily Ayurvedic preconception care- in old age. It prepares the couple physically as In today’s rat race they give more well as mentally. importance to carrier than family and so not paying attention towards their physical Age - and mental health and live in stressful Preconception care begins with the condition. In this stressful life most of the selection of the right partners. It was time pregnancy is unplanned. For Su Praja, clearly mentioned in Ayurveda that for pregnancy should be by appointment not marriage and conception, the partners by accident. It should be by choice, not by should be of same community and should chance. not be of same clan (atulya gotriya) (2). So for supraja, the couple should The reason for this might be to reduce the follow the Ayurvedic principles before risk of hereditary diseases and to avoid conception as well as during pregnancy. congenital anomalies. According to Ayurveda is not only medicine Charak and Sushruta the appropriate age system but it is holistic way of life. It takes of conception is 25 years for a male and 16 care of all aspects of human wellbeing i.e., years for a female. (3). At this age all the physical, mental and spiritual. Ayurveda dhatu, the reproductive systems are fully has got many interventions. According to formed and mature. So vivah sanskar is ayurvedic principles for healthy progeny, done. Both the partners attain the optimum the couple must need to have proper care physiologic functioning of the organs. before conception as well as during Hence are capable for procreation. Both pregnancy. the partners are full of valor and vigor, the Ayurveda gives great importance for born child also possesses these qualities. the preconception care &garbhini Now a day in carrier oriented society, the paricharya,, so as to ensure a healthy and age of menstruation is reduced and age of successful progeny i.e., supraja (1). marriage is increased.

Definition- Ritucharya - It is the preventive care & prospective The female is advised specific planning prior & after conception. mode of living from the day of onset of menstruation which is termed as Aim - rituchraya. At the time of menstruation,  To promote healthy progeny (Su she should avoid coitus, day sleeping, praja) . application of collyrium, exertion, heavy  Identify the risk factors for adverse work and katu, tikshna ahar etc. She maternal & foetal outcome. should consume only laghu Aahar and  Educate & Counsel the couple & treat take rest. (4). the medical conditions prior to

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Factors responsible for conception - & is a primary protocol in all treatments. Four factors are responsible for After proper purification the couple conception. (5). They are rutu, kshetra, should be advised to follow a satwic diet ambu and beej. Preparing for conception of organic, whole foods for 3 months prior can be easily compared to the processes of to conception. farming. Rutu means season i.e., proper fertile The dietary regimen- period. Pathya- Kshetra is soil i.e., reproductive organs. According to Taitariya upanishad, Ambu is water i.e., proper nourishment to food is . developing foetus. Green vegetable, Cereals, Fruits, Beej is seeds i.e., ovum and sperm. . Milk, Ghee, Date, Ghee & milk medicated Normality in these four things results with anabolic herbs should be taken by in healthy progeny, just like a healthy seed male partner. Sesamum oil & Black gram bears healthy fruit. If the parent’s sperm should be taken along with balanced diet and ovum are pure, then the child is more by female partner (7). These should be likely to inherit a strong body constitution taken by couple for better outcome. and immunity. Sesamum oil has vataghna & kapha-pittaprakopa action due to its Preconceptional interventions can be & virya. (8). But by the sanskara with divided into 3 ways i.e., Physical, drugs it acts as tridosha shamaka. It has Psychological and Spiritual. the property of garbhashaya vishodana. (9). It has better action on rajorodha, Physical interventions - kashtartava etc due to its vatahara Physical interventions include property especially on apanavata which is Panchkarma, aahar -vihar, , responsible for normal functioning of the pranayam. reproductive organs. It helps in regularizing the menstruation & hence Panchakarma - promotes ovulation. It is also a best balya It is a versatile & effective therapy & vrushya due to its snigdha guna. for all kinds of problems. The couple Black gram (Masha) - It is balya, should be purified by Snehan (Oliation vrushya, alleriates vata & promotes vigor. therapy) , Swedan (Sudation therapy), (10). It contains vit. B, folic acid, Vaman i.e. Emesis, Virechan i.e., Purgation, magnesium, iron& calcium which are all Asthapanbasti (Purificatoryenema), essential factors for conception. Anuvasanbasti (Nourishing enema) & The male is advised to consume Nasya. (6). Ghee & milk medicated with madhura Panchakarma detoxifies the body, group of drugs. (11). The Ghee (ghruta) maintain the dosha, dhatu &mala to has the property of imparting strength & prevent disease & also promotes resistance improves tonicity. It nourishes the body. to outside pathogens (vyadhi kshamatva) With all these qualities make the sperm & prepare the uterus for a healthy healthy & vigor. (12). conception. Milk -gives strength, nourishes the This concept is unique in Ayurveda body & promotes jatharagni which in

62 Published online in http://ijam. co. in; ISSN: 0976-5921 Veena Ajay Patil et. al. , Ayurvedic Modality for Supraja turns increase dhatwgni resulting in The difficult poses like sarvangasan, formation of all dhatus, including shrukra halasan and shirsasan can also practice in dhatu which is the main source of sperm. pregnancy with precautions and proper It increases the quality & quantity of guidance. sperm instantly. (13). Shavasana- Due to hyperemesis, anaemia, hypertension, asthma:mother becomes Apathya- dehydrated. She get relief when she Women & men should avoid hot perform shavasana 2-3 times aday. spices, Processed food, Coffee /Tea /Cold Pranayam: The regular practice of deep drinks, Alcohol, Pan, Chocolate fast-food, inhale-exale, anulom, vilom and bhramari Smoking, Alcohol, Tobacco chewing, pranayam increases oxygenation in Fasting/Dieting, Sleeping during day time, pregnancy. (17). Staying awake at night, Heavy exercise, X-ray, Over exposure of sun, fire, Over Psychological Intervention- use of computer, mobile, Tight & synthetic In Ayurveda, the achar rasayan was undergarment, Stress, anxiety. (14). clearly mentioned. The thoughts which This may decrease the ovulatory occupy the mind of the couple before & function & spermatogenesis. during conception can produce foetus resembling the nature of thoughts. Yog & Pranayam- Stress affects many of the hormonal Practice of Yog & Pranayam can be system required for healthy ova & sperm, especially helpful in providing a ovulation, conception & foetal growth. systematic method of producing complete Stress alters the estrogen, progesterone & physical, mental & emotional relaxation testosterone production. Immune function for both partners before conception. (15). is altered by stress which may affect They concentrate on psychological fertility. aspect; breathing& increasing flexibility, apart from development of physical status Health Education & Counseling- during pregnancy. The women can practice To promote fertility, counseling the following poses. (16). should be done. Factors that may affect Parvatasana can increase space in fertility include age, proper diet & abdominal cavity and the respiratory nutrition, stress, pollution, radiation, bad movements become easy. habits, & genito - urinary infections. Trikonasan, parshwakonasan, Rasayan, , sadvritta& achar virbhadrasan-These poses in standing rasayan etc are the measures to be position make the lower extremity light followed to get healthy progeny or and increase confidence. offspring of best qualities. Baddhakonasan, janushirshasan, Partners should be counseled upvishtha konsan-These poses make the regarding the benefits of the following woman capable tolerating the labor pains. activities like Exercise, Maintain the The perineal muscles get relaxed and the optimum weight, Consuming nutrient diet, delivery becomes normal and easy. and preventing infection. 18. Virasana, vajrasana- These help to reduce the oedema on legs.

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Spiritual Interventions- monthly regimen helps in normalization of (Daivavyapashryaya Chikitsa) - urine & stool & their elimination with ease, Charak and Kashapa described delivery will ease of a healthy child “Putreshti yagna vidhi” for the progeny. endowed with excellent qualities in proper (19). time. The dietary regime is vatanulomak The spiritual energy will have some which is needed for the normal expulsion psychological effect on woman & man. of foetus during delivery.

Garbhadhana vidhi- Garbhasanskar- The regimen followed during Garbhasanskar is a process to pre-pregnancy period to achieve achieve Physical, Mental, Spiritual, conception is called Garbhadhan vidhi. 20. Emotional, Social development & After taking all the above measures Perfection for the mother & baby. at least for 3-4 months, the couple is It is complete pregnancy care capable of producing ideal progeny. guideline to get a divine child. Making love to conceive a child It is these nine months decisive should be considered a sacred act. period when maximum efforts are to be Excessive intercourse can also lead to taken for betterment of the offspring. diminished sperm count. Through fertility Today science has proved that the unborn awareness, the couple can focus their baby can not only listen, feel but respond intercourse timing to when a wished result by its own way. 60% of brain development will occur, rather than expending their occurs in intrauterine period. (24). vital forces through daily sex for long periods of time. . Sex days considered Benefits of to Mother- lucky for conception are on 12 to 18 days Chanting of controls the of menstruation. Sex should be avoided hormonal level of mother. during day time & after overeating & with It activates the parasympathetic any negative feelings. The best position for nervous system that decreases the-B. P. conceiving is with women lying on her Heart rate. It improves the sleep, decreases back. (21). nausea, back pain, headache. It lowers the risk of premature labour. It minimizes the Garbhini Paricharya- chances of PIH. (25). It is unique concept in ayurveda. It means caring of the pregnant Benefits of Mantra to Fetus women in the form of ahara. Preparing It stimulates the fetal activity. Causes pregnant women for sukha prasava, both mental & physical relaxation. Baby mentally and physically. distinctly recognizes musical sound that he Care should starts, right from the heard in the womb. There is proved confirmation of pregnancy till delivery. changes in the HR & breathing pattern in Diet of pregnant woman must be palatable, response to the musical sound. liquid, sweet and appetizing. (22). Milk, Specific mantras heard by the foetus butter and ghee must be liberally used in in womb provides strong foundation for her diet. (23). The ahara should be later learning, behavior & clear madhura, sheeta, laghu gunatmaka. The pronunciation The rhythmic tone of

64 Published online in http://ijam. co. in; ISSN: 0976-5921 Veena Ajay Patil et. al. , Ayurvedic Modality for Supraja mantras with up & downs create a 2005 Su. Sutrastana 35/15 page melodious effect in the body. It is defined no-132 as the Neuro-linguistic effect. This effect is 4. Susruta of Maharsi Susruta possible even if meaning of mantras is Edited with Ayurved Sandipika unknown. So it can be said that mantra by Kaviraja Ambikadutta Shastri chanting in not only the superstition. But it Forword by Pranajivana Manekchanda is a music therapy or mantra therapy. (26). Mehta. Chaukhambha Sansthan, Reprint Edition- Conclusion- 2005 Su sharirstana2/25-26 page no. Ayurvedic modality can provide -13 global solution in several life style related 5. Susruta Samhita of Maharsi Susruta problems It is very essential for the Edited with Ayurved tattva Sandipika prevention of present era problems related by Kaviraja Ambikadutta Shastri to mother & foetus. Also provide Forword by Pranajivana Manekchanda preventive approach & pro motive health Mehta. Chaukhambha Sanskrit care for the couples. Any attempts to Sansthan, Varanasi Reprint Edition- become more balanced will not only 2005 Su sharirstana2/33 page no. -15 benefit future offspring but also ourselves. 6. Charak Sanhita of Agnivesh, Edited Su praja can be easily achieved if the by Dr. Brahmanand Tripathi, Forword couple follows all regimes mentioned by Dr Sahay Pandey. before & after pregnancy. It prepares the Chaukhamba Surbharati Prakashan, couple to welcome a new life & to Varanasi. Ch Sha 8/3 contribute towards healthy society. Jatisutriyashariradhyaya Page -931 7. Charak Sanhita of Agnivesh, Edited References- by Dr. Brahmanand Tripathi, Forword 1. Charak Sanhita of Agnivesh, Edited by Dr Ganga Sahay Pandey. by Dr. Brahmanand Tripathi, Forword Chaukhamba Surbharati Prakashan, by Dr Ganga Sahay Pandey. Varanasi. Ch Sha 8/3 Chaukhamba Surbharati Prakashan, Jatisutriyashariradhyaya Page -931 Varanasi. Ch Sha 8/3 8. Charak Sanhita of Agnivesh, Edited Jatisutriyashariradhyaya Page -931 by Dr. Brahmanand Tripathi, Forword 2. Charak Sanhita of Agnivesh, Edited by Dr Ganga Sahay Pandey. by Dr. Brahmanand Tripathi, Forword Chaukhamba Surbharati Prakashan, by Dr Ganga Sahay Pandey. Varanasi. Ch Su 13/12 Snehadhyaya Chaukhamba Surbharati Prakashan, page no-264 Varanasi. Ch Sha 2/3 9. Susruta Samhita of Maharsi Susruta Atulyagotriyashariradhyaya Page- Edited with Ayurved tattva Sandipika 839 by Kaviraja Ambikadutta Shastri 3. Susruta Samhita of Maharsi Susruta Forword by Pranajivana Manekchanda Edited with Ayurved tattva Sandipika Mehta. Chaukhambha Sanskrit by Kaviraja Ambikadutta Shastri Sansthan, Varanasi Reprint Edition- Forword by Pranajivana Manekchanda 2005 Su. Sutrastana 45/112 page Mehta. Chaukhambha Sanskrit no-178 Sansthan, Varanasi Reprint Edition- 10. Charak Sanhita of Agnivesh, Edited

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by Dr. Brahmanand Tripathi, Forword Jatisutriyashariradhyaya Page -935 by Dr Ganga Sahay Pandey. 20. Charak Sanhita of Agnivesh, Edited Chaukhamba Surbharati Prakashan, by Dr. Brahmanand Tripathi, Forword Varanasi. Ch Su 27/24 page no-504 by Dr Ganga Sahay Pandey. 11. Charak Sanhita of Agnivesh, Edited Chaukhamba Surbharati Prakashan, by Dr. Brahmanand Tripathi, Forword Varanasi. Ch Sha 8/3 by Dr Ganga Sahay Pandey. Jatisutriyashariradhyaya Page -931 Chaukhamba Surbharati Prakashan, 21. Charak Sanhita of Agnivesh, Edited Varanasi. Ch Sha 8/3 by Dr. Brahmanand Tripathi, Forword Jatisutriyashariradhyaya Page -931 by Dr Ganga Sahay Pandey. 12. Charak Sanhita of Agnivesh, Edited Chaukhamba Surbharati Prakashan, by Dr. Brahmanand Tripathi, Forword Varanasi. Ch Sha 8/6-8 by Dr Ganga Sahay Pandey. Jatisutriyashariradhyaya Page -935 Chaukhamba Surbharati Prakashan, 22. Charak Sanhita of Agnivesh, Edited Varanasi. Ch Su 13/144 page no-264 by Dr. Brahmanand Tripathi, Forword 13. Charak Sanhita of Agnivesh, Edited by Dr Ganga Sahay Pandey. by Dr. Brahmanand Tripathi, Forword Chaukhamba Surbharati Prakashan, by Dr Ganga Sahay Pandey. Varanasi. Ch Sha 8/22 Chaukhamba Surbharati Prakashan, Jatisutriyashariradhyaya Page -944. Varanasi. Ch Su 1/108-112 23. Charak Sanhita of Agnivesh, Edited Deerghajivitadhyaya page no-43 by Dr. Brahmanand Tripathi, Forword 14. Text Book Of Obstetrics by D. C. by Dr Ganga Sahay Pandey. Dutta Sixth Edition 2004 page no-102 Chaukhamba Surbharati Prakashan, 15. www. fitpregnancy. Varanasi. Ch Sha 8/32 com/exercise/prenatal. Jatisutriyashariradhyaya Page -953 16. eyogaguru. com/best-and-safe- 24. www. india. pranayama-and-yoga-exercise-during parentingcom/pregnancy/338_3778/pe pregnancy. rforming garbha-sanskarr-during 17. www. babycenter. pregnancy. html in/a1026298/practicing-pranayam-duri 25. www. parentmap. ng-pregnancy. com/article/-in-the-Womb 18. Text Book Of Obstetrics by D. C. 26. www. thehindu. Dutta Sixth Edition 2004 page no-103. com/thehindu/mp/2002/08/05stories/2 19. Charak Sanhita of Agnivesh, Edited 002080501000200htm/Article-The by Dr. Brahmanand Tripathi, Forword Vedic path to healthy living by Dr Ganga Sahay Pandey. Chaukhamba Surbharati Prakashan, Varanasi. Ch Sha 8/11

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