1

PARUL INSTITUTE OF AYURVED

PARUL UNIVERSITY, P.O. LIMDA,VADODARA
Department of Prasuti Tantra and Stree Roga

COMPILATION

सूतिका ज्वर
COMPILED BY
Joyal Patel
ROLL NO:- 41
3rd Year BAMS

ACEDEMIC YEAR:- 2017-2018

1
 2

PARUL INSTITUTE OF AYURVED

PARUL UNIVERSITY, P.O.LIMDA,VADODARA.
Department of Prasuti Tantra and Stree Roga

CERTIFICATE

This is to certify that the compilation done by Mr. Patel Joyal J. on the
सूतिका ज्वर is made under direct my supervision and guidance and the
information furnished in the topic is original at the best of my knowledge.

Place:

Date: Signature of Student

Signature of Teacher Signature of HOD

2
 3

INDEX

1. INTRODUCTION.................................................................4

2. AYURVEDIC CONCEPT.....................................................5

➢ सतू िका ज्वर ka महत्व ………………………………………………….5

➢ ज्वर भेद ……………………………………………………………….5

➢ ज्वर ke तिदाि ……………………………………………………….....5

➢ CLINICAL FEATURES OF DIFFERENT TYPES OF JWARA……7
➢ चिककत्सा of सतू िका ज्वर ............................................................12
-PREVENTIVE MANAGEMENT OF सतू िका ज्वर ........................12
-CURATIVE MANAGEMENT …………………………………….14
➢ AUSHADHA YOGA – SUTIKA JWARA ...........................................16
➢ TRADITIONAL MANAGEMENT …………………………………16

3. MORDERN CONCEPT- PUERPERAL

PYREAXIA……………………………………….…………………...16
➢ INCIDENCE & PREVELANCE …………………………………...17
➢ MODE OF INFECTION…………………………………………….18
➢ DIAGNOSIS OF THE CAUSE OF PUERPERAL PYRAXIA………19
➢ GENERAL EXAMINATION…………………………………….....19
➢ TREATMENT OF PUERPERAL SEPSIS……………………........20

4. CONCLUSION…………………………………………………….21
5. REFERANCE…………………...…………………………………22

3
 4

सूतिका ज्वर

INTRODUCTION
➢ A lady can be termed sutika only after the complete expulsion of
placenta.
➢ It is a state of immune suppression where there is alteration in the
psychological, physical and nutrition bond.
➢ Due to Garbhavriddhi there will be shithila sarvadhatu and due to
pravahana vedana during delivery there will be dhatu, agni and
balakshaya which leads to vitiation of vata causing various
sutikaroga’s.
➢ Among which sutika Jwara is considered important.
➢ Stree plays a vital role in the recreation process and also in bringing
up a sensible and virtuous child.
➢ Sutika is one of the most important phases in a women’s life where
there is alteration in the psychological, physical nutritional bond.
➢ Due to Garbhavriddhi there will be Shithilasarvadhatu and due to
dhatuagnibalakshaya in turn vitiation vitiating vata dosha.
➢ Then her body is reffered to as Shoonya shareera and hence more
prone to various sutikavyadhi’s among which sutikajwara is of prime
importance.
➢ Kashyapa has enumerated 74 no. of sutika roga’s and has mentioned
Sutikajwara under two context sutikopakramaniyam and
Dushprajatiyam adhyaya quoting its importance.
➢ Kashyapa in Khilasthana says that among all the Sutikavyadhis,
Sutikajwara is supposed to be kashtathama and he correlates Sutika
with three similes i.e.; How difficult it is to remove the stain out of a
old cloth, How difficult it is for a old house to sustain the force of
wind, rain & tremors.
➢ Similarly is the body of Sutika who is more prone to jwara just like a
dry wood which is more likely to catch fire easily.
➢ Diseases afflicting puerperal women are said to be difficult to cure or
incurable due to- All the dhatus having become lethargic during the
process of developments of fetus
4
 5

➢ Body becoming exhausted due to labour pains

➢ Loss of watery substance and blood from the body
➢ Decreased digestive power, muscle-mass and strength having been
decreased.

AYURVEDIC CONCEPT

सूतिका ज्वर ka महत्व :-

 सवेषामेव रोगाणाां ज्वर: कष्टिमो मि: ।

(का.खिलस्थाि.11)

As the fever is most troublesome in comparison to all other disorders, hence is

etiology, clinical features and treatment would be described first.

ज्वर भेद :-

 षड्ववधस्िु प्रसि
ू ािाां िारीणाां जायिे ज्वर: ।

तिजागांिु भेदेि................... ॥

(का. खिलस्थाि. 11)

➢ The puerperal women suffers from six types of fever classified under nija
i.e.: vataja, pittaja, kaphaja & sannipataja and agantuja i.e.: stanyottha and
grahottha.

ज्वर ke तिदाि

सामान्य तिदाि

 वेगसांधारणाि ् रौक्ष्याि ् व्यायामाि ् अति असक

ृ ् क्षयाि ् ।

5
 6

शोकाि ् अति अग्निसन्िापाि ् कटु अम्ल उष्ण अतिसेवािाि ् ॥

ददवास्वप्िाि ् परु ोवािाद् गुरु अभभष्यांदद भोजिाि ् ।

स्िियागमाद् ग्रहबाधाि ् अजीणााि ् दष्ु प्रजायिाि ् ॥

ज्वर: सांजायिे िारया: षड्ववधो हे िुभेदि: ॥

(का. खिलस्थाि. 11)

The women either having abnormal delivery or using non-congenital diet

after normal delivery suffers from fever, is the opinion of charaka and susruta
given while describing causes of fever due to two or three dosas and agantuja
fever.

➢ Kashyapa says that due to suppression of natural urges, dryness,

exercise, excessive haemorrhage, grief, use of excessive heat of fire.
➢ Also excessive use of bitter, sour and hot articles, day sleeping, use of
wind blowing from eastern side, consumption of heavy and
abhisyandi diet.
➢ Appearance of milk in the breasts, affliction by grahas, indigestion
and difficult or abnormal labour the puerperal women suffers from six
types of fevers.

तिदाि of सग्न्िपातिक ज्वर

➢ Along with above mentioned causes if one uses incompitable things or

articles contrary to each other in qualities, fats or unctuous substances
and cold water in the form of bath, drink with diat, then suffers from
severe sannipataja jwara.
➢ If puerperal women indulges in coitus, consumes incompatible or
abnormal eadibles
➢ Does night awakening
6
 7

➢ Day sleeping
➢ Worry, jealousy, greed
➢ Uses non-staining measures
➢ Women having undergone abnormal/difficult labour
➢ Does various types of abnormal acts
➢ Then all the three dosas get vitiated and produce fever etc.

CLINICAL FEATURES OF वाि ज्वर

 ववषमोष्म अांगमदा श्ि जांभ

ृ थू रोमहषाणम ् ।

कषायववरसास्यत्वां शीिद्वेषोष्णकामिे ॥

दां िहषा प्रलापश्ि शष्ु कोद्गार: प्रजागर: ।

आध्माि अांगसांकोिो वािज्वर तिदशािम ् ॥

(का॰ खिलस्थाि -11)

➢ Irregular temperature
➢ Body ache
➢ Yawning
➢ Horripulation
➢ Astringent taste or tastelessness of mouth
➢ Aversion to cold
➢ Desire for hot
➢ Morbid sensitivity of teeth
➢ Delirium
➢ Dry eructation
➢ Insomnia
➢ Flatulence
➢ Contraction of body parts

7
 8

These all are indicative of fever due to vata.

CLINICAL FEATURES OF वपत्त ज्वर

 िष्ृ णा दाह: प्रलापश्ि वामथ:ु कटुकास्यिा ।

पीिास्य िि दन्ि अक्षक्ष ववण्मत्र

ू त्वम ् ि लक्ष्यिे ।

कण्ठस्य शोष: सवं ि प्रदीप्िभमव मन्यिे ॥

भ्रम: शीिाभभलाषश्ि वपत्तज्वर तिदशािम ् ॥

(का॰ खिलस्थाि -11)

➢ Thirst
➢ Burning sensation
➢ Delirium
➢ Vomiting
➢ Pungent taste of mouth
➢ Yellowish face, nail, teeth, eyes, faces and urine
➢ Dryness of throat
➢ Feeling as if everything is burning
➢ Giddiness
➢ Desire for cold and indicative of fever due to pitta.

CLINICAL FEATURES OF कफज ज्वर

 उष्णाभभकामिा कास: शीरोरुक् गात्रगौरवम ् ।

मांदोष्मिा प्रतिश्याय: शक्

ु लमत्र
ू परु ीषिा ॥

तिद्रा िांद्रा दहमद्वेष: ष्ठीविां मधरु ास्यिा ।

8
 9

गात्रसादो अन्िववद्वेष: कफज्वर तिदशािम ् ॥

(का॰ खिलस्थाि -11)

➢ Craving for hot things

➢ Cough
➢ Headache
➢ Heaviness of body
➢ Low temperature
➢ Coryza
➢ White colouration of urine and faces
➢ Sleepiness
➢ Drowsiness
➢ Aversion for cold
➢ Spitting
➢ Sweet taste of mouth
➢ Exhaustion of body parts
➢ Hatred for food are indicative of fever due to kapha.

CLINICAL FEATURES OF सग्न्िपातिक ज्वर

 मह
ु ु : शीिां मह
ु ू दााहो मह
ु ु रूष्म समोसम: ।

कृछ्रववण्मत्र
ू वाित्वां वािाि ् आांत्र अभभसांजिम ् ॥

दाहास्िष्ृ णा प्रलापश्ि वपत्ताि ् ववक्षक्षप्िचित्तत्ता ॥

गरू
ु त्वां कण्ठसांरोध: काफाच्ि प्रतिशीििा ।

सग्न्िपािज्वरस्य िि ् लक्षणम ् समद

ु ाहृिम ् ॥

(का॰ खिलस्थाि -11)

9
 10

➢ In a moment feeling of coldness while at other the burning sensation

➢ Frequent rise and fall in temperature
➢ Sometimes normal sometimes abnormal agni
➢ Difficulty in excursion of faces
➢ Urine and flatus along with pain in abdomen due to vitiation of vayu
➢ Due to vitiation of pitta burning sensation
➢ Thirst
➢ Delirium
➢ Unstability of mind
➢ Heaviness
➢ Feeling of obstruction in throat and shivering

CLINICAL FEATURES OF स्िन्योत्पवत्त जन्य ज्वर

 िि
ृ ीयेअहति ििुथे वा िायाा: स्िन्याां प्रविािे ।

पयोवहीति स्रोिाांभस सांवि

ृ ान्यभभघट्टयेि ् ॥

करोति स्िियो: स्िांभां वपपासा हृदयद्रवम ् ।

कुक्षक्षपाश्वाकटीशल
ू ां अांगमदा भशरोरूजाम ् ॥

एिि ् स्िन्यागामोत्थस्य ज्वारस्योक्िां स्वलक्षणम ् ।

स दह पीयष
ू सांशद्
ु धौ क्रममात्रेण तिष्ठति ॥

(का॰ खिलस्थाि -11)

➢ Stiffness of breasts
➢ Thirst
➢ Hrdayadrava
➢ Pain in abdomen
10
 11

➢ Flanks and sacral region

➢ Bodyache and headache

The fever subsides as soon as the milk is properly drained.

CLINICAL FEATURES OF ग्रहोत्थ ज्वर

 ग्रहावलोककि त्रास वािाघाि अवधि

ू िै: ।

ज्वयािे िेि ् प्रसि

ू ा स्त्री िस्य वक्ष्याभम लक्षणम ् ॥

उद्वेपको तिष्टििां िक्षुषो ववभ्रम: श्रम: ।

कांपिां हस्िािेत्राणाां हररद्रमि

ु िेत्रिा ॥

क्षणेि श्यावािाांगिाम ् क्षणेि िा सवणािा ।

सप्र
ु बोध: सह ...... क्रोश: केशलांि
ु िम ् ।

पविज्वर रूपाखण भतू यस्ष्ठाति करोति िा ॥

ववचध: ग्रहघ्िो अस्य दहि: क्रमो यश्ि अतिलज्वरे ।

(का॰ खिलस्थाि -11)

➢ Clinical features of fever arising due to sight of grahas, fear, vata,

trauma and shaking or trembling are as follows:-
➢ Tremors of whole body
➢ Crying or deep breathing
➢ Abnormal visual perception
➢ Tiredness
➢ Tremors/twitching of hands and eyes
➢ Yellowishness of face and eyes

11
 12

➢ Quick alteration in body complexion into blackness or normal

colour
➢ Inspite of full consciousness crying and plucking of hair and other
features of fever caused by vata are the clinical features caused by
grahas.
➢ In this desease measures to pacify grahas and other treatment
prescribed for fever due to vata should be used.

चिककत्सा of सतू िका ज्वर

➢ PREVENTIVE MANAGEMENT OF सूतिका ज्वर

Prevention is nothing but Sutika Paricharya and it can be subdivided under these
headings as follows:-
➢ 1.Sutikagara
➢ 2.Ashwasana
➢ 3.Abhyantara & Bahyaupakrama
➢ 4.Breast care

1) SUTIKAGARA
➢ Different acharya’s have mentioned that a sutikagara must be facing east
north/south
due to the abundance availability of sunlight & ventilation which in turn acts as
disinfection.
➢ Various rakshoghna aushadhi’s are to be made available like gomaya,
ghritha, madhu, saindhava, vacha etc which acts as disinfective.
➢ Drugs like pippali, cavya, chitraka, nagara, hingu, sarshapa, sura, asava etc
and instruments like musala, ulukhala, tikshnasuchi, pippilika should be
made available in sutikagara which are helpful in atyayika chikitsa like
obstructed labor etc.
➢ Further the acharya’s say that the ladies conducting delivery should be of
parinatavayasah, prajananakushala, kartitanakha and prajathastri who
would carry out sukhaprasava.
➢ So the whole concept of sutikagara mainly concentrates on hygiene &
disinfection by isolating the lady, which is psychologically appropriate in
prasavaavastha. This can be co related to our nowadays labor and post natal
room.

12
 13

2) ASHWASANA
➢ This is nothing but psychological reassurance by the prajathastri mentioned
earlier.
➢ In Ayurveda it’s told that during prasava there would be vitiation of vata
leading to satwaheenata.
➢ Hence Ashwasana is essential.

3) ABHYANTARA & BAHYA UPAKRAMA

➢ Analysing the abhyantara & bahyaupakrama mentioned acc to different
acharya’s it can be seen that: Intially aharaprayoga in the form of yavagu,
peya processed with panchakola and ushnagudodaka is advised.
➢ This helps in agnideepana, vatanulomana, stanyotpatthi & purana
rakthashuddhi from garbhashaya.
➢ Later jangalamamsa rasa and yusha with kola kulattha etc bramhana drugs
has been told & this helps in dhatuvardhana in turn helping in endometrial
regeneration.
➢ Various bahyaupakrama’s like abhyanga, udwartana, parisechana &
udaraveshtana has been aadvised which would do the vatanulomana &
purana rakthashuddhi.
➢ Kashyapa has further mentioned sthanika upakrama like yoni abhyanga,
yoni swedana & dhupana which helps in maintaining hygiene and stops the
ascending infections to the reproductive tract.

5) BREAST CARE:-
➢ Counseling plays an important role.
➢ Usually 2nd or 3rd day the breast milk appears and exclusive breast feeding
should be advised.
➢ Nursing pads can be used to absorb the excess lactation.
➢ Position of the breast feeding should be told and taught.
➢ Hygiene to be maintained.
➢ Wherever necessary stanyashodhaka & stanyajanaka drugs to be given.
➢ Worldwide breast care associations of WHO/UNICEF have launched 10
steps to successful breast feeding which should be advocated in every
institution.

CURATIVE MANAGEMENT:- चिककत्सा भसद्दाांि

General line of Management
 स्वेदो अपिपाणम ् यक्
ु त्या पाििौषध सेविम ् ।

13
 14

कषाय अभ्यांजिां सवपाज्वरघ्िम ् परमो ववचध: ॥

(का॰ खिलस्थाि -11)

➢ Nidana Parivarjana
➢ Swedana (Ushna jala)
➢ Apatarpana
➢ PachanaAushadha
➢ Kashaya
➢ Abhyanga
➢ Jwaraghna sarpi

वािj सूतिका ज्वर चिककत्सा

➢ Dwipanchamooladi taila pana - Processed with shatavari, punarnava, bala,
rasnaand kalka of shatapushpa, vacha, shigru etc…
➢ Yavakoladighritha pana- Its vatashleshmahara and processed with yava,
kola, kulattha, panchamoola, chavya, chitraka, nagara, pippali, dadhi etc…
➢ Vatahara kwatha kalpana’s like Mahapanchamooladi, Vidarigandhadi,
Rasnadiand Bilwadi are mentioned.
➢ Avagahana with ushnakashaya of shyonaka, apamarga, vasa, eranda and
vamsha.
➢ Sankara sweda with kravyadamamsa, masha, tila, dashamoola,
gomayachoorna, kanji etc..
➢ Sarvanga dhoopana with kushta, guggulu and ghritha.
➢ Pathya- Soup prepared of panchamoola & jangalamamsa rasa adding amla
& lavanan rasa.
➢ In vepathu yukta jwara - Ushna taila abhyanga, suradaru dhoopana,
sukhoshna lepa of sarvagandha dravya & kanji.

वपत्तj सतू िका ज्वर चिककत्सा

➢ In Atikshna upadrava - Pradeha & Abhyanga with madhura, tikta and
kashayan drugs.
➢ Laajapeya processed with sariva, chandana, ushira, draksha, padmaka is
given.
➢ In Jwaratisara - Mudgadi yusha is given.
➢ Asava prepared of pata, vatsaka, nimbi, aragvadha & madhu is preferred.
➢ Kashya kalpana - Sthiradi, Mustadi, Mridwikadi & Bradhrashri kashaya.
14
 15

➢ Mukha vishodhana leha of madhuka, nimba, kesara, kaseru, sharkara &

madhu is given.
➢ In shanthavega - Mrudu virechana, pradeha, abhyanga & patoladi ghritha
is advised.

कफज सूतिका ज्वर चिककत्सा

➢ Mrudu vamana, Nasya & Mruduvirechana is advised.

➢ Ushna jala pana with nagara & amradaru.
➢ Balamulaka yusha, Kalyanaka ghritha & Dashamoolaghritha is told.
➢ Kwatha kalpana’s - Brihatyadi, Dwipanchamooladi and Patoladi.
➢ Taila pana - Lakshadi taila &Kushtadi taila.
➢ In shanthavega - samsarjana karma, abhyanga & ghritha pana is advised.

सग्न्िपातिक सतू िका ज्वर चिककत्सा

➢ First the prabaladosha should be treated. If we cannot elicit it then treat the
kaphadosha
first as it is anubandha, kricchrapakita & urdhwakayashritha.
➢ Kwatha kalpana’s - Nagaradi, Patoladi, Bharangyadi, Patolatriphaladi.
➢ Ghritha kalpana’s - Kalyanaka, Panchagavya & Madhukadighritha.
➢ Kushakashadi swedana & Lalata upalepa with dadhi, sarjarasa,
ashwagandha, madhu
is advised.
➢ Mukhashodhana with amra & rasanjana and Haritakyadi mukhadhawana is
told.
➢ In vimukta jwara - Pachaneeya susheeta kwatha of pippali & mridvika is
advised.

स्िन्योत्पवत्त जन्य सूतिका ज्वर चिककत्सा

➢ Here the main cause itself is stanya. Hence appropriate usage of

Stanyashodhaka & Stanyajanaka drugs to be given.
➢ Once the normal Stanyotpatti is attained jwara subsides.

ग्रहोत्थ सूतिका ज्वर चिककत्सा

➢ It should be treated according to Vataja sutika jwara.

15
 16

AUSHADHA YOGA – SUTIKA JWARA:-

➢ Generally many medications are mentioned in our classics as Sutika

vyadhihara & they are: -Soubhagyashunti, Nagarakhanda, Sutikabharana
rasa, Sutikaghno rasa, Sutikari rasa etc.
➢ In sahasrayoga - Sahacharadikashaya, Hriberadikashaya &
Baladusparshadikashaya are told as sadyo sutikajwarapaham.
➢ The most commonly used medication is Pratapalankeshwara rasa which is
mainly indicated for vata.

TRADITIONAL MANAGEMENT:-
➢ Shunti lepa on lalata,
➢ Dashamoolakashaya,
➢ Jeerakarishta,
➢ Tulasiardraka prayoga,
➢ Lashuna prayoga,
➢ Gudardraka prayoga,
➢ Guduchi prayoga & Dhanyaka prayoga.
These are all known to be very effective in the management of Sutikajwaraja &
sannipataja sutikajwara.

16
 17

PUERPERAL PYREXIA

➢ It is defined as temperature 38 c or above during the first 14 days after

delivery, which occurs in only 1-3% of all births.

Puerperal sepsis :-
➢ An infection of the genital tract which occurs as a complication of delivery
is termed puerperal sepsis.

Predisposing factors
➢ The pathogenicity of the vaginal flora may be influenced by certain factors-
➢ Conditions lowering the resistance-general or local – as anaemia,
diabitisanddebilitating diseases.
➢ Large number of bacteria- introduced intothe genital tract due to improper
asepsis.
Intrapartum factors:-
➢ Premature rupture of membranes.
➢ Prolonged labour.
➢ Instrumental delivery.
➢ Lacerations.
➢ Marked blood loss.
INCIDENCE & PREVELANCE:-
➢ Puerperal pyrexia constitutes 7% of the total maternal mortality rate
(MMR) in india.
➢ Survey in 2012 shows 178 maternal deaths among 1 lakh live births in
india.
➢ The state with least MMR is kerala and the maximum being assam
because of
➢ the increased and decreased institutional deliveries in their respective
states.
➢ It is also surveyed that only 47% of the ladies in india undergo
institutional deliveries whereas the other 53% still undergo unassisted
delivery which is the main cause for the prevalence of sutikajwara &
increased MMR.

17
 18

MODE OF INFECTION:-
Endogenous origin-
➢ It may be present in the genital track as anaerobic streptococci which are
normal non-pathogenic commensals that become pathogenic in presenceof
devitalixed tissues.
➢ It may be outside the genital trackas in the gastrointestinal tract, perineum
or in destant part as tonsils where it is transmitted by blood stream.

Exogenous origin:-
➢ From infected attendants, dust, instruments etc.
➢ The puerperal infection is besically a wound infection.
The primary sites of infection are:-
➢ Perineum
➢ Vagina
➢ Cervix
➢ Uterus

CLINICAL FEATURES
Local infection:-
➢ There is slight rise in temperature,generalized malaise or headache
➢ The local wound becomes red and swollen
➢ Degrees with proportionate rise in the pulse rate.
➢ Lochial discharge- offensive, copiousand often red
➢ The uterus- subinvoluted, tender and softer than usual.
Severe
➢ The onset is acute with high rise of temperature,often with chillsand rigors.
➢ Pulse rate is rapid, out of proportion totemprature.
➢ Lochia may be scanty and odourless.
➢ Uterus may be normally involuted.
Septicamia
➢ High fever eith severe tachycardia upto 140/min, rigors, sever headache,
jaundice due to haemolysis in cl. Welchii infection, hypotension and loss of
consciousness.
➢ In virulent organism manifestation may be develop within 48-72 hours of
delivery.
➢ Local abdominal and pelvic manifestation may be understand.

18
 19

Diagnosis of the cause of puerperal pyrexia:-

➢ Pre-existing infection before labour as chest or urinary tract infection.
➢ Symptoms of infection else where as cough, dysuria, breast pain or sore
throat.
➢ Complicated labour as PROM, instrumental or prolonged delivery.
➢ The onset of manifestations in relation tolabour.

General examination:-
➢ Temperature, pulse, blood pressure, level of consciousness.
➢ Skin eruption orjaundice.
➢ Tonsils.
➢ Breasts, chest and heart.
➢ Lower limbs for signs of thrombophlebitis.

Abdominal examinations:-
➢ Loin tenderness
➢ Abdominal rigidity and tenderness.
➢ Uterine size, tenderness and abdominal masses related to the uterus.

Local examination:-
➢ The perineum for infected episiotomy or lacerations.
➢ Lochia for amount, colour and odour.

Prevention of puerperal sepsis:-

Antenatal-
➢ Proper nutrition, vitamins and minerals.
➢ Treatment of anaemia and diabetes.
➢ Local or distant infection should be treated.
➢ Avoid sexual intercourse late in pregnancy.
Internal-
➢ Proper aseptic and antiseptic measures for the patient, attendants and
instruments.
➢ Minimize vaginal examinations.
➢ Excessive blood loss should be replaced.
➢ Lacerations should be properly sutured immediately.
Postnatal-
➢ Maintenance of aseptic precautions.
➢ Care of the perineal or abdominalwounds.
➢ Minimize visitors.

19
 20

➢ Early isolation of cases of puerperal sepsis.

TREATMENT OF PUERPERAL SEPSIS:-

General treatment
➢ Isolation in separate room or fever hospital.
➢ Diet: light diet rich in vitamins and minerals with plenty of fluids.
➢ Broad spectrum antibiotics& gram negative antibiotics.
➢ Supportive treatment: restoration of fluid and electrolytebalance, correction
of anaemia and tonics.
Antibiotic therapy:-
➢ Broad spectrum antibiotic+gentamycin+metronidazole,
➢ or clindamycin+ gentamycin.
➢ Antitoxin serum is given in Cl. Welchii infection.

20
 21

CONCLUSION

➢ Kashyapa has enumerated 74 no. of sutika roga’s and has mentioned

Sutikajwara under two context sutikopakramaniyam and Dushprajatiyam
adhyaya quoting its importance.
➢ Kashyapa in Khilasthana says that among all the Sutikavyadhis,
Sutikajwara is supposed to be kashtathama and he correlates Sutika with
three similes i.e.; How difficult it is to remove the stain out of a old cloth,
How difficult it is for a old house to sustain the fprce of wind, rain &
tremors.
➢ Diseases afflicting puerperal women are said to be difficult to cure or
incurable due to- All the dhatus having become lethargic during the process
of developments of fetus
➢ So it is not just the prevention & management of sutikajwara.
➢ It is very necessary to follow everything right from the beginninglike a
proper garbhopakrama, garbhini paricharya, prasava paricharya & finally a
proper sutika paricharya.

21
 22

REFERANCE

➢ Prof. Dr. V.N.K.Usha- Prasuti-tantra(text book of obstetrics Vol-2)

Publication- CHAUKHAMBHA SANSKRIT PRATISTHAN
Page no.- 408-430/483
➢ Prof. Premvati tiwari (vol-1 Prasuti tantra)
Publication- CHAUKHAMBHA ORIENTALIA
Page no.- 585-591/754
➢ Article – international ayurvedic medical general
Auther-B.D Ashwini, K Sandhya, Bhat Gayathri N V
Department of stree roga & prasooti tantra Dharmashala
Mnjunatheshwara college of Ayurveda & hospital Hassan,
karbataka,india

22