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A COMPREHENSIVE REVIEW ON IMPLICATION OF PATHYA KALPANA AND PATHY-APATHYA (DO'S AND DON'TS) IN STREE ROGAS (GYNECOLOGICAL DISORDERS)

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Ayurveda, being the life science, has laid enormous importance upon pathya-apthya. Pathyas are defined as the diet which are beneficial for both body and mind and those which are not beneficial is termed as apathya. Life of a woman passes through various physiological imbalances from womb to tomb. The woman needs to follow a healthy diet and regimen so as to prevent any anomalies in her life or to maintain good health ensuring a strong progeny. Slightly impairment to the diet and life style pattern may result an unconducive milieu for her manifesting various stree rogas (gyanaecological disorders). Consideration for specific diet pattern and healthy life style is quite evident in ayurveda at various contexts of stree rogas aiming at nullifying the aggravated doshas as well as the curative aspects of rogas (ailments). Hence, in this article, an attempt has been made in order to compile and concise the implications and importance of pathya-apathya producing a prescribed diet and habit at various diseased conditions specific to stree rogas.
International Journal of Applied Ayurved Research ISSN: 2347- 6362
A COMPREHENSIVE REVIEW ON IMPLICATION OF PATHYA
KALPANA AND PATHY-APATHYA (DO’S AND DON’TS) IN STREE
ROGAS (GYNECOLOGICAL DISORDERS)
Dash Shibani*1 Kadam Sujata2
*1M.S. scholar, Department of Stri Roga and Prasuti Tantra, All India Institute of Ayurveda,New
Delhi.
2H.O.D. and Professor, Department of Stri Roga and Prasuti Tantra, All India Institute Of Ayur-
veda,New Delhi.
ABSTRACT
Ayurveda, being the life science, has laid enormous importance upon pathya-apthya. Pathyas
are defined as the diet which are beneficial for both body and mind and those which are not
beneficial is termed as apathya. Life of a woman passes through various physiological
imbalances from womb to tomb. The woman needs to follow a healthy diet and regimen so as
to prevent any anomalies in her life or to maintain good health ensuring a strong progeny.
Slightly impairment to the diet and life style pattern may result an unconducive milieu for her
manifesting various stree rogas (gyanaecological disorders). Consideration for specific diet
pattern and healthy life style is quite evident in ayurveda at various contexts of stree rogas
aiming at nullifying the aggravated doshas as well as the curative aspects of rogas (ailments).
Hence, in this article, an attempt has been made in order to compile and concise the implications
and importance of pathya-apathya producing a prescribed diet and habit at various diseased
conditions specific to stree rogas.
Key words: Ayurveda, Apathya ,Pathya, stree roga
INTRODUCTION: Ayurveda has a holistic
and scientific approach based upon ahara,
vihara more than ousadhi as it is a preventive
science. It emphasizes on a routine dietary
and lifestyle regimen both in the healthy and
unhealthy conditions. Ahara is the main pillar
of a body so called as mahabhaisajya.1 The
aharas and viharas which are beneficial,
nutritious and gives happiness to the mind is
known as Pathya and the opposite are called
as Apathya. Unhealthy diets and regimen is
the root cause of many ailments. According
to the principles of Ayurveda, derangement
of the digestive power (Agni)2 creates any
diseases which is the prime reason for the
formation of vitiated dosha, Ama (toxic
substances) and malformation of Dhatus
(body tissues. Thus it is critical to reestablish
harmony of the digestive power. This goal
can be achieved by utilizing a legitimately
oversaw diet regimen as indicated by state of
doshas and kind of the sickness.
MATERIALS AND METHOD: All the
ayurvedic classics and modern text along
with journals, electronic databases, pubmed,
Cochrane has been thoroughly searched.
RESULTS: There is description of some
pathya kalpanas in various contexts of stree
rogas which is based upon dosa dusya
samurchhana.
[Dash Shibani et al : A Comprehensive Review on Implication of Pathya Kalpana and Pathy-Apathya (Do’s And Don’ts) in Stree
Rogas (Gynecological Disorders)]
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DISCUSSION
Concept of Pathya: The word Pathya de-
rives its origin from root word Patha which
literally means a way or channel. In
Shabdakalpadrumam,3 it is said that pathya is
beneficial for patients while apathya harms
them. The food characteristics and properties
will change according to season, place and
person hence pathya also changes
accordingly. Pathya not only advocates in-
take of wholesome food but also it directs to
follow a certain regimen to fasten the process
of recovery from the diseased state. In
Charaka Samhita4 while explaining about
Chikitsa, Charaka has used pathya as a syn-
onym for the chikitsa.
The Pathya is the one which keeps the person
healthy, maintains normal body functions
leads to proper functioning of the organs,
nourishes the mind and intellect, counteracts
sicknesses and in the meantime amends the
anomalies that may happen in the body.
Ayurveda specified 8 major factors of food
convention that include compatibility of di-
etary articles5
1. Prakrti Qualitative Characteristics of the
Food
2. Karana Processing of Food
3. Samyoga Mixing/ combination
4. Rashi The Quantity
5. Desha Habitat of the person
6. Kala Time & Seasonal Variation
7. Upayogasanstha - Variable Digestibility
of various food articles
8. Upayokta The person who takes the Food
Concept of apathy: The diet and regimen
which are harmful to the body are known as
apathya. Intake of unhealthy diet creates
diseases and its continuity impacts on the
prognosis of it. Ahita ahara viharas are de-
scribed as the primary cause of rogas.
Apathya for a patient can be decided on the
basis of his prakriti, dosa, roga, desa, satmya
and satva. After considering all the factors
for a patient, apathyas has been chosen
accordingly.
Different forms of Pathya: Acharya
Sharangdhara6 explains about some pathya
kalpana like manda, peya, vilepi, yavagu etc.
These kalpanas are generally used in
different diseases according to state of dis-
ease and capacity to digest the food in that
disease. It also helps to maintain proper Agni
(digestive fire) so as to digest food properly
and give needed nutrition to tissues of body.
It will also help to avoid formation of Ama
which is often triggered when Agni (digestive
fire) becomes low.
Pathya Kalpana
1. Manda7
Method for preparation: The rice is boiling
with fourteen parts of water and the solid part
has been taken out.
Uses: Carminative, Digestive
2. Peya8
Method for preparation: One part of rice is
boiled with fourteen parts of water.
Uses: Stops loose watery consistency,
quickly digestible, nourishes the tissues.
3. Vilepi9
Method of preparation: One part of rice is
cooked with four parts of water.
Use: Strengthening, nourishing, good for
heart, Delicious, Diuretic
4. Yavagu10
Method of preparation: One part of rice is
cooked with six parts of water.
Use: Strengthening, Nourishing
[Dash Shibani et al : A Comprehensive Review on Implication of Pathya Kalpana and Pathy-Apathya (Do’s And Don’ts) in Stree
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Importance of Pathyapathya: In
Yogaratnakara11 it is said that for the treat-
ment of diseases etiology, drug treatment and
Pathya are three important factors which
should be studied thoroughly before starting
the treatment. Judicious planning of
treatment by proper understanding of these
three factors always yields a successful
eradication of disease. Yogaratnakara uses
the metaphor of Ankura (seedling) for pro-
gressive form of disease. This Ankura will
dry and be destroyed if it is not nourished by
water; similarly disease will be destroyed if a
patient does not consume Apathya ahara. In
all diseases, apathya should be avoided
because it is the predisposing factor for
various diseases and helps in fast progression
of pathophysiology. As climbers and plants
grow in rainy season similarly diseases will
increase due to apathyas. Apathya aharas and
viharas quicken the kriyakala of a disease.
Only pathya can cure diseases but one who
does not follow pathya cannot be cured by the
use of hundreds of drugs.
Bhela Samhita12 also explains about merits of
pathya and demerits of apathya in the
Sutrasthana. Pathya ahara nourishes all
dhatus and srotasa leading to complete nu-
trition of body. Pathya ahara also helps to
detoxify the body by getting rid of vitiated
dosha. Contrary to this, apathya ahara helps
in vitiation of Vata etc. doshas. Hence for
maintenance of health and treating diseases
pathya ahara should be consumed.
Acharya lolimbaraj13 has also explained that
medicines are not required if the patient is in
pathya and vice versa. So pathya and apathya
plays a pivotal role for manifestation,
progression and prognosis of diseases.
Practical application of Pathya with re-
spect to concept of Kritanna varga: All
these benefits of pathya ahara can be ripped
off with the help of Kritanna varga described
in various ancient texts. Properties of these
Kritanna differ from each other depending
upon the method of preparation even if
material used is the same. In case of manda,
peya, yavagu and vilepi, the amount of water
used for cooking and then amount of liquid
and solid content is different for each of
them. This determines qualities like
heaviness or lightness of food for digestion
etc. If all the Kritanna varga is used judi-
ciously along with the pathya ahara then it
will help to treat and nourish patient effec-
tively.
Pathya-for irrespective of disease condi-
tion: These pathya ahara are described spe-
cific to a particular disease condition as well
as there are some pathya mentioned which
can be followed regularly for healthy indi-
viduals irrespective of disease condition.
According to Bhavaprakasha14 taking ginger
and salt before food is always good and it
enhances agni, taste, clears tongue and throat.
Charaka and Vagbhata also describe some
regularly consumable food articles. Rakta
shali, Mudga, Rain water, Saindhava (rock
salt), Jivanti, meat of aina, godha, rohita
matsya, cow’s ghee, cow’s milk, Tila taila,
ginger, grapes, pomegranate and sugar are
considered as most conducive among food
articles.
Pathya-for specific disease conditions:
Disease specific pathya (wholesome diet/
foods to be consumed) and apathya (un-
wholesome diet/ foods to be avoided) are
explained in various classical texts like
Charaka samhita, Sushruta samhita,
[Dash Shibani et al : A Comprehensive Review on Implication of Pathya Kalpana and Pathy-Apathya (Do’s And Don’ts) in Stree
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Ashtangahridaya etc. but there are detailed
descriptions about them in other texts like
Sharangdhara samhita, pathyapathya
vibodhika, bhaishajyaratnavali and
chakradatta etc.
Pathya-for specific gynaecological diseases
few examples
Yonivyapata15
In case of yonivyapat, all three dosas are in-
volved but mainly vata dosa is primarily
doing the malfunctions resulting of it. So
vatashamak drugs are given as a pathya in
this.
Pathya: Sura, arista, sava, lasuna swaras at
morning, kshira, mamsarasa, yavanna,
abhaya, sidhu, taila16, 17, 18, 19 Apathya
Manda20
Vataja yonivyapata
Pathya: Dashamula siddha kashaya, mudga
yusa, lasuna
Apathya: Dadhi, potato, vaartaka, vyayam,
vegdharan
Pittja yonivyapata
Pathya: Tikta dravya siddha kashaya and
yusa, peya, ghee, dugdha
Apathya: amla, vidahi, lasuna, palandu,
sura, arista, asava
Kaphaja yonivyapata
Pathya: Panchakola siddha Kashaya and
yusa, sura, arista, asava
Apathya: Dugdha, sarkara, dadhi,
divaswapna
Artavadusti
Artava is the updhatu of rasa dhatu, so any
dysfunction of rasa dhatu results for aggra-
vation of artava dosas and also artava is
mainly consist of agni mahabhuta. So both
pathya are chosen as per rasa dhatu and agni
mahabhuta.
Pathya: Shali, yava, madya, pittala mamsa21
Apathya: amla, vidahi, dadhi, kanji, fast
foods, bread
Asrigdara (Dysfunctional Uterine Bleed-
ing)
The treatment of asrigdar is done as per
raktapitta chikistha22 so both rakta and pitta
shamaka drugs and diet can been chosen as
pathya.
Pathya: Utpaladi gana, jangala mamsarasa,
shali, sasthika, kakolyadi gana23,24 Patola,
pomegranate, amalaki , Milk, honey, clari-
fied butter (ghrita) processed with
nyagrodhadi gana
Apathya: Kanji, dadhi, vidahi, pittavardhak
ahara and vihara
Kashtartava (Dysmenorrhoea): Kastartava
is mainly concerned with vata dosa as vata is
responsible for any kind of pain in the body
by doing obstruction.so vata anuloman karak
drugs and diet can be chosen as pathya.
Pathya (Do’s): Garlic, milk, meat juice, oil,
long pepper, Unction, sudation, therapeutic
enema (vasti), draksha, hingu
Apathya (Don’ts): Manda, vegadharan, ex-
cessive vyayam, diets and life style causing
aggravation of Vata dosha
Shveta pradara (Leucorrhoea): It comes
under the pradar roga as it is not separately
described in samhitas. As per the sign and
symptoms of it, it can be assumed that it can
occur due to kapha vridhi, so pathya are
given as kaphanashak and dhatuvardhak.
Pathya (Do’s): Wheat, barley, old rice, cold
substance , Patol, bathua, chaulai, spinach,
bottle gourd (lauki), papaya, apple, pome-
granate, grapes, banana, amalaki, dry dates
(chhuara), ginger (ardraka), coriander ,
Masura, chickpea (chana)
Apathya (Don’ts):
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Black gram, Onion, garlic, brinjal , pickle,
vinegar, sour curd, sour substance, oil,
jaggery spicy food Day sleeping, night
awakening, excessive exercise, fasting, eat-
ing before digestion of previous food,
walking in sunlight, sadness, excessive sex-
ual indulgence.
Vandhyatva: Different nidans are responsi-
ble for causing vandhyatva Dhatu kshya, vija
dosa, jara kal etc are mainly responsible for
it. So pathya are chosen as per the nidan.
Overally Vjikarak , rasayan, dhatu vardhak,
sharir shodhak drus and diet can be chosen.
Pathya : Lasuna , dugdha , ghee, mamsa,
shatavari, yastimadhu,
Apathya: Surana, amlakanji, vidahi,
vandhyakarkotaki mula, langali, katutumbi,
debadali, bruhati,25,26,27
Upadansa:
It is tridosa prakaopak vyadhi, so tridosh
shamak drugs and diet can be chosen.
Pathya: yavanna28
Apathya: dibaswapna, mutravega,
gurvanna, maithuna, guda, ayasa, amla,
takra29
Arbuda:
Pathya: ghee, shali, yava, mudga, sigru,
patol, karela, dadhi30
Apathya: dugdha, ikshu, anupa mamsa, guru
and abhisyand dravyas.
Stan roga:
Pathya: dugdha, mudga rasa, yava, laja,
karela, patol, haridra, neem, madhu , lasun,
kulathha, dadhi.
Apathya: excessive vyayam, junk foods,
bread, maida, abhisyand dravyas.
PCOS (Polycystic ovarian syndrome)
Pathya: yava, laja, dalia, haridra, silajit,
sigru, palak, takra, vyayam.
Apathya: dugdha, sarkara, maida, aloo,
sweets, bread, butter, cheese, junk foods,
creams, daysleep.
CONCLUSION: Pathya is the one which
keeps the individual sound, keeps up ordinary
body capacities prompts appropriate working
of the organs, feeds the psyche and acumen,
averts maladies and in the meantime amends
the inconsistencies that may happen in the
body. In the classics, stree has been described
as sukumara and should be treated with
mridu dravyas. So pathyas should be chosen
accordingly. One should not utilize the
nourishment articles from either connection
or numbness rather he should utilize the
healthy one after examination on the grounds
that the body and disease is a result of
sustenance. (rogastu ahara sambhvah) So
pathya and apathya are equally responsible
for both healthy and unhealthy person as the
body is the result of ahara and ahara is the
primary cause of disease.
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Rogas (Gynecological Disorders)]
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[Dash Shibani et al : A Comprehensive Review on Implication of Pathya Kalpana and Pathy-Apathya (Do’s And Don’ts) in Stree
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Corresponding Author: *Dr. Shibani Dash,
M.S. scholar, Department of Stri Roga and
Prasuti Tantra, All India Institute of
Ayurveda, New Delhi.
Email: drshibanidash@gmail.com
Conflict of interest: None
Declared
Source of support: Nil.
Cite this Article as Dash Shibani et al : A
Comprehensive Review on Implication of
Pathya Kalpana and Pathy-Apathya (Do’s
And Don’ts) in Stree Rogas (Gynecological
Disorders)] www.ijaar.in : IJAAR VOLUME
III ISSUE II MAY-JUNE 2017 PAGE
No:357-363
ResearchGate has not been able to resolve any citations for this publication.
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