Module on ‘Regimen for II and III Trimesters of Pregnancy as Per Ayurvedic Classics’ by -Dr. Mangalagowri V Rao

REGIMEN FOR II AND III TRIMESTERS OF PREGNANCY AS PER AYURVEDIC CLASSICS

Forth month

• चतुर्थेमासे क्षीरनवनीतमक्षमात्रमश्नीयात् II Cha.Sha.8/32II

Butter with milk or butter from milk in dose of 24 gm

• चतुर्थेदध्नाSha. 10/4 II

Cooked shali rice with curd

• Food mixed with butter and milk
• Seasoned rice Kritaudanam

Fifth month

• पञ्चमेमासे क्षीरसर्पिःII Cha. Sha.8/32 II
• पञ्चमेपयसाSha.10/4II
• Ghee and milk, cooked Rice with milk
• Rice cooked in milk (Ksheera Yavagu)
• Sweets made of rice and milk (Payasa)
• Rice with Jangala Mamsa Rasa (Meat soup of terrestrial animals) like goat’s meat
• Ghee prepared from milk
• Yavagu- A semisolid rice preparation made from milk

Sixth month

• मासेक्षीरसर्पिर्मधुरौषधसिद्धं; तदेव सप्तमे मासेSha.8/32

Milk and ghee prepared in Madhura Gana Aushadhi is advocated by Acharya Charaka during 6^th month.

• or Rice gruel medicated with Gokshura
• Medicated milk and ghee (Madhuraushadhi siddha Ksheera sarpi)
• Sweetened curd

Seventh month

• सप्तमेसर्पिः पृथक्पर्ण्यादिसिद्धम्, एवमाप्यायते गर्भःSha.10/4 II
• Ghee medicated with Vidarigandhadi Gana (Shvadanstra- Tribulus terrestris), Prithakparni (Ureria Picta), Shatavari (Asparagus recemosa), Sariva (Hemidesmus indicus), Brihati (Solanum Indicum), Kantakari (Solanum xanthocarpum), Punarnava (Borrhevia Diffusa)

Eighth month

• अष्टमेतु मासे क्षीरयवागूं सर्पिष्मतीं काले काले पिबेत् II Cha. Sha.8/32 II

Rice gruel with milk and ghee (Charaka)

• पैङ्गल्याबाधोह्यस्या गर्भमागच्छेदिति; अस्त्वत्र पैङ्गल्याबाध इत्याह भगवान् पुनर्वसुरात्रेयः, न त्वेवैतन्न कार्यम्; एवं कुर्वती ह्यरोगाऽऽरोग्यबलवर्णस्वरसंहननसम्पदुपेतं ज्ञातीनामपि श्रेष्ठमपत्यं जनयति Sha.8/32 II
• Liquid diet prepared with ghee, and milk
• Rice gruel
• अष्टमे बदरोदकेन बलातिबलाशतपुष्पापललपयोदधिमस्तु तैललवणमदनफलमधुघृत मिश्रेणास्थापयेत्पुराणपुरीषशुद्ध्यर्थमनुलोमनार्थं च वायोः- Expulsion of retained faeces and pacification of Vayu by administration of Asthapana Basti with decoction prepared from Badara (Zizpus Jujuba), Bala (Sida cardifolia), Atibala (Abitulon indica), Shatapushpa (Funiculum vulgare), palala (paste of sesame), milk and supernatent part of curd along with oil, rock salt, Madana phala (Randia spinosa), honey, ghee
• ततःपयोमधुरकषायसिद्धेन  तैलेनानुवासयेत्, अनुलोमे हि वायौ सुखं प्रसूयते निरुपद्रवा च भवति- Anuvasana Basti with oil prepared from decoction of Madhura gana dravyas and milk.
• Generally about 30 ml medicated ghee/oil is administered through anal route in Anuvasana Basti.
• अतऊर्ध्वं स्निग्धाभिर्यवागूभिर्जाङ्गलरसैश्चोपक्रमेदाप्रसवकालात्; एवमुपक्रान्ता स्निग्धा बलवती सुखमनुपद्रवा प्रसूयते- This is followed by administration of unctuous gruel (Yavagu) with meat soup. The regimen pacifies and directs the Vata in proper direction resulting in proper nourishment and easy delivery.

Ninth month

• नवमेतु खल्वेनां मासे मधुरौषधसिद्धेन तैलेनानुवासयेत्|
  अतश्चैवास्यास्तैलात् पिचुं योनौ प्रणयेद्गर्भस्थानमार्गस्नेहनार्थम् Sha.8/32II Anuvasana Basti with Medicines having above mentioned drugs or medicated oil like Ksheera bala oil
• Vaginal tampoon (cotton soaked in the above said oil can be kept in vagina)
• Rice, and ghee, rice gruel with unctuous substances, meat soup
• Terrestrial meat soup for non-vegetarians
• Even though Ayurveda emphasises on the vegetarian diet, for the persons who are completely dependent on nonvegetarian from their child hood Meat of terrestrial animals like Chicken and goat meat can be had in the form of soups

Practically Milk can be advocated with different adjuvants according to condition during entire pregnancy

• Milk with dry fruits- for strength promotion
• Milk with ginger/ginger/ turmeric in respiratory problems/allergic disorders
• Ashwagandha with milk for bone health

Multiple choice Questions

1. Which of the following is indication for fourth month of pregnancy according to Ayurveda?
2. Butter with milk or butter from milk in dose of 24 gram(Aksha Pramana)
3. Cooked Shali rice with curd
4. Seasoned rice Kritaudanam
5. All
6. What will be the suitable diet for 5^th month pregnancy?
7. Ghee and milk cooked rice with milk
8. Rice with Jangala Mamsa Rasa (meat soup of terrestrial animals) like goat’s meat
9. Both
10. Rice and curd at night time
11. Rice medicated with Gokshura is indicated by Acharya during…..….
12. 5^th month of pregnancy
13. 6^th month of pregnancy
14. 7^th month of pregnancy
15. 4^th month of pregnancy
16. Ghee medicated with Prithakparnyadi (Vidarigandhandi Gana) is indicated by Acharya Sushruta during……………..
17. 5^th month pregnancy
18. 6^th month of pregnancy
19. 7^th month of pregnancy
20. b&c both
21. According to Acharya Harita, ……………. Indicated during 8^th month pregnancy?
22. Curd
23. Ghrita – Puraka
24. Madhu with ghirta puraka
25. Panchamrita
26. Following Panchakarma procedure is indicated during 8^th month pregnancy?
27. Tikshna Virechana
28. Jalaukavacharana
29. Anuvasana basti
30. All Panchakarma are contraindicated
31. Which of the following is the indication for 9^th month pregnancy?
32. Yoni Pichu (Vaginal tampon)
33. Heavy exercise
34. Hard Massage
35. Katu Ushna Tikshna Ahara
36. Which of the following is suitable diet plan for 6^th month pregnancy?
37. Anuvasan basti
38. Medicated ghee with Madhura Ganadravyas Ghrita or rice gruel medicated with Gokshura
39. Navneeta/ butter from milk
40. All
41. As per Acharya Sushruta, administration of Basti during 8^th and 9^th month brings about
42. Pittakapha shamana
43. Vatanulomana and Sukhaprasava
44. Kapha shamana
45. All the above
46. Vidarigandhadi Gana comprises of following drugs
47. Shvadanshtra, Prithakparni, Kanthakari
48. Shatavari, Sariva, Brihati
49. Both a and b
50. Ashwagandha, Shatavari, Mandukaparni

Answer Keys

1. D
2. C
3. B
4. C
5. B
6. C
7. A
8. B
9. D
10. C

Links for further study

1. https://pubmed.ncbi.nlm.nih.gov/32719251/ (The efficacy of an ayurvedic preparation of yashtimadhu ( Glycyrrhiza glabra) on radiation-induced mucositis in head-and-neck cancer patients: A pilot study)
2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4559428/ (Withania somniferaRoot Extract Has Potent Cytotoxic Effect against Human Malignant Melanoma Cells)
3. http://www.jetir.org/papers/JETIR1611006.pdf (Basti in Ayurveda during pregnancy)
4. http://www.iamj.in/current_issue/images/upload/2676_2680.pdf (Effect of Anuvasana basti and yoni pichu in sukh prasava & reducing postpartum complications)
5. http://www.ijaar.in/issue/images/upload/VOL_2_ISSUE_7_MAY_JUNE_2016__.pdf (Role of Ayurveda towards antenatal care)
6. https://www.who.int/pmnch/media/publications/aonsectionIII_2.pdf (Antenatal Care)
7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3800892/ (Effects of drakshavaleha on weight and crown-rump length in developing mice embryo)
8. https://pubmed.ncbi.nlm.nih.gov/27364038/ (Effect of Amalaki rasayana on DNA damage and repair in randomized aged human individuals)
9. https://pubmed.ncbi.nlm.nih.gov/28298219/ (Sedentary behaviours during pregnancy: a systematic review)
10. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153909/ Management of premature contractions with Shatavaryadi Ksheerapaka Basti– A Case Report