Diagnostic Criteria for Garbhasaya Grivamukhgata Vrana (Cervical Erosion)

Abstract

In Ayurveda, Trisutra is the three modules which are, first Hetu (etiology), second Linga (signs and symptoms) and third Aushadh (treatment or management of disease). The aim of Ayurveda is to maintain Dhatusamya (equilibrium state of Dhatus) which in turn causes health. To know the Linga (sign and symptoms) of disease, there is a need of proper examination of patient. Various diagnostic method has been described in various Ayurvedic texts, out of which ‘Trividha Pariksha’ i.e., Darshana (inspection), Sparshana (Palpation, percussion), Prashana (questionnaire) has more importance for diagnostic purpose.  All the other diagnostic method explains in Ayurveda as well as modern science can be categorized under these basic ‘Trividha Pariksha’.  Cervical erosion is the common gynecological problem most likely in many women throughout their reproductive years. Due to its non-healing and recurrent nature of cervical erosion is the leading cause of cancer in cervix in women. So, these ‘Trividha Pariksha’ plays a key role in diagnosis of cervical erosion (Garbhasaya Grivamukhgata Vrana). It is used to determine the root cause of the Garbhasaya Grivamukhgata vrana and to determine the treatment of disease. The diagnosis process involves the assessment of several subjective and objective parameters pertaining to the disease as well as patient. Darshana pariksha and Sparshana pariksha come under objective parameter whereas Prashana pariksha come under subjective parameter.