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An Ayurvedic Perspective on Cervical Erosion: Clinical Correlation with Dushta Vrana at Cervical Os (Garbhashaya Griva Mukha)

Authors: Dr. Raksha Tiwari, Dr. Rashmi Sharma, Dr. Bhaskar Soni, Dr. Amrit Lal Dewasi

DOI: 10.87349/ahuri/181034

Page No: 47-59


Abstract

Introduction : Cervical erosion is a frequently encountered gynecological condition, characterized by the degeneration of squamous epithelium at the ectocervix with subsequent exposure of columnar epithelium to the vaginal milieu. Although a direct description of this entity is not available in Ayurveda classics, Ashtang Sangrah mentioned Yoni Vranayekshana Yantrai to examine Vrana in Yoni which may be correlated with Garbhashaya Griva Mukhagata Dushta Vrana. It is interpreted as Nija/Agantuja, Kapha-Pittaja, Twaka- Mamsaja Vrana, with clinical features such as Yonistrava (discharge), Daha (burning), Shula (pain), Vivarnata (discoloration), and Kandu (itching).ii Methods: A comprehensive review of classical Ayurvedic literature and contemporary gynecological references was undertaken. The definition of Vrana, derived from “Vrangatravichurnane” (tissue destruction), along with the characteristics of Dushta Vrana—non-healing, chronicity, foul discharge, and persistent pain—was critically analyzed in relation to cervical erosion. Results: The comparative analysis revealed a strong correlation between cervical erosion and Dushta Vrana. Both share common hallmarks, including chronic tissue damage, foul discharge, pain, discoloration, and delayed healing. These similarities substantiate the alignment of modern pathology with Ayurvedic concepts. Discussion: Recognizing cervical erosion as Dushta Vrana at Garbhashya Grivamukha provides an integrative framework for understanding the condition. This correlation enhances diagnostic clarity and supports the development of holistic management strategies that combine Ayurvedic and modern therapeutic approaches.

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