Paripluta – Causes, Pathogenesis, Symptoms, Treatment

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S

Paripluta is caused due to aggravated pitta and vata which is characterised by painful menstruation, backache and fever. It is one among the 20 gynaecological disorders. Read – Gynecological Disorders Causes, Types As Per Ayurveda

Table of Contents

Causes, pathogenesis

Causes of Pariplut

Withholding natural urge of sneezing and belch, during coitus, by a woman having predominance of pitta, causes paripluta gynaecological disorder. Predominance of pitta may be due to her pitta predominant constitution or might have occurred due to excessive consumption of foods which tend to aggravate pitta. Read – Vega Dharana: Suppression of urges, types, symptoms, and management

Pathogenesis of Pariplutam

When a woman having pitta predominance in her withholds natural urge for sneezing and belching during coitus, the pitta gets vitiated. The vitiated pitta gets mixed with vayu. Pitta admixed with vata reaches the reproductive system of the woman, contaminate the organs and produce many abnormalities. A sum total of all these events are called paripluta.

Pari = entire, all around, in this context it is entire internal and external reproductive organs Pluta = features of vata i.e. pain etc are present with extreme severity

Paripluta is a pathological condition wherein pain etc features of vata are present with extreme severity in the entire reproductive system. Read – Pitta Increase Symptoms – Pitta Vriddhi Lakshana

Symptoms, Sanskrit verse

Signs and Symptoms of Pari pluta

Yoni shuna / shotha – vagina / uterus gets inflamed
Yoni sparsha akshama – tenderness in vagina / uterus
Sa arti neela peetam asruk sravet – painful menstruation having yellowish or bluish color of menstrual blood
Shroni vankshana prishta arti – severe pain in lumbo-sacral, pelvis and groin, backache
Jwara – fever

Other symptoms –

Gramya dharme ruja bhrusham – severe pain during coitus (Sushruta)
Anila vedana – pain, ache etc symptoms caused by vitiated vata (Sushruta)
Vasti kukshi gurutwam – heaviness in urinary bladder and lower abdomen (Vagbhata)
Atisara – diarrhea (Vagbhata)
Arochaka – tastelessness, anorexia (Vagbhata)
Gramya dharme ruchih – liking for coitus (Madhukosha)

Modern correlation

Modern correlation & comparative study

Inflammation of reproductive organs associated with painful coitus – The explanation given by Charaka and Sushruta are quite contrasting. While Charaka opines that paripluta is caused by vitiated vata and pitta and presents with inflammatory symptoms, fever, backache etc Sushtruta opines that it is caused only due to vitiated vata and presents with dyspareunia.

Vaginismus – Madhukosha explanation of paripluta points out towards its resemblance with ‘vaginismus’. In vaginismus there is presence of muscular spasm of thighs, vulva and vaginal canal associated with difficulty in coitus / painful coitus. Read – Menstrual Pain, Painful Periods – Natural Ayurvedic Herbal Home Remedies

Inflammation of pelvic organs – Inflammation of Bartholin’s glands, ovarian tubes and ovaries are the chief causes of painful coitus. In all these conditions, symptoms described by master Charaka are noted. Due to irritation of colon caused by pelvic hyperemia symptoms like diarrhoea etc as mentioned by master Vagbhata are evident. Since these are inflammatory in origin, involvement of vitiated pitta is mandatory. Read – Pelvic Inflammatory Disease: Ayurvedic Treatment, Therapies, Medicines

Gonococcal infection – As this disease is said to be caused by coitus, it can be correlated to gonococcal infection of reproductive organs. Read – Upadamsha – Treatment For Sexually Transmitted Disease

Seeing all the above said description of paripluta given by different authors, the condition can be closely correlated to –

Acute inflammatory stage of gonococcal infection (Charaka, Vagbhata)
Later stage of gonococcal infection presenting with dyspareunia present due to chronic salpingo-oophoritis (Sushruta)
Vaginismus due to psychological abnormalities present in any chronic disease or associated with chronic painful coitus

Read – Comparative Study Of PID With Yoni Vyapath