Traditional Phyto-remedies Used by the Midwives for the Treatment of Uterine Prolapse in Billawar and Basohli Tehsils of District Kathua, Union Territory of Jammu and Kashmir, India
DOI:
https://doi.org/10.36808/if/2024/v150i7/170282Keywords:
Billawar, Basohli, Midwives, Uterine prolapse.Abstract
When the uterus pushes into the vaginal canal as a result of the uterine ligament and fascial support tissue failing, this condition is known as uterine prolapse. It can be cured though traditional treatment in initial stages. The aim of this study was to document traditional methods used by the midwives to cure the prolapsed uterus in Billawar and Basohli tehsils of Kathua district, Union Territory of Jammu and Kashmir. Information was gathered from 25 traditional midwives (Dai), through semi-structured interviews. Uses of plants narrated by the informants were recorded as use-reports and further analysed for use-values. A total of seven plants from seven families, along with cinnabar (HgS) were used to cure a prolapsed uterus. Herbs and trees, with 42.9% contribution each, were the most commonly used life-forms, and seeds and leaves were the most preferred plant parts. The chief mode of medicine intake was the insertion of medicine into the uterus through vagina. Midwives suggested four treatments for uterine prolapse, primarily utilizing Quercus infectoria Oliver, Myristica fragrans Houtt., and Trigonella foenumgraecum L., along with massage and exercise. According to midwives, the time taken to recover varies with the age of the patient, her day-to-day activities, diet, and body setup. Use of Syzygium aromaticum (L.) Merr. & L.M. Perry, Papaver somniferum L., and Vitex negundo L., is new for the treatment of prolapsed uterus. Phytochemistry and pharmacological efficacy of these plants with respect to uterine prolapse, as well as the toxic effects of external use of cinnabar can be done in future.
References
Abbasi A.M., Khan S.M., Ahmad M., Khan M.A., Quave C.L. and Pieroni A. (2013). Botanical ethnoveterinary therapies in three districts of the Lesser Himalayas of Pakistan. Journal of Ethnobiology and Ethnomedicine, 9: 84.
Abourashed E.A. and El-Alfy A.T. (2016). Chemical diversity and pharmacological significance of the secondary metabolites of nutmeg (Myristica fragrans Houtt.). Phytochemistry Reviews, 15(6): 1035-56.
Ali ibn al-Abbas al-Majusi (2009). Kitab al-Maleki. Tehran University Press.
Ali F.M., Ali H.A., Chaudhary A. and Chaudhary R.A. (2019).
Nutu-e-Rahm (Uterine Prolapse) and its Management in Modern and Unani System of Medicine: a Review. Research & Reviews: A Journal of Unani, Siddha and Homeopathy, 6(3): 1520.
Ashtekar S. (2008). The National Rural Health Mission: A Stocktaking. Economic and Political Weekly, 43(37): 23-26.
Askari S.F., Azadi A., Jahromi B.N., Tansaz M., Nasiri A.M., Mohagheghzadeh A. and Badr P. (2019). A Comprehensive Review about Quercus infectoria G. Olivier Gall. Research Journal of Pharmacognosy (RJP), 7(1): 67-75.
Aytan H., Ertun D., Tok E.C., YaÅŸa O. and Nazik H. (2014). Prevalence of pelvic organ prolapse and related factors in a general female population. Turkish Journal of Obstetrics and Gynecology, 3: 176-180.
Azher S. (2017). Professional Niche Differentiation: Understanding Dai (Traditional Midwife) Survival in Rural Rajasthan. ASIA Network Exchange, 24(1): 132-150, DOI: https://doi.org/10.16995/ane.240
Aziz M.A., Khan A.H., Adnan M. and Ullah H. (2018). Traditional uses of medicinal plants used by indigenous communities for veterinary practices at Bajaur Agency, Pakistan. Journal of Ethnobiology and Ethnomedicines, 14(1): 11. https://doi.org/ 10.1186/s13002-018-0212-0
Basri D.F., Tan L.S., Shafiei Z. and Zin N.M. (2012). In-vitro antibacterial activity of galls of Quercus infectoria Olivier against oral pathogens. Evidence Based Complement and Alternative Medicine: 632796.
Basri F., Sharma H.P., Firdaus S., Jain P. and Ranjan A. (2014). A review of ethnomedicinal plant-Vitex negundo L. International Journal of Advanced Research, 2(3): 882-894.
Batiha Alkazmi L.M., Wasef G.E.S., L.G., Beshbishy A.M., Nadwa E.H. and Rashwan E.K. (2020). Syzygium aromaticum L. (Myrtaceae): Traditional Uses, Bioactive Chemical Constituents, Pharmacological and Toxicological Activities. Biomolecules, 10(2): 202, doi: 10.3390/biom10020202.
Bilade K. and Bhalgat M. (2020). Yonidhawan Karma in Kaphaj Yonivyapda: Literature Review. World Journal of Pharmaceutical and Medical Research, 6(10): 195-197.
CCRUM (2007). National Formulary of Unani Medicine, Part II, Vol. I. New Delhi: Government of India, Ministry of Health (Department of AYUSH).
Chibelean B. (2009). Minimally invasive surgical treatment of complex genital prolapse in elderly women: Impact on quality of life. European Urology Supplements, 8: 664.
David-Montefiore E., Barranger E., Dubernard G., Detchev R., Nizard V. and Darai E. (2005). Treatment of genital prolapse by hammock using porcine skin collagen implant (Pelvicol). Urology, 66: 1314-1318.
de Tayrac R., Gervaise A., Cheauvaud-Lambling A. and Fernandez H. (2004). Combined genital prolapse repair reinforced with a polypropylene mesh and tension-free vaginal tape in women with genital prolapse and stress urinary incontinence: A retrospective case-control study with shortterm follow-up. Acta Obstetricia et Gynecologica Scandinavica, 83: 950-54.
Devi M. and Goni J.M. (2019). Ayurvedic Management of Prasramsini Yonivyapat with respect to Uterine Prolapse: A Case Study. European Journal of Pharmaceutical and Medical Research, 6(3): 547-550.
Doshani A., Teo R.E.C., Mayne C.J. and Tincello D.G. (2007). Uterine prolapsed. Clinical Review, 335: 819-823.
Elansekaran S., Thanigavelan V. and Logamanian M. (2016). Acute and sub-acute toxicity studies of a Siddha sastric formulation Linga chendhuram in wistar rats. International Journal of Ayurveda and Pharma Research, 4(5): 22-28.
Esaivani S., Susila R., Kavitha T., Usha A. and Sathiyarajeswaran P. (2020). Management of Prolapsed Uterus-Grade I with Siddha External Therapy Aloe vera and Tripala Bandage: A Case Study. Archives of Clinical and Medical Case Reports, 4(2): 266-272.
Ghoshal R. (2014). Death of a Dai. Economic & Political Weekly, 49(42): 27.
Grover J.K., Khandkar S., Vats V., Dhunnoo Y. and Das D. (2002). Pharmacological studies on Myristica fragrans antidiarrheal, hypnotic, analgesic and haemodynamic (blood pressure) parameters. Methods and Findings in Experimental and Clinical Pharmacology, 24: 675-80.
Gyhagen M., Bullarbo M., Nielsen T.F. and Milsom I. (2012). Prevalence and risk factors for pelvic organ prolapse 20 years after childbirth: A national cohort study in singleton primiparae after vaginal or caesarean delivery. British Journal of Obstetrics and Gynaecology, 120: 152-160.
Hagen S., Stark D., Maher C. and Adams E.J. (2006). Conservative management of pelvic organ prolapsed in women. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.cd003882.pub3
Hansom L.A., Schulz J.A., Flood C.G., Cooley B. and Tam F. (2006). Vaginal pessaries in managing women with pelvic organ prolapsed and urinary incontinence: Patient characteristics and factors contributing to success. International Urogynecological Journal of Pelvic Floor Dysfunction, 17: 155-59.
Iwu M. (1993). Handbook of African Medicinal Plants. CRC Press, Boca Raton, Florida, USA.
Jalalpure S., Patil M. and Alagawadi K. (2002). Wound healing activity of the galls of Quercus infectoria Olivier. Journal of Natural Remedies, 2(1): 54-58.
Khan S.M.R., Akhter T. and Hussain M. (2021). Ethnoveterinary practice for the treatment of animal diseases in Neelum Valley, Kashmir Himalaya, Pakistan. PLoS ONE, 16(4): e0250114. https://doi.org/10.1371/journal.pone.0250114.
Khan T.N. and Dalvi P.N. (2017). Ayurvedic measures to minimize need of Hysterectomy. Journal of Ayurveda and Integrated Medical Sciences, 1: 136-138.
Kumar A., Nair A.G., Reddy A.V. and Garg A.N. (2006). Bhasmas: unique ayurvedic metallic-herbal preparations, chemical characterization. Biological Trace Element Research, 109: 231-254.
Kumawat K., Jain S. and Arora A. (2021). Ethnomedicinal studies of postpartum recipes used by rural and tribal women of Southern Rajasthan, India. Annals of Plant Sciences, 10(2): 4151-4161.
Labanca F., Ovesna` J. and Milella L. (2018). Papaver somniferum L. taxonomy, uses and new insight in poppy alkaloid pathways. Phytochemistry Review, 17: 853-871.
Lamxay V., J de Boer H. and Björk L. (2011). Traditions and plant use during pregnancy, childbirth and postpartum recovery by the Kry ethnic group in Lao PDR. Journal of Ethnobiology and Ethnomedicine, 7: 14.
Lans C. (2007). Ethnomedicines used in Trinidad and Tobago for reproductive problems. Journal of Ethnobiology and Ethnomedicine, 3: 13 doi:10.1186/1746-4269-3-13
Mahboubi M. (2020). Quercus infectoria fruit hulls and galls and female genital disorders. Clinical Phytoscience, 6: 44 https://doi.org/10.1186/s40816-020-00194-9
Mallik A. and Bhattacharjee C. (2019). Trigonella foenumgraecum: A review on its traditional uses, phytochemistry and pharmacology. International Journal of Advances in Scientific Research, 5(5): e5217. Doi:10.7439/ijasr.v5i5.5217
Margulies R.U., Rogers M.A. and Morgan D.M. (2010). Outcomes of transvaginal uterosacral ligament suspension: Systematic review and meta-analysis. American Journal of Obstetrics and Gynecology, 202: 124-34.
Marinelli O., Morelli M.B., Annibali D., Aguzzi C., Zeppa L., Tuyaerts S., Amantini C. Amant F., Ferretti B., Maggi F., Santoni G. and Nabissi M. (2020). The Effects of Cannabidiol and Prognostic Role of TRPV2 in Human Endometrial Cancer. International Journal of Molecular Sciences, 21: 5409; doi:10.3390/ijms21155409.
Naderifar M., Goli H. and Ghaljaie H. (2017). Snowball Sampling: A Purposeful Method of Sampling in Qualitative Research. Strides in Development of Medical Education, 14(3): e67670. doi: 10.5812/sdme.67670.
Naim M. and Begum W. (2017). Efficacy of Quercus infectoria Oliv. Galls in the Management of Uterovaginal Prolapse: A Randomized Clinical Trial. International Journal of Science and Research, 6(7): 1690-94.
Najeeya A.G.F. and Sultana A. (2018). Efficacy of mace (Arils of Myristica fragransHoutt) plus PFMT on symptoms in mixed urinary incontinence: a randomized placebo-controlled trial. Integrative Medicine Research, 7: 3017-315.
Olajide O.A., Makinde J.M. and Awe S.O. (2000). Evaluation of the pharmacological properties of nutmeg oil in rats and mice. Pharmaceutical Biology, 38(5): 385-390.
Ouhaddou H., Boubaker H., Msanda F. and El Mousadik A. (2014). An ethnobotanical study of medicinal plants of the Agadir Ida Ou Tanane province (southwest Morocco). Journal of Applied Biosciences, 84: 7707-22.
Perry L.M. and Metzger J. (1980). Medicinal plants of East and Southeast Asia: Attributed Properties and Uses (Vol. 620). MIT Press, Cambridge, London;http://kbd.kew.org/kbd/detailed result.do?id=63960.
Persu C., Chapple C.R., Cauni V., Gutue S. and Geavlete P. (2011). Pelvic Organ Prolapse Quantification System (POP-Q) – a new era in pelvic prolapse staging. Journal of Medicine and Life, 4(1): 75â€81.
Piya-Anant M., Therasakvichya S., Leelaphatanadit C. and Techatrisak K. (2003). Integrated health research program for the Thai elderly: Prevalence of genital prolapse and effectiveness of pelvic floor exercise to prevent worsening of genital prolapse in elderly women. Journal of Medical Association of Thailand, 86: 509-15.
Puri R. and Odland J.O. (2011). Prevalence, risk factors and traditional treatments of genital prolapse in Manma, Kalikot District, Nepal: A community based population study. Thesis for Master of Public Health submitted at the University of Tromso, Norway.
Rai C., Singh K., Lal S., Arti and Azad A. (2019). Adoption and Perceived Effectiveness of Indigenous Technical Knowledge among Tribal Farmers for Bovine Management: An Exploratory Study. International Journal of Livestock Research, 9(2): 243-253. doi: 10.5455/ijlr.20180921074902
Rao P.K., Hasan S.S., Bhellum B.L. and Manhas R.K. (2015). Ethnomedicinal plants of Kathua district, J&K, India.Journal of Ethnopharmacology, 171: 12–27.
Schwartz M., Abbott K.R., Glazerman L., Sobolewski C., Jarnagin B., Ailawadi R. and Lucente V. (2007). Positive symptom improvement with laparscopic uterosacral ligament repair for uterine or vaginal vault prolapsed: Interim results from an active multicenter trial. Journal of Minimally Invasive Gynecology, 14: 570-76.
Sharma P, Nariyal V., Sharma S. and Sharma A. (2017). Reproductive and child health care through bala taila: A review on ayurveda formulation. Int. J. Res. Ayurveda Pharm., 8(3): 1-7.
Shivanandaiah T.M. and Indudhar T.M. (2010). Lajjalu treatment of uterine prolapsed. Journal of Ayurveda and Integrative Medicine, 1(1): 125-128.
Smith-Oka V. (2008). Plants Used for Reproductive Health by Nahua Women in Northern Veracruz, Mexico. Economic Botany, 62(4): 604-614.
Surendran E.S., Lal M.A., Shankar K.M.P. and Deep V.C. (2018). Conservative Management of Young Age Onset Pelvic Organ Prolapse through Ayurvedic Management: A Case Report. Journal of Research in Ayurvedic Sciences, 2: 254-258.
Swift S.E., Woodman P., O'Boyle A., Kahn M., Valley M., Bland D., Wang W. and Schaffer J. (2005). Pelvic organ support study (POSST): the distribution, clinical definition and epidemiology of pelvic organ support defects. American Journal of Obstetrics and Gynecology, 192: 795-806.
Vanga S., Pingili M. and Tharigoppula S. (2017). Phytochemical screening and evaluation of antifungal activity of gall extracts of Quercus infectoria. International Journal of Pharmaceutical Science and Research, 8(7): 3010-3013.
Downloads
Downloads
Published
How to Cite
Issue
Section
License
Unless otherwise stated, copyright or similar rights in all materials presented on the site, including graphical images, are owned by Indian Forester.