Classical references of Abortion

: (
- 8/10 )
The expulsion of fetus upto 4th month =

The expulsion of fetus after 5th and 6th month

=

Etiology of :[Acc.to Sushrutha ]

Excess
coitus,riding,walking,jumping,travelling in
carriage
Excess intakeof dry,hot,pungent and alkaline
food/drugs
Excess use of emetics and purgatives
Supression of natural urges
Physical and Physiological disorders of
mother

 Pregnancy due to coitus done on third day of

menstrual cycle OR by a man below
twentyfive years of age OR in a woman below
sixteen years of age
Coitus witha pregnant woman
other disorders of Yoni (yoni vyapad)

[Acc.to Vagbhata ]

Bad deeds of previous life of either the

mother or the fetus

[Acc.to Bhela ]
Twenty types of Yoni vyapad

[Acc.to Yogaratnakara,
Bhavaprakasha and Madhava
Nidana ]
Vaatavruta shukra

Pathogenesis of :- (events
in chronological order)
[Acc.to Sushrutha ]

1. of The fetus gets detached from its

attachments
2. leaves the uterus and moves downwards
3.,, while moving downwards it moves
through liver,spleen and intestines
4. - causess irritation of abdomen
produce abnormality in the function of
5.
Apaana vata
, , , resulting in pain
6.
Retention of urine

abdominal distention
7. finally, loss of blood affecting life of the Garbha

[Acc.to Charaka]
Charaka has not mentioned Garbhapata
seperately but he included it among the
features of 20 Yoni vyapad mainly
Putraghni and Asrija.
Complications of Garbhaapata :Shotha, Apataanaka, Arshas and Severe
pain.
Chikitsa :> Before the expulsion of fetus

- Use of Garbha sthapana dravyas

- Use of Madhura, snigdha and sheeta dravyas
> During Aamavastha of Srava
- This condition is believed to be incurable due to the
reason that to arrest bleeding and to retain garbha usually
Sheeta, Nridu and Madhura drugs are t be used, which
causes 1.Further increase in Aama
2.these are also opposite to features of Aartava i.e
Aagneya and Ushna
> During First
garbhapaata

trimester

Garbhasraava

and

Later

- This conditin is also difficult to cure and retain garbha

due to 1. Aamaavastha
2. The Garbha is Asanjaata saara garbha

>After expulsion of Garbha Aims To clear left over aama dosha

To expell remaining vitiated blood and doshas from
garbhashaya
To relieve pain

Methods
o Madhyapana
o Roksha Peya mixed with Laghu Panchamoola choorna
o Yavaagu made of tila and Udalaka and other digestive
drugs
o Kashaya made of Kulatha, venugranthi and Hridra

o Puraana Guda mixed with appetizing drugs

o Abhayarishta
Note :
1. Sushrutha says that the number of days or duration of
treatment should be equal to the number of months during
Garbhaapata.
2. Kashyapa specifically mentions a procedure called Varana
bandhana a type of mantra treatment for preventing
abortions. It should be done upto eight months of gestation.
3. Kashyapa also mentions Prajavarana bandhana for those
desirous of Progeny and longevity.
4. For pain during beginning of garbhapata associated with
severe pain
Milk processed with madhuka, devadaru, payasya, manjishta
Milk processed with ashmantaka, shatavari, payasya,
tamravalli
Milk processed with swadamshtra
Ghee treated with juice of onion mixed with honey
Milk or ghee processed with Brihatdwaya,utpala, shatavari,
payasya and madhuka.

Sushrutha mentioned specific drugs to be

taken each month to avoid risk of Garbhapata
and Garbhasrava
1 month

Madhuka,
Shakabija,
payasya and suraadaru

2 month

Ashmantaka, Krishna Tila,

tamravalli and Shatavari

3 month

Vrikshaadani,
payasya,
priyangu, lata, utpala and
saariva
Ananta,
saariva,
Rasna,Padma
and
Madhuka
Brihatidwaya,
tender
leaves
and
latex
of
Ksheeri vriksha
Prishnaparni, Vaca, sigru,
swadamshtra,
madhuparnika
Sringataka,
Bisa,
draksha,Kaseru, madhuka
and bala
Milk treated with roots of
Kapitha, bilwa, brihati,
patola.ikshu
and
nidighdika
Ananta, saariva, payasya
and yashti

4 month
5 month
6 month
7 month
8 month

9 month
10 month
11 month
12 month

Milk treated with shunti,

payasya,
yashti,
suraadaru
Paste of kshirika, utpala,
samanga and bilwa along
with milk
Sita, vidaari, kakoli, kshiri,
mrinalika with milk

References

Sushrutha Nidana 8th chapter

Charaka chikitsa 30th chapter
Ashtanga Sangraha, sharira sthana 4th chap
Ashtanga hridaya, sharira sthana 2nd chapter
Bhela Samhita, sharira sthana 3rd chapter
Bhava Prakasha, Chikitsa sthana
Kashyapa Samhita, Khila sthana