Therapeutic Trial with Myron in Leucorrhoea
Dr. J. Karuna, MD, DGO, Professor of Obstetrics & Gynaecology
Rangaraya Medical College and Obstetrician & Gynaecologist Govt. General Hospital, Kakinada (A.P.)
Leucorrhoea is the most common complaint in women. It occurs in one out of every third of all the Gynaecological cases. It is caused by various infections both specific and nonspecific.
Myron has been described to be beneficial in the treatment of Leucorrhoea. It is described to have anti-inflammatory, antibacterial, antiseptic and haematinic properties and is claimed to increase uterine tone.
The present study has been undertaken with a view to record our clinical experience in the use of Ayurvedic compound “MYRON”. Nonspecific and specific leucorrhoea in non-pregnant women was treated with the drug.
Pharmacotherapeutic of Drug:
Each tablet of Myron contains:
Hirabol 75.0 mg., Guggul 30.0 mg., Bang Bhasma 15.0 mg., Kasis Bhasma 15.0 mg., Shilajit 15.0 mg., Lodhar 15.0 mg., Dhavdi Flower 15.0 mg., Ardusi Leaves 7.5 mg., Ardusi Ghan 7.5 mg., Raswanti 7.5 mg. & Abhrak Bhasma 7.5 mg.
Hirabol (Myrrh): It contains gum, resin, myrrhin and myrrhol, a volatile oil and a bitter principle. It is used traditionally internally for leucorrhoea, sub-involution of uterus, cervicitis, chronic endometritis, irregular menses, as an antiseptic and uterine restorative during and after puerperium and as post partum hygienic toner.
Guggul: It is also an olio-resin with similar properties and used in chronic diseases like leucorrhoea, endometritis, amenorrhoea, backache and girdle pain.
Bang Bhasma: It is used in diseases of Genito-urinary organs. It improves health, strengthens the organs and nourishes whole body. It is useful in Leucorrhoea & Menstrual Disorders.
Kasis (easily assimilable iron): It is haematinic.
Shilajit: It is used in genito-urinary diseases, leucorrhoea, leucorrhoea from debility and is a tonic in anaemia and general debility.
Lodhar: Useful in Leucorrhoea, menorrhagia due to relaxation of uterine tissue. Reduces mucous secretion by imparting strength to mucous membrane. It is cooling and mild astringent.
Dhavdi Flower: It is astringent & tonic. Useful in Leucorrhoea and diseases of mucous membrane.
Ardusi Leaves & Ardusi Ghan: It is diuretic, anti-spasmodic, alterative.
Raswanti: It is tonic, stomachic, astringent, alterative. Useful in Uterine weakness, burning sensation in vagina, leucorrhoea, painful micturition etc.
Abhrak Bhasma: It is a standard alternative to other anti-leucorrhic drugs.
Material and Methods
The present study was conducted on patients who attended as Out-Patients in the Department of Obstetrics and Gynaecology of Government General Hospital, Kakinada during the period from January 1993 to September 1993. It is a randomized study. 100 women with a complaint of white discharge were taken in the study. The patients were subjected to detailed history, physical examination and investigations. 50 patients were followed for accurate results.
Investigations: Routine investigations like Hb. %, Urine for Albumin, Sugar and microscopic examination were done. The vaginal swab was taken and sent for Microbial examination and culture sensitivity to know the causative organisms.
Dosage adopted: The dose adopted was Myron 2 tds for two weeks followed by 2 bd for two weeks. If no improvement was noted in two weeks, then the dosage regime was Myron 2 tds for two weeks followed by Myron 2 bd for
two weeks. The treatment was continued during menstruation also. They were asked to come for checkup, every week till they got cured.
Observations & Discussions
1. Age Group: Table 1 shows the age group of 50 patients. 27 patients (54%) belong to 21-30 years age group.
Table No. 1
Age Groups
Age Group | No. of cases | Percentage |
15-20 years | 13 | 26 |
21-30 | 27 | 54 |
31-40 | 6 | 12 |
41-45 | 2 | 4 |
46-50 | 2 | 4 |
2. Marital status and parity: Majority of patients (40%) are multipara. It was observed generally that the number of cases increased with an increasing parity.
Table No. 2
Marital Status & Parity
Marital Status | No. of cases | Percentage |
Unmarried | Nil | Nil |
Nullipara | 4 | 8 |
Para I | 7 | 14 |
Para II | 18 | 40 |
Multipara | 20 | 2 |
Sterility | 1 | 2 |
3. Menstrual History: Menstruation was regular in majority of cases. A few cases had menorrhagia and increased frequency of menstrua Two of them were post-menopausal. Two of them had undergone hysterectomy previously. Two of them had lactational amenorrhoea.
4. Investigations: Most of the patients were Majority of the patients had nonspecific leucorrhoea and few of them had mixed infections alongwith trichomoniasis and candidiasis.
5. Results: Effects of Myron therapy is given in Table No. 3
Table No. 3
Effects of Myron Treatment on Leucorrhoea
Leucorrhoea | Good | Moderate | Poor/None |
Specific | 1(7.1%) | 5 (35.5%) |
8 (56.0%)
|
Non-specific | 20(55.6%) | 8(22.2%) |
8(22.2%)
|
Total | 21(42.0%) | 13 (26.0%) |
16(32.0%)
|
There was complete relief from leucorrhoea in 21 patients (42,0%). Moderate relief in 13 patients (26%) and no or poor relief in 16 patients (32%). The response was comparatively better in non-specific leucorrhoea.
Summary
Leucorrhoea is found mostly in 21-30 years age group. Most of them were multipara. A course of 4 weeks Myron therapy gave com¬plete relief in about half of the cases and there was moderate response in another one-fourth of the patients. Most of the patients had symptomatic relief. The response is better in non-specific leucorrhoea and also in post¬operative leucorrhoea. No toxic or side effects were observed in the use of Myron tabets.
Acknowledgements
We are grateful to the Department of Mic-robiology, Rangaraya Medical College, Kakinada, and Clinical Laboratory of Govt. General Hospital, Kakinada for their kind co-op¬eration.
References
- Gupta-Leucorrhoea due to non-specific factors (usefulness of an Ayurvedic drug -Myron). Indian Pract. 20: 10, 1967.
- Subhadra Devi, N., Rani Hithavachani C and Vijayalakshmi N – Therapeutic trial with Myron in non-specific leucorrhoea, Mediscope, 16:3, 1973.
- C. Bhargava, U. Saxena, R. S. Nanda and R. Seth – Indian Journal of S.T.D.. 1:45-7, 1980.
- Rao M. K. – Leucorrhoea and its treatment with an indigenous drug Myron, Mediscope, 19:121-126, 1976.
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