By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Antarmukhi is one among the 20 gynaecological disorders. It is a condition in which the vitiated vata pressed by food, crooks the opening of the uterus i.e. cervix causing severe pain and dyspareunia.
Read – Vata Disorders (Vatavyadhi): Definition, Causes, Symptoms
Causative Factors of Antarmukhi
Ati trupti / ati ashita – Excessive satiety following meals
Pathogenesis of Antarmuki
When a woman satisfied after full meals, indulges in coitus, sleeping in abnormal postures, her vata situated in the reproductive organs gets pressed by the food. This vata pressed by food causes crookedness of cervix of uterus and causes a gynaecological condition called antar mukhi.
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Antar / antah – inward, crooked
Mukhi – face, orifice
Antarmukhi is a gynaecological condition in which the orifice of uterus i.e. cervix of uterus gets crooked.
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Symptoms, Sanskrit verse
Symptoms of Antar mukhi
- Vakrayati aananam yonyaah – the orifice of uterus i.e. cervix becomes crooked
- Sa asthi mamsa anilartibhi – different kinds of pain like pricking, piercing, stabbing etc are caused by vitiated vata in bones and muscles situated near vagina / uterus i.e. bones and muscles of the pelvic cavity, lower abdomen, hips and thighs
- Bhrusha arti yoneh – severe pain in vagina / uterus
- Maithuna ashaktaha – difficulty in coitus / painful coitus
Modern correlation and comparative study
The only important clinical feature described in the context of antarmugi gynaecological disorder is crookedness of orifice of uterus i.e. cervix, caused by vitiated vata. Crookedness of the cervix of uterus can be correlated to the below mentioned conditions –
Anteversion of uterus
Anteflexion of uterus
Retroversion of uterus
Retroflexion of uterus
Read – Garbhashaya – Anatomy Of Uterus, Ayurvedic Perspective
We do not get to see backache and other pains like dyspareunia in anteversion or anteflexion of uterus. These symptoms on the other hand can be seen in retroversion and retroflexion of uterus.
Seeing all the above said explanations, antarmukhi gynaecological disorder can be compared to both types of versions and flexions of uterus, but seeing the association of pain and dyspareunia, retroversion and retroflexion of uterus seem to be closer comparisons.
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Treatment of Antarmukhi gynaecological disorder
Vata nashaka chikitsa – all the measures capable of mitigating the vitiated vata needs to be adopted
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Utkarika – poultice prepared with barley, wheat, yeast, Saussurea lappa, dill seeds, Sida cordifolia, Callicarpa macrophylla and Ipomea reniformis should be done, introduced inside the vagina