Prepare me a seminar for topic vataja yonivyapat including pic and these points 1.intro ( from vonivyapat) 2.causes 3.ecplaination to each yoni vyapat 4 explain vataja yonivyapat Sign and symptoms for vataja yonivyapat 5.investigations 6.examinations 7.prognosis 8.differential diagnosis 9.treatment ( Incl.shamana and shodhana procedure in ayurveda) 10.mordern co relation and its treatment
vataja yonivyapat ayurveda signs symptoms treatment shodhana shamana
https://wjpr.s3.ap-south-1.amazonaws.com/article_issue/4be9a…
female reproductive system anatomy uterus vagina diagram
This medical illustration features an anatomical diagram of the female reproductive system superimposed onto a photographic frontal view of a female torso. The diagram focuses on the pelvic anatomy, highlighting the uterus, fallopian tubes, and ovaries in a simplified, educational style. The uterus is centrally positioned and depicted with a clear endometrial cavity and cervical canal. Extending laterally from the superior portion of the uterus (the fundus) are the fallopian tubes, which exhibit a characteristic tortuous morphology ending in finger-like fimbriae. Associated with the distal ends of the tubes are the ovaries, rendered with a textured, lobulated surface to represent follicular development. The graphic uses contrasting colors—pink for the uterine and tubal structures and a light blue-grey for the ovaries—to enhance visual differentiation. This content type serves as a primary educational tool for explaining reproductive health, infertility, and the anatomical context of procedures such as in vitro fertilization (IVF).
This composite educational figure illustrates the anatomical and cytological basis of cervical screening. Panel (a) is an anatomical diagram of the female reproductive system, displaying the uterus superiorly, the cervix at the mid-level, and the vagina inferiorly. It highlights a 'cone-shaped wedge' representing a cervical biopsy or diagnostic excision area, with a corresponding inset showing the cervical os in a transverse view. Panel (b) presents diagnostic cytology images from the Herlev dataset, showing individual cervical cells under microscopy. The cells demonstrate varying Papanicolaou-style staining patterns ranging from cyan/pale blue to magenta. Key visible features include centrally located, dark-stained nuclei surrounded by expansive, irregularly shaped cytoplasm with distinct polygonal or folded borders. This visual is designed for pathology and gynecology education, emphasizing the transition from macroscopic cervical anatomy to microscopic cellular morphology used in cancer screening and classification.
A 3D anatomical diagram illustrating the male and female reproductive systems side-by-side within stylized blue human silhouettes. On the left, the male anatomy includes the penis, a testis shown in cross-section within the scrotum, the epididymis, the vas deferens, the prostate gland, and the urinary bladder superiorly. On the right, the female anatomy depicts the uterus centrally, with the fallopian tubes extending laterally to the ovaries, and the vaginal canal positioned inferiorly. The visual highlights the pelvic location and relative spatial arrangement of primary and secondary sex organs. The image serves as an educational infographic for sexual health and reproductive anatomy, specifically in the context of public health strategies like the SAFE-S (Sexual behavior, Antibiotics, Facial cleanliness, Environmental improvement) strategy for controlling Chlamydia trachomatis and other sexually transmitted infections. The medical specialty is Urology and Gynecology, aimed at a general educational level.
This medical anatomical diagram illustrates a superior view of the female pelvis and internal reproductive organs. Centrally, the uterus (a) is positioned posterior to the urinary bladder (f) and anterior to the rectum (g). Extending laterally from the uterine horns are the round ligaments (b), fallopian tubes (c), and the ovaries (d), which are anchored by the ovarian ligaments (e). The broad ligament (h) is depicted as a wide peritoneal fold draping over these structures and extending to the pelvic side walls. A dashed line indicates the path of the ureteric fold (i) beneath the peritoneum. Notably, the diagram highlights a broad ligament defect (j) on the left side, located caudal to the round ligament. This visual representation serves as an educational guide for identifying Type 1 defects according to the Cilley classification, which are clinically significant as potential sites for internal hernias of the bowel. The diagram uses a combination of solid lines for superficial structures and dashed lines for retroperitoneal or obscured landmarks, providing a clear topographic map of pelvic surgical anatomy.
endometriosis pelvic pain dysmenorrhea pathology
5.4.5 Management of gynaecological aspects of chronic pelvic pain <table><thead><tr><th>Summary of evidence</th><th>LE</th></tr></thead><tbody><tr><td>Therapeutic options, including pharmacotherapy and surgery, can treat endometriosis effectively.</td><td>1b</td></tr><tr><td>Psychological treatment (CBT or supportive psychotherapy) can improve pain and sexual and emotional function in vaginal and vulvar pain syndrome.</td><td>1b</td></tr><tr><td>Most gynaecological pain conditions (including dysmenorrhea, post-mesh insertion and gynaecological malignancy) can be treated effectively using pharmacotherapy.</td><td>3</td></tr><tr><td>All other gynaecological conditions (including obstetric injury, pelvic organ prolapse) can be treatedeffectively using surgery.</td><td>2</td></tr></tbody></table>
Gross pathology photograph of bilateral ovarian tissue after surgical excision, illustrating ovarian endometriomas (Chocolate cysts). The image presents two right- and left-ovary specimens opened to reveal cystic cavities filled with dark brown, viscous chocolate-colored fluid consistent with longstanding hemorrhagic content. The cyst walls are thickened and fibrous, with irregular surfaces and focal adhesions typical of endometriotic implants. The left ovary shows a large unilocular cavity with richly pigmented brown contents; the right ovary displays multiple smaller cystic spaces and mural nodularity. A centimeter-scale ruler is included for size reference (approximately several centimeters in diameter). The surrounding stroma is pale to pink-tan, with areas of adhesion. These gross features correspond to endometriosis involving the ovary, producing endometriomas. Such lesions arise from ectopic endometrial tissue projecting into the ovarian cortex, leading to recurrent cyclic hemorrhage and cyst formation. Clinically, endometriomas are associated with pelvic pain, dysmenorrhea, and infertility. Pathology confirms diagnosis when histology reveals endometrial glands and stroma within the cyst wall (though not shown in this gross image). Diagnostic significance lies in confirming ovarian involvement by endometriosis, guiding surgical management, and informing prognosis and recurrence risk. Use cases include medical education, radiology-pathology correlation, and gynecologic oncology review. Additional histology correlation recommended.
This diagnostic image is a transrectal sonogram (TRS) of the pelvic region in a patient presenting with symptoms of dysmenorrhea and chronic pelvic pain. The ultrasound demonstrates a significant nodular, solid, hypo-echoic lesion located within the ovarian fossa. The lesion is characterized by its dark, heterogeneous internal texture and irregular borders, which contrast with the adjacent, more echogenic pelvic structures. A hyperechoic curved line at the bottom of the frame indicates the rectal wall interface with the probe. This finding is highly suggestive of Deep Infiltrating Endometriosis (DIE) involving the ovarian fossa. The image serves as a clinical example of how high-frequency sonography can be utilized to identify extra-intestinal endometriotic implants by assessing echogenicity, tissue morphology, and spatial relationships within the pelvic compartments.
yonivyapat 20 types list charaka sushruta classification all vyapat
ayurveda tridosha vata pitta kapha diagram
An educational infographic titled 'Ayurveda in Cancer Management' that illustrates a multidisciplinary integrative medicine approach. The central graphical element is a cross-sectional illustration of a tumor microenvironment, depicting a cluster of irregularly shaped pinkish-red neoplastic cells interspersed with small cyan-blue immune or signaling components. Black directional arrows radiate from this central mass toward surrounding rectangular boxes, signifying various therapeutic interventions. The described treatments include: 'Rasayana Chikitsa' (immunotherapy and rejuvenation), 'Shamana Chikitsa' (oral medications), 'Dhatwagni and Vyadhipratyanik Chikitsa' (antitumor therapies), 'Daivavyapashraya Chikitsa' (spiritual/divine therapy including Yoga and Pranayama), and 'Satvavajaya' (dietary and lifestyle counseling). At the bottom right, botanical illustrations including a ginger rhizome (Zingiber officinale) and medicinal leaves are shown, representing the phytochemical basis of these treatments. The diagram serves to categorize Ayurvedic cancer management procedures for healthcare providers and students interested in integrative oncology and complementary therapies.
Educational cover page of a historical medical text titled 'Ashtanga Hridayam', a foundational treatise in Ayurveda (traditional Indian medicine). The visual features a vibrant green background with a graphical illustration of a leafy branch in the upper right quadrant. The text is primarily in Devanagari script, identifying the work as the Sutrasthanam section with the 'Sararthabodhini' commentary by Vaidyan Raman Menon. The layout is hierarchical, with the main title in a large, stylized font and secondary details in smaller text. The bottom section of the page provides English bibliographic information, noting publication by the Vaidyabhooshanam K. Raghavan Thirumulpad Foundation for Ayurvedic Studies in Kerala, India, dated 2012. This material represents clinical literature and historical medical theory, specifically focusing on traditional healthcare paradigms and Ayurvedic diagnostic/treatment protocols.
mkdir -p /tmp/workspace/vataja-yonivyapat && ls /tmp/workspace/
cat << 'PYEOF' > /tmp/workspace/vataja-yonivyapat/build_pptx.py import json, subprocess, base64 from io import BytesIO from pptx import Presentation from pptx.util import Inches, Pt, Emu from pptx.dml.color import RGBColor from pptx.enum.text import PP_ALIGN, MSO_ANCHOR from pptx.util import Inches, Pt # --- Color palette --- SAFFRON = RGBColor(0xFF, 0x99, 0x00) DARK_BROWN = RGBColor(0x5C, 0x2E, 0x00) CREAM = RGBColor(0xFF, 0xF5, 0xE4) WHITE = RGBColor(0xFF, 0xFF, 0xFF) GOLD = RGBColor(0xC8, 0x97, 0x20) MAROON = RGBColor(0x80, 0x00, 0x00) OLIVE = RGBColor(0x5C, 0x6B, 0x2E) TEAL = RGBColor(0x00, 0x70, 0x70) LIGHT_TEAL = RGBColor(0xE0, 0xF7, 0xF7) LIGHT_SAFFRON = RGBColor(0xFF, 0xF0, 0xD5) prs = Presentation() prs.slide_width = Inches(13.333) prs.slide_height = Inches(7.5) blank = prs.slide_layouts[6] def add_rect(slide, x, y, w, h, fill_rgb, alpha=None): shape = slide.shapes.add_shape(1, Inches(x), Inches(y), Inches(w), Inches(h)) shape.line.fill.background() shape.fill.solid() shape.fill.fore_color.rgb = fill_rgb return shape def add_text(slide, text, x, y, w, h, size=18, bold=False, color=None, align=PP_ALIGN.LEFT, italic=False, font="Palatino Linotype", wrap=True): tb = slide.shapes.add_textbox(Inches(x), Inches(y), Inches(w), Inches(h)) tf = tb.text_frame tf.word_wrap = wrap tf.margin_left = Inches(0.05) tf.margin_right = Inches(0.05) tf.margin_top = Inches(0.02) tf.margin_bottom= Inches(0.02) p = tf.paragraphs[0] p.alignment = align run = p.add_run() run.text = text run.font.name = font run.font.size = Pt(size) run.font.bold = bold run.font.italic= italic if color: run.font.color.rgb = color return tb def add_bullet_box(slide, bullets, x, y, w, h, title=None, bg=LIGHT_TEAL, title_bg=TEAL, text_color=DARK_BROWN, title_color=WHITE, font_size=14, title_size=16): if title: add_rect(slide, x, y, w, 0.38, title_bg) add_text(slide, title, x+0.05, y+0.02, w-0.1, 0.35, size=title_size, bold=True, color=title_color, align=PP_ALIGN.CENTER) body_y = y + 0.38 body_h = h - 0.38 else: body_y = y body_h = h add_rect(slide, x, body_y, w, body_h, bg) tb = slide.shapes.add_textbox(Inches(x+0.1), Inches(body_y+0.05), Inches(w-0.2), Inches(body_h-0.1)) tf = tb.text_frame tf.word_wrap = True first = True for b in bullets: if first: p = tf.paragraphs[0] first = False else: p = tf.add_paragraph() p.space_before = Pt(3) run = p.add_run() run.text = ("• " if not b.startswith("•") else "") + b run.font.name = "Palatino Linotype" run.font.size = Pt(font_size) run.font.color.rgb = text_color # ===================================================================== # SLIDE 1 – Title # ===================================================================== slide = prs.slides.add_slide(blank) # Background gradient effect via two rects add_rect(slide, 0, 0, 13.333, 7.5, RGBColor(0x3B, 0x10, 0x04)) add_rect(slide, 0, 0, 13.333, 7.5, RGBColor(0x5C, 0x1A, 0x00)) add_rect(slide, 0, 0, 13.333, 0.12, SAFFRON) add_rect(slide, 0, 7.38, 13.333, 0.12, SAFFRON) add_rect(slide, 0, 2.8, 13.333, 2.5, RGBColor(0x7A, 0x24, 0x00)) add_text(slide, "🌿 AYURVEDA SEMINAR 🌿", 0.5, 0.4, 12.3, 0.7, size=18, bold=True, color=SAFFRON, align=PP_ALIGN.CENTER) add_text(slide, "VATAJA YONIVYAPAT", 0.5, 1.3, 12.3, 1.2, size=52, bold=True, color=WHITE, align=PP_ALIGN.CENTER, font="Palatino Linotype") add_text(slide, "(वातज योनिव्यापत्)", 0.5, 2.5, 12.3, 0.5, size=24, bold=False, color=SAFFRON, align=PP_ALIGN.CENTER) add_text(slide, "Gynaecological Disorders in Ayurveda", 0.5, 3.1, 12.3, 0.5, size=20, bold=False, color=CREAM, align=PP_ALIGN.CENTER, italic=True) add_text(slide, "Based on Charaka Samhita | Sushruta Samhita | Ashtanga Hridayam", 0.5, 4.0, 12.3, 0.4, size=14, bold=False, color=RGBColor(0xFF, 0xCC, 0x88), align=PP_ALIGN.CENTER) add_text(slide, "Department of Prasuti Tantra & Stri Roga", 0.5, 5.0, 12.3, 0.4, size=14, bold=False, color=CREAM, align=PP_ALIGN.CENTER) add_text(slide, "Presenter: _____________________ Guide: _____________________", 0.5, 5.6, 12.3, 0.4, size=13, bold=False, color=RGBColor(0xFF, 0xCC, 0x88), align=PP_ALIGN.CENTER) # ===================================================================== # SLIDE 2 – Introduction to Yonivyapat # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, CREAM) add_rect(slide, 0, 0, 13.333, 0.75, MAROON) add_rect(slide, 0, 0.75, 13.333, 0.06, SAFFRON) add_text(slide, "1. INTRODUCTION – YONIVYAPAT", 0.3, 0.1, 12.7, 0.62, size=26, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_text(slide, "Definition", 0.3, 1.0, 4.5, 0.4, size=16, bold=True, color=MAROON) add_rect(slide, 0.3, 1.38, 6.0, 2.8, RGBColor(0xFF, 0xEB, 0xEB)) add_text(slide, '\"यां योनिरुजं स्त्रीणां दोषैः कुपितैः प्रादुर्भवन्ति तां योनिव्यापत्\" \n\n' 'Diseases arising in the genital/reproductive organs of a woman due to vitiation of Doshas are called Yoni Vyapat.', 0.4, 1.42, 5.8, 2.7, size=13, color=DARK_BROWN) add_text(slide, "Scope of Yoni (Yoni = ?)", 4.5+0.4, 1.0, 8.0, 0.4, size=16, bold=True, color=MAROON) bullets_scope = [ "Vagina (Yoni koshtha)", "Uterus (Garbhashaya)", "Fallopian tubes (Artavavaha Srotas)", "Entire female reproductive tract", "Charaka uses Yoni to denote both individual organs and the whole reproductive system" ] add_bullet_box(slide, bullets_scope, 6.6, 1.38, 6.4, 2.8, bg=RGBColor(0xFF, 0xF0, 0xE5), text_color=DARK_BROWN, title=None, font_size=13) add_text(slide, "Key Concepts", 0.3, 4.3, 4.0, 0.4, size=16, bold=True, color=MAROON) add_rect(slide, 0.3, 4.7, 12.7, 2.55, RGBColor(0xF5, 0xF0, 0xFF)) concepts = [ "Dosha: Vata, Pitta, Kapha – the tridosha govern all physiology and pathology in Ayurveda", "Yoni Vyapat = 20 types of gynaecological disorders described in classical Ayurvedic texts (Charaka, Sushruta, Vagbhata)", "Artava (menstrual blood) is the key dhatu; its proper production and flow depends on Apana Vata", "Mula Sthana of Garbhasambhava – uterus is the seat of conception, menstruation, and childbirth", "No Yoni Roga occurs without the vitiation of Apana Vata – hence Vata management is the first priority in all types", ] add_bullet_box(slide, concepts, 0.3, 4.7, 12.7, 2.55, bg=RGBColor(0xF5, 0xF0, 0xFF), text_color=DARK_BROWN, title=None, font_size=13) # ===================================================================== # SLIDE 3 – Causes (Nidana) of Yonivyapat # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, LIGHT_SAFFRON) add_rect(slide, 0, 0, 13.333, 0.75, DARK_BROWN) add_rect(slide, 0, 0.75, 13.333, 0.06, SAFFRON) add_text(slide, "2. CAUSES (NIDANA) OF YONIVYAPAT", 0.3, 0.1, 12.7, 0.62, size=26, bold=True, color=WHITE, align=PP_ALIGN.CENTER) # Samanya + Vishishta Nidana add_text(slide, "Samanya Nidana (General Causes)", 0.3, 1.0, 6.0, 0.38, size=16, bold=True, color=DARK_BROWN) samanya = [ "Mithya Ahara – improper / unwholesome diet", "Mithya Vihara – improper lifestyle & conduct", "Pradushta Artava – vitiated menstrual blood", "Bija Dosha – genetic / seed defects", "Daiva – destiny / karmic factors", "Vishamashana – irregular eating habits", "Abhighata – trauma to genital tract", "Excessive / improper coitus (Bhrusha Maithun)", "Suppression of natural urges", ] add_bullet_box(slide, samanya, 0.3, 1.4, 6.0, 5.7, bg=RGBColor(0xFF, 0xF5, 0xCC), text_color=DARK_BROWN, font_size=13) add_text(slide, "Vishishta Nidana (Specific to Vataja)", 6.5, 1.0, 6.5, 0.38, size=16, bold=True, color=DARK_BROWN) vishishta = [ "Vata Prakriti constitution (vata body type)", "Intake of Ruksha (dry), Laghu (light), Sheeta (cold) foods", "Excessive walking, exercise, fasting (langhan)", "Grief, anxiety, suppressed emotions (shoka)", "Exposure to cold & dry environments", "Post-partum neglect of Vata-pacifying routine", "Excessive intercourse with Pravridha Linga", "Rattling, vibrational activities aggravating Vata", ] add_bullet_box(slide, vishishta, 6.5, 1.4, 6.6, 5.7, bg=RGBColor(0xE8, 0xF0, 0xFF), text_color=DARK_BROWN, font_size=13) # ===================================================================== # SLIDE 4 – Classification of all 20 Yoni Vyapat # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, CREAM) add_rect(slide, 0, 0, 13.333, 0.75, TEAL) add_rect(slide, 0, 0.75, 13.333, 0.06, GOLD) add_text(slide, "3. CLASSIFICATION – 20 TYPES OF YONI VYAPAT", 0.3, 0.1, 12.7, 0.62, size=24, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_text(slide, "According to Acharya Charaka – 20 Types classified by Dosha:", 0.3, 0.92, 12.7, 0.4, size=14, bold=True, color=TEAL) # Three columns col_data = [ ("Vataja (11 types)", TEAL, [ "1. Vataja Yonivyapat", "2. Acharana", "3. Aticharana", "4. Prakcharan", "5. Udavartini", "6. Putraghni", "7. Antarmukhi", "8. Shushka", "9. Suchimukhi", "10. Shandhi (Vandhya)", "11. Mahayoni", ]), ("Pittaja (3 types)", RGBColor(0xBB, 0x44, 0x00), [ "12. Pittaja Yonivyapat", "13. Raktayoni", "14. Paripluta", ]), ("Kaphaja / Mixed (6 types)", RGBColor(0x1A, 0x7A, 0x3C), [ "15. Kaphaja Yonivyapat", "16. Sannipataja", "17. Upapluta (K+V)", "18. Vipluta (K+P)", "19. Prasramsini", "20. Lohitakshaya", ]), ] xs = [0.3, 4.65, 9.0] for i,(title, col, items) in enumerate(col_data): add_rect(slide, xs[i], 1.35, 4.1, 0.42, col) add_text(slide, title, xs[i]+0.05, 1.37, 4.0, 0.38, size=14, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(slide, xs[i], 1.77, 4.1, 5.55, LIGHT_TEAL if i==0 else RGBColor(0xFF,0xEE,0xE0) if i==1 else RGBColor(0xE8,0xF5,0xEB)) tb = slide.shapes.add_textbox(Inches(xs[i]+0.1), Inches(1.82), Inches(3.9), Inches(5.4)) tf = tb.text_frame; tf.word_wrap = True first=True for item in items: if first: p=tf.paragraphs[0]; first=False else: p=tf.add_paragraph() p.space_before=Pt(5) r=p.add_run(); r.text=item r.font.name="Palatino Linotype"; r.font.size=Pt(13) r.font.color.rgb=DARK_BROWN # ===================================================================== # SLIDE 5 – Brief Description of Each Yoni Vyapat # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, LIGHT_SAFFRON) add_rect(slide, 0, 0, 13.333, 0.75, MAROON) add_rect(slide, 0, 0.75, 13.333, 0.06, SAFFRON) add_text(slide, "3. BRIEF EXPLANATION OF KEY YONI VYAPAT TYPES", 0.3, 0.1, 12.7, 0.62, size=22, bold=True, color=WHITE, align=PP_ALIGN.CENTER) desc_data = [ ("Vataja Yonivyapat", "Dry, painful, rough vagina/uterus; pricking pain; stiffness"), ("Udavartini", "Reversed flow of menstruation upwards; severe dysmenorrhoea"), ("Putraghni", "Destroys foetus; implantation failure; recurrent abortions"), ("Antarmukhi", "Introversion/flexion of uterus; anteversion/retroversion"), ("Suchimukhi", "Needle-like pain at os; needle-like closure; cervical stenosis"), ("Vandhya", "Infertility; dryness & absence of reproductive fluids"), ("Mahayoni", "Prolapse of uterus; widening of vagina"), ("Pittaja Yonivyapat", "Burning, inflammation, hot discharge, fever"), ("Raktayoni", "Continuous blood-stained discharge; non-cyclic bleeding"), ("Paripluta", "Burning, pain; aggravated by coitus; caused by V+P"), ("Kaphaja Yonivyapat", "Thick white/yellow discharge; itching; heaviness"), ("Upapluta", "Vaginal discharge during pregnancy; vulvovaginitis in gravid state"), ] col_w = 6.35 for idx, (name, desc) in enumerate(desc_data): row = idx // 2 col = idx % 2 x = 0.2 + col * (col_w + 0.2) y = 0.92 + row * 1.02 add_rect(slide, x, y, col_w, 0.38, MAROON if idx%2==0 else DARK_BROWN) add_text(slide, name, x+0.05, y+0.02, col_w-0.1, 0.36, size=13, bold=True, color=WHITE) add_rect(slide, x, y+0.38, col_w, 0.62, RGBColor(0xFF,0xF8,0xF0)) add_text(slide, desc, x+0.1, y+0.4, col_w-0.2, 0.58, size=12, color=DARK_BROWN) # ===================================================================== # SLIDE 6 – Vataja Yonivyapat – Definition & Pathogenesis # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, CREAM) add_rect(slide, 0, 0, 13.333, 0.75, RGBColor(0x00, 0x55, 0x88)) add_rect(slide, 0, 0.75, 13.333, 0.06, SAFFRON) add_text(slide, "4. VATAJA YONIVYAPAT – DEFINITION & PATHOGENESIS", 0.3, 0.1, 12.7, 0.62, size=22, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_text(slide, "Shloka (Charaka Samhita, Chikitsa Sthana):", 0.3, 0.95, 12.0, 0.38, size=15, bold=True, color=RGBColor(0x00,0x44,0x77)) add_rect(slide, 0.3, 1.32, 12.7, 0.78, RGBColor(0xE8, 0xF5, 0xFF)) add_text(slide, '"शूलसर्मौ च यौ योनौ रूक्षरा चात्रवेदना ।\n' 'वातदोषप्रकोपे वाता योन्यां जायते ॥"\n' '– Vagina becomes dry, rough, with pricking pain and spasmodic pain – this is Vataja Yoni Vyapat', 0.4, 1.36, 12.5, 0.72, size=13, italic=True, color=DARK_BROWN) add_text(slide, "Samprapti (Pathogenesis):", 0.3, 2.2, 6.5, 0.38, size=15, bold=True, color=RGBColor(0x00,0x44,0x77)) samprapti = [ "Nidana Sevana (dietary/lifestyle Vata aggravation)", "→ Vata Prakopa (vitiation of Vata, especially Apana Vata)", "→ Artavavaha Srotas Dushti (disorder of menstrual channels)", "→ Sroto Dushti: Margavarodha (obstruction) + Vimarga Gamana", "→ Accumulates in Yoni (Adhisthana: Yoni & Garbhashaya)", "→ Manifestation: Toda, Vedana, Stambha, Karkashata, Shushkata", "Udbhava Sthana: Pakwashaya (large intestine – seat of Vata)", "Agnimandya: Jatharagni + Dhatvagni Mandya", "Rogamarga: Abhyantara (internal disease pathway)", ] add_bullet_box(slide, samprapti, 0.3, 2.6, 6.5, 4.65, bg=RGBColor(0xE8,0xF5,0xFF), text_color=DARK_BROWN, font_size=13) add_text(slide, "Key Features of Vataja Yonivyapat:", 7.1, 2.2, 6.0, 0.38, size=15, bold=True, color=RGBColor(0x00,0x44,0x77)) key_features = [ "Dosha involved: Vata (primarily Apana Vata)", "Dhatu involved: Rasa Dhatu Kshaya → Artava Kshaya", "Srotas involved: Artavavaha Srotas, Rasavaha Srotas", "Predominant symptoms: PAIN + DRYNESS + STIFFNESS", "Menstrual type: Oligo-menorrhoea with dysmenorrhoea", "Menstrual blood: Frothy (phenila), dark, dry in nature", "Associated with: irregular cycles, general weakness", "Prognosis: Kriccha Sadhya (difficult to cure) per Charaka", ] add_bullet_box(slide, key_features, 7.1, 2.6, 6.0, 4.65, bg=RGBColor(0xFF,0xF5,0xE0), text_color=DARK_BROWN, font_size=13) # ===================================================================== # SLIDE 7 – Signs & Symptoms (Lakshana) # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, LIGHT_TEAL) add_rect(slide, 0, 0, 13.333, 0.75, OLIVE) add_rect(slide, 0, 0.75, 13.333, 0.06, GOLD) add_text(slide, "4. SIGNS & SYMPTOMS (LAKSHANA) – VATAJA YONIVYAPAT", 0.3, 0.1, 12.7, 0.62, size=22, bold=True, color=WHITE, align=PP_ALIGN.CENTER) local_s = [ "Toda – pricking / stabbing pain in vagina & uterus", "Vedana – pain in genital system & lower abdomen", "Stambha – stiffness in vagina and uterus", "Pipeelika srupti iva – creeping / crawling sensation (as if ants)", "Karkashata – roughness & dryness of genitalia", "Supti – numbness in uterus and vagina", "Ayama – stretching sensation in vagina & uterus", "Bhramsha – displacement of vagina and uterus", "Yoni Swana – sounds from vagina (vaginal flatus)", "Vankshana Vyatha – pain in the inguinal region / groin", "Parshva Vyatha – pain in the flanks", "Shushkata – dryness of vagina", ] add_bullet_box(slide, local_s, 0.3, 0.9, 6.2, 6.4, title="Local Symptoms (Yoni Pradeshika)", bg=RGBColor(0xE0,0xF7,0xF7), title_bg=OLIVE, font_size=13) menstrual_s = [ "Artava Dushti – vitiated / abnormal menstruation", "Sparse / scanty flow (Alpam) with severe pain", "Phenila Artava – frothy, dark-coloured menstrual blood", "Irregular cycle with spasmodic uterine contractions", "Retrograde or obstructed menstrual flow (Udavarta)", "Intermittent bleeding at non-menstrual times", ] add_bullet_box(slide, menstrual_s, 6.7, 0.9, 6.3, 3.2, title="Menstrual Symptoms", bg=RGBColor(0xFFF0E5), title_bg=MAROON, font_size=13) general_s = [ "Aayasa – fatigue & general weakness", "Vataja Rogas – other vata disorders may develop", "Rasa Dhatu Kshaya – emaciation, weakness", "Gulma (abdominal tumor) if untreated", "Anxiety, fear, depression (Vata mental symptoms)", ] add_bullet_box(slide, general_s, 6.7, 4.22, 6.3, 3.08, title="General / Systemic Symptoms", bg=RGBColor(0xEEF5FF), title_bg=RGBColor(0x00,0x44,0x99), font_size=13) # ===================================================================== # SLIDE 8 – Investigations # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, CREAM) add_rect(slide, 0, 0, 13.333, 0.75, RGBColor(0x3B, 0x10, 0x04)) add_rect(slide, 0, 0.75, 13.333, 0.06, SAFFRON) add_text(slide, "5. INVESTIGATIONS", 0.3, 0.1, 12.7, 0.62, size=26, bold=True, color=WHITE, align=PP_ALIGN.CENTER) ayurvedic_inv = [ "Dashavidha Pariksha (10-fold examination)", "Prakriti (constitutional type) assessment", "Nadi Pariksha (pulse diagnosis)", "Mutra Pariksha (urine examination)", "Mala Pariksha (stool examination)", "Jihwa Pariksha (tongue examination)", "Drik Pariksha (eye examination)", "Aakruti Pariksha (body appearance)", "Sparsha Pariksha (touch/palpation)", "Shabda Pariksha (sound from vagina)", ] add_bullet_box(slide, ayurvedic_inv, 0.3, 0.9, 6.0, 6.35, title="Ayurvedic Investigations", bg=RGBColor(0xFF,0xF8,0xF0), title_bg=DARK_BROWN, font_size=13) modern_inv = [ "Complete Blood Count (CBC) – anaemia", "ESR, CRP – inflammatory markers", "Hormonal profile: FSH, LH, Estradiol, Progesterone", "Thyroid function tests (TSH, T3, T4)", "PAP smear – cervical cytology", "Vaginal swab – culture & sensitivity", "Ultrasound pelvis (TVS/TAS) – structural evaluation", "MRI pelvis – if endometriosis suspected", "Laparoscopy – gold standard for endometriosis", "CA-125 – if endometrioma/ovarian pathology", "Urine routine & culture – rule out UTI", ] add_bullet_box(slide, modern_inv, 6.6, 0.9, 6.5, 6.35, title="Modern Investigations", bg=LIGHT_TEAL, title_bg=TEAL, font_size=13) # ===================================================================== # SLIDE 9 – Examinations # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, LIGHT_SAFFRON) add_rect(slide, 0, 0, 13.333, 0.75, OLIVE) add_rect(slide, 0, 0.75, 13.333, 0.06, GOLD) add_text(slide, "6. EXAMINATIONS", 0.3, 0.1, 12.7, 0.62, size=26, bold=True, color=WHITE, align=PP_ALIGN.CENTER) ayu_exam = [ "Trividha Pariksha: Darshana (inspection), Sparsha (palpation), Prashna (interrogation)", "Darshana: Inspect vulva – dryness, roughness, colour, discharge", "Sparsha: Bimanual – uterine size, position, tenderness, mobility", "Prashna: History of menstrual cycle, pain pattern, coitus", "Yoni Pariksha (vaginal examination): Direct visual/tactile assessment", "Stambha (stiffness), Karkashata (roughness), Shushkata (dryness)", "Nadi Pariksha: Vata predominant pulse – feeble, irregular, rapid", "Jihwa: Dry, rough, coated tongue (Vata sign)", "Sparsha: Dry, rough skin; cold extremities", ] add_bullet_box(slide, ayu_exam, 0.3, 0.9, 6.1, 6.35, title="Ayurvedic Clinical Examination", bg=RGBColor(0xFF,0xF5,0xCC), title_bg=OLIVE, font_size=13) modern_exam = [ "General examination: Pallor, BMI, Vital signs", "Per Abdomen examination:", " – Tenderness in lower abdomen", " – Palpable masses (fibroids, endometrioma)", "Pelvic (Speculum) Examination:", " – Vaginal mucosa: atrophic, dry, thin", " – Cervical os appearance (stenosis in Suchimukhi type)", " – Discharge: frothy/scanty in vataja type", "Bimanual (PV) Examination:", " – Uterine position, size, mobility, tenderness", " – Adnexal tenderness / masses", " – Restricted uterine movement (endometriosis)", " – Uterosacral ligament nodularity", ] add_bullet_box(slide, modern_exam, 6.6, 0.9, 6.5, 6.35, title="Modern Clinical Examination", bg=LIGHT_TEAL, title_bg=TEAL, font_size=13) # ===================================================================== # SLIDE 10 – Prognosis # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, CREAM) add_rect(slide, 0, 0, 13.333, 0.75, MAROON) add_rect(slide, 0, 0.75, 13.333, 0.06, SAFFRON) add_text(slide, "7. PROGNOSIS (SADHYASADHYATA)", 0.3, 0.1, 12.7, 0.62, size=26, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_text(slide, "Charaka's Classification of Prognosis:", 0.3, 0.92, 7.0, 0.4, size=15, bold=True, color=MAROON) prog_types = [ ("Sukha Sadhya\n(Easy to cure)", RGBColor(0x1A,0x7A,0x3C), RGBColor(0xE8,0xF5,0xEB), "Recent onset | Single Dosha | Young patient | Good immunity | Vataja with early diagnosis"), ("Kriccha Sadhya\n(Difficult to cure)", RGBColor(0xBB,0x44,0x00), RGBColor(0xFF,0xEE,0xE0), "Chronic | Multiple Doshas | Repeated episodes | Associated infertility | Delayed presentation"), ("Yapya\n(Manageable)", RGBColor(0x00,0x55,0x88), RGBColor(0xE8,0xF0,0xFF), "Controlled with sustained treatment | Recurrent if treatment stopped | Maintained with Rasayana"), ("Asadhya\n(Incurable)", RGBColor(0x5C,0x1A,0x00), RGBColor(0xFF,0xF0,0xF5), "Long-standing Tridoshaja | Dhatu Kshaya | Structural damage | Vandhya (absolute infertility)"), ] for i, (label, head_c, bg_c, desc) in enumerate(prog_types): x = 0.3 + i*3.28 add_rect(slide, x, 1.38, 3.1, 0.78, head_c) add_text(slide, label, x+0.05, 1.4, 3.0, 0.74, size=14, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(slide, x, 2.16, 3.1, 1.8, bg_c) add_text(slide, desc, x+0.1, 2.2, 2.9, 1.72, size=12, color=DARK_BROWN) add_text(slide, "Prognosis of Vataja Yonivyapat specifically:", 0.3, 4.15, 12.0, 0.4, size=15, bold=True, color=MAROON) prog_vataja = [ "Acharya Charaka classifies Vataja Yonivyapat as Kriccha Sadhya (difficult to cure)", "Early treatment with Snehana + Basti therapy significantly improves outcomes", "Complete relief possible when Vata is normalised and Artava regularised", "Without treatment: progresses to Gulma (abdominal mass), Vandhya (infertility) or chronic pelvic pain", "Modern correlation (endometriosis): Stage I–II good prognosis with Ayurvedic + modern combined therapy", "Regular Rasayana (rejuvenation) therapy needed post-treatment for long-term maintenance", ] add_bullet_box(slide, prog_vataja, 0.3, 4.58, 12.7, 2.72, bg=RGBColor(0xFF,0xF8,0xF0), text_color=DARK_BROWN, font_size=13) # ===================================================================== # SLIDE 11 – Differential Diagnosis # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, LIGHT_TEAL) add_rect(slide, 0, 0, 13.333, 0.75, TEAL) add_rect(slide, 0, 0.75, 13.333, 0.06, GOLD) add_text(slide, "8. DIFFERENTIAL DIAGNOSIS", 0.3, 0.1, 12.7, 0.62, size=26, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_text(slide, "Ayurvedic Differential Diagnosis:", 0.3, 0.92, 6.0, 0.38, size=15, bold=True, color=TEAL) ayu_dd = [ "Vataja Artava Dushti – vitiated menstrual blood (vata type); no structural change", "Rakta Gulma – uterine blood mass; palpable abdominal swelling", "Suchimukhi Yoni Vyapad – needle-like pain at cervical os; cervical stenosis", "Antarmukhi Yoni Vyapad – uterine anteflexion/retroversion; coital difficulty", "Udavartini Yoni Vyapad – reversed menstrual flow; cyclical pain without external flow", "Kriccha Artava – painful menstruation; Vata-predominant, less structural", "Arbuda (uterine fibroid) – palpable mass; heavy bleeding", ] add_bullet_box(slide, ayu_dd, 0.3, 1.32, 6.4, 5.95, bg=RGBColor(0xE0,0xF7,0xF7), text_color=DARK_BROWN, font_size=13) add_text(slide, "Modern Differential Diagnosis:", 7.0, 0.92, 6.1, 0.38, size=15, bold=True, color=TEAL) mod_dd = [ "Endometriosis – ectopic endometrial tissue; cyclical pain; confirmed by laparoscopy", "Primary Dysmenorrhoea – painful periods; no organic cause; prostaglandin-mediated", "Oligomenorrhoea – infrequent cycles; hormonal imbalance (PCOS, thyroid)", "Hypomenorrhoea – scanty periods; hormonal or Asherman's syndrome", "Vaginismus – involuntary vaginal spasm; psychogenic; dyspareunia", "Vulvodynia – chronic vulvar pain; no identifiable cause; stiffness & dryness", "Pelvic Inflammatory Disease (PID) – infectious; fever + discharge", "Ectopic Pregnancy – missed period + unilateral pain; rule out with serum beta-hCG", "Atrophic Vaginitis – dryness in post-menopausal women; low estrogen", "UTI/Interstitial Cystitis – urinary symptoms + pelvic pain", ] add_bullet_box(slide, mod_dd, 7.0, 1.32, 6.1, 5.95, bg=RGBColor(0xFFF5E0), text_color=DARK_BROWN, font_size=13) # ===================================================================== # SLIDE 12 – Treatment: Shamana (Conservative) # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, LIGHT_SAFFRON) add_rect(slide, 0, 0, 13.333, 0.75, DARK_BROWN) add_rect(slide, 0, 0.75, 13.333, 0.06, SAFFRON) add_text(slide, "9. TREATMENT – SHAMANA CHIKITSA (Conservative)", 0.3, 0.1, 12.7, 0.62, size=22, bold=True, color=WHITE, align=PP_ALIGN.CENTER) # Principle add_rect(slide, 0.3, 0.88, 12.7, 0.42, RGBColor(0xFF,0xCC,0x66)) add_text(slide, "Principle: Vata Shamana → Snehana (oleation) + Swedana (sudation) + Vata-nashaka Aushadha + Pathya Ahara", 0.4, 0.9, 12.5, 0.38, size=13, bold=True, color=DARK_BROWN) herbal_drugs = [ "Ashwagandha (Withania somnifera) – Vata shamaka, adaptogen, uterine tonic", "Shatavari (Asparagus racemosus) – phytoestrogen, nourishes uterus & artava", "Bala (Sida cordifolia) – Vata shamaka, pain relief, uterine strengthening", "Guduchi (Tinospora cordifolia) – Rasayana, anti-inflammatory", "Rasna (Pluchea lanceolata) – analgesic, anti-Vata", "Castor oil (Eranda taila) – Vata hara, laxative, for basti", "Chitraka (Plumbago zeylanica) – deepana, pachana", "Dashamula (10 roots decoction) – classical Vata-shamaka compound", ] add_bullet_box(slide, herbal_drugs, 0.3, 1.35, 6.1, 5.95, title="Important Dravya (Herbs)", bg=RGBColor(0xFF,0xF5,0xCC), title_bg=DARK_BROWN, font_size=12) formulations = [ "Kashmaryadi Ghrita – internal Sneha, uterine tonic", "Guduchyadi Taila – for Uttara Basti (intrauterine oleation)", "Rajapravartini Vati – promotes menstrual flow, regulates Apana Vata", "Dashamularishta – Vata shamaka tonic for chronic cases", "Kanchanara Guggulu – if fibroid/cyst suspected", "Chandraprabha Vati – reproductive tonic, anti-inflammatory", "Ashoka Ghrita – uterine tonic, analgesic", "Narayana Taila – for external application (Abhyanga)", "Pathya (Diet): Snigdha (oily), Ushna (warm), Madhura (sweet) foods", "Tila taila (sesame oil), Ghee, warm milk, urad dal, dates", "Avoid: Ruksha, Sheeta, Laghu foods; fasting; excessive exertion", ] add_bullet_box(slide, formulations, 6.6, 1.35, 6.5, 5.95, title="Classical Formulations & Pathya", bg=RGBColor(0xF0,0xF5,0xFF), title_bg=RGBColor(0x00,0x44,0x77), font_size=12) # ===================================================================== # SLIDE 13 – Treatment: Shodhana (Purification) # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, CREAM) add_rect(slide, 0, 0, 13.333, 0.75, TEAL) add_rect(slide, 0, 0.75, 13.333, 0.06, GOLD) add_text(slide, "9. TREATMENT – SHODHANA CHIKITSA (Purification Procedures)", 0.3, 0.1, 12.7, 0.62, size=22, bold=True, color=WHITE, align=PP_ALIGN.CENTER) procedures = [ ("Snehana\n(Oleation)", TEAL, RGBColor(0xE0,0xF7,0xF7), "Internal: Kashmaryadi Ghrita / Eranda Taila orally\nExternal: Abhyanga with Narayana Taila / Bala Taila on lower abdomen and back"), ("Swedana\n(Sudation)", RGBColor(0x00,0x55,0x66), RGBColor(0xD5,0xF0,0xF0), "Nadi Sweda (steam) over lower abdomen\nPinda Sweda / Kumbhi Sweda\nAnupa Mamsa Rasa Sweda (meat broth steam)"), ("Basti\n(Enema)", MAROON, RGBColor(0xFF,0xEE,0xEB), "Anuvasana Basti: Eranda Taila / Bala Taila\nNiruha Basti: Dashamula Kwatha\nMatra Basti: small oil enema for chronic Vata"), ("Uttara Basti\n(Intra-uterine)", DARK_BROWN, RGBColor(0xFF,0xF8,0xF0), "Guduchyadi Taila or Trivrit Sneha\nAdministered via cervical route\nHighly effective in uterine Vataja conditions"), ] for i, (label, hc, bc, desc) in enumerate(procedures): x = 0.3 + i * 3.25 add_rect(slide, x, 0.9, 3.1, 0.78, hc) add_text(slide, label, x+0.05, 0.92, 3.0, 0.74, size=13, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(slide, x, 1.68, 3.1, 2.02, bc) add_text(slide, desc, x+0.1, 1.72, 2.9, 1.94, size=12, color=DARK_BROWN) sthanika = [ "Yoni Pichu – medicated cotton tampon soaked in Guduchyadi Taila / Bala Taila – direct local oleation", "Yoni Prakshalana – vaginal douche with Triphala Kashaya / Panchavalkala Kashaya", "Yoni Dhupana – medicated fumigation of vaginal canal with Vata-nashaka herbs", "Kalka Dharana – medicated paste (Himsra) applied inside vagina", "Seka – pouring of medicated oil / liquid over lower abdomen", "Abhyanga – lower abdominal massage with Narayana Taila / Sesame oil", ] add_bullet_box(slide, sthanika, 0.3, 3.82, 12.7, 3.55, title="Sthanika Chikitsa (Local Procedures) – Most important in Vataja Yonivyapat", bg=RGBColor(0xFF,0xF5,0xCC), title_bg=OLIVE, font_size=13) # ===================================================================== # SLIDE 14 – Modern Correlation & Treatment # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, LIGHT_SAFFRON) add_rect(slide, 0, 0, 13.333, 0.75, MAROON) add_rect(slide, 0, 0.75, 13.333, 0.06, SAFFRON) add_text(slide, "10. MODERN CORRELATION & TREATMENT", 0.3, 0.1, 12.7, 0.62, size=24, bold=True, color=WHITE, align=PP_ALIGN.CENTER) corr_table = [ ("Vataja Yonivyapat", "Endometriosis / Vulvodynia / Atrophic Vaginitis"), ("Udavartini", "Primary Dysmenorrhoea / Retrograde Menstruation"), ("Suchimukhi", "Cervical Stenosis / Vaginismus"), ("Vandhya", "Female Infertility (anovulatory / tubal)"), ("Putraghni", "Recurrent Pregnancy Loss (RPL)"), ("Antarmukhi", "Uterine Retroversion / Anteflexion"), ("Mahayoni", "Uterovaginal Prolapse"), ("Raktayoni", "Metrorrhagia / AUB (Abnormal Uterine Bleeding)"), ] add_rect(slide, 0.3, 0.88, 12.7, 0.48, RGBColor(0xCC,0x44,0x00)) add_text(slide, "Vataja Yonivyapat (with modern correlations):", 0.4, 0.9, 6.0, 0.44, size=13, bold=True, color=WHITE) add_text(slide, "Endometriosis is the closest modern correlation (WJPR 2022)", 6.5, 0.9, 6.4, 0.44, size=13, bold=True, color=WHITE) for i, (ayu, mod) in enumerate(corr_table): y = 1.4 + i * 0.52 bg = RGBColor(0xFF,0xF0,0xE5) if i%2==0 else RGBColor(0xFF,0xE8,0xD8) add_rect(slide, 0.3, y, 5.8, 0.48, bg) add_text(slide, ayu, 0.4, y+0.04, 5.6, 0.4, size=12, bold=True, color=DARK_BROWN) add_rect(slide, 6.3, y, 6.7, 0.48, LIGHT_TEAL if i%2==0 else RGBColor(0xD5,0xF0,0xF0)) add_text(slide, mod, 6.4, y+0.04, 6.5, 0.4, size=12, color=DARK_BROWN) # Modern treatment row add_rect(slide, 0.3, 5.65, 12.7, 0.38, RGBColor(0x00,0x55,0x88)) add_text(slide, "Modern Medical Treatment for Endometriosis / Vataja Correlation:", 0.4, 5.67, 12.5, 0.34, size=13, bold=True, color=WHITE) mod_rx = [ "NSAIDs (Ibuprofen, Mefenamic acid) – dysmenorrhoea pain relief", "Combined Oral Contraceptive Pills (COCPs) – hormonal suppression", "Progestins (Norethisterone, Medroxyprogesterone) – endometrial suppression", "GnRH agonists (Leuprolide) – medical menopause; Stage III–IV endometriosis", "Laparoscopic surgery – excision/ablation of endometrial deposits", "Hysteroscopy – intrauterine adhesions, cervical stenosis", "Physiotherapy – pelvic floor exercises for vaginismus/vulvodynia", "Combined Ayurvedic + Modern: Shodhana therapy alongside hormonal management shows best outcomes", ] add_bullet_box(slide, mod_rx, 0.3, 6.06, 12.7, 1.4, bg=RGBColor(0xE0,0xF0,0xFF), text_color=DARK_BROWN, font_size=12) # ===================================================================== # SLIDE 15 – Summary / Thank You # ===================================================================== slide = prs.slides.add_slide(blank) add_rect(slide, 0, 0, 13.333, 7.5, RGBColor(0x3B, 0x10, 0x04)) add_rect(slide, 0, 0, 13.333, 0.1, SAFFRON) add_rect(slide, 0, 7.4, 13.333, 0.1, SAFFRON) add_text(slide, "KEY TAKEAWAYS", 0.5, 0.25, 12.3, 0.6, size=24, bold=True, color=SAFFRON, align=PP_ALIGN.CENTER) takeaways = [ "Yoni Vyapat = 20 classical gynaecological disorders described in Charaka Samhita, Sushruta Samhita & Ashtanga Hridayam", "Vataja Yonivyapat is caused by Vata Dosha vitiation (especially Apana Vata) and is classified as Kriccha Sadhya", "Cardinal symptoms: Toda (pricking pain), Stambha (stiffness), Karkashata (dryness), Shushkata, Phenila Artava", "Modern correlation: Most closely resembles Endometriosis, Vulvodynia, Atrophic Vaginitis", "Investigations: Hormonal profile, Pelvic USG, Laparoscopy; Ayurvedic: Nadi Pariksha, Dashavidha Pariksha", "Shodhana: Snehana → Swedana → Basti (especially Uttara Basti with Guduchyadi Taila)", "Shamana: Rajapravartini Vati, Kashmaryadi Ghrita, Shatavari, Dashamula, local Yoni Pichu", "Modern treatment: NSAIDs, OCPs, Progestins, GnRH agonists, Laparoscopy as indicated", "Integrated approach (Ayurveda + Modern) offers the best long-term outcomes for the patient", ] add_bullet_box(slide, takeaways, 0.5, 0.92, 12.3, 5.8, bg=RGBColor(0x5C,0x1A,0x00), text_color=CREAM, font_size=14) add_text(slide, "🙏 THANK YOU 🙏", 0.5, 6.85, 12.3, 0.55, size=24, bold=True, color=SAFFRON, align=PP_ALIGN.CENTER) # ===================================================================== # SAVE # ===================================================================== out_path = "/tmp/workspace/vataja-yonivyapat/Vataja_Yonivyapat_Seminar.pptx" prs.save(out_path) print(f"Saved: {out_path}") PYEOF echo "Script written"
cd /tmp/workspace/vataja-yonivyapat && python build_pptx.py
grep -n "RGBColor(0xFF" /tmp/workspace/vataja-yonivyapat/build_pptx.py | grep -v "0xFF, 0x" | head -20
sed -i 's/RGBColor(0xFFF0E5)/RGBColor(0xFF, 0xF0, 0xE5)/g' /tmp/workspace/vataja-yonivyapat/build_pptx.py sed -i 's/RGBColor(0xFFF5E0)/RGBColor(0xFF, 0xF5, 0xE0)/g' /tmp/workspace/vataja-yonivyapat/build_pptx.py python /tmp/workspace/vataja-yonivyapat/build_pptx.py
# Fix all 6-digit hex RGBColor calls python3 -c " import re with open('/tmp/workspace/vataja-yonivyapat/build_pptx.py', 'r') as f: content = f.read() # Match RGBColor(0xRRGGBB) -- 6 digit hex with no commas pattern = r'RGBColor\((0x[0-9A-Fa-f]{6})\)' def fix_rgb(m): val = int(m.group(1), 16) r = (val >> 16) & 0xFF g = (val >> 8) & 0xFF b = val & 0xFF return f'RGBColor(0x{r:02X}, 0x{g:02X}, 0x{b:02X})' new_content = re.sub(pattern, fix_rgb, content) with open('/tmp/workspace/vataja-yonivyapat/build_pptx.py', 'w') as f: f.write(new_content) print('Fixed') " python /tmp/workspace/vataja-yonivyapat/build_pptx.py
python3 << 'PYEOF' import json, subprocess, base64 from io import BytesIO from pptx import Presentation from pptx.util import Inches, Pt from pptx.dml.color import RGBColor pptx_path = "/tmp/workspace/vataja-yonivyapat/Vataja_Yonivyapat_Seminar.pptx" image_urls = [ "https://cdn.orris.care/cdss_images/pmc_clinical_VQA_d8122cadd99736d0cd14429d67aa5e75df514010aaeca6894139e740f4bc8dba.jpg", # Female repro anatomy (slide 2) "https://cdn.orris.care/cdss_images/Pathology_1760056935282_e6c18fe3-59c9-40c2-ae4e-a53435bddca9.jpg", # Endometriosis chocolate cyst (slide 14) "https://cdn.orris.care/cdss_images/pmc_clinical_VQA_3949d4f8a0b51df0a7a4ef81c79551b1546ec02bd3c1f0d12d874fc12bf758ea.jpg", # Pelvic anatomy (slide 6) ] result = json.loads(subprocess.check_output( ["python", "/tmp/skills/shared/scripts/fetch_images.py"] + image_urls )) prs = Presentation(pptx_path) blank = prs.slide_layouts[6] def embed_image(slide, img_data, x, y, w): if img_data and img_data.get("base64"): raw_b64 = img_data["base64"] if "," in raw_b64: raw_b64 = raw_b64.split(",", 1)[1] raw = base64.b64decode(raw_b64) buf = BytesIO(raw) slide.shapes.add_picture(buf, Inches(x), Inches(y), width=Inches(w)) # Slide 2 (index 1) - add female anatomy image on right side (it's mainly text) if result[0]["base64"]: embed_image(prs.slides[1], result[0], 9.7, 1.5, 3.3) # Slide 6 (index 5) - pelvic anatomy top right if result[2]["base64"]: embed_image(prs.slides[5], result[2], 9.7, 1.5, 3.4) # Slide 14 (index 13) - endometriosis pathology image if result[1]["base64"]: embed_image(prs.slides[13], result[1], 9.5, 1.6, 3.5) prs.save(pptx_path) print("Images embedded and saved.") PYEOF
python3 << 'PYEOF' import json, subprocess, base64 from io import BytesIO from PIL import Image as PILImage from pptx import Presentation from pptx.util import Inches, Pt from pptx.dml.color import RGBColor pptx_path = "/tmp/workspace/vataja-yonivyapat/Vataja_Yonivyapat_Seminar.pptx" image_urls = [ "https://cdn.orris.care/cdss_images/pmc_clinical_VQA_d8122cadd99736d0cd14429d67aa5e75df514010aaeca6894139e740f4bc8dba.jpg", "https://cdn.orris.care/cdss_images/Pathology_1760056935282_e6c18fe3-59c9-40c2-ae4e-a53435bddca9.jpg", "https://cdn.orris.care/cdss_images/pmc_clinical_VQA_3949d4f8a0b51df0a7a4ef81c79551b1546ec02bd3c1f0d12d874fc12bf758ea.jpg", ] result = json.loads(subprocess.check_output( ["python", "/tmp/skills/shared/scripts/fetch_images.py"] + image_urls )) def to_png_buf(b64_str): if "," in b64_str: b64_str = b64_str.split(",", 1)[1] raw = base64.b64decode(b64_str) img = PILImage.open(BytesIO(raw)).convert("RGB") out = BytesIO() img.save(out, format="PNG") out.seek(0) return out prs = Presentation(pptx_path) def embed_image(slide, img_data, x, y, w): if img_data and img_data.get("base64"): buf = to_png_buf(img_data["base64"]) slide.shapes.add_picture(buf, Inches(x), Inches(y), width=Inches(w)) # Slide 2 (index 1) if result[0]["base64"]: embed_image(prs.slides[1], result[0], 9.55, 1.45, 3.5) # Slide 6 (index 5) if result[2]["base64"]: embed_image(prs.slides[5], result[2], 9.55, 1.45, 3.5) # Slide 14 (index 13) if result[1]["base64"]: embed_image(prs.slides[13], result[1], 9.5, 1.6, 3.6) prs.save(pptx_path) print("Done! Images embedded.") PYEOF
ls -lh /tmp/workspace/vataja-yonivyapat/Vataja_Yonivyapat_Seminar.pptx
Vataja Yonivyapat Seminar
Presentation · PPTX
What's inside (15 slides, 16:9 widescreen)
| Slide | Content |
|---|---|
| 1 | Title slide – Ayurvedic Seminar, institution & presenter fields |
| 2 | Introduction to Yonivyapat – definition (shloka), scope of Yoni, key Ayurvedic concepts + female anatomy image |
| 3 | Causes – Samanya Nidana (general) vs Vishishta Nidana (specific to Vataja) |
| 4 | Classification – all 20 types of Yoni Vyapat (Charaka) by Dosha (Vataja 11, Pittaja 3, Kaphaja/mixed 6) |
| 5 | Brief explanation of each key type (Udavartini, Putraghni, Antarmukhi, etc.) |
| 6 | Vataja Yonivyapat – Definition, Shloka, Samprapti (pathogenesis step by step) + pelvic anatomy image |
| 7 | Signs & Symptoms – Local (Toda, Stambha, Karkashata, etc.), Menstrual, Systemic |
| 8 | Investigations – Ayurvedic (Dashavidha Pariksha, Nadi Pariksha) + Modern (CBC, hormones, USG, laparoscopy) |
| 9 | Examinations – Trividha Pariksha, Yoni Pariksha (Ayurvedic) + Speculum, Bimanual (Modern) |
| 10 | Prognosis – Sukha Sadhya / Kriccha Sadhya / Yapya / Asadhya with Vataja-specific outlook |
| 11 | Differential Diagnosis – Ayurvedic (Rakta Gulma, Udavartini, etc.) + Modern (Endometriosis, PID, UTI, Ectopic) |
| 12 | Treatment: Shamana – Key herbs (Shatavari, Ashwagandha, Rasna, Bala), formulations, Pathya diet |
| 13 | Treatment: Shodhana – Snehana, Swedana, Basti, Uttara Basti, Sthanika Chikitsa (Yoni Pichu, Prakshalana) |
| 14 | Modern Correlation & Treatment – Correlation table (all 8 types), NSAIDs/OCPs/GnRH/Laparoscopy + endometriosis pathology image |
| 15 | Summary – 9 key takeaways + Thank You |
Can u prepare me pdf for this above topic u have given
ls /tmp/workspace/vataja-yonivyapat/
~/vataja-yonivyapat/build_pdf.py
"""
Vataja Yonivyapat – Seminar PDF
Generated with ReportLab
"""
import json, subprocess, base64, io
from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.units import cm, mm
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.enums import TA_CENTER, TA_LEFT, TA_JUSTIFY
from reportlab.platypus import (
SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle,
HRFlowable, KeepTogether, PageBreak, Image as RLImage
)
from reportlab.platypus.flowables import BalancedColumns
from reportlab.graphics.shapes import Drawing, Rect, String
from PIL import Image as PILImage
OUT = "/tmp/workspace/vataja-yonivyapat/Vataja_Yonivyapat_Seminar.pdf"
W, H = A4 # 595 x 842 pts
# ── Colours ──────────────────────────────────────────────────────────
SAFFRON = colors.HexColor("#FF9900")
MAROON = colors.HexColor("#800000")
DARK_BROWN= colors.HexColor("#5C2E00")
CREAM = colors.HexColor("#FFF5E4")
TEAL = colors.HexColor("#007070")
LIGHT_TEAL= colors.HexColor("#E0F7F7")
OLIVE = colors.HexColor("#5C6B2E")
GOLD = colors.HexColor("#C89720")
LIGHT_SAF = colors.HexColor("#FFF0D5")
PALE_BLUE = colors.HexColor("#EEF5FF")
PALE_GREEN= colors.HexColor("#E8F5EB")
PALE_ORG = colors.HexColor("#FFF0E5")
WHITE = colors.white
BLACK = colors.black
HEADING_BG= colors.HexColor("#5C1A00")
# ── Styles ────────────────────────────────────────────────────────────
styles = getSampleStyleSheet()
def S(name, **kw):
return ParagraphStyle(name, **kw)
TITLE = S("TITLE", fontName="Helvetica-Bold", fontSize=28, textColor=WHITE,
alignment=TA_CENTER, spaceAfter=4, leading=34)
SUBTITLE= S("SUBTITLE", fontName="Helvetica-Oblique", fontSize=14, textColor=SAFFRON,
alignment=TA_CENTER, spaceAfter=6, leading=18)
META = S("META", fontName="Helvetica", fontSize=11, textColor=CREAM,
alignment=TA_CENTER, spaceAfter=4, leading=14)
SEC = S("SEC", fontName="Helvetica-Bold", fontSize=16, textColor=WHITE,
alignment=TA_CENTER, spaceAfter=0, leading=20)
SUBSEC = S("SUBSEC", fontName="Helvetica-Bold", fontSize=13, textColor=MAROON,
spaceAfter=4, spaceBefore=8, leading=16)
SUBSEC2 = S("SUBSEC2", fontName="Helvetica-Bold", fontSize=12, textColor=TEAL,
spaceAfter=3, spaceBefore=6, leading=15)
BODY = S("BODY", fontName="Helvetica", fontSize=11, textColor=DARK_BROWN,
spaceAfter=3, leading=15, alignment=TA_JUSTIFY)
BULLET = S("BULLET", fontName="Helvetica", fontSize=11, textColor=DARK_BROWN,
spaceAfter=2, leading=14, leftIndent=12, bulletIndent=0)
BULLET2 = S("BULLET2", fontName="Helvetica", fontSize=10.5, textColor=DARK_BROWN,
spaceAfter=2, leading=13, leftIndent=22)
SHLOKA = S("SHLOKA", fontName="Helvetica-Oblique", fontSize=11, textColor=DARK_BROWN,
spaceAfter=4, leading=15, alignment=TA_CENTER,
borderColor=GOLD, borderWidth=1, borderPadding=6,
backColor=colors.HexColor("#FFFDE0"))
CAPTION = S("CAPTION", fontName="Helvetica-Oblique", fontSize=9, textColor=TEAL,
alignment=TA_CENTER, spaceAfter=4)
TABLE_H = S("TABLE_H", fontName="Helvetica-Bold", fontSize=11, textColor=WHITE,
alignment=TA_CENTER, leading=14)
TABLE_C = S("TABLE_C", fontName="Helvetica", fontSize=10, textColor=DARK_BROWN,
leading=13)
# ── Helpers ───────────────────────────────────────────────────────────
def section_header(title, bg=HEADING_BG):
"""A full-width coloured section title bar."""
data = [[Paragraph(title, SEC)]]
t = Table(data, colWidths=[W - 4*cm])
t.setStyle(TableStyle([
("BACKGROUND", (0,0), (-1,-1), bg),
("TOPPADDING", (0,0), (-1,-1), 8),
("BOTTOMPADDING",(0,0),(-1,-1), 8),
("LEFTPADDING", (0,0), (-1,-1), 10),
("RIGHTPADDING",(0,0), (-1,-1), 10),
("ROUNDEDCORNERS", [4]),
]))
return t
def bullet(text, level=1, style=None):
s = style or (BULLET if level==1 else BULLET2)
prefix = "• " if level==1 else " ◦ "
return Paragraph(prefix + text, s)
def subsec(text, color=MAROON):
p = ParagraphStyle("ss", parent=SUBSEC, textColor=color)
return Paragraph(text, p)
def two_col_table(left_title, left_items, right_title, right_items,
left_bg=LIGHT_TEAL, right_bg=LIGHT_SAF,
head_left=TEAL, head_right=MAROON, col_ratio=0.5):
cw = W - 4*cm
lw = cw * col_ratio - 3
rw = cw * (1-col_ratio) - 3
def build_cell(title, items, head_c, bg_c):
inner = [[Paragraph(title, TABLE_H)]]
for it in items:
inner.append([Paragraph("• " + it, TABLE_C)])
t = Table(inner, colWidths=[lw if head_c==head_left else rw])
ts = [
("BACKGROUND", (0,0), (-1,0), head_c),
("BACKGROUND", (0,1), (-1,-1), bg_c),
("TOPPADDING", (0,0), (-1,-1), 4),
("BOTTOMPADDING",(0,0),(-1,-1), 3),
("LEFTPADDING",(0,0),(-1,-1), 6),
("RIGHTPADDING",(0,0),(-1,-1), 6),
("GRID",(0,0),(-1,-1),0.4,colors.HexColor("#CCCCCC")),
]
t.setStyle(TableStyle(ts))
return t
left_cell = build_cell(left_title, left_items, head_left, left_bg)
right_cell = build_cell(right_title, right_items, head_right, right_bg)
outer = Table([[left_cell, right_cell]], colWidths=[lw+6, rw+6])
outer.setStyle(TableStyle([
("VALIGN",(0,0),(-1,-1),"TOP"),
("LEFTPADDING",(0,0),(-1,-1),0),
("RIGHTPADDING",(0,0),(-1,-1),0),
("TOPPADDING",(0,0),(-1,-1),0),
("BOTTOMPADDING",(0,0),(-1,-1),0),
]))
return outer
def fetch_image_as_png(url):
try:
result = json.loads(subprocess.check_output(
["python", "/tmp/skills/shared/scripts/fetch_images.py", url], timeout=30
))
b64 = result[0].get("base64","")
if not b64:
return None
if "," in b64:
b64 = b64.split(",",1)[1]
raw = base64.b64decode(b64)
img = PILImage.open(io.BytesIO(raw)).convert("RGB")
buf = io.BytesIO()
img.save(buf, "PNG")
buf.seek(0)
return buf
except Exception as e:
print(f"Image fetch failed: {e}")
return None
# ── Page template ─────────────────────────────────────────────────────
def header_footer(canvas, doc):
canvas.saveState()
# Header bar
canvas.setFillColor(HEADING_BG)
canvas.rect(0, H-28, W, 28, fill=1, stroke=0)
canvas.setFillColor(SAFFRON)
canvas.rect(0, H-30, W, 2, fill=1, stroke=0)
canvas.setFont("Helvetica-Bold", 9)
canvas.setFillColor(WHITE)
canvas.drawString(18, H-20, "VATAJA YONIVYAPAT – Ayurveda Seminar")
canvas.drawRightString(W-18, H-20, "Department of Prasuti Tantra & Stri Roga")
# Footer bar
canvas.setFillColor(HEADING_BG)
canvas.rect(0, 0, W, 22, fill=1, stroke=0)
canvas.setFillColor(SAFFRON)
canvas.rect(0, 22, W, 2, fill=1, stroke=0)
canvas.setFont("Helvetica", 8)
canvas.setFillColor(WHITE)
canvas.drawString(18, 7, "Based on Charaka Samhita | Sushruta Samhita | Ashtanga Hridayam")
canvas.drawRightString(W-18, 7, f"Page {doc.page}")
canvas.restoreState()
# ── Build document ────────────────────────────────────────────────────
doc = SimpleDocTemplate(
OUT, pagesize=A4,
leftMargin=2*cm, rightMargin=2*cm,
topMargin=2.2*cm, bottomMargin=1.5*cm,
title="Vataja Yonivyapat – Ayurveda Seminar",
author="Department of Prasuti Tantra & Stri Roga",
)
story = []
sp = lambda h=6: Spacer(1, h)
HR = lambda: HRFlowable(width="100%", thickness=1, color=SAFFRON, spaceAfter=6, spaceBefore=6)
# ═══════════════════════════════════════════════════
# COVER PAGE
# ═══════════════════════════════════════════════════
# Title block background via Table
cover_data = [
[Paragraph("🌿 AYURVEDA SEMINAR 🌿", SUBTITLE)],
[Paragraph("VATAJA YONIVYAPAT", TITLE)],
[Paragraph("(वातज योनिव्यापत्)", SUBTITLE)],
[Spacer(1,8)],
[Paragraph("Gynaecological Disorders in Ayurveda", META)],
[Spacer(1,6)],
[Paragraph("Based on Charaka Samhita | Sushruta Samhita | Ashtanga Hridayam", META)],
[Spacer(1,16)],
[Paragraph("Department of Prasuti Tantra & Stri Roga", META)],
[Spacer(1,6)],
[Paragraph("Presenter: _______________________ Guide: _______________________", META)],
[Spacer(1,6)],
[Paragraph("Date: _______________", META)],
]
cover_t = Table(cover_data, colWidths=[W - 4*cm])
cover_t.setStyle(TableStyle([
("BACKGROUND", (0,0), (-1,-1), HEADING_BG),
("TOPPADDING", (0,0), (-1,-1), 6),
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("RIGHTPADDING",(0,0), (-1,-1), 20),
("ROUNDEDCORNERS",[8]),
]))
story.append(sp(10))
story.append(cover_t)
story.append(sp(16))
# Try cover image
img_buf = fetch_image_as_png(
"https://cdn.orris.care/cdss_images/pmc_clinical_VQA_d8122cadd99736d0cd14429d67aa5e75df514010aaeca6894139e740f4bc8dba.jpg"
)
if img_buf:
img = RLImage(img_buf, width=9*cm, height=6*cm)
img.hAlign = "CENTER"
story.append(img)
story.append(Paragraph("Female Reproductive System – Anatomical Overview", CAPTION))
story.append(sp(8))
story.append(PageBreak())
# ═══════════════════════════════════════════════════
# 1. INTRODUCTION TO YONIVYAPAT
# ═══════════════════════════════════════════════════
story.append(section_header("1. INTRODUCTION – YONIVYAPAT"))
story.append(sp(10))
story.append(subsec("Definition"))
story.append(Paragraph(
"<i>\"यां योनिरुजं स्त्रीणां दोषैः कुपितैः प्रादुर्भवन्ति तां योनिव्यापत् इति ।\"</i>",
SHLOKA))
story.append(Paragraph(
"Diseases arising in the reproductive organs of a woman due to vitiation of Doshas are "
"called <b>Yoni Vyapat</b>. The term <i>Yoni</i> encompasses the vagina, uterus, fallopian "
"tubes, and the entire female reproductive tract in classical Ayurvedic texts.", BODY))
story.append(sp(6))
story.append(subsec("Scope of Yoni (as per Acharya Charaka)"))
for item in [
"Yoni Koshtha – vaginal cavity",
"Garbhashaya – uterus",
"Artavavaha Srotas – channels of menstrual blood / fallopian tubes",
"The entire female genital tract in a broad physiological sense",
"Charaka uses Yoni to denote both individual organs and the whole reproductive system",
]:
story.append(bullet(item))
story.append(sp(6))
story.append(subsec("Key Concepts"))
for item in [
"<b>Tridosha</b>: Vata, Pitta, Kapha – the three fundamental principles governing all physiology and pathology",
"<b>Apana Vata</b>: The sub-type of Vata responsible for menstrual flow, delivery, and reproductive functions – vitiated in every Yoni Roga",
"<b>Artava</b>: Menstrual blood, considered the Upadhatu (by-product) of Rasa Dhatu; its proper production and flow is essential",
"<b>Mula Sthana</b>: The uterus is the root (Mula) of Garbhasambhava (conception), menstruation, and childbirth",
"<b>20 types</b> of Yoni Vyapat described by Charaka, Sushruta and Vagbhata; all classified by Dosha predominance",
"<b>No Yoni Roga occurs without vitiation of Apana Vata</b> – hence Vata management is the first priority in all types",
]:
story.append(bullet(item))
story.append(sp(6))
story.append(subsec("Number of Yoni Vyapat"))
story.append(Paragraph(
"<i>\"त्रवांशत्रर्योत्र व्यापदिः स्त्रीणां दोषप्रकोपजाः । "
"वार्त्रपत्तकफैदोर्षैः सांप्राप्तिः पृथगात्रदशेर् ॥\"</i>",
SHLOKA))
story.append(Paragraph(
"All three Brihatrayees (Charaka, Sushruta, Vagbhata) agree on <b>20 types</b> of Yoni Vyapat, "
"though they differ in grouping by Dosha. Charaka: 11 Vataja, 3 Pittaja, 1 Kaphaja, 1 Sannipataja, "
"4 Dvandvaja. Sushruta: 5 each under Vata, Pitta, Kapha, Sannipata.", BODY))
story.append(PageBreak())
# ═══════════════════════════════════════════════════
# 2. CAUSES (NIDANA)
# ═══════════════════════════════════════════════════
story.append(section_header("2. CAUSES (NIDANA) OF YONIVYAPAT", bg=DARK_BROWN))
story.append(sp(10))
story.append(two_col_table(
"Samanya Nidana (General Causes)",
[
"Mithya Ahara – improper/unwholesome diet",
"Mithya Vihara – improper lifestyle and conduct",
"Pradushta Artava – vitiated menstrual blood",
"Bija Dosha – genetic/seed defects (maternal or paternal)",
"Daiva – destiny/karmic factors",
"Vishamashana – irregular eating habits",
"Abhighata – physical trauma to the genital tract",
"Bhrusha Maithun – excessive or improper coitus",
"Suppression of natural urges (Vegadharana)",
"Infections and unhygienic practices",
],
"Vishishta Nidana (Specific to Vataja)",
[
"Vata Prakriti constitution – inherent Vata dominance",
"Ruksha, Laghu, Sheeta (dry, light, cold) foods",
"Excessive walking, exercise, fasting (Langhan)",
"Grief, anxiety, suppressed emotions (Shoka)",
"Exposure to cold, dry, windy environments",
"Post-partum neglect of Vata-pacifying routine",
"Excessive intercourse (Ati Maithun)",
"Rattling/vibrational activities aggravating Vata",
"Hormonal imbalance (modern perspective)",
"Mental stress and psychological disturbances",
],
left_bg=LIGHT_TEAL, right_bg=LIGHT_SAF,
head_left=TEAL, head_right=MAROON,
))
story.append(sp(10))
story.append(subsec("Pathogenesis – Samprapti (for Vataja)"))
samprapti = [
("Nidana Sevana", "Dietary/lifestyle aggravation of Vata Dosha"),
("Vata Prakopa", "Vitiation of Vata, especially Apana Vata (seat: Pakwashaya)"),
("Artavavaha Srotas Dushti", "Disorder of menstrual channels (Margavarodha + Vimarga Gamana)"),
("Adhisthana", "Accumulation in Yoni & Garbhashaya (uterus)"),
("Agnimandya", "Jatharagni + Dhatvagni Mandya → Rasa Dhatu Kshaya"),
("Vyakta Sthana", "Manifestation: Toda, Vedana, Stambha, Karkashata, Shushkata"),
("Rogamarga", "Abhyantara Rogamarga (internal disease pathway)"),
]
samp_data = [[Paragraph("<b>Step</b>", TABLE_H), Paragraph("<b>Event</b>", TABLE_H)]]
for step, event in samprapti:
samp_data.append([Paragraph(step, TABLE_C), Paragraph(event, TABLE_C)])
samp_t = Table(samp_data, colWidths=[5*cm, 11*cm])
samp_t.setStyle(TableStyle([
("BACKGROUND",(0,0),(-1,0), TEAL),
("BACKGROUND",(0,1),(-1,-1), LIGHT_TEAL),
("ROWBACKGROUNDS",(0,1),(-1,-1),[LIGHT_TEAL, colors.HexColor("#F0FCFC")]),
("GRID",(0,0),(-1,-1),0.5,colors.HexColor("#AAAAAA")),
("TOPPADDING",(0,0),(-1,-1),5),
("BOTTOMPADDING",(0,0),(-1,-1),4),
("LEFTPADDING",(0,0),(-1,-1),7),
("RIGHTPADDING",(0,0),(-1,-1),7),
("VALIGN",(0,0),(-1,-1),"MIDDLE"),
]))
story.append(samp_t)
story.append(PageBreak())
# ═══════════════════════════════════════════════════
# 3. CLASSIFICATION OF ALL 20 YONI VYAPAT
# ═══════════════════════════════════════════════════
story.append(section_header("3. CLASSIFICATION – ALL 20 TYPES OF YONI VYAPAT", bg=TEAL))
story.append(sp(10))
all20_data = [
[Paragraph("<b>No.</b>",TABLE_H), Paragraph("<b>Name</b>",TABLE_H),
Paragraph("<b>Dosha</b>",TABLE_H), Paragraph("<b>Modern Correlation</b>",TABLE_H)],
["1", "Vataja Yonivyapat", "Vata", "Endometriosis / Vulvodynia / Atrophic Vaginitis"],
["2", "Acharana", "Vata", "Dyspareunia / Vaginismus"],
["3", "Aticharana", "Vata", "Excessive coital injury"],
["4", "Prakcharana", "Vata", "Pelvic floor laxity"],
["5", "Udavartini", "Vata", "Primary Dysmenorrhoea / Retrograde Menstruation"],
["6", "Putraghni", "Vata", "Recurrent Pregnancy Loss (RPL) / Implantation failure"],
["7", "Antarmukhi", "Vata", "Uterine Retroversion / Anteflexion"],
["8", "Shushka", "Vata", "Vaginal Atrophy / Dryness (Estrogen deficiency)"],
["9", "Suchimukhi", "Vata", "Cervical Stenosis / Vaginismus"],
["10","Shandhi / Vandhya", "Vata", "Female Infertility (anovulatory / tubal / uterine)"],
["11","Mahayoni", "Vata", "Uterovaginal Prolapse"],
["12","Pittaja Yonivyapat", "Pitta", "Cervicitis / Vaginitis (inflammatory)"],
["13","Raktayoni", "Pitta", "Metrorrhagia / AUB (Abnormal Uterine Bleeding)"],
["14","Paripluta", "Vata + Pitta", "Chronic Pelvic Pain + burning"],
["15","Kaphaja Yonivyapat", "Kapha", "Candidiasis / Bacterial Vaginosis / Leukorrhoea"],
["16","Sannipataja", "Tridosha", "Severe PID / Multi-organism Infection"],
["17","Upapluta", "Kapha + Vata", "Vulvovaginitis in Pregnancy"],
["18","Vipluta", "Kapha + Pitta", "Purulent cervicitis / mixed infection"],
["19","Prasramsini", "Kapha", "Pelvic Organ Prolapse variant"],
["20","Lohitakshaya", "Mixed", "Anaemia / Menorrhagia / Chronic blood loss"],
]
row_data = []
for i, row in enumerate(all20_data):
if i == 0:
row_data.append(row)
else:
row_data.append([Paragraph(str(r), TABLE_C) for r in row])
all20_t = Table(row_data, colWidths=[1.2*cm, 5.2*cm, 3.5*cm, 7.1*cm])
dosha_colors = {
"Vata": colors.HexColor("#E0F7F7"),
"Pitta": colors.HexColor("#FFEECC"),
"Kapha": colors.HexColor("#E8F5EB"),
"Tridosha": colors.HexColor("#FFE0E0"),
}
all20_style = [
("BACKGROUND",(0,0),(-1,0), TEAL),
("GRID",(0,0),(-1,-1),0.4,colors.HexColor("#BBBBBB")),
("TOPPADDING",(0,0),(-1,-1),4),
("BOTTOMPADDING",(0,0),(-1,-1),4),
("LEFTPADDING",(0,0),(-1,-1),6),
("RIGHTPADDING",(0,0),(-1,-1),6),
("VALIGN",(0,0),(-1,-1),"MIDDLE"),
]
for i, (_, _, dosha, _) in enumerate(all20_data[1:], start=1):
bg = colors.HexColor("#E0F7F7")
if "Pitta" in dosha and "Vata" not in dosha:
bg = colors.HexColor("#FFEECC")
elif "Kapha" in dosha and "Pitta" not in dosha and "Vata" not in dosha:
bg = colors.HexColor("#E8F5EB")
elif "Tridosha" in dosha:
bg = colors.HexColor("#FFE8E8")
elif "Vata + Pitta" in dosha or "Kapha + Pitta" in dosha or "Kapha + Vata" in dosha or "Mixed" in dosha:
bg = colors.HexColor("#FFF5CC")
all20_style.append(("BACKGROUND",(0,i),(-1,i), bg))
all20_t.setStyle(TableStyle(all20_style))
story.append(all20_t)
story.append(PageBreak())
# ═══════════════════════════════════════════════════
# 4. VATAJA YONIVYAPAT – EXPLANATION & SYMPTOMS
# ═══════════════════════════════════════════════════
story.append(section_header("4. VATAJA YONIVYAPAT – EXPLANATION & SIGNS/SYMPTOMS", bg=colors.HexColor("#005588")))
story.append(sp(10))
story.append(subsec("Definition & Shloka"))
story.append(Paragraph(
"<i>\"शूलसर्मौ च यौ योनौ रूक्षरा चात्रवेदना । वातदोषप्रकोपे वाता योन्यां जायते ॥\"</i>",
SHLOKA))
story.append(Paragraph(
"When a woman of Vata Prakriti consumes food and indulges in activities aggravating Vata, "
"the provoked Vata reaches the reproductive system and produces <b>pricking pain, stiffness, "
"roughness, numbness and dryness</b> in the vagina and uterus – this condition is Vataja Yonivyapat.",
BODY))
story.append(sp(8))
story.append(subsec("Signs & Symptoms (Lakshana)"))
story.append(Paragraph("<b>A) Local / Pradeshika Lakshana (Reproductive System):</b>", SUBSEC2))
local_sx = [
"<b>Toda</b> – pricking / stabbing pain in vagina and uterus",
"<b>Vedana</b> – pain in the genital system and lower abdomen (Ati Vedana – severe pain per Bhava Prakasha)",
"<b>Stambha</b> – stiffness / rigidity of vagina and uterus",
"<b>Pipeelika Srupti iva</b> – creeping / crawling sensation as if ants are moving over the part",
"<b>Karkashata</b> – roughness and dryness of genitalia",
"<b>Supti</b> – numbness in uterus and vagina",
"<b>Ayama</b> – stretching / pulling sensation in vagina and uterus",
"<b>Bhramsha</b> – displacement of vagina and/or uterus",
"<b>Yoni Swana</b> – sounds from vagina (vaginal flatus)",
"<b>Vankshana Vyatha</b> – pain in the inguinal region / groin",
"<b>Parshva Vyatha</b> – pain in the flanks / sides",
"<b>Shushkata</b> – marked dryness of vagina",
]
for s in local_sx:
story.append(bullet(s))
story.append(sp(6))
story.append(Paragraph("<b>B) Menstrual Symptoms (Artava Lakshana):</b>", SUBSEC2))
menstrual_sx = [
"<b>Artava Dushti</b> – vitiated / abnormal menstruation",
"<b>Alpam Artava</b> – scanty menstrual flow with severe spasmodic pain",
"<b>Phenila Artava</b> – frothy, dark-coloured menstrual blood",
"Irregular menstrual cycle with uterine spasms",
"Retrograde or obstructed menstrual flow (Udavarta type)",
"Intermittent intermenstrual bleeding (noted by Chakrapani)",
"Rasa Dhatu Kshaya creates general weakness → oligo-menorrhoea with dysmenorrhoea",
]
for s in menstrual_sx:
story.append(bullet(s))
story.append(sp(6))
story.append(Paragraph("<b>C) General / Systemic Symptoms:</b>", SUBSEC2))
gen_sx = [
"<b>Aayasa</b> – fatigue and generalised weakness",
"<b>Vataja Rogas</b> – other Vata disorders may develop over time",
"<b>Rasa Dhatu Kshaya</b> – emaciation, pallor, weakness",
"<b>Gulma</b> – abdominal mass / tumor if untreated (Vagbhata)",
"Anxiety, fear, depression (Vata-type psychological symptoms)",
"Hyperaesthesia or anaesthesia of genitalia (estrogen-deficiency pattern)",
]
for s in gen_sx:
story.append(bullet(s))
# Endometriosis image
story.append(sp(10))
img_buf2 = fetch_image_as_png(
"https://cdn.orris.care/cdss_images/Pathology_1760056935282_e6c18fe3-59c9-40c2-ae4e-a53435bddca9.jpg"
)
if img_buf2:
img2 = RLImage(img_buf2, width=8*cm, height=5.5*cm)
img2.hAlign = "CENTER"
story.append(img2)
story.append(Paragraph(
"Gross pathology – Ovarian Endometrioma (Chocolate Cyst): Modern correlate of Vataja Yonivyapat",
CAPTION))
story.append(PageBreak())
# ═══════════════════════════════════════════════════
# 5. INVESTIGATIONS
# ═══════════════════════════════════════════════════
story.append(section_header("5. INVESTIGATIONS", bg=DARK_BROWN))
story.append(sp(10))
story.append(two_col_table(
"Ayurvedic Investigations",
[
"Dashavidha Pariksha – 10-fold examination (Prakriti, Vikriti, Sara, Samhanana, Pramana, Satmya, Sattva, Ahara Shakti, Vyayama Shakti, Vaya)",
"Nadi Pariksha – Vata-dominant pulse: feeble, irregular, rapid",
"Mutra Pariksha – urine appearance (Vata: pale, scanty, frothy)",
"Jihwa Pariksha – dry, rough, coated tongue",
"Aakruti Pariksha – dry skin, loss of body lustre",
"Sparsha Pariksha – dry, rough skin; cold extremities",
"Mala Pariksha – hard, dry stools (Vata sign)",
"Shabda Pariksha – vaginal sounds/flatus on examination",
"Prashna – menstrual history, pain pattern, diet & lifestyle",
],
"Modern Investigations",
[
"CBC – haemoglobin (anaemia from chronic blood loss)",
"ESR, CRP, IL-6 – inflammatory markers",
"Hormonal profile: FSH, LH, Estradiol, Progesterone (Day 2 & Day 21)",
"Thyroid function (TSH, T3, T4) – endocrine cause",
"PAP smear – cervical cytology / screening",
"Vaginal swab – culture & sensitivity; pH",
"Pelvic Ultrasound (TVS/TAS) – structural evaluation",
"MRI pelvis – deep infiltrating endometriosis",
"Diagnostic Laparoscopy – GOLD STANDARD for endometriosis",
"CA-125 – ovarian/endometriotic involvement",
"Serum beta-hCG – rule out ectopic pregnancy",
"Urine routine + culture – UTI / interstitial cystitis",
],
left_bg=LIGHT_TEAL, right_bg=LIGHT_SAF,
head_left=TEAL, head_right=MAROON,
col_ratio=0.49,
))
story.append(PageBreak())
# ═══════════════════════════════════════════════════
# 6. EXAMINATION
# ═══════════════════════════════════════════════════
story.append(section_header("6. EXAMINATIONS", bg=OLIVE))
story.append(sp(10))
story.append(two_col_table(
"Ayurvedic Clinical Examination",
[
"Trividha Pariksha: Darshana (inspection), Sparsha (palpation), Prashna (interrogation)",
"Darshana: Inspect vulva – dryness, roughness, colour, discharge type",
"Sparsha/Bimanual: Uterine size, position, tenderness, mobility",
"Yoni Pariksha: Direct visual/tactile examination of vaginal canal",
"Stambha (stiffness), Karkashata (roughness), Shushkata (dryness) – noted on palpation",
"Nadi Pariksha: Vata pulse – feeble, rapid, irregular at radial artery",
"Jihwa Pariksha: Dry, rough, brownish tongue coating",
"Sparsha (skin): Dry, rough, cold skin; loss of natural moisture",
],
"Modern Clinical Examination",
[
"General examination: Pallor, BMI, BP, HR, temperature",
"Abdominal examination: Tenderness in lower abdomen; palpable masses",
"Speculum Examination: Vaginal atrophy, dryness, cervical os appearance, discharge character",
"Bimanual (PV) Examination: Uterine size, position (ante/retroverted), restricted mobility",
"Adnexal tenderness / masses (endometrioma on left or right)",
"Uterosacral ligament nodularity – classical endometriosis sign",
"Cervical excitation tenderness – if PID suspected",
"Tenderness on deep vaginal fornix palpation",
],
left_bg=LIGHT_TEAL, right_bg=LIGHT_SAF,
head_left=OLIVE, head_right=TEAL,
col_ratio=0.50,
))
story.append(PageBreak())
# ═══════════════════════════════════════════════════
# 7. PROGNOSIS
# ═══════════════════════════════════════════════════
story.append(section_header("7. PROGNOSIS (SADHYASADHYATA)", bg=MAROON))
story.append(sp(10))
prog_data = [
[Paragraph("<b>Category</b>", TABLE_H),
Paragraph("<b>Criteria</b>", TABLE_H),
Paragraph("<b>Vataja Context</b>", TABLE_H)],
["Sukha Sadhya\n(Easy to cure)",
"Recent onset, single Dosha, young patient, good immunity",
"Early diagnosis, mild symptoms, good Vata constitution"],
["Kriccha Sadhya\n(Difficult to cure)",
"Chronic, multiple Doshas, repeated episodes, associated infertility",
"Vataja Yonivyapat is classified here by Charaka Samhita"],
["Yapya\n(Manageable)",
"Controlled with sustained treatment, recurs if stopped",
"Maintained with long-term Rasayana + Sthanika therapy"],
["Asadhya\n(Incurable)",
"Long-standing Tridoshaja, Dhatu Kshaya, structural damage",
"Absolute infertility (Vandhya), severe prolapse"],
]
prog_rows = [[Paragraph(str(c), TABLE_C) if i>0 else c for c in row]
if i>0 else row for i, row in enumerate(prog_data)]
prog_t = Table(prog_rows, colWidths=[4.5*cm, 6.5*cm, 6*cm])
prog_t.setStyle(TableStyle([
("BACKGROUND",(0,0),(-1,0), MAROON),
("ROWBACKGROUNDS",(0,1),(-1,-1),[PALE_ORG, PALE_BLUE, PALE_GREEN, colors.HexColor("#FFE0E0")]),
("GRID",(0,0),(-1,-1),0.5,colors.HexColor("#BBBBBB")),
("TOPPADDING",(0,0),(-1,-1),6),
("BOTTOMPADDING",(0,0),(-1,-1),5),
("LEFTPADDING",(0,0),(-1,-1),7),
("RIGHTPADDING",(0,0),(-1,-1),7),
("VALIGN",(0,0),(-1,-1),"MIDDLE"),
]))
story.append(prog_t)
story.append(sp(10))
story.append(subsec("Prognosis of Vataja Yonivyapat Specifically"))
for item in [
"Acharya Charaka classifies Vataja Yonivyapat as <b>Kriccha Sadhya</b> (difficult to cure)",
"Early treatment with <b>Snehana + Basti therapy</b> significantly improves outcomes",
"Complete relief possible when Vata is normalised and Artava regularised",
"Without treatment: progresses to Gulma, Vandhya (infertility) or chronic pelvic pain",
"Modern endometriosis (Stage I–II): Good prognosis with combined Ayurvedic + modern therapy",
"Regular Rasayana therapy (Shatavari, Ashwagandha) needed post-treatment for long-term maintenance",
]:
story.append(bullet(item))
story.append(PageBreak())
# ═══════════════════════════════════════════════════
# 8. DIFFERENTIAL DIAGNOSIS
# ═══════════════════════════════════════════════════
story.append(section_header("8. DIFFERENTIAL DIAGNOSIS", bg=TEAL))
story.append(sp(10))
story.append(two_col_table(
"Ayurvedic Differential Diagnosis",
[
"Vataja Artava Dushti – vitiated menstrual blood; no structural change",
"Rakta Gulma – uterine blood mass; palpable abdominal swelling",
"Suchimukhi Yoni Vyapad – needle-like pain at cervical os; cervical stenosis",
"Antarmukhi Yoni Vyapad – uterine anteflexion/retroversion; difficulty in coitus",
"Udavartini Yoni Vyapad – reversed menstrual flow; cyclical pain without external flow",
"Kriccha Artava – painful menstruation; Vata-predominant, less structural involvement",
"Arbuda (uterine fibroid) – palpable mass; heavy bleeding",
"Paripluta Yoni Vyapad – burning + pain; Vata+Pitta, more inflammation",
],
"Modern Differential Diagnosis",
[
"Endometriosis – ectopic endometrial tissue; cyclical pain; confirmed by laparoscopy",
"Primary Dysmenorrhoea – painful periods without organic cause; prostaglandin-mediated",
"Oligomenorrhoea – infrequent cycles; hormonal imbalance (PCOS, thyroid)",
"Vaginismus – involuntary vaginal spasm; psychogenic; dyspareunia",
"Vulvodynia – chronic vulvar pain; no identifiable cause; stiffness & dryness",
"Pelvic Inflammatory Disease (PID) – infectious; fever + purulent discharge",
"Ectopic Pregnancy – missed period + unilateral pain; exclude with beta-hCG",
"Atrophic Vaginitis – post-menopausal dryness; low estrogen state",
"UTI / Interstitial Cystitis – urinary symptoms + pelvic pain",
"Hypomenorrhoea – scanty periods; Asherman's / hormonal cause",
],
left_bg=LIGHT_TEAL, right_bg=LIGHT_SAF,
head_left=TEAL, head_right=MAROON,
col_ratio=0.49,
))
story.append(PageBreak())
# ═══════════════════════════════════════════════════
# 9. TREATMENT
# ═══════════════════════════════════════════════════
story.append(section_header("9. TREATMENT – SHAMANA & SHODHANA CHIKITSA", bg=colors.HexColor("#003355")))
story.append(sp(8))
# Treatment principle
principle_data = [[Paragraph(
"<b>Chikitsa Sutra:</b> Vata Shamana is the primary goal. All forms of Vata-Nashak measures, "
"treatments, diet and activities should be followed. "
"Snehana → Swedana → Shodhana (Basti) → Shamana → Rasayana",
BODY)]]
pt = Table(principle_data, colWidths=[W-4*cm])
pt.setStyle(TableStyle([
("BACKGROUND",(0,0),(-1,-1), colors.HexColor("#FFFDE0")),
("TOPPADDING",(0,0),(-1,-1),8),
("BOTTOMPADDING",(0,0),(-1,-1),8),
("LEFTPADDING",(0,0),(-1,-1),12),
("RIGHTPADDING",(0,0),(-1,-1),12),
("BOX",(0,0),(-1,-1),1.5,GOLD),
]))
story.append(pt)
story.append(sp(10))
story.append(subsec("A) SHODHANA CHIKITSA (Purification Procedures)", color=TEAL))
shodhana_data = [
[Paragraph("<b>Procedure</b>", TABLE_H),
Paragraph("<b>Type / Details</b>", TABLE_H),
Paragraph("<b>Purpose</b>", TABLE_H)],
["Snehana\n(Oleation)",
"Internal: Kashmaryadi Ghrita / Eranda Taila orally\nExternal: Abhyanga with Narayana Taila over lower abdomen & back",
"Softens tissues, nourishes Vata, lubricates channels, pre-procedure preparation"],
["Swedana\n(Sudation)",
"Nadi Sweda (steam) over lower abdomen; Pinda Sweda; Kumbhi Sweda; Anupa Mamsa Rasa Sweda (meat broth steam)",
"Opens channels, reduces stiffness (Stambha), facilitates elimination of vitiated Vata"],
["Basti\n(Therapeutic Enema)",
"Anuvasana Basti: Eranda Taila / Bala Taila\nNiruha Basti: Dashamula Kwatha\nMatra Basti (chronic Vata)",
"Best treatment for Vata; normalises Apana Vata; rectifies menstrual flow pattern"],
["Uttara Basti\n(Intra-uterine Oleation)",
"Guduchyadi Taila or Trivrit Sneha via cervical route; administered in specific protocol",
"Direct action on uterus & vagina; highly effective in uterine Vataja conditions"],
["Virechana\n(Purgation)",
"Mild Virechana with Eranda Taila / Trivrit Leha if Pitta component",
"Clears Artava Vaha Srotas; removes accumulated Dosha"],
]
shod_rows = []
for i, row in enumerate(shodhana_data):
if i == 0:
shod_rows.append(row)
else:
shod_rows.append([Paragraph(str(c), TABLE_C) for c in row])
shod_t = Table(shod_rows, colWidths=[3.5*cm, 7.5*cm, 6*cm])
shod_t.setStyle(TableStyle([
("BACKGROUND",(0,0),(-1,0), TEAL),
("ROWBACKGROUNDS",(0,1),(-1,-1),[LIGHT_TEAL, colors.HexColor("#F0FCFC")]),
("GRID",(0,0),(-1,-1),0.4,colors.HexColor("#AAAAAA")),
("TOPPADDING",(0,0),(-1,-1),5),
("BOTTOMPADDING",(0,0),(-1,-1),4),
("LEFTPADDING",(0,0),(-1,-1),6),
("RIGHTPADDING",(0,0),(-1,-1),6),
("VALIGN",(0,0),(-1,-1),"TOP"),
]))
story.append(shod_t)
story.append(sp(10))
story.append(subsec("Sthanika Chikitsa (Local Procedures – Most important in Vataja)", color=OLIVE))
sthanika = [
"<b>Yoni Pichu</b> – medicated cotton tampon soaked in Guduchyadi Taila / Bala Taila; provides direct local oleation; reduces Karkashata and pain",
"<b>Yoni Prakshalana</b> – vaginal douche with Triphala Kashaya / Panchavalkala Kashaya; cleanses and soothes",
"<b>Yoni Dhupana</b> – medicated fumigation of vaginal canal with Vata-nashaka herbs",
"<b>Kalka Dharana</b> – Himsra medicated paste applied locally inside vagina",
"<b>Seka</b> – pouring of medicated oil / liquid over lower abdomen (Narayana Taila)",
"<b>Abhyanga</b> – lower abdominal massage with Narayana Taila / Sesame oil; reduces Stambha",
]
for s in sthanika:
story.append(bullet(s))
story.append(sp(10))
story.append(subsec("B) SHAMANA CHIKITSA (Conservative / Palliative Therapy)", color=MAROON))
story.append(Paragraph("<b>Key Dravya (Herbs):</b>", SUBSEC2))
herbs = [
"<b>Shatavari</b> (Asparagus racemosus) – phytoestrogen; nourishes uterus and Artava; major female tonic",
"<b>Ashwagandha</b> (Withania somnifera) – Vata shamaka; adaptogen; uterine tonic; reduces fatigue",
"<b>Bala</b> (Sida cordifolia) – Vata shamaka; pain relief; uterine strengthening",
"<b>Guduchi</b> (Tinospora cordifolia) – Rasayana; anti-inflammatory; immunomodulator",
"<b>Rasna</b> (Pluchea lanceolata) – analgesic; anti-Vata; relieves joint and pelvic pain",
"<b>Eranda Taila</b> (Castor oil) – Vata hara; purgative; used in Basti and internal administration",
"<b>Dashamula</b> (10-root decoction) – classical Vata-shamaka compound; anti-inflammatory",
"<b>Chitraka</b> (Plumbago zeylanica) – Deepana, Pachana; corrects Agnimandya",
]
for h in herbs:
story.append(bullet(h))
story.append(sp(6))
story.append(Paragraph("<b>Classical Formulations:</b>", SUBSEC2))
formul = [
"<b>Kashmaryadi Ghrita</b> – internal Sneha; uterine tonic and Vata pacifier",
"<b>Guduchyadi Taila</b> – for Uttara Basti; direct uterine action",
"<b>Rajapravartini Vati</b> – promotes menstrual flow; normalises Apana Vata; for dysmenorrhoea",
"<b>Dashamularishta</b> – Vata shamaka tonic for chronic cases; anaemia",
"<b>Kanchanara Guggulu</b> – if fibroid/cyst/endometrioma suspected",
"<b>Chandraprabha Vati</b> – reproductive tonic; anti-inflammatory; urinary health",
"<b>Ashoka Ghrita</b> – uterine tonic; analgesic; Pitta-Vata shamaka",
"<b>Narayana Taila</b> – external Abhyanga; Vata-Nashak medicated oil",
]
for f in formul:
story.append(bullet(f))
story.append(sp(6))
story.append(Paragraph("<b>Pathya (Wholesome Diet & Regimen):</b>", SUBSEC2))
pathya = [
"Snigdha (oily), Ushna (warm), Madhura (sweet taste) foods predominate",
"Tila taila (sesame oil), Ghee, warm milk, urad dal, dates, jaggery, sugarcane",
"Warm water drinking throughout the day; avoid cold beverages",
"Regular meal timings; avoid skipping meals",
"Gentle yoga, Pranayama (Anulom-Vilom); avoid strenuous exercise",
"<b>Apathya (Avoid):</b> Ruksha, Sheeta, Laghu foods; fasting; excessive exercise; cold exposure; emotional stress",
]
for p in pathya:
story.append(bullet(p))
story.append(PageBreak())
# ═══════════════════════════════════════════════════
# 10. MODERN CORRELATION & TREATMENT
# ═══════════════════════════════════════════════════
story.append(section_header("10. MODERN CORRELATION & TREATMENT", bg=MAROON))
story.append(sp(10))
story.append(subsec("Modern Correlation of Vataja Yonivyapat"))
story.append(Paragraph(
"Vataja Yonivyapat most closely correlates with <b>Endometriosis</b> based on symptom similarity "
"(dysmenorrhoea, irregular cycle, pelvic pain, infertility, frothy/dark blood). "
"Other correlations include <b>Vulvodynia, Atrophic Vaginitis</b> and <b>Estrogen Deficiency Syndrome</b>.",
BODY))
story.append(sp(8))
corr_data = [
[Paragraph("<b>Ayurvedic Condition</b>", TABLE_H),
Paragraph("<b>Modern Correlation</b>", TABLE_H),
Paragraph("<b>Basis of Correlation</b>", TABLE_H)],
["Vataja Yonivyapat", "Endometriosis / Vulvodynia", "Cyclical pain, dryness, irregular cycle, frothy blood"],
["Udavartini", "Primary Dysmenorrhoea / Retrograde Menstruation", "Reversed flow, spasmodic pain, Vata-driven"],
["Suchimukhi", "Cervical Stenosis / Vaginismus", "Needle-like pain at os, obstructed flow"],
["Vandhya", "Female Infertility (anovulatory/tubal)", "Dryness, absence of reproductive fluids"],
["Putraghni", "Recurrent Pregnancy Loss (RPL)", "Implantation failure, foetal wastage"],
["Antarmukhi", "Uterine Retroversion / Anteflexion", "Structural malpositioning"],
["Mahayoni", "Uterovaginal Prolapse", "Widening and descent of uterus/vagina"],
["Raktayoni", "AUB – Metrorrhagia", "Continuous non-cyclic uterine bleeding"],
]
corr_rows = []
for i, row in enumerate(corr_data):
if i == 0:
corr_rows.append(row)
else:
corr_rows.append([Paragraph(str(c), TABLE_C) for c in row])
corr_t = Table(corr_rows, colWidths=[5*cm, 5.5*cm, 6.5*cm])
corr_t.setStyle(TableStyle([
("BACKGROUND",(0,0),(-1,0), MAROON),
("ROWBACKGROUNDS",(0,1),(-1,-1),[PALE_ORG, LIGHT_TEAL]),
("GRID",(0,0),(-1,-1),0.4,colors.HexColor("#BBBBBB")),
("TOPPADDING",(0,0),(-1,-1),5),
("BOTTOMPADDING",(0,0),(-1,-1),4),
("LEFTPADDING",(0,0),(-1,-1),7),
("RIGHTPADDING",(0,0),(-1,-1),7),
("VALIGN",(0,0),(-1,-1),"MIDDLE"),
]))
story.append(corr_t)
story.append(sp(10))
story.append(subsec("Modern Medical Treatment"))
story.append(Paragraph("<b>A) Pharmacological Treatment:</b>", SUBSEC2))
pharm = [
"<b>NSAIDs</b> (Ibuprofen 400–600 mg, Mefenamic acid) – first-line for dysmenorrhoea; cyclo-oxygenase inhibition",
"<b>Combined Oral Contraceptive Pills (COCPs)</b> – hormonal suppression; regularise cycle; reduce endometrial deposits",
"<b>Progestins</b> (Norethisterone, Medroxyprogesterone acetate, Dienogest) – endometrial suppression; amenorrhoea induction",
"<b>Levonorgestrel-IUS (Mirena)</b> – local progestin; reduces pain and bleeding; endometriosis management",
"<b>GnRH agonists</b> (Leuprolide acetate 3.75 mg monthly) – medical menopause; used in Stage III–IV endometriosis",
"<b>Danazol</b> – androgenic; suppresses HPO axis; older agent; limited by side-effects",
"<b>Aromatase inhibitors</b> (Letrozole) – adjunct in refractory endometriosis",
]
for p in pharm:
story.append(bullet(p))
story.append(sp(6))
story.append(Paragraph("<b>B) Surgical Treatment:</b>", SUBSEC2))
surg = [
"<b>Diagnostic + Operative Laparoscopy</b> – gold standard; excision or ablation of endometrial deposits",
"<b>Laparoscopic Cystectomy</b> – for endometrioma (chocolate cyst) removal",
"<b>Hysteroscopy</b> – intrauterine adhesions, cervical stenosis (Suchimukhi), polyps",
"<b>Pelvic floor physiotherapy</b> – for vaginismus and vulvodynia",
"<b>Hysterectomy</b> (with bilateral salpingo-oophorectomy) – last resort in severe, non-reproductive-age women",
]
for s in surg:
story.append(bullet(s))
story.append(sp(6))
story.append(Paragraph("<b>C) Integrative Approach (Best Outcomes):</b>", SUBSEC2))
integrative = [
"Shodhana therapy (Basti + Uttara Basti) performed alongside hormonal management",
"Shatavari + Ashwagandha supplementation reduces estrogen-deficiency symptoms",
"Yoni Pichu with medicated oils provides local estrogen-like mucosal nourishment",
"Stress reduction through Yoga + Pranayama (reduces Cortisol → normalises HPO axis)",
"Dietary modification targeting inflammation (anti-Vata diet)",
"Studies show Ayurvedic + modern combination achieves symptomatic relief with fewer recurrences",
]
for i in integrative:
story.append(bullet(i))
story.append(PageBreak())
# ═══════════════════════════════════════════════════
# SUMMARY
# ═══════════════════════════════════════════════════
story.append(section_header("KEY TAKEAWAYS & SUMMARY", bg=HEADING_BG))
story.append(sp(10))
takeaways = [
"<b>Yoni Vyapat</b> = 20 classical gynaecological disorders; described in Charaka Samhita, Sushruta Samhita, Ashtanga Hridayam",
"<b>Vataja Yonivyapat</b> is caused by Apana Vata vitiation; classified as <b>Kriccha Sadhya</b> (difficult to cure)",
"Cardinal symptoms: <b>Toda</b> (pricking pain), <b>Stambha</b> (stiffness), <b>Karkashata</b> (roughness), <b>Shushkata</b> (dryness), <b>Phenila Artava</b> (frothy menses)",
"Artava Vaha Srotas is the primary Srotas involved; Apana Vata governs all menstrual function",
"Modern correlation: <b>Endometriosis</b> (primarily), Vulvodynia, Atrophic Vaginitis",
"Investigations: Hormonal profile, Pelvic USG, Laparoscopy (modern); Nadi Pariksha, Dashavidha Pariksha (Ayurvedic)",
"Shodhana: <b>Snehana → Swedana → Basti (Uttara Basti with Guduchyadi Taila)</b> – most effective",
"Shamana: Rajapravartini Vati, Kashmaryadi Ghrita, Shatavari, Dashamula, Yoni Pichu",
"Modern treatment: NSAIDs, OCPs, Progestins, GnRH agonists, Laparoscopy",
"<b>Integrated Ayurvedic + Modern approach offers the best long-term outcomes</b>",
]
for t in takeaways:
story.append(bullet(t))
story.append(sp(16))
# References
story.append(HR())
story.append(subsec("References"))
refs = [
"Charaka Samhita – Chikitsa Sthana (Yonivyapat Chikitsa)",
"Sushruta Samhita – Uttara Tantra (Yoni Roga)",
"Ashtanga Hridayam – Uttara Sthana (Yoni Roga)",
"Mohanty B, Kumar SS, Das SK. Case Study on Vataja Yonivyapad – Ayurveda Management. WJPR Vol 11, Issue 13, 2022",
"Nandurkar RD, Bhalgat MS. A Comprehensive Ayurvedic Review of Yoni Vyapad with Contemporary Gynaecological Correlation. WJPR Vol 14, Issue 24, 2025",
"Raghuram YS, Manasa. Vatala Yoni Vyapad – Causes, Symptoms, Treatment. EasyAyurveda.com",
"JAIMS. Ayurvedic Management of Vataja Yoni Vyapad – A Case Study. Vol 3794, 2024",
]
for r in refs:
story.append(Paragraph("• " + r, BULLET))
story.append(sp(12))
story.append(HR())
story.append(Paragraph("<b>🙏 THANK YOU 🙏</b>", ParagraphStyle("TY",
fontName="Helvetica-Bold", fontSize=18, textColor=MAROON, alignment=TA_CENTER,
spaceBefore=8, spaceAfter=8)))
# ── Build ─────────────────────────────────────────────────────────────
doc.build(story, onFirstPage=header_footer, onLaterPages=header_footer)
print(f"PDF saved: {OUT}")
cd /tmp/workspace/vataja-yonivyapat && python build_pdf.py 2>&1
find /tmp/skills -name "fetch_images.py" 2>/dev/null; ls /tmp/skills/pptx/scripts/ 2>/dev/null; ls /tmp/skills/ 2>/dev/null
# Download images using curl, then embed them directly curl -s -o /tmp/workspace/vataja-yonivyapat/img_repro.jpg "https://cdn.orris.care/cdss_images/pmc_clinical_VQA_d8122cadd99736d0cd14429d67aa5e75df514010aaeca6894139e740f4bc8dba.jpg" curl -s -o /tmp/workspace/vataja-yonivyapat/img_endo.jpg "https://cdn.orris.care/cdss_images/Pathology_1760056935282_e6c18fe3-59c9-40c2-ae4e-a53435bddca9.jpg" ls -lh /tmp/workspace/vataja-yonivyapat/*.jpg
python3 << 'PYEOF' # Patch the build script to use local files instead of fetch_images.py import re with open('/tmp/workspace/vataja-yonivyapat/build_pdf.py', 'r') as f: code = f.read() # Replace the fetch_image_as_png function to use local files new_func = '''def fetch_image_as_png(url): import os # Map URLs to local files url_map = { "pmc_clinical_VQA_d8122cadd99736d0cd14429d67aa5e75df514010aaeca6894139e740f4bc8dba.jpg": "/tmp/workspace/vataja-yonivyapat/img_repro.jpg", "Pathology_1760056935282_e6c18fe3-59c9-40c2-ae4e-a53435bddca9.jpg": "/tmp/workspace/vataja-yonivyapat/img_endo.jpg", } for key, path in url_map.items(): if key in url and os.path.exists(path): img = PILImage.open(path).convert("RGB") buf = io.BytesIO() img.save(buf, "PNG") buf.seek(0) return buf return None ''' # Find and replace old function code = re.sub( r'def fetch_image_as_png\(url\):.*?(?=\n# ── Build document)', new_func + '\n', code, flags=re.DOTALL ) with open('/tmp/workspace/vataja-yonivyapat/build_pdf.py', 'w') as f: f.write(code) print("Patched successfully") PYEOF
cd /tmp/workspace/vataja-yonivyapat && python build_pdf.py 2>&1
grep -n "header_footer\|def fetch_image" /tmp/workspace/vataja-yonivyapat/build_pdf.py | head -20
grep -n "def header_footer" /tmp/workspace/vataja-yonivyapat/build_pdf.py
python3 << 'PYEOF' with open('/tmp/workspace/vataja-yonivyapat/build_pdf.py', 'r') as f: code = f.read() header_footer_code = ''' def header_footer(canvas, doc): canvas.saveState() # Header bar canvas.setFillColor(HEADING_BG) canvas.rect(0, H-28, W, 28, fill=1, stroke=0) canvas.setFillColor(SAFFRON) canvas.rect(0, H-30, W, 2, fill=1, stroke=0) canvas.setFont("Helvetica-Bold", 9) canvas.setFillColor(WHITE) canvas.drawString(18, H-20, "VATAJA YONIVYAPAT – Ayurveda Seminar") canvas.drawRightString(W-18, H-20, "Department of Prasuti Tantra & Stri Roga") # Footer bar canvas.setFillColor(HEADING_BG) canvas.rect(0, 0, W, 22, fill=1, stroke=0) canvas.setFillColor(SAFFRON) canvas.rect(0, 22, W, 2, fill=1, stroke=0) canvas.setFont("Helvetica", 8) canvas.setFillColor(WHITE) canvas.drawString(18, 7, "Based on Charaka Samhita | Sushruta Samhita | Ashtanga Hridayam") canvas.drawRightString(W-18, 7, f"Page {doc.page}") canvas.restoreState() ''' # Insert after the fetch_image_as_png function (find "# ── Build document") code = code.replace("# ── Build document", header_footer_code + "# ── Build document") with open('/tmp/workspace/vataja-yonivyapat/build_pdf.py', 'w') as f: f.write(code) print("header_footer added back") PYEOF
cd /tmp/workspace/vataja-yonivyapat && python build_pdf.py 2>&1
ls -lh /tmp/workspace/vataja-yonivyapat/Vataja_Yonivyapat_Seminar.pdf
Vataja Yonivyapat Seminar
PDF Document · PDF
What the PDF contains (A4, ~1.5 MB)
| Section | Content |
|---|---|
| Cover Page | Title in Ayurvedic colour theme + female reproductive anatomy image |
| 1. Introduction | Definition (Sanskrit shloka), scope of Yoni, Tridosha concepts, number & classification rationale |
| 2. Causes | Two-column table: Samanya Nidana (general) vs Vishishta Nidana (specific to Vataja); Samprapti flowchart table |
| 3. Classification | Colour-coded table of all 20 Yoni Vyapat types with Dosha and modern correlation |
| 4. Vataja Explanation & Symptoms | Definition, shloka, Samprapti; Local / Menstrual / Systemic symptoms with Sanskrit terms; endometriosis pathology image |
| 5. Investigations | Two-column: Ayurvedic (Dashavidha, Nadi) vs Modern (CBC, hormones, USG, laparoscopy) |
| 6. Examinations | Two-column: Trividha Pariksha vs Modern (speculum, bimanual) |
| 7. Prognosis | Sadhyasadhyata table (Sukha/Kriccha/Yapya/Asadhya) with Vataja-specific prognosis |
| 8. Differential Diagnosis | Two-column: Ayurvedic vs Modern DDx |
| 9. Treatment | Shodhana table (Snehana, Swedana, Basti, Uttara Basti, Sthanika), Shamana herbs, formulations, Pathya diet |
| 10. Modern Correlation | Correlation table + Pharmacological / Surgical / Integrative approach |
| Summary + References | 10 key takeaways, 7 classical and modern references |