1P.G. Scholar, Postgraduate Department of Rachana Sharir, Shri N.P.A. Govt. Ayurved College, Raipur, Chhattisgarh, India
2Lecturer, Postgraduate Department of Rachana Sharir, Shri N.P.A. Govt. Ayurved College, Raipur, Chhattisgarh, India
3Reader, Postgraduate Department of Rachana Sharir, Shri N.P.A. Govt. Ayurved College, Raipur, Chhattisgarh, India
4,5,6,7P.G. Scholar, Postgraduate Department of Rachana Sharir, Shri N.P.A. Govt. Ayurved College, Raipur, Chhattisgarh, India
*Corresponding Author: Dr. Kuldeep Kumar, Lecturer, Postgraduate Department of Rachana Sharir, Shri N.P.A. Govt. Ayurved College, Raipur, Chhattisgarh, India
According to classical Ayurvedic texts, Peshi are defined as organized structures of muscle which share an intimate relationship with the Mamsa Dhatu and are considered to provide stability and maintain physiological functions of human body. Several of these descriptions include a singular mention of twenty additional structures situated in the female body (Streenam Tu Vimshatiradhika Peshi) — associated mostly with the breast and reproductive tissues. These features likely have anatomical and clinical relevance, yet similarly to other ancient structures, they have not been studied extensively in the context of modern anatomy.
Purpose: To find the twenty extra Peshi defined in females and investigate their clinical.
Methods: A qualitative integrative review was undertaken using major Ayurvedic texts such as Charaka Samhita and Sushruta Samhita, along with their commentaries. Relevant concepts were compared with modern literature from anatomy, histology, embryology, pathology, and gynecology to interpret classical descriptions within a contemporary anatomical context.
Results: The ten Peshi located in the breast area may relate to smooth muscle fibers of the nipple-areolar complex, smooth muscle around lactiferous ducts, and myoepithelial cells for milk ejection. The ten Peshi in the reproductive system have anatomical similarities to the muscular coats of the vagina, myometrium of the uterus, sphincters at the internal os, and smooth muscle of the fallopian tubes for gamete transport. These are of clinical importance in relation to diseases like leiomyoma, adenomyosis, fibromatosis, and leiomyosarcoma. Classical diseases like Mamsa Granthi, Mamsa Arbuda, and Yonivyapad have similar pathological characteristics.
Conclusion: Streenam Tu Vimshatiradhika Peshi encapsulates a profound knowledge of sex topology. Bringing together these classical descriptions with contemporary understanding of musculature adds a layer for scientific interpretation of the knowledge obtained from Ayurveda, aiding integrative understanding breast and gynecological disorders. We suggest further multidisciplinary study using anatomical, radiological and clinical techniques.
Keywords: Ayurveda; Female anatomy; Mamsa Dhatu; Myology; Breast musculature; Reproductive anatomy; Leiomyoma; Integrative medicine.
How to cite this article: Sharma S, Kumar K, Tiwari N, Singh VP, Deshmukh S, Bhoy L, Kanwar GS, A Comprehensive Study of “Streenam Tu Vimshatiradhika Peshi” W.S.R. To Its Clinical Relevance. Int J Drug Deliv Technol. 2026;16(12s): 298-304. DOI: 10.25258/ijddt.16.12s.32
Source of support: Nil.
Conflict of interest: None