Abstract

AYURVEDIC PERSPECTIVE ON ARTAVA KSHAYA: A DETAILED REVIEW

*Dr. Simanta Nath and Dr. Yanbeni Humtsoe

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Abstract

Artava Kshaya, a condition characterized by reduced menstrual flow, represents a significant aspect of female reproductive health in Ayurveda. The term "Artava" encompasses menstrual blood, ovum, hormones, and associated secretions, while "Kshaya" denotes reduction or cessation. According to classical texts, Artava Kshaya is a symptom observed in various menstrual disorders, including delayed and scanty menstruation, associated with pain and discomfort. This article provides a comprehensive review of Artava Kshaya from an Ayurvedic perspective, including its definition, etiology, pathogenesis, and treatment modalities. Acharya Sushruta defines Artava Kshaya as delayed or scanty menstrual bleeding due to Vata and Pitta dosha imbalances. Primary etiological factors include Apan Vayu vitiation, Dhatu imbalance, excessive hot foods, over-medication, and Nasya application. The pathogenesis involves a complex interplay of dosha disturbances and dhatu deficiencies, impacting normal menstrual function. Treatment in Ayurveda focuses on both Samshodhana (purification) and Samshamana (pacification) approaches. Purification methods such as Vamana, Virechana, and Basti aim to restore dosha balance and improve menstrual flow, while pacification strategies include oral medications and dietary adjustments. Key formulations used include Raja Pravartani Vati and Phala Ghrita. Comparatively, modern conditions like oligomenorrhoea and hypomenorrhoea share similarities with Artava Kshaya, reflecting both physiological and hormonal imbalances. This review underscores the relevance of integrating Ayurvedic insights with contemporary medical practices to offer a holistic approach to managing menstrual disorders. By bridging traditional and modern perspectives, effective, personalized treatment strategies can be developed to enhance female reproductive health.

Keywords: Artava Kshaya, Oligomenorrhoea, Hypomenorrhoea, Samshodhana, Samshamana.