Abstract

A COMPREHENSIVE CASE STUDY ON THE EFFECTIVE MANAGEMENT OF ASRIGDARA W.S.R. DYSFUNCTIONAL UTERINE BLEEDING BY AYURVEDA

Dr. Renu Swami*, Dr. Bajrang Ramawat, Dr. Vineeta Soni, Dr. Shreeraj Vani

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Abstract

Dysfunctional Uterine Bleeding (DUB) is a common gynecological disorder characterized by abnormal uterine bleeding without identifiable organic pathology, significantly impacting a woman's quality of life. In Ayurveda, this condition is closely correlated with Asrigdara, primarily caused by the vitiation of Pitta and Rakta doshas. Conventional treatments often involve hormonal therapies with potential side effects and high recurrence rates, necessitating safer, holistic alternatives. Case Presentation: A 28-year-old married female came with a chief complaint of excessive vaginal bleeding during menstruation (Asrigdara) for the past 4-6 months, accompanied by lower abdominal pain and backache. Her menstrual history revealed an irregular cycle of 21-25 days with a prolonged flow of 5-7 days, requiring 3-4 pads per day. Systemic and gynecological examinations, including ultrasonography and hormonal assays (TSH, FSH, LH, Prolactin), confirming a diagnosis of DUB. Intervention: The patient was treated with Lodhradi Churna (a classical powdered formulation containing Lodhra - Symplocos racemosa, Chandan - Santalum album, and Yashtimadhu - Glycyrrhiza glabra) at a dose of 6g twice daily with Tandulambu (rice water) as an anupana (vehicle) for three consecutive menstrual cycles. Strict Pathya-Apathya (do's and don'ts) regarding diet and lifestyle, along with a tailored yoga regimen were advised. Outcome: A marked improvement was observed over the treatment period. The menstrual cycle regularized to 28-30 days, the duration of bleeding reduced to 3-4 days, and pad usage decreased to 2 per day. Associated symptoms like pain were completely resolved. Conclusion: This case demonstrates that Lodhradi Churna, complemented by dietary regulations and yoga, is a safe, effective, and holistic therapeutic protocol for managing Asrigdara (DUB). tissues, offering a viable alternative to conventional hormonal therapy.

Keywords: Asrigdara, DUB, Lodhradi Churna, Yoga Therapy, Pathya-Apathya.