Abstract

A LITERARY REVIEW OF NASHTARTAVA WITH SPECIAL REFERENCE TO POLY CYSTIC OVARIAN SYNDROME (PCOS)

*Dr. Manisha, Dr. Ravi Kumar, Dr. Poonam Choudhary

Abstract

Poly Cystic Ovarian Syndrome ( PCOS) , the primary cause of anovulatory infertility, is a disorder that affects women and affects their metabolism, endocrine system, reproductive system, and skin. The little-recognized etiopathogenesis of PCOS, characterized by abnormalities in androgen and estrogen metabolism along with impaired control of androgen production due to hypothalamic–pituitary–ovarian axis dysfunction, plays a detrimental role in women’s health. The growing prevalence of PCOS among adolescent and reproductive-age women is largely attributed to westernized lifestyles, unhealthy dietary patterns, rapid urbanization, psychological stress, and excessive workload. Ayurvedic literature does not identify PCOS as an independent disease, however, its clinical features such as irregular cycles, amenorrhea, or delayed menstruation can be correlated with the Lakshana and Samprapti of Nashtartava and Artavakshaya. Acharya Sushruta describes Nashtartava as the obstruction of Artava by vitiated Doshas, while Artavakshaya presents with delayed and scanty menstruation often associated with vaginal pain. The fundamental pathology lies in the vitiation of the Rasadi Dhatus, resulting in defective formation of the Upadhatu Artava. Moreover, the clinical manifestations of PCOS can also be correlated with Pushpaghni Jataharini described in Kashyapa Samhita, which is characterized by features such as futile ovulation (Vrutha Pushpa) and corpulent, hairy cheeks (Sthula Lomashaganda). This review aims to elucidate the specific aspects of Nashtartava and to explore therapeutic interventions from the fundamental level. The proposed line of management includes Nidana Parivarjana, Shodhana therapies, and the administration of Agneya Dravyas for the effective treatment of PCOS.

Keywords: Nashtartava, Sanshodhana, Agneya Dravya, Polycystic Ovarian Syndrome (PCOS), Artava Nasha.