Abstract

MANAGEMENT OF ASRIGDARA IN AYURVEDA REVIEW ARTICLE

Neha Kukreti*, Hem Prakash, Anjali Verma and Pravesh Kumar

.

Abstract

Asrigdara defined in various ayurvedic classics, presents with profuse vaginal bleeding, back pain, lower abdominal pain, and weakness. There are descriptions of Asrigdara throughout the Vedas and Puranas. According to Acharya Charak, it falls under Pittaavrit apana vayu and is one of the Rakta pradoshaja vikaras. It is referenced by Acharya Sushrut in the Pitta Samyukta Apana and the Rakta Pradoshaja Vyadhi. Raktayoni has been defined by Ashtang Sangrah, who also listed Asrigdara and Pradara as synonyms. Raktayoni has been detailed by Ashtang Hridyam, although Pradara and asrigdara are not mentioned. In modern science the average menstrual cycle lasts 28 days (between 21 and 35 days), the menstrual flow lasts 4-5 days, and the average menstrual blood loss is 35 ml (20-80 ml). Abnormal uterine bleeding refers to any variation from the mentioned parameters and is defined as excessive menstrual bleeding, prolonged menstrual bleeding, or both. The majority of attendants for gynaecological outpatient patients—nearly 30%—are for AUB. Historically, words including menorrhagia, metrorrhagia, polymenorrhagia, and oligomenorrhoea have been used to describe abnormal monthly bleeding patterns. Menorrhagia is referred to as Asrigdara in the Ayurvedic canon, which implies profuse blood discharge per vaginum. Menorrhagia is one of the most prevalent gynaecological issues seen in Prasuti tantra OPD. Although it is not a sickness, it is a sign of numerous gynaecological problems. In the classical texts of Ayurveda, Yonivyapad is the term used to describe all gynaecological problems. The majority of Yonivyapad suffer from menorrhagia, including Raktayoni, Rudhirkashara, Putraghni, Apraja, etc. Raktaja artava-dushti menorrhagia is another common symptom among Ashta-artavadushti. Asrigdar should be treated with medications that have a predominance of Kashaya rasa and Pitta-shamak qualities because it is primarily caused by vitiation of the Vata and Pitta doshas. Because of its Stambhana activity, Kashaya rasa, which is regarded as the greatest astringent, plays a significant role in reducing bleeding discharge. Blood is lost, hence medications and diets that enhance the body's Raktadhatu (Blood) are also useful. As a result, the basic principles of the treatment are Raktastambhaka.

Keywords: Asrigdar, Menorrhagia, Yonivyapad, Artava dushti.