Abstract

AN AYURVEDIC CONCEPTUAL APPROACH OF HEAVYMENSTRUAL BLEEDING AND ITS MANAGEMENT BY LODHRA AND JAHARMOHRAPISHTI.

*Dr. Amrita Mishra and Dr. Rajashree Shelare

ABSTRACT

Heavy menstrual bleeding is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. Although heavy menstrual bleeding is a common concern, most women don't experience blood loss severe enough to be defined as menorrhagia.[1] The diseases Asrigdara explained in Ayurveda may be correlated with condition heavy menstrual bleeding. According to Acharya Charak if the menstrual cycle turns to be abnormal due to pradirana (excessive secretion of) Raja., it is termed as Pradara.[4] According to acharya Sushruta, excessive and prolonged bleeding during menstruation or even in intermenstrual period,different from the features of normal menstrual blood is called Asrigdara.[5] Raktapradar or abnormal uterine bleeding regular or irregular with alteration in amount or duration of menstrual loss, commonly implies to excessive irregular menstrual bleeding or essential menorrhagia. Ayurvedic classics defined Raktapradar as excessive Pradirana (Secretion of Raja). Various treatment modalities like hormonal therapy antiprostaglandis and antifibrinolytic agents are available in modern medicine. Many side effects have been observed, because of these medications, including hormonal imbalance. Keeping in mind the above facts, It was decided to select a herbal combination of Lodhra and Jaharmohra pishti for the management of heavy menstrual bleeding. In the pathogenesis of Asrigdara Chala guna of Vata dosha, Sara and dravya guna of pitta dosha[16] increase the amount of blood. hence these drugs might affect the sara and dravya guna of pitta dosha with the help of Ruksha, laghu guna and Kashay ras[17,18] so this could be the reason in reducing the amount of bleeding. Ruksha, laghu guna, kapha pitta shamak and shoshan property helps in strotoshodhan[19] The Ayurvedic management mentioned above can be recommended as a safer, feasible and effective therapy for the management of heavy menstrual bleeding.

Keywords: Heavymenstrual, bleeding, Lodhra, Jaharmohra pisthi, Asrigdara.