Abstract

A CASE SERIES OF KASHTARTAVA W.S.R. TO PRIMARY DYSMENORRHOEA AND ITS MANAGEMENT BY HINGWADI TAILA MATRA BASTI

Namrata Patel*, Deepika Gupta and Shweta Mishra

ABSTRACT

The one who bears garbha is called stri, Stri is compared to mother earth as both have the quality of forbearance and procreation. Ayurveda describes four factors essential for garbhdharan (Conception), shuddha artava is one of them which is devoid of pain, burning sensation and any type of discomfort. In Ayurveda classics, kashtartava is not described as a separate disease because women were not suffering much from this problem in that era due to adequate ritucharya and rajasvalacharya. Kashtartava is considered as a symptom of vataja aartavdushti and various yoni vyapada i.e., Vatala yonivyapad, Udavarta yonivyapad, Antarmukhi yonivyapad. Acharya Charaka has mentioned that Yoniroga can’t occur without vitiation of Vata. Again, pain is the main feature of Kashtartava, so it has strong relation with Vata, normal Anuloma Gati of Apana Vayu changes to Pratiloma Gati and this vitiated Vata obstructs the normal functioning of Raja and Raja comes out with great difficulty with severe Shoola. A clinical trial was carried out on 20 patients diagnosed with Kashtartava aged between 15-25 years having complaints of painful menses suffering from primary dysmenorrhea more than 3 cycles without any menstrual irregularities presented on OPD of prasuti tantra and stri roga department of Govt. Ayurvedic PG College and Hospital Varanasi. They were administered Hingwadi taila matra basti for 7 days in a dose of 60 ml starting after cessation of menstruation for 3 consecutive cycles. Clinical assessment was done on menstruation cessation of each menstrual cycle for three cycles. The study discloses the effect of Hingwadi taila on pain during menstruation and its associated symptoms which were highly significant in clinical study. In this study concept of Kashtartava and treatment course along with mode of action of drugs is mentioned.

Keywords: Artava, Kashtartava, Aartavdushti, Pratiloma Gati, Primary Dysmenorrhoea, Hingwadi taila, Matra basti.