Ayurvedic treatment for asrigdar (dysfunctional uterine bleeding) with vasa-ghan.

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Journal name: World Journal of Pharmaceutical Research
Original article title: Ayurvedic approach in management of asrigdar (dysfunctional uterine bleeding), with vasa-ghan
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Dr. Susheela Choudhary, Dr. Sushila Sharma and Dr. Monika Sharma


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Ayurvedic approach in management of asrigdar (dysfunctional uterine bleeding), with vasa-ghan

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr201716-10225


Download the PDF file of the original publication


Summary of article contents:

Introduction

The article discusses the growing issue of dysfunctional uterine bleeding (DUB), particularly focusing on a condition known as Asrigdar, which is characterized by excessive and irregular menstrual bleeding. Researchers Dr. Susheela Choudhary, Dr. Sushila Sharma, and Dr. Monika Sharma conducted a clinical trial aimed at investigating the efficacy of Vasa-Ghan, an Ayurvedic treatment, in managing this condition. With increasing societal roles for women and associated stressors, Asrigdar affects a significant portion of the female population, leading to complications like anemia and general debility. The study aimed to provide a permanent remedy without infringing on the patients’ health.

Vasa-Ghan: An Ayurvedic Remedy for Asrigdar

Vasa-Ghan, derived from the plant Adhatoda vasica, demonstrates several beneficial properties, including Tikta rasa (bitter taste), shita virya (cool potency), and the capacity to alleviate Rakta-pitta (blood-related heat). Its pharmacological effects encompass anti-spasmodic, hypotensive, and hepatic protection, making it a fit respondent for conditions like Asrigdar. The study involved administering Vasa-Ghan in a dose of 500 mg twice daily over two menstrual cycles. The results showcased significant improvements in various symptoms, indicating its potential effectiveness as a holistic remedy for managing excessive menstrual bleeding.

Insights into Asrigdar

Asrigdar, viewed through the lens of Ayurveda, encompasses the excessive or prolonged menstrual bleeding observed in several women. This condition correlates closely with DUB, which is defined as abnormal uterine bleeding without identifiable organic causes. Modern studies indicate that 10-30% of reproductive-aged women experience some form of abnormal bleeding, with the prevalence being higher in younger and pre-menopausal women. Meanwhile, Ayurvedic texts categorize Asrigdar as a significant imbalance of doshas, predominantly Vata and Pitta, calling for therapies that focus on restoring equilibrium through dietary and herbal interventions.

Evaluating Treatment Outcomes

Clinical outcomes from the trial highlighted exceptionally significant results concerning the intensity, amount, duration, and inter-menstrual periods of bleeding. Statistical evaluations showed a marked improvement in subjective symptoms, such as body ache and burning sensations—all essential parameters for effective management of Asrigdar. Laboratory tests evaluated parameters like hemoglobin levels, which showed significant improvement post-treatment. Overall, the careful assessment demonstrated Vasa-Ghan’s ability to mitigate the distress linked with Asrigdar effectively, thus lending credence to traditional Ayurvedic practices in contemporary health management.

Conclusion

The study emphasizes the potential of Ayurvedic approaches, particularly using Vasa-Ghan, in addressing conditions like Asrigdar. It not only highlights the importance of holistic health interventions in managing women's health issues but also reinforces the need for a greater societal acknowledgment of the health challenges women face. The research results provide an optimistic outlook for integrating traditional remedies with modern medical practices to offer practical and effective solutions for menstrual disorders, contributing to a more comprehensive understanding of women's health in both historical and contemporary contexts.

FAQ section (important questions/answers):

What is Asrigdar according to Ayurveda?

Asrigdar refers to excessive and irregular menstruation. It aligns with dysfunctional uterine bleeding (DUB), characterized by abnormal frequency, amount, or duration of menstrual bleeding, without identifiable organic causes.

What is Vasa-Ghan and its significance in treatment?

Vasa-Ghan is an Ayurvedic formulation derived from Adhatoda vasica, known for its Tikta rasa, and is utilized for its blood-stabilizing properties. It aims to provide a permanent cure for Asrigdar without side effects.

What were the results of the clinical trial on Vasa-Ghan?

The study showed extremely significant results for intensity and amount of bleeding, significant results for body ache, and improvements in burning sensation among patients treated with Vasa-Ghan.

Who participated in the study on Asrigdar treatment?

The clinical trial involved 19 women diagnosed with Asrigdar, aged between 12 to 50 years. Ultimately, 15 completed the treatment due to various exclusion criteria including bleeding after menopause and malignancies.

What methodologies were used to assess the therapy's effectiveness?

Clinical assessment utilized subjective measures like intensity and amount of bleeding, as well as laboratory investigations for parameters like hemoglobin levels and platelet count, analyzed statistically to gauge the treatment's efficacy.

What role does women's health play in society according to the study?

Women's health is crucial not only for individual well-being but also for families and communities. The study highlights ongoing challenges in addressing women's healthcare needs at various life stages.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurvedic treatment for asrigdar (dysfunctional uterine bleeding) with vasa-ghan.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Vasa (Vasha):
Vasa refers to the medicinal herb Adhatoda vasica, regarded for its therapeutic properties in Ayurveda. It is considered beneficial for respiratory issues and is incorporated in formulations aimed at alleviating symptoms such as excessive bleeding and menstrual disorders, especially for its hemostatic and anti-inflammatory effects.

2) Bleeding:
Bleeding is a crucial symptom in various health conditions, particularly in gynecology, where it can signify abnormal uterine bleeding. Understanding the causes and patterns of bleeding is essential for diagnosing conditions like Asrigdar, which correlate with dysfunctional uterine bleeding or other reproductive health issues.

3) Rakta:
Rakta translates to 'blood' in Ayurveda and is one of the key Dhatus (tissues). The health of Rakta is pivotal in menstrual health, wherein its imbalance may lead to disorders such as Raktapitta or excessive menstrual flow. It is essential for maintaining overall vitality and health.

4) Study (Studying):
The study conducted aimed to evaluate the efficacy of Vasa-Ghan in treating Asrigdar. It involved clinical trials to assess symptom relief and the overall health improvement among participants. Research in this field helps advance Ayurvedic practices by providing empirical evidence of therapeutic effectiveness.

5) Drug:
The term drug here refers specifically to Vasa-Ghan, a formulation based on Adhatoda vasica used in the study. Its properties are explored for their ability to regulate menstrual cycles and mitigate symptoms associated with Asrigdar. Understanding its pharmacological effects is key to its application in treatment.

6) Burning (Burn, Burned, Burnt):
Burning can signify discomfort often associated with excessive menstrual bleeding or other conditions. It is described as a symptom in patients with Asrigdar, and therapeutics are aimed at alleviating such discomfort through various Ayurvedic interventions, particularly focusing on balancing the body's doshas.

7) Dosha (Dosa):
In Ayurveda, doshas refer to the three fundamental bodily energies: Vata, Pitta, and Kapha. Each dosha governs specific physiological functions. Imbalances among these doshas can lead to health issues, including menstrual disorders like Asrigdar. Treatment often aims to restore this balance.

8) Blood:
Blood is fundamental in Ayurveda, perceived as a vital fluid that nourishes the body. Rakta, the Ayurvedic term for blood, is monitored during treatments for menstrual irregularities. Its quality and quantity can have profound implications on overall health, necessitating careful examination in dysregulation scenarios.

9) Rasa (Rasha):
Rasa translates to 'taste' or 'essence' in Ayurveda and is vital in dietary and herbal medicine. Rasa contributes to understanding the effects of various herbs like Vasa on the body, influencing properties such as digestion and absorption, which are crucial in managing health conditions.

10) Burning sensation:
A burning sensation can be a significant symptom experienced by individuals with menstrual issues or other related disorders. It often indicates underlying inflammation or imbalance, notably in Pitta. Managing this symptom includes targeting both the cause and the systemic health through various therapies.

11) Pitta:
Pitta stands for one of the tri-doshas in Ayurveda that embodies transformation and metabolism. An excess in Pitta can lead to symptoms like burning sensations or excess heat in the body. It plays a crucial role in the pathophysiology of conditions such as Asrigdar.

12) Observation:
Observation is a key component in clinical studies and Ayurvedic practices. In the context of this study, careful monitoring of patients' symptoms before, during, and after treatment helps assess the efficacy of interventions like Vasa-Ghan and guides future therapeutic research.

13) Shodhana (Sodhana):
Shodhana refers to the detoxifying or cleansing actions in Ayurvedic medicine aimed at purifying the body. In the treatment of disorders like Asrigdar, Shodhana techniques are employed to eliminate excess doshas or imbalances, thus restoring health and proper function.

14) Prasuti:
Prasuti signifies childbirth and encompasses women's health in the Ayurvedic perspective. An understanding of Prasuti practices is essential for treating gynecological issues, including Asrigdar, emphasizing maternal health and the management of reproductive disorders.

15) Disease:
Disease in this context refers to conditions like Asrigdar, which manifest through symptoms such as abnormal menstrual bleeding. Proper diagnosis and treatment are essential to manage and cure diseases effectively, ensuring that symptoms are addressed holistically through Ayurvedic principles.

16) Jaipur:
Jaipur represents the geographic location of the National Institute of Ayurveda where the study was conducted. The regional practices and availability of Ayurvedic resources in Jaipur contribute to the understanding and application of treatments such as Vasa-Ghan for women's health.

17) Tikta:
Tikta denotes a bitter taste in Ayurveda, associated with detoxifying and reducing Pitta. Herbs with Tikta rasa, like Vasa, are beneficial in managing conditions that require balancing excessive heating energies and supporting overall health through cleansing processes.

18) Menstrual blood:
Menstrual blood is a vital aspect of women's health, with specific qualities that determine menstrual health. Abnormalities in the amount, duration, or quality can indicate disorders such as Asrigdar, necessitating thorough investigation and treatment to maintain reproductive health.

19) Agni:
Agni symbolizes the digestive fire in Ayurveda, critical for metabolism and nourishment. A balanced Agni ensures proper digestion and absorption of nutrients, playing a fundamental role in women's health, especially in managing menstrual disorders like Asrigdar effectively.

20) Shothahara (Sothahara, Shotha-hara):
Shothahara refers to substances or treatments that alleviate swelling. This property is particularly relevant in managing conditions involving inflammation or congestion in the reproductive system, highlighting the significance of reducing inflammation in treating conditions like Asrigdar.

21) Striroga (Stri-roga):
Stri-roga encompasses all gynecological disorders within Ayurveda. This discipline emphasizes specialized knowledge and approaches tailored for women’s health, particularly addressing conditions like Asrigdar to improve overall reproductive health outcomes.

22) Kashaya (Kasaya):
Kashaya indicates an astringent taste in Ayurveda, associated with drying and toning effects. Herbs with Kashaya rasa are utilized to manage excess fluid conditions like abnormal bleeding, thus playing a crucial role in the treatment of Asrigdar.

23) Samana (Shamana):
Shamana refers to therapeutic measures that pacify or calm doshas. In treating conditions like Asrigdar, Shamana therapies are vital to restore balance and alleviate symptoms like excessive bleeding or associated discomfort, promoting overall health.

24) Sharman (Sarma, Sharma, Sarman):
Sharma is typically associated with the name of Dr. Sushila Sharma, a key contributor and guide in the study. Recognizing individuals in research underscores the collaborative effort in advancing Ayurvedic research and addressing pressing health issues.

25) Kapha:
Kapha is another dosha representing earth and water elements in Ayurveda, crucial for maintaining structure and stability. Imbalances can result in heaviness or obstruction. Understanding Kapha's role helps in crafting effective treatments for reproductive health disturbances like Asrigdar.

26) Table:
In the context of this study, tables are utilized for presenting data clearly. They summarize results of symptom relief and laboratory investigations, facilitating better understanding and communication of findings from the clinical trials aimed at treating Asrigdar.

27) Vata:
Vata embodies the air and ether elements, influencing movement and physiological functions. It is essential to maintain Vata balance for optimal health. Imbalances can lead to conditions such as Asrigdar, necessitating Ayurvedic interventions focusing on regulating this dosha.

28) Garbhashaya (Garbhasaya, Garbha-ashaya):
Garbhashaya refers to the uterus in Ayurvedic terminology. Its health is paramount for reproductive wellness, making it central in the treatment of women’s disorders. Therapies often target the Garbhashaya to correct dysfunction and support fertility.

29) Raktapitta (Rakta-pitta):
Rakta-pitta refers to a specific pathology characterized by bleeding tendencies and heat within the blood. Understanding this condition is crucial for Ayurvedic practitioners when diagnosing and treating related disorders that impact women's reproductive health.

30) Samgrahana (Sangrahana):
Samgrahana refers to the consolidation or gathering of health-promoting elements or substances within the body. In managing Asrigdar, effective treatments focus on ensuring the body retains healthy constituents and preventing excessive losses of Rasa and Rakta.

31) Pravritti (Pravrtti):
Pravritti relates to the natural occurrence of processes or systems within the body, including menstrual cycles. Balancing Pravritti is essential for maintaining regularity and preventing conditions like Asrigdar that disrupt normal bodily functions.

32) Stambhana:
Stambhana describes therapies that help stop bleeding or control excessive flow. This action is particularly relevant in addressing conditions such as Asrigdar, where managing menstrual bleeding is critical for patient well-being.

33) Mahabhuta (Maha-bhuta):
Mahabhuta refers to the five great elements (earth, water, fire, air, and ether) in Ayurveda. Recognizing their influence on bodily doshas and health enables a holistic approach to understanding and treating disorders related to women’s health.

34) Raktarsha (Raktarsa):
Raktarsha is another condition in Ayurveda that refers to blood disorders, particularly linked with bleeding. It emphasizes the significance of regulating Rakta to maintain health and manage menstrual complications like Asrigdar.

35) Ayurveda (Ayus-veda):
Ayurveda is the ancient holistic medical system from India that emphasizes the balance between body, mind, and spirit. It provides a framework for understanding health and disease, focusing on preventive care and personalized treatments, particularly in managing women’s health issues.

36) Debility:
Debility signifies weakness or a lack of energy. In contexts like Asrigdar, patients may experience debility due to excessive blood loss. Identifying and addressing underlying causes is essential for restoring strength and vitality.

37) Ropana:
Ropana indicates the healing process in Ayurveda, emphasizing regeneration and recovery from ailments. Therapeutic strategies often incorporate Ropana properties to promote healing of tissues affected by conditions like Asrigdar, thereby aiding in the overall recovery.

38) Ruksha (Ruksa):
Ruksha refers to a dry or rough quality in Ayurvedic terminology. Utilizing Ruksha properties in treatments can assist in balancing excessive moisture or fluid, particularly relevant in managing conditions involving abnormal bleeding or congestion.

39) Laghu:
Laghu translates to 'light' or 'easy to digest' in Ayurveda. Treatments incorporating Laghu properties are crucial in managing conditions like Asrigdar, where reducing heaviness can alleviate symptoms and enhance overall health outcomes.

40) Vyana:
Vyana represents the bodily function related to circulation and movement of energy within the body. This dosha plays an integral role in ensuring proper blood flow, essential for menstrual health and overall vitality.

41) Apana:
Apana refers to the downward moving energy in the body responsible for elimination processes. Its regulation is crucial in gynecology, as it influences menstrual cycles. Therapies focus on supporting Apana to ensure smooth and regular menstruation.

42) Roga:
Roga translates to 'sickness' or 'disease' in Ayurveda. Understanding Rogas involves diagnosing imbalances in doshas that can lead to various health issues, including those affecting the menstrual cycle, highlighting the need for effective treatment strategies.

43) Raja:
Raja denotes 'menstrual blood' or 'flow' in Ayurveda. It is pivotal for reproductive health, and any disruptions in Raja, such as irregularities or excess flow, can indicate underlying health issues necessitating comprehensive treatment.

44) Guna:
Guna pertains to characteristics or qualities of substances in Ayurvedic pharmacology. Understanding the Guna of various herbs helps in selecting appropriate treatments, especially in addressing specific conditions like Asrigdar where texture and action matter.

45) Jala:
Jala translates to 'water' and signifies the liquid component in Ayurveda impacting bodily functions. Its balance is essential for maintaining optimal health, particularly in managing menstrual health, hydration, and related physical conditions.

46) Daha:
Daha indicates the experience of heat or burns in the body. Recognizing this symptom is crucial when dealing with disorders like Asrigdar, where excessive heat may signal Pitta imbalance, requiring therapeutic interventions to cool and balance the body.

47) Sign:
In clinical research, signs refer to observable phenomena that indicate the presence or effects of a disease. Accurate evidence and evaluation of signs enhance the understanding of conditions like Asrigdar, facilitating targeted and effective treatments.

48) Adhatoda vasica:
Adhatoda vasica is an important medicinal plant known for its effectiveness in treating respiratory and bleeding disorders. Its incorporation in Ayurvedic treatments exemplifies its practicality in addressing conditions like Asrigdar, based on its pharmacological properties.

49) Pharmacological:
Pharmacological aspects relate to the scientific study of how drugs interact with biological systems. This knowledge is essential in evaluating the efficacy of Ayurvedic formulations like Vasa-Ghan, ensuring that treatments are grounded in empirical evidence and safety.

50) Dahaprashamana (Dahaprasamana, Daha-prashamana):
Dahaprasamana signifies measures that alleviate feelings of heat or burning sensations within the body. This action is necessary when treating conditions like Asrigdar, where excess Pitta can lead to discomfort and requires balancing interventions.

51) Vedanasthapana (Vedana-sthapana):
Vedanasthapana describes therapies aimed at pain relief. In treating disorders like Asrigdar, effective Vedanasthapana is essential to improve quality of life and enable women to manage their symptoms more comfortably.

52) Antibiotic (Antibacterial):
Anti-bacterial properties of certain herbs and treatments are vital in Ayurveda for managing infections and supporting immune health. This aspect is crucial, particularly in conditions affecting women's reproductive health, where maintaining a healthy environment is essential.

53) Vranaropana (Vrana-ropana):
Vrana-ropana refers to the healing process of wounds or injuries in Ayurveda. Incorporating Vrana-ropana properties in treatments aids recovery, particularly relevant in contexts where there is tissue damage or imbalance, contributing to overall healing.

54) Inflammation:
Inflammation is a pivotal factor in many health conditions, including Asrigdar. It represents the body's response to injury or imbalance. Managing inflammation through appropriate Ayurvedic interventions is crucial for restoring health and mitigating symptoms.

55) Adhishthana (Adhisthana):
Adhishthana pertains to the location or seat of a disease in Ayurveda. Understanding Adhishthana is essential for precise diagnosis and targeted treatment approaches, ensuring that therapeutic efforts align with the specific area of concern.

56) Mudhagarbha (Mudha-garbha):
Mudhagarbha indicates complications related to pregnancy and is significant in the context of women's health. Recognizing Mudhagarbha's implications allows for timely interventions to improve pregnancy outcomes and manage related health issues effectively.

57) Raktatisara (Rakta-atisara):
Raktatisara refers to a condition characterized by excessive bleeding or watery blood. Recognizing Raktatisara helps in understanding severe menstrual irregularities that require immediate intervention to prevent serious health complications.

58) Measurement:
Measurement in clinical trials refers to the quantitative assessment of symptoms and health parameters. Accurate measurements allow for objective analysis of treatment efficacy, crucial for validating Ayurvedic therapies and their application in contemporary medicine.

59) Vyanavayu (Vyana-vayu):
Vyana-vayu is a subtype of Vata dosha responsible for circulation and sensory function. Acknowledging its role in maintaining bodily rhythms and blood flow is essential for treating conditions like Asrigdar, which may affect these functions.

60) Sandhaniya:
Sandhaniya refers to properties of herbs that help in the healing and regeneration of tissues. This aspect is crucial in contexts involving loss of blood or tissue integrity, ensuring a holistic approach to women's health treatments.

61) Jatharagni (Jathara-agni):
Jatharagni is the digestive fire located in the stomach that regulates digestion and metabolism. Balancing Jatharagni is essential for maintaining health, particularly in managing symptoms related to abnormal uterine bleeding, ensuring effective nutrient absorption.

62) Rasadhatu (Rasa-dhatu):
Rasa-dhatu is the essence of bodily fluids, including plasma. It plays a crucial role in nourishing tissues. Adequate balance of Rasa-dhatu is essential for maintaining health, especially in addressing conditions affecting menstrual cycles and overall vitality.

63) Raktagulma (Rakta-gulma):
Raktagulma denotes a condition involving blood clots or fibroids. Understanding Raktagulma is significant in diagnosing and treating reproductive health issues, especially those leading to excessive menstrual bleeding and associated complications.

64) Vandhyatva:
Vandhyatva refers to infertility or inability to conceive. It is a critical aspect of women's health, influencing treatment decisions in Ayurveda to address underlying causes and support reproductive functions effectively.

65) Discussion:
Discussion in the context of research reports involves critical analysis and synthesis of study findings. Engaging in discussion allows researchers to draw meaningful conclusions, identify patterns, and propose recommendations for future inquiries, enhancing knowledge in Ayurvedic medicine.

66) Science (Scientific):
Scientific approaches in Ayurvedic research promote systematic investigation and validation of traditional practices. Employing scientific methodologies enhances credibility and acceptance of Ayurvedic treatments, bridging traditional knowledge with modern healthcare paradigms.

67) Samprapti:
Samprapti refers to the causative factors or pathogenesis of diseases in Ayurveda. Understanding the Samprapti of conditions like Asrigdar allows practitioners to tailor treatments effectively by addressing root causes rather than just symptoms.

68) Anulomana:
Anulomana refers to therapies that support proper flow and eliminate blockages in the body. These principles are particularly relevant in menstrual health, where ensuring normal flow is crucial for alleviating disturbances like Asrigdar.

69) Pravahika:
Pravahika describes conditions associated with excessive or uncontrolled flow, such as diarrhea or heavy bleeding. Recognizing this term helps in the contextual understanding of menstrual management and disorders, particularly in treating conditions like Asrigdar.

70) Samhanana:
Samhanana refers to the structural integrity or cohesion within the body. Understanding elements like Samhanana is crucial when treating conditions that affect bodily stability, especially significant in managing menstrual or reproductive health issues.

71) Education:
Education underpins the dissemination of Ayurvedic knowledge and practices. Continuous education in Ayurveda ensures practitioners remain informed about advancements in research and treatment methodologies, ultimately enhancing patient care and therapeutic efficacy.

72) Shoshana (Sosana):
Shoshana represents the action of drying or removing excess moisture. This is particularly useful in managing conditions characterized by fluid imbalances, such as in excessive menstrual bleeding where controlling moisture is required.

73) Pradhana:
Pradhana refers to primary or predominant factors in Ayurvedic treatment. Identifying Pradhana attributes allows practitioners to focus on key aspects during interventions, ensuring efficiency in managing health issues like Asrigdar.

74) Prakriti (Prakrti):
Prakriti represents an individual’s constitution or inherent nature according to Ayurveda. Understanding Prakriti is crucial in personalized treatment approaches and in recognizing predispositions to certain health conditions, including those related to menstruation.

75) Samgrahin (Sangrahi, Samgrahi):
Sangrahi refers to substances that support conservation or accumulation within the body. In managing conditions like Asrigdar, ensuring that essential bodily components are preserved is crucial to maintaining overall health and balance.

[Note: The above list is limited to 75. Total glossary definitions available: 102]

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