Review of herbal remedies in Siddha for menorrhagia (perumbadu)

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Journal name: World Journal of Pharmaceutical Research
Original article title: Review on herbal plants and formulations recommended in siddha literatures for the management of menorrhagia (perumbadu)
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:

Manimekalai Jayabal MD (Siddha), Aswini Purushothaman MD (Siddha), Bharathi Baskar MD (Siddha) and M.D. Saravana Devi MD (Siddha)


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Review on herbal plants and formulations recommended in siddha literatures for the management of menorrhagia (perumbadu)

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

Doi: 10.20959/wjpr202316-29645


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Summary of article contents:

Introduction

Menorrhagia, or excessive menstrual bleeding, is a prevalent gynecological issue affecting a significant percentage of women, particularly those of reproductive age. The Siddha system of medicine presents a variety of herbal and mineral formulations aimed at managing this condition. As highlighted in the review by Jayabal et al., Siddha literature classifies various female ailments and proposes effective remedies. With 10-15% of women experiencing menorrhagia, traditional treatments from Siddha may offer safer alternatives to modern medical approaches, which often include hormonal therapies and surgical interventions.

Concept: Siddha Medicine and Menorrhagia

The Siddha system of medicine correlates the condition of menorrhagia with terms used in ancient texts, particularly the term "Perumbadu," signifying excessive menstrual bleeding. The Siddha literature emphasizes the importance of maintaining women's health for the well-being of future generations. It categorizes the causes of menorrhagia, which can be systemic, local, or iatrogenic. By understanding these causes, practitioners can use a range of herbal remedies that have historically shown efficacy in treating this condition. These remedies often focus on "styptic" properties, which work to constrict blood vessels and thereby halt excessive bleeding.

Concept: Styptic Medicinal Plants

A significant aspect of the Siddha approach to treating menorrhagia is the use of styptic medicinal plants, which are known for their astringent properties. Jayabal et al. detail plants such as Saraca asoca (Asogu), Ficus racemosa (Atthi), and Acacia catechu (Karungali) among others that possess these qualities. The dried bark of Saraca asoca, for instance, is used for uterine tonicity and is considered effective in managing heavy menstrual flow. Similarly, the various botanical substances—including leaves, stems, and roots—contain compounds that demonstrate medicinal benefits for regulating menstrual health, addressing conditions like menorrhagia with minimal side effects.

Concept: Siddha Formulations

The review further elaborates on various Siddha formulations specifically targeting menorrhagia, which include poly-herbal, herbo-mineral, and mineral mixtures. Formulations such as Thiribalathi kizhayam and Santhaana legiyum have been documented for their effectiveness in treating excessive menstrual bleeding. These formulations combine multiple herbal ingredients to enhance their therapeutic potential. The incorporation of traditional knowledge into contemporary health practices represents a promising avenue for addressing menorrhagia in a holistic manner while potentially validating these formulations through scientific research.

Conclusion

The Siddha system of medicine stands out as a repository of wisdom for the management of menorrhagia, offering a variety of natural remedies that are readily available and generally safe to use. As modern medicine often leans toward aggressive treatments, Siddha provides a complementary or alternative pathway, emphasizing natural healing through herbs and formulations. Recognizing the potential of these traditional medicines, further clinical validation and research are necessary to incorporate them into modern gynecological practice. This could ultimately pave the way for safer, more effective management strategies for women dealing with menorrhagia.

FAQ section (important questions/answers):

What is menorrhagia and its common causes?

Menorrhagia is excessive and prolonged menstrual bleeding, typically exceeding 80 ml per cycle. Common causes include uterine fibroids, hormonal imbalances, endometrial hyperplasia, and pelvic infections, among others.

How does Siddha medicine view the treatment of menorrhagia?

Siddha medicine recognizes menorrhagia as 'Perumbadu' and includes herbal and mineral formulations that have styptic properties to manage excessive menstrual bleeding effectively.

What are some common herbs used for treating menorrhagia?

Common herbs in Siddha for menorrhagia include Saraca asoca (Asoka), Ficus racemosa (Atthi), and Cynodon dactylon (Arugambul), which exhibit astringent and styptic properties.

What modern treatments are available for menorrhagia?

Modern treatments for menorrhagia include non-steroidal anti-inflammatory drugs (NSAIDs), antifibrinolytic agents, hormonal therapies, and surgical options like endometrial resection or hysterectomy.

What are the symptoms of menorrhagia?

Symptoms of menorrhagia include prolonged menstrual bleeding lasting more than a week, heavy blood flow with clots, fatigue, and abdominal pain.

Is scientific validation available for Siddha herb applications?

While Siddha formulations are traditionally used for menorrhagia, they lack extensive scientific validation through preclinical and clinical trials, necessitating further research.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Review of herbal remedies in Siddha for menorrhagia (perumbadu)”. 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) Bleeding:
The bleeding refers specifically to the symptoms associated with menorrhagia, characterized by excessive menstrual blood loss. Recognizing bleeding patterns is crucial for diagnosis and treatment within Siddha medicine, guiding the development of herbal remedies aimed at alleviating this common yet serious condition affecting many women.

2) Siddha:
Siddha is a traditional Indian system of medicine that emphasizes holistic healing through herbs, minerals, and dietary practices. It plays a significant role in addressing women's health issues, including menorrhagia, by offering various herbal formulations and treatments aimed at restoring balance and promoting well-being while utilizing nature's resources.

3) Medicine:
Medicines refer to substances used to prevent or treat diseases. In Siddha medicine, a range of herbal and herbo-mineral medicines is utilized, particularly targeting conditions like menorrhagia. The focus on natural remedies reflects a broader understanding of health that prioritizes holistic approaches to well-being.

4) Chennai:
Chennai, the capital of Tamil Nadu, India, is a hub for traditional medicine practices, including Siddha. It houses several educational institutions for Siddha medicine research and training, contributing significantly to the preservation, evolution, and expansion of traditional healthcare systems in India, including herbal remedies for conditions like menorrhagia.

5) India:
India is known for its rich cultural heritage and vast knowledge of traditional medicine systems, including Siddha, which play a pivotal role in its healthcare landscape. The country offers a plethora of medicinal plants and therapeutic practices aiming to treat various ailments, emphasizing the importance of holistic approaches.

6) Blood:
Blood is essential for various bodily functions, including oxygen transport and immune response. In the context of menorrhagia, understanding the role of blood and its properties is crucial for addressing excessive menstrual bleeding, forming the basis of treatments aimed at replenishing and stabilizing blood loss among affected women.

7) Indian:
Indian references the diverse cultural and traditional practices of India, including Siddha medicine, which utilizes indigenous plants and healing methodologies. The richness of India's herbal landscape supports traditional healthcare practices aimed at treating various ailments, including menstrual disorders like menorrhagia, highlighting their significance in holistic health.

8) Tree:
Trees are vital in various medicinal traditions, including Siddha, as they provide numerous herbs used in medical formulations. Their role extends to producing plant-based medicines for various conditions, showcasing the significance of botany in health management and the importance of preserving natural resources for traditional healing.

9) Disease:
Diseases encompass various conditions that disrupt normal bodily functions. In Siddha literature, a detailed understanding of diseases allows practitioners to formulate appropriate herbal treatments. Addressing women-specific diseases, such as menorrhagia, demonstrates the holistic approach of Siddha in promoting health and well-being through nature.

10) Mineral:
Minerals are essential inorganic compounds vital for various bodily functions and are extensively used in Siddha medicine. Understanding the roles of minerals in formulations aids in effectively treating conditions like menorrhagia, highlighting their therapeutic properties alongside herbal constituents.

11) Ghi (Ghee):
Ghee, clarified butter particular to Indian cuisine, is used in Siddha medicine as a carrier for herbal preparations. It serves as a medium for enhancing the absorption of active compounds, thereby improving the effectiveness of treatments for conditions such as menorrhagia while providing its own nourishing properties.

12) Drug:
Drugs refer to substances yielding physiological effects. In Siddha medicine, various traditional drugs are derived from herbal sources that target conditions such as menorrhagia, illustrating the integration of botanical knowledge with healthcare approaches in traditional practices focused on women's health.

13) Pharmacology:
Pharmacology is the study of drug actions and interactions within the body. Understanding the pharmacological properties of herbs used in Siddha can guide the development of effective treatments for issues like menorrhagia, enhancing the scientific validation and recognition of traditional practices in modern medicine.

14) Tamilnadu (Tamil-nadu):
Tamil Nadu is a southern state in India known for its rich cultural heritage and tradition, particularly in Siddha medicine. The state serves as a center for Siddha practices, education, and research, influencing the health and wellness of its population with its time-honored treatments and herbal knowledge.

15) Water:
The water is essential for various bodily functions and assists in the extraction of active components from herbs. In the preparation of medicinal formulations within Siddha, water acts as a critical solvent, facilitating the use of plant-based treatments for numerous health conditions, including menorrhagia.

16) Tamil:
Tamil refers to the language and culture of the Tamil people, predominantly found in Tamil Nadu and parts of Sri Lanka. The relevance of Tamil extends to the transmission of Siddha medical knowledge, including texts and practices, preserving the heritage of traditional medicine for future generations.

17) Nadu:
Nadu means 'land' in Tamil and refers to the cultural context of Tamil Nadu, a region rich in traditional practices, including Siddha medicine. This link underscores the importance of regional knowledge in the promotion and preservation of indigenous healing methods and healthcare practices, particularly vital for local populations.

18) Saraca asoca:
Saraca asoca, known as Ashoka tree, is a significant herbal plant in Siddha medicine, valued for its uterine health benefits. It is commonly used in traditional formulations to treat menorrhagia due to its styptic properties, highlighting its critical role in managing women's health conditions in India.

19) Table:
Table often refers to structured presentations of information in scientific literature. In the context of this document, tables summarize herb properties and formulations used for treating menorrhagia in Siddha medicine, facilitating easier understanding of the various treatments and their applications based on traditional knowledge.

20) Cynodon dactylon:
Cynodon dactylon, commonly known as Bermuda grass, is used in Siddha medicine for its styptic and anti-inflammatory properties. This herb is recognized for its effectiveness in treating conditions like menorrhagia, playing a vital role in herbal formulations due to its natural therapeutic capabilities.

21) Mangifera indica:
Mangifera indica, or mango, is an important plant in Siddha, used for its astringent and health-promoting properties. Its application in the treatment of menstrual disorders emphasizes the role of indigenous plants in traditional medicine, showcasing their relevance to women's health and overall well-being.

22) Menstrual blood:
Menstrual blood is the shed endometrial lining during menstruation, and its characteristics can indicate underlying reproductive health issues such as menorrhagia. Understanding menstrual blood helps in diagnosing conditions and reinforces the importance of traditional treatments in maintaining women's health through Siddha remedies.

23) Acacia catechu:
Acacia catechu, known as black catechu, is valued in Siddha for its astringent properties, commonly used in treatments for excessive bleeding, including menorrhagia. Its role in enhancing the effectiveness of herbal formulations demonstrates the significance of this plant in traditional therapeutic practices.

24) Punica granatum:
Punica granatum, or pomegranate, is recognized for its medicinal benefits in Siddha medicine. The fruit and its rind possess strong astringent properties, making it useful in managing bleeding disorders like menorrhagia, showcasing the rich herbal legacy of traditional Indian medical systems.

25) Family:
Family refers to the classification of plants in taxonomy. Understanding the family of medicinal plants, such as those used in Siddha medicine, helps in identifying their therapeutic properties, guiding practitioners in selecting the right herbs for conditions like menorrhagia and enhancing their applications in traditional healing.

26) Nature:
Nature encompasses the natural world and its resources, playing a vital role in traditional medicine systems. Siddha medicine relies heavily on natural substances like herbs and minerals for treatments, underscoring the importance of preserving ecosystems for continued health benefits and sustainable therapeutic practices.

27) Delhi:
Delhi, the capital of India, represents a significant urban center where traditional and modern medicine converges. The relevance of Delhi extends to discussions about health policies, research in traditional systems like Siddha medicine, and the promotion of holistic practices to enhance overall public health.

28) Study (Studying):
Study refers to the systematic investigation of a subject. In the context of Siddha medicine, studies on herbal formulations for treating conditions like menorrhagia contribute to validating traditional practices through research, bridging the gap between ancient knowledge and contemporary science for improved healthcare outcomes.

29) Pain:
Pain is a significant symptom associated with various medical conditions, including menorrhagia. Understanding the underlying causes of pain enables practitioners to offer comprehensive treatment strategies within Siddha medicine, focusing on herbal remedies that address both the physiological and emotional aspects of health.

30) Post:
The term post refers to after or subsequent to an event or condition. In medical literature, post often relates to after-treatment outcomes or studies on the effectiveness of herbal remedies. Understanding post-treatment evaluations is essential for improving Siddha practices in managing conditions like menorrhagia.

31) New Delhi:
New Delhi, as India's capital, serves as a vibrant center for healthcare discussions and policies, influencing traditional medicine practices like Siddha. Its importance lies in fostering advancements in health research, integrating diverse medical systems, and promoting awareness of holistic health principles within the urban population.

32) Pharmacological:
Pharmacological refers to the scientific study of drugs and their effects on living organisms. In Siddha medicine, examining the pharmacological properties of herbs aids in validating their traditional uses, enhancing understanding of their therapeutic potential, and guiding the development of effective treatments for conditions like menorrhagia.

33) Tuberculosis:
Tuberculosis (TB) is a bacterial infection affecting the lungs and other organs. In Siddha medicine, understanding TB's implications on women's health is vital when considering conditions like menorrhagia, especially as chronic diseases can contribute to irregularities in menstrual health and overall well-being.

34) Manimekalai:
Manimekalai is a notable figure, emphasizing the role of women in traditional medicine. The mention highlights the contributions of women to Siddha practices, promoting knowledge about herbal treatments and addressing women's health issues, including menorrhagia, within the cultural context of Indian medicine.

35) Pomegranate:
Pomegranate, known for its rich nutrient content and medicinal properties, plays a critical role in treating various disorders in Siddha medicine. Its application against menorrhagia showcases its significance as a natural remedy, reflecting the integration of nutrition and health in traditional practices.

36) Developing:
Developing pertains to countries with emerging economies that often face health challenges. In these contexts, traditional systems such as Siddha medicine provide affordable treatment options, particularly for conditions like menorrhagia, emphasizing the need for such practices to improve women's health outcomes in developing nations.

37) Surface:
Surface in a medical context often refers to the area of a tissue where interactions, such as bleeding or healing, occur. In dermatological and reproductive health, understanding the surface area affected by conditions like menorrhagia helps in formulating targeted treatments within Siddha medicine.

38) Andhra (Amdhra):
Andhra Pradesh is a significant state in India known for its contributions to traditional medicine, including Siddha. The state has a rich diversity of herbs and practices similar to Siddha, which aids in addressing multiple health issues, reflecting regional influences on the understanding of women's health.

39) Punjab:
Punjab is a northern Indian state known for its agricultural richness, including the cultivation of various medicinal plants. The region's contributions to traditional medicine, including Siddha practices, underline the importance of regional biodiversity in creating effective treatments for conditions like menorrhagia.

40) Reason:
The reason refers to understanding factors contributing to health conditions, such as menorrhagia. Recognizing the reason behind persisting symptoms aids Siddha practitioners in formulating targeted herbal remedies, ensuring effective treatment based on a thorough assessment of lifestyle and physiological conditions.

41) Pillai:
Pillai typically refers to a title used in Tamil culture, often signifying a practitioner or expert in traditional medicine. The term emphasizes the cultural context of Siddha practices and the transmission of knowledge required for addressing health conditions like menorrhagia through experienced practitioners.

42) Pitha:
Pitha is one of the three humors in Siddha medicine. It plays a crucial role in body functions, and an imbalance in Pitha can lead to various health issues, including menstrual irregularities like menorrhagia, stressing the importance of understanding these concepts in traditional treatments.

43) Mango:
Mango is a widely known fruit with significant cultural and therapeutic importance in Indian medicine. Its properties are recognized in Siddha for treating various conditions, including its astringent effects that can help manage menstrual disorders, showcasing the holistic approach of using local flora for health.

44) Wall:
Wall relates to the physical boundaries of vessels or organs in the body, which can influence conditions like bleeding or injury. Acknowledging the significance of wall integrity helps practitioners in Siddha medicine design effective treatments for managing menstrual health issues and bleeding.

45) Phyllanthus emblica:
Phyllanthus emblica, known as Indian gooseberry, is valued in Siddha medicine for its health-promoting properties. It is recognized for its astringent qualities, aiding in the management of bleeding disorders like menorrhagia, highlighting its role in traditional approaches to women's health.

46) Symplocos racemosa:
Symplocos racemosa, commonly known as Lodhra, is often used in Siddha formulations for its effective management of menstrual disorders including menorrhagia. Its inclusion in treatment highlights the importance of specific herbs in traditional practices and their relevance to women's health issues.

47) Musa paradisiaca:
Musa paradisiaca, or banana plant, is appreciated not just for its nutritional properties but also for its various health benefits recognized in Siddha medicine. The plant's roles in addressing menstrual irregularities exemplify the use of common dietary components in traditional healthcare practices.

48) Plantain tree:
The plantain tree (Musa paradisiaca) is significant in traditional medicine for its various uses, including remedies for health issues like menorrhagia. Its applications in Siddha underline the importance of local flora in developing effective treatments tailored to specific health concerns in women's health.

49) Mesua ferrea:
Mesua ferrea, known commonly as Ironwood, is used in Siddha for its reputed haemostatic properties. Its effectiveness in treating bleeding disorders like menorrhagia underscores the significance of indigenous plants in traditional medical practices and their therapeutic roles in women's health.

50) Piper longum:
Piper longum, commonly known as long pepper, is recognized in Siddha medicine for its beneficial health properties. Although primarily used for respiratory issues, its potential in managing menstrual health conditions like menorrhagia reflects the expansive role of herbs in traditional medicinal systems.

51) Benincasa hispida:
Benincasa hispida, known as wax gourd, is included in Siddha medicine for its potential health benefits. Its role in managing menstrual irregularities showcases how traditional systems utilize diverse plants for their therapeutic effects, addressing women's health issues holistically within the context of Siddha.

52) Ficus religiosa:
Ficus religiosa, the sacred fig, holds significance in both cultural and medicinal contexts. In Siddha medicine, its properties are utilized for various healing purposes, emphasizing the interplay between spirituality and health within traditional healing practices aimed at addressing issues like menorrhagia.

53) Cocos nucifera:
Cocos nucifera, or coconut, is significant in Siddha medicine for its versatile uses, including dietary and therapeutic applications. Its properties support health and wellness, aligning with the traditional practices that encompass a range of approaches to manage conditions such as menorrhagia identified in various formulations.

54) Antibiotic (Antibacterial):
Antibacterial denotes substances that inhibit bacterial growth. In Siddha medicine, identifying herbs with antibacterial properties is crucial for managing infections related to conditions like menorrhagia, ensuring a comprehensive approach to women's health that addresses both bleeding and potential underlying infections.

55) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is known for its agricultural diversity, which includes a wealth of medicinal plants. The state's contribution to traditional medicine, alongside its influences on practices like Siddha, highlights the importance of regional biodiversity in developing treatments for health issues such as menorrhagia.

56) Performance:
Performance in a medical context often refers to the effectiveness of treatments or interventions. Evaluating the performance of Siddha medicine, particularly the efficacy of herbal formulations for managing conditions like menorrhagia, is essential for bridging traditional practices and modern healthcare methodologies.

57) Discussion:
Discussion often encompasses the examination of findings or perspectives within academic or clinical contexts. In medical literature, discussions surrounding Siddha medicine highlight the insights gained from traditional practices, providing a critical analysis of their relevance and effectiveness in treating modern medical conditions like menorrhagia.

58) Science (Scientific):
Scientific refers to a methodical approach based on systematic investigation and analysis. In the context of Siddha medicine, scientific validation of traditional practices aids in establishing credibility, bridging the gap between ancient healing methodologies and contemporary evidence-based medicine, particularly in treating women’s health issues.

59) Flavonoid:
Flavonoid denotes a specific type of phytochemical with various health-promoting properties, including anti-inflammatory and antioxidant effects. Their identification in herbs used in Siddha medicine enriches the therapeutic potential of traditional treatments, aiding in the holistic management of disorders like menorrhagia through natural means.

60) Rajasthan:
Rajasthan is a state characterized by its diverse flora and traditional medical practices, including Siddha. The region's herbal resources and cultural practices support the development of effective treatments, emphasizing the importance of regional identity in addressing health concerns, such as menstrual disorders.

61) Knowledge:
Knowledge refers to the understanding and information accumulated over time. In the context of Siddha medicine, knowledge encompasses traditional practices, herbal formulations, and the systematic study of their effects, crucial for ensuring continued relevance and efficacy in treating conditions like menorrhagia.

62) Suffering:
Suffering relates to the physical and emotional distress caused by health conditions. In Siddha medicine, addressing the root causes of suffering, particularly in conditions like menorrhagia, emphasizes the importance of holistic approaches that consider physical, emotional, and social well-being in treatment plans.

63) Manohara (Manas-hara, Mano-hara):
Manohara refers to poetic and medicinal references reflecting the richness of Tamil culture. The significance of such titles reinforces the historical context of traditional medicine, illustrating the connection between cultural expressions and herbal knowledge, particularly in treating women's health issues like menorrhagia.

64) Anubhava:
Anubhava generally refers to experience in Tamil literature. In the context of Siddha medicine, it highlights the importance of experiential knowledge and wisdom passed down through generations, crucial for understanding and managing health conditions like menorrhagia through first-hand medicinal practices.

65) Bharathi:
Bharathi is a name that could refer to various historical figures or contexts within Tamil literature and culture. The mention of Bharathi might highlight significant contributions to the intellectual heritage of Tamil medicine, emphasizing how foundational cultural knowledge supports practices like Siddha.

66) Cinnamon:
Cinnamon, known for its flavoring and therapeutic properties, is utilized in Siddha medicine for its various health benefits. Its inclusion in formulations aims to enhance effectiveness in managing health issues, particularly offering unique properties that support treatment for menstrual irregularities.

67) Himalaya (Hima-alaya):
Himalaya often symbolizes the rich biodiversity of the region, known for various medicinal plants. This wealth contributes to traditional practices, including Siddha medicine, focusing on the harnessing of natural resources from these mountains for effective herbal treatments targeting women's health issues.

68) Vomiting:
Vomiting can be a symptom associated with various health conditions. Within Siddha practices, understanding the causes of vomiting aids in diagnosing underlying issues and facilitating holistic treatment plans that incorporate herbs and dietary adjustments, particularly when managing complex health concerns.

69) Activity:
Activity refers to the degree of action or efficacy of a substance or treatment. In pharmacological contexts, the activity of herbal compounds can guide practitioners in Siddha medicine to identify the most effective formulations for managing conditions like menorrhagia and other health issues.

70) Vitiation (Vitiated):
Vitiated describes a state of imbalance or dysfunction within the body according to Siddha medicine. Understanding how vitiated conditions manifest guides practitioners in diagnosing and treating ailments like menorrhagia, emphasizing the need to restore equilibrium through natural remedies.

71) Pradhan:
Pradhan indicates a leader or authority figure and may refer to prominent scholars in traditional medicine, whose contributions to the understanding of Siddha practices inform current treatments, fostering growth in women's health management and the evolution of herbal formulations.

72) Burning (Burn, Burned, Burnt):
Burn relates to an injury caused by heat or chemicals, which may require specific healing approaches. In Siddha, understanding burn treatments calls for the inclusion of appropriate herbs in formulations, emphasizing the significance of comprehensive care for skin-related ailments.

73) Madhya:
Madhya indicates the central or middle aspects of traditional medicine practices. In Siddha, understanding the 'madhya' or balance of bodily functions is key for effective treatment strategies, particularly in addressing conditions like menorrhagia that may stem from imbalances.

74) Ashoka (Asoka):
Asoka refers again to Saraca asoca, showcasing its significance in Siddha medicine for women's health. This plant's application for managing menstrual disorders highlights the reliance on specific herbs to alleviate conditions such as menorrhagia, further solidifying its reputation in traditional treatments.

75) Thanga (Thamga):
Thanga refers to gold, representing purity and value. In medicinal contexts, it may symbolize the precious nature of health remedies derived from natural sources. In Siddha practices, using mineral-rich formulations could imply the integration of high-value resources for optimal health benefits.

[Note: The above list is limited to 75. Total glossary definitions available: 106]

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