Abstract

Dr. Pratibha Yadav* and Dr. Pramod Kumar Majhi

ABSTRACT

Kashtartava (painful menstruation or dysmenorrhoea) is one of the common gynecological disorders prevalent among women. It has been described as a symptom of various diseases such as Vatala yonivyapada, Udavartini yonivyapada, Kukshishoola etc. in Ayurvedic classics. It is characterized by a condition in which Artava (menstrual blood) is released out with great difficulty and pain. Acharya Charaka has particularly told that none of the gynecological disorders can arise without the involvement of vitiated vata dosha. The pain felt in kashtartava is due to vatavriddhi (elevated levels of vata dosha in body), specifically Apanavayu and margavarodha (obstruction of channels) etc. It can be managed with various Ayurvedic preparations such as Jeerakadi modak, Phala ghrita, Rajahpravartini vati etc. Panchakarma procedures such as Baladi anuvasana basti, Til taila matra basti etc. have been proved to be beneficial along with Pathya ahara and Vihara (wholesome regulated diet and lifestyle). Here is a case report of a girl aged 20 years with chief complaint of painful menses suffering from primary dysmennorhoea since last 4 cycles without any pathology. She was presented on December 2022. After her consent, Rajahpravartak churna (Reference-Ras Tantra Sara Evum Siddha Prayog Sangrah, Churna Prakaran), is given with the anupana of lukewarm water for about 7 days just before the due date of each cycle for 3 months. Result found was her menstrual cycle became painless with easy flow. In this case study, concept of kashtartava and treatment course along with mode of action of drugs is mentioned.