Abstract
Introduction: Asrigdara is a condition commonly encountered by physicians in day-to-day practice. It is a preva-lent medical condition in women that can lead to significant physical and emotional disturbances. Asrigdara is characterised by excessive discharge of Asrik (menstrual blood). Abnormal uterine bleeding encompasses both cyclic and non-cyclic bleeding patterns. Acharya Charaka has elaborated on various causative factors such as Ati Lavana (excessively salty), Amla (sour), Guru (heavy), Katu (pungent), Vidahi (spicy), Krushara (dry), Payasa (milk), Saktu (wheat), Mastu, which can aggravate Vata, and cause retention of Rakta vitiated due to the reasons above. This, in turn, can lead to an increase in doshas affecting the Rajovaha Sira (uterine vessels) and subsequently increase raja (menstrual blood). The fundamental treatment principles involve normalising the amount of menstrual flow and addressing associated symptoms. A 30-year-old married female patient presented to the outpatient department (OPD) with complaints of prolonged menstruation duration, excessive menstrual flow, and lower abdominal pain. The pain was described as erratic, accompanied by generalised weakness. To address the goal of reducing excessive menstrual blood loss and regulating the menstrual cycle, a combination of Ayurvedic treatments was employed, including Shodhana Chikitsa (detoxification) through Virechana Karma and Shamana Chikitsa (palliative treatment) using Shalmali Ghrita. The desired outcome of the Ayurvedic intervention was to alleviate heavy menstrual bleeding and establish regularity in the menstrual cycle. Conclusion: - Heavy menstrual bleeding not only inflicts significant mental stress but can also impede a woman's ability to engage in physical activities, causing disruptions in her daily routine. Prolonged and cumbersome menstrual cy-cles over the long term can even lead to life-threatening conditions. Therefore, the required treatment should be pure, non-hormonal, practical, safe, and gentle, aiming to restore the menstrual and ovulatory cycle without symptom recurrence and any adverse effects on long-term usage.
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