A Case Study in Asrigdara with Shodhana and Shamana Chikitsa

Abstract

Asrigdara is a condition that physician to face in day-to-day practice. It is a common medical disease seen in women. Which can cause significant disturbances physically as well as mentally. Asrigdara characterized by excessive excretion of Asrik. Abnormal uterine bleeding includes both cyclic and noncyclic bleeding. Acharya Charaka has explained many causative factors for like Ati Lavana, Amla, Guru, Katu, Vidahi, Krushara, Payasa, Saktu, Mastu etc. aggravates Vata withholds Rakta, vitiated due to above mentioned reasons. Increases its amount reaching the Rajovaha Sira (uterine vessels) which further increases Rajas (menstrual blood). Normalizing the amount of flow and curing the associated symptoms are fundamental principles of treatment to be adopted. A married female patient of 31 years attended the OPD with the complaint of increased duration of menstruation associated with excessive flow with lower abdominal pain; pain was spasmodic in nature along with generalized weakness. With the aim to minimize the cyclic blood loss and regularize the cycle the Shodhana Chikitsa (detoxification) i.e., Virechana Karma and Shamana Chikita (palliative treatment) with Shalmali Ghrita. This therapy, helped to cure the heavy flow during menses and regularize the cycle.