ROLE OF RAJAHPRAVARTINI VATI IN THE MANAGEMENT OF PRIMARY DYSMENORRHOEA (KASHTARTAVA) – A CLINICAL STUDY

Abstract

Dysmenorrhoea is the most common Gynaecological problem with painful menstruation due to increased levels of prostaglandins in the menstrual fluid, this results in uterine pain, nausea, vomiting, backache, diar-rhoea, giddiness, syncope and fainting. In Ayurveda it is explained in terms of "Kashtartava", which is clinical entity characterized by pain and difficult expulsion of Aartva (Menstrual Blood) due to upward movement of Raja (Menstrual Blood), through Pratiloma Gati (Movement in reverse direction) of Apana Vayu and subsides after expulsion of Artava. Formation of Artava (Menstrual Blood) takes place during entire month, due to continuous filling of Garbhashaya through small capillaries, which is brought into Yo-ni and makes it to discharge outside every month by Vayu. The whole mechanism depends upon the proper functioning of Apana and Vyana Vayu where in Apana Vayu is responsible for Raja Pravritii while Vyana Vayu is accountable for blood circulation. In clinical intervention study, purposive randomly selected 40 patients were equally divided into 2 groups i.e. Group A (Trial Group) and Group B (Control Group). In Trial Group Rajahpravartini Vati in dose 250 mg twice a day and in Control Group Placebo (Roasted wheat flour) 2 Capsule twice a day were advised for treatment. drug administration was started from 21st day of LMP to next 3 days of menstrual cycle for duration of consecutively 3 menstrual cycles. It was found that average percentage of relief was higher in group A i.e. 71% while in group B i.e. 43.10%.