Addressing Asrugdara (Menorrhagia) with Holistic Ayurvedic Protocol: An Evidence-based Case Study
*Priyanka Yadav and Poornima S.S.
1,2Department of Prasuti Tantra Evum Stri Roga, Parul Institute of Ayurveda, Parul University, Vadodara - 391760 (India) Email id.- yadavp421@gmail.com
ABSTRACT
Excessive menstrual bleeding, or asrigdara, is a serious gynecological condition that is described in great detail in ancient Ayurvedic texts. It is mostly associated with the vitiation of Pitta, Rakta, and Apana Vayu. It is defined as excessive or protracted menstrual blood loss, with or without intermenstrual bleeding12. This case study describes a 54-year-old female patient who presented with continuous bleeding for a duration of one year. She was clinically identified as a case of Asrugdara. The management plan involved an integrative Ayurvedic approach, primarily focusing on Shamana Chikitsa, along with necessary lifestyle modifications to support overall health and recovery. The treatment included Pushyanuga Churna, Shatavari Ksheerpaka, Lodhra Asava, Bolbadha Rasa, Sutshekhar Rasa, and Satapuspa taila nasya . After twenty one days of treatment, the bleeding reduced from 5 –6 pads per day to mild spotting (Table 1), and associated symptoms such as weakness and abdominal pain improved significantly. This case demonstrates that an integrative Ayurvedic approach can effectively manage menorrhagia while enhancing the patient’s quality of life, providing a safe and cost-effective option compared to conventional invasive treatments.