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Shikha Gautam* and Shashi Singh
Asrigdara is a gynecological condition defined as excessive bleeding during menstruation. Charka has described this condition due to vitiation of vata and pitta dosha along with rakta dosha. According to the modern science Abnormal Uterine Bleeding (Dysfunctional uterine bleeding) is irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology, general medical disease or pregnancy. AUB is reported to occur in 9 to 14% women between menarche and menopause. The prevalence varies in each country. In India, the reported prevalence of Abnormal Uterine Bleeding is around 17.9%.
Abnormal Uterine Bleeding or Asrigdara is of more concern, because excessive or prolonged bleeding may cause undue disruption of women’s daily activities and affect woman’s health both physically and psychologically. The incidence rate of Asrigdara is increasing day by day so if treatment is delayed this can lead to a worsening of condition of patient due to excessive blood loss. Various treatments modalities like hormonal therapy, antiprostaglandins, antifibrinolytic agents and surgical interventions are available in modern medicine for the management of heavy menstrual bleeding. Taking in to account the side effect and adverse effects there is a great scope of research to find out safe, potent, cost effective remedy from ayurveda by addressing the root of the problem there by improving the quality of life of woman. Many formulations have been mentioned in our texts for the treatment of Asrigdara. Achaya Sharangadhar has described Shatavari Tail in the treatment of Asrigdara. Shatavari Tail is Vata-Pitta Shamak due to its properties like sheet virya, Madhura Vipaka and Guru Snigdha guna. It has anti-secretory, anti-ulcerogenic properties. It also works as astringent hence it can reduce menstrual flow by these properties.