Abstract

Dr. Swati Garg*, Dr. Trupti Gupta and Dr. Arun Kumar Gupta

ABSTRACT

Dysmenorrhoea literally means painful menstruation. But a more realistic and practical definition includes cases of painful menstruation of sufficient magnitude so as to incapacitate day to day activities.[1] Dysmenorrhoea is a very common complains, experienced by 45-95% of woman of reproductive age.[2] In true Dysmenorrhoea the pain sensation arises in the Uterus and is related to muscles contractions. It is experienced a few hours before and after the onset of menstruation and rarely lasts in a severe form longer than 12 hours. It is colicky in type, although the patient does not always recognize. The periodic exacerbation and may describe a constant ache which causes her to ‘double up’. The pain is felt mainly in the hypogastrium and is often referred to the inner and front aspect of the thighs it never extends below the level of the knee and is never experienced in the back of the leg. There may be some low backache as well but this is not the dominant sensation. Menstruation is a normal physiological process. Accompanied with pain, it is called as Dysmenorrhoea. In Ayurveda texts, though various conditions are described in which menstruation occurs with pain, Dysmenorrhoea is not mentioned specifically. The terms as Kashtartava or kruchchartava are also for Dysmenorrhoea. Classically defined Udavarta Yoni Vyapat counterparts with the all types of Dysmenorrhoea. Charaka has defined that the Pain symptom is instantly relieved after discharge of menstrual blood in Udavarta Yoni Vyapat which resembles to Spasmodic or true Dysmenorrhoea. Panchakarma Uttar Basti, Aasthapana Basti, Anuvasan Basti & Virechana are best treatment modality of Krucachartava. We can use oral Ayurvedic medicines like Ashokarista, Kaumaryasava, Patrangasava, Kanchanarguggulu, Rajahpravartanivati and Ashoka powder. Yogasanas, meditation, regular exercises help in maintaining weight. Walking for half an hour daily for 5 days is adequate to maintain weight.