Systematic review on published studies on Matrabasti as an Ayurvedic intervention in Udavartini Yonivyapad (Primary Dysmenorrhea)

Abstract

Objectives: Udavartini Yonivyapad (Primary Dysmenorrhea) a prevalent condition characterized by severe menstrual pain, has been addressed through various treatment modalities. This review aims to provide an updated perspective on the use of Matrabasti as an Ayurvedic intervention for Primary Dysmenorrhea. Methods: This study systematically reviewed thirteen published research studies on Matrabasti as an intervention for Udavartini Yonivyapad (Primary Dysmenorrhea), following PRISMA^[3] guidelines. Searches were conducted on databases including Pubmed, Google Scholar, Cochrane library, DHARA, AYUSH Portal & Scopus, encompassing literature published in English language. A detailed analysis and exploration was made of the strengths, limitations, implications, and future research directions of the summarized studies. Results: These studies include 3 RCTs, 3 single group studies, and 7 single case studies with sample sizes varying from 50 to 10 participants. Treatment duration ranges from 7 to 9 days, starting mid-cycle or post-menstruation cessation, spanning 2 to 5 consecutive cycles. Some studies involve oral medication in conjunction with Matrabasti or alternative-day Ksheerabasti and Anuvasana/Sneha Basti. Assessment methods predominantly employ the visual analogue scale and multidimensional scoring. The review covered diverse formulations including Dashamoola Taila, Tila Taila, Phala Taila, Hingwadi Taila, Trivrutta Taila, Shatapushpa Taila, Sahacharadi Taila, Dhanwantaram Taila, Dashamoola Ksheerapaka and Mahanarayana Taila.  Conclusion: Ayurvedic interventions, particularly Matrabasti formulations, present a diverse and promising avenue for managing Udavartini Yonivyapad (Primary Dysmenorrhea). The formulations, derived from classical Ayurvedic texts, showcase efficacy in balancing Vata Dosha, reducing pain severity and all associated symptoms, and improving overall well-being.