Analysis on action of Shaman and Shodhan Chikitsa in Asrugdara with special reference to Heavy Menstrual Bleeding

Abstract

Rakta is a crucial component of the human body and is considered vital. Sthambhana, a term from the Shadvidopakrama therapies, involves preventing mobility or obstruction, and is an integral part of Chaturvidha Chikitsa as described by Acharaya Susruta. Raktasthambhana specifically aims to arrest excessive blood flow, particularly in cases like Atyaadhika Raktasrava (excessive menstrual bleeding), which can be life-threatening and requires hemostatic interventions. Asrigdhara, defined as prolonged and heavy menstrual bleeding with or without bleeding between periods, is often caused by imbalances in Tridoshas affecting Garbhashaya Gata Siras and Artavavaha Srotas, leading to Artava Atipravrutti. Abnormal uterine bleeding, a common gynecological issue with diverse causes and pathophysiological origins, can significantly impact daily activities, well-being, and societal efficiency due to excessive menstrual bleeding. This condition can also lead to anemia due to continuous blood loss during menstrual and intermenstrual periods. Based on the aforementioned details, this article aims to investigate various studies to identify straightforward, safe, non-hormonal medications for patients suffering from Asrugdara. Additionally, it seeks to review the classical texts for insights into Asrugdara and compare these findings with modern literature on abnormal uterine bleeding.