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Classical causative factors including Ati Lavana, Amla, Guru, Katu, Vidahi, Krushara, Payasa, Saktu, and Mastu are described as aggravating Vata, leading to retention and increased doshas affecting Rajovaha Sira and raja. A 30-year-old patient received Virechana for detoxification and Shalmali Ghrita for palliative care to reduce heavy bleeding and restore cycle regularity.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/a-case-study-in-asrigdara-with-shodhana-and-shamana-chikitsa-review-article/639383/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/a-case-study-in-asrigdara-with-shodhana-and-shamana-chikitsa-review-article/639383.png","ImageObject",300,407,{"name":92,"@type":93},"DoDO","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-10-22",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is Asrigdara and how is it linked to abnormal uterine bleeding?","Question",{"text":112,"@type":113},"Asrigdara involves excessive discharge of Asrik (menstrual blood). It corresponds to abnormal uterine bleeding patterns, including cyclic and non-cyclic bleeding.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which treatments were used in the case study to address heavy menstrual bleeding?",{"text":117,"@type":113},"The patient received Shodhana Chikitsa through Virechana Karma for detoxification, and Shamana Chikitsa with Shalmali Ghrita for palliative management.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the main outcomes targeted by the Ayurvedic intervention?",{"text":121,"@type":113},"The treatment aimed to reduce excessive menstrual blood loss and regulate the menstrual cycle without symptom recurrence or long-term adverse effects.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},639383,1792942295,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962093270745,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","INTERNATIONAL AYURVEDIC MEDICAL JOURNAL  \nReview Article ISSN: 2320-5091 Impact Factor: 6.719  \nA CASE STUDY IN ASRIGDARA WITH SHODHANA AND SHAMANA CHIKITSA  \nApurva Joshi1, Rashmi Sharma2  \nDepartment of Prasutitantra and Striroga, Post-Graduate Institute of Ayurveda, Dr Sarvepalli Radhakrishnan Rajasthan Ayurved University, Jodhpur, Rajasthan, India, 342037  \n[Corresponding Author](Corresponding Author: purvajsh93@gmail.com)[:](Corresponding Author: purvajsh93@gmail.com)[ ](Corresponding Author: purvajsh93@gmail.com)[purvajsh93@gmail.com](Corresponding Author: purvajsh93@gmail.com)  \n[https://doi.org/10.46607/iamj1512032024](https://doi.org/10.46607/iamj1512032024)  \n(Published Online: March 2024)  \nOpen Access  \n© International Ayurvedic Medical Journal, India 2024  \nArticle Received: 07/02/2024-Peer Reviewed: 04/03/2024-Accepted for Publication: 11/03/2024.  \nABSTRACT  \nIntroduction: Asrigdara is a condition commonly encountered by physicians in day-to-day practice. It is a prevalent medical condition in women that can lead to significant physical and emotional disturbances. Asrigdara is characterised by excessive discharge of Asrik (menstrual blood). Abnormal uterine bleeding encompasses both cyclic and non-cyclic bleeding patterns.  \nAcharya Charaka has elaborated on various causative factors such as Ati Lavana (excessively salty), Amla (sour), Guru (heavy), Katu (pungent), Vidahi (spicy), Krushara (dry), Payasa (milk), Saktu (wheat), Mastu, which can aggravate Vata, and cause retention of Rakta vitiated due to the reasons above. This, in turn, can lead to an increase in doshas affecting the Rajovaha Sira (uterine vessels) and subsequently increase raja (menstrual blood) . The fundamental treatment principles involve normalising the amount of menstrual flow and addressing associated symptoms. A 30-year-old married female patient presented to the outpatient department (OPD) with complaints of prolonged menstruation duration, excessive menstrual flow, and lower abdominal pain. The pain was described as erratic, accompanied by generalised weakness. To address the goal of reducing excessive menstrual blood loss and regulating the menstrual cycle, a combination of Ayurvedic treatments was employed, including Shodhana Chikitsa (detoxification) through Virechana Karma and Shamana Chikitsa (palliative treatment) using Shalmali Ghrita. The desired outcome of the Ayurvedic intervention was to alleviate heavy menstrual bleeding and establish regularity in the menstrual cycle. Conclusion: - Heavy menstrual bleeding not only inflicts significant mental stress but can also impede a woman's ability to engage in phys-  \nical activities, causing disruptions in her daily routine. Prolonged and cumbersome menstrual cycles over the long term can even lead to life-threatening conditions. Therefore, the required treatment should be pure, non-hormonal, practical, safe, and gentle, aiming to restore the menstrual and ovulatory cycle without symptom recurrence and any adverse effects on long-term usage.  \nKeywords: Asrigdara, Raja, Shamana chikitsa, Shodhana chikitsa, case report  \nINTRODUCTION  \nAn average menstruating female denotes a healthy state of the reproductive system. Abnormal uterine bleeding is a common condition affecting 14.25% of women of reproductive age and may have a significant impact on their physical, social, emotional and maternal quality of life. Nearly 30 % of all gynaecological outpatient attendants have abnormal uterine bleeding. Abnormal Uterine Bleeding (AUB) is considered one of the most common and perplexing problems, Which future leads to complications like anaemia, breast cancer and endometrial cancer. According to modern science, hormone therapy like oral contraceptive pills & Anti-fibrinolytic drugs have the side effects of weight gain, nausea, bloating, oedema and headache. So, developing a safe, cost-effective, noninvasive, conservative, and non-hormonal treatment protocol for AUB, which has long-term health b","cbCaiqVzj9qLUHHA","https://ap.wps.com/l/cbCaiqVzj9qLUHHA","pdf",415533,"English","# Abstract\n# Introduction\n# Case Report\n## Presenting concerns\n## Clinical finding\n## Menstrual history\n## On examination","[{\"question\":\"What is Asrigdara and how is it linked to abnormal uterine bleeding?\",\"answer\":\"Asrigdara involves excessive discharge of Asrik (menstrual blood). It corresponds to abnormal uterine bleeding patterns, including cyclic and non-cyclic bleeding.\"},{\"question\":\"Which treatments were used in the case study to address heavy menstrual bleeding?\",\"answer\":\"The patient received Shodhana Chikitsa through Virechana Karma for detoxification, and Shamana Chikitsa with Shalmali Ghrita for palliative management.\"},{\"question\":\"What were the main outcomes targeted by the Ayurvedic intervention?\",\"answer\":\"The treatment aimed to reduce excessive menstrual blood loss and regulate the menstrual cycle without symptom recurrence or long-term adverse effects.\"}]","A CASE STUDY IN ASRIGDARA WITH SHODHANA AND SHAMANA CHIKITSA - Review Article | PDF",1792703369,15]