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An individualized regimen using anulomana, Vata-shamana, lekhana, and rakta-prasadaka improved menstrual regulation and reduced pain, supporting improved quality of life.",{"@graph":14,"@context":77},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/integrative-ayurvedic-approach-in-the-management-of-adenomyosis-a-case-study/639372/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/integrative-ayurvedic-approach-in-the-management-of-adenomyosis-a-case-study/639372.png","ImageObject",300,407,{"name":42,"@type":43},"BAd apple","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-13","2026-10-22",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",15,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69,73],{"name":60,"@type":61,"acceptedAnswer":62},"How was adenomyosis diagnosed in this case study?","Question",{"text":63,"@type":64},"The patient was diagnosed with adenomyosis using USG of the abdomen and pelvis, along with clinical symptom evaluation.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Which Ayurvedic imbalance was identified, and what were the main symptoms?",{"text":68,"@type":64},"Ayurvedic diagnosis identified sanga (obstruction) of doshas, predominantly Vata-Kapha, with Vata-vaigunya and mamsa-rakta dushti; symptoms included scanty painful menses and weight gain.",{"name":70,"@type":61,"acceptedAnswer":71},"What treatments were used in the integrative Ayurvedic approach?",{"text":72,"@type":64},"The regimen included anulomana, Vata-shamana, lekhana, and rakta-prasadaka to address dosha-dhatu imbalances and restore regulation.",{"name":74,"@type":61,"acceptedAnswer":75},"What outcomes were reported after treatment?",{"text":76,"@type":64},"Symptoms improved, including better menstrual flow and pain relief, indicating improved menstrual regulation and quality of life.","https://schema.org",{"og:url":32,"og:type":79,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":81,"canonical":32},"index,follow",{"doc_id":83,"site_id":7},639372,1793077116,{"code":4,"msg":86,"data":87},"success",[88,92,96,100,105,110,114,119,124,127,131],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},"Exam",70,"exam",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},5,"Comic",60,"comic",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},6,"Technology",50,"technology",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":112,"slug":113},7,40,"healthcare",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},8,"Research & Report",30,"research-report",{"id":120,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":122,"slug":123},9,"Religion & Spirituality",20,"religion-spirituality",{"id":122,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":122,"slug":126},"World Cup","world-cup",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":128,"slug":130},10,"Lifestyle","lifestyle",{"id":132,"doc_module":4,"doc_module_name":25,"category_name":133,"show_sort_weight":101,"slug":134},19,"General","general",{"code":4,"msg":86,"data":136},{"doc_id":83,"user_id":137,"nickname":42,"user_avatar":138,"doc_module":4,"category_id":111,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":139,"file_id":140,"file_url":141,"file_type":142,"file_size":143,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":33,"language":144,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":12,"update_tm":148,"read_time":128,"preview_page_count":4},19241458193282,"https://us-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Apurva Joshi & Poona Nath Chouhan / Int. J. Res. Ayurveda Pharm. 16 (3), 2025  \nCase Study [www.ijrap.net](www.ijrap.net)  \n(ISSN Online: 2229–3566, ISSN Print: 2277–4343)  \nINTEGRATIVE AYURVEDIC APPROACH IN THE MANAGEMENT OFADENOMYOSIS: A CASE STUDY  \nApurva Joshi 1*, Poona Nath Chouhan 2  \n1 Assistant Professor, Department of Prasuti Tantra evum Stri Roga, Nootan Ayurvedic College & Research Centre, Sankalchand Patel University, Visnagar, Gujarat, India  \n2 Assistant Professor, Department of Shalya Tantra, Nootan Ayurvedic College & Research Centre,  \nSankalchand Patel University, Visnagar, Gujarat, India  \nReceived on: 03/3/25 Accepted on: 12/5/25  \n*Corresponding author  \nE-mail: [drapurvajoshi.nah@spu.ac.in](drapurvajoshi.nah@spu.ac.in)  \nDOI: 10.7897/2277-4343.16388  \nABSTRACT  \nBackground: Adenomyosis presents a significant challenge in gynaecology, frequently coexisting with fibroids, which complicates diagnosis due to overlapping symptoms such as abnormal uterine bleeding, dysmenorrhea, and infertility. Conventional treatments like endometrial ablation and uterine artery ligation carry risks. In contrast, Ayurveda offers a holistic approach, focusing on the balance of doshas (regulatory functional factors of the body) and dhatus (major structural components of the body) to address the underlying causes of the condition. Methods: The patient, diagnosed with adenomyosis via USG abdomen and pelvis, presented with symptoms of scanty menstruation over the past three months and weight gain. Ayurveda diagnosis revealed sanga (obstruction) of doshas, predominantly Vata-Kapha, with Vata-vaigunya (imbalance) and mamsa-rakta dushti (disruption of blood and muscular tissues) . Based on this diagnosis, anulomana (mild purgative action/regularizing physiological movement), Vata-shamana (suppression of Vata dosha), lekhana (therapeutic scrapping), and rakta-prasadaka (quality enhancing of blood tissues) was adopted to address these imbalances. Results: The Ayurveda treatment resulted in a reduction in symptoms, including improved menstrual flow and pain relief. The therapies helped restore the balance of doshas, resulting in better menstrual regulation and enhanced quality of life for the patient. Conclusion: Targeted and specified management of adenomyosis through Ayurveda while focusing on balancing affected doshas and dhatus, presents a promising alternative to conventional treatments. Protocol results in patient’s symptoms were alleviated, suggesting the potential of Ayurveda in improving quality of life inadenomyosis cases.  \nKeywords: Adenomyosis, Vatanulomana, Mamsa-rakta dusti, Lekhana, Rakt-prasadaka  \nINTRODUCTION  \nAdenomyosis is a frequently encountered yet often underdiagnosed gynaecological condition in its early stages. It is characterized by the invasion of endometrial tissue, including glands and stroma, into the myometrium. Previously considered a subtype of endometriosis (Endometriosis interna), it is now recognized as a separate disorder1. This condition arises from the disruption of the boundary between the endometrial basal layer and the myometrium, allowing endometrial cells to penetrate themyometrial layer. This invasion leads to the development of ectopic intra-myometrial glands, causing surrounding myometrial hypertrophy and hyperplasia2. In India, adenomyosis affects 23.5% of women, with 80% of cases occurring between the ages of 31 and 50 year3. The condition is associated with dysmenorrhea (painful menstruation), primarily due to elevated prostaglandin levels resulting from abnormal endometrial tissue growth. Oestrogen also contributes to the proliferation of endometrial tissue, leading to heavy menstrual bleeding, increased vascularization, and elevated levels of prostaglandinsand eicosanoids4. The treatment for Adenomyosis often involves long-term use of GnRH analogues5. For women over 40 who have completed their families, hysterectomy is commonly recommended. Conservative management include NSAIDs, ho","cbCaieC5OjGobOJH","https://ap.wps.com/l/cbCaieC5OjGobOJH","pdf",379470,"English","# Abstract\n# Introduction\n# Patient Information\n# Clinical Findings","[{\"question\":\"How was adenomyosis diagnosed in this case study?\",\"answer\":\"The patient was diagnosed with adenomyosis using USG of the abdomen and pelvis, along with clinical symptom evaluation.\"},{\"question\":\"Which Ayurvedic imbalance was identified, and what were the main symptoms?\",\"answer\":\"Ayurvedic diagnosis identified sanga (obstruction) of doshas, predominantly Vata-Kapha, with Vata-vaigunya and mamsa-rakta dushti; symptoms included scanty painful menses and weight gain.\"},{\"question\":\"What treatments were used in the integrative Ayurvedic approach?\",\"answer\":\"The regimen included anulomana, Vata-shamana, lekhana, and rakta-prasadaka to address dosha-dhatu imbalances and restore regulation.\"},{\"question\":\"What outcomes were reported after treatment?\",\"answer\":\"Symptoms improved, including better menstrual flow and pain relief, indicating improved menstrual regulation and quality of life.\"}]","INTEGRATIVE AYURVEDIC APPROACH IN THE MANAGEMENT OF ADENOMYOSIS: A CASE STUDY | PDF",1792703302]