“ Effect of ashoka ghrita in asrigdhar ( menorrhagia ) : A case study ”

*Corresponding author: reemavartak6@gmail.com Abstract: Aim and Background: The term Menorrhagia is from Greek word, men meaning ‘menses’ and ‘rrhagia’ meaning ‘burst forth’ 10 . It denotes cyclic bleeding which is excessive in amount or duration. It is a very common complaint among females in recent years. It has negative effects on women’s quality of life with limited options available in modern medicine, following Ayurvedic principles of diagnosis and treatment can be useful. Case Description: A 42 years old female Hindu patient, housewife by occupation visited our OPD with complaints of Excessive P/V bleeding during menstruation, prolonged bleeding for 7-8 days with interval of 18-20 days which was heavy with passage of big clots for first 4-5days. She changes 7-8 pads/day, next 3-4days moderate bleeding, changes 4-5pads/day was seen. Associated with fatigue patient was not able to do her normal activities. Diagnosed as Raktapradar according to Ayurveda. Treatment: She was given Ashokaghrita 1tsf, twice a day before food daily for 6 months 3 . Outcome: After three months of treatment patient showed significant relief in symptoms. Significant reduction in PV bleeding, proper intervals in between menses and reduction in passage of clots. Conclusion: Significant relief can be achieved in patients of menorrhagia by applying principles of diagnosis and treatment of Asrigdhar. It’s single case study and can lay down road ahead for further research. How to Cite this article: “Effect of ashoka ghrita in asrigdhar (menorrhagia): A case study” / Reema Vijay Vartak, Seema Mehere/ Ayurlog: National Journal of Research In Ayurved Science 2019; 3(2): pages: 0105 Ethical approval: Approved by the Institutional ethics committee Conflict of Interest: None declared Sources of Funding: None Date of Submission: 03/03/2019. Date of Peer Review: 14/03/2019. Date of Acceptance: 26/03/2019. Date of Publishing: 01/04/2019.


Abstract:
Aim and Background: The term Menorrhagia is from Greek word, men meaning 'menses' and 'rrhagia' meaning 'burst forth' 10 . It denotes cyclic bleeding which is excessive in amount or duration. It is a very common complaint among females in recent years. It has negative effects on women's quality of life with limited options available in modern medicine, following Ayurvedic principles of diagnosis and treatment can be useful. Case Description: A 42 years old female Hindu patient, housewife by occupation visited our OPD with complaints of Excessive P/V bleeding during menstruation, prolonged bleeding for 7-8 days with interval of 18-20 days which was heavy with passage of big clots for first 4-5days. She changes 7-8 pads/day, next 3-4days moderate bleeding, changes 4-5pads/day was seen. Associated with fatigue patient was not able to do her normal activities. Diagnosed as Raktapradar according to Ayurveda. Treatment: She was given Ashokaghrita 1tsf, twice a day before food daily for 6 months 3 . Outcome: After three months of treatment patient showed significant relief in symptoms. Significant reduction in PV bleeding, proper intervals in between menses and reduction in passage of clots. Conclusion: Significant relief can be achieved in patients of menorrhagia by applying principles of diagnosis and treatment of Asrigdhar. It's single case study and can lay down road ahead for further research. Ashokghrita is selected for the study.

Case description:
A 42 years old female Hindu patient, housewife by occupation visited our OPD on 23/02/2018 with complaint of excessive P/V bleeding during menstruation, prolonged bleeding for 7-8 days with interval of 18-20 days. Patient was said to be apparently healthy 2 years back. She suddenly noticed excessive bleeding P/V during menstruation, which occurred at an interval of 18 to 20 days. Bleeding lasted for 7-8 days with minimal clots, changes 6-7 pads/day with lower abdominal pain and low back ache. For the same, she approached a modern clinic and was prescribed with oral medicines. Patient got relief from the symptoms for a period of 6 months with the continuation of medication. As she found relief, she discontinued her medication for 3 months. Again, she started bleeding for 7-8days, which was heavy with passage of big clots for first 4-5days and 7-8 pads/day, next 3-4days moderate bleeding changes 4-5pads/day was seen. Associated with pain in lower back and abdomen.

Past history:
No H/O DM/HTN/hypothyroidism or any other major medical or surgical history.

Impression: Bulky uterus with ET-14mm
Diagnosis: In view of modern sciences, it was clearly a case of Menorrhagia. According to Ayurveda the patient clearly showed symptoms of Asrigdhar such as excessive, prolonged bleeding with passage of clots 1,7 .
Treatment Given: She was given Ashokaghrita 1tsf, twice a day before food daily for 6 months 3 . Ghrita is prepared by Ghrita Kalpana described in Sharangdhar Samhita 8 . It has Madhura rasa, Sheeta virya having Vata-pittahara qualities. It is Balya and is beneficial for Rasa dhatu and does Preenana of Garbhashaya.

CONCLUSION:
Menorrhagia is a common complaint present in the women world-wide. Asrigdara correlate to menorrhagia. As we see, patients have heavy uterine bleeding along with its complications which should be managed instantly to stop the further complications.
Ayurveda has number of herbal and compound drugs useful to manage this bleeding disorder. In my opinion, the Ayurvedic drugs will become a boon to treat the menorrhagia patients and also its complications.