Résumé
Women in present era are mostly into productive work. Any discomfort in their lives may hinder in the growth of her progress. Primary dysmenorrhea is the condition where she suffers from periodic spasmodic pain during her menstruation. Ayurveda has described different terminology for this condition, be it Kashtartava or Udavartini yonivyapad or Udavarta yonivyapad. In present study , Hinguvadi churna which is a medication mentioned in Bhaisjya Ratnawali in Shoolachikitsa adhyaya is taken . Hinguvadi churna effectively helps in managing the condition of Kashtartava which doesnot have any pelvic pathology
Résumé
Adolescence is the rapid growing period when mainly the physical changes are important. 95% girls attain menarche at the age group of 10 to 16 yrs, the peak being 13yrs. Among them, not less than 50% of female are said to experience some discomfort or pain in relation to menstruation. Kashtartava is a symptom mentioned in various Yoni vyapads, Vata being the main causative factor for this condition, which is commonly compared with dysmenorrhoea by cotemporary science. Conventional treatment of primary dysmenorrhoea consists of non-steroidal and anti-inflammatory drugs, hormonal therapy which causes unwanted side effects. Hence Rutukari Vati which is mentioned in Bheshaja Samhita for Kashtartava having the properties like, Vedanashamaka, Arthavajanana have been selected for the planned study. Design of Study: A Single blind comparative clinical study of two groups, trial and control, consisting of 15 subjects in each with pre-test and post-test design. Group A was given Rutukarivati and Group B was given Kumaryasava 25ml twice daily after food. Result: Rutukarivati contains most of the drugs with Tiktha and Katu rasa, Usnaveerya property and Vatakaphahara property; it is effective in controlling pain and regularizing the cycle. On comparison of overall effect of both groups has more significant result but percentage wise group A is more effective than group B. Mild increase in amount of bleeding was noted in patients in group A. It may be because of most of the ingredients in Rutukarivati are Artavajanana and Apanavatashaman.
Résumé
In today’s lifestyle woman’s status is expected to reach new horizons both socially and physically but some of the physiological things trouble the lady to make her slow down the race, by disturbing the normal menstruation, which is the function of Apana vayu. One of such problem is ‘Kashtartava’ (Dysmenorrhoea) i.e. painful menstruation. In Ayurvedic texts, though various conditions are described in which menstruation occurs with pain but Kashtartava is not mentioned specifically. It is a symptom of various Yonivyapadas specially Udavarta, Vatala, Sannipatika etc. The genital tract of women does not get affected without Vata, Hence one should pacify it first and then treat the other Doshas. For Vata dosha basti chikitsa is very important. Matrabasti is used by someone who emaciated by overwork or too much exercise, too much heavy lifting, walking too long of a distance, too much sexual activity or someone with Vata disorders. One of the effects of Matrabasti is “Vatarognut”, Hence Matrabasti may be effective on Kashtartava (Dysmenorrhoea). From above study, it can be concluded that due to Basti chikitsa vitiated Vata dosha gets mitigated and hence all the symptoms diminish and it has been observed that Til taila Matra Basti is very effective in subjects of Kashtartava (Primary Dysmenorrhoea).