MANAGEMENT OF ASRUGADARA THROUGH AYURVEDIC THERAPEUTICS: A CASE REPORT

Abstract

Background: Asrugdara is described in Ayurveda as excessive or prolonged uterine bleeding occurring during or between menstrual cycles. It is mainly caused by vitiation of Pitta Dosha with involvement of Rakta Dhatu and Artavavaha Srotas. Clinically, it can be correlated with abnormal uterine bleeding in modern gynecology. If not managed timely, it may lead to Rakta Kshaya, Daurbalya, and reduced quality of life. Case Presentation: A 32-year-old female patient presented with complaints of excessive menstrual bleeding for the last 6 months, prolonged duration of menses lasting 9–10 days, passage of clots, lower abdominal pain, fatigue, and dizziness. Based on clinical features and Ayurvedic assessment, the condition was diagnosed as Asrugdara. Intervention: The patient was managed with internal Ayurvedic medications having Rakta Sthambhaka, Pitta Shamana, and Artava Niyamaka properties, along with appropriate Anupana and dietary advice. Treatment was continued for 45 days with regular follow-up. Outcome Measures: Assessment was done based on duration of bleeding, amount of menstrual blood loss, presence of clots, associated pain, and general symptoms like weakness and fatigue. Results: After completion of therapy, the duration of menstrual bleeding reduced to 5 days, menstrual flow became moderate, clots were absent, and associated symptoms like pain and fatigue showed marked improvement. No adverse effects were observed during the treatment period. Conclusion: This single case study suggests that Ayurvedic management is effective and safe in the treatment of Asrugdara. The therapy helped in normalizing menstrual pattern and improving overall well-being. Further clinical studies with larger sample size are recommended to validate these findings.