ASRIGDARA (DUB) - A CONCEPTUAL STUDY
B. Manisha Reddy* and Anusha M.
ABSTRACT
Women endowed with energy of Propagation for which menarche is the first step, Menstrual cycles commences and ends with menopause. Menstrual cycles are a reminder of her body’s ability to create and nurture life. It represents strength and resilience of Women. The health of woman in large extent depends on the normalcy of her menstrual cycles. Any abnormality in Menstrual Rhythm leads to Abnormal Uterine Bleeding (AUB) in which Dysfunctional uterine bleeding (DUB) is one among Abnormal uterine bleeding without any clinically detectable Organic Cause.[1] DUB is a common menstrual disorder which interferes with women’s physical, emotional and social quality of life. The Rate of prevalence of AUB in India is around 17.9%.[2] Which is most common among the women in reproductive age group. In Ayurveda it may be closely co-related with the disease Asrigdara, which is characterized by excessive or prolonged menstruation with or without inter-menstrual bleeding. There is an elaborate description of Nidana, Lakshana and Samprapti of Asrigdara in both Bhrihatrayees and Laghutrayees. In contemporary science management protocol includes interventions like Hormonal therapy, Anti prostaglandins and antifibrinolytic agents and further advices to surgical interventions like uterine curettage, endometrial ablation and Hysterectomy,[3] which has their own limitations, high costs with associated side effects. Keeping this in mind Ayurvedic texts have described a variety of treatment options in the management of Asrigdara, under the lines of Nidana parivarjana, Doshanubandha and samprapti vighatana, which are gentle, non–hormonal, safe, non-surgical and effective which is need of home.
Keywords: Asrigdara, Ayurveda, PBAC Scoring, Dysfunctional uterine bleeding.
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