Effect of selected ayurvedic treatment protocol in nashtarthava

The menstrual cycle forms a key role in the wellbeing of a women due to the changes in the lifestyle of the present-day world a lot of menstrual abnormalities are being encountered in OPDs of which the most important one is amenorrhea. Amenorrhea is the lack of menstruation in females between the ages of 12 and 49 who are reproductively active. They are divided into two categories: primary and secondary. Primary amenorrhea is when a young girl has not menstruated by 16 years of age. In women who have previously menstruated, Secondary amenorrhea is defined as the cessation of regular menses for six months or the equivalent of three previous cycle intervals, whichever is longer. Amenorrhea is a common challenge that gynecological practitioners face in OPDs. The prevalence of secondary amenorrhea is approximately 2% to 5%.

Nashtarthava is a condition that is described by Dalhana, either kapha or vata alone or kapha vata together may cause Avarana to arthava vaha srotas leading to Nashtarthava. Since the dosha vitiation and clinical features of Raktagulma and Nashtarthava are similar, therefore, Raktagulma treatment is chosen here to cure Nashtarthava. Raktagulma is another disorder that results in prolonged amenorrhea.

The aim of the study is to evaluate the effect of selected ayurvedic treatment protocol in Nashtarthava. The study design is interventional pre and post with a sample size of 30. Women aged 18-45 years attending Prasutitantra and Streeroga OPD, Govt Ayurveda College, Tripunithura, fulfilling inclusion and exclusion criteria will be selected for the study. Sampling method will be consecutive sampling. The subject will be given Vicharana snehapana with Shatpala ghrita 10ml BD with rice gruel for 7 days,whole body Abhyanga with tila taila and Ushna jala snana for the last three days of Snehapana.Then Sneha Virecana with Eranda taila in empty stomach on the 8th day. Followed by Haritakyadi churna 6gm BD with lukewarm water will be given thereafter, till the menstruation or for a maximum of 45 days.They are followed up for 90 days. Assessment will be done after each menstrual cycle till 90 days.