COMPARATIVE CLINICAL STUDY OF MENOCRAMP TABLET AND SAPTASARAM GHAN VATI IN THE MANAGEMENT OF KASHTARATVA (PRIMARY DYSMENORRHEA)

In our society women is compared to mother earth as both have the quality of forbearance and procreation.

Dysmenorrhea is a medical condition of painful menstruation of sufficient magnitude so as to incapacitate day to day activities .

The prevalence rate of dysmenorrhea in adolescent girls is 70.2% in india.

According to Acharaya Sushruta , pain is indication of vata vikruti.

Ø  Majority of previous works carried out were either based on procedure like Uttarbasti or were based on basti. Since it is impossible for uttar basti to be performed on unmarried patients, and also the young those hesitate to undergo Matra Basti who are the most sufferers. Only few works have been done on oral form of medicine for the treatment of Kashtartava.

Ø  Till date, no successful advances have been made in the management of Primary dysmenorrhea by conventional medicine. The best evidence-based treatments are NSAIDs and hormonal contraceptives but they have a lot of side effect.

Ø  According to Ayurveda, pain is an indication of Vata Vikriti. Vitiated Apana Vata is considered as the primary cause for Yoni vikara’s. Hence, all measures capable of suppressing Vata are indicated.

AIM:

The present study has been planned to accomplish following aims and objective:

·       To evaluate and compare the efficacy of “Saptasaram ghan vati†with Menocramp tablets in the management of Kashtartava.

OBJECTIVE**:**

·       To evaluate the effect of drug on associate complaints of dysmenorrhoea.

·       To assess the efficacy of drug in reducing the psychological complaints associated with dysmenorrhoea.

HYPOTHESIS**:**

·       Null Hypothesis (H0): Saptasaram ghan vati is not effective in the management of Kashtartava whencomparedtoMenocramp tablets.

·       Alternate Hypothesis (H1): Saptasaram ghan vati is more effective in the management of Kashtartava whencomparedtoMenocramp tablets.

Diagnostic Criteria:

·       Painful menstruation of acute and spasmodic nature

·       Pain of sufficient magnitude to hamper the routine daily activities for 48 - 72 hours duration in regular menstrual cycles.

·       Associated with or without constipation, loose stools, nausea, breast tenderness, mood swings, headache, giddiness, irritability.

Study Duration:

·       1 menstrual cycle

·       Medicine will be given from first day of menses till 5th day of menses for one cycle

·       Follow up for next one menstrual cycle without medicine for both groups.

Assessment of Pain (Dysmenorrhea):

VISUAL ANALOGUE SCALE

NO PAIN

(0)

ANNOYING (MILD)

(2 TO 3)

UNCOMFORTABLE

(MODERATE) (4 TO 6)

HORRIBLE

(SEVERE) (7 to 9)

WORST (10 )

WaLIDD SCORE VARIABLE

Working ability

Location

Intensity

Days of Pain

|0 None

0 None

0 Does not Hurt

0 Zero

|1 Almost never

1 one site

1 Hurts a little bit

1 One- Two

|2 Almost always

2 two – three sites

2 Hurts a little more- hurts even more

2 Three- Four

|3 Always

3 four sites

3 Hurts a whole lot – hurts worst

3 >Five

Notes: Score 0 without Dysmenorrhea, 1- 4 mild Dysmenorrhea, 5-7 moderate Dysmenorrhea, 8-12 severe Dysmenorrhea.