A Randomized Open Labelled Controlled Clinical Study To Evaluate The Efficacy Of Amlakyadi Ghrita And Shatavari Ghrita Nasya In The Management Of Rajonivrittijanya Lakshanas w.s.r. Post Menopausal Syndrome

Rajonivritti is a significant event in woman’s life.It represents the end of the reproductive era.The ancient acharyas termed it as Rajonivritti.This word is derived from Rajah and Nivritti meaning cessation of Artava pravritti. According to Acharya Sushrut & various other refererences 50 years is mentioned as the age of rajonivritti when the full body is fully in grip of senility.Menopause is the permanent cessation of menstruation for 12 consecutive months due to loss of ovarian activity.2 Every women faces various physiological & psychological changes during this change of life as a part of hormonal derangement sometimes such disturbances attains the stage of disease or syndrome called as menopausal syndrome accompanied by Vasomotor, psychological, genital. Locomotor and GIT related symptoms.In menopause menstrual cycle stops and sex hormones level decreases including that of estrogen.Menopause is linked with ageing which is vata dominant stage of life,therefore symptoms of menopause experienced by some women are similar to vriddhi lakshanas of vata dosha.There is connection between nasa and shira. Nasa is considered as a gate way for the shira. When we administered the drugs through nasal route, through the sukshmastrotas in nasal route it reaches the shiragata marma and spreads throughout the mastishka and takes out doshas from urdhvajatrugata region.Nasya karma is a natural route for delivering, rejuvenating substance to the brain.This may be helpful to women to enter is menopausal phase gracefully.Menopausal symptoms generally occur due to disturbed Vata Dosha. Dhatukshay is responsible for Vata Vruddhi and vitiated Vata Dosha affects various systems in women’s body. From the above theory we can conclude that drugs like amlaki,madhuyashti,shatavari having properties of 2 Rasayana, Vatapitta Shaman and Kapha Vardhan can be helpful for the management of menopausal syndrome. Therefore, it has been believed that working in this area and making a contribution—that is, menopause from an Ayurvedic perspective—is imperative