an open label single arm clinical study to evaluate the combined effect of mrdu vamana and palasa twak kashaya in artavakshaya in diagnosed case of polycystic ovarian disease.

This study is to assess the combined effect of mrdu vamana  and palasa twak kashaya  in artavakshaya in diagnosed case of polycystic ovarian disease. Ashta Choornam 12 gm for 2 days before food, then sukumara ghrtam 25 gm bd with rice gruel prepared with milk and salt for 3 days. SABS for 1 day with dhanwantara thailam and kapha vridhikara diet followed by mrdu vamana with yastimadhu phanta, ksheera and samsarjana krama based on suddhi.  Thereafter palasa twak kashaya (1 pala i.e. 48 grm kashaya choornam in 16 pala i.e. 768 ml water reduced to 1/8 i.e. 2 pala i.e. 96 ml daily) is given till the onset of second menstrual cycle. The mrdu vamana karma will be done for the 1st cycle only.  The study will be done  for two consecutive cycle and assessed for the parameters of mentrual bleeding and interval before treatment and after treatment using menstrual chart and PBAC chart The data collected will be formulated and analysed according to appropriate statistical method