A Critical Review of Raktapradara (DUB or Menorrhagia) and its Ayurvedic & Yogic Management
Author : Dr. Renu Swami, Dr. Rama Khatavkar and Dr. Bajrang Ramawat
Abstract :
Raktapradara is one of the most leading gynecological problems in women associated with severe bleeding; it may or may not be accompanied by menstruation. According to Charaka, due to Pradirana (excessive excretion) of Raja (menstrual blood), it is named Pradara and since there is excessive excretion of Asruk (menstrual blood) hence it is known as Raktapradara. According to Ayurveda it is mainly due to vitiation of Vata and Pitta dosha. The Vata Dosha after getting vitiated increases the volume of Rakta (blood), takes this Rakta to Rajovaha Sira and increases the quantity of Rajah those flows through the Rajovaha Sira and causes Raktapradara. The disease Asrugdara also referred to as Raktapradara described in Ayurveda texts resembles Abnormal Uterine Bleeding (AUB). Prolonged and excessive bleeding may provoke of exacerbated anemia. Asrigdar eventually be life threatening if left untreated. As per modern science, menorrhagia is defined as cyclic regular bleeding which is excessive in amount (>80ml) or duration (>7 days) or both. There is a wide range of treatments in modern medicine which are non-hormonal, hormonal, surgical, antifibrinolytic agents. These have not proven their definitive efficacy in spite of high costs; their side effects have led to hormonal imbalances hence it is need of time to have an integrated and comprehensive therapeutic intervention.
In Ayurveda to prevent recurrence & would overcome the modern medicine limitations. Many herbal & herbo-mineral preparations, Shodhan & Shaman Chikits as per Rugnabal are mentioned in Ayurveda to cure Raktapradara and related symptoms. It is observed that Pathya- Apathya with medication has a significant role in relieving symptoms of Raktapradara. Since Raktapradara is mainly due to Vata Pitta Dosha; Kashaya Rasa and Pittashamaka Chikitsa may be adopted. Ayurvedic formulations help in breaking down the pathogeneses of Raktapradara and its recurrence.
Keywords :
Asrugdara, Raktapradara, Menorrhagia, Abnormal Uterine Bleeding, Pathya-Apathya.
