Asrigdara in Ayurveda (Abnormal Uterine Bleeding)

Asrigdara is an Ayurvedic term for Abnormal Uterine Bleeding. It is one of the most common gynecological problems found in Stri Rog OPD. I have tried to compile all the important points mentioned in various Ayurveda Literatures regarding Asrigdara.

1. ASRIGDARA
Dr ShaliniUpadhyaya
M.S. Scholar (Final Year)
Department of Prasuti Tantra & Stri Rog
Dr. S.R. Rajasthan Ayurved University, Jodhpur (Rajasthan)

2. Introduction
•Asrigdaraisagynaecologicaldiseasemanifestingascombinationofexcessivebleedingpervaginum,
backache,paininlowerabdomenandweakness.DescriptionofAsrigdaraisavailableinvedaandpurana.
AcharyaCharakconsidersitasoneoftheRaktapradoshajavikaraandalsounderPittaavritapanavayu.
AcharyaSushruthasmentioneditunderpittasamyuktaapanaandinRraktapradoshajavyadhi.Ashtang
SangrahhasexplainedRaktayoniandsaidAsrigdaraandPradaraasitssynonyms.AshtangHridyamhas
describedRaktayoni,butnothingismentionedaboutasrigdaraorPradara.

3. (NIRUKTI)
The word Asrigdarais made up of
Asrik= Rakta/ Raja
Dara= Continuous/Excessive flow
Asrik+ dara= Asrigdara
Continuous/ Excessive flow of Rajais called Asrigdara.
Terms mentioned in various Samhitas
•Asrigdara - AcharyaSushruta(Su. Sha. 2/20)
- AcharyaCharaka(Cha.Su. 28/11)
•Pradara - AcharyaCharaka(Cha.Su.24/12),
•Raktapradara- Sharangadhara

4. DEFINITION (PARIBHASHA)
प्रदीर्यतेइतततिस्तारितोभिततइततप्रदिः,
‘असृग्दीर्यतेर्स्मितिततअसृ�ि’इत्येषाऽतितिरुस्मिित्रबोद्धव्या
(च. तच.30/209 ChakrapaniTeeka)
According to Acharya Charak due to Pradirana(excessive excretion) of Raja, it is known as
Pradara.
•According to ChakrapaniTeeka, there is Dhiranaof Asrikhence it is known as Asrigdara.
•When normal menstrual bleeding pattern is altered in reference of duration, amount, color and
cycle, the conditions is called ArtavaDushti.

5. ETIOLOGY (NIDANA)
र्ाऽत्यर्थंसेितेिािीलिणाम्लगुरुतणच।कटून्यर्थतिदाहीतिति�ातितितितातिच।
ग्राम्यौदकातिमेद्यातिकृ ििािार्संदति।िुिमस्तुसुिादीतिभजन्त्ाःकु तितोऽतिलः।।
(च. तच. 30/205-206)
•AcharyaCharaka, Sushrutaand Vagbhataetc. have described different causes of Asrigdara
•CharakaSamhita: Excessive intake of Lavana, Amla, Katu, Vidahi, Krisara, Payas, Dahi, Mastu, Guru, Snigdha
and other MithyaAharSevana.
•SushrutaSamhita: PittavritaApanaVayu.
•AshtangaSangraha: Increase in amount of blood (Ativridhiof Rakta).
•AshtangaHridaya: PittavritaApanaVayu.
•MadhavaNidana, BhavaPrakash, Yogaratnakar: ViruddhaBhojanaand Madyadi, Garbhaprapata,
Atimaithuna, Atikarshana, Atimargagamana, Abhighata, Diva-Shayanaand Shoka.
•HaritaSamhita: Milk carrying channels of infertile women are filled with Vata.
•KashyapaSamhita: PittavritaApanaVata& Ativridhiof Rakta.
•

6. PATHOGENESIS
Guru, Vidhahi, Diwswapana(Vataincreases)
Krodha, Chinta, Atimaithuna(Pitta increases)
Amla, Lavana, Snigdhadrava(Kaphaincreases)
Agnimandata, VikritAharaRas, PramanVriddhi
RasagniVaishamya, VikrutRasa Dhatu Nirmana
Vitiation of Tridosha
Due to rasbhavataget vitiated and Drava Guna
increase in amount by Pitta PrakopaNidanasevana
UpdhaturupaArtavaincrease due to raktaincrease
GarbhasayagataSira-Affect the uterine vascular apparatus and Uterine congestion –increased uterine circulation due to vitiated VyanaVayu
Apana vayudushti
Excessive and Prolonged Bleeding Asrigdara
ििंप्रमाणमुत्क्रम्यगभायिर्गताःतसिाः।
िजोिहाःसमातित्यििमादार्तद्रजः।।
र्िातििियर्त्यािुिसभािातिमािता।
तिादसृ�िंप्राहुिेतत्तन्त्रतििािदाः।।
च.तच.30/207-208

7. SAMANYA LAKSHANA
•तदेिाततप्रसंगेिप्रिृत्तमिृतािति।असृ�िंतिजािीर्ादतोऽन्यद्रिलक्षणात्।।(सु.िा.2/20)
•According to Acharya Charak, aggrevatedvataaffects in uterine vessels and boosts amount of blood and this
increase in blood thus causes increase in menstrual blood and creates Raktapradara. Acharya Bhelaexplainsthat
causesofRaktaPradarais vitiated Apatya-Marga
•Acharya Charaksaysthat excessive vaginal bleeding during menstruation is the only symptom of Asrigdara.
•According to Sushruta, there are body ache and pain symptoms present in all types of Asrigdarawith excessive
vaginal bleeding
•AcharyaDalhanasays in his commentary on SushrutaSamhitathat burning sensation in lower portion of groin,
pelvic region, back, renal region and flanks and severe pain in uterus as symptoms present in Asrigdara.
•VriddhaVaghbhatahas described excessive bleeding during menstrual or intermenstrual period as symptom of
Asrigdara.
•BhavaPrakash, MadhavaNidana, And Yoga Ratnakarhave described the same in SushrutaSamhita i.e. pain and
body ache in Asrigdara.

8. CLASSIFICATION
Author Vataja Pittaja Kaphaja Sannipataja
AcharyaCharaka
KimshuKodaka, Shyava, Aruna,
Phenila,Tanu, Ruksha, Sarujam,
Nirujam, Kati, Vankshana, Hrit,
Parshva, Prishtha,ShroniVedana
NitantaRakta, Neela, Peeta,
Asita, Atyushna,
Muhurmuhurarti, Daha, Raga,
Trisha, Moha, Jwara, Bhrama
Pandu, Sleshmala, Ghana,
Sheetala, MandaRuja,
Pichcchila, Guru, Snigdha,
Chardi, Arochaka, Hrullasa,
Swasa, Kasa
Peeta, Durgandha,
Sarpimajjavasopama,
VegaVana, Vidagdha,
Pichcchila
AcharyaSushruta
Aruna, Krishna, Phenila, Tanu,
Parusha, Askandi, Shighra
Neela, Peeta, Harita, Shyava,
Visra, Askandi, Pipeelika
makshikanamaAnishtama
Bahala, Chirasravi
Gairikodaka,
Mamsapeshiprabha,
Sheetala, Snigdha, Pichcchila
Kanjikabham,
VisheshatoDurgandhi
Acharya Vagbhatta
(Ashtang Sangraha)
Aruna, Shyava, Lohagandhi,
Phenila, Achcha, Ruksha, Askandi,
Sheeta, Kashaya, Vegasravi
Grihadhuma, Anjanodaka,
Krishna, Peeta, Harita, Visra,
Matsyagandhi,Askandi, Katu,
Chandrikayukta,Gomutrabha
Kovidarpushpa, Gairikodaka,
PanduVasagandhi, Skandi,
Ghana, Tantuyukta, Sheeta,
Lavanarasa, Snigdha,
Pichcchila, Vranadwara
Avasadi
Kansaneela,
Durgandha, Aavila

9. PROGNOSIS (SADHYA-ASADHYATA)
•Sadhya–Ekdoshajaasrigdara
•Asadhya–Sannipataja
The female having following features is considered as Asadhya:
•1-AtyadhikRajastrava
•2-Trishna
•3-Daha
•4-Jwara
•5-KsheenaRakta
•6-Daurbalya

10. तस्याततिृत्तौदौबयल्यंभ्रमोमूच्र्छातमस्तृषा।
दाहःप्रलािःिाण्डुत्वंतन्द्रािोगाष्चिातजाः।।(सु.िा. 2/21)
•Daubalya(weakness)
•Bhrama(giddiness/mental confusion)
•Murchha(syncope)
•Tama(feeling of darkness/dyspnoea)
•Trishna(thirst)
•Daha(burning sensation)
•Pralapa(delirium)
•Pandu(anaemia)
•VatajaRoga
•Shopha
UPADRAVA(COMPLICATION)

11. TREATMENT (CHIKITSA)
र्ोिीिांिातलाद्यािांर्दुितमहभेषजम्।चतुणांप्रदिाणांचतत्सिंकािर्ेद्तभषक्।।
ििाततसारिणांर्च्चतर्थािोतणततितत्तिाम्।ििाियसांचर्त्प्रोिंभेषजंतच्चकािर्ेत्।।
(च.तच.30/227-228)
•According to Charak Chikitsa prescribed for VataladiYonivyapadshould also be used in respective asrigdara.
•According to acharya Charak and Vaghbhattait should be treated on the lines of Raktatisara, Raktarshas,
Guhyaroga, and Garbhapata.
•Charakexplained the treatment to be like for Raktayonii.e. RaktaSthapanaAushadhiafter giving the
consideration to the association of doshas.
•Treatment on the lines of AdhogaRaktapittais to be applied.
•Use of Basti is beneficial.
•Virechanis indicated in all types of Artavavikara.

12. Drugs For External/Local Use
•Uprooted the root of Vyaghranakhiwhich is situated in north direction and sacred place during
UttarphalguniNakshatra and tied in the waist of patient. This can cure Raktapradara.
•Nasyaand Abhyangaof Shatapushpaoil are also beneficial in Asrigdara.
•Use of Uttarbastiis also benefecial.
•In Asrigdara, ChandanadiNiruhabasti, RasnadiNiruhabasti, MadhukadiAnuvasanabasti, Kushadi
Asthapanabasti, RodhradiAsthapanabasti, RasnadiAsthapanabastiandMustadiYapanabastiare
used in Asrigdara.
•

13. •Rasaushadhi Kalpana: PradararipuRasa,Bolaparpati
•VatiKalpana (Tablets): GokshuradiGuggulu, ChandraprabhaVati
•KwathKalpana (Decoctions): Darvyadikwatha, Kwathaprepared from Pushpa of Dhatakiand Pugafor 3-days cures
Asrigdara, NyagrodhadiKashaya.
•Arishta& AsavaKalpana: Lodhrasava, Patranga-sava, Ashokarishta.
•AvalehaKalpana: Khandakushmandavaleha, Brihatkushmandavaleha,Khandakushmandaka, Khandaamalaka, Jeeraka
avaleha
•KshirapakaKalpana: Kshirapakaof stem bark ofAshoka (Ashok valkalksheerapaka)
•Ghritaand Tail Kalpana: SheetakalyanakaGhrita, ShalmaliGhrita, MudgadyaGhrita, ShatavariGhrita, Mahatiktaka
Ghrita, ShatavariTailaand ShatapushpaTail.
•Kalka and ChurnaKalpana: Pestledroot of Tanduliyakawith honey, Rasanjanaand honey (mixture) should be taken
with rice-water, PushyanugaChurna, Powder of Indrayavaand sugar taken with overnight kept water.
•Use of EkalaAushadhi(Single drug preparation):
Ashoka, Kamal, DurvaSwarasa, Kutaja, Nagkesaretc.
•Tail -Shatpushpatail, Shatavaritail
•Anya Yoga-Use of LashunadiKalpa, Shatpushpaand ShatavariKalpa.
Drugs for Internal/Oral Use

14. VatajaAsrigdara:
•TilaChoornawithDadhi,Ghrita, Fanita,ShookaraVasa andMadhu.
•VarahaMedayuktaMamsaRasa withKulattha.
•Sharkara, Madhu, Nagara, YashtimadhuwithDadhi.
PittajaAsirgdara:
•Payasya, Utpala, Shalooka, Bisa, Kaleeyaka, Ambudawith milk, sugar and honey.
KaphajaAsrigdara:
•Nimba/ GuduchiSwarasawithMadya
•KakajanghaMoolaSwarasawithMadhu andLodhra.
SannipatajaAsrigdara:
•Although it is considered as difficult to treat, yet following medicines can be administered.
•Pathya, Amalaki, Vibheetaka, Shunthi, DaruharidraKwathawithMadhu andLodhraChoorna.
•TanduleeyakaMoola + Rasanjana+ Tandulodaka+Madhu
Specific Treatment (VishishtaChikitsa)