The document provides information on Asrigdara (menorrhagia) from an Ayurvedic perspective. It defines Asrigdara as bleeding through the vagina that is excessive in amount or long in duration. It discusses various etiological factors like diet, lifestyle, trauma, etc. that can vitiate the doshas (body humors) and cause Asrigdara. The summary is as follows:
[1] It defines Asrigdara and discusses various causes that can vitiate the doshas and lead to excessive bleeding.
[2] It describes the clinical features of Kaphaja, Pittaja, and Vataja types of Asrigdara based on dos
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.
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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.
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• This PPT – Based on New Syllabus of CCIM ,implemented from 2012 .This is like ATP – Advanced Teaching programme of that particular subject .Very useful for Teachers & Students of Ayurved college .Student can recite this syllabus ,which can boost up their confidence to get success in that subject .Teachers & students can download this PPT in their smart phone ,to keep eye on their subject goal .
• Visit – www.ayurvedicfriend.com
• Phone – 922 68 10 630
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2. RAKTA PRADARA
RAKTA PRADARA
ASRIGDARA
Etymology – the word is derived from two words –
• vl`d~ $ nj
• vl`de~ & jDre~] yksfgre~A Blood,
• nje~ & ;ksfur% lzo.ke~A Through Vagina
• ;ksfur% lzo.kajDrfefr jDriznje~AA
• The blood coming through vagina is called as Asrigdara.
DR. RAMVEER SHARMA
3. RAKTA PRADARA
ASRIGDARA:
Definition :-
• vl`da jDra & nh;Zrs & Bleeding through the vagina ?
• P;ors - Oozing of the bleeding for a long time through Vagina ?
• izkpq;sZ.k & izHkwrsu~ - Profuse in amount and Long duration?
• ;fLeu~ jksxs l vl`Xnj%A Asrigdara: I
• The diseases in which, the blood is ooze for a long time or
bleed excessive in amount or for a long duration is called
Asrigdaram.
DR. RAMVEER SHARMA
4. RAKTA PRADARA
¼2½ jt% iznh;Zrs ;Lekr~ iznLrsu l% Le`r%AA
• Means – Excessive cyclic menstruation is also called Pradara.
¼3½ rnso & Raktam , Artavam.
• vfrizl³~xsu & Excessive sexual activities (Cause)
• ¼vfr½ izo`fre~ & Vaginal bleeding during menstrual cycle.
• vu`Rofi & without Ritukala (Non cyclical).
• okrks·U;r jDry{k.kkr~ & Other sign and symptoms of blood loss or
Vataja symptoms.
• vl`Xnja fotkuh;kr~AA The disease know as Asrigdaram. Su-Sha-
2/18.
DR. RAMVEER SHARMA
5. RAKTA PRADARA
Other signs –
• vu`rqe~ & Time – Without menstrual time (Acyclic).
• vuYie~ & Quantity – Excessive, Profuse.
• nh?kZdkyefi & Bleeding for a long time.
• vl`Xnje~ fotkuh;kr~A lq-”kk-2@18AA MYg.kA Is called Asrigdaram.
DR. RAMVEER SHARMA
6. RAKTA PRADARA
Samprapti :-
Kupita anil (Dosha:) Vitiated doshas especially Vata doshas
(Imbalanced body humors)
Rakta Pramana Utkrimya (Congestion)
Increase the blood flow in
Garbhasaya sira (Uterine vessels)
Rajo vaha sira (Radial and Spiral arteries)
M.C. - Vivardhati Ashu
(Excess in Amount and Duration) (Frequently)
DR. RAMVEER SHARMA
RAKTA PRADARA
7. RAKTA PRADARA
lEizkfIr
DR. RAMVEER SHARMA
1- dqfirks·fuy% Aggressive Vata
4- jDrizek.keqRdzE; Increases the amount of blood flow in the
2-xHkkZ”k; xrk fljk%A in the uterine vessels
3- jtksogklekl`R;
jDreknk; rnzt%AA
As well as menstrual
vessels
4- rLekr~
foo)Z;R;;k”kq
By which, the menstrual cycle becomes
frequent (Epimenorrhoea) and more in
8. .
DR. RAMVEER SHARMA
RAKTA PRADARA
Cause Aetiological Factors Probable pathogenesis
• fo#) ¼v”kukr~½
• e/;kk”kukr~
• vth.kkZr~~
•Unwholesome diet.
•Intake meal frequently
•Indigestion
May be a cause of
endocrinal disturbance or
increase pelvic congestion.
•lxHkZikrkr~ Abortion Incomplete abortion
•vfreSFkqukr~ p Excessive sexual act Raised pelvic congestion
•;ku v/o Travelling, Marching Raised pelvic congestion
•“kksdkr~ Mental disturbances Hypothalamic effects.
• vfr d’kZ.kkr Excessive emaciation Malnutritional changes
•Hkkj Weigh lifting Raised pelvic congestion
• vfHk?kkrkr~ Trauma e.p. Pelvic region
• “k;ukfn~nok p Day sleeping Hypothalamic effects.
9. (2) Ya ati artham sevate nari
Lavan Amla Gurooni cha,
Katu nyatha (Rasa) Vidhahini (Types of meal)
Snighani
Pishitani cha II Krishara Payasam Dhadhi I
Gram aoudakani - flash type
Madyani (Alcoholic agents)
Shuktam astu Suradini
Bhjantya kupitonila: II (Ch. Chi. 30) ?
DR. RAMVEER SHARMA
RAKTA PRADARA
10. vth.kZ vlkRE;fo’kefo#)kR;FkZ Hkkstukr~A yo.kkEydVq{kkjizkfDyUukUua p lsoukr~A
Dietetic factors – (Vitiating Pitta) ?
• Ajeerna (Meal after Meal)
• Asatmya (Non suitable)
• Vishama (Imbalanced) Aharaja (Dietetics)
• Viruddha (Non suitable ingrediances)
• Atyartha (Excess in quantity)
• Lavana (Salt), Amla (Sore) Katu (Pungent) Kshara (Alkali) -
Rasa.
• Praklinna annam cha sevanat II Quality of the diet
DR. RAMVEER SHARMA
RAKTA PRADARA
11. eu% “kjhj lUrkikr~ vLoIukfUuf”k fpUrukr~A izkIr osx izrh?kkrknizkIrksnhj.ksu pAA
Behavioral factors - (Vitiation of Vata) ?
• Mana: Shareer Santapat - Mental & Physical stress
• Aswapnat - Insomnia
• Nishi Chintanat - Stress during night time.
• Prapt vega pratighatat - Strain for stool & Urination.
• Aprapto deeranena cha II – Control the natural urges especially
Flatus, Stool and Urine.
DR. RAMVEER SHARMA
RAKTA PRADARA
12. ijekUu xqMd`ra d`”kjknf/keUnde~A vfHk’;UnhfuekalkfuxzkE;kukSndkfupAA
Dietetic recipes factors (Vitiation of Kapha) ?
•Parmanna - Heavy diet
•Guda kritam - Excessive sweets
•Krishara - Types of the diet.
•Dadhi - Curd
•Mandakam - Uncompleted curd.
• Abhishyandeeni -
• Masani Gramya Anoop Audakani cha II Types of flashes
• Bhuktwa Bhuktwa diva swapnat Day sleep after meal
DR. RAMVEER SHARMA
RAKTA PRADARA
13. • HkqDRok HkqDRokfnokLoIukr~e|L;kfrlsoukr~A vuk;klknfHk?kkrkr~ dzks/k”pkrad
n”kZukr~AA
• Madhyasy Ati Sevanat I Excess liquor intake - Pitta
Anayasat Lake of exercise - Kapha
Abhighatat Traumatic injuries - Vata
Krodha – Anger - Pitta
Atank darshanai: II Horror vision. - Vata.
Trilinga samyuktam vidyat Anekavastham Asrigdaram II
(Su. Sha.)
DR. RAMVEER SHARMA
RAKTA PRADARA
14. RAKTA PRADARA
Dietetic Causes (Aharaj)
Vidhi Rasa Guna Preparation Materials
Viruddhasshana Lavana Ati Guru Pishita Madyam
Adhyashana Amla Ati Snigdha Krishara Suradini
Ajjernashana Katu Vidahi Anna Payasam Sukta
Asatmya Kshara Abhishyandi Paramannam Gamya
Bhuktwa 2 diva swapna Gudakritam Anoop Mamsa
Oudaka Mamsa
Dadhi
Mandakam
DR. RAMVEER SHARMA
18. CAUSE and DOSHAS
(ii) Kaphaja :- Aharaja (Dietetic) –
Material - Praklinna anna, Paramanna, Gudakritam, Krishara,
Payasam, Dadhi, Mandakam, Pishitani cha.
Guna - Abhisyandeeni, Snigdhani
Anoop Mamsa.
Vyavaharaj (Behavioral) :- Shayanat diva cha,
Bhutwa Bhuktwa – Diwa Swapnat,
Anaayasat.
DR. RAMVEER SHARMA
RAKTA PRADARA
19. (iii)Vataja :- Vyavharaj (Behavioral) :-
• Sleep - Aswapnat, Nishi chintanat
• Vega - Prapta – Pratighatat
Aprapta – Udeernana cha.
• Abhighatat,
• Yana Adhwa Gamanat,
• Bhara vahanat
• Ati karshanat,
• Ati maithunat cha.
• Sa garbha Patat.
DR. RAMVEER SHARMA
RAKTA PRADARA
20. Common signs -
Asrigdaram bhaveta sarvam –
• Sa Angmarda – Bodyache
• Sa Vedanam II (Ma. Ni.) – Pain.
DR. RAMVEER SHARMA
RAKTA PRADARA
21. (i) Kaphaja :-
Amam - Mucoid in consistency
Sa piccha Pratimam - Membranous
Prapandu - Pale or white in colour
Pulak toyam - Watery and whitish in appearance
Pratimam Kafat tu I
• vkealfiPNk izfrea izik.Mq iqykd rks;a izfrea dQkŸkqAA ek-fu-AA
DR. RAMVEER SHARMA
RAKTA PRADARA
30. LAKSHANAS ACCORDING TO DOSAS
Vataja Pradara
Discharge Qsfuya
vYi vYia
Frothy
Scanty
Colour fda”kqdksnd ladk”ka
fif”krksndkHka
v#.k jäa
Like water of palas
Like water flash
Dull red
Associated
Symptom
osnuk rhoza
okrt osnuk
Colicky pain
Pains differents
General Feature dfVoa{k.kg`Rik”oZi`’BJksf.k’kq
osnuk
Pain in lumber, groin,
lateral, back and heart
DR. RAMVEER SHARMA
RAKTA PRADARA
31. LAKSHANAS ACCORDING TO DOSAS
PITTAJA
Discharge furkUr jäaa
Hk`”kosfx uhy gfjr “;ko
xksew= o.kZ
Fresh blood
Excessive bleeding
Colour uhy gfjr
“;ko xksew= o.kZ
Bluish, Greenish,
Smoky, Cow urine.
Associated
Symptom
Å’ek
Toj lefUore~
Raised temperature
With fever.
General Feature nkg r`’.kk eksg Hkze Burning, Thirst,
Shock, Vertigo.
RAKTA PRADARA
32. LAKSHANAS ACCORDING TO DOSAS
KAPHAJA
Discharge fifPNy Viscous
Colour xSfjdksnd ladk”ka Water of ferric oxide
Associated
Symptom
”khrya
“ys’eya
?kua
vYiosnuka
Cold (Not warm)
Mucoid
Semi liquid
Mild pain
General
Feature
NfnZ vjkspd
g`Yykl dkl “okl
Vomiting, Nausea,
Dyspepsia, Cough,
RAKTA PRADARA
33. Asrigdara
i. Comes within certain period
ii. Only through vagina
iii. Artava Lakshana yukta
iv. Certain duration
v. It may clots
vi. Like by insects
vii. Colour – As par Dosha
Raktapitta
i.Comes at any time
ii.Through anus & urethra also
iii.Typical smell
iv.For long duration
v. Not form clot
vi.Dislike by insects
vii.Colour-Neel, Peet,Harita etc.
Difference Between Asrigdara & Raktapitta
DR. RAMVEER SHARMA
RAKTA PRADARA
34. DIFFERENTIAL DIAGNOSIS
Disease History Examination P/V
& P/S
Investigation
(U.S.G. )
Incomplete
Abortion
Amenorrhoea
> 2 months
Uterus - Bulky
Os – Open, passing
conceptional Part
Presence of fetal
sac, conceptional
part
Hydatid
mole
Amenorrhoea
> 2 months
Bleeding with
passing of grape
like structure (seed
of fish)
No fetal part
seen except
mole.
DR. RAMVEER SHARMA
RAKTA PRADARA
35. DIFFERENTIAL DIAGNOSIS
Disease History Examination P/V
& P/S
Investigation
(U.S.G. )
Uterine
Fibroid
Progressive
Menorrhagia
Delayed
menopause
Uterus –
Hard,
Bulky
Presence of
mass present.
P C O D Menorrhagia,
Metrorrhagia,
DUB
TOM/ Not found Ovarian Mass
confirm
Polyp Menorrhagia/
intermittent
Some times
Protrudes through
Not detect
confirm by
RAKTA PRADARA
36. DIFFERENTIAL DIAGNOSIS
Disease History Examination
P/V & P/S
Investigation
(U.S.G. )
Cancer -
Cervix,
Uterus
Post coital bleeding /
Menorrhagia
Metrorrhagia
Touch on
bleeding
Not diagnosed
by USG, (Pap
smear, EB)
DUB Age – teen age,
Following - Abortion
Delivery,
Metrorrhagia or
Menorrhagia,
Nothing
Is detectible.
May be
Follicular cyst
DR. RAMVEER SHARMA
RAKTA PRADARA
38. ARISTA LAKSHANA
Continuous Fever
Not responding therapy = is a positive sign of premonitory
death.
Depend on dosas involve in disease ( Su. Su. 2/19)
Ex. blood loss (Vitiated Pitta) - Daha, Pralap, Panduta,
Daurbalya, Trisha. (Signof Dehydration)
• Dhatu Kshaya - result - Vitiation of Vayu -Vatic disorders like
Bhrama, Murchha, Mada,Tandra, Tama.
Dallhana Add – Tamo darshana, Swasa, Akshepaka.
Charaka – Shopha maybe due to blood loss & Anaemia.
RAKTA PRADARA
39. • Like as Yonivyapada ( Vatik, Paittik, Asrija, etc.- Cha. Chi.
30/227.
• Raktatisara,
• Raktarsha,
• Rakta pitta - jäfiŸkgjhfdz;ke~] jäfiŸk fo/kkusu~
(Su. Uta. 45/44, A.S. Sa. 1/12)
• Garbha Srava hara (A. S. U. 39/62)
LINE OF TREAMENT
DR. RAMVEER SHARMA
RAKTA PRADARA
40. Principle :-
• r#.;k & Young age patients.
• fgrlsfoU;k – with well hygienic condition.
• reYiks inzoa fHk’kd I have less complications.
• jäfiŸkfo/kkusu ;Fkkonqipkj;sr~Aalq-”kk-2@
• Should be manage as Rakta Piatta.
• L=h.kka Lusgkfn ;qäkfu prlzRokrZokfn’kqA
dq;kZRdYdkufipwa”pkfi iF;kU;kpeukfu pAA
LINE OF TREAMENT
DR. RAMVEER SHARMA
RAKTA PRADARA
41. TREATMENT :-
Causative – Nidanm parivarjanam” ,
Diagnosis,complications & prognosis.
Avoid -
Ahara –Pitta Prakopaka Aahara As mentioned in Nidana. –
All junk food, fast food, colas etc.
Vihara – Diva swapna, Ratri jagrana, Vegavrodha, excess
avoiding jerky vehicle, Work in hot environment, Atap sevan.
Aushadha (Medicinal) Rasayana therapy –Rasayana and other
medicine.
DR. RAMVEER SHARMA
RAKTA PRADARA