detailed description on few menopausal symptoms and their effective management using various Ayurvedic preventive and curative measures

1. By:
Dr. P.Jyothi
P.G.Scholar,
Kaya Chikitsa department,
Dr.BRKR Govt.Ayurvedic Medical College,
Hyderabad.

2. Introduction:
 In woman’s life Menopause is a naturally
occurring phenomenon. It is the period
(typically between the ages of 45 and 50)
when menstruation ceases.
Menopause happens because the woman's
ovaries stop producing the hormones
estrogens and progesterone
This episode of every woman’s life seems
to be a bit troublesome to go with because of
increasing incidence of many health aliments
involved like:

3.  Hot flushes or night sweats
 Trouble sleeping/ Insomnia
 Joint and Muscle aches and pains/
weakened bones
 Fatigue
 Depression
 Palpitations (Heart Racing)
 Vaginal dryness
 Mood swings
 Irritation
 Trouble focusing
 Loss of Libido
 Less hair on head, more on face etc.

4.  But now with the help of evolving Ayurvedic
treatment modalities and preventive measures
this entire painful scenario of menopausal
syndrome can be changed in to a blissful
episode of Women’s life.
 In Ayurvedic Classics, Menopause condition is
termed as “Rajonivrutti” and various beneficiary
measures used in treating Rajonivrutti
anubandha Vyãdhies (menopausal
syndromes/Symptoms) are very beautifully
mentioned.
 Hence an attempt of presenting Various Clinical
trials carried out on few menopausal Symptoms
and their concerned Ayurvedic preventive and
curative measures with obtained results is
initiated.

5. Aims and Objectives:
 To Prove the Efficacy of Various Ayurvedic formulations in the
Management of Menopausal Syndrome
 To understand the Sustained curative effect of Ayurvedic drugs
in treating Menopausal Symptoms

6. Materials & Methods:
Source of data: 9 Patients attending OPD and IPD of Kayachikitsa
Department of Dr. BRKR Govt Ayurvedic Hospital, Hyderabad and those
fulfilling required inclusive and Exclusive criteria were selected for
study.
Inclusive criteria:
 Patients presenting with the one or more Menopausal symptoms
 Patients were selected between the age group of 40-60 years.
Exclusive criteria:
 Patients below the age of 40 years and above the age of 60 years.
 Patients suffering from Diabetes Mellitus, Hyper -parathyroidism,
Paget’s disease, Thyrotoxicosis, Cushing’s syndrome, Endocrinal
disorders and other serious systemic diseases were excluded.

7. Parameters of Study: Only subjective parameters like Hot flushes,
Insomnia, Palpitations, Mood Swings, Depression, Muscle and Joint
aches etc were selected for study.
Plan of study:
9 known cases of menopausal syndrome were selected for the study
after properly diagnosed.
 Out of 9 patients 4 Patients c/o Hot flushes, Mood swings and
Insomnia . Each patient was treated with
1. Satavaryadi Ghrita
dose- 10ml, Twice a day, With milk, After food
2. Sankha Pushpi Syrup
dose- 10ml, Twice a day, With water/milk, After food

8. 3. Brahmi Vati
dose- 1 tablet, Twice a day, With water/ milk
After food
Also advised Siro pichu with Brahmi Taila, Abhyanga
with Tila taila and pranaayama
Treatment duration- Continuous period of 3 months
Review - for every 10days.

9.  Out of 9 patients, 2 patients c/o Palpitations. Each Patient was
treated with
1. Arjuna Ksheera Paaka
dose - 15ml,Twice a day, After food
2. Ashwagandha churna
dose – 5gm, Twice a day, with milk, After food
Treatment duration – 3 months
Review – for every 10 days

10.  Out of 9 patients 3 Patients c/o Both knee joints pain and
Restricted movements of Lower limbs. Each patient was treated
with
1. Kukkutanda tvak bhasma
dose- 250 to 375mg, Twice a day, with milk/Honey,
After food
2. Pravãla Panchaamrita Ras
dose- 1 tablet, Twice a day, With honey/milk, After food
 Also advised Balaashwagandha taila Abhyanga and Anuvaasana
Vasti (in selected patients only)
Treatment duration - Continuous period of 4 months
Review - For every 10 days

11. Result Assessment:
 Results were assessed based on changes observed in subjective
parameters before and after the treatment
 Grading scale designed on Subjective Parameters of selected
Menopausal symptoms is used for result assessment purpose

12. Parameter Grade 0 Grade 1 Grade 2 Grade 3 Grade 4
Grading Hot flushes scale No flushes for subjective Occasional very
parameters:
mild hot flushes
Intermittent mild hot
flushes, once in 10-
15 days
Frequent hot
flushes
Severe hot flushes
daily
Mood Swings Normal/Pleas
ant mood
Very mild
mood
swings
Occasional
mood
swings
without
irritation
Frequent
mood
swings with
irritation
Continuous
Irritation/
aggressive/
depressed mood
Insomnia Normal sleep Occasionally
Mild
disturbance
in night
sleep with
duration of
6-7 hrs
frequently
disturbed
night sleep
with4-5 hrs
of duration
Disturbed
sleep with
only 2-3 hrs
of night
sleep
Complete
disturbed night
sleep
Palpitations No
palpitations
Occasionally
and very
mild
palpitations
heard
Palpitations
only with
severe
exertion
Severe
Palpitations
even with
mild exertion
Severe palpitations
even on rest
Knee joint
pain
Free
movements
of both knee
joints
without pain
Very mild
knee joint
pains which
occurs
occasionally
and can walk
freely
without
support
Moderate
knee joint
pain and can
walk freely
with support
Moderate
bearable
Knee joint
pains with
swelling
Severe unbearable
knee joint pain
associated with
swelling and
restricted
movements

13. Observations:
 The following are the observations of the study.
 Since it is a kind of pilot study conducted on different
menopausal symptoms, a total number of 9 patients only were
selected.
 Out of 4 patients c/o Hot flushes, Mood Swings and Insomnia
 2 patients showed 100% symptomatic relief i.e. Grade4 to Grade1
 1 patient showed 75% symptomatic relief i.e. Grade 4 to Grade 2
 1 patient showed 50 % symptomatic relief i.e. Grade 4 to Grade 3

14.  Out of 2 patients c/o Palpitations
 1 patient showed 75% symptomatic relief i.e. Grade 4 to Grade 1
 1 patient showed 50 % symptomatic relief i.e. Grade 4 to Grade 2
 Out of 3 patients c/o Both knee joints pain and Restricted
movements of Lower limbs
 1 patient showed 75% symptomatic relief i.e. Grade 3 to Grade 0
 2 patients showed 50% symptomatic relief i.e. Grade4 to Grade 2

15. Representation of Observed results in tabular form
Parameter No. of Patients Before treatment After treatment % of Improvement
Hot flushes, 4 2 Severe hot flushes No flushes 100%
1 Severe Hot flushes Occasional very mild
hot flushes
75%
1 Severe Hot flushes Intermittent hot
flushes once in
10days
50%
Mood Swings 4 2 Severe irritation and
intolerance
Normal or pleasant
mood
100%
1 Severe Aggressive
mood
Very mild mood
swings
75%
1 Continuous
depression
Occasional mild
depression
50%
Insomnia 4 2 Complete disturbed
night sleep
Normal sleep 100%
1 Complete disturbed
night sleep
Mild disturbance
with 6-7 hrs of night
sleep
75%
1 Complete disturbed
night sleep
Frequently being
disturbed with only 4
hrs of night sleep
50%

16. Parameter No. of Patients Before treatment After Treatment % of improvement
Palpitations 2 1 Severe Palpitations
even on rest
Occasionally
very mild
palpitations heard
75%
1 Severe Palpitations
even on rest
Palpitations on
severe exertion
50%
Knee joint Pains
And restricted
movements of both
lower limbs
3 1 Moderate bearable
knee joint pains with
swelling
No pain and no
swelling of both
knee joints
75%
2 Severe unbearable
knee joints pain with
swelling and
restricted
movements
Occasional knee
joint pains and can
walk freely with
support
50%

17. Overall Results:
 Marked improvement - >75% to 100% improvement
 Good improvement - >50%to <75% improvement
 Moderate improvement - >25% to <50% improvement
 Poor improvement - <25% improvement
 Overall result of this clinical case studies on different
Menopausal Syndrome is assessed to be as “Good
Improvement”

18. Conclusion:
 Thus it can be concluded that with the help
of various Ayurvedic drugs/formulations and
preventive measures, now every women can
lead her menopausal life in a blissful way.
 An attempt of presenting this clinical study
on menopausal syndrome is made
expecting it to be beneficiary for Ayurvedic
research scholars and hence providing
further scope to carry out even more
research on this aspect.

19. Thank you