ASRIGDARA definition, types, cause, chikitsa etc

1. ASRIGDARA
PRESENTED BY
Dr. Komal Jadhav
PG Scholar, Dept. Of Agadatantra
KAHER’s Shri B M Kankanawadi Ayurveda
Mahavidyalaya Shahapur, Belagavi.
06-09-2021
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TOPIC : DIAGNOSIS AND MANAGEMT OF ASRIGDARA

2. INTRODUCTION
oDescription is available in VEDA and PURANA.
oAcharya Charaka considered under Raktapradoshaja vikar.
oAcharya Sushruta considered under pitta samyukta Apana and in Rakta
pradoshaja vyadhi.
oAstanga sangraha Asrigdara= pradhara.
oAstanga Hrudaya mentioned the raktajayoni.
oAsrigdara is a gynecological disease manifestation as combination of
excessive bleeding per veginum, backache, pain in lower abdomen and
weakness.
oMenorrhagia – Excessive bleeding per veginum in amount and duration both.
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3. NIRUKTI
• Asrik - rakta/raja
• Dara- excessive flow / continuous
• Excess flow of raja.
• The terms used in various samhitas
• Asrigdara – Acharya charaka and Sushruta
• Pradara – Acharya charaka
• Rakta Pradara - Sharan Gadara
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4. PARIBHASHA
‘प्रदीर्यते इतत तिस्तारितो भितत’ इतत प्रदिः, ‘असृग् दीर्यते र्स्मितितत
असृग्दि’ CHA CHI 30/209 TIKA
Acharya charaka due to pradirana of raja is known as Pradara.
According to chakrapani tika- Dhirana of asrika.
When normal menstrual pattern is altered in reference of duration,
amount, color and cycle the condition is called as Arthav dusti.
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5. NIDANA
Acharya Charaka – Lavana, amla, Katu, vidhahi, dadhi, mastu
Acharya Sushruta and Astanga Hrudaya – pittavrita ApanaVayu
Astanga sangraha – rakta ativridhdhi
Madhava nidana, bhava Prakash and yoga Ratnakar –Virudhdha bhojana,
garbaprapata, mandagni, Abhigata, Shoka etc
Kashyap a samhita - pittavrita ApanaVayu and rakta ativridhdhi
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6. SAMPRAPTI
Nidana Sevan
Vitiation of vata (Apana)
Rakta vrudhdhi in garbhashaya
Rajo vrudhdhi
Rakta srava
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7. SAMANYA LAXAN
तदेिाततप्रसङ्ग
े न प्रिृत्तमनृतािति |
असृग्दिं तिजानीर्ादतोऽन्यद्रक्तलक्षणात् || - Su. sha 2/18
 ऋतािततप्रसङ्ग
े नेतत अततप्राचुर्ेण दीर्यकालानुबन्धेन िा ||
- Su. sha. 2/18 Dalhana
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8. CLASSIFICATION
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VATAJA PITTAJA KAPHAJA SANNIPATAJA
ETIOLOGY Rukshya dravya Amla, Lavana,
kshara, usna
Guru dravya Sarva Hetu
DISCHARGE Frothy, watery Bluish
yellow/blackish
Sticky, thick, white Foul smell, slimy,
yellowish
SYMPTOMS Pain in low back,
pelvis, chest regions
Thirst, fever, burning
sensation
Vamiting, nausea
Mild pain
Sarva laxana
COMPLICATION Vataja yoni vyapat,
pandu
Asrja yoni vyapad,
pandu, raktarbud,
Upapluta yoni vyapat Vataja roga
TREATMENT Anuvasan basti with
bala tail, Uttara basti
with pancha valkal
kashay, gruta-
nagakesar, shunti,
bola parpati, loha
parpati
Uttara basti with
pancha valkal kashay/
spatika jala, ashok,
mocharasa, pravala,
Chandrakala,
ushirasava,
sarivadyasava
Uttara basti with
pancha valkal kashay,
lodra, Shubhra
basma, shankha
internally
ACC to dosha dusti,
raktapitta, raktarsha,
guhyarogavat chikitsa

9. UPADRAVA
असृग्दिो भिेत् सियः साङ्गमदयः सिेदनः |
तस्याततिृत्तौ दौबयल्यं भ्रमो मूर्च्ाय तमस्तृषा ||
दाहः प्रलािः िाण्डुत्वं तन्द्रा िोगाश्च िातजाः |
-Su.Sha2/19-20
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10. • MENORRHAGIA- unaltered menstrual cycle and duration, with increase in
the quantity of menstrual loss.
• CAUSES- purpura, leukemia, severe anemia, under nutrition, PID, IUCD,
polyp etc
• SYMPTOMS – Anemia, passing clots, weakness
• INVESTIGATION – To exclude other causes.
• DIAGNOSIS- When other causes excluded and uterus and ovaries remain
normal, based on clinical features DUB is diagnosed.
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11. CONCLUSION
When we asses the etiology in ayurveda and in modern science one and the
same.
Diagnosed by different names and adapt treatment according the samprapti.
Treatment modality differs but cause and the pathology becomes the one.
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