1

LAKSHANA

It is condition in which painful menstruation occurs.
Symptoms
- Severe cramping Pain during menstruation nausea and vommng.
- Diarrhea or constipation.
- Headache.
- Hypersensitivity to sound, light, smell and touch.  

2

PRIMARY/SECONDARY

PRIMARY KASTARTAVA
Age -Generally after 6 10 months of onset of menarche with establishment of ovulatory cycle. Peak at 18-24 years, decreases with childbirth & advancing age.
Nature of pain -Cramp like pain
Location of pain -Main site is hypogastrium, low back radiating towards inner and front aspect of
thighs.
Relation of pain -Usually precedes the How and tends to subside as the How becomes free.
Parity-  Usually encountered in nullipara often disappears with pregnancy.
General symptoms- Nausea. vomiting. diarrhoea. bladder tenesmus. feverish, tiled, etc.
Pelvic finding- Uterus is normal. No pelvic lesion found, but hypoplasia, acute anteflexion & cervical stenosis are uncommon. 

SECONDARY KASTARTAVA
Age-Appears in the late twenties and thirties, progressively.
Nature of pain -Usually dull steady, bearing down sensation.
Location of pain -Lower abdomen sometimes unilateral.
Relation of pain- Begins before or at the onset of bleeding. May persist throughout How and even beyond.
Parity-  Encountered in both nullipara & multipara not relieved by pregnancy.
General symptoms-Usually absent.
Pelvic finding -Pelvic lesion is found with pelvic tenderness. 

3

LABORATORY

USG to rule out any growth of uterus. (Spasmodic / Congestive dysmenorrhea).

4

PRICIPAL OF CHIKITSA 

Snehana, Snigdha Virechana, Vatanulomana, Vatahara, uterine tonics.
Treatment
Shamana
Pittaja-Shatavari, sootashekhara, chandrakala ras, avipattikara chuma.
Kaphaja-Pushyanuga chuma, chandraprabhavati, hingu vachadi taila.
Vataja-Rasayana, chandraprabha vati, Sukumara Ghrita, hingu Vachadi taila.
Local treatment-Douchc with panchavalkal kwath is more effective in all three doshik variations.

1. Snehana-Sukumara Ghrita

2. Abhyanga-Karpuradi taila + Prasarini taila

3. Bashpa Sveda

4. Virechana-Gandharvahastadi Taila 50ml with Shunthi kashaya 30ml Garbhashayagata Uttara basti with Dashamula Taila 5ml

5. Yoni Pichu-Dashamula taila

6. Shamana Sneha Sukumara Ghrita-10-20ml with warm water  

1. Dashmoolarishta/Ashokarishta + Kumaryasava -20ml (Adhobhakta 3 times with water)

2. Tab. Rajapravrtini Vati -2Tab  (Adhobhakta 2 times with honey)

3. Sukumara Ghrita-15ml (Saman sneha kala 2 times with Warm water)

DIET AND LIFESTYLE

Pathya(DO):

Light diet, papaya, white pumpkin, rest.

Apathya(DON’T):

Spicy, hot foods, exercise, stress. 

Recommended Classical Formulations

Rajapravartini vati-2 tab. thrice a day

Hingvadi Vati-500mg TID

Chandraprabha vati-500mg TID

Sukumam Ghrita-10-20ml BD

Hingu Vachadi taila-2-5ml BD

Kumaryasava-20ml thrice a day with water

Maharasnadi Kashaya--10ml TID

Devadarvyadi kashaya-10ml TID

Shatapushpa Kalpa

Tila Rasayana

Proprietary Formulations

Tab. aloes compound (Alarsin)-1-2 TID

Tab. Leptaden (Alarsin)-1-2 TID

Tab. femiforte (Charaka)-1-2 TID

Tab. M2 tone (Charaka)-1-2 TID