Integrative Role of Udumbara Nasya and Bolabaddha Rasa in Asrigdara: A Case Series

Asrigdara, a gynecological disorder characterized by excessive or prolonged uterine bleeding, significantly affects women’s health and quality of life. Classical Ayurvedic texts describe various treatment modalities to manage this condition, emphasizing the use of both local and systemic interventions. This case series explores the integrative role of Udumbara Nasya and Bolabaddha Rasa in the management of Asrigdara. Udumbara Nasya, administered through the nasal route, is described in Ayurveda as effective in pacifying Pitta and Rakta vitiation, thereby providing hemostatic and stabilizing effects. Bolabaddha Rasa, a herbo-mineral formulation, has been traditionally indicated for bleeding disorders due to its astringent and strengthening properties. A series of patients presenting with symptoms of Asrigdara were managed using this combined therapeutic approach. Clinical observations demonstrated marked improvement in bleeding patterns, reduction in associated symptoms, and overall better patient outcomes without adverse effects. These findings suggest that an integrative regimen of Udumbara Nasya and Bolabaddha Rasa may offer a safe and effective therapeutic strategy for managing Asrigdara, warranting further systematic clinical evaluation.v