Clinical Aspect of Asrigdara - An Ayurvedic Review

Ayurveda is the science of life based on the principles of Panchamahabhuta and Tridosha. A balanced condition of Dosha, Agni, Dhatu, and Mala is considered health, while an imbalance in these entities results in disease. Therefore, diseases are attributed to imbalances in Doshas. Asrigdara, a condition characterized by excessive bleeding, is also a result of Dosha imbalance. There are four types of Asrigdara based on the predominance of Dosha: Vataj, Pittaj, Kaphaj, and Sannipataj. Since the types of Asrigdara have different aetiologies, the treatment protocols and principles also differ for each type. The treatment principle for Vataj Asrigdara will not be effective for Pittaj or Kaphaj Asrigdara, and vice versa. Therefore, accurate diagnosis and the application of the correct treatment principle are essential for curing Asrigdara. It is termed as AUB in the allopathic system of medicine, for which haemostatic agents, analgesics, and hormonal therapy are advised. However, these treatments are only symptomatic and have limitations. Different types of formulations are mentioned in the Ayurvedic classics for the management of Asrigdara, and these may not be equally effective for all types of Asrigdara. Only after evaluating the Rasa-Guna-Karma of the drugs present in each formulation and we have to select accordingly to achieve the desired result. This study aims to explore the clinical aspects of Asrigdara scientifically.