EFFECT OF SHAMANA SNEHA IN THE MANAGEMENT OF ASṚGDARA (ABNORMAL UTERINE BLEEDING): A CASE STUDY

Asṛgdara, also known as Raktapradara, is a gynecological disorder characterized by excessive and/or prolonged menstrual bleeding. In modern medicine, it is correlated with menorrhagia, defined as cyclic bleeding at normal intervals with excessive volume (>80 ml) or prolonged duration (>7 days), or both. It adversely impacts the physical, social, and psychological well-being of women. The prevalence of abnormal uterine bleeding (AUB) in India is estimated at 17.9%. In Ayurveda, Asṛgdara is primarily caused by vitiated Pitta and Vata doṣa, where Pittaja prakopa leads to excessive bleeding, and Vata contributes to irregularity and pain. This case study evaluates the role of Shamana Sneha (Yasthimadhu Ghṛta) along with supportive therapy in the management of Asṛgdara. A 28-year-old female presented with complaints of excessive and prolonged per-vaginal bleeding, foul-smelling discharge, and associated pain. After 20 days of treatment, significant improvement was observed in duration, amount of bleeding, pain, and overall quality of life. The results indicate that shamana Sneha is effective in controlling excessive bleeding, correcting the doṣic imbalance, and preventing recurrence.