ROLE OF SAṄGRAHAṆA AND STAMBHANA IN ĀSṚGDĀRA CIKITSĀ: A CLASSICAL AND CLINICAL PERSPECTIVE

Āsṛgdāra (आसृग्दार) is a well-described gynecological disorder in Ayurveda, defined by excessive and/or prolonged uterine bleeding. The word derives from “āsṛk” (blood) and “dāra” (excessive flow). Suśruta mentions it as a pittaja yonivyādhi (Su.Ut.38/10), while Aṣṭāṅga Hṛdaya (Ut.23/25) describes it as excess or prolonged pravṛtti of artava. Mādhava Nidāna includes Āsṛgdāra under the broader heading of Pradara. Modern correlation includes Dysfunctional Uterine Bleeding (DUB), menorrhagia, and abnormal uterine bleeding. Epidemiologically, abnormal uterine bleeding affects 10–30% of reproductive-age women, leading to anemia, weakness, and compromised quality of life. Ayurveda offers a unique, individualized approach to its management through balancing doṣa–dhātu–srotas with chikitsā strategies such as Saṅgrahaṇa (retention, containment) and Stambhana (hemostasis).