ROLE OF BASTI IN ASRUGDARA W.S.R. TO DYSFUNCTIONAL UTERINE BLEEDING (DUB)

Background: Āsrugdāra, as described in Ayurveda, manifests as excessive or irregular uterine bleeding, akin to Dysfunctional Uterine Bleeding (DUB) in modern gynecology. The etiopathogenesis involves primarily the vitiation of Vāta and Pitta doṣas. Objective: To evaluate the role and therapeutic efficacy of Basti Chikitsā in the management of Āsrugdāra, with reference to DUB. Methods: Conceptual analysis based on Ayurvedic texts, supplemented by recent clinical studies, focusing on the application of Nirūha and Ānuvāsana Basti in regulating Apāna Vāta and stabilizing the menstrual cycle. Results: Basti therapy, particularly with formulations containing Dashamoola, Lodhra, and Shatavari, offers significant relief in bleeding duration, frequency, and associated symptoms like pain and fatigue, while restoring hormonal and doshic balance. Conclusion: Basti proves to be a highly effective intervention in chronic or resistant cases of Āsrugdāra/DUB, warranting its integration into routine Ayurvedic gynecological protocols.