Management of Kashtartava through Nagaradi Kashaya: A Case Study

Kashtartava (Primary Dysmenorrhea) is a common gynaecological disorder characterised by painful menstruation without any pelvic pathology. In Ayurveda, it is mainly caused by aggravated Apana Vayu leading to painful and obstructed menstrual flow. Conventional treatments such as analgesics and hormonal therapy often provide temporary relief and may produce adverse effects on long-term use. Hence, there is a need for safe and holistic Ayurvedic management. The classical formulation mentioned in the verse "तस्य नागरपिप्पिल्यौ मुस्ताधन्वयवासकम्। बृहत्यौ काटला चैव क्वाथः सगुडको दधि ।।" (Ha.sa.chi-48/15,16) contains drugs like Nagara, Pippali, Musta, Dhanvayasa, Brihati, Kantakari and Patala, which possess Deepana, Pachana, Vata-Kaphahara, Shoolahara, Vedanasthapana, and Srotoshodhaka properties. These ingredients help correct Agnimandya, pacify aggravated Vata, improve circulation, and relieve menstrual pain. Their anti-inflammatory, analgesic, antispasmodic, and uterine regulatory actions further support their effectiveness in Primary Dysmenorrhea. Administered in the Kwatha form with Guda and Dadhi, the formulation may enhance therapeutic efficacy and bioavailability. Thus, this classical Ayurvedic formulation offers a promising and holistic approach in the management of Kashtartava by addressing the root pathology rather than merely suppressing symptoms.