A review on management of Udavarta Yonivyapad w. s. r. to primary Dysmenorrhea
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Abstract
Udavarta Yonivyapad described in Ayurvedic classics, is a gynaecological disorder characterized by the upward movement of Vata leading to pain, suppression of natural urges, and menstrual irregularities. It shows significant resemblance to Primary Dysmenorrhea, a common gynaecological condition in adolescent and young women, marked by painful menstruation without any underlying pelvic pathology. Despite modern pharmacological interventions, the recurrence and side effects of NSAID’s make the Ayurvedic approach highly relevant in offering a holistic and sustainable management strategy. This review aims to explore the pathophysiology, correlation, and comprehensive Ayurvedic management of Udavarta Yonivyapad in the context of Primary Dysmenorrhea, emphasizing classical and contemporary perspectives. Material Methods: A critical analysis of classical Ayurvedic texts such as Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya was undertaken to understand the Aetiology and treatment of Udavarta Yonivyapad. Modern literature was reviewed to understand the pathology and treatment options for Primary Dysmenorrhea. The comparative study enabled the correlation of both conditions and helped outline Ayurvedic management strategies including Shodhana (purificatory therapies), Shamana (palliative treatment), dietary regulations, lifestyle modifications, and the use of specific herbs like Hingu, Trivrutta Dashamool etc. Conclusion: The Ayurvedic approach provides a multifaceted management plan targeting the root cause vitiated Apana Vata. Therapies such as Abhyanga, Swedana, Basti, and internal medication with Vata-anulomana and Shoolaprashamana dravyas show promising results in reducing the severity and recurrence of dysmenorrhea symptoms. Additionally, lifestyle and dietary modifications play a pivotal role in long-term relief.
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