MANAGEMENT OF KASHTARTAVA WITH SPECIAL REFERENCE TO UDAVARTA YONIVYAPADA- A CONCEPTUAL STUDY

Kashtartava (dysmenorrhoea)has a huge impact on day to day activities of a female and may cause inability to get out of the bed.In ayurveda,this disease can be coreelated with udavartayonivyapad.Its foremost symptom is severe pain during and/or before initiation of menstrual cycle.Basically the causative factor is disbalanced Apanavata in the body.Acharya Charak says that due to movement of flatus etc. natural urges in reverse direction,the aggravated vayu moving in reverse direction fills yoni(uterus).This yoni seized with pain,initially throws or pushes the raja(menstrual blood) upwards,then discharges it out of body with great difficulty.The female feels relief immediately following discharge of menstrual blood.Since in this condition,the raja moves upwards or in reverse direction, hence it is termed as –“Udavartini”.It can be placed under a type of vata jyonivyapad.Its management basically includes vata pacifying medications and therapies (vata anulomak dravyas)such as ushna,guru and snigdha Aushadhis.