Udavartini is a Vataja yonivyapad, where vitiated apana vata along with raja moves in upward direction (Urdhwagamana) thereby causing pain during menstruation. It can be correlated to primary dysmenorrhea- characterized by painful menstruation of sufficient magnitude so as to incapacitate day-to-day activities. Pain is attributed to myometrial contractions due to increased levels of prostaglandins. Dysmenorrhea is the most common gynecological conditions regardless of age and race. Primary dysmenorrhea is widely prevalent; more than 50% of teenagers and 30-50% of menstruating women suffers from varying degrees of discomfort. Severe incapacitating type affects 5-15% of the population. And is responsible for the highest incidence of absenteeism, resulting in loss of work hours and economic loss. Modern interpretation in dysmenorrhea includes use of Non addictive analgesics, anti-inflammatory drugs and oral contraceptives. Mefenamic acid and Dicyclomine - an analgesic, antispasmodic respectively, relieves abdominal pain but has adverse effects like- diarrhea, epigastric distress, skin rashes, dizziness, blurred vision, constipation, palpitation. Without Vata there cannot be pain, and Artava nishkramana is one of the functions of Apana vata and Udavartini occurs due to pratiloma gati of Apana vata so, the intervention which corrects the vikruta vata is always beneficial in vataja yonivyapad. Hence, Basti- the best therapeutic procedure to alleviate vata dosha, which is considered as Ardhachikitsa adopted in present study in the form of Matra basti (a form of Snehabasti), helps in pacifying vata dosha (Vataroganut) i.e., it regularizes the gati of apana vata. Eranda is Anilanashana, Eranda taila is Yonishodhaka, Adhobhaga doshahara, Shoolaghna by its property, altogether help in relieving painful menstruation, effective in Udavartini yonivyapad (primary dysmenorrhea).
Udavartini, Primary Dysmenorrhea, Matrabasti, Eranda taila
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