Asrigdara is defined as excessive or prolonged blood loss during menstruation with or without bleeding during the intermenstrual period. Due to similarity in manifestations, it can be correlated with Abnormal Uterine Bleeding (AUB).In the present developing era, clinical practice shows a rising trend in AUB cases, and approximately one-third of women experience AUB at some point in their lives. In Ayurvedic therapeutics, Shamana Chikitsa is recommended following Shodhana to maintain dosha samata and prevent recurrence. Apanavrita Pitta is a major causative factor for Asrigdara, and Virechana helps pacify Apana Vayu and Pitta.However, classical Virechana requires 10–15 days for the proper completion of Purva Karma, Pradhana Karma, and Paschat Karma. In today’s busy schedule, this duration is often difficult to manage. To overcome this limitation and to provide quicker Pitta-shamana, Sadyovirechana is advocated. —a simplified and immediate Shodhana Karma—can be adopted. Trivrit Avleha, being a Mridu Rechak Dravya, is ideal for Sadyovirechana due to its Pittahara, Raktashodhaka, and Shothahara properties, facilitating Dosha Nirharana and providing symptomatic relief in Asrigdara.
Dr. Anchal1*, Dr. Reshal2, Dr. Harpreet3, Dr. Janardhan Mishra4 (Fri,) studied this question.