Dysmenorrhoea (Kashtartava): An Ayurvedic Perspective

Krichhartava, or painful menstruation (dysmenorrhea), is a common gynaecological problem seen in women. In Ayurveda, it is not described as a separate disease but as a symptom seen in conditions like Kukshishoola, Vatala Yoni, and Udavartini Yonivyapada. It is characterised by difficulty and pain during the flow of Artava (menstrual blood). According to Acharya Charaka, vitiation of Vata Dosha plays a major role in all gynaecological disorders. In dysmenorrhea, the pain mainly occurs due to aggravation of Vata Dosha, either alone or along with other Doshas. This aggravation of Vata is mainly caused by: #Increase in Apana Vayu #Obstruction in body channels (Margavarodha) Ayurveda explains the causative factors, pathogenesis, symptoms, and treatment of this condition. Overall, increased Vata Dosha in the body is considered the main factor responsible for the development of this disease.