Özet:

Primary dysmenorrhoea is the most common gynaecological disease in menstruating women. It is a symptom complex with cramping lower abdominal pain radiating to the back and legs often accompanied by gastro intestinal and neurological symptoms as well as general malaise. In conventional system of medicine there is no permanent cure for primary dysmenorrhoea. In order to find out a permanent remedy for preventing the recurrence of primary dysmenorrhoea and to evaluate the effect of virechana in reducing the symptoms of primary dysmenorrhoea, this particular study has been under taken. In Ayurveda gynaecological pathologies are explained under the heading of yonirogas. Clinical features of primary dysmenorrhoea are having similiarities with that of udavartha yoni roga. Apanavatavaigunya is the main causative factor for udavartha yoni roga. In the treatment principle of apanavatavaigunyasnigdhavirechana is indicated. An Interventional type of Quasi Experimental study that is before and after study without control was conducted in Govt Ayurveda College Panchakarma Hospital, Poojapura and Govt Ayurveda College Hospital Thiruvanathapuram. One group of thirty patients fulfilling the inclusion criteria and diagnostic criteria were recruited for the study. Intervention administered were rookshana with takra, snehapana with sukumaraghritha, sarvangaabhyanga and avagahasweda with vataharapatra and virechana was done using sukumaraerandamThaila followed by samsarjanakrama based on suddhi obtained after virechana. Subjective parameters were assessed before and after treatment for three consecutive cycles. Pain the major parameter was recorded as per visual analogue scale and associated symptoms using verbal descriptive scale. Pain and associated symptoms were reduced immediately after the treatment which showed treatment was effective in pacifying the disease. Moreover, in the consecutive follow ups symptoms got reduced remarkably which showed treatment had sustained and progressive effectiveness in reducing the symptoms of disease and on statistical evaluation p value was found to be highly significant. 

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