Abstract

The one who bears garbha is called stri, Stri is compared to mother earth as both have the quality of forbearance and procreation. Ayurveda describes four factors essential for garbhdharan (conception), shuddha artava is one of them. Shuddha artava is devoid of pain, burning sensation and any type of discomfort. In Ayurveda classics, kashtartava is not described as a separate disease because women were not suffering much from this problem in that era due to adequate ritucharya and rajasvalacharya. Kashtartava is considered as a symptom of vataja aartavdushti and various yoni vyapada i.e., Vatala yonivyapad, Udavarta yonivyapad, Antarmukhi yonivyapad. Acharya Charaka has mentioned that Yoniroga can’t occur without vitiation of Vata. Again, pain is the main feature of Kashtartava, so it has strong relation with Vata, normal Anuloma Gati of Apana Vayu changes to Pratiloma Gati and this vitiated Vata obstructs the normal functioning of Raja and Raja comes out with great difficulty with severe Shoola. Presented here a case report of girl aged 18 years with Chief complaint of painful menses suffering from primary dysmenorrhea more than 3 cycles with scanty bleeding (1-2 pads/day) presented on OPD of PRASUTI TANTRA AND STRI ROGA department of Govt. Ayurvedic PG College and Hospital Varanasi. After her consent, “Hingwadi taila matra basti” 30 ml for 7 days was given along with oral medication for consecutive 3 cycles. As a result, her menstrual cycle became regular without any complaint. In this case study concept of Kashtartava and treatment course along with mode of action of drugs is mentioned.