Role of Krishna Mrittika Lepa as Sthanika Chikitsa in Management of Primary Dysmenorrhea W.S.R. Udavartini Yonivyapada

Sharma Swati, Kapil Soni
In: AYUSHDHARA · 2026 · pp. 363–367 · doi:10.47070/ayushdhara.v12i6.2375 · W7130835618
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This study reports that Krishna Mrittika Lepa applied topically to the lower abdomen for three menstrual cycles provided symptomatic relief for primary dysmenorrhea in a 20-year-old female patient.

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The paper studied the use of Krishna Mrittika Lepa as a form of Sthanika chikitsa for primary dysmenorrhea (mapped to Udavartini Yonivyapada due to aggravated Apana Vayu) in a 20-year-old female patient with 2 years of severe lower abdominal pain during menses, previously requiring analgesics. Using a case-based approach after baseline investigations, the patient received local treatment over three menstrual cycles. The key finding was that after completing the three cycles, she reported great symptomatic relief and did not use analgesics during the treatment course; however, the paper’s limitation is that it presents results from a single patient without a control group or long-term follow-up data. Relevance to endometriosis: the introduction distinguishes primary from secondary dysmenorrhea by noting that secondary dysmenorrhea is associated with conditions like endometriosis and adenomyosis, though the treatment report itself focuses on primary dysmenorrhea.

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Abstract

Dysmenorrhea is a common gynaecological disorder among women of reproductive age, often severe enough to disrupt daily activities and cause psychological distress. It is classified into primary dysmenorrhea, occurring without pelvic pathology, and secondary dysmenorrhea, associated with conditions like endometriosis or adenomyosis. In Ayurveda, it correlates with Udavartini Yonivyapada, caused by aggravated Apana Vayu, leading to painful, retrograde menstrual flow and necessitating appropriate therapeutic management. Material and Methods- A female patient, aged 20 years, reported to PTSR OPD of RAH Paprola, with the complaint of severe pain in her lower abdomen during menses for 2 years. She had to take analgesics to get some relief. After baseline investigations, her treatment was planned accordingly. Results- Patient underwent 3 cycles of Sthanika chikitsa with Krishna Mrittika. After completion of 3 cycles, it was found that the patient got great symptomatic relief in primary dysmenorrhea. She did not take any analgesics throughout the course of her treatment. Conclusion- After completion of the treatment course of the patient, she was re-evaluated and it was found that Krishna Mrittika Lepa over lower abdomen during menses turned out to be a highly economical as well as effective in primary dysmenorrhea.
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Role of Krishna Mrittika Lepa as Sthanika Chikitsa in Management of Primary Dysmenorrhea W.S.R. Udavartini Yonivyapada DOI: https://doi.org/10.47070/ayushdhara.v12i6.2375Keywords: Apana Vayu, Dysmenorrhea, Krishna Mrittika Lepa, Painful menses, Sthanika Chikitsa, Udavartini YonivyapadaAbstract Dysmenorrhea is a common gynaecological disorder among women of reproductive age, often severe enough to disrupt daily activities and cause psychological distress. It is classified into primary dysmenorrhea, occurring without pelvic pathology, and secondary dysmenorrhea, associated with conditions like endometriosis or adenomyosis. In Ayurveda, it correlates with Udavartini Yonivyapada, caused by aggravated Apana Vayu, leading to painful, retrograde menstrual flow and necessitating appropriate therapeutic management. Material and Methods- A female patient, aged 20 years, reported to PTSR OPD of RAH Paprola, with the complaint of severe pain in her lower abdomen during menses for 2 years. She had to take analgesics to get some relief. After baseline investigations, her treatment was planned accordingly. Results- Patient underwent 3 cycles of Sthanika chikitsa with Krishna Mrittika. After completion of 3 cycles, it was found that the patient got great symptomatic relief in primary dysmenorrhea. She did not take any analgesics throughout the course of her treatment. Conclusion- After completion of the treatment course of the patient, she was re-evaluated and it was found that Krishna Mrittika Lepa over lower abdomen during menses turned out to be a highly economical as well as effective in primary dysmenorrhea. Downloads Downloads Published Issue Section License Copyright (c) 2026 AYUSHDHARA This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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endometriosisadenomyosisdysmenorrhea

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