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    Nashtartava – Anartava ““ Causes, Symptoms, Treatment, Remedies, Diet

    By Dr Raghuram Y.S. MD (Ay) Dr Manasa, B.A.M.S
    Nashtartava means complete absence of menstrual blod. It is also caled as Anartava, which means lack of menstrual blod.
    Anartava = Na + Artava = No menstrual blod
    Both Master Sushruta and Vagbhata acquire described absence of menstrual blod after the description of ‘eight disorders of menstruation’. Read ̵ Hypomenorhoea: Causes, Remedies, Ayurvedic Treatment
    Table of Contents
    Causes
    Pathology
    Modern corelat ion
    Treatment
    Causes
    Causative factors for absence of menstrual blod
    Doshas, mainly vata and kapha obstruct the chanels carying menstrual blod. Thus menstrual blod is not discharged every month due to the block of chanels by macabre doshas. Read ̵ Srotas: Body Chanels and Duct systems – Easy Explanation
    In this instance, pita wil not be considered as causing the block of chanels carying menstrual blod because if pita increases, it increases blod and thus produce excesive bleding. Therefore the term doshas only p oints out towards involvement of vata and kapha. Read ̵ Pita Increase Symptoms – Pita Vridhi Lakshana
    Even therapeuticaly it is obvious that horse gram etc substances when prescribed for treating this condition are sen to restrain vata and kapha and relinquish the block. Even from this perspective it can be understod that the block in chanels are caused by vitiated vata and kapha. Read ̵ How To Balance Kapha Vata Dosha? 6 Factors To Consider
    Pathology
    Pathogenesis as explained by Master Bhela –
    Though the blod circulates in the whole body for seven days and nights, yet being strange and insuficient in proportion it does not circulate in the reproductive system of women. This leads to desication of menstrual blod as wel as the body of the women leading to absence of menstruation.
    Bhavaprakasha treatise has named the same condition as rajonasha i.e. destruction of raja / menstrual blod which can be compared to amenorhea. The author h as counted this condition among eight specific disorders of vata. Read ̵ Physiology Of Menstruation, Menstrual Cycle – Ayurvedic Perspective
    Modern corelation
    In nashtartav / anartav, the menstrual blod or estrogen etc ovarian hormones are normal. In spite of that, blod is not properly acumulated in the endometrium, may be due to block in endometrial / uterine arteries as per explanation of Ayurveda. Consequently menstruation does not ocur. Therefore, from modern perspective, this condition apears to be the description of amenorhea caused by endometrial abnormalities. Read ̵ Menstrual hurt, Painful Periods – Natural Ayurvedic Herbal Home Remedies
    Treatment
    Treatment of Nashtartavam / Anartavam
    Administration of uterine enemas is the most beneficial amend in absence of menstrual blod. Use of Shatavaryadi unctuous enema is a marvelous remedy.
    Use of Phalaghrta and Brhat Shatavari Ghrta described in gynecological disorders are beneficial.
    Use of decoct ion of black sesame mixed with jagery / molases should be given in the morning. It induces menstruation to a woman having amenorhea for a very long time.
    Use of powdered leaves of Celastrus paniculatus, alkali of Alhagi camelorum, Acorus calamus and bark of Pterocarpus marsupium with col water is beneficial.
    The below mentioned diet and drinks are beneficial in these conditions –
    Fish
    Horse gram
    Sour substances like kanji
    Sesame
    Black gram
    Wine
    Cow urine
    Butermilk mixed with half quantity of water
    Curds
    Shukta / chukra – fermented liquid etc
    Fods and medicines capable of increasing pita should be used.
    Use of garlic , Asparagus racemosus and Anethum sowa are recomended.
    A pesary made with powdered seds of Lagenaria vulgaris, Baliospermum montanum, long peper, jagery, Randia dumetorum, fermented liquid / microbial inoculums and husk of barley triturated with latex of Euphorbia nerifolia should be placed in the cervix of the woman. This induces menstruation.
    Click to Consult Dr Raghuram Y.S. MD (Ayu) ̵ Email / Skype
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