Evaluation of Comparative Efficacy of Hingwadi Tail Matrabasti Versus Mefenamic Acid In The Management of Kashtartava Primary Spasmodic Dysmenorrhea

Abstract

Abstract: - newlineAn Ayurvedic terms, Kashtartava is closely related to Sashoola artavapravritti, which translates to quotpainful menstruationquot or quotonset of menstruation with pain. newlineKashtartava (painful menstruation) may occur due to the non-adherence to proper ritucharya (seasonal regimen) and rajasvalacharya (menstrual regimen), which regulated a woman s health and menstrual cycle. The vitiation of vata (Apanavata) is the primary causative element responsible for Kashtartava. Vatadosha can become vitiated, either alone or in conjunction with other doshas, causing pain. Basti is the suggested treatment for vitiated apanavata. The drug Hingwadi tail was given via anal route in matrabasti form which act as apanavatanulomana, vatahar, shoolaprashamankar. newlineAims: Evaluation of of hingwadi tail matrabasti in the management of Kshtartava (Primary spasmodic dysmenorrhoea). newlineObjectives: newlineTo study the efficacy of Hingwadi tail matrabasti in the parameters of kashtartava (primary spasmodic dysmenorrhoea), To study the efficacy of Mefenamic acid in the parameters of kashtartava (primary spasmodic dysmenorrhoea), To compare the efficacy of Hingwadi tail matrabasti and Mefenamic acid in the management of kashtartava (primary spasmodic dysmenorrhoea) newlineMethodology: In present comparative clinical trial, 1 68 patients of Kshtartava (Primary spasmodic dysmenorrhoea) was divided into 2 groups ( 84 in each). Group C Control Group was newlinetreated with Mefenamic acid and Group I Interventional Group was treated with newlineHingwadi tail Matra basti for 7 days in each menstrual cycle up to 3 menstrual cycles . newlineAssessments w as recorded on 5 th day of menstruation . newlineResults: newlineOutcome of the study evaluated on objective and subjective parameter. newlineConclusion: Objective criterias I.e. Abdominal pain, waist-hip pain, low backache all showed clinically and statistically significant improvement in both interventional and control group, but Hingwadi tail matrabasti showed superior results by more than 25% on all parameters than Mefenamic acid. newlineBoth the groups showed si