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Year : 2022  |  Volume : 6  |  Issue : 1  |  Page : 11-16

Management of secondary amenorrhea and PCOS by Vamana and Virechana - a case report

1 Department of Panchakarma, Sri Sri College of Ayurvedic Sciences, Bangalore, India
2 Department of Panchakarma, JSS Ayurveda Medical College, Mysore, India

Correspondence Address:
Dr. T Prarthana
Department of Panchakarma, Sri Sri College of Ayurvedic Science & Research Hospital, 21st Km, Kanakapura Main Road, Udayapura Post, Bangalore 560082, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jras.jras_37_21

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A 34-year-old female patient presented with a prolonged history of absence of menstruation and dyspareunia was clinically diagnosed as Artava Kshaya (amenorrhea). She was treated with Vamana Purva Snehapana (oral ingestion of fats) with Guggulutikta Ghrita and Aragvadha Mahatikta Ghrita followed by Vamana (emesis therapy) and Mahakalyanaka Ghrita Snehapana followed by Virechana (purgation therapy). On the 15th day after Shodhana and Samsarjana Karma (dietetic regimen after therapeutic purgation), the menstrual cycle appeared after ten years. The patient weight was reduced by 5 kg after the completion of therapeutic emesis and purgation. Symptomatic improvement was observed in concurrent symptoms such as dyspareunia and puffiness of the face. The patient was observed for the next two years without any therapeutic intervention, and she had regular menstrual cycles with moderate flow during that period. This case demonstrates the role of Vamana and Virechana in the management of Artava Kshaya.

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