Traditional Ayurveda Non-Pharmacological Management of Primary Dysmenorrhea: The Clinical Impact of Rajaswala Paricharya

Abstract

Introduction:

Kashtartava refers to menstrual disorders, including primary and secondary dysmenorrhea. Among these, primary dysmenorrhea is characterized by painful menstruation without any underlying pathology. In contemporary society, factors such as stress, improper diet (Mithyaahara), unhealthy lifestyle habits (Vihara), overexertion, and nutritional deficiencies contribute to menstrual irregularities. Ayurveda views menstruation as a physiological and self-purifying process influenced by the balance of Doshas. To maintain this balance, Ayurveda prescribes Rajaswalacharya, a structured regimen that includes dietary, behavioral, and lifestyle guidelines for menstruating women. Adopting Rajaswalacharya can help alleviate menstrual discomfort and promote overall reproductive health.

Methods:

A 27-year-old nulligravida female presented with complaints of painful menstruation since menarche. She was counseled to follow Rajaswalacharya for four consecutive menstrual cycles, including dietary modifications, restricted physical activities, and adherence to Ayurveda lifestyle practices.

Results:

Following the implementation of Rajaswalacharya, the patient experienced a marked reduction in dysmenorrhea. Pain intensity and discomfort during menstruation significantly decreased, leading to an overall improvement in her quality of life.

Discussion & Conclusion:

This case highlights the potential benefits of Rajaswalacharya in managing primary dysmenorrhea. Encouraging adherence to Ayurveda menstrual practices can help women regulate their reproductive health naturally. Integrating traditional wisdom with modern healthcare approaches can empower women with holistic well-being. Greater awareness and acceptance of Rajaswalacharya can contribute to better menstrual health management and improved lifestyle choices.