Excessive and irregular menstrual bleeding remains one of the most common gynecological concerns affecting women of reproductive age. Known as Raktapradara in Ayurveda and often correlated with Dysfunctional Uterine Bleeding (DUB) in modern medicine, the condition can significantly impact a woman’s physical health, emotional well-being, and quality of life. In an effort to identify effective and holistic treatment options, Dr. Arshpreet Kaur, Professor in the Department of Prasuti Tantra and Stri Roga at Guru Nanak Ayurvedic Medical College and Research Institute, Ludhiana, conducted a clinical study evaluating the efficacy of Khandakushmandavaleha in the management of Raktapradara.
The study was driven by the growing need for safer alternatives to conventional therapies. Modern treatment methods, including hormonal medications, antifibrinolytic agents, and surgical procedures such as hysterectomy, often present challenges due to side effects, high costs, and long-term implications. Ayurveda, with its emphasis on restoring balance and addressing the root cause of disease, offers promising therapeutic possibilities for women suffering from menstrual disorders.
To assess the effectiveness of the Ayurvedic formulation, 30 female patients aged between 20 and 40 years were selected and divided into two groups. The trial group received Khandakushmandavaleha at a dose of 10 grams twice daily with warm milk, while the control group was treated with Pradarantaka Rasa along with lukewarm water. Both groups were observed over three consecutive menstrual cycles, with periodic follow-ups and detailed clinical assessments.
The evaluation focused on several key parameters, including duration of menstrual flow, amount of blood loss, menstrual cycle interval, consistency of menstrual blood, abdominal pain, backache, and hemoglobin levels. Laboratory investigations and ultrasonography were also performed to rule out underlying systemic or organic causes.
The findings revealed that most participants belonged to the reproductive age group of 30–40 years, with a majority being married women. Psychological stress emerged as a common contributing factor, highlighting the relationship between emotional well-being and menstrual health. Socioeconomic factors, nutritional status, and lifestyle patterns also appeared to influence the prevalence and severity of the condition.
Results from the study demonstrated that Khandakushmandavaleha produced significant improvements in several symptoms associated with Raktapradara. Patients receiving the formulation experienced reductions in excessive bleeding, improved menstrual regularity, relief from abdominal pain and backache, and improvements in hemoglobin levels. Statistical analysis confirmed meaningful changes between pre-treatment and post-treatment observations.
By the completion of the third follow-up, 53.33 percent of patients in the trial group showed moderate improvement, while 26.66 percent experienced marked improvement. Although the control group demonstrated comparatively higher outcomes, the trial drug showed substantial therapeutic value and delivered encouraging results without significant adverse effects.
According to Ayurvedic principles, the effectiveness of Khandakushmandavaleha can be attributed to its unique combination of ingredients. The primary component, Kushmanda (Benincasa hispida), is traditionally recognized for its hemostatic, rejuvenating, nourishing, and Pitta-balancing properties. Supporting ingredients such as Pippali, Shunthi, Jiraka, Dhanyaka, Ela, Twak, honey, and Go Ghrita contribute digestive, anti-inflammatory, antioxidant, and restorative benefits that help regulate bodily functions and support reproductive health.
Dr. Kaur’s study highlights the growing relevance of evidence-based Ayurvedic interventions in women’s healthcare. The research concludes that Khandakushmandavaleha is a promising therapeutic option for managing Raktapradara and reducing symptoms associated with excessive menstrual bleeding. While the findings are encouraging, she recommends larger-scale clinical studies with longer follow-up periods to further establish its efficacy and therapeutic potential.
Through this research, Dr. Arshpreet Kaur contributes valuable insights to the field of Ayurvedic gynecology, reinforcing the role of traditional medicine in addressing contemporary health challenges and advancing integrative approaches to women’s wellness.
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