Changes

=== Observation (darshana) ===

=== Observation (darshana) ===

On examining the patient, the general health status should be the prime concern. In case of clinical conditions like scanty bleeding or amenorrhea, the patient may be emaciated(krusha) and there may be discoloration of skin (vaivarnya) or pallor which is mentioned as the clinical features of a disorder of reproductive tract namely “arajaska yoni vyapad” [Cha.Sa. Chikitsa Sthana 30/17]. The same presentation is found in heavy menstrual bleeding also.

On examining the patient, the general health status should be the prime concern. In case of clinical conditions like scanty bleeding or amenorrhea, the patient may be emaciated(krusha) and there may be discoloration of skin (vaivarnya) or pallor which is mentioned as the clinical features of a disorder of reproductive tract namely “arajaska yoni vyapad” [Cha.Sa. [[Chikitsa Sthana]] 30/17]. The same presentation is found in heavy menstrual bleeding also.

In case of primary amenorrhoea, development of secondary sexual characters should be noted. For example, the breast development is absent or less in conditions called “ shushka revati”[Ka. Sa. Kalpa Sthana 6/31] and “shandhi yoni vyapad”. [Cha.Sa. Chikitsa Sthana 30/35]

In case of primary amenorrhoea, development of secondary sexual characters should be noted. For example, the breast development is absent or less in conditions called “ shushka revati”[Ka. Sa. Kalpa Sthana 6/31] and “shandhi yoni vyapad”. [Cha.Sa.[[Chikitsa Sthana]] 30/35]

The features like obesity, enlargement of thyroid gland, excessive androgenic hair growth, etc. which give a clue regarding the metabolic and endocrinal disorders like poly cystic ovary syndrome(PCOS), thyroid dysfunction, hyperprolactinemia etc. leading to menstrual irregularities also should be observed.  

The features like obesity, enlargement of thyroid gland, excessive androgenic hair growth, etc. which give a clue regarding the metabolic and endocrinal disorders like poly cystic ovary syndrome(PCOS), thyroid dysfunction, hyperprolactinemia etc. leading to menstrual irregularities also should be observed.  

The color index for normal menstrual blood (artava) is available in the text books of Ayurveda.  It is mentioned as different shades of red having resemblance with the followings.

The color index for normal menstrual blood (artava) is available in the text books of Ayurveda.  It is mentioned as different shades of red having resemblance with the followings.

*the color of fruit of Abrusprecatorius(gunja)[Cha. Sa. Chikitsa Sthana 30/226]

*the color of fruit of Abrusprecatorius(gunja)[Cha. Sa. [[Chikitsa Sthana]] 30/226]

*the color of red lotus flower[Cha. Sa. Chikitsa Sthana 30/ 226]

*the color of red lotus flower[Cha. Sa. [[Chikitsa Sthana]] 30/ 226]

*the color of an insect called red velvet mite(indragopa)[Cha. Sa. Chikitsa Sthana 30/226]

*the color of an insect called red velvet mite(indragopa)[Cha. Sa. [[Chikitsa Sthana]] 30/226]

*the color of blood of rabbit[Su. Sa. ShariraSthana 2/ 17 ]

*the color of blood of rabbit[Su. Sa. Sharira Sthana 2/ 17 ]

*the color of solution Laccifer lacca(laksha rasa)[Su. Sa. Sharira Sthana 2/17]

*the color of solution Laccifer lacca(laksha rasa)[Su. Sa. Sharira Sthana 2/17]