Management of Rajonivritti (Menopause) Through Ayurvedic Regimen: A Clinical Study

  • Unique Paper ID: 183111
  • PageNo: 384-392
  • Abstract:
  • Background: Rajonivritti, or menopause, is a natural physiological transition marking the cessation of menstruation and reproductive ability in women, typically occurring between the ages of 45 and 55. While menopause is not a disease, it is often accompanied by a range of somatic and psychological symptoms including hot flashes, sleep disturbances, joint pain, vaginal dryness, fatigue, irritability, and mood fluctuations. In Ayurveda, this stage is considered part of Jara Avastha (aging) and is predominantly governed by Vata Dosha, with associated Dhatu Kshaya (tissue depletion). Modern medicine treats menopause primarily through Hormone Replacement Therapy (HRT), which, although effective, carries risks and potential side effects. Therefore, there is increasing interest in safe, holistic, and individualized alternatives—such as those offered by Ayurveda. Objective: To evaluate the efficacy of a comprehensive Ayurvedic regimen—including herbal medication, Panchakarma therapy, diet, and lifestyle modifications—in the management of Rajonivritti symptoms. Methods: This is a single-case observational clinical study involving a 50-year-old female patient presenting with classical menopausal symptoms. The treatment protocol consisted of Ashokarishta, Shatavari Churna, Dashamoola Kwatha, and Brahmi Vati as internal medications. Panchakarma therapies such as Abhyanga and Basti were administered alongside dietary and lifestyle recommendations based on Pathya-Apathya and Vata-Pitta pacifying principles. The patient was assessed using the Menopause Rating Scale (MRS) at baseline and after 90 days of treatment. Results: Significant symptomatic relief was observed in the domains of vasomotor symptoms (hot flashes, night sweats), sleep disturbances, joint pain, and psychological wellbeing. The patient’s MRS score reduced from 21 to 8, indicating a 61.9% improvement. Notably, no adverse effects were reported during or after treatment. Subjective feedback also reflected enhanced emotional stability, energy, and overall quality of life. The Ayurvedic regimen proved to be effective, well-tolerated, and sustainable for the management of menopausal symptoms. The study underscores the potential of Ayurveda in providing holistic care during Rajonivritti through personalized treatment strategies that focus on dosha balance, dhatu nourishment, and mind-body harmony. This case highlights the need for further research through larger, controlled clinical trials to validate these findings and promote integrative approaches in women's health care.

Copyright & License

Copyright © 2026 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

BibTeX

@article{183111,
        author = {Smita Zambare and Sweta Sham Potdar and Sameeksha Pal and Krishna Meher and Sudeshna Meher},
        title = {Management of Rajonivritti (Menopause) Through Ayurvedic Regimen: A Clinical Study},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {12},
        number = {3},
        pages = {384-392},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=183111},
        abstract = {Background: Rajonivritti, or menopause, is a natural physiological transition marking the cessation of menstruation and reproductive ability in women, typically occurring between the ages of 45 and 55. While menopause is not a disease, it is often accompanied by a range of somatic and psychological symptoms including hot flashes, sleep disturbances, joint pain, vaginal dryness, fatigue, irritability, and mood fluctuations. In Ayurveda, this stage is considered part of Jara Avastha (aging) and is predominantly governed by Vata Dosha, with associated Dhatu Kshaya (tissue depletion). Modern medicine treats menopause primarily through Hormone Replacement Therapy (HRT), which, although effective, carries risks and potential side effects. Therefore, there is increasing interest in safe, holistic, and individualized alternatives—such as those offered by Ayurveda. Objective: To evaluate the efficacy of a comprehensive Ayurvedic regimen—including herbal medication, Panchakarma therapy, diet, and lifestyle modifications—in the management of Rajonivritti symptoms. Methods: This is a single-case observational clinical study involving a 50-year-old female patient presenting with classical menopausal symptoms. The treatment protocol consisted of Ashokarishta, Shatavari Churna, Dashamoola Kwatha, and Brahmi Vati as internal medications. Panchakarma therapies such as Abhyanga and Basti were administered alongside dietary and lifestyle recommendations based on Pathya-Apathya and Vata-Pitta pacifying principles. The patient was assessed using the Menopause Rating Scale (MRS) at baseline and after 90 days of treatment. Results: Significant symptomatic relief was observed in the domains of vasomotor symptoms (hot flashes, night sweats), sleep disturbances, joint pain, and psychological wellbeing. The patient’s MRS score reduced from 21 to 8, indicating a 61.9% improvement. Notably, no adverse effects were reported during or after treatment. Subjective feedback also reflected enhanced emotional stability, energy, and overall quality of life. The Ayurvedic regimen proved to be effective, well-tolerated, and sustainable for the management of menopausal symptoms. The study underscores the potential of Ayurveda in providing holistic care during Rajonivritti through personalized treatment strategies that focus on dosha balance, dhatu nourishment, and mind-body harmony. This case highlights the need for further research through larger, controlled clinical trials to validate these findings and promote integrative approaches in women's health care.},
        keywords = {Rajonivritti, Menopause, Ayurveda, Clinical Case Study, Hot Flashes, Hormonal Balance},
        month = {July},
        }

Cite This Article

Zambare, S., & Potdar, S. S., & Pal, S., & Meher, K., & Meher, S. (2025). Management of Rajonivritti (Menopause) Through Ayurvedic Regimen: A Clinical Study. International Journal of Innovative Research in Technology (IJIRT), 12(3), 384–392.

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