Insert title here

HTML Full Text

Review Article

Year: 2023 |Volume: 4 | Issue: 08 |Pages: 01-06


About Author

Kardile A.1

1Department of Stree-Roga and Prasuti-Tantra. Siddhakala Ayurved Mahavidyalaya, Sangamner.

Correspondence Address:

Vd. Asmita K. Kardile (P.G Scholar) Department of Stree-Roga and Prasuti-Tantra, Siddhakala Ayurved Mahavidyalaya, Sangamner. Email: Contact No. 7720046622

Date of Acceptance: 2023-08-08

Date of Publication:2023-09-11


Source of Support: Nill

Conflict of Interest: None declared

How To Cite This Article: Kardile A. An Ayurvedic Review on Udavartini Yoni-Vyapad. Int J Ind Med 2023;4(8):01-06 DOI:


Reproduction is one of the noblest and should be the most groveling of all human powers. Menstruation is differentiating factor in women’s life from men. Stree-Rogas generally concerned with patho-physiology related to organs in Shroni and Stana. In case of female these parts are related to important milestones in women’s life i.e., menarche, menstrual cycle, conception, delivery, lactations, menopause, etc. The problem related to menstruation affects the health of women causing various disorders disturbing women’s day to day life activities. Rajpravrutti is regulated by Vata (Apana Vayu) hence it plays a key role in Dharan and Nishkraman of Raja. Yoni of women does not get affected without Vata. Dysmenorrhoea (Udavarta Yonivyapad) is characterized by severe pelvic pain occurring before or during the menstruation. The sign & symptoms of Udavarta Yonivyapada resembles with Primary Dysmenorrhoea. Primary dysmenorrhoea has no organic cause, starts usually during teenage years which cause significant discomfort and anxiety. An overall 75% of women develop primary dysmenorrhoea of them 15% may have severe symptoms. Secondary dysmenorrhoea usually arises in later reproductive age & usually is the result of pelvic pathology. The etiological mechanisms of the disease include a subtle imbalance of estrogen and progesterone and hormonal therapy is used for this imbalance which is not a permanent cure and on long term even may cause any side effects. Even though Dysmenorrhoea is not a serious ailment but it interrupts patient's personal, economic and social life and also it may lead into many complications. So, its promising treatment without any side effects is needed in the present scenario.

Keywords: Udavartini, Yonivyapad, Vata Dosha, Dysmenorrhea.


Women’s health is very important because it is very basis for a good family life. The derivation of the word “stree” itself denotes that the family begins with her. The disorders that affect her in the reproductive age have their impact on her reproductive life and also her family. Dysmenorrhea is one of the most common and incapacitating conditions in women’s life, which affect their normal day to day activities. According to classics, the word yoni has different meaning in different context i.e., vulva, vagina, uterus or collectively female reproductive organ. So, the ailments or Vyapad occurring in these parts are called as the Yonivyapad. [1] Without the association of Vata Dosha, Yoni Rogas will not occur. Acharyas specifically mentioned that, in the management of any Yoni Roga, Vata Dosha has to be treated initially. The condition characterised with pain and difficulty in expulsion of menstrual blood, is typically a characteristic of Dushta Vata which can cause Vataja Yonivyapad known as Udavartini Yonivyapad. It is specifically mentioned that “RAJA KRUCHREN MUNCHATI” is the typical symptom of Udavartini Yonivyapad. Basti is the most appropriate treatment modality for Vata Dushti. Dysmenorrhea literally means painful menstruation. It can be broadly classified into two types- primary and secondary dysmenorrhea. Primary dysmenorrhea is defined as painful menstrual cramps from the uterine origin, which is directly linked to menstruation without any visible pelvic pathology. It often begins with the menarche, especially after ovulation for 6 months to one year. The pain is usually felt a day before menstruation or over the first one or two days of menstruation. The pain is characterised by colicky nature and usually located in the mid line of the lower abdomen. But it may also be described as dull and may extend to the lower quadrants, lumbar area and the thighs.

Aim and objective- Detailed review on Udavartini Yonivyapad as Vyadhi

Material & method: References regarding Udavartini Yonivyapad and its Chikitsa were collected from Bruhatrayi, Laghutrayi Modern textbooks and Research articles and analysed them.

Need for the study: Menstrual pain of primary dysmenorrhea is mostly encountered in gynaecological practice. Typically starts within a year of the first menstrual period. When there is no underlying cause, often the pain improves with age or following having a child. [2]

Review of Literature: According to Ayurveda, the clinical entity characterized by pain, difficult expulsion of menstrual blood due to upward movement of rajas (menstrual blood) propelled by vitiated Vata. The upward movement is called as Udavrittam. [3-5] One of the Vimshati Yonivyapads told by all Acharyas. Vata is described as the causative Dosha of Udavartini Yonivyapad by all the Acharyas. This term Udavartini Yonivyapad is given by Acharya Charak. All other Acharyas gave different terms as Udavarta, Udavrutta.


The act of going up.In Udavarta, Vata moves in upward and circular direction.

Derivation of Udavartini Yoni-Vyapad : The word Udavarta is derived from the root Uda Vartan means to ‘go upward’ as per Shabdakalpadruma,

Udavaritini – Charaka, Udavrutta – Vagbhata 

Udavarta- Sushruta, Madhavnidana, Bhavprakasha,Yogratnakara

Doshadhikya: Vataja [6]

Defination: [7]: Acharya Charak says that due to movement of flatus etc. natural urges in reverse direction, the aggravated Vayu moving in reverse direction fills the yoni. This yoni seized with pain, initially throws or pushes the raja upwards then discharges it with great difficulty. The woman feels relief immediately following discharge of menstrual blood. Since in this condition the raja moves upward or in reverse direction, hence it is termed as Udavaritini.[8]



Hetu of Udaratini Yonivyapad [9,10,11]





Pravriddha linga

Dushta bhojana

Pradushta Aartava

Beej Dosha

Purusha atisevana by Ruksh durbal stree or Bala

Vishmang shayana Brish maithuna

Daivata or Devine Factor


Dushta Aartava

Introduction of Apdravya into yoni

Rupa of Udavartini Yonivyapad

Saphenil Raj krucchren vimunchyati (According to Aacharya Sushrut)

- Aartve sa vimukte tu tatkshanam labhate sukham (by Aacharya Charak)

- Kapha Sansrishta Aartav (Yogratnakar)

- Baddha Aartav (Ashtang-Sangrahakar)

Samprapti [12]: Apan Vayu is responsible for menstruation and naturally it is having Adho-Gati. But in some women due to Vatprakopaka Aahara Vihara, Vegavarodha causes excessive Vata Prakopa. Because of the Hetu-Sevana and Vegdharana, Vata is vitiated and Vigunta is seen in the Gati of Vata which moves the aggravated Vayu (Apana Vayu) in reverse direction and fills the Yoni. The Yoni seized with pain, initially throws or pushes the Raja upwards, then discharges it with great difficulty.

  • Doshas - Vata, Apana Vata
  • Dushya - Rasa, Rakta, Mamsa, Artava
  • Agni - Jatharagni. Dhatvagni mandya
  • Strotas - Rasa, Rakta, Artava vaha srotas
  • Srotodushti - Vimarga Gamana
  • Roga marga - Abhyantara
  • Udbhava sthana - Amapakvashaya
  • Sanchara sthana - Sarva shareera
  • Vyaktasthana – Yoni




Madhav Nidana




-Artava Vimuktesukham






- Krichhrartava

- Phenilata


- Badhha Artava

- krichhrartava


-Kaphanivam artava


Upadrava: No specific but if the yoni is vitiated with doshas then updrava like Shoola, Stambha, Vandhyatva, Arsha, Pradara, Artava dosha may occur.

Sadhya-Sadhyatva: Yonivyapad occuring due to vitiation of single Dosha is Sadhya according to Acharya Sushrut. So Udavartini Yonivyapad occurring due to Vata vitiation is Sadhya.

Chikitsa: [13]

a. Nidan Parivarjana

b. Vatshamaka, Shoolaghna Chikitsa: All the disorders of Yonivyapada do not occur without vitiation of Vata. So first of all, Vata should be normalized, only then treatment of other Doshas should be done. According to Aacharya Charak oleation with Trivrutta Sneha (Ghrita, oil or fat), sudation (Swedana), Use of meat soup of Gramya, Anupa and Audaka animals, Basti of milk medicated with Dashmoola and its oral use, Anuvasana basti and Uttarbasti with Trivrutta Sneha should be done. According to Ashtanga Sangraha use of meat soup of aquatic animals, sudation with milk, oral use or use in the form of Anuvasana and Uttarbasti of Sneha medicated with decoction and paste of Dashmoola and Trivritta is beneficial.

c. Margavrodha Nashaka Chikitsa:

- Snehana, Swedana, Shodhana

- Basti

d. Dhatukshaya Chikitsa:     

- Siddha Kshirpaka

- Dhatuvruddhikara Chikitsa

Specific treatment: Rajah Pravartini Vati [14], Kaseesadi Vati, Dasha Moola Trivrit Taila [15] for oral and Basti. Vata is responsible for all Yoni Rogas especially of Udaavartini. In Ayurveda various treatment modalities are mentioned for the treatment of Vata Rogas. Among them Basti is the better treatment modality for Vata. [16]. Basti is of two types based on the drug taken. Niruha or Kashaya Basti in which decoction is taken, Anuvasana or Sneha Basti in which oil is taken as main drug. Matra Basti is a sub-type of Anuvasana Basti.

Yogasana [17]

Yoga Asanas helpful during menstrual cycle

? Swastikasana

? Virasana

? Padmasana

? Gomukhasana

? Paschimothasana

? Badha-konasana

? Janu sirasana - recommended to perform the asana without coming forward, keeping the back spine concave. This pose is calming. Lower abdominal and pelvic compression aids cramps.

? Trikonasana

? Ardhachandrasana

? Supported Setubandhasana - pose is calming, relieves menstrual discomfort Supta vajrasana, Matsyasana

? Shavasana

? Pranayama: Ujjayi and Viloma pranayama

Pathya [18]


- Shali rice and barley   

- Lohbhasma with honey         

- Diet having milk        

- Regularly use ginger food preparation


- Yogasana

- Vajrasana, Matyasana, Marjarasana Pranayama

– Anuloma

– viloma, Bhramari                                                      



- Hot, spicy, salty, oily food

- Alcohol

-Reduce caffeine intake


- Fast running, excessive talking, laughing

- Sleeping during day

- Coitus during menstrual period      

- Use of Nasya, Svedana, Vamana     

These Pathya-Apathya like Asanas relax the muscles and nerves which are under constant stress, strain and irritation soothes the abdomen. these asanas help those who suffer from headache, backache, abdominal cramps and fatigue. At present time, the families are undergoing rapid changes due to increase urbanization and modernization. In IT sectors and basically in all working fields the women go through job stress, working load, inappropriate dietary habits, sleeping time etc. In today’s sedentary life, women have to play multiple role which causes adverse effects on women physical and mental health including menstrual disorders, loss of appetite, insomnia etc. Therefore, to tackle these challenges, Ayurvedic classics describes “Rajswala Paricharya”. It helps women to adapt the physiological changes taking place in the body during menstruation


Charak has explained that due to forceful Dharana of Adharniya Vega like urine, stool, etc. this leads to Apana Vayu gets Urdhva-Gati so the Raja which has to move in downward direction moves in upward direction so there is painful Raja Nirgaman and the pain get immediately subsides after Rajastrava. So as the raja moves in upward direction this Vikara is named as Udavartini. Sushruta says that besides painful and frothy menstruation there are other symptoms such as Angamarda, Daurbalya etc. Indu-Tika has mentioned clotted blood discharge. Yogratnakar has mentioned that frothy menstrual discharge with pain associated with Kapha Dosha. Both Vagbhat followed Charak. Bhavprakash and Madhavnidankar has followed Sushruta.[19] Dysmenorrhea painful menstruation but more realistic and practical definition is painful menstruation of sufficient magnitude so as to incapacitate day to day activities. [20] Frequently associated symptoms include nausea, vomiting, diarrhoea, fatigue, head ache, dizziness. Sometimes, syncope and fever can also be seen. Primary dysmenorrhea decreases with increasing age. Prevalence is highest in the age group of 20-24 years and decreases progressively thereafter.

The identified risk factor for dysmenorrhoea includes teenage, heavy menstrual flow, nulliparity, smoking, attempts to lose weight, upper socio-economic status, physical inactivity, disruption of social networks, depression and anxiety etc. In secondary dysmenorrhoea the pain classically proceeds with the start of the period by several days and may last throughout the period. It is an indication of a separate disease. So, it requires a different diagnosis and treatment other than analgesics by which the underlying disorder will get treated and eventually reduce the pain.


Ayurveda being a holistic medicine offers potential remedies which are proved beyond doubt in solving the problem successfully. Udavartini Yonivyapad which has been described in our ancient Ayurveda matches all the symptoms of dysmenorrhea.

As the Acharya has mentioned pain during menstruation which get immediately relived after menstrual blood discharge resembles with spasmodic dysmenorrhea. Basti is the best treatment for Vata Vyadhi and hence for dysmenorrhoea also.


  1. Aacharya vidhyadhar Shukla, Ravidatta Tripathiv vd. Vijay kale, Charak Samhita part 2, Chaukhambha Sanskrit pratishtan delhi, 1st Edition, 2014, page no- 739,742,744.
  3. Surutha samhitha uttara tantra. (38th chapter), 9,10th sloka, telugu translation by Vavilla Rama Shastry & Sons, India.
  4. Astanga sangraha uttara tantra. (37th chapter), 36th sloka, telugu translation by Vavilla Rama Shastry & Sons, India.
  5. Charaka samhitha chikitsa stana. (30th Chapter), Yoni Vyapad Chikitsa, 24-26th sloka, Cakradatta Tika, India.
  6. Bramhanand Tripathi. Charaka Samhita. Part II. Chikitsa sthana. Varanasi: Chaukhamba Surbharati Prakashana; 2002:197.
  7. Tripathi R. Charak Samhita Part II, Chikitsa Sthana 30/25-26, Varanasi: Chaukhamba Surbharati Prakashana;2003:757
  8. Madhava Nidana, Madhukosha vaakya. (62nd chapter), 2nd sloka, telugu translation by Vavilla Rama Shastry & Sons, India
  9. Tripathi R. Charak Samhita Part II, Chikitsa Sthana 30/8, Varanasi: Chaukhamba Surbharati Prakashana;2003:754
  10. Atrideva Gupta. Astanga Samgraha. Sharira Sthana. Varanasi: Oriental Publishers; 2002:331.
  11. Tripathi B. Ashtanga Hridayam Uttartantra 33/27, Varanasi: Chaukhamba Sanskrit Prakashan;2022: p.g. 1128.
  12. V.N.K. Usha. Streeroga Vijnan. Vol. II. Delhi: Chaukhamba Sanskrit Pratishthan; 2011:198.
  13. Charaka samhitha chikitsa sthana (30th chapter) yoni vyapad chikitsa, 47-49, 61-63,110-111th sloka, Telugu translation by Vavilla Rama Shastry & sons, India.
  14. Kanjiv L Bhaishajya Ratnavali. (3vol), (67thChapter), yoni vyapad chikitsa, 58-60th sloka, India.
  15. Ashtanga sangraha Uttara tantra. (39th chapter), Guhya Roga Pratisheda, 46th sloka, India.
  16. Charaka samhitha sutra sthana. (4th chapter), shadvirechana shatasratheeyam,
  17. Telugu translation by Vavilla Rama Shastry & sons, India.
  18. Bhagyashri et al., Dysmenorrhoea (Kashtarvata) – A Conceptual study, World Journal of Pharmaceutical Research. 2017;6(5): 511- 512.
  19. Tewari Premvati. Ayurveda prasuti-tantra evam stri-roga, Part II. 2nd ed. Varanasi: Chaukhamba Orientalia, 1996. p. 34.
  20. Padubidri VG, Shirish N. Daftarey, editors. Howkins and Bourne Shaw’s Textbook of Gynaecology. 12th ed. New Delhi: B. I.Churchill Livingstone Pvt. Ltd., 1999. p. 227.

Insert title here