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Asrigdara, or excessive menstrual bleeding, is a significant gynecological disorder discussed extensively in classical Ayurvedic texts. Defined as excessive or prolonged menstrual blood loss, with or without intermenstrual bleeding, it is primarily linked to the vitiation of Pitta, Rakta, and Apana Vayu. The condition is commonly classified into four types: Vataja, Pittaja, Kaphaja, and Sannipataja, each associated with distinct etiological factors, clinical features, and pathological mechanisms. The etiology of Asrigdara includes improper dietary habits, excessive physical exertion, emotional stress, and trauma. Classical texts emphasize the role of vitiated doshas and Rakta in the pathogenesis of the disease, leading to symptoms such as fatigue, dizziness, and profuse bleeding. The management of Asrigdara involves a combination of internal and external treatments, including the use of Rakta-Sthapana (haemostatic) herbs, Panchakarma therapies like Virechana (purgation) and Basti (medicated enema), and dietetic adjustments. Additionally, specific formulations and therapeutic interventions, such as Kwathas, Churnas, and Ksheer Prayoga, are prescribed to address the underlying dosha imbalances and restore normal menstrual flow. This review aims to provide an in-depth understanding of Asrigdara as presented in the classical Ayurvedic texts, elucidating its etiology, pathogenesis, clinical manifestations, and treatment strategies for practitioners and researchers.

Keywords: Asrigdara, Menstrual bleeding, Ayurveda, Pitta, Rakta, Doshas, Pathogenesis, Treatment, Virechana, Basti, Rakta-Sthapana.