Kashtartava is the symptom mention in various Yonivyapadas . Vata being the main causative factor for this condition as painful menstruation. It is commonly compaired with Dysmenorrhea of modern science and commonest of all gynecological complaints the menstrual blood flow is mainly under the control of Apana vayu vitiated Vata dosha the main causative factor of Kashtartava.

    All the four factor Rutu ( Fertile period ) Kshetra ( female genital organ or whole body),Ambu(ahar rasa),Beeja(sperm and ovum)are affected by the Kashtartava. the process of Rajpravartana is affected by age,occupation,social staus ,nutrition,the work place and mode of working ,heavy and stressed working schedules eg.factory workers, IT sectors ,professions needs to maintain high physique like armed forces,defence

   Women suffer from many disturbances naturally which commonly go unnoticed, among which menstrual pain stands most important. Every month majority of women experience various symptoms attributed to their menstrual cycle. Dysmenorrhea being the most common among them .

   Pain is body’s most important alarm symptom. It draws attention to the fact, that should be noticed and bring patient for consultation. Total absence of pain or having mild pain do not make patient that much conscious to visit hospital. However uncontrolled pain is the single most common reason for people seek medical advice.

   Conventional treatment of dysmenorrhea consist of Non-Steroidal Anti Inflammatory Drugs,hormonal therapy,which causes side effects. Ayurvedic herbo-mineral ,non hormonal ,nontoxic preparations are proved effective in dysmenorrhea.

   The drug Ajmoda churna mentioned in Dhanvantari Nighantu effective in the Management of Kashtartava.