Abstract:
Menorrhagia or Kasrat e Tams is excessive or prolonged menstrual bleeding
at regular intervals. It is a symptom and not in itself a disease, which
significantly impacts women's quality of life. While multiple treatments exist,
some cases remain unresponsive, necessitating alternative approaches. This
case study evaluates the clinical effect of specific Unani formulations in
managing chronic menorrhagia unresponsive to previous treatments. A 29
year-old nulliparous woman residing in Australia had experienced heavy
menstrual bleeding for five years. She underwent both Ayurveda and
allopathic treatments for nine months but no relief was obtained. Upon
returning to Sri Lanka, she sought care at the National Ayurveda Teaching
Hospital, Borella, where she was admitted from April 6 to April 28, 2025, for
Unani treatment. Clinical examination revealed pallor; ultrasonography
indicated an increased endometrial thickness of 20–21 mm without other
pelvic pathologies. The patient received oral Unani formulations: Qurs-e
Kehruba one tablet morning and evening, Qurse kustae faulad two tablets
morning and evening, Safoof-e-Habis-ud-Dam 5gm morning and evening,
powder of Haleela, baleela and Amla 5gm morning and evening and Majoon
e- Dabeed-ul-Ward 5gm morning and evening. Additionally, daily sitz baths
with Post-e-Anar, Roasted Alum and Mazu Sabz decoctions and powder of
Imly paste on lower abdomen for one month were administered. After
continued one-month treatment, pallor resolved, and the patient reported
normal menstrual flow. This case highlights the potential of Unani
formulations in managing chronic menorrhagia resistant to other treatments.
As this is a single case report, findings cannot be generalized; further
controlled studies are justified.
