EFFECT OF UNANI FORMULATIONS IN MENORRHAGIA – A CASE STUDY

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.