A Critical Review Of Rajonivriti Awastha And Menopausal Syndrome In Ayurveda
DOI:
https://doi.org/10.63682/jns.v14i2.10321Keywords:
Rajonivriti, Menopause, Vata Dosha, Dhatukshaya, Jara Awastha, Menopausal Syndrome.Abstract
Rajonivriti Awastha is a natural physiological stage in a woman’s life where menstrual cycle gradually stops due to age-related decline in reproductive function. In modern science, this condition is understood as menopause, usually associated with hormonal changes and symptoms such as hot flushes, mood changes, sleep disturbance, vaginal dryness, fatigue, joint pain, weight gain, and psychological instability. In Ayurveda, Rajonivriti is not described as a disease, but as a natural stage of life occurring mainly due to Jara Awastha, Dhatukshaya, predominance of Vata Dosha, and gradual decline of Artava. The symptoms seen during menopause can be understood through imbalance of Vata Dosha, associated involvement of Pitta Dosha, depletion of Rasa Dhatu, Rakta Dhatu, Meda Dhatu, Asthi Dhatu, and disturbance of Manas. Proper understanding of Rajonivriti Awastha helps in planning preventive, promotive, and supportive care for women during this transitional phase. Ayurveda gives importance to Rasayana, balanced Ahara, proper Vihara, mental relaxation, Abhyanga, Yoga, and lifestyle correction for maintaining health during menopause. This review highlights the Ayurvedic understanding of Rajonivriti Awastha, its relation with menopausal syndrome, probable Samprapti, clinical features, and preventive approach
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References
World Health Organization. Menopause. Geneva: World Health Organization; 2024. Accessed 2026 May 15.
2. Agnivesha. Charaka Samhita, Sharira Sthana, Jatisutriya Sharira Adhyaya. In: Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Orientalia; 2015. p. 320-350.
3. Sushruta. Sushruta Samhita, Sharira Sthana, Garbhavyakarana Sharira Adhyaya. In: Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Surbharati Prakashan; 2014. p. 350-370.
4. Vagbhata. Ashtanga Hridaya, Sharira Sthana, Angavibhaga Sharira Adhyaya. In: Gupta A, editor. Reprint ed. Varanasi: Chaukhambha Prakashan; 2016. p. 245-260.
5. Bhavamishra. Bhavaprakasha Nighantu, Purva Khanda, Dinacharya Adhyaya. In: Chunekar KC, editor. Reprint ed. Varanasi: Chaukhambha Bharati Academy; 2015. p. 80-95.
6. MSD Manual Professional Version. Menopause. Rahway: Merck & Co.; 2023. Accessed 2026 May 15.
7. Agnivesha. Charaka Samhita, Sutra Sthana, Dirghanjivitiya Adhyaya. In: Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Orientalia; 2015. p. 1-20.
8. Agnivesha. Charaka Samhita, Sutra Sthana, Maharoga Adhyaya. In: Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Orientalia; 2015. p. 110-125.
9. Sushruta. Sushruta Samhita, Sutra Sthana, Doshadhatumala Kshayavriddhi Vijnaniya Adhyaya. In: Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Surbharati Prakashan; 2014. p. 65-75.
10. Agnivesha. Charaka Samhita, Chikitsa Sthana, Rasayana Adhyaya. In: Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Orientalia; 2015. p. 376-390.
11. Vagbhata. Ashtanga Hridaya, Sutra Sthana, Doshabhediya Adhyaya. In: Gupta A, editor. Reprint ed. Varanasi: Chaukhambha Prakashan; 2016. p. 120-135.
12. Agnivesha. Charaka Samhita, Vimana Sthana, Rogabhishagjitiya Vimana Adhyaya. In: Acharya YT, editor. Reprint ed. Varanasi: Chaukhambha Orientalia; 2015. p. 275-290.
13. Koothirezhi R, Ranganathan S. Postmenopausal Syndrome. In: StatPearls. Treasure Island: StatPearls Publishing; 2023. Accessed 2026 May 15.
14. Monteleone P, Mascagni G, Giannini A, Genazzani AR, Simoncini T. Symptoms of menopause: global prevalence, physiology and implications. Nat Rev Endocrinol. 2018;14(4):199-215.
15. Nelson HD. Menopause. Lancet. 2008;371(9614):760-770.
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