Case Study for KAA 32 y o female

Case Study for KAA

32 y. o female with Pitta-Kapha prakruti, with Nepalese ancestry Teaches Yoga and also runs a Dance Class Vegan for last 4 -6 years. Sudden onset of menorrhagia, abnormal menstrual bleeding this month. - 2 periods in 1 month - Last period has been on for 10 days, since 23 rd - Bleeding is ‘not profuse’ but still substantial, not spotting - Client was unable to quantify in terms of total number of ‘soaked tampons’ or sanitary products changed - No complaints of exhaustion / tiredness. Some mild cramping, but mainly extra flow and LONG period. No signs of foul smell - Is currently in a Shambhavari mudra process Client has similar situation nearly 10 years ago when she was 22 -23 Not known if client is on birth control pills Eats nuts, vegan, cold food… used to eat lot of spice, not so much anymore.

Possible herbal protocol: 1. Kumari aasav? Or prefer just kumari (gel) 2. Ashokarishtam? 3. Shatavri, ashoka, manjishta, lodhra, raktachandan combination/ Guduchi, Kamdudha for calming pitta 3. Ashwagandha/ rishtam, calming vaata (Abhaya would increase apaan, so not recommending) 4. Milk/ Rice milk with nutmeg? 5. Recommending Uttara basti of licroice tea if foul smell? Dietary & Lifestyle: 1. Rest; no stringent yoga, hot yoga, or dance 2. Sweet fruits, cooked veggies, limited greens saute in iron pan 3. Slow breathing pranayama