International Journal of Research in Ayurveda and Pharmacy · Oct 30, 2026
CLINICAL EFFICACY OF HIMASAGARA TAILA SHIROPICHU AND ORAL YASHTIMADHU CHURNA IN THE MANAGEMENT OF PERIMENOPAUSAL SYNDROME: A CASE REPORT
By Dindur SC, A V
Background: Perimenopausal syndrome is a transition phase before menopause and may present with irregular menstruation, hot flushes, mood swings, sleep disturbances and impaired concentration. In Ayurveda, this period may be understood in relation to age-associated vata predominance, dhatu kshaya (tissue depletion) and rasakshaya (depletion of rasa dhatu). Objective: to assess the clinical response to himasahara taila shiropichu (continuous application of medicated oil over the scalp) and oral Yahstimadhu churna (liquorice powder) in a patient with perimenopausal syndrome. Case presentation: A 42-year-old woman presented with irregular menstrual cycles, hot flushes, mood swings, disturbed sleep and poor concentration for six months. The baseline Greene Climacteric Scale (GCS) was 35. Intervention: Yashtimadhu churna 2g twice daily with milk before food was administered for 30 days, along with Himasagara taila shiropichu for 30 minutes daily for seven consecutive days. Outcome: The total GCS Score decreased from 35 before treatment to 22 after treatment and was 23 at one-month follow-up. Improvement was observed in somatic, psychological and vasomotor symptoms, sleep quality and menstrual well-being, without reports of adverse effects. Conclusion: The intervention showed clinical improvement in this single case. Controlled studies with larger samples are required to determine its efficacy and safety.