Ashokarishtam

Ashokarishtam is a herbal tonic prescribed for traeting all kinds of disorders related to menstruation, ovulation and fertility in Bhaishajya Ratnavali, an ancient Ayurvedic text. Many companies such as Kerala Ayurvedics market the tonic.

Treatment Protocol
Ashokarishtam is very effective in treating menorrhagia, metrorrhagia and amenorrhea. It nourishes the endometrium and is a good tonic for endometriosis. It also improves general debility and metabolism. 1-2 tbsp of the tonic should be taken with warm water twice a day. It contains herbs in proportions safe for long term use (over 1 year).

Usually long-term treatment with Ashokarishtam is sufficient to treat women who present with abnormal bleeding patterns, possibly accompanied with anemia. If abnormal menstrual patterns persist after 3-4 months of treatment with Ashokarishtam or there are stubborn symptoms of PCOS, insulin sensitizers such as Hyponidd or Diabecon and home-remedies such as Amla, Tulsi, Fenugreek, Bermuda Grass should be included in the treatment. Detoxification should be practiced regularly to improve response to herbs and particularly if constipation is present.

Case-2 discusses a treatment protocol with Ashokarishtam.

Ingredients of Ashokarishtam
The following herbs are infused in a syrup of jaggery and honey.

Ashoka (Saraca indica)	Has estrogenic effects; stimulates endometrium and ovarian tissues; enhances ovulation and controls excess bleeding.
Dhataki (Woodfordia fruticosa )	Controls excess bleeding and nourishes the endometrium; supports liver health.
Musta (Cyperus rotundus)	Has anti-inflammatory properties; regulates menstrual bleeding; supports liver health.
Haridra (Curcuma longa, turmeric)	Excellent antioxidant with anti-inflammatory, anti-cancer properties; regulates glucose metabolism, improves gastrointestinal and liver health.
Shatapushpi (Peucedanum graveolens, Satakuppai)	Regularizes menstruation; improves metabolism, aid in digestion
Amalaki (Amla, Indian Gooseberry, Emblica officinalis)	Excellent antioxidant, rich in C vitamin; good for healthy skin, hair growth; regulates sugar metabolism and supports a healthy liver .
Bibhitaki (Terminalia belerica)	Blood purifier; cleanses the gastrointestinal tract and liver; controls excess bleeding.
Haritaki (Terminalia chebula)	Excellent cleanser; improves metabolism, liver and colon health; controls excess bleeding.
Sunthi (Zingiber officinale, ginger)	Good anti-inflammatory; improves digestion, control flatulence, stimulates the gastrointestinal tract;