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Ayurvedic Management of Premenstrual Syndrome (PMS)


Premenstrual Syndrome (PMS) refers to a collection of physical, emotional, and behavioral symptoms that occur in the days or weeks leading up to menstruation. Ayurveda, the ancient Indian system of medicine, offers a holistic approach to manage PMS by addressing the underlying imbalances, promoting hormonal balance, and supporting overall well-being.

What is PMS?

PMS is a common condition that affects women of reproductive age. It is characterized by a wide range of physical, emotional, and psychological symptoms that occur in the luteal phase of the menstrual cycle, typically starting a week or two before menstruation and resolving with the onset of menstruation.

Ayurvedic View:

In Ayurveda, PMS is seen as an imbalance in the doshas, particularly Vata and Pitta, and the disturbance of the flow of Prana (life force energy) in the body. Hormonal imbalances, improper diet, poor digestion, and emotional stress can contribute to the manifestation of PMS symptoms. Ayurvedic management of PMS focuses on balancing the doshas, promoting hormonal harmony, and nurturing overall well-being.

Causes of PMS:

The exact cause of PMS is not fully understood. However, several factors may contribute to its development, including:

  1. Hormonal Imbalances: Fluctuations in hormone levels, particularly estrogen and progesterone, during the menstrual cycle can trigger PMS symptoms.
  2. Imbalanced Doshas: Excess Vata and Pitta doshas can disrupt the natural flow of energy and contribute to PMS symptoms.
  3. Poor Digestion: Weak digestion can lead to the accumulation of toxins (ama), which can aggravate symptoms of PMS.
  4. Emotional Stress: Emotional and psychological factors, such as stress, anxiety, and mood disturbances, can worsen PMS symptoms.

Symptoms of PMS:

PMS symptoms can vary from woman to woman, but common symptoms include:

  1. Physical Symptoms: Breast tenderness, bloating, fatigue, headaches, joint or muscle pain, and changes in appetite.
  2. Emotional Symptoms: Mood swings, irritability, anxiety, depression, and difficulty concentrating.
  3. Behavioral Symptoms: Food cravings, changes in sleep patterns, social withdrawal, and decreased interest in usual activities.

Ayurvedic Treatment Approach:

Ayurvedic treatment for PMS focuses on balancing the doshas, promoting hormonal balance, and supporting overall well-being. The treatment approach may include:

  1. Dietary Modifications: Consuming a balanced diet that includes whole grains, fresh fruits and vegetables, healthy fats, and adequate protein is recommended. Emphasizing warm, nourishing foods and avoiding processed, spicy, and excessively cold foods can help balance the doshas.
  2. Herbal Remedies: Ayurvedic herbs such as Ashoka, Shatavari, Brahmi, and Yashtimadhu are traditionally used to support hormonal balance and relieve PMS symptoms. These herbs may be used in the form of herbal supplements or as recommended by an Ayurvedic practitioner.
  3. Panchakarma Therapies: Panchakarma, the Ayurvedic detoxification and rejuvenation therapy, may be recommended for managing PMS. Therapies such as Abhyanga (herbal oil massage), Shirodhara (continuous stream of warm oil on the forehead), and Basti (medicated enema) can help balance the doshas and promote relaxation.
  4. Lifestyle Modifications: Engaging in regular exercise, practicing stress management techniques, getting adequate rest and sleep, and maintaining a balanced routine can support hormonal balance and overall well-being.
  5. Home Remedies: Ayurveda suggests various home remedies for managing PMS, such as consuming herbal teas like ginger or chamomile, practicing gentle yoga or meditation, and incorporating stress-reducing activities like aromatherapy or warm baths.

Note: It is advisable to consult an Ayurvedic practitioner for a personalized treatment plan based on individual needs and constitution.


Ayurveda provides a holistic approach to manage PMS by addressing the underlying imbalances, promoting hormonal balance, and supporting overall well-being. Through dietary modifications, lifestyle adjustments, herbal remedies, Panchakarma therapies, and home remedies, Ayurveda aims to restore doshic balance, alleviate PMS symptoms, and enhance the quality of life for women experiencing PMS. By embracing Ayurvedic principles and seeking professional guidance, women can find relief, nurture their well-being, and regain control over their menstrual health.

Disclaimer: The information provided above is for informational purposes only and should not be considered as medical advice. Please consult a qualified Ayurvedic practitioner or healthcare professional before starting any treatment.

Dr. Ram Mani Bhandari
Dr. Ram Mani Bhandari


Registered Member of AAA

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