Case Studies

Trailokya Vijaya Vati in the Management of Dysmenorrhea

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Abstract: This case study focuses on the use of Trailokya Vijaya Vati in the treatment of Dysmenorrhea. It is medical terminology for uterine pain around the time of menses.

Dysmenorrhea is caused by the release of prostaglandins that triggers muscle cramping or minor contraction of the uterus. These in turn reduce the blood supply to the uterus and cause painful spasms. There’s not much help with synthetic medicines for the treatment of dysmenorrhea. Oral contraceptives that stop ovulation and therefore prostaglandin production, nonsteroidal anti-inflammatory drugs, and paracetamol are generally prescribed to all patients that complain of Dysmenorrhoea; but they have a long list of side effects. On the other hand, Cannabis serves to be an ideal drug of choice as it interacts with the cannabinoid receptors on the lining of the uterus and acts as a muscle relaxant and anti-inflammatory compound altogether.

This is a case study of a young office-going lady around the age of 27 years who presented with severe menstrual pain(dysmenorrhea) throughout the days of her menstrual cycle.

Ayurveda Perspective 

According to Ayurveda, when VATA DOSHA aggravates due to disturbed diet and lifestyle, it creates an obstruction in the functioning of VATA DOSHA. It vitiates RASA DHATU and ARTAVAVAHA SROTASA. The APANA VAYU moves in an upward direction and influences menstrual bleeding by causing pain. 

The chikitsa sutra mentions that yoni never takes place without vitiation of VATA, hence VATA should be regularized.  

Vijaya is having Tikta Rasa Ushna Virya it has laghu Tiksnha Guna and Katu Vipaka. Hence it pacifies the Vata Dosha and helps in the treatment of VATAJA SHOOLA and also in KASHTA ARTAVA. Ayurveda Rasatarangini has attributed 29 pharmacological indications for Vijaya in which all kinds of SHOOLA are included.


Most teenagers and women experience mild to severe menstrual cramps at some point of life throughout their menstrual age. 

The worst things about getting periods are the cramps that we get during them. Caused due to hormonal fluctuations in the body, menstrual cramps can make you feel horrible. While there are a lot of theories and practices to relieve these cramps right from hot water bags to sleeping positions to yoga … These serve to be only temporarily relieving factors for the condition. Women often try these easy methods and turn towards synthetic medicines when they no more seem to help. But, Medical Cannabis is the newly emerging natural option as an answer to all the worries associated with Menstrual cramping. 

Why is cannabis so effective? 

Our body carries the Endocannabinoid system, which is a biological system full of cannabinoid receptors that live inside the brain, organs, connective tissue, glands, and immune cells. When we use cannabis, the cannabinoids bind with the receptors in the body and help to promote homeostasis.

Case Report

Patient description

This is a case study of a young office going lady around the age of 27 years presented with severe menstrual pain (dysmenorrhea) throughout the days of her menstrual cycle.

Case history

The direct impact of this pain was on her work, demanding and not allowing her to focus on those 4-5 days of intermittent episodes of pain these days. She decided to take the help of Meftal-spas and other pain killers. Still, no benefit with a constant thought of adverse side effects of these pain killers was troubling her also. She then approached me through the referral from one of her friend and sought the treatment for dysmenorrhea. Treatment plan/ Medicines to be used – Trailokya Vijaya Vati

She was prescribed ‘TrilokayaVijayaVati’ to be started on the first day of her next period cycle.

Expected outcome of the treatment plan

It was expected that the patients’ pain would subside and allow her to do normal activities for the day throughout the cycle.

Actual outcome

The patient came to the clinic when her period was still going; she thanked me for giving her a pain-free period cycle that she did not remember to have last time. She told me that despite the mild and dull pain, the cramps and severe pain subsided only within the 20 mins of using ‘TrilokayaVijayaVati.’ Such an example of managing pain in such a short duration of time is a rare heard thing given the belief of most people that Ayurveda works slow.


The treatment was decided on the basis of the predominance of VATA DOSHA involvement. The Vijaya as mentioned has anti-inflammatory properties and is also an effective VATAGHNA herb. It helps in reducing the pain effectively.


This case study shows that Dysmenorrhoea can be successfully managed with Trailokya Vijaya Vati.

While there are some trials and studies that promote the use of medical cannabis in the treatment of dysmenorrhea, more studies need to be encouraged to collect strong scientific evidence supporting the same.

Case Study by Dr. Ashima Sardana, Consultant Ayurvedacharya

Published by Hempstreet

Hempstreet is India's first and largest research to retail player in the medicinal cannabis space with a network of 60,000 ayurvedic practitioners across the country.

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