Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Ashoka (Saraca asoca) has been traditionally used in Ayurvedic medicine for the management of various gynecological disorders, including dysmenorrhea (painful menstruation). Classical Ayurvedic texts such as Charaka Samhita and Sushruta Samhita describe Ashoka bark as a key ingredient in formulations aimed at alleviating menstrual pain, regulating menstrual cycles, and reducing excessive bleeding. The plant is believed to possess uterine tonic, anti-inflammatory, and analgesic properties according to traditional Indian medicinal systems.

Scientific evidence supporting Ashoka's efficacy for dysmenorrhea is limited. Only a handful of preclinical studies and small-scale clinical trials have investigated its effects, often as part of multi-herb formulations rather than as a single extract. Some studies suggest possible anti-inflammatory and spasmolytic effects, but these are generally not robust or large enough to warrant firm conclusions about efficacy. Reviews of the literature, including those published in ethnopharmacology and complementary medicine journals, highlight the need for more rigorous, well-designed clinical trials to validate traditional claims.

Therefore, the use of Ashoka for dysmenorrhea is justified primarily by traditional practice, with low-to-moderate quality evidence from scientific studies (hence, a rating of 2). Most recommendations in modern herbal practice are still based on historical and empirical use rather than strong scientific validation.

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