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Symptoms of Menopause According to the
                                                    Bruhat Trayi


                            Symptoms of decreased                        Symptoms of Srotodushti
                                        Dhatu                               (vitiation in channels)


             Rasa          Intolerance to sound, heart           Heaviness of body, drowsiness (tandra),
                           palpitations, pain, tiredness           body aches (angamarda) and fatigue
                                (shrama), giddiness              (angāvasada), blackouts (tama), anemia
                               (bhrama), emaciation                   (pandu), obstruction of channels

                                 (shosha), dryness              (srotorodha), diminished digestive power,
                                                                     skin wrinkles, and graying of hair


            Rakta             Desiring cold (shishira              Changes in skin – blue moles (nilika),
                             preeti), collapse of veins           melasma/age spots (vyanga), freckles
                             (sira shaithilya), dryness        (piplu), and black mole like a sesame seed
                                                                                   (tilakālaka)



           Mamsa            Pricking pain (toda), body            Fleshy growths (adhimāmsa), enlarged
                            debility (gātrāsāda), lower                   thyroid gland (galaganda)
                           muscle mass and strength,
                            joint pain (sandhi vedanā)


            Meda            Numbness of lower back                Increase in fat tissue, numbness/burning
                             (kati swapna), feeling of              sensation in hands + feet and various
                           emptiness of joints (sandhi  organs of the body, dry mouth/palate/throat,
                               shoonyata), dryness               excessive thirst, laziness, and drowsiness



             Asthi          Bone pain (asthi shoola),             Pain and brittleness of bones and teeth,
                             brittleness of teeth and           discoloration of body, abnormal changes in
                           nails (danta nakha bhangā),                            hair, nails etc.
                               loss of hair (khālitya)


             Majja              Osteoporosis (asthi                Pain in the joints (parva ruc), giddiness

                              saushirya), severe joint             (bhrama), unconsciousness (moorcha),
                             pain (parvabheda), bone                            blackouts (tama)
                                  pain (asthi toda)


           Shukra          Decreased sexual pleasure,               Reduced sexual drive and enjoyment
                           libido, and secretions from
                            reproductive glands, and
                                    dyspareunia

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