Which of the following is listed as chikitsa for endometriosis?

• A. Punarnava, Chitrak, Trikatu, Ashoka, Shilajit, Kutki
• B. Suprapubic basti with flax oil
• C. Castor oil pack between bleeds to reduce pain and stagnation
• D. Exercise

Answer: (C)

In Ayurveda, endometriosis-like pain is viewed as stagnation and imbalance in the pelvic tissues, especially affecting artava dhatu and the digestive–metabolic channels. Therapies focus on moving stagnation, reducing pain, and supporting tissue health. A castor oil pack applied on the lower abdomen between menses is described as a simple, targeted approach to dissolve stagnation, improve local circulation, and ease pelvic discomfort. Castor oil (Eranda taila) has properties that help penetration into tissues and may support lymphatic drainage and anti-inflammatory effects, making it a practical noninvasive measure for this condition. That direct, topical method between cycles aligns with the aim of alleviating pain and stagnation, which is why it is listed as chikitsa. The other options involve more invasive procedures or broader lifestyle suggestions that are not the specific, commonly cited direct treatment for endometriosis in this context.