Woman is exposed to life cycles of vulnerabilities. Prevalence of psychiatric disorders in women are three times than that in men. In most of women, biological event occurring in their reproductive function acts as stressor. The phenomenon of menstrual cycle is one of it. Recent studies prove the association of menstrual cycle and psychiatric disorders. Pre-Menstrual Syndrome is one such commonly reported and highly prevalent disorder characterized by constellation of physical, emotional, cognitive and behavioral symptoms. An 18-year-old female patient reported to OPD with the complaints of extreme mood swings, irritability, sudden tearfulness, anger outbursts, nervousness, decreased concentration and forgetfulness one week prior to her menstruation which resolves with the onset of menstruation since 2 years. On physical examination, no abnormalities were detected. Mental Status Examination revealed abnormality in mood and affect, attention, concentration and thought process. Diagnosis was according to DSM IV criteria and assessment by Moos Menstrual Distress Questionnaire. Based on history, presenting symptoms and diagnostic criteria the case was established as Premenstrual Syndrome. So, the protocol for treatment planned was symptomatic. Internal administration of Hingvashtakadi vati, Ashwagandha capsule was given for 1 month and Satvavajaya chikitsa in the form of dhee dhairya atmadi jnana, ahitebhyo arthebhyo manonigraha was done once in a week for 1month. Mood related symptoms were completely relieved. Thought process was clear. There was improvement in attention and concentration.

Stress is a state of mental or emotional strain resulting from demanding circumstances. It's a universal experience, which has an important defensive function towards harmful psychological stimuli. Owing to this there are various pharmacological and non-pharmacological treatments with fatal adverse reaction. The need of hour is to have a cost-effective adaptogenic drug. Adaptogens are compounds that increase the ability of an organism to adapt to environmental factors and avoid damage. Ayurveda explains these qualities under concepts of vyadhikshamatva (immunity). Ashwagandha is considered to be the best adaptogenic drug among shankhapushpi (Clitoria ternatea), yashtimadhu (Glycyrrhiza glabra), brahmi (Bacopa monnieri), guduchi (Tinospora cordifolia), mandookaparni (Centella asiatica), etc medhya dravya (cognitive enhancers). This study reviews the Ayurvedic and modern literature related to stress and its management as adaptogens through Ayurveda. Ayurveda is the traditional system of medicine of India and contains a very scientific description of stress and general manovikaras (psychiatric illness). Ayurveda has been a great potential in the field of rasayana (rejuvenation) as there are lots of single herbs and preparations which possess adaptogenic properties and strengthens the physiological adaptation.

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Shwasananda vati (SV) is a South Indian traditional herbo-mineral formulation widely used in different parts of southern India, particularly in Kerala state. Theformulation is documented in an ancient Kerala traditional treatise and is widely used as a treatment for respiratory ailments in both children and adults. The formulation is cited in an ancient Kerala traditional treatises and significantly used as a remedy for respiratory ailments in children as well as adults. The composition comprises herbs andmineral which is categorized under poisonous drugs (schedule E (1) drugs) as per Ayurvedic Indian traditional system of medicine. However, in Ayurveda, herbo-mineral drugs are purified or detoxified before being used for therapeutic purposes. Ayurveda doctrines consider these herbo-mineral medications to have unique attributes such as instant effectiveness, the requirement of a very small dosage, and a wide range of therapeutic utility. The compliance data on the safety and efficacy of this formulation or its ingredients is scarce. To place traditional medicine on a scientific footing, a thorough knowledge of SV, its therapeutic potential, safety, and toxicity profile, supported by scientific evidence, is necessary. The present report analyses the role of this traditional preparation, highlighting traditional therapeutic claims, possible bioactivities, safety profile, and therapeutic potential as per current assumptions of science.