Bala for Menorrhagia: Does It Work?
Does Bala (Country Mallow, Sida cordifolia) help with menorrhagia, the heavy menstrual bleeding Ayurveda calls Asrigdara? Yes, in a quiet but specific role. Bala does not stop a heavy bleed. It rebuilds what heavy cycles take out of you, and in thin, depleted women it helps reduce the bleeding that keeps coming back from weakness.
Its name means "strength", and its profile is unusual for a strength-giver. Bala is sweet in taste, cold in potency (Sheeta Virya), sweet after digestion (Madhura Vipaka), and balancing to all three doshas. The Bhavaprakash Nighantu names it the premier herb for calming Vata (Vatahara) and for strength (Balya), and lists it as increasing Ojas, the body's reserve of vitality, and as absorbent (Grahi).
That last action is the bridge to heavy bleeding. Grahi herbs help the channels hold their contents rather than letting them leak. The cold, sweet profile calms heat in the blood without pushing Pitta back into it, while the sweet post-digestive effect rebuilds blood and tissue.
The Charaka Samhita places Bala in a foundational decoction for chest injury and emaciation (Kshatakshina Chikitsa), the recovery formula for people who have bled and are weak. For heavy periods, the classical pattern is the same: Ashoka or Lodhra handles the bleeding, and Bala carries the rebuild.
How Bala Helps with Menorrhagia
Bala works on heavy periods through three connected actions: cooling and nourishing the blood, helping the channels hold their contents, and rebuilding the strength each heavy cycle drains.
Cooling and nourishing the blood
Most strength-giving herbs are warm and heavy. Bala is sweet and cold. Its cold potency drains heat from Rakta, the blood tissue, which matters because Ayurveda's most common picture of heavy bleeding is Pitta overheating the blood until the vessels soften. Its sweet taste and sweet post-digestive effect nourish the blood tissue and feed Ojas, the reserve that depletes most after bleeding.
Holding fluids in the channels
The Bhavaprakash Nighantu lists absorbent (Grahi) among Bala's named actions: the property that keeps blood and other fluids inside their channels instead of leaking out. Applied to menorrhagia, this is how Bala reduces recurrence. The effect is gentler and slower than the immediate astringent contraction of Lodhra, but it suits the chronic, depleted pattern well.
Steadying Vata after the bleed
Ayurveda describes a Vata pattern of heavy bleeding: dark, erratic flow with shifting cramps, heavy days alternating with light, an anxious mood and broken sleep. Blood loss itself also aggravates Vata, leaving fatigue, breathlessness, palpitations and an unsteady pulse as Vata moves into the spaces blood used to fill.
As the premier Vata-calming herb, and one classified as good for the heart (Hridya) and rejuvenative (Rasayana), Bala is matched to exactly this picture. It is the herb of choice for the woman who needs to be rebuilt rather than further treated for the bleed itself.
How to Use Bala for Menorrhagia
For heavy periods, take Bala internally as a root powder in milk or as a decoction, alongside a lead haemostat. Bala Taila, the famous massage oil, is for nerves and joints and is not relevant to bleeding.
| Form | Dose | Best For | When |
|---|---|---|---|
| Root powder (Mula Churna) | 1 to 3 g | Ongoing daily rebuild across the cycle | Twice daily, before meals, in cool milk |
| Root decoction (Mula Kvatha) | 5 g simmered in 200 ml water down to 50 ml | Recovery after a heavy cycle | Twice daily, lukewarm, before meals |
| Milk decoction (Kshira Pak) | 5 g in half a cup each of water and milk, reduced by half | Severe weakness after heavy bleeding | Once daily, evening |
| Capsule (root extract) | 250 to 500 mg | Convenience | Twice daily, with meals |
What to take it with
The vehicle you take an herb with is called Anupana. Cool milk is the classical vehicle for Bala when depletion comes with bleeding. Ghee suits chronic weakness with dryness, the Vata picture. Honey fits a Kapha-tinged pattern. Avoid hot water, hot milk or alcohol-based preparations during an active heavy bleed.
Pairing it with the lead herbs
- Heavy flow with depletion: Ashoka or Lodhra handles the volume; Bala carries the rebuild.
- Thin, depleted, recurrently heavy cycles: pair Bala with Amla for a cooling, rebuilding base.
- Post-bleed weakness: the classical Charaka pattern pairs Bala with Manjishtha and vetiver (Ushira).
How long to expect
After a single heavy cycle, 2 to 4 weeks of daily use rebuilds energy. For chronic heavy cycles in a depleted woman, plan a 2 to 3 month course. Because of its small ephedrine content, take a break after about 90 days rather than using it indefinitely.
Frequently Asked Questions
Will Bala stop heavy bleeding on its own?
No, and classical practice does not expect it to. Bala is a strength-giver and an absorbent herb, not a primary astringent. For the bleeding itself, Lodhra and Ashoka lead. Bala sits underneath them so you do not keep bleeding from depletion.
How do I know Bala is right for me?
It fits when heavy cycles leave you thin, tired, breathless or with palpitations, or when the flow is dark and erratic with anxiety and broken sleep (the Vata pattern). If your bleeding is hot, bright red and gushing, cooling herbs like Shatavari and Amla lead, with Bala as an optional rebuild.
Is Bala safe? I heard it contains ephedrine.
It does, at low levels. At classical doses in traditional preparations the risk is low, but do not take Bala internally if you have high blood pressure, heart arrhythmia, heart disease, hyperthyroidism or glaucoma, or if you take MAO inhibitors, decongestants, beta-blockers or stimulants. It can also cause a positive drug test for ephedrine.
How long should I take Bala for heavy periods?
After one heavy cycle, 2 to 4 weeks of daily use usually brings energy back and eases the weakness. For chronic heavy cycles in a thin, depleted woman, plan a 2 to 3 month course alongside your lead herb, then take a break. If your haemoglobin is below 11 g/dL, you still need iron alongside the herbs.
Recommended: Start Bala for Menorrhagia
If you want to start using Bala for heavy periods today, here is the simplest starting point: a teaspoon of Bala root powder in a cup of milk, twice a day, alongside Ashoka or Lodhra for the bleeding itself. Root powder in milk is the practical daily form, and milk buffers Bala's mild stimulant content.
Kitchen version: stir about 3 g of Bala root powder into a cup of cool or lukewarm milk with a teaspoon of ghee or a little rock sugar, and drink it before breakfast and dinner. After a very heavy cycle, make the milk decoction instead: simmer 5 g of powder in half a cup of water and half a cup of milk until reduced by half, and drink it lukewarm in the evening.
Fork by pattern. If your flow is dark and erratic with anxiety and broken sleep (Vata), take Bala with ghee and pair it with Ashoka. If it is bright red and hot (Pitta), keep the milk cool and add Amla. If it is slow and mucousy with heaviness (Kapha), lead with Lodhra and keep Bala low or skip it, since it can add to congestion.
Find Bala on Amazon ↗ Ashokarishta ↗
Safety: skip internal Bala if you have high blood pressure, heart disease or an arrhythmia, and see a doctor if you soak a pad every hour for several hours or feel faint.
Safety & Precautions
Bala has a strong classical safety record when used in traditional preparations at traditional doses. Classical texts have used it for over two thousand years, including in paediatrics and postpartum care. However, Bala is not a casual daily tonic like Turmeric or Amla, it contains ephedrine (roughly 0.085% of the root by weight) and related alkaloids that make informed sourcing and dosing essential.
The Ephedrine Issue (Critical for US Readers)
In 2004 the US FDA banned ephedra (Ephedra sinica) as a dietary ingredient after deaths linked to high-dose weight-loss supplements. Bala is a different plant, but it contains the same alkaloid family at much lower concentrations. Bala products sold as dietary supplements in the US therefore occupy a grey area, some companies sell it, others have reformulated without it.
Bala remains legal and widely used in India, the UK, Europe, and most other countries. The risk profile at classical doses (3-6 g churna or 30-60 ml decoction) is low, but stacked with other stimulants it rises sharply.
WADA-Banned for Competitive Athletes
Ephedrine is on the World Anti-Doping Agency (WADA) prohibited list in competition. If you compete in any tested sport, Olympic, NCAA, professional, or amateur with drug testing, do not use Bala. Even small doses can produce a positive test for ephedrine.
Cardiovascular Cautions
Do not use Bala if you have:
- Hypertension, Bala can raise blood pressure
- Heart arrhythmia, ephedrine is arrhythmogenic
- Known coronary artery disease or prior heart attack
- Hyperthyroidism, additive sympathomimetic effect
- Glaucoma, alkaloids can raise intraocular pressure
Drug Interactions
- MAO inhibitors (phenelzine, tranylcypromine): Risk of hypertensive crisis. Absolute contraindication.
- Decongestants (pseudoephedrine, phenylephrine): Additive stimulant effect, arrhythmia risk.
- Stimulants (caffeine in large amounts, amphetamines, Adderall): Avoid stacking.
- Beta-blockers: Bala's sympathomimetic effect opposes beta-blocker action.
- Corticosteroids: Altered clearance reported with long-term combination.
Other Contraindications
Classical texts note that Bala is not appropriate when there is high Ama (undigested toxins, thick white tongue coating, heaviness, loss of appetite) or high Kapha in the chest (thick phlegm, wet cough). In these states, its anabolic nature adds to the problem. Clear the Kapha first, then tonify.
Pregnancy and Concentrated Extracts
Classical Ayurveda uses Bala during pregnancy (to support foetal growth) and postpartum (for maternal strength). However, these are traditional decoctions and medicated ghee, not concentrated ephedrine-standardised extracts. Modern Bala extracts should be avoided during pregnancy; use traditional preparations only and under qualified supervision.
Signs of Over-Dose
Jitteriness, palpitations, elevated pulse, insomnia, or a rise in blood pressure mean the dose is too high. Stop, hydrate, and do not resume without a practitioner. These signs almost never appear at classical doses but can appear with concentrated extracts or when stacked with stimulants.
Other Herbs for Menorrhagia
See all herbs for menorrhagia on the Menorrhagia page.
▶ Classical Text References (5 sources)
Kaya Chikitsa – General medicine Bala Chikitsa – Paediatrics Graha Chikitsa – Psychiatry Urdhvanga Chikitsa – Diseases and treatment of Ear, Nose, Throat, Eyes and Head (neck and above region) Shalya Chikitsa – Surgery Damshrta Chikitsa – Toxicology Jara Chikitsa – Geriatrics Vrushya Chikitsa – Aphrodisiac therapy These are the eight branches of Ayurveda.
— Astanga Hridaya, Chapter 1: Ayushkameeya Adhyaya
Variation in strength as per season शीते अ यं, व ृि त घम अ पं बलं , म यं तु शेषयो: । śīte agryaṃ, vṛṣti gharme alpaṃ balaṃ, madhyaṃ tu śeṣayo: | Winter – Hemantha and Shishira – mid November – mid March – Highest strength Summer and rainy seasons – mid May – mid September – Lowest strength Spring and Autumn – Medium strength.
— Astanga Hridaya, Chapter 3: Ritucharya adhyaya Seasonal
(Provided cow is perfectly healthy without any infection) Dadhi (curds benefits/soured milk/coagulated milk) अ लपाकरसं ा ह गु णं द ध वातिजत ् २९ मेदः शु बल ले म प तर ताि नशोफकृत ् रो च णु श तम चौ शीतके वषम वरे ३० पीनसे मू कृ े च, ं तु हणीगदे नैवा याि न श नैवो णं वस तो ण शर सु न ३१ नामु गसूपं ना ौ ं त नाघ ृत सतोपलम ् न चानामलकं ना प न यं णो म थम यथा ३२ वरास ृि प तवीसपकु ठपा डु म दम ् Curd has Amla rasa – sour taste Amla paka – undergoes sour taste conversion after digestion Grahi - abs
— Astanga Hridaya, Chapter 5: Drava Vigyaniya Drinkables
Navanita (Butter):नवनीतं नवं व ृ यं शीतं वणबलाि नकृत ् ३५ स ा ह वाता पतास ृ ीरो वं तु स याश दतकासिजत ् ा ह र त प ता रोगिजत ् ३६ Fresh Navanita (butter) is Vrushya – aphrodisiac, Sheeta – coolant Varna, bala, agnikrut – improves skin complexion, strength and digestion strength.
— Astanga Hridaya, Chapter 5: Drava Vigyaniya Drinkables
126 जा भवं गु स व टि भ शीतलं भ ृशवातलम ् ा ह मू शकृ तोरक यं कफ प तिजत ् Jambava (Jamun fruit) is not easily digestible, stays long inside the stomach, cold in potency, causes aggravation of vata especially, absorbs moisture from urine and faeces, bad for throat and mitigates kapha and pitta 127 वात प ता कृ बालं , ब ाि थकफ प तकृत ् गुवा ं वातिज प वं वा व लं कफशु कृत ् Bala amra (tender unripe mango) increases Vata, Rakta (blood) and pitta; when its seed is fully formed, it increases Kaph
— Astanga Hridaya, Chapter 6: Annaswaroopa Food
The above two – laghu and mahat panchamoola constitute Dashamoola बलापन ु नवैर डशप ू पण वयेन तु म यमं कफवात नं ना त प तकरं सरम ् Bala, punarnava, eranda, surpaparni dvaya (masaparni and mundgaparni) together from the madhyama pancamula.
— Astanga Hridaya, Chapter 6: Annaswaroopa Food
Madhura Gana – group of sweet substances: घ ृत हे म गुडा ोडमोचचोचप षकम ् अभी वीरा पनस राजादनबला यम ् मेदे चत ः प ण योजीव ती जीवक ऋषभौ मधूकं मधुकं ब बी वदार ीर शु ला त ग ु ा ीर ीरे ुगो ुर ौ ावणीयुगम ् ी र यौ का मर सहे ा ा दमधुरो गणः Ghrita (ghee, butter fat), Hema (gold), Guda (molasses), Akshoda, Mocha, Chocha, Parushaka, Abhiru, Vira, Panasa, Rajadana, the three Bala (Bala, Atibala and Nagabala), The two Medas – Meda and Mahameda, The four Parni – Shalaparni, Prishnaparni, Mudgaparni, Ma
— Astanga Hridaya, Chapter 10: Rasabhediyam Tastes, Their
Kashaya Varga (Gana) – group of astringents: वगःकषायः प या ं शर षः ख दरो मधु कद बोद ु बरं मु ता वाला जनगै रकम ् बालं क प थं खजूरं वसप ो पला द च Group of astringents consists of Pathya – Chebuic Myrobalan (fruit rind) – Terminalia chebula, Aksha – Terminalia bellirica, Shireesa, Khadira – Black catechu (heart wood extract) – Acacia catechu, Madhu (honey), Kadamba, Udumbara, Mukta (Pearls), Pravala (Coral), Anjana – Aqueous extract of Berberis aristata (antimony), Gairika – Purified Red Ochre, B
— Astanga Hridaya, Chapter 10: Rasabhediyam Tastes, Their
Effects of increased Doshas – Vriddha Dosha Karma:Effects of increased Vata – वृ तु कु ते अ नलः का यका बल न े ि यउ नका म वक पाना शकृ हान ् य ंश लाप मद नताः Vata, when increased produces Karshya – emaciation, Karshnya – black discoloration, Ushnakamitva – desire for hot things, Kampa – tremors Anaha – bloating, fullness, distention of the abdomen, Shakrut Graha – constipation, Bala bhramsha – loss of strength, Nidra bhramsha – loss of sleep Indriya bhramsha – loss of sensory functions, Pral
— Astanga Hridaya, Chapter 11: Tridosha - Knowledge
4 Udana Vata – उरः वा थानमद ु ान य नासाना भगलां चरे त ् व ृि त य नोजाबलवण म ृ त यः The chest is the seat of Udana, it moves in the nose, umbilicus and throat; its functions are initiation of speech (vak), effort (Prayatna), enthusiasm (Urja), strength (bala) , color, complexion (varna) and memory (smruti) 5 Vyana Vata – यानो दि थतः कृ नदे हचार महाजवः ग यप ेपणो ेप नमेषो मे णा दकाः ायः सवाः या ति मन ् तब ाः शर रणाम ् Vyana is located in the heart, moves all over the body in great sp
— Astanga Hridaya, Chapter 12: Doshabhediya Dosha Types,
65-66 Factors to observe in patient द ू यं दे शं बलं कालं अनलं स वं सा कृ त ं वयः यं तथा आहारं अव था च प ृथि वधाः ६७ सू म सू माः समी यैषां दोष औषध न पणे यो वतते च क सायां न स खल त जातु चत ् ६८ The physician should minutely examine and determine, Dushya – the Dhatus and Malas involved in a diseases Desha – the area of the body where disease is manifested, the living place of the patient Bala – strength of the patient Kala- season, how old is the disease, age of the person etc.
— Astanga Hridaya, Chapter 12: Doshabhediya Dosha Types,
Garbhini – pregnant Sutika –the women who has delivered, Bala – children, Vruddha – the aged and Greeshme – in the month of summer, even the other people, who are not indicated above should be given Nourishing therapy.
— Astanga Hridaya, Chapter 14: Dvividha Upakramaneeya
Snehyah – persons suitable for oleation :वे य संशो यम य ी यायामास त च तकाः व ृ बाला बलकृशा ाः ीणा रे तसः ५ वातात य द त मरदा ण तबो धनः ने याः People who require Snehana therapy are Svedya, Samshodhya – Those who are to be administered sudation and purification therapies, Madya Stree, Vyayama asakta – who indulge more in wine, women and exercise; Chintaka – who think too much, Vruddha – the aged, Bala – the children, Abala – the debilitated, Krusha – the emaciated, fatigue; Ruksha – who are
— Astanga Hridaya, Chapter 16: Snehavidhi oleation therapy
शीलनीयः सदा च सा बालव ृ ा वभार ी यायामास त च तकैः वातभ नाबला पाि ननप ृ े वरसुखा म भः दोष नो न पर हारो ब यः ु टमलः सुखः It should be used always for Bala – children, Vriddha – the aged, Adhva, Bhara, Stri, Vyayama – who are habituated to long walking, carrying heavy weight, sexual activity and exercise Chinta – who think too much, who are suffering from- diseases of vata, fractures, debility, poor who are digestive activity, for kings, wealthy persons and persons who live happily.
— Astanga Hridaya, Chapter 19: Vasti Vidhi Enema
Similar is the case of Anuvasana – fat enema and Matra basti – fat enema with very little oil 34-36 Anu taila जीव तीजलदे वदा जलद व से यगोपी हमं दाव व मधुक लवागु वर पु ा व ब वो पलम ् धाव यौ सरु भं ि थरे कृ महरं प ं ु ट रे णक ु ां कि ज कं कमला वलां शतगुणे द ये अ भ स वाथयेत ् ३७ तैला सं दशगण ु ं प रशो य तेन तैलं पचेत ् स ललेन दशैव वारान ् पाके पे चदशमे सममाजद ु धं न यं महागुणमुश यणुतैलमेतत ् ३८ Jivanti, Jala, Devadaru, Jalada, Twak, Sevya, Gopi (sariva), Hima, Darvi twak, Madhuka, Plava, A
— Astanga Hridaya, Chapter 20: Nasya Vidhi Nasal
Source: Astanga Hridaya, Ch. 1, Ch. 3, Ch. 5, Ch. 5, Ch. 6, Ch. 6, Ch. 10, Ch. 10, Ch. 11, Ch. 12, Ch. 12, Ch. 14, Ch. 16, Ch. 19, Ch. 20
Kaya Chikitsa – General medicine Bala Chikitsa – Paediatrics Graha Chikitsa – Psychiatry Urdhvanga Chikitsa – Diseases and treatment of Ear, Nose, Throat, Eyes and Head (neck and above region) Shalya Chikitsa – Surgery Damshrta Chikitsa – Toxicology Jara Chikitsa – Geriatrics Vrushya Chikitsa – Aphrodisiac therapy These are the eight branches of Ayurveda.
— Astanga Hridaya Sutrasthan, Ayushkameeya Adhyaya
Variation in strength as per season शीते अ यं, व ृि त घम अ पं बलं , म यं तु शेषयो: । śīte agryaṃ, vṛṣti gharme alpaṃ balaṃ, madhyaṃ tu śeṣayo: | Winter – Hemantha and Shishira – mid November – mid March – Highest strength Summer and rainy seasons – mid May – mid September – Lowest strength Spring and Autumn – Medium strength.
— Astanga Hridaya Sutrasthan, Ritucharya adhyaya Seasonal
(Provided cow is perfectly healthy without any infection) Dadhi (curds benefits/soured milk/coagulated milk) अ लपाकरसं ा ह गु णं द ध वातिजत ् २९ मेदः शु बल ले म प तर ताि नशोफकृत ् रो च णु श तम चौ शीतके वषम वरे ३० पीनसे मू कृ े च, ं तु हणीगदे नैवा याि न श नैवो णं वस तो ण शर सु न ३१ नामु गसूपं ना ौ ं त नाघ ृत सतोपलम ् न चानामलकं ना प न यं णो म थम यथा ३२ वरास ृि प तवीसपकु ठपा डु म दम ् Curd has Amla rasa – sour taste Amla paka – undergoes sour taste conversion after digestion Grahi - abs
— Astanga Hridaya Sutrasthan, Drava Vigyaniya Drinkables
Navanita (Butter):नवनीतं नवं व ृ यं शीतं वणबलाि नकृत ् ३५ स ा ह वाता पतास ृ ीरो वं तु स याश दतकासिजत ् ा ह र त प ता रोगिजत ् ३६ Fresh Navanita (butter) is Vrushya – aphrodisiac, Sheeta – coolant Varna, bala, agnikrut – improves skin complexion, strength and digestion strength.
— Astanga Hridaya Sutrasthan, Drava Vigyaniya Drinkables
126 जा भवं गु स व टि भ शीतलं भ ृशवातलम ् ा ह मू शकृ तोरक यं कफ प तिजत ् Jambava (Jamun fruit) is not easily digestible, stays long inside the stomach, cold in potency, causes aggravation of vata especially, absorbs moisture from urine and faeces, bad for throat and mitigates kapha and pitta 127 वात प ता कृ बालं , ब ाि थकफ प तकृत ् गुवा ं वातिज प वं वा व लं कफशु कृत ् Bala amra (tender unripe mango) increases Vata, Rakta (blood) and pitta;
— Astanga Hridaya Sutrasthan, Annaswaroopa Food
Source: Astanga Hridaya Sutrasthan, Ayushkameeya Adhyaya; Ritucharya adhyaya Seasonal; Drava Vigyaniya Drinkables; Annaswaroopa Food
Food quantity depends on digestive strength (agni bala).
— Charaka Samhita, Sutra Sthana — Fundamental Principles, Chapter 5: Proper Food Quantity & Daily Regimen (Matrashiteeya Adhyaya / मात्राशितीय अध्याय)
Preventive principle — mental strength (sattva bala) as disease immunity.
— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 9: Insanity and Psychosis Treatment (Unmada Chikitsa / उन्मादचिकित्सा)
One pala of each of shvadamshtra, ushira, manjishtha, bala, kashmarya, katrna, the root of darbha, prithak parni, palasha, rishabhaka, and sthira should be made to decoction.
— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 11: Chest Injury and Emaciation Treatment (Kshatakshina Chikitsa / क्षतक्षीणचिकित्सा)
Bala, vidari, hrasva panchamula (shalaparni, prsniparni, brihati, kantakari and gokshura), punarnava, and the sungas (terminal buds) of five kshirivrikshas (nyagrodha, udumbara, asvattha, madhuka and plaksha)- one pala of each of these drugs should be made to a decoction.
— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 11: Chest Injury and Emaciation Treatment (Kshatakshina Chikitsa / क्षतक्षीणचिकित्सा)
Oil is prepared successively with each of the kshara of agnimantha (Clerodendrum phlomidis), shyonaka (Oroxylum indicum), palasha (Butea monosperma), stalk of tila (Sesamum indicum), bala (Sida cordifolia), kadali (Musa paradisiaca) and apamarga (Achyranthes aspera).
— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 13: Abdominal Diseases Treatment (Udara Chikitsa / उदरचिकित्सा)
Source: Charaka Samhita, Sutra Sthana — Fundamental Principles, Chapter 5: Proper Food Quantity & Daily Regimen (Matrashiteeya Adhyaya / मात्राशितीय अध्याय); Chikitsa Sthana — Therapeutic Principles, Chapter 9: Insanity and Psychosis Treatment (Unmada Chikitsa / उन्मादचिकित्सा); Chikitsa Sthana — Therapeutic Principles, Chapter 11: Chest Injury and Emaciation Treatment (Kshatakshina Chikitsa / क्षतक्षीणचिकित्सा); Chikitsa Sthana — Therapeutic Principles, Chapter 13: Abdominal Diseases Treatment (Udara Chikitsa / उदरचिकित्सा)
The dose should be determined after considering the season (Kala), digestive fire (Agni), age (Vaya), strength (Bala), constitution (Prakriti), Doshas, and region (Desha).
— Sharangadhara Samhita, Purva Khanda, Chapter 1: Paribhashakathana (Definitions)
That which is born is called a Bala (child).
— Sharangadhara Samhita, Purva Khanda, Chapter 6: Aharadigatikathanam (Description of Food Processes etc.)
Bala-roga (pediatric diseases) number twenty-two.
— Sharangadhara Samhita, Purva Khanda, Chapter 7: Rogagananam (Enumeration of Diseases)
Bala-graha (spirit-seizures of children) are described as twelve by the great sages: Skanda-graha, Vishakha, Shvagraha (dog-spirit), and Pitrugraha (ancestral spirit).
— Sharangadhara Samhita, Purva Khanda, Chapter 7: Rogagananam (Enumeration of Diseases)
However, the dose should be adjusted after assessing the strength (Bala) of the patient.
— Sharangadhara Samhita, Madhyama Khanda, Chapter 7: Vatakakalpana (Tablet Preparations)
Source: Sharangadhara Samhita, Purva Khanda, Chapter 1: Paribhashakathana (Definitions); Purva Khanda, Chapter 6: Aharadigatikathanam (Description of Food Processes etc.); Purva Khanda, Chapter 7: Rogagananam (Enumeration of Diseases); Madhyama Khanda, Chapter 7: Vatakakalpana (Tablet Preparations)
Strength (bala), complexion (varna), and vital essence (ojas) depend on the six tastes (rasa).
— Sushruta Samhita, Sutra Sthana, Chapter 1: Vedotpatti Adhyaya - Origin of Ayurveda
A physician should accept as a student one who is from the Brahmana, Kshatriya, or Vaishya lineage, of good ancestry, possessing good character (shila), cleanliness (shaucha), proper conduct (achara), humility (vinaya), strength (shakti), vigor (bala), intellect (medha), steadfastness (dhriti), memory (smriti), understanding (mati), and practical wisdom (pratipatti).
— Sushruta Samhita, Sutra Sthana, Chapter 2: Shishyopanayaniya Adhyaya - Initiation of the Student
When consumed, they promote life (prana), longevity (ayus), strength (bala), virility (virya), and vital essence (ojas).
— Sushruta Samhita, Sutra Sthana, Chapter 6: Ritucharya Adhyaya - Seasonal Regimen
Accessory instruments (upa-yantra) include: ropes (rajju), braided cords (venika), bandage cloths (patta), leather (charma), bark (valkala), creepers (lata), cloth wraps (vastra), stones (ashma), hands (pani), feet (pada), fingers (anguli), tongue (jihva), teeth (danta), nails (nakha), mouth (mukha), hair (bala), horse-tail hair, branches (shakha), suction devices, magnets (ayaskanta), caustics (kshara), fire (agni), and medicines (bheshaja) (15).
— Sushruta Samhita, Sutra Sthana, Chapter 7: Yantra Vidhi Adhyaya - Blunt Instruments
Nagara (ginger) kept in ghee with saindhava (rock salt) for a month — this is used as ashchyotana (eye drops) and anjana, combined with bala (Sida).
— Sushruta Samhita, Uttara Tantra, Chapter 12: Raktabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Blood-type Conjunctivitis)
Source: Sushruta Samhita, Sutra Sthana, Chapter 1: Vedotpatti Adhyaya - Origin of Ayurveda; Sutra Sthana, Chapter 2: Shishyopanayaniya Adhyaya - Initiation of the Student; Sutra Sthana, Chapter 6: Ritucharya Adhyaya - Seasonal Regimen; Sutra Sthana, Chapter 7: Yantra Vidhi Adhyaya - Blunt Instruments; Uttara Tantra, Chapter 12: Raktabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Blood-type Conjunctivitis)
Medical Disclaimer: The information on this page is for educational purposes only and is not intended as medical advice. Ayurvedic treatments should be pursued under the guidance of a qualified practitioner (BAMS/MD Ayurveda). Always consult your healthcare provider before starting any new treatment. Content is sourced from classical Ayurvedic texts and may not reflect the latest medical research.