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Introduction: Gynecological bleeding disorders, including menorrhagia, metrorrhagia, and dysfunctional uterine bleeding, are prevalent among reproductive-age women and significantly impact quality of life. Ayurveda describes Pushyanuga Churna, a polyherbal powdered formulation, as a hemostatic and uterine tonic agent indicated in excessive and irregular menstrual bleeding. Modern pharmacological studies suggest that the individual components of Pushyanuga Churna possess anti-inflammatory, astringent, and hormonal modulatory properties, supporting its therapeutic use in bleeding disorders. Methods: A systematic literature review was performed using databases including PubMed, Scopus, Web of Science, Google Scholar, and AYUSH Research Portal for the period 2000–2025. Search terms included “Pushyanuga Churna,” “gynecological bleeding disorders,” “menorrhagia,” “Ayurveda,” and “herbal hemostatics.” Classical Ayurvedic texts, preclinical studies, case reports, clinical trials, and systematic reviews were included. Exclusion criteria were non-peer-reviewed articles and studies without measurable outcomes. Data were synthesized thematically according to traditional indications, pharmacological properties, clinical efficacy, and safety. Results: Classical texts describe Pushyanuga Churna as effective in controlling excessive uterine bleeding, strengthening uterine tissue, and balancing Kapha-Pitta doshas. Preclinical studies demonstrate astringent, anti-inflammatory, and uterotonic properties of its ingredients, including Fagonia cretica, Cinnamomum zeylanicum, and Cinnamomum verum. Clinical studies report reduction in menstrual blood loss, normalization of cycle length, and improved hemoglobin levels with minimal adverse effects. Discussion: The combined traditional knowledge and modern evidence support the role of Pushyanuga Churna in managing gynecological bleeding disorders. However, standardized clinical trials with larger cohorts and longer follow-up are needed to validate efficacy and safety. Integration with modern gynecological care may enhance therapeutic outcomes. Conclusion: Pushyanuga Churna is a promising Ayurvedic intervention for gynecological bleeding disorders, offering holistic symptom management, uterine tonicity, and systemic rejuvenation. Evidence-based integration into clinical practice could improve women’s reproductive health outcomes.

KEYWORDS: Ayurveda, bleeding disorders, gynecology, herbal medicine, Pushyanuga Churna