Anti-phospholipid antibody (APLA) syndrome is defined by the presence of thrombo-embolic complications and pregnancy morbidity in the presence of persistently increased titers of APLA syndrome. As recurrent miscarriage, IUD of an infant or death at birth has always been a devastating experience for the mother and of concern in clinical practice, All these mortality remains a challenge in the care of pregnant women worldwide, particularly for those who had history of adverse outcome in previous pregnancies (BOH). This case is an ideal example of sapraja and is successfully managed with ayurveda therapy. Patient was having the complaints of Antiphospholipid antibody syndrome- secondary infertility with BOH since last 6 years with mental disturbance, poor appetite & sleep and constipation. Considering clinical features vata, kapha, artava involved in pathology. Patient was treated with virechana and 2 courses of kala basti followed by tab Garbhapal ras 125mg, 2BD afte rmeal with warm water, Chitrakadi vati 500mg, 2BD before meal with warm water, Lakshmanarishta 25ml BD after meal with warm water and Bijadharakyoga During treatment patient got relief from signs and symptoms and got fruitful pregnancy and delivered healthy babywithin12month. Hence it was concluded that above therapy is highly effective in the management of secondary infertility and got significant result in both subjective and objective parameters.
