IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House 10.7897/2277-4343.156201 A REVIEW ON KAZHARCHI CHOORANAM: A SIDDHA HERBAL MEDICINE FOR THE MANAGEMENT OF SOOTHAGA VAAYU (PCOS) M. Kowsalya * T. Anu Priya Varthini A.M. Amala Hazel M. Meenakshi Sundaram 11 -0001 106 108 Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age, characterized by hormonal imbalances, irregular menstrual cycles, hyperandrogenism, and ovarian abnormalities. The Siddha system of medicine provides a holistic approach to managing PCOS by addressing imbalances in the body__ampersandsign#39;s four primary components: physical, psychological, moral, and intellectual. One of the key treatments mentioned in Siddha literature for conditions like PCOS (referred to as __doublequotosingSoothaga Vaayu__doublequotosing) is Kazharchi Chooranam, a herbal formulation made from Caesalpinia crista (Kazharchikkai) and Piper nigrum (Milagu). This review aims to evaluate the potential therapeutic effects of Kazharchi Chooranam in managing PCOS symptoms. The two main ingredients, Kazharchikkai and Milagu, possess pharmacological properties such as antiandrogenic, anti-inflammatory, antidiabetic, and immunomodulatory effects, which may help alleviate the hormonal and metabolic disturbances associated with PCOS. Scientific studies indicate that Caesalpinia crista may help to regulate reproductive hormones and improve menstrual irregularities, while Piper nigrum exhibits antioxidant and anti-inflammatory properties that support overall health. This formulation, being easily available and safe, could offer a promising alternative treatment for women suffering from PCOS. Further clinical and scientific research is recommended to validate its efficacy and explore its potential as a therapeutic option for PCOS management. Polycystic Ovarian Syndrome Soothaga Vaayu Kazharchi Chooranam.