Journal of Ayurveda and Integrated Medical Sciences

Quality Assurance in Ayurveda Institutions: NCISM's Vision and the Role of QCI

Umapati C. Baragi, Jyoti M. Ganer — Sun, 10 Aug 2025 00:00:00 +0530

The rapid transformation of Ayurveda education in India has brought the dual imperatives of regulatory reform and quality assurance into sharp focus. The National Commission for Indian System of Medicine (NCISM) has undertaken major initiatives to restructure Ayurveda institutions through competency-based education, standardized infrastructure norms, and institutional performance ratings. Simultaneously, the Quality Council of India (QCI) has emerged as a critical partner, offering independent evaluations, third-party accreditations, and institutional benchmarking aligned with global standards. This article examines the collaborative efforts of NCISM and QCI in shaping a transparent, accountable, and excellence-driven academic ecosystem within Ayurveda colleges. It highlights the significance of QCI's frameworks - such as NABET and NABH - in enhancing educational outcomes, clinical preparedness, and institutional credibility. Through this integration, the traditional wisdom of Ayurveda is being empowered to meet modern pedagogical expectations and global healthcare benchmarks, marking a pivotal shift in India's integrative medical education landscape.

Evaluation of Long-Term Glycemic Outcomes Following Ayurvedic Panchakarma Therapy and Lifestyle Intervention in Patients with Type 2 Diabetes Mellitus: A One-Year Follow-Up Study

Sun, 10 Aug 2025 00:00:00 +0530

Background: Diabetes mellitus is a chronic condition marked by high blood sugar - the side effects of long-term allopathic treatment highlight the need for exploring safer, integrative therapies.

Methods: A retrospective, observational, single-centre study was conducted in Maharashtra, India between October 2021 and April 2024. Patients aged 18 years and above with a diagnosis of diabetes mellitus (HbA1c ≥6%) according to the American Diabetes Association and adherent to oral hypoglycemic agents who underwent treatment with the Comprehensive Diabetic Care Program were included in this analysis.

Results: Mean age of the study patients was 53.78 ± 11.08 years, of which 34 (68%) patients were male. Mean weight (day 1: 72.43 ± 12.38 kg, day 30: 70.45 ± 12.33 kg, day 60: 69.41 ± 12.15 kg, day 90: 69.15 ± 12.34 kg, and 1 year: 70.38 ± 12.26, p=0.00), body mass index (day 1: 27.51 ± 3.68, day 30: 26.76 ± 3.83, day 60: 26.43 ± 3.78, day 90: 26.31 ± 3.90, and 1 year: 26.78 ± 3.94, p=0.00), and abdominal girth (day 1: 96.54 ± 8.74 cm, day 30: 93.80 ± 8.98 cm, day 60: 92.14 ± 8.56 cm, day 90: 91.72 ± 8.59 cm, and 1 year: 92.84 ± 8.61 cm, p=0.00) improved at the follow-ups. Glycated hemoglobin (HbA1c) (day 1: 8.28 ± 2.10%, day 30: 7.22 ± 1.45%, day 60: 6.83 ± 1.02%, day 90: 6.55 ± 0.84%, and 1 year: 6.74 ± 0.81, p=0.00) also improved significantly at the follow-ups.

Conclusion: Integrated Ayurvedic management of type 2 diabetes mellitus over a 90-day period has proven highly effective in maintaining long-term glycemic control, even after 1-year of follow-up, whilst significantly reducing dependence on allopathic medications.

Pharmaceutico Analytical Evaluation of Herbal Toner

Kiran Asarwale, Minal Belsare — Mon, 11 Aug 2025 00:00:00 +0530

Introduction: In today's era several chemicals came into existence for enhancing beauty, thus used as cosmetics. Natural therapies are more effective, safer than chemical medicines. Hence An attempt was made to formulate a natural and safe herbal toner to reduce the facial irritancy and enhance the beauty and can be used in day-to-day life. The ingredients of herbal toner are Yastimadhu, Priyangufal, Manjishtha, Kamalpushpa, Raktachandan and Nagkeshar which Possess Varnya, Mukhaprasadak properties. This herbal toner was prepared according to Arka Kalpana which is very specific in its mode of preparation and due to virtue of this particularity it may have all volatile active substance in effective form in its final product . Arka Kalpana is given specific importance and it opines that it has more potency in comparison to the other Kalpanas. Due to its increased potency, better shelf life, easy absorption and fast action of herbal toner. Material & Methods: All the ingredients of herbal toner were procured from the authentic source. And herbal toner was prepared by standard procedure mentioned for Arka Kalpana which is correlated with distillation in modern pharmaceutics practices. After preparation of Arka, to impart a pleasant odour essential fragrance was added in it. and stored in air tight container. Result: Based on the optimization of the parameters, the herbal toner could be prepared by standard procedure of Arka Kalpana. Quality control parameters such as physical evaluation, pH, viscosity and specific gravity analysis can be done. Conclusion: From the above studies of the formulation, this herbal toner is completely chemical free. so, it needs more pharmaceutical study and research work to develop this dosage form without violating the basic principles.

Knowledge Attitude and Practice of Ayurveda Treatment in Children among Parents

Arun B., Athira S. — Mon, 11 Aug 2025 00:00:00 +0530

Background: Ayurveda, the Indian System of medicine, has been practiced in India since ages. We evaluated the overall use of Ayurveda treatment in children of preprimary and primary classes of two schools in Thaikkattussery, Thrissur, Kerala.

Methods: A KAP study was conducted on parents of 100 children of preprimary and primary classes of two schools in Thaikkattussery, Thrissur, Kerala as per a paper-based survey using a standardized questionnaire.

Results: The study revealed majority of participants have knowledge about Ayurveda in common pediatric ailments and is using Ayurveda medicines. There is a lack of knowledge about use of Ayurveda in pediatric neurological and behavioral diseases. There is a need to spread awareness about the utility of Ayurveda in pediatric developmental and behavioural disorders.

Physico Chemical Analysis of Souviraka (Malt Vinegar) - An Acidic Fermentation

Ganesh Tambe, Sakshi Badyal, Pramod Yadav, Pradeep Kumar Prajapati — Sat, 16 Aug 2025 00:00:00 +0530

Sandhana Kalpana is one revolutionary innovation evolved since the Vedic period owing to its better absorption and hence faster action, increased palatability and longer shelf life. Souviraka is one important classification of Sandhana Kalpana described in various treatment modalities. Aim: Preparation and Physico chemical analysis of Souviraka (Malt vinegar). Material and Methods: A thorough review of Souviraka from Ayurvedic texts along with in-depth analysis of published literature in various Databases/Journals related to Souviraka. Result: Souviraka is an acidic fermentation which is white in colour thick liquid, sour acidic in taste, with unpleasant smell. Physico chemical study shows pH 3.43, Specific gravity 1.0336, Total soluble solids 82.40 and Refractive index of 1.3457. Chemical tests show Total acidity 1.60, Total soluble solid 9.64. Alcohol, and reducing sugars were found to be absent. Other test like Flame test was negative but Bubble test and Sink test were positive initially but later on it became negative. The Phyto-constituents evaluation shows presence of Alkaloids, Carbohydrate, Proteins but absence of Steroids, Phenols and Tannins. Conclusion: Souviraka is a highly acidic fermentative product used in Ayurvedic management in the form of ingestion, local application and as Anupana (adjuvant).

A Review on Apakwa Bilva Phala (Unripe Bael Fruit): The Magical Medicinal Fruit of Ayurveda

Trishul Dev TA, Shivakumar — Wed, 13 Aug 2025 00:00:00 +0530

Aegle marmelos Corr. also known as Bilva, is a significant plant in the medical field, belonging to the Rutaceae family and known for its medicinal properties. It has been used for centuries to treat a variety of health conditions. Every part of the plant, including the fruit, leaves, bark, stem, and roots, is utilized to address various health issues.^[1] But in which the fruit is the most valuable part. Ancient texts describe the different medicinal properties of both the unripe (Apakwa) and ripe (Pakwa) Bilva fruit. The unripe Bilva fruit is specifically used for medicinal purposes.^[2] Apakwa Bilva Phala, the unripe fruit of Aegle marmelos Corr. holds significant importance in Ayurvedic medicine for its therapeutic benefits, including its anti-inflammatory, antimicrobial, and digestive effects. Modern scientific studies are increasingly validating its traditional uses, highlighting its effectiveness in addressing gastrointestinal issues, boosting immune function, and aiding in detoxification, thereby bridging the gap between ancient Ayurvedic knowledge and contemporary medical practices. The unripe Bael fruit is valued for its detoxifying properties, enhancing liver function, and promoting overall health by helping to balance the body's systems. Its high nutritional value and therapeutic qualities make it a crucial component of traditional natural medicine, and it also helps in managing digestive disturbances, such as diarrhoea and dysentery. Support overall well-being by harmonizing bodily functions. The present is a review on Apakwa Bilva Phala (Unripe Bael Fruit): The Magical Medicinal Fruit of Ayurveda

Shirobasti: A Comprehensive Review of an Ayurvedic Therapeutic Procedure

Tanya Bhau, Sunil Kale, Gulab Chand Pamnani, Rajendra Kumar Soni — Wed, 13 Aug 2025 00:00:00 +0530

Shirobasti is a specialized Ayurvedic therapy involving the application of warm, medicated oil to the scalp using a leather cap. This procedure is designed to address various head and neurological disorders by balancing the Vata and Pitta doshas. Indications for Shirobasti include chronic headaches, migraines, insomnia, stress, anxiety, depression, and certain neurological conditions. The therapy not only alleviates these conditions but also promotes overall mental well-being and cognitive function. The application of warm oil stimulates blood circulation in the scalp, nourishes hair follicles, and enhances the absorption of therapeutic compounds. This process aids in the rejuvenation of the nervous system and supports the body's natural healing mechanisms. By integrating Shirobasti into Ayurvedic treatment plans, individuals can experience a holistic approach to healing that emphasizes the interconnectedness of physical and mental health.

A Review on Ayurvedic Preventive Measures in Pratishyaya

Rachana K., Sujathamma K. — Wed, 13 Aug 2025 00:00:00 +0530

Ayurveda is a holistic science that plays a vital role in the prevention and maintenance of health and well-being. Prevention is a key principle in Ayurvedic philosophy, aimed at sustaining balance within the body and mind. Pratishyaya, one of the Nasagata Rogas is considered a significant condition. If neglected, it may lead to serious complications such as Badhirya, Andhata, Kasa, Netra Amayas, Agnisada, and Sopha. In the modern era, individuals living in metropolitan cities are increasingly susceptible to upper respiratory tract infections due to exposure to polluted air and environmental stress. Therefore, it becomes essential to adopt preventive strategies outlined in Ayurvedic texts. Practices such as Dinacharya, Ritucharya, Pathya Ahara, Vihara, and the use of Rasayanas can significantly enhance immunity and help in the prevention of such disorders.

Ahara during Yoga Kala: An Ayurvedic and Yogic Perspective

Darshna Bharti, Sasmita Tripathy, Jagdish Mishra, Vibha — Wed, 13 Aug 2025 00:00:00 +0530

Background: Ahara (diet) is central to holistic well-being in both Ayurveda and Yoga. During Yoga Kala - the ideal time for yogic practices - proper dietary discipline plays a crucial role in balancing body, mind, and consciousness.

Objective: This review explores the relevance of Ahara during Yoga Kāla through classical Ayurvedic texts and yogic scriptures, highlighting Sattvic dietary choices, Agni (digestive fire) considerations, and seasonal adaptations.

Methods: A qualitative textual review of Ayurvedic and yogic literature was undertaken. Sources included Charaka Saṃhitā, Sushruta Saṃhitā, Ashtāṅga Hṛdaya, Bhagavad Gītā, Haṭha Yoga Pradīpikā, and Gheraṇḍa Saṃhitā, alongside contemporary publications.

Results: Diets high in Sattva promote clarity, balance, and subtle perception, which are conducive to yogic advancement. Proper timing and choice of food strengthen Agni and prevent accumulation of Āma (toxins), optimizing both physical and mental outcomes of yoga practice.

Conclusion: Aligning Ahara with Yoga Kala significantly enhances the efficacy of Yogic practices. A Sattvic, seasonal, constitution-tailored diet supports Prāṇa flow, clarity, and vitality, reinforcing the union of body and mind.

Conceptual Study of Atulya Gotra and Consanguineous Marriages

Pallavi Abhijit Gune, Manjiri S. Deshpande — Wed, 13 Aug 2025 00:00:00 +0530

In Ayurveda consanguineous marriages that is Sagotra Vivah mentioned and also mentioned the risk of such marriages. This article is the conceptual review of Ayurveda and modern text of Sagotra Vivah. In this article one example of bleeding disorder - Hemophilia and its risk factor is also mentioned to elaborate the concept.

Shodhan (Purification) of Visha Dravya: A Critical Review

Hari Shankar Salvi, Rohit Parmar, Aditya Sharma, Abhishek — Wed, 13 Aug 2025 00:00:00 +0530

Visha Dravya, often referred to as poisonous substances, has great value in Ayurveda mainly because of their therapeutic potential if processed properly. The plants which possess various classes of phytochemicals are still found either in their crude forms or after proper processing. Thus, to popularize and introduce their use for medicine, such plant drugs need to be detoxified or purified before use. The process of detoxification or purification of any toxic material used for medicinal purposes is known as "Shodhana". Shodhan, the process of purification, will reduce the toxicity but retain its medicinal properties. This review discusses various classical and contemporary methods employed during Shodhan, Samskara (processing), Bhavana (levigation), and Marana (incineration). It elucidates the scientific rationale behind each step in purification and outlines their pharmacological studies and clinical trials where possible. Additionally, challenges and future perspectives in standardizing Shodhan procedures are addressed to make it reproducible and safe in clinical practice. Overall, this review provides insight into traditional wisdom and modern scientific advancements in the purification of research-oriented Ayurvedists, as well as associated professionals.

Netra Raksha: Safeguarding vision through Ayurvedic wisdom

Sukanya K., Sujathamma K. — Thu, 14 Aug 2025 00:00:00 +0530

The eye is a vital sense organ, enabling perception and interaction with the external world. In today’s digital age, excessive screen time, poor lifestyle choices, and environmental stressors significantly impact ocular health. Ayurveda, the ancient Indian system of medicine, provides holistic approaches to maintain and enhance eye health through preventive, promotive, and therapeutic strategies. This review integrates classical Ayurvedic texts with contemporary understanding of eye strain and digital vision syndrome. The principles of Dinacharya (daily routine), Ritucharya (seasonal regimen), dietary guidance, and herbal formulations were examined in relation to their role in maintaining ocular health. Key Ayurvedic interventions like Anjana (collyrium), Tarpana (retention of medicated ghee over the eyes), Netra Prakshalana (eye wash), and internal medicines such as Triphala were correlated with modern preventive strategies for eye care. Findings suggest that Ayurvedic practices effectively address common eye disorders including dryness, fatigue, and diminished vision. Herbs like Triphala, Yashtimadhu, and Amalaki are rich in antioxidants and have shown ocular benefits. Techniques like Trataka (yogic gazing) and Netra Vyayama (eye exercises) support muscular endurance and focus, mitigating the effects of prolonged digital exposure. Integrating Ayurvedic eye care with modern lifestyle modifications presents a sustainable approach for preserving visual health. Ayurvedic regimens are not only preventive but also rejuvenative, aiming to maintain Ojas and enhance the longevity of vision. Further clinical studies can strengthen the scientific basis of these practices and facilitate their wider adoption.

Pathways of Pain: An Anatomical Perspective on Transmission and Modulation

Pallavi Waghmare, Rita Marwaha, Nisha Bhalerao, Shiba Datta Panda — Thu, 14 Aug 2025 00:00:00 +0530

Pain is a complex sensory-emotional experience essential for survival, serving as an imperative warning system for the body. The article provides an anatomical overview of pain transmission and modulation, describing the pathways and structures involved in nociception. Pain transmission is begun by activation of nociceptors in peripheral tissues, converting noxious stimuli to electrical signals conveyed via A-delta and C fibers to the dorsal horn of the spinal cord. Second-order neurons convey the information along ascending pathways, primarily the spinothalamic tract, to supraspinal brain centres like the thalamus, somatosensory cortex, limbic system, and prefrontal cortex, where pain is perceived and interpreted. Pain modulation occurs at different levels of the nervous system and is mediated through inhibitory as well as facilitatory mechanisms. Descending control from the brainstem -periaqueductal gray (PAG), and rostral ventromedial medulla (RVM) - plays a crucial role in modulating transmission of nociception at the spinal level. The neurotransmitters serotonin, norepinephrine, GABA, and endogenous opioids are the main modulators of pain. An understanding of pain transmission and modulatory mechanisms at the physiological and anatomical levels is essential for the planning of targeted pain management and treatment approaches.

Phytoextracts in Dentistry from Prevention to Therapy - A Review

Mon, 11 Aug 2025 00:00:00 +0530

Dental diseases are major public health problems and are the most common cause of tooth loss in adults. However, every disease is preventable if diagnosed at the earliest and there are many ways for prevention of dental diseases like use of drugs, invasive and noninvasive techniques. The field of dentistry also has begun to exploit herbs as one of the cost-effective ways of prevention. Phytomedicine may be defined as a medicine derived from plants in their original state and standardized for use in a dosage regimen. Some of the commonly available herbs are clove oil, green tea, turmeric, aloe-Vera, Triphala, neem, peppermint and oregano which exhibit excellent biological properties like- Antimicrobial agents, Anti-inflammatory agents, antioxidant and sedative. Plant extracts have the potential to act as prophylactic or therapeutic agents for soft tissue and hard tissue conditions. This review article explores the application of phytoextracts for dental disease prevention and emphasizes their integration within the framework of Evidence-Based Dentistry (EBD). Through a comprehensive literature search conducted on the PubMed database, this review synthesizes findings from various studies on phytoextracts, highlighting their potential in primary prevention methods in dentistry. It underscores the importance of EBD in validating the efficacy and safety of phytoextracts, ensuring that clinical practices are grounded in robust scientific evidence. This bird’s eye view of the current literature reveals a significant need for more rigorous and detailed research to fully harness the benefits of phytoextracts in dental care.

Understanding Shatkriyakala - A Classical Framework for Disease Progression in Ayurveda

Rajni Thalore, Pankaj Marolia, Man Mohan Sharma, Ankita Choudhary — Tue, 12 Aug 2025 00:00:00 +0530

The identification of a disease's progression stage is known as Kriya Kala. This idea is primarily compared to the pathogenesis of disease. Kriyakala refers to the period of therapy or pause in the progression of an illness. The 21^st chapter of the Sutrasthana has a detailed account of Shatkriyakala by Acharya Susrutha. Sanchaya, Prakopa, Prasara, Sthansamshraya, Vyaktavastha, and Bhedavastha are the six stages of Shatkriyakala. Shat means 6 Kriya signifies action or therapy Kala signifies period or time. Therefore, "appropriate time periods to take action/treatment" is what Shatkriyakala signifies. Ayurveda's Prayojana is divided into two categories: healing a disease in a sick person by using therapeutic methods, and maintaining health in a healthy person by following the Ritucharya, Dincharya, and Sadvritta.

A comprehensive review on the Samprapti and management of Khalitya w.s.r. to Alopecia

Amrita Kumari Agrawalla, Sarita Mohanta, Manoranjan Sahu — Thu, 14 Aug 2025 00:00:00 +0530

Khalitya, recognized in Ayurveda as a form of hair loss, bears significant resemblance to Alopecia as understood in modern dermatology. It is primarily caused by the vitiation of Pitta and Vata Doshas, although the involvement of Kapha and Rakta also contributes to the pathology. This vitiation leads to the weakening of hair follicles, impaired scalp nourishment, and eventual hair fall and thinning. According to Ayurvedic principles, the Samprapti (pathogenesis) of Khalitya involves the progressive disturbance of the Doshas, impacting key bodily tissues such as Rakta (blood), Mamsa (muscle), and Asthi (bone), culminating in follicular degeneration. The Samprapti in Khalitya outlines a systematic progression of Doshic disturbances that directly impact the structural and nutritional integrity of the scalp and hair roots. This review aims to explore the Ayurvedic understanding of Khalitya through its etiology (Nidana), classification, and Samprapti, while drawing correlations with the contemporary pathophysiology of different types of Alopecia, such as Androgenetic Alopecia, Alopecia Areata, and Telogen Effluvium. Modern research highlights autoimmune responses, genetic predisposition, hormonal imbalances, and environmental triggers as major causes of Alopecia, which interestingly align with Ayurvedic principles of internal disharmony and impaired tissue metabolism. By analyzing these interconnected perspectives, this study underscores the potential of an integrative treatment strategy. Ayurvedic interventions like Shodhana (purificatory therapies), Shamana (palliative therapies), Rasayana (rejuvenation), and herbal formulations can be combined with modern treatments such as minoxidil, corticosteroids, and platelet-rich plasma (PRP) therapy. Understanding the pathogenesis of Khalitya offers a holistic approach that may enhance therapeutic outcomes and provide personalized, root-cause-oriented solutions for effective long-term hair loss management.

Review article on the importance of Aahar w.s.r. to Kritann Kalpana in prevention of diseases

Suman, Neeraj Kumar Joshi, Mansi, Jyoti — Fri, 15 Aug 2025 00:00:00 +0530

Background: Aahar (diet) plays a pivotal role in Ayurveda, as it directly influences health, wellness, and disease prevention. A specific aspect of Aahar, Kritann Kalpana, involves processed and medicinal food preparations aimed at enhancing the therapeutic value of meals. These preparations were designed to support digestion, balance dosing, and promote overall well-being.

Objectives: This article reviews the significance of Kritann Kalpana in Ayurvedic dietary practices, its role in disease prevention, and the mechanisms underlying its effects on health.

Methods: A comprehensive review of classical Ayurvedic texts along with recent clinical studies and research articles was conducted.

Results: The role of Kritann Kalpana in disease prevention is highlighted, with examples of specific food preparations of various rice-based dishes, such as Yavagu, Vilepi, Odana, and Krishra, each having distinct qualities and health benefits.

Conclusion: Kritann Kalpana has substantial potential for disease prevention owing to its medicinal properties and a holistic approach to nutrition. Further clinical research is required to validate these ancient practices within modern medical paradigms.

Mind-Body Healing - The Ayurvedic Perspective on Mental Health in Post-Surgical Recovery

Jithesh T. Poojary, Sajith M, Manjunath Bhat — Fri, 15 Aug 2025 00:00:00 +0530

Surgical recovery is not merely a physical process; it encompasses profound psychological and emotional dimensions. Despite advancements in operative and perioperative care, mental health remains under-addressed in post-surgical outcomes. Ayurveda, the ancient Indian system of medicine, offers a comprehensive and holistic framework that integrates mind-body healing, emphasizing that emotional well-being is pivotal to physical recovery. The Ayurvedic concept of health includes equilibrium among Doshas, Agni, Dhatus, Malas, and mental faculties, along with stability of the soul and consciousness. Mental disturbances - such as anxiety, grief, and fear can diminish Ojas, the vital essence of life, thereby impairing immune response and delaying healing. This article highlights the significance of incorporating Ayurvedic principles in post-operative care, focusing on Daivavyapashraya (spiritual), Yuktivyapashraya (rational/pharmacological), and Satvavajaya (psychotherapeutic) chikitsa. Additionally, supportive regimens like Dinacharya, Ritucharya, Yoga, and Achara Rasayana foster a sattvic lifestyle conducive to mental resilience. Seasonal awareness through Ritucharya further ensures Doshic balance and stable moods during recovery. Integration of Ayurveda-based psychological support complemented by modern interventions such as CBT and mindfulness can significantly enhance recovery outcomes, reduce hospital stay, and improve quality of life. This article advocates for greater recognition of mental health in surgical protocols and the integration of traditional wisdom with contemporary medical practice.

Understanding Dyslipidemia as a disease of Rasavaha Srotas

Nirmala Joshi, Madhavi Goswami — Fri, 15 Aug 2025 00:00:00 +0530

Background: Dyslipidaemia, a metabolic disorder characterized by abnormal lipid profiles, is a key risk factor for cardiovascular diseases. In Āyurveda, such metabolic imbalances are primarily associated with the Rasavaha Srotas, the bodily channel system responsible for the transportation and transformation of Rasa Dhātu. This concept offers a unique pathophysiological insight linking lipid disorders with Doṣa-Duṣṭi and Srotodushti. Aim: To explore dyslipidemia through the lens of Rasavaha Srotas dysfunction and establish a conceptual correlation between modern lipid disorders and Āyurvedic pathophysiology. Materials and Methods: A comprehensive review of classical Āyurvedic texts was undertaken to analyze the concept of Rasavaha Srotas, its physiological role, and pathological manifestations. Parallel review of contemporary scientific literature on dyslipidemia was performed to identify shared pathophysiological grounds. Comparative evaluation was done to correlate Doṣic involvement, Āma formation, and Srotorodha with lipid metabolism abnormalities. Observations and Results: Dyslipidemia shares clinical resemblance with conditions involving Kapha and Medo Doṣa aggravation, Āma production, and Srotorodha in the Rasavaha and Medovaha Srotas. Improper Agnibala, especially of Rasāgni and Medodhatvāgni, leads to impaired transformation and assimilation of Rasa Dhātu, culminating in lipid imbalance. Repeated episodes of faulty Ahāra, Vihāra, and sedentary lifestyle contribute to Rasavaha Srotodushti, which parallels the etiology and pathology of dyslipidaemia in biomedicine. Discussion: Understanding dyslipidemia as a disease of Rasavaha Srotas provides a holistic model emphasizing early intervention through Dīpanīya, Pācana, Āmapācana, and Srotoshodhana therapies. Preventive approaches based on Ahāra-Vihāra regulation, Ritu-anukula Carya, and Dinacarya offer sustainable solutions for dyslipidemia management, bridging traditional wisdom with modern therapeutic goals. Conclusion: Dyslipidemia can be understood as a manifestation of Rasavaha Srotodushti due to Doṣa imbalance, impaired Agnibala, and lifestyle errors. Integrative understanding of this metabolic condition through Āyurvedic principles enhances diagnostic and therapeutic strategies for sustainable health care delivery.

Vyanga Roga in Ayurveda: Significance in Swatantra vs Partantra Vyadhi and Modern Correlation with Melasma

Neha Jamwal, Deeksha — Fri, 15 Aug 2025 00:00:00 +0530

Vyanga Roga is an Ayurvedic cutaneous disorder characterized classically by painless, dark. (Śyāva) circular patches on the face. It is described in the classics (e.g., Sushruta Samhita and Charaka Saṃhitā) as a Kṣudra (minor) disease of predominantly Rakta-Pradoṣaja (blood-influenced) nature, often linked with aggravated Pitta and Vāta. This paper examines Vyanga in the context of Swatantra (independent) and Partantra (dependent) Vyādhi classifications. A Swatantra Vyādhi is an independent disorder with its own Nidāna (etiology) and Lakṣaṇa (symptoms), whereas a Partantra Vyādhi arises secondary to another primary disease. Classical texts and modern authors (e.g., Charaka, Sushruta, Vagbhata, and contemporary scholars like Pandey) are reviewed to clarify whether Vyanga is primarily a Swatantra Vyādhi or an Upadrava (complication). Ayurvedic pathogenesis (Samprāpti) of Vyanga – involving Pitta–Rakta vitiation in the Bhrajaka Pitta channel due to stressors (e.g., Krodha/Śoka) and Śleṣhmika factors – is outlined. A comparative analysis then correlates Vyanga with modern melasma (Facial Hyperpigmentation). Melasma is an acquired hyperpigmentation of sun-exposed facial areas, disproportionately affecting women (often hormonal/pregnancy-related). Both conditions present with facial hyperchromic macules; however, their etiological models differ. In Ayurveda, Vyanga may be viewed as Swatantra (Śuddha Raktaja dyschromia) yet can occur as a Partantra (e.g., in pregnant women as an Upadrava of Garbhini Roga). This review highlights convergences (e.g., facial pigment dys-homeostasis) and divergences (Dosha-based vs. melanin-centric pathogenesis) between Vyanga and melasma, drawing on classical passages and recent studies. It underscores the importance of integrating Ayurvedic wisdom (Charaka, Sushruta) with modern dermatology to refine the understanding and management of facial hyperpigmentation.

Pithecellobium dulce (Roxb.) Benth: A Nutritionally Rich, Ecologically Resilient, and Therapeutically Promising Anukta Dravya

Ramandeep Kaur, Ankita Goyal — Fri, 15 Aug 2025 00:00:00 +0530

Pithecellobium dulce (Roxb.) Benth, commonly known as Manila tamarind or Jangle Jalebi, is a resilient, multipurpose tree. Known for its twisted, sweet pods and high adaptability to poor soil and saline conditions, it is valued for both its ecological and medicinal properties. Traditionally used in various cultures for treating ailments like diarrhoea etc, the plant exhibits a broad range of therapeutic effects, including anti-diabetic, antimicrobial, antiulcer, anthelmintic, CNS depressant, and anti-venom activities. Its different parts - leaves, bark, seeds, and pulp are rich in nutrients, essential elements, and bioactive compounds like flavonoids and tannins. As such, there is no reference found in classical Ayurvedic texts of P. dulce, and it is classified as an Anukta Dravya. Scientific studies support its pharmacological potential, making it a promising drug for future research in herbal medicine, pharmaceuticals, and environmental sustainability. This article highlights the botanical, nutritional, pharmacological, and traditional significance of P. dulce, underlining the need for further exploration and validation to integrate it into mainstream therapeutic applications.

A review on Paranthimukuladi Kashayam in the management of Podivarppan w.s.r. to Erythrodermic Psoriasis

Aswathi P., Shidhin K. Krishnan, Arathi Krishnan, Reshma J. — Sun, 17 Aug 2025 00:00:00 +0530

Varppan is a skin condition explained in Arogyakalpadrumam, wherein the Kupitha Vata (vitiated Vata) moves out Raktha (blood) from Rakthashaya (seat of Raktha) and both moves together throughout the body and cause Vyadhi (disease). Podivarppan, a subtype, exhibits symptoms like Kandu (itching), Mandala Sopha (round swelling) and Dhumra Varna Raja (powdery discharge) on scratching. These symptoms of Podivarppan aligns with that of erythrodermic psoriasis, characterized by erythema, scaling of skin in sheets, edema, psoriatic plaques and pruritus. Paranthimukuladi Kashayam is a Yoga (formulation) mentioned in the management of Podivarppan, in Arogyakalpadrumam. This conceptual article examines the potential therapeutic applications of action of Paranthimukuladi Kashayam in managing Podivarppan and erythrodermic psoriasis.

Ayurveda and the Economy: Exploring their Interconnected Growth Paths in India

Indrani Majumder — Sun, 17 Aug 2025 00:00:00 +0530

Ayurveda is an ancient system of medicine in India. It. The Ayurvedic industry makes significant contributions to multiple sectors, including healthcare, pharmaceuticals, agriculture, tourism, exports, and employment and thus plays a crucial role in the country's economic landscape. The rapid growth of the global wellness market, increased government support, and consumer preference for natural remedies have further strengthened the economic relevance of Ayurveda. This paper explores the various ways Ayurveda interlinks with the economy, analyzing its impact on GDP, trade, rural livelihoods, and sustainable development.

Ayurvedic Insights into Metabolic Syndrome: Harnessing Ancient Wisdom for Holistic Health

Sneha John, Unnikrishnan S., Amrutha Jayan — Sun, 17 Aug 2025 00:00:00 +0530

A growing global health concern is metabolic syndrome, a collection of linked disorders that include insulin resistance, central obesity, hypertension, and dyslipidemia. Ayurveda, an ancient Indian medical system, offers a comprehensive method for comprehending and treating this syndrome. In Ayurvedic literature, metabolic syndrome is linked to “Medopradoshaja Vikara " (Diseases due to vitiated Medodhatu) and "Santarpanottha Vikaras" (conditions caused by over-nourishment). The Ayurvedic approach emphasizes both preventive and therapeutic strategies, including Nidana Parivarjana (elimination of causative factors), Samshodhana (detoxification procedures like Panchakarma), and Samshamana, an Ayurvedic therapy designed to maintain balance in the body by managing doshas without purging them. Dietary modifications, Yoga, and daily routines (Dinacharya) also play a vital role in holistic management of the condition. Emerging research is starting to support Ayurveda's role in treating metabolic disorders and provide insight into how it can be integrated with contemporary medicine. As a result, Ayurveda has great potential for preventing and treating metabolic syndrome holistically, addressing the underlying causes of the illness, as well as its symptoms.

The Preventive Potential of Dinacharya in Sports Medicine: A Comprehensive Approach

Nilesh Suryakant Sanas, Jyothi R, Preeti Achchhelal Verma — Sun, 17 Aug 2025 00:00:00 +0530

Sports medicine is a specialized branch of medicine that focuses on preventing, diagnosing, treating, and rehabilitating injuries sustained during sports activity and physical exercise. The main aim of it is to enhance athletic performance and prevent and treat the injuries of sports persons. As sports medicine continuously seeks new innovative ways to improve athletic health, Ayurveda offers a comprehensive strategy focusing on preventive and curative care. Ancient Ayurvedic science provides a holistic solution to day-to-day issues. The application of Ayurvedic principles particularly the principle of Dinacharya (daily regimen), to contemporary sports medicine enhances athletic performance and prevents injuries. The article reviews different Dinacharya (daily regimen) practices from Brahma Muhurta Uthan (awakening with the dawn) to Snana (bathing) etc. and their potential benefits and mechanism of action for enhancing athletic health. As these daily regimen activities are simple and take less time to complete, athletes can integrate these daily routine exercises into their everyday life for positive outcomes. As daily training and workout session of athletes needs physical demands like more strength, endurance, and recovery along with sharper decisions, mental clarity, and peace like mental demands. Ayurveda’s daily regimen is a scientifically proven system that has physiological and psychological advantages to foster resilience and reduce the risk associated with injuries. The given study promotes the incorporation of Ayurvedic techniques into modern sports medicine, positing a synergistic approach to optimize athlete care and performance.

Ayurveda and Nanotechnology - A Synergistic Approach to Enhance Therapeutic Efficacy

Vidhi Sharma, Amrit Jindal, Rajesh Sharma — Sun, 17 Aug 2025 00:00:00 +0530

Medicine, materials science, and biotechnology are just a few of the fields that have been transformed by nanotechnology, the research and engineering of materials at the nanoscale (usually 1–100 nanometers). Materials of this scale have distinct physical, chemical, and biological characteristics that set them apart from their bulk counterparts, enabling improved accuracy and functioning. New avenues for therapeutic innovation have recently been made possible by the combination of nanotechnology and conventional medicinal systems like Ayurveda. This has the potential to significantly improve the targeted distribution, bioavailability, and effectiveness of Ayurvedic medicines. Nanoparticles are a necessary component of traditional Ayurvedic procedures, such as making of Bhasmas (metallic or mineral ash), suggesting a long-standing, albeit unrecorded, use of nanoscale materials. The integration of nanotechnology not only strengthens the therapeutic value of Ayurveda but also bridges the gap between traditional knowledge and modern medicine. Applications include nano-carriers for herbal extracts, nano-emulsions, and lipid-based nanoparticles to deliver active phytoconstituents more efficiently. However, comprehensive toxicological studies, standardization protocols, and regulatory frameworks are essential to ensure safety and efficacy. This article examines how Ayurveda and nanotechnology intersect, stressing recent developments, difficulties, and opportunities in this nascent multidisciplinary field.

Stress: A Burning Issue of Today’s Era - An Integrative Review with Ayurvedic Insight

Upesh Madhukar Likhar, Prachi Likhar — Sun, 17 Aug 2025 00:00:00 +0530

Stress has emerged as a global public health concern, affecting individuals across age groups and professions. It contributes significantly to physical, emotional, and behavioral disorders. This article explores the multifaceted nature of stress, including its etiology, physiological mechanisms, impacts across different life domains, and current evidence-based management strategies. Emphasis is placed on the urgent need for comprehensive and integrative approaches to mitigate stress and its cascading effects, including insights from Ayurveda.

Stri Prakriti and Reproductive Health: A Theoretical Integration of Ayurvedic Typology and Genetic Tendencies

Bharti Gahlawat, Pradnya Shirke, Ankit Kumar — Sun, 17 Aug 2025 00:00:00 +0530

Ayurveda’s foundational concept of Prakriti - the inherent biological constitution unique to each individual - forms the cornerstone of personalized healthcare. Within this framework, Stri Prakriti specifically denotes the female constitution, encompassing distinct physical, physiological, and psychological characteristics that significantly influence reproductive health. This theoretical article critically examines classical Ayurvedic perspectives on Stri Prakriti, elucidating their relevance to menstrual regulation, fertility, and pregnancy outcomes. It further integrates contemporary advances in genetics and epigenetics to provide a nuanced understanding of the biological variability observed among women. By correlating Dosha predominance with hormonal milieu and gene expression patterns, the article proposes a novel model that bridges ancient Ayurvedic wisdom with modern biomedical science. This synthesis underscores the potential of constitutional assessment as a predictive and preventive tool for optimizing individualized reproductive healthcare. Such an integrative approach holds promise for enhancing personalized strategies in women’s health, fostering improved clinical outcomes, and advancing the dialogue between traditional knowledge and contemporary scientific paradigms.

Dosha-Dushya Sammurchana in Vatarakta: A Comparative View with Gout Pathophysiology

Harsh Bhardwaj, Kashish, Swapnil Saini — Mon, 18 Aug 2025 00:00:00 +0530

Health is an intricate concept that encompasses physical, physiological, mental, emotional, spiritual, and social well-being, all of which are deeply affected by dietary and lifestyle choices. Ayurvedic texts consistently highlight the vital importance of Ahara (diet) and Vihara (lifestyle) in maintaining Swasthya (health) and Vikara (diseases). This focus is particularly pertinent today, in light of the notable increase in metabolic disorders related to lifestyle. According to Ayurveda, Vatarakta is a disease that involves an imbalance of Vata Dosha that affects Rakta Dhatu. The Vata, whose pathways are impeded by Rakta, is further vitiated, contaminating the Rakta or blood. Vatarakta is a profound Vatavyadhi produced by Avarana (occlusion) disease. Vatarakta have two Avasthas i.e., Uttana and Gambhira. Uttana Vatrakta affects Twacha and Mamsa Dhatu whereas Gambhira mainly affects Asthi, Majjadi Gambhira Dhatu. One of the best and most significant methods for determining a disease's causes, prognosis, and diagnosis is Nidan Panchak. The five parts of Nidan Panchak are Purvarupa, Rupa, Upshaya, Samprapti, and Nidan. The primary and crucial diagnostic technique in Ayurveda is the Nidana Panchak. The symptoms of gout are very similar to those described in Vatarakta. Gout is a common type of arthritis caused by uric acid disruption, in which excess uric acid in the bloodstream forms crystals in the joint, causing acute pain, swelling, and stiffness. Different Ayurveda texts, journals, research papers, articles are referred to study the concept of Vatarakta and its usefulness in manifestation and sequelae of the Vatarakta

Conceptual Review of Yakrit Vikara (Liver Disorders) with special reference to Raktavaha Srotas (Blood Vascular System)

Deepshikha Kumari, Uma B. Gopal — Wed, 20 Aug 2025 00:00:00 +0530

Introduction: Yakrit is considered, one of the Koshtanga (Visceral organ) and the Moolasthana (Site of forming, controlling, regulating, purifying, reserving, detoxifying, and amalgamating, target) of Raktavaha Srotas. Hence, a Samvaya (Integrated interrelationship) seems to exist between Rakta and Yakrit. The involvement of Pitta in pathology should also be considered as Rakta and Pitta (Asraya) and (Ashrayibhava). Accha Pitta (Bile) is derived from Yakrit. The description of the digestion process mentioned in Ayurveda shows that Yakrit plays an important role in the digestive process. Every Srotas has its own Moolasthana, or root. Chakrapani described the Moolasthana of Srotas as Prabhava Sthana, which signifies the anatomical seat of respective Srotas, the major seat of pathological alterations, and diagnostic value. Aims and Objectives: To analyse the concept of Yakrit Vikara concerning Raktavaha Srotas. Materials and Methods: Ayurveda classical textbooks, related books of contemporary science, various journals, publications, articles, etc in support of Yakrit vikara are reviewed and related information is collected and analysed. Discussion: Yakrit Roga is caused by the vitiation of Rasa and Rakta dhatu. Mandagni and Vishamagni cause the formation of 'Ama' that leads to Srotodushti further causing Vikara (disease/disorder). Dhatu is formed and nourished by the Srotas with the help of Dosha. Srotas are responsible for the formation of new cells and tissues in our body. Tissue results in organ formation. Thus, the paper highlights Yakrit as an organ related to Raktavaha Srotas and various Yakrit Vikara that may manifest due to Raktavaha Srotodushti.

Role of Pathya Apathya in the management of Surgical Disorders - A Review Article

Wed, 20 Aug 2025 00:00:00 +0530

In the science of Ayurveda, the management of Shalya Vikāras (surgical disorders) is not limited to surgical intervention alone, but also emphasizes a comprehensive approach that includes Āhāra (diet), Vihāra (lifestyle), and Manasika Bhāva (mental state). The principles of Pāthya (wholesome regimen) and Apāthya (unwholesome regimen) hold significant importance in the pre-operative (Pūrvakarma), operative (Pradhānakarma), and post-operative (Pascātkarma) phases of Shalyakarma. Classical texts like Suśruta Saṁhitā and Caraka Saṁhitā strongly emphasize that even a well-performed surgery may not yield desired results if Pāthya-Apāthya is neglected. Proper observance of Pāthya aids in Agnidīpana (enhancing digestive fire), Dhātu Pushti (nourishment of tissues), Vraṇa Ropaṇa (wound healing), and in the prevention of Upadravas (complications). Conversely, indulgence in Apāthya can lead to Agnimāndya, Āma Sanchaya, and delayed recovery. Modern evidence also supports that nutrition and lifestyle influence surgical outcomes, wound healing, and immunity. Thus, the inclusion of Pāthya-Apāthya in the management protocol of surgical disorders ensures a holistic, cost-effective, and patient-centric approach. This article explores the Saṁhitā-based references, clinical relevance, and modern correlations of Pāthya-Apāthya in the effective management of Surgical Disorders.

A Conceptual Review on Free Radicals and Antioxidants through Ayurveda

Anushree K., Abdul Khader — Wed, 20 Aug 2025 00:00:00 +0530

Pro-oxidants/oxidants, termed Reactive Oxygen species (ROS) and Reactive Nitrogen Species (RNS), are formed from both endogenous and exogenous sources. Free Radicals are central to both normal physiological functions and the development of various diseases, drawing substantial research focus. Free radicals have beneficial effects on body at lower levels and cause diseases at higher levels. Therefore, healthy state depends on the balance between free radicals and antioxidants in the body. This article explores the Ayurvedic perspective on the endogenous formation of free radicals through the roles of Jataragni, Bhutagni and Dhatwagni, and their relationship with Ama formation. Ama is a sequela of Agnimandya resulting from improper diet and lifestyle. As a defence mechanism, antioxidants help scavenge these free radicals. Article offers a conceptual review of the Ayurvedic insights into enzymatic endogenous antioxidants, non-enzymatic antioxidants such as metabolic antioxidants, nutrient antioxidants.

Review on therapeutic uses of Takra w.s.r. to Medoroga - A Conceptual Study

Ankit Khandhdiya, Lajwanti Keswani, Salil Jain, Rohit Jadhav — Wed, 20 Aug 2025 00:00:00 +0530

Ayurveda, originating from ancient India, is a holistic system of medicine that has gained significant attention for its comprehensive approach to health and well-being. In Ayurveda, obesity is conceptualized as "Medoroga," where "Meda" refers to adipose tissue and "Roga" denotes disease. According to Ayurvedic principle, Medoroga is a Kapha predominant Vyadhi yet the involvement of Vata and Pitta cannot be neglected. So, all the three Doshas are involved in the pathogenesis of Medoroga. A dietary approach to cure Medoroga is intake of Takra in individual’s diet. It is prepared by churning yogurt or curd with water, it is considered to pacify aggravated Doshas, particularly Vata and Kapha, due to its Madhur Kashaya Rasa, Ushna Virya and Laghu-Ruksha Guna. Takra is believed to stimulate the digestive fire (Agni) without aggravating Pitta.By utilising Samanya Vishesh Siddhant and Ashraya Ashrayi Bhava Takra remove the obstruction of the Srotas by balancing Doshas and Agni.

Nagadantyadi Ghrita In Keeta Visha - A Review

Rohith KR, Avinash KV, Pooja KS — Wed, 20 Aug 2025 00:00:00 +0530

Background: Insect bites or stings are very common especially in the rural parts of India. Management of Keeta Visha has been explained in all the Ayurveda classics. Nagadantyadi Ghrita is a formulation indicated in various poisonous conditions by Acharya Charaka. Aim: This study aimed at evaluating the pharmacological properties of Nagadantyai Ghrita and its effect on Keeta Visha. Materials and Methods: This literature study was done by referring various Samhita’s, articles and online sources. Observations and Results: There are 8 ingredients in Nagadantyadi Ghrita and among them all most all ingredients show Vedanasthapana, Vishagna and Shothahara properties. Conclusion: Oral intake of Nagadantyadi Ghrita can manage the symptoms of Keeta Visha like pain, swelling, itching and burning sensation.

An Ayurvedic perspective on Phakka Roga - Correlating traditional knowledge with Rickets in children

Rushikesh Borase, Deokumar Raut — Wed, 20 Aug 2025 00:00:00 +0530

Kashyap Samhita is one of the important ancient Samhita of Kaumarbhritya. Kumara Bharana and Poshana, i.e., growth, development and nutrition of the child are the main objectives of Kaumarabhritya.^[1] During Kumaravastha physical and mental development takes place. It consists of various nutritional disorders and Phakka Roga is one of the most important diseases happens in childhood period due to malnutrition as well as malabsorption and has been described only in Kashyap Samhita elaborately. Phakka is described as nutritional disorder where a child is unable to stand up or walk on his/ her feet even after 1 year of age.^[2] In Ayurveda the symptoms of Phakka Vyadhi are similar to that of Rickets. Rickets is the disease of children caused by Vit D deficiency characterized by imperfect calcification, softening and distortion of bones typically results in bow legs.

A Critical Review on Cardio Tonic Property of Karveera (Nerium indicum/Thevetia Peruviana)

Swati Jagotra, Parmod Kamboj — Wed, 20 Aug 2025 00:00:00 +0530

Karveer/ Peet Karveer also known as Kaner or Oleander is a poisonous plant found commonly in North and Central India. It is an evergreen shrub which bears flowers of different colors from different varieties such as yellow, pink, white and red. Common species found of Karveer are Nerium indicum, Thevetia neriifolia/Thevetia peruviana, Nerium oleander. In many Ayurvedic texts, Karveer is classified as poisonous plant but along with the same it also has many medicinal properties. It is used in skin disorders, alopecia and wound healing and eye disorders. Beside that it also has cardio tonic property in very less doses. In this article focus will be on the cardiac property of both varieties of Karveer.

Role of Tikta Rasa in the sustained intervention of Lifestyle Disorders - A Review article

Anushka Motwani, Charushila Giri — Wed, 20 Aug 2025 00:00:00 +0530

The WHO classifies Lifestyle Disorders as Non-communicable diseases which include Diabetes mellitus, Obesity, Cardiovascular disease, Hypertension, Alzheimer's and Cancer. 74% of fatalities worldwide are attributed to NCDs each year. In Charak Samhita Sutrasthan Chapter 25, described Agrya Dravyas in which the usage of Ek Rasa Abyasa is deemed Daurbalyakar. This means consumption of one particular taste/food group has been responsible to create laxness in the body. The exponential rise in NCDs might be due to overconsumption of Ek Rasa (eg: Madhur Rasa i.e., Guru Bhojhana), Agni Mandya, Sedentary lifestyle, Smoking, Alcohol consumption. They’re called Santarpanjanya disorders in Ayurveda. These disorders have presence of Ama as a contributing factor, which makes the etiology difficult to cure. Tikta Rasa is one such Rasa out of 6 essential Rasas which has the potential to manage lifestyle disorders both on the level of Curative as its a Apatarpanjanya Rasa, by doing Deepana of Agni, Pachana of Ama in the minute Srotases. Preventive by using its beneficial phytonutrients and antioxidant property by including in our Aahar and Dinacharya. This study shows various Tikta Rasa Aahar Varga like Kushmandi, Alabu, Patola, Kunduru, Koshataki, Bimbi, Chichind etc. They’re a potent source of phytonutrients like Vit A, Vit C, Vit B complex and phytochemicals like flavonoids, tannins, saponins which prevent right from Diabetes, Dyslipdemias, Metabolic syndromes upto Cancer. A NCD epidemic is approaching and inevitable hence there’s a need for a sustained intervention to manage these in the long term. The main objective of this study is to bring awareness and inculcate ways in which we can include this most beneficial nutrition quotient back in our diet and lifestyle.

Understanding Parinama Shoola and Annadrava Shoola in relation to Peptic Ulcers: An Overview

Swathi C. Nair — Wed, 20 Aug 2025 00:00:00 +0530

Ayurveda, India's ancient and deeply rooted medical system, centres around the fundamental goal of preserving health and remedying ailments. Various factors like changing dietary patterns, busy schedules, adherence to Dinacharya and Ritucharya, are increasing individuals' susceptibility to illness. Among the array of disorders discussed within Ayurveda, Annadrava Shoola and Parinama Shoola stand out as particularly distressing. Presently, altered eating habits contribute significantly to gastrointestinal illnesses, including the prevalent peptic ulcer, characterized by stomach wall ulceration due to excessive HCl. Notably, Annadravashoola and Parinama Shoola, sharing similar symptoms, collectively embody peptic ulcer disease. In Ayurvedic literature, Madhava Nidana dedicated a specific chapter to Shoola, while Maharishi Sushruta pioneered the classification of numerous Shoola types in Uttara-tantra, excluding two categories, Annadravashoola and Parinama shoola. Annadravashoola presents with discomfort before, during, and after vomiting, epigastric burning, belching, while Parinama Shoola manifests post-digestion. Given their symptom overlap, both can be encompassed under the term peptic ulcer illness.

Role of Virechana and Jaloukavacharana in the management of Palmo-Plantar Psoriasis - A Case Study

Veekshitha, Gopikrishna BJ, Prasanna Narasimha Rao — Mon, 25 Aug 2025 00:00:00 +0530

Palmo-plantar Psoriasis is a chronic, non-infectious inflammatory skin condition characterized by well-defined, erythematous plaques with silvery scales, primarily affecting the extensor surfaces. It follows a fluctuating course and is confined to the palms and soles. In Ayurveda, skin diseases are grouped under the term Kushtha, although there is no direct correspondence to this condition. However, it can be correlated with Vipadika, a subtype of Kshudrakushtha. This disease impacts not only the physical health of the patient but also their mental and social well-being, as its visible appearance can be socially embarrassing. The exact cause of Palmo-plantar Psoriasis remains unknown, but there is a genetic predisposition. According to Ayurveda, this condition is exacerbated by an unstable lifestyle, including poor dietary habits, a hectic routine, and stress. From an Ayurvedic perspective, vitiation of the Vata, Kapha, and Pitta/Rakta Doshas are the key factors in the development of this disease. Virechana (purgation therapy) and para surgical procedures like Jaloukavacharana are considered the most effective treatments for skin disorders. Modern medical treatments, however, often fail to provide satisfactory results. This article presents a case of a 44-year-old female who experienced well-demarcated, raised scaling on both palms and soles, with severe itching for 3 years. The patient experienced significant relief through a systematic Ayurvedic approach, incorporating Shodhana (detoxifying therapy), Jaloukavacharana (leech therapy) and Shamana (balancing therapy). Shodhana helps expel the excess Doshas, while Shamana works to balance the remaining Doshas.

Ayurvedic Management of Palmoplantar Psoriasis - A Case Study

Nataraj HR, Soniya MP, Niranjana RN, Akarsha Krishna S. — Sun, 24 Aug 2025 00:00:00 +0530

Kushta is the broad term used in Ayurveda to refer to skin problems. One of these illnesses that falls under the category of Ksudra Kushta is Vipadika. Diverse acharyas have identified distinct indications and manifestations of Vipadika. Its characteristics, according to Acharya Vagbata, include Manda Kandu, Teevra Vedana, Pani Pada Sputana (cracking of the skin on the palms and soles), and Saraga Pidaka. It is mostly a Vata and Kapha Doshaja Vyadi chronic and recurrent problem. The patient in this case study has complained of itching in both of their planter aspects for four years. The patient's symptoms have been worse over the past two years, with a powdery discharge, a burning sensation, and fissures all over the planter aspect of the foot.

Therapeutic application of Honey in the management of Infected Diabetic Foot Ulcer - A Case Study

Saiyyada Sayyad, Akbar Walandkar — Sun, 24 Aug 2025 00:00:00 +0530

Honey is gaining popularity as a dressing for chronic wounds. Existing literature attributes honey with a number of useful properties, such as a broad-spectrum antimicrobial activity, deodorization, debriding and anti-inflammatory actions and stimulation of new tissue growth. Honey has been recognized for its medicinal properties since antiquity. Modern clinical research supports its efficacy in promoting wound healing and controlling infections due to its antimicrobial, anti-inflammatory, and wound-debridement properties. Case studies are being published increasingly which record positive outcomes with its use. Recent national media attention has featured the beneficial effects of honey in wound care and patients are beginning to request treatment. While honey may become a useful and widely accepted product for wound management in the future, the following case studies demonstrate that not all the expected beneficial effects are always realized in practice.

Therapeutic application of Panchapallavkwath Gel in the management of Pittaj Sarvasar w.s.r. to Apthous Stomatitis - A Case Study

Nikita Rajendra Doke, Jayvant Vasant Kharat — Sun, 24 Aug 2025 00:00:00 +0530

Stomatitis, characterized by inflammation and ulceration of the oral mucosa, is a commonly encountered condition in dental and medical practice. This case study explores the therapeutic efficacy of Panchapallav Gel, a polyherbal formulation developed from five potent medicinal leaves, in managing mild to moderate stomatitis. The formulation was evaluated on the basis of clinical outcomes, patient-reported symptom relief, mucosal healing time, and recurrence rate.

Treating PCOS-Induced Infertility with Ayurvedic Interventions- A Case Report

Sindhu KA, Anjali Jain, B. Pushpalatha, Bharathi K. — Sun, 24 Aug 2025 00:00:00 +0530

Introduction: Infertility is emerging as a significant global issue, affecting approximately one-sixth of the reproductive-age population worldwide. In Ayurveda, this condition is termed Vandhyatva encompassing not only the inability to conceive but also repeated miscarriages and stillbirths. Ayurvedic texts identify four essential factors for conception, collectively known as Garbhasambhava Samagri, Ritu - the appropriate time or fertile period for conception, Kshetra – the healthy reproductive organs Ambu - the nourishing fluids or proper hormonal environment, Beeja – the seeds, i.e., sperm and ovum. Impairment in the formation or release (Nishakramana) of the ovum leads to anovulation, a primary cause of infertility. Ayurveda emphasizes the balance of Doshas -Vata, Pitta and Kapha - in maintaining reproductive health. By addressing these foundational factors, Ayurveda offers a holistic approach to managing infertility, aiming to restore the body's natural fertility processes.

Objective: To evaluate the clinical efficacy of an Ayurvedic treatment regimen in infertility associated with Polycystic Ovarian Syndrome (PCOS) - A Case Study

Method: A 34-year-old woman with a 1.5-year history of primary infertility, regular menstrual cycles (every 26–28 days) with scanty menses since one year, and a diagnosis of polycystic ovary syndrome (PCOS) underwent a one and half month of Ayurvedic treatment regimen. The intervention involved Shamana Aoushadhi administered at different stages of the menstrual cycle.

Result: The patient's urine pregnancy test yielded a positive outcome after 49 days of treatment.

Conclusion: The Ayurvedic intervention effectively regulated ovulation, enhanced reproductive health, and facilitated a successful pregnancy. This case highlights the potential of holistic Ayurvedic approaches in managing infertility associated with PCOS, aiding in the restoration of hormonal balance, regularization of ovulation, and subsequent enhancement of fertility.

Ayurvedic Palliative Management in Recurrent Malignant Leg Ulcer of Soft Tissue Sarcoma - A Case Study

Athira S. Nair, Deepa Jose — Sun, 24 Aug 2025 00:00:00 +0530

Soft Tissue Sarcomas are malignant ulcers originating from mesenchymal cells and most commonly affects muscles, fat, tendons & connective tissues of extremities. Surgery, chemotherapy and radiation therapy are the treatments for STS in Oncology. Lungs are the common site of metastasis and patient may survive for 5-10 years after diagnosis of STS due to its rapid blood spread. This is a case report of 77year old female patient presented with a non-healing ulcer over her left lower leg with raised elevated edge partially covering the ulcer floor, black tissue on ulcer floor, profuse pus discharge, bleeding and foul smell. Her disease is diagnosed as Soft Tissue Sarcoma. Clinical findings of the patient are similar to Asadhya Dushtavrana mentioned by Susruta. So Vranasodhana and Vranaropana therapy were selected for the management of Soft Tissue Sarcoma. Punarnavadi Kasaya, Kanchanara Guggulu, Kaishora Guggulu, Rasasindooram and Guggulutiktakam Ghritam were given internally. External interventions include cleansing with Triphala Kasaya, dressing with papaya latex and application of Jathyadi Ghrita mixed with Rasasindooram. External therapies lead to debridement of necrotic mass and promote wound healing due to Vranasodhana & Vranaropana effect. The ulcer is devoid of foul smell after treatment. Reduction in ulcer size, pus and bleeding with clean floor after ayurvedic management is due to the Vranasodhana effect.

Role of Local Application of Gairik in Oral Lichen Planus - A Single Case Study

Rajeshwari Bilapate, Kalpana Satpute — Sun, 24 Aug 2025 00:00:00 +0530

Oral Lichen Planus (OLP) is a chronic inflammatory condition that affects the buccal mucosa.^[1] Technically, lichen planus can develop on your skin or anywhere you have mucosa. (Mucosa is the thin layer of tissue that lines certain body parts, like your nose, mouth, stomach and lungs.) But when lichen planus appears in your mouth, it’s called oral lichen planus. While Ayurveda does not directly describe lichen planus, it is often associated with a condition known as Charma Kushtha. Charma Kushtha is classified as one of the eighteen types of Kushtha (skin diseases) in the Charaka Samhita (Chikitsa Sthana), and is believed to be caused by an imbalance in the Kapha and Vata doshas. and manifesting the clinical symptoms. Due to vitiation of Doshas and Dhatus clinical symptoms such as constriction of channels brownish or blackish discoloration is seen. Charma Kushta (Lichen Planus) is dominated by Vata Kapha Dosha together with Psycho stress factors (Mano Vikaras) resulting in deterioration of Rasa, Rakta, Twak, and Laseeka. The objective of the current study was to evaluate the impact of Ayurvedic treatment on oral lichen planus.

Ayurvedic approach in the management of Charmakhya Kushta w.s.r. to Lichen Simplex Chronicus (Neurodermatitis) - A Case Report

Kshitiz Koundal, Hetal Vyas — Sun, 24 Aug 2025 00:00:00 +0530

Introduction: Skin is the essential organ of the human body, which plays a vital role in cosmetology. It acts as a barrier and also vulnerable to a range of illnesses. The Nirukti of the Kushta is derived from the sutra “Kushnati Vapu Iti Kushtam” which means that causes Vikrati to the Shareera is called Kushta. In Ayurveda all skin disorders are classified as Kushta which is further divided into Mahakushta and Kshudra Kushta. Charmakhya is one of the Kshudra Kushta mentioned in Ayurvedic literature.

Case Presentation: A 55 years old male patient presented with blackish, thick discolouration on the medial aspect of right lower leg, associated with severe itching and burning sensation since 2 years.

Management and outcomes: The patient was treated with Shodhana Chikitsa i.e., Virechana and Matra Basti followed by Jalauka Avacharana along with Shaman Aushadhis. The patient showed significant improvement after the treatment.

Discussion: Ayurvedic treatment for Charmakhya Kushta typically involves a holistic approach incorporating dietary changes, detoxification procedures (such as Panchkarma) and herbal remedies helps in restoring Dosha balance and promoting skin health. Ayurveda not only alleviates symptoms but also promotes overall well-being and reduces dependency on allopathic medications. This holistic approach signifies a promising pathway for individuals seeking profound and enduring relief from conditions like Charmakhya.

Needling Back Fertility: Ayurvedic Intervention with Microinvasive Viddhakarma in Enhancing Semen Quality and Sexual Function in Oligoasthenozoospermia - A Case Report

Nidhish Kumar S, Anupama V, Papiya Jana — Sun, 24 Aug 2025 00:00:00 +0530

Infertility is a significant global health issue, with male factors accounting for nearly 40% of cases. Among these, oligoasthenozoospermia - a condition marked by reduced sperm count and motility - poses a considerable challenge. This case report presents the successful Ayurvedic management of a 36-year-old male diagnosed with oligoasthenozoospermia and mild erectile dysfunction, correlating with the classical condition of Shukra Kshaya janya Klaibya. The patient, a software engineer with a stressful lifestyle, night shifts, and disturbed sleep, exhibited poor semen parameters and psychological distress. An integrative Ayurvedic approach involving Shodhana (purificatory therapies) including Virechana, Basti, and Uttara Basti, followed by Shamana Chikitsa with Rasayana, Vajikarana herbs, Viddhakarma, Yogic practices, and dietary modifications was adopted. Marked improvement was observed in semen parameters, erectile function, and overall well-being, with normospermia achieved and conception confirmed. This case highlights the potential of Ayurvedic protocols in addressing male infertility through holistic, individualized, and multi-modal interventions, emphasizing their relevance in contemporary reproductive healthcare.

A Single Case Study on Madhumeha w.s.r. to Diabetes Mellitus (Type II)

Mrudulaa Prasad, Shobha G, Bhuvaneshwari B. — Tue, 26 Aug 2025 00:00:00 +0530

The prevalence of diabetes has increased recently, which is particularly concerning in wealthy nations. Worldwide, diabetes mellitus is a chronic metabolic disease with a complex etiology. Nonetheless, it remains a major global cause of illness and mortality. Between 1980 and 2014, the prevalence of diabetes in adults over the age of 18 increased from 4.7% to 8.5% worldwide. It is extremely concerning that occurrences of diabetes mellitus have revealed a remarkably elevated susceptibility in India. It is comparable to Madhumeha, one of the twenty varieties of Prameha mentioned in Ayurvedic texts. On February 3, 2025, a 63-year-old woman with H/O DM for 19 years arrived at OPD no. 6 Madhumeha OPD at Sri Dharmasthala Manjunatheswara College and Hospital, Hassan, complaining of burning and prickling sensations in her feet, numbness around her feet, and increased micturition frequency. The patient was diagnosed with Madhumeha after examination, investigations and history. Along with external application of Shatadhauta Grita, the patient was advised to take Sarvanga Abhyanga with Dhanwantara Taila f/b Parisheka and Shiro Taila Dhara with Himasagara Taila with Mehaabhaya Kashaya. The patient was advised to follow a diabetic diet over the course of her treatment. Prameha is the indicator for Mehaabhaya Kashaya, which is one of the Asanadi Gana Dravyas stated by Acharya Vagbhata. Acharya Sushruta mentions Shathadouta Grita in Daha. Therefore, Mehaabhaya Kashaya and Shathadauta Grita ointment were used to treat the patient.

Diabetes Care with Reversal Therapy: A Case Study on Remission of Type II Diabetes with Resolution of Grade II Fatty Liver

Wed, 20 Aug 2025 00:00:00 +0530

Background: Type II Diabetes Mellitus (T2DM) often coexists with non-alcoholic fatty liver disease (NAFLD), leading to compounded metabolic and cardiovascular risks. While conventional therapy emphasizes medication-based management, integrative and holistic therapies offer potential for disease reversal. This case study evaluates the effect of Panchsutri Reversal Therapy a multidimensional Ayurvedic lifestyle approach on T2DM and Grade II fatty liver.

Methods: A 55-year-old male with a 6-year history of T2DM and imaging-confirmed Grade II fatty liver underwent a 90-day integrative therapy protocol involving Panchakarma (detoxification), an 800–1000 calorie diet, continuous monitoring, progressive tapering of medications, daily physical activity, and stress management. Baseline and follow-up data were collected.

Results: Post-treatment, the patient shows normalized glucose tolerance test (GTT), fasting blood glucose reduction from 130.42 to 110 mg/dL, postprandial blood glucose reduction from 188 to 140 mg/dL, and HbA1c improvement from 7.2% to 6.2%. Imaging revealed resolution of fatty liver from Grade II to no significant anomaly. The patient also experienced 100% relief from right gluteal pain, neuropathic symptoms, itching, stomatitis, and gastrointestinal complaints. Weight reduced from 75.7 kg to 69 kg, BMI from 26.2 to 23.8, and systolic/diastolic blood pressure improved from 138/87 mmHg to 113/70 mmHg. All Allopathic medications were discontinued.

Conclusions: This holistic Reversal Therapy led to diabetes remission and reversal of fatty liver in this patient. These results highlight the potential of integrative, non-drug therapies for managing metabolic diseases.

Amapachana, Snehapana, Shodhana - A Promising and Novel Approach to Adverse Effects and Corticosteroid Resistant Condition in Rheumatism - A Case Study

Roopa Teggi, Chandrika Urs P, Bhuvaneshwari Benakanahalli — Tue, 26 Aug 2025 00:00:00 +0530

Rheumatism, is a general term for group of disorders that cause inflammation in connective tissues particularly the joints and muscles. The most common symptoms are stiffness and pain. Amavata is one of the commonest disorders caused by the impairment of Agni, formation of Ama and vitiation of Vata Dosha where in Ama combines with Vata Dosha and occupies Shleshmasthana such as Amashaya, Asthi and Sandhi. In terms of similarities of clinical symptoms Amavata is understood in parlance with Rheumatoid Arthritis in the present case. The adverse and toxic symptoms like blurring of vision, altered appetite, indigestion and altered bowel habits due to long standing use of Nonsteroidal anti-inflammatory Drugs, antimetabolites, glucocorticoids and immunosuppression therapies, lead the patient to search for an alternative treatment. With help of Amapachana, Snehapana and Shodhana the patient and their attendees witnessed the stabilization of Agni(metabolism) sooner with regression of arthritis symptoms and withdrawal of glucocorticoids and other immunosuppressants which was the most needed relief they were eagerly waiting for. A significant result was noted after treatment in terms of reduction in level of RA factor from 20iu/MI to 1.1iu/MI and CRP from 28.5mg/L to 3.5mg/L and ESR from 66mm/hr to 42mm/hr. The overall physical, mental and social wellbeing was observed proving significant efficacy of principal based holistic approach of Ayurveda.

Amapachana - A Boon to Long Standing Adversely Affected Corticosteroid Resistant Urticaria: A Case Report

Tue, 26 Aug 2025 00:00:00 +0530

Urticaria, commonly known as hives, is a distressing skin condition characterized by the sudden appearance of itchy, raised wheals on the skin. While it may seem like a minor issue to some, Urticaria can have a profoundly debilitating impact on an individual's quality of life. The present case of Urticaria was treated with administration of synthetic corticosteroids for 1 year, gradually patient noticed increased body weight, impairment in metabolism with constipation, disturbed sleep, anxiety with temporary reduction of Urticarial symptoms only during administration of medication. On withdrawal symptoms used to reoccur with much more severity. on examination the case was found with predominance of Vata and Kapha Dosha with the presenting complaints of Kandu (itching), Rukshata (dryness), Varati Dastha Samsthan Shotha (Erythamatous reddish wheals all over body) and Utsedha (skin thickening). The approach was done with Amapachana for first 15 days followed by classical Vamana Karma (therapeutic emesis therapy) with internal administration of Patola Katurohinyadi Kashaya, Avipattikara Churna and Dooshivishari Gulika along with complete withdrawal of synthetic corticosteroids. Significant results were found during the Amapachana stage itself with noticeable reduction in body weight and improvement in metabolism, recurrence of symptoms were also negligeable followed by Vamana Karma even after withdrawal of synthetic steroids. The overall quality of life physically, mentally and socially has improved satisfactorily. Considering these satisfactory results in the present case; similar strategies can be adopted in suitable cases of Urticaria in large sample size to generate evidences and disseminate usefulness of traditional interventions in the management of Urticaria.

An Ayurvedic insight in the management of Viral Conjunctivitis - A Case Report

V. Archana, Rathi S. — Tue, 26 Aug 2025 00:00:00 +0530

Conjunctivitis is a common and highly contagious condition of eye, posing a significant global burden due to its high potential for outbreaks, prevalence, and associated economic and societal costs. 80% of the conjunctivitis cases have viral origin and usually have longer course, commonly occurs as epidemics in families, offices, etc. Hence, there is a need to intervene at the exact stage to prevent its further progress. Also, in conventional system of medicine, topical eye drops and symptomatic management is the current treatment modality. So, there is a need for Ayurvedic intervention in the scenario. In this case report, an effort has been initiated to get an insight in the management of Viral conjunctivitis. A 60-year-old male patient presented with watering of both eyes, associated with photophobia and itching. On Ocular examination, the palpebral and bulbar conjunctiva were congested in both eyes. The treatment protocol was adopted as per Ayurvedic principles mentioned in Raktaja Abhishyanda (~viral conjunctivitis). Bidalaka (~application of medicated paste over eyelids) with Mukkadi Churna was done along with Mahamanjishtadi Kashaya internally and Triphala eye wash was advised. Patient got cured completely without reporting any adverse events within a week. No recurrence was observed even after one month of halted treatment. Altogether, Ayurvedic treatment led to a speedy and complete recovery in this case of Viral conjunctivitis.

Therapeutic Application of Viddhkarma in Pratishyaya Among Children: A Case Report

Kanchan Rawat, Anand Prakash, Keerti Verma — Tue, 26 Aug 2025 00:00:00 +0530

As Nose is sensory organ performs olfactory & respiratory functions. Due to direct contact of nose with external environment, it is exposed to many micro-organisms & pollutants present in the environment. Because of increased environmental pollution & crowdy life, rhinitis is common disease in this present era. In Ayurveda, the condition can be corelated with Pratishyaya. Ayurveda described Pratishyaya as Vata-Kaphaj Roga with characteristic features like; Nasashrava, Ghranauparodha, Shirashoola, Shirogauravam, Jwara, Kasa, Kaphotklesh, Aruchi, Swarbheda. Ayurveda recommends both Shodhan and Shaman Chikitsa for managing Pratishyaya. In this case Viddha Karma, a form of Shodhana Chikitsa, was selected as the main line of treatment. This therapeutic procedure aids in clearing obstructions in blood vessels, thereby improving circulation and stimulating nerve endings. Consequently, it helps reduce the transmission of pain signals from the affected area. This integrative approach not only addresses the symptoms of the disease but also offers safe, gentle, and effective relief. It exemplifies the enduring relevance of Ayurveda in providing comprehensive and holistic healthcare solutions.

Ayurvedic Management of Vipadika (Palmoplantar Psoriasis) with Internal and External Snehana: A Case Report

Dilip K. Upadhyay, Sapna Shrivastava, Jyoti Mishra — Tue, 26 Aug 2025 00:00:00 +0530

In Ayurveda all the skin diseases have been classified under the topic Kushtha (skin disorders). Acharyas have further classified Kushtha Roga into Maha Kushtha and Kshudra Kushtha. Vipadika is one of the Kshudra Kushtha which is characterized by “Panipada Sphutana and “Teevra Vedana”. The present case report talks about the patient who came to Government Ayurveda College and Hospital, Varanasi with the complaint of dryness, itching and cracks on the bilateral sole associated with pain and bleeding and was diagnosed with Vipadika.

Identification and Gross Anatomical Study of An Inguinal Hernia: Through A Cadaveric Case Study

Prashant M. B., Chandrika Urs P, Ajayamalatesh N. M. — Tue, 26 Aug 2025 00:00:00 +0530

Introduction: Groin hernias are the most common reason for primary care physicians to refer patients for surgical management. Patients often present with a bulge in the groin that is associated with pain in two-thirds of cases. Diagnosis is typically clinical, with a physical examination and a thorough medical history often sufficient to confirm the diagnosis without the need for imaging. Groin hernias may be associated with morbidity and can become complicated by incarceration or strangulation, requiring emergent surgical repair. Methodology: A 73-year-old male cadaver was noticed with a left inguinal hernia (IH). Although IHs are a widespread pathology, the size and extent of this IH make it a unique one. The methodology to dissect the hernia in a cadaver is framed as per the Lichtenstein tension-free mesh repair procedure. The skin incision and method of approaching the hernial sac and its contents are only included in the cadaveric methodology of hernia dissection for its deeper understanding of gross anatomical features. Results: Upon gross dissection of the abdominal and pelvic cavities, the distal part of the descending colon was found to be herniated through the posterior wall of the inguinal canal, pushing the scrotum slightly to the right side. The pattern of herniation medial to the inferior epigastric artery through Hesselbach's triangle confirms the type of hernia as a direct one during methodical dissection. The extent of the herniation had enlarged the left inguinal region to over 4 cm in width and over 5 cm in depth. Conclusion: The need for dissecting inguinal hernia is purely and completely for the purpose of academic pursuit. The undergraduate and postgraduate students are the main beneficiaries. Theoretically and practically, the anatomy of inguinal hernia, regarding its position, pattern of herniation, hernial sac, its body, neck of hernial sac, and the content herniated, are studied practically during dissecting inguinal hernia.

Management of Recurrent Complex Grade V High Anal Fistula by dual Ksharsutra Technique: A Case Report

Mohd Zahoor Bhat, L. Manonmani, Lavesh Jangamashetti — Tue, 26 Aug 2025 00:00:00 +0530

Ksharasutra therapy is long known for effectively treating Fistula-in Ano (Baghandara). This study aims to evaluate the efficacy of dual Ksharasutra insertion technique into recurrent complex Grade V high anal fistula (Baghandara). A patient diagnosed with complex (Grade V) Trans-sphincteric fistula (8.6 cm linear length) with supralevator extension previously operated twice, was advised to undergo Ksharasutra therapy. A dual Ksharsutra technique was used. One Ksharsutra was passed into the original track with external opening at 5 o’clock and possible internal opening above the dentate line and another Ksharsutra was passed through the same track with an artificial internal opening was made below the dentate line in the same plane. The study demonstrates the efficacy of dual Ksharsutra technique to mitigate the fistulous track with quick effective drainage and reducing the cut through time without damaging the internal sphincter musculature. Ksharsutra placed above the dentate line was removed later and the cut-through was achieved by 2^nd one. Results: Efficacy was assessed from insertion to complete wound healing. A significant decrease in odour of the puss decreased in 3 weeks. Puss discharge reduced in 16 weeks following which one Ksharsutra was removed. Cut through was achieved in 24 weeks. Complete wound healing was achieved in 26 weeks with no incontinence. Follow showed no signs of recurrence. Conclusion: Dual Ksharasutra technique offers the advantage of faster tract cutting without sphincter injuries or risk of incontinence, more efficient disinfection, quicker wound healing and low risk of recurrence in high anal complex fistula-in-ano (Baghandara).

Ayurvedic Management of Tinea Capitis (Alopecia): A Case Report

Sony Rauthan, Shweta Gyanendra Shukla — Tue, 26 Aug 2025 00:00:00 +0530

Introduction: Tinea capitis, a fungal infection of the scalp, often presents with alopecia and pruritus. This case highlights an Ayurvedic management approach for a chronic case unresponsive to previous homeopathic treatment.

Patient Information: A 36-year-old male presented with patchy hair loss over the scalp, right eyebrow, and beard, accompanied by intense itching and scaling.

Intervention: Treatment included external application of Karanj Taila with Tankan Bhasma and oral administration of Arogyavardhini Vati, Gandhak Rasayana, Krimi Kuthar Rasa, and Manjisthadi Kwath for 3 months.

Outcomes: Complete resolution of itching was observed within 15 days, followed by progressive hair regrowth and cosmetic improvement over 3 months, without adverse effects.

Conclusion: This case demonstrates the potential efficacy of classical Ayurvedic formulations in treating Tinea Capitis-associated alopecia.

An Integrative Approach in the management of Bilateral Ischiorectal Abscess: A Case Report

Vedika Bhoir, Aniruddha Pawar, Damini Raut, Darshana Ishi — Wed, 27 Aug 2025 00:00:00 +0530

Background: Ischiorectal abscesses frequently arise as complications of perianal abscesses. In contemporary medicine, management typically involves a two-stage procedure: initial incision and drainage (I&D), followed by secondary wound healing. In Ayurveda, this condition is recognized as Gudavidradhi, which is traditionally managed through Bhedan Karma (surgical incision) and Ropan Karma (healing measures). The case presented here was treated following this Ayurvedic protocol, utilizing Nimb-Patol-Erandmool Kwath for wound cleansing, Yashtimadhu-Lajjalu Tail for dressing, and internal herbal medications. Materials and Methods: This case study involves a 47-year-old male patient diagnosed with an acute bilateral ischiorectal abscess, Clinical features included severe pain, purulent discharge with foul odour, oedema, difficulty in walking and sitting. The condition was successfully managed through a comprehensive Ayurvedic regimen. Results: Significant clinical improvement was observed, with complete wound healing and resolution of associated symptoms. Discussion and Conclusion: The Ayurvedic approach, involving surgical and medicinal therapies rooted in traditional principles, proved effective in the management of a complex bilateral ischiorectal abscess. This case supports the potential of integrative Ayurvedic protocols in managing challenges in healing of Ischiorectal abscess.

Management of Duchenne Muscular Dystrophy by Ayurvedic Principles - A Case Report

Gagana Shree S B, Vijayalaxmi M, Shailaja U — Thu, 28 Aug 2025 00:00:00 +0530

Duchenne Muscular Dystrophy (DMD) is primarily caused by mutations or deletions in the dystrophin gene, critical for maintaining muscle fiber integrity.^[1] The estimated incidence is about 1 in 3,500 male births^[2], with the condition following an X-linked recessive inheritance pattern. DMD has quite resemblance with Sahaja Mamsa Shosha in Ayurveda described by Acharya Sushrutha as muscle wasting due to loss of subcutaneous fat and muscle mass. Case summary: A 9 years old child was brought with complaints of standing without support, inability to walk, place foot on ground, difficulty in sitting in squatting position in the last 6 year of age. He also had tightness of calf muscles and contractures in B/L ankle region in the last 2 years. The child was given with Panchakarma procedures such as Udwarthana f/b Parisheka, Sarvanga Abhyanga f/b Nadi Sweda Mustadi Rajayapana Basti, Anuvasana Basti, Pichu Bandhana along with Physiotherapy and Mahisha Dravaka, Ashwagandha Arishta internally for 10 days in 3 sittings. Significant improvement was observed after 3 sittings of treatment. This case study shows that Ayurvedic treatment is helpful in management of DMD and improving the quality of life.

Insight into Ayurvedic management of PCOS through Shodhana and Shamana Chikitsa

Priyanka A. Bhandwalkar, Veena R. — Thu, 28 Aug 2025 00:00:00 +0530

The female reproductive system is primarily controlled by hypothalamo - pituitary - ovarian (HPO) axis. Alterations in the proper functioning of HPO axis can leads to metabolic and endocrine disorders such as PCOS (polycystic ovary syndrome). It is characterized by menstrual irregularities, hyperandrogenism and polycystic ovarian morphology. As it is a syndrome, to find out an exact ayurvedic co-relation is difficult. The various conditions associated with PCOS shows similarities with Pushpagni Jathaharini, Nashtartava, Artava Kshaya, Granthi, Sthoulya etc. In the present case, a 23-year-old female patient complains of irregular menstrual cycle with the interval of 2-3 months along with heavy bleeding during periods for 7-8 days duration and polycystic ovaries seen in ultrasonography report in the last 5 years associated with sudden weight gain. Both Shodhana and Shamana Chikitsa adopted in this condition. Improvement was noted in both the symptoms as well as in USG report.

Combined effect of Virechana and Rose Water Shirodhara on Hamilton’s Anxiety Scale

Lavanyalaxmi Shetty, Shameembhanu, Ashvini Kumar M., Pavan HR. — Thu, 28 Aug 2025 00:00:00 +0530

Generalized Anxiety Disorder (GAD) is a common and disabling condition characterized by ongoing worry, anxiety, and tension about various daily concerns, persisting for at least six months.^[1] The symptoms of GAD bear resemblance to Chittodwega, an excited state of mind described in the classical Ayurvedic text, the Charaka Samhita, under the category of Manovikara (mental disorders). This study aimed to evaluate the effectiveness of two Ayurvedic therapies - Virechana and Rose Water Shirodhara - in treating anxiety disorders. A 23-year-old female patient presented with symptoms of anxiety, including difficulty breathing, chest heaviness, stress, irritability, concentration issues, sleep deprivation, and constipation, which had persisted for a year. She underwent Panchakarma therapy, incorporating Udwarthana, Parisheka, Rose Water Shirodhara, and Virechana. The patient’s symptoms were assessed using the Hamilton Anxiety Rating Scale before and after treatment. Results indicated a significant reduction in anxiety symptoms, suggesting that both Virechana and Rose Water Shirodhara were effective in alleviating the symptoms of anxiety. The findings support the use of these Ayurvedic treatments for managing anxiety.

A Case Series to know the Efficacy of Hypodermic Needle over Acupuncture Needle to perform Viddhagnikarma in the management of Pain due to Plantar Fasciitis - A Pilot Study

Padma Bhat, Srinivas Masalekar — Thu, 28 Aug 2025 00:00:00 +0530

Viddhagnikarma is a novel and unique method of pain management. It is the modification of the traditional Agnikarma narrated by Acharya Sushruta where in heat is applied over affected area with desired temperature to alleviate pain. In Viddhagni Karma a monopolar cautery machine probe is used to transmit the temperature through a needle pierced to area of concern. In order to achieve better pain management with minimal piercing and less scar formation, 26 1½ hypodermic needle and acupuncture needles were used in a sample of 10 subjects suffering from plantar fasciitis. It was observed that hypodermic needle was better compared to acupuncture needle in terms of tolerance of heat, minimal scar formation and overall improvement in pain. Hence hypodermic needles were considered over acupuncture needle to conduct Viddhagni Karma in the management of plantar fasciitis.