International Journal of AYUSH Case Reports
About the journal The International Journal of Ayush Case Reports (IJA-CARE) is an international, open access, peer-reviewed quarterly publishing electronic journal. The journal serves as a vital bridge connecting academician, researchers, practitioners and scholars dedicated to advancing traditional healthcare systems through well-documented clinical observations. The journal is dedicated to documenting clinical experiences and evidence-based case studies across the spectrum of AYUSH (Ayurveda, Yoga, Unani, Siddha, and Homeopathy) systems of medicine. The International Journal of AYUSH Case Reports (IJA-CARE) operates on a fully open-access model, ensuring that valuable clinical insights and therapeutic outcomes are freely available to the global healthcare community. Under this model, the copyright holder grants usage rights to others through an open license — specifically, the Creative Commons Attribution-Non-Commercial -No Derivatives 4.0 International License (CC BY-NC-ND 4.0) — allowing immediate and free access to all published content. This license permits users to read, download, copy, distribute, print, search, link to, or crawl the full texts of articles for indexing, or use them as data for non-commercial purposes, provided proper attribution is given to the original author(s) and source, and no modifications or derivatives are made. This policy promotes global visibility of AYUSH case reports and facilitates the safe, ethical, and open exchange of clinical knowledge. The journal welcomes submissions in various formats including: Case reports Case series Short communications – Pilot clinical studies, Short reviews, Novel treatment approaches, Therapeutic innovations Clinical images and videos Conventional and Integrative medicine case studies Traditional medicine protocols Follow-up studies Editorials Every submission undergoes a rigorous peer review process, evaluated by our national as well as international editorial board members and subject experts who ensure the highest standards of scientific quality and clinical relevance. IJA-CARE embraces contributions from healthcare professionals worldwide, recognizing that diverse geographical and cultural perspectives enrich our understanding of traditional medicine systems.
Successful Treatment of Recto-Vaginal Fistula using the Kshara sutra: A Rare Case Report
Rectovaginal fistulas (RVFs) present a persistent clinical challenge, frequently complicated by high rates of recurrence and the significant risk of fecal incontinence following conventional surgical repair. ​These abstract details the successful treatment of a RVF in a 24-year-old female patient using the Kshara Sutra—an ancient herbal medicated seton. ​The procedure involved the application of the Kshara Sutra t following the administration of local Anaesthesia (lidocaine 2%) near the fistula tract. The thread was meticulously replaced weekly in an outpatient setting over a period of four weeks. Crucially, the treatment was completed without any complications, including foul smelling vaginal discharge, recurrent vaginal infection and passage of stool and air through the vagina. Following the intervention, the patient achieved complete fistulous tract healing and has remained fistula-free for the past 6 months. This case demonstrates that the Kshara Sutra offers a safe, effective, and minimally invasive alternative for treating RVF, circumventing the complications typically associated with more aggressive surgical approaches.
Copyright (c) 2026 Neha Mishra, Gunjan Jain (Author) https://creativecommons.org/licenses/by/4.0
Clinical Efficacy of Ayurvedic Intervention in Plaque Psoriasis: A Case Report
Plaque psoriasis is a chronic immune-mediated inflammatory skin disease characterised by sharply demarcated erythematous plaques covered with silvery-white scales, which significantly impair quality of life. This case report describes an 18-year-old male with complaints of multiple raised, hyperpigmented, erythematous scaly lesions present for three months over the scalp hairline, forehead, chest, abdomen, back, and neck, involving both the flexor and extensor aspects of the lower limbs. Based on clinical findings, the condition can be correlated with Sidma Kushta in Ayurveda. The current conventional treatment strategies mainly emphasise topical management and often fail to ensure long-term remission, indicating a therapeutic gap where Ayurvedic interventions may play a significant role. The patient underwent Takrapanam, Snehapanam, Virechanam, Udgharshanam, Njavarathepp, along with supportive ayurvedic interventions for 30 days. Significant improvement was observed, with follow-up after two weeks. Assessment using the Psoriasis Area and Severity Index (PASI)Score and Dermatology Life Quality Index(DLQI) demonstrated marked symptomatic relief and improvement in quality of life, showcasing the potential benefits of Ayurveda in managing such chronic conditions.
Copyright (c) 2026 Amegha C S, P M Madhu (Author) https://creativecommons.org/licenses/by/4.0
Effect of Classical Ayurvedic Treatment Protocol in the Management of Trikashoola w.s.r. to Non-Specific Low Back Pain: A Case Series
Trikashoola, commonly correlated with low back pain, is described under Nanatmaja Vata Vyadhi in classical Ayurvedic texts. Low back pain is a major cause of disability worldwide and significantly affects functional ability and quality of life. The present case series evaluates the clinical effect of a classical Ayurvedic treatment protocol in five female patients aged 47–65 years presenting with chronic low back pain of 3 months to 2 years’ duration. Diagnosis was established based on classical clinical features and supported by radiological findings. Clinical assessment was performed using the Visual Analogue Scale (VAS) for pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for functional disability, and WHOQOL-BREF for quality of life assessment. The treatment protocol included Deepana, Pachana, Panchakarma procedures and Shamana therapies, such as Kostha Shodhana, Kala Basti, Kati Basti, Abhyanga and Nadi Svedana, along with internal medications including Rasna Saptaka Kvatha, Avipattikara Choorna, Dashamoola Kvatha and Yogaraja Guggulu. After 30 days of treatment, all patients demonstrated marked reduction in VAS and WOMAC scores, improvement in lumbar mobility and significant relief in tenderness without any adverse effects. The improvement was sustained during the three-week follow-up period with oral medications. These findings suggest that a classical Ayurvedic treatment protocol may provide safe and effective management in patients with Trikashoola.
Copyright (c) 2026 Wasanthi Jayarathna, Charmi S Mehta, Mandip Goyal, N. D. N. Jayawardhana (Author) https://creativecommons.org/licenses/by/4.0
Management of Chalazion through Bhedana Karma and samana chikitsa: A Clinical Case Study
Chalazion is a chronic, non-infective lipogranulomatous inflammation of the meibomian gland resulting from ductal obstruction and retained secretions, commonly presenting as a painless nodular swelling of the eyelid. It is one of the most frequent eyelid lesions affecting all age groups. In Ayurveda, chalazion can be correlated with Utsangini, described under Vartmagata Roga by Acharya Sushruta and Vagbhata. While Sushruta mentioned it as a Tridoshaja Sadhya Vyadhi, Vagbhata considers it as Raktaja Sadhya Vyadhi. Classical texts advocate treatments like Bhedana (therapeutic incision), nishpidana (squeezing the contents), lekhana (scraping) , pratisarana (rubbing powders on skin) and parisheka (ocular irrigation) . In this study, a 14-year-old female patient with a painless swelling of the right upper eyelid with heaviness and associated with watering presented to Shalakyatantra OPD of Government Ayurveda College Hospital, Kannur. Following history and examination, chalazion was diagnosed. The patient was treated with Bhedana karma followed by parisheka with triphala kashaya, aschyotana with durva grita and honey, along with Samana chikitsa. A remarkable result was observed in all aspects of the disease condition. Hence, it is proven that chalazion can be effectively managed by bhedana karma.
Copyright (c) 2026 Aneesha Fathima .S, VKV Balakrishnan (Author) https://creativecommons.org/licenses/by/4.0
Role of Siravedha and Adjunct Ayurvedic Therapies in the Management of Venous Leg Ulcer (VLU): A Single Case Report
Venous Leg Ulcers (VLUs) develop as a complication (C6) of chronic superficial venous insufficiency (SVI). Multiple causes like, valvular incompetence, lack of pumping function of calf muscles, lymphatic overload and oedema hampers the wound closure. This case report presents 49-year-old male butcher with five years’ history of non-healing venous leg ulcer on the left gaiter zone (Medial aspect) limb. The case was managed by applying conventional wound care with Ayurvedic therapies, including Panchvalkala Kwatha wound wash, Apamarga Kshara Taila local wound dressing, Nadi Swedana (hot fomentation by vapour of hot water), and weekly Siravedha (therapeutic bloodletting venepuncture), with adjuvant drug like Haritaki Churna, Kaishor Guggulu. Complete healing was achieved by day 63. The Wound Area reduction (WAR) was noted 0.269 cm sq./day and time taken for Wound area reduction was 3.705 days/cm2, indicating accelerated recovery. Siravedha helped by de-loading the Vata vitiated Rakta by reducing oxidative stress, improved microcirculation, and promoted tissue regeneration. Apamarga Kshara Taila dressing showed wound debriding effect.
Copyright (c) 2026 Kamayani Maurya, Foram Joshi, Rahul Ghuse (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Management of Peripheral Arterial Disease (PAD): A Case Report
Peripheral arterial disease (PAD) is a progressive atherosclerotic condition that leads to compromised perfusion of the lower extremities and significant morbidity. This case study reports a 54-year-old male with hypertension and a history of coronary angioplasty who presented with pain, numbness, stiffness, and burning sensation in the right lower limb, along with claudication. CT angiography revealed distal popliteal artery thrombosis with non-opacification of major distal arteries. Symptoms persisted even after angioplasty. The clinical features correlated with Uthana Vatarakta as per Ayurvedic principles. The patient was treated for 22 days with Dasamoola Kṣeeradhara and Udvarthanam, along with internal medications including Punarnavadi Kaṣhaya, Manjiṣhtadi Kaṣhaya, Śatāvarī Chinnaruhādi Kaṣāya, Madhuyashtyadi Taila, and Rasasindūra. Subsequently, the patient was advised a 14-day discharge regimen. The patient demonstrated marked improvement in pain, stiffness, burning sensation, and numbness, as observed through reduced VAS scores. Clinically, the previously absent peripheral pulses showed improvement, and claudication pain completely resolved within 22 days. The integrative Ayurvedic approach demonstrated promising symptomatic and functional improvement in this patient with PAD. The observed clinical recovery suggests the potential effectiveness of Ayurvedic management in the conditions comparable to Uthana Vatarakta.
Copyright (c) 2026 Muhsina N, P M Madhu (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Management of Ovarian Cyst: A Case Report
Bulky uterus and ovarian cysts are frequently seen Gynaecological conditions associated with menstrual irregularities, pelvic discomfort, and impaired reproductive health. Ayurveda describes such conditions under Artava Granthi. A 37-year-old female presented with complains of irregular menstruation, menstrual bleeding for total 3 days in which scanty flow for later 2 days . lower abdominal pain during menstrual period, lower back pain and heaviness in pelvic region since 1 year , Ultrasonography revealed a bulky uterus along with a complex right ovarian cyst measuring 2.2×2.0 cms. Diagnosed as vata kaphaj granthi according to ayurveda . The patient was treated with Rakta Pachak kadha 20ml twice a day for 30 days, Mans Pachak kadha 20 ml twice a day for 60 days, tablet Kanchanar Guggulu 2 tablets twice a day with water for 90 days and Abhayarishta 15 ml twice a day with water for a period of 90 days along with respective symptomatic treatment. Symptomatic relief observed after 3 months of respective treatment with significant changes in the USG report, menstrual cycle became regular with adequate bleeding of 3 days. After treatment ultrasonography showed reduction in uterine bulk and shrinkage of the ovarian cyst. This case highlights the potential role of Ayurvedic treatment in managing bulky uterus with ovarian cyst.
Copyright (c) 2026 Supriya Kharat, Jyoti Meghdambar, Santosh Girbide (Author) https://creativecommons.org/licenses/by/4.0
Efficacy of Bhramari Kumbhaka and Mansyadi Ghanvati in the Management of Mild and Short-term Insomnia in Geriatric Patient: A Case Report
Nidra is said to be the primary factor which holds up the life of all created beings. In today’s fast-paced lifestyle, especially among the elderly, stress, fatigue, and mental strain disrupt health. According to Acharya Charaka, Kala and Vata play key roles in regulating sleep. In old age, the Chala Guna of Vata disturbs mental calm, leading to Anidra. Insomnia is broadly defined as dissatisfaction with sleep, either qualitatively or quantitatively, which affects 30–48% of the elderly. A female patient 62 Years old who complained of Difficulty in initiating sleep, Difficulty in maintaining sleep, Early morning awakening with an inability to return to sleep within last 2 months and associated complaints of Angamarda, Shirogaurava, Tandra and Klama etc, visited the outpatient department of the Swasthavritta department. The patient was without any systemic illness. The patient underwent Bhramari Kumbhaka in gradually increasing rounds of 5, 7, 11, and 15 over two-week intervals, under supervision and following the method described in the Hatha Yoga Pradipika, along with oral administration of Mansyadi Ghanvati, 2 tablets (500 mg) twice daily after meals, with milk as Anupana, for a duration of eight weeks. After 60 days of treatment, symptomatic relief was observed. Serum cortisol levels decreased from 11.38 µg/dL before treatment to 9.87 µg/dL after treatment. The Pittsburgh Insomnia Rating Scale score improved from 40 before treatment to 10 after treatment. Bhramari Kumbhaka calms the mind, reduces stress, enhances Sattva Guna, and balances Vata Dosha. Mansyadi Ghanvati with its Nidrajanaka, Balya, and Vata-Kaphahara properties. This case study suggests that combining yogic breathing technique and Ayurvedic medicine offers a safe, effective and alternative approach for managing mild and short-term insomnia in the elderly.
Keywords: Bhramari Kumbhaka, Anidra, Mild and Short-term Insomnia in Geriatric Population
Copyright (c) 2026 Dikshita Kapuriya, Shalinee Kumari Mishra, Charmi Mehta (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Management of Osteoarthritis (OA) of Knee Joint: A Single Case Study
Osteoarthritis (OA) is a common degenerative disorder that predominantly affects weight-bearing joints such as the knee. Age-related changes in the musculoskeletal system contribute significantly to the development and progression of OA, making advancing age one of the major risk factors. The main clinical features of osteoarthritis include joint pain, swelling, and restriction of movement. A similar clinical presentation can be correlated with the concept of Sandhigata Vata, described under Vata Vyadhi in Ayurvedic classics. This case report describes a 75-year-old female patient who presented with complaints of bilateral knee joint pain for more than 15 years, associated with swelling. The patient also reported difficulty in walking, and clinical examination revealed restricted range of motion of the knee joints. The patient was admitted and a detailed clinical evaluation was carried out. At the time of admission, the presence of Ama was suspected based on clinical features; therefore, Rookshana Kriya was initially administered internally and externally by procedures like Lepanam, Dhanyamla Dhara. Subsequently, treatment aimed at Vata Shamana and Brimhana Karma by Upanaham and Pizhinju Thadaval was implemented along with appropriate internal medications for a duration of two months. It could be concluded that efficient use of external and internal Ayurvedic treatment methodologies in the background of accurate diagnosis can provide symptomatic relief to patients suffering from Osteoarthritis.
Copyright (c) 2026 Ganga Prasad, Madhu P M (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Approach in the Management of Keratoconus: A Single Case Study
Keratoconus is a progressive, non-inflammatory corneal ectatic disorder characterised by paracentral thinning, conical protrusion, and irregular astigmatism, leading to gradual, painless visual impairment. It typically develops after puberty and is often associated with underlying corneal biomechanical weakness, with a higher prevalence in individuals with allergic or atopic conditions. This case report involves a 23-year-old female with a five-year history of progressive bilateral vision loss, requiring continuous spectacle correction. Corneal topography confirmed keratoconus, with central corneal thickness measuring 459 µm in the right eye and 453 µm in the left eye. At presentation, the best corrected visual acuity was 6/18 (OD) and 4/60 (OS). According to Ayurvedic principles, the condition was identified as Vatika Timira, described in the Drishtigata Roga of Prathama and Dviteeya Patala. The pathology of the disease can be described with Vata prakopa lakshanas such as Karsya (stromal thinning), Sramsa (structural loss of compaction), and Vyasa (apical protrusion). A complete pharmacological treatment protocol of Agnideepana, Vata anulomana and Brimhana was applied. Internal medications included Rajanyadi Churnam and Rasnadasamoola Ghritam, Virechana using Gandharva Eranda taila. External therapies included Nasya, Anjana, Tarpana with Jeevanthyadi Gana Ghrita, Brimhana Putapaka, Shirodhara with Ksheerabala, and Karpasasthyadi Sekam with Yashti Kashaya. The patient reported subjective visual improvement post-therapy. Acuity increased to 6/60 (OS) and remained unchanged at 6/18 (OD). Follow-up corneal topography showed stabilisation of corneal thickness without additional refractive progression during the follow-up period. It was suggested to maintain treatment with Anu Taila (2 drops in the nostrils evening for 2 weeks) as Pratimarsha Nasya. These clinical outcomes suggest that Ayurvedic interventions for restoring ocular tissue integrity and correcting Vata imbalance may be beneficial for functional stabilisation in keratoconus. There is a need for controlled clinical studies to scientifically validate the therapeutic potential of Ayurveda in corneal ectatic disorders, as reflected by this case.
Copyright (c) 2026 Sreevidya KN, VKV Balakrishnan (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Management of Sensory Neural Hearing Loss: A Case Report
Sensorineural hearing loss (SNHL)is known issue for children who suffer from bacterial meningitis, and it can result in lasting damage to their hearing and speech abilities.Traditional treatments are limited and mostly aimed at helping patients adapt to the condition. This case report focuses on a 7-year old boy who developed bilateral sensorineural hearing loss after suffering from Pneumococcal meningitis. His condition was further worsened by acute mastoiditis and Cerebral venous sinus thrombosis, with the right side being more affected. He was advised to use a hearing aid, but the parents chose a different treatment approach. In Ayurveda, this condition is related to Badhirya.[Hearing loss] It occurs due to an imbalance in Vata and Kapha doshas, which affects the sense of hearing ,Shravanendriya [Ears], . The Ayurvedic treatment plan included internal medicines [Rajanyadi choornam one teaspoon with honey and ghee,Ashtachoornam one teaspoon with hotwater, Krimigna Vati one tablet each twice a day,kombanjadi Gulika one tablet each twice a day ,Gopi chandanadi Gulika one tablet each twice a day ,Rasna dasamoola ghritham one teaspoon twice a day ,Aswagandha choornam and Swetha sankupushpi choornam half teaspoon each with milk]and external treatments for 21 days, with follow-ups every three months. After three treatment cycles, the results of the Pure Tone Average (PTA) showed improvement in both ears. In the right ear, the PTA improved from 117 dBHL to 106.6 dBHL, and in the left ear, it improved from 120 dBHL to 68.3 dBHL. The right ear was affected by Acute mastoiditis and Cerebral venous sinus thrombosis. This case shows the possible role of Ayurveda as a complementary treatment for Post-meningitic sensorineural hearing loss. Clinically, there was noted improvement in the left ear, along with a slight improvement in the right ear.
Sensorineural hearing loss (SNHL), pneumococcal meningitis, acute mastoiditis, cerebral venous sinus thrombosis, Badhirya, Shravanendriya, Vata Kapha doshas
Copyright (c) 2026 Bhagyasree B, VKV Balakrishnan, Anjali KR (Author) https://creativecommons.org/licenses/by/4.0
Clinical Evaluation of Grindelia robusta in Recurrent Acute Bronchitis: An Observational Study
Grindelia robusta is described in homoeopathic literature as having a marked affinity for the bronchial mucosa, especially in cases characterized by viscid expectoration and positional dyspnea. Systematic clinical documentation is required to substantiate its therapeutic utility. Aim of this study was to evaluate the clinical effectiveness of Grindelia robusta in pediatric patients suffering from recurrent acute bronchitis. This is a prospective, single-arm observational study was conducted in children aged 5–15 years 30 cases diagnosed with recurrent acute bronchitis. Individualized prescription of Grindelia robusta (6C) was made based on totality of symptoms. Outcome measures included Bronchitis Severity Score (BSS), cough frequency, expectoration characteristics, pain while coughing, rales on auscultation and dyspnea grading. Statistical analysis was performed using paired t-test. The mean BSS significantly reduced from 7.82 ± 1.14 at baseline to 3.08 ± 1.02 post-intervention (p < 0.001). Marked improvement was observed in 68% of participants, while 22% showed moderate improvement. No adverse drug reactions were reported. Grindelia robusta demonstrated statistically significant clinical improvement in recurrent acute bronchitis. Controlled randomized studies are warranted to further validate these findings.
Copyright (c) 2026 Shweta Agarwal (Author) https://creativecommons.org/licenses/by/4.0
Management of Autism Spectrum Disorder in a Child Using Ayurvedic Interventions: A Case Report
Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition characterized by impaired social interaction, communication difficulties, and repetitive, restrictive behaviors. Its prevalence has increased significantly in recent decades, though the exact cause remains unknown. This case report examines the potential benefits of Ayurvedic interventions for children with ASD as part of a comprehensive management approach. This report describes a six-year-old boy with ASD presenting with delayed speech, poor eye contact, social withdrawal, hyperactivity, and repetitive behaviors. Diagnosis was based on clinical evaluation, developmental history, and established criteria. Routine investigations revealed no significant structural or metabolic abnormalities. An individualized Ayurvedic treatment plan was developed, considering the child’s Prakriti and a predominant Vata and Pitta Dosha imbalance. Interventions included shodhana chikitsa (elimination therapy, such as medicated enema and Shirodhara), shamana chikitsa (herb-mineral medications) for six months, pathya and apathya regimens, dietary modifications with easily digestible foods, lifestyle adjustments to establish a regular routine, and sensory calming activities like guided breathing and soft music. All interventions were customized to the patient’s needs. After 12 months of treatment, the child improved in speech, social interaction, attention, and emotional regulation. Observers also noted a reduction in repetitive behaviors. This case indicates that individualized Ayurvedic management can provide meaningful benefits for children with ASD. Large-scale studies must now be conducted to firmly establish the efficacy and safety of these interventions.
Copyright (c) 2026 Vaibhav Jaiswal, Aakanksha Jaisawal, Suraj Yadav, Anju KL, Narendra singh Rajput (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Management of Vata-Kapha Gridhrasi (Sciatica): A Single Case Report
Gridhrasi, classified in Ayurveda as a Vatavyadhi, is a common disorder characterized by radiating pain, stiffness, and difficulty in walking, resembling the gait of a vulture (Gridhra). The condition primarily arises from vitiation of Vata Dosha, and when Kapha is also involved, it manifests as Vata -Kaphaja Gridhrasi. Clinically, it correlates with Sciatica in modern medicine, presenting as pain radiating from the lumbar region along the posterior aspect of the thigh and leg, often accompanied by restricted movement and impaired daily activities. This case report presents the Ayurvedic management of Vata Kaphaja Gridhrasi through internal medications. A 45-year-old male presented with chronic low back pain radiating to the right heel for six months and numbness over the right sole for one week. MRI revealed disc extrusion at the L5–S1 level with nerve root impingement. The patient was treated with Ayurvedic therapies including Lepana, Swedana, Vaitarana Vasti, Kati Vasti, and Pizhinju Thadaval, along with internal Ayurvedic formulations. Significant improvement was observed in pain, numbness, and range of motion by the end of the treatment. This case demonstrates the effectiveness of integrative Ayurvedic therapy in managing Gridhrasi (Sciatica), emphasizing its role in pain reduction, functional restoration, and improvement of quality of life in patients with lumbar disc pathology.
Copyright (c) 2026 Amritha K, PM Madhu, Mini P (Author) https://creativecommons.org/licenses/by/4.0
An Ayurvedic Management of Chronic Heel Pain: A Single Case Report
Chronic heel pain commonly caused by conditions such as plantar fasciitis, calcaneal spurs, Achilles tendinitis, calcaneal fractures, calcaneal apophysitis, heel-pad atrophy, acute plantar fascia tears, and retrocalcaneal bursitis significantly impairs mobility and quality of life. In Ayurveda, this condition can be correlated with Vatakantaka, Aamvata, Sandhigata Vata, and Vatarakta. This case report describes a 65-year-old male patient was suffering from left heel and sole of foot pain since 5 months. The pain intensified during the initial steps taken after rising from bed. Heel pain managed primarily with Agnikarma as the first-line intervention along with selected herbo-mineral compounds. The patient underwent Agnikarma treatment, consisting of eight sessions, at the affected site, along with a regimen of Gokshuradi Guggulu at a dosage of 500 mg thrice daily after food for 15 days, and Mahavatavidhwansa Rasa 125 mg thrice daily for 15 days, Agnitundi vati 500mg thrice a day after food. The patient’s condition was completely resolved without any recurrence. It is evident that chronic heel pain can be effectively treated without recurrence through Ayurvedic interventions such as Agnikarma combined with Mruttika Shalaka.
Copyright (c) 2026 Darshan Pradeep Akhade, Santosh Girbide, Jyoti Meghdambar (Author) https://creativecommons.org/licenses/by/4.0
Impact of Chandranamaskar (Moon Salutation) on Health and Psychological Well-Being: A Case Series
Yoga enhances physical, psychological and spiritual well-being through integration of body, mind and spirit. Chandranamaskar (Moon Salutation), a vital part of yoga follows a sequence similar to Suryanamaskar and draws on lunar energy to cool, relax and replenish the body. The current case series involved documenting the impact of Chandranamaskar on health and psychological well-being in healthy individuals. Three female participants practiced 12 rounds of Chandranamaskar for 5 days a week for 4 weeks. The Goldberg’s 30-item General Health Questionnaire (GHQ-30), Brief Self-Control Scale (BSCS) and the Mindful Attention Awareness Scale (MAAS) were assessed before and after the intervention period. All participants showed improvement in post-intervention assessments compared to baseline, indicating the beneficial effects of Chandranamaskar on health and well-being. Further research is warranted to elucidate the benefits of Chandranamaskar and its underlying mechanisms.
Copyright (c) 2026 A Mrinalinee, R Nithya, S T Venkateswaran, Gayathri Annamalai (Author) https://creativecommons.org/licenses/by/4.0
Clinical Response to Ayurveda Management in Chronic Kidney Disease: A Case Series
Renal functions gradually deteriorate over months or years in chronic kidney disease (CKD), also referred to as chronic renal failure (CRF). In this case series, three patients with chronic kidney disease (CKD) were treated with a customized Ayurveda regimen that focused on Āma pachana, Agni correction, Dosha pacification, and Mutravaha Srotas support. Prior to and following a two-week intervention, renal function was evaluated and found improved. Renal parameters improved in all cases: eGFR increased from 16 to 40 mL/min/1.73 m² and serum creatinine decreased from 3.98 to 1.81 mg/dL in Case 01; eGFR improved from 26 to 34 mL/min/1.73 m² and creatinine decreased from 2.5 to 2.0 mg/dL in Case 02; and eGFR increased from 38 to 57 mL/min/1.73 m² and creatinine decreased from 1.86 to 1.34 mg/dL in Case 03. There was also a noticeable improvement in the quality of sleep, appetite, and fatigue. These results imply that short-term improvements in renal function and patient well-being may be supported by Ayurveda treatments. To validate these results, more research with larger cohorts and long-term follow-up is necessary.
Copyright (c) 2026 D.S. Yahathugoda, J.M.A.S.B. Jayasinghe, A.S. Ajmeer (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Interventions in the Management of Chronic Kidney Disease with Hypertension: A Single Case Study
Chronic Kidney Disease (CKD) is a progressive disorder characterized by structural and functional kidney abnormalities that persist for at least three months, regardless of whether there is a decrease in glomerular filtration rate (GFR). It is often accompanied by altered blood or urine composition. It commonly arises from diabetes and hypertension and usually remains asymptomatic until advanced stages, leading to serious complications. Early detection and timely management are crucial for slowing disease progression. This case study reports a 31-year-old hypertensive patient diagnosed with CKD, presenting with elevated serum creatinine (2.06 mg/dl), urea (56.20 mg/dl), uric acid (8.00 mg/dl), and BUN (26.18 mg/dl). The patient was treated with an Ayurvedic regimen comprising Punarnavashtak Kwath, Gokshuradi Guggulu, Syrup Neeri KFT, and Sarpagandha Ghan Vati for two months. Post-treatment, significant improvements were observed: creatinine reduced to 0.5 mg/dl, urea to 20.50 mg/dl, uric acid to 3.80 mg/dl, and BUN to 9.55 mg/dl. Clinical symptoms such as dizziness and headache, etc., subsided, and blood pressure stabilized at 120/80 mmHg. These findings suggest that Ayurvedic therapy can effectively improve renal function, regulate blood pressure, and enhance overall quality of life in CKD patients with hypertension.
Copyright (c) 2026 Anjali, Yogesh K P, Prachi B, Vasundhara P (Author) https://creativecommons.org/licenses/by/4.0
An Ayurvedic treatment protocol on post fracture stiffness of knee joint after surgery in transverse Fracture of Patella: A Case Report
Post fracture stiffness following surgery is common complication that can significantly impact a patient’s quality of life. Patients with post-patellar fracture stiffness often present with limited range of motion, pain, and swelling in knee joint. In Ayurveda post fracture stiffness can be correlated with Bhagna upadrava vikara. Here prolonged immobilization and surgery causes Dusti of Vyana vayu and Sleshmaka kapha which leads to post fracture stiffness and associated pitha rakta kopa due to abhigatha. The case study showed effective in reducing the symptoms and increased the range of motion in Post fracture stiffness of knee joint in patellar fracture followed by surgery.
Copyright (c) 2026 Aiswarya K, Silpa S S, Deepa M S (Author) https://creativecommons.org/licenses/by/4.0
An Open-Labelled Randomized Clinical Trial to evaluate the efficacy of Siddha drug - Vettummaaran Kuligai with Nilavembu Kudineer (VMK-NVK) in the Management of Mild to Moderate COVID-19 (SARS-CoV2 infection)
COVID-19, caused by SARS-CoV-2, posed an unprecedented global health challenge. There was a growing interest in identifying safe and effective Siddha formulation for the management of COVID-19, and hence the study to evaluate the efficacy of VettummaaranKuligai with NilavembuKudineer (VMK-NVK) in comparison with Ivermectin was explored. COVID-19, caused by SARS-CoV-2, prompted the search for safe and effective Siddha formulations. This open-labelled, randomized case-control clinical trial evaluated the efficacy of Vettummaaran Kuligai with Nilavembu Kudineer (VMK-NVK) compared to Ivermectin in mild to moderate COVID-19 patients. Sixty RT-PCR confirmed cases were randomized into two groups: Group A received VMK-NVK (Nilavembu Kudineer 60 mL with Vettummaaran Kuligai 1 pill twice daily for one week), and Group B received Ivermectin (12 mg/day for 5 days). Clinical assessment was conducted daily, with RT-PCR and laboratory investigations performed weekly. Results showed that VMK-NVK demonstrated non-inferior efficacy to Ivermectin in achieving RT-PCR negativity, with complete viral clearance by day 14 in both groups. Symptom resolution and clinical recovery were comparable. VMK-NVK showed greater reduction in inflammatory markers (IL-6 and CRP), indicating superior anti-inflammatory effects, while both groups had significant reduction in D-dimer levels. No adverse effects were observed, and safety parameters remained normal. In conclusion, VMK-NVK is a safe, affordable, and evidence-based alternative for managing mild to moderate COVID-19, warranting further large-scale, double-blind studies.
Copyright (c) 2026 Subash Chandran G, Sivaranjani Kumarasamy, Lekha G.S., Shantharaman K (Author) https://creativecommons.org/licenses/by/4.0
An Ayurvedic Approach to Primary Infertility Associated with Bicornuate Uterus, Adenomyosis, PCOS, and Oligozoospermia: A Case Report
Infertility is a multifactorial condition involving female, male, or combined factors. Congenital uterine anomalies such as bicornuate uterus, uterine pathologies like adenomyosis, endocrine disorders including polycystic ovarian syndrome (PCOS), and male factor abnormalities can independently or collectively impair conception. Ayurveda offers a holistic framework for managing infertility by addressing systemic, structural, and functional derangements. A 30-year-old woman with 8 years of primary infertility was diagnosed with a bicornuate uterus, adenomyosis, and mild polycystic ovarian syndrome (PCOS). She also had a history of severe anemia, hypothyroidism, and low body mass index. Two previous intrauterine insemination (IUI) attempts were unsuccessful, and in vitro fertilization (IVF) was advised. Her spouse was diagnosed with Oligozoospermia, had undergone varicocele surgery, and presented with a history of chronic alcohol consumption. The couple subsequently opted for Ayurvedic management. The case was diagnosed as Anapatyatha in Ayurveda. The female partner was managed with a systematically planned Panchakarma protocol, including Deepana–Pachana, Snehapana, Virechana, and Yoga Basti, followed by appropriate Shamana therapy. The male partner underwent Paithika Madatyaya Chikitsa along with Shukra-vardhaka interventions aimed at correcting dosha imbalance and improving semen parameters. Natural conception occurred within one menstrual cycle following completion of therapy. Pregnancy was confirmed on 10/07/2024. The antenatal period was uneventful, and a healthy male baby was delivered on 26/02/2025. This case demonstrates that individualized Ayurvedic management addressing both female and male factors can restore fertility even in complex infertility scenarios involving anatomical, endocrine, uterine, and semen abnormalities.
Copyright (c) 2026 Fathima Mubashira E, Karthika Dev S, Shahina Mole S (Author) https://creativecommons.org/licenses/by/4.0
An Ayurvedic Approach in the Management of Trigger Finger: A Single Case Study
Trigger finger, occurs when a tendon becomes inflamed and swollen, and cause painful locking of the digits while bending them. It is characterized by a popping or catching sensation, pain at the base of the digit, and a tender lump on the palm. This condition can be correlated to Snayugata Vata. This is a single case study of trigger finger (snayugata vata) managed with Upanaha using Nagaradi Choorna, splint bandage with Murivenna, and Agnikarma using panchaloha shalaka. The procedure was administered for 6 days. The patient was observed for a follow-up period of 1 month to rule out recurrence of symptoms. The patient could perform daily life activities without discomfort and pain.
Copyright (c) 2026 Fathima T, Febina Shereen (Author) https://creativecommons.org/licenses/by/4.0
Effect of Snehapana and Adjuvant Ayurveda Medicines in the Management of Sciatica: An Evidence based Case Report
Sciatica represents a debilitating condition characterized by pain and/or paraesthesia in the distribution of the sciatic nerve or the corresponding lumbosacral nerve roots. Any structural abnormality leading to compression of the sciatic nerve may produce sciatica. Lumbar intervertebral disc herniation or bulge is the most common cause, while lumbar spinal stenosis is frequently seen in elderly patients. The condition can severely impact the quality of life of those affected. This article presents an Ayurvedic case report of a 69 years old male patient who presented to out-patient department with low back pain radiating to right lower limb associated with numbness over bilateral lower limb aggravated since 1 and ½ months. Based on the presentation of radiating pain along the course of lower limb, the condition can be correlated with Gridhrasi- one among the Nanatmaja Vatavyadhi. Pre- and post-treatment assessment following Snehapana showed significant improvement in the patient’s condition, specifically improvement in gait, range of motion and SLR being negative. The report highlights the effect of Snehapana using Dhanwantaram Mezhukupaka in the management of Sciatica.
Copyright (c) 2026 Gopika Nataraj, PM Madhu (Author) https://creativecommons.org/licenses/by/4.0
World Cancer Day: Raising Awareness as a Public Health Concern: Short Communication
The Cancer/Carcinoma (Ca) is a non- communicable disease (NCD) and have serious health condition. The patients of cancer increasing day by day and seen in all age groups and in either gender. In India the increasing cancer cases play a major role in causing illness or death. The high varieties of cancer are mouth cancer, lung cancer, cervical cancer, breast cancer, prostatic cancer, colon cancer, anorectal cancers, etc. Many of the cases diagnosed in late stage which results in life-threatening conditions. If Ca identified in early stage, it significantly improves treatment outcomes. The inadequate knowledge, limited awareness, creates fear in society. Many Government organization and non-Government organisation running cancer awareness programs for society but needs dissemination at the individual and community level. It is the need of time to educate the public about risk factors, warning signs and symptoms, and the significance of timely diagnosis of cancer. To achieve these objective the World Cancer Day is observed annually at international/global level on 4th of February every year. Here author taking an effort to highlight the significance of this observance and to promote cancer awareness in public health concern in context to both Ayurveda and modern prospective.
Copyright (c) 2026 Mahesh Kumar (Author) https://creativecommons.org/licenses/by/4.0
Management of Peripheral Spondyloarthritis through Ayurveda: A Case Report
Peripheral spondyloarthritis is a chronic inflammatory rheumatic disorder characterized by predominant involvement of peripheral joints, entheses, and periarticular structures, often leading to pain, swelling, stiffness, and functional impairment. This article presents an evidence-based Ayurvedic case report of a 53-year-old male patient who presented to the inpatient department with pain, swelling, and stiffness of the right ankle joint for four years, hyperpigmented lesions with engorged veins over the lower limbs for 3 years and difficulty in walking for the past two years. Based on clinical features, chronicity, and disease pattern, the condition could be correlated with Vatarakta, and appropriate Vatarakta-Chikitsa principles were adopted. Peripheral spondyloarthritis response criteria 40 (PSpARC40) showed significant improvement with reduced pain, swelling, better joint mobility and gait. This case highlights the potential role of Ayurvedic management based on Vatarakta principles in effectively managing peripheral spondyloarthritis and improving the quality of life.
Copyright (c) 2026 Arya K, Farseena K, P M Madhu (Author) https://creativecommons.org/licenses/by/4.0
Successful Pregnancy Outcome in Bicornuate Uterus with Multifactorial Infertility through Ayurveda: A Case Report
Bicornuate uterus is a congenital uterine anomaly associated with infertility and recurrent pregnancy loss. Outcomes are further compromised when multiple endocrine, infectious, and systemic factors coexist. Evidence on comprehensive Ayurvedic management in such high-risk cases is limited. A 28-year-old woman presented with infertility and recurrent pregnancy loss, with a history of three first-trimester abortions. She was diagnosed with a congenital bicornuate uterus, polycystic ovarian syndrome, recurrent vulvovaginitis, and past systemic illness. Although conception had occurred earlier, pregnancy could not be sustained beyond early gestation, indicating impaired uterine receptivity rather than failure of conception. The patient underwent structured preconceptional Ayurvedic management aimed at correcting modifiable local and systemic factors and improving uterine function. Following preconceptional optimization, conception was achieved and sustained beyond the critical early gestational period for the first time. After conception, trimester-specific antenatal care was provided through Garbhini Paricharya. This included preventive measures to maintain maternal–fetal health and therapeutic interventions to manage pregnancy-related complaints as they arose. Symptoms were controlled conservatively across all trimesters without interruption of pregnancy. Despite the presence of a bicornuate uterus and previous recurrent pregnancy loss, pregnancy progressed to term. The patient delivered a healthy neonate by lower segment cesarean section, with no maternal or neonatal complications. This case demonstrates that integration of preconceptional Ayurvedic optimization with structured antenatal care can result in successful pregnancy outcome in multifactorial infertility and recurrent pregnancy loss associated with congenital uterine anomaly. Garbhini Paricharya functioned as both a preventive and disease-modifying approach. Further studies are required to assess reproducibility of this approach.
Copyright (c) 2026 Anjali Verma (Author) https://creativecommons.org/licenses/by/4.0
Ayurveda in the Management of Avascular Necrosis (AVN) of Femoral Head: A Case Report
Avascular Necrosis (AVN) is the death of bone components due to interruption of the blood supply, also known as osteonecrosis or ischemic necrosis . The disease is initially painless but gradually progresses with increasing pain that affects daily activities. In modern medicine AVN is managed by the use of corticosteroids and many surgical procedures. In Ayurveda, AVN of the femur head can be co-related to Asthimajjagata vata, based on similar signs and symptoms. The present case report is a single case study of a 32 years old male patient who approached with pain and stiffness in the left hip joint associated with difficulty in walking, sitting and performing routine activities for 8months. Magnetic resonance imaging”(MRI)” findings were suggestive of Grade 2 AVN of left hip joint. The patient was admitted for 45 days and underwent panchakarma procedures including snehana, virechana, bastikarma along with shamana oushadhies and physiotherapy exercises. As a result of the treatment protocol, there was a marked improvement in the Oxford Hip Score from 12 to 35 and in the range of motion of the left hip as assessed by Goniometry. In addition, pain levels reduced significantly with the Visual Analogue Scale from 8 to 2 leading to an overall improvement in the patient’s quality of life. Based on the encouraging results, it can be presumed that a customized Ayurvedic treatment protocol adopted in the management of AVN shows promising outcomes. Conservative management of AVN through Ayurvedic principles provides significant relief and improves quality of life.
Copyright (c) 2026 Lisna Sherin K E, Devu S Vijayan, Ambili Krishna, Simi Ravindran (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Management of Stroke: An Evidence Based Case Report
Stroke is a leading cause of disability and the second most common cause of death worldwide, with ischemic stroke accounting for approximately 85% of cases. Ischemic stroke results from cerebral vessel occlusion, leading to reduced blood flow and subsequent neuronal injury. This case study reports a 48-year-old male who presented with right upper and lower limb weakness and speech difficulty for seven days, diagnosed with ischemic stroke based on clinical features, physical examination, and MRI findings. In Ayurveda, this condition correlates with Pakshaghata, a Vata Nanatmaja Vyadhi characterised by unilateral motor dysfunction involving either half of the body. The patient was treated with Udwarthanam, Shirodhara, Nasya, Shiro Pichu, Abhyanga with ushma sveda, and Shashtika Shali Pinda Sveda, along with internal Ayurvedic medications, for 30 days. Significant clinical improvement was observed following Ayurvedic treatment, while conventional medications were continued. Follow-up was conducted two weeks later. Outcomes were assessed using the Barthel Index, NIHSS, and Modified Rankin Scale. This case study showcases the positive outcomes of Ayurvedic intervention in the management of Pakshaghata, highlighting its potential role as an effective therapeutic option when conventional treatments offer limited benefit.
Copyright (c) 2026 Anju S Jerad, Madhu P M (Author) https://creativecommons.org/licenses/by/4.0
Clinical Outcome of Ayurvedic Management in Diabetic Retinopathy: A Case Report
Diabetic Retinopathy (DR) is a major cause of vision impairment and blindness in working adults, often linked to prolonged hyperglycaemia. It's a chronic progressive disease of the retinal microvasculature. Ayurvedic management offers a potential treatment option, targeting the root cause of the disease. A 67-year-old female patient having history of T2 DM since 10 years. She suffered with bilateral PDR and Diabetic Macular oedema in the right eye was treated with Ayurvedic management, including Amapachana, Nithya virechana, Nasya, topical ocular procedures which included Seka, Bidalaka, Tarpana, Putapaka and Anjana. All above procedures were done for 3 sittings and follow up every 3 months for 2 years The treatment improved visual acuity in the right eye from hand movement to 3/60 and left eye from 6/24 to 6/12(P), showcasing the potential of Ayurvedic approaches in managing DR. The holistic approach aims to promote healing, offering hope for patients with this debilitating condition.
Copyright (c) 2026 Suchetha Jayaram, Veena Shekar (Author) https://creativecommons.org/licenses/by/4.0
Comparative Effecicacy of Siravyadha and Siravyadha Followed By Bhadradarvadi Basti in Sirajagranthi (Varicose Veins)
“Varicosity is the penalty for verticality against gravity”. WHO defines varicose veins as saccular dilatations of vein, dilated tortuous and elongated superficial veins of the lower limb. The Incidence of Varicose veins is 5% in India and 10-20% in the western world, prevalence of visible varicose veins is between 30-50% , especially 25-30% in women, 15% in men and increases with age. Certain jobs which demand prolonged standing suffer from varicose veins. It also occurs with muscular contractions e.g. Athletes. Varicose veins can be co-related to Sirajagranthi as described in Ayurvedic texts. Due to Vataprakopaka Nidana like physical exertion and straining, vata enters the Sira causing Sampeedana, Sankocha and Vishoshanam and leads to Sirajagranthi. In Contemporary science, the treatment for varicose vein includes elastic stockings, elevation of legs, exercises, sclerotherapy and surgical managements like vein ligation, stripping and Endovenous laser treatment. They produce complications like eczema, hemorrhage, hematoma and saphenous nerve irritation. Sclerotherapy often causes deep vein thrombosis, thrombophlebitis, cutaneous ulcerations and stroke. Recurrence rate post surgeries stands between 20-80% .According to Ayurveda, Vata and Rakta are involved in the samprapti of sirajagranthi. Ayurvedic classics explained different modalities of treatment in the management of sirajagranthi such as kashayapana, upanaha, vataharabasti, and Siravyadhana. In this clinical trial, patients of varicose veins were enrolled and divided into two groups. In group A, Siravyadha was done twice in an interval of 14 days. In group B, Siravyadha was done twice followed by Bhadradaruvadi Basti at an interval of 1 month.
Copyright (c) 2026 Shilpa PN, Sanjay Bevinkatti (Author) https://creativecommons.org/licenses/by/4.0