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.
Ayurvedic Management of Ulcerative Colitis with High Fecal Calprotectin Level: A Single Case Report
Ulcerative colitis (UC) is a chronic inflammatory bowel disease affecting the mucosal inflammation of the colon and rectum. The major symptom of UC is blood and mucus in stools. In Ayurveda, it can be compared with a Raktatisara. In this case report, 29-year-old male patient, non-smoker, businessmen by profession with UC for the past two years, with complaints of colicky type of abdominal pain, stool with blood and mucus and frequent belching and unsatisfactory bowel habit with increased frequency of stool. He was treated with ayurvedic medications i.e. Combination of 2 gm of Hingwashtaka Churna, 500 mg of Shankha Bhasma, 250 mg of Panchamruta Parpati and udum syrup. along with Pathyapathya. Treatment aimed at restoring normal bowel functions and treating high fecal calprotectin level. After the one month of treatment, improvement was found in various symptoms as well as in Fecal calprotectin level. No any recurrence was observed on 20 days follow up. This reveals that Ayurveda treatment modalities can play a significant role in such conditions where successful treatment facilities are minimal in other medical systems
Copyright (c) 2026 Tarjani Vasaiya, Rita Khagram (Author) https://creativecommons.org/licenses/by/4.0
Holistic Management of Primary Hypothyroidism with Ayurvedic Medication and specified Yoga practices for 60 days: A Case Report
In recent years, hypothyroidism has emerged as a major health concern, particularly in developing countries. Epidemiological studies indicate it affects approximately one in ten adults in India. Wide usage of goitrogenic foods like cabbage, broccoli, sweet potato etc serves as the main cause by blocking iodine uptake, which can be considered as Vishama Ahara causing Hypothyroidism. Being a metabolic disorder, it resembles Agni Dushti, Rasavaha Srotodushti and Rasa Dhatvagnimandya. In the present case, a 40 years old female reported to OPD of Swasthavritta, with clinical symptoms like unexplained weight gain, improper digestion, puffiness of face, generalized debility, hair fall. Blood investigation showed increased TSH with normal T3 and T4 values which is suggestive of Primary Hypothyroidism. She was treated with Ayurvedic medications like Sutshekhara Rasa (250mg), Hanspadyadi Kwatha (15ml) and Kanchanara Guggulu (500mg) twice a day before food and selected Yoga practices like Chalana Kriyas, Standing Asanas like Tadasana, Supine Asanas like Shavasana Prone Asanas like Makarasana, Pranayama, Jalandhara bandha etc. The effectiveness of treatment was assessed by performing Thyroid Function Test and reduction in Zulewski’s clinical score. TSH value decreased from 7.682 µIU/mL to 4.645 µIU/mL after 2 months of treatment. A remarkable decrease of 5 points in Zulewski’s clinical score was found after treatment. The overall health of the patient was improved. Marked decrease in TSH level and Zulewski’s clinical score suggests the effectiveness of prescribed Ayurvedic medications and selected Yoga practices. Hence, prescribed Ayurvedic medications along with Yoga Practices were found significantly effective in treating primary Hypothyroidism.
Copyright (c) 2026 Akshay Prajapat, Kalpesh Dattani (Author) https://creativecommons.org/licenses/by/4.0
Siddha Therapeutic Regimen in the Management of Paediatric Impetigo: A Case Report
Bacterial skin infection is a common diagnosis among children with skin problems, accounting for 17% of all clinic visits. The most common is impetigo, which is highly contagious. There are two classic forms of impetigo non-bullous and bullous. Non-bullous impetigo accounts for more than 70% of cases. Lesions typically begin on the face or on extremities and may spread to other parts of the body. According to siddha literature, impetigo resembles Perusirangu (itch with wide vesiculations) due to derangement in Pitham (infectious, erythema) and Kabham (pustule formation). Modern treatment involves antibiotics and topical antiseptics, but recurrence and antibiotic resistance remain challenges. This case study demonstrates the efficacy of siddha intervention in a paediatric patient with impetigo who shows non-responsiveness to a prior 10-day course of empiric antibiotics. Beyond symptomatic relief, this treatment aims to neutralize the deranged thodam through detoxification, blood purification, wound healing, thereby ensuring complete recovery and preventing recurrence. The therapeutic intervention comprised a structured siddha regimen, including internal medicines like Arugan kattai kudineer and external applications like Mathan Thylam. Significant clinical improvement was observed within 7 days and complete clearance of lesions was achieved by 21 days of treatment. This study suggests that Siddha management serves as a potent, safe and sustainable alternative to conventional antibiotics, providing a comprehensive model for managing paediatric dermatological conditions without recurrence or drug resistance.
Copyright (c) 2026 Priyadarshini Venkatesan, P. Arul Mozhi, M. Meenakshi Sundaram (Author) https://creativecommons.org/licenses/by/4.0
Effect of Jalakumbhi Kshar (Eichhornia crassipes (Mart.) Solms) Included in an Ayurvedic Management of Hypothyroidism: A Case Study
Hypothyroidism is a chronic endocrine disorder characterized by impaired thyroid hormone production, leading to disturbances in metabolic activities and multiple systemic manifestations. It is more prevalent among women and elderly individuals and commonly presents with fatigue, constipation, oedema, dry skin, hair fall, weight gain, and reduced physical activity. In Ayurveda, these features may be correlated with Kaphaja Galaganda involving Agnimandya(impaired digestion), Ama accumulation(metabolic toxins) , and vitiation of Kapha and Vata dosha. A 65-year-old female patient presented with generalized weakness, anorexia, body swelling, constipation, dry skin, and palpitations. She had been receiving Levothyroxine 75 µg/day for hypothyroidism for the previous eight years. Clinical examination revealed periorbital puffiness, coarse cold skin, and bilateral lower limb oedema. Baseline investigations showed an elevated serum thyroid stimulating hormone (TSH) level of 14.23 µIU/mL and a Zulewski’s clinical score of 8/12. The patient was treated with Jalakumbhi Kshar 350 mg, Gokshura Churna 2 g, Punarnavadi Mandoor 500 mg, and Makoya Ark 20 mL with water twice daily for three months. During the treatment period, the Levothyroxine dose was gradually reduced from 75 µg/day to 50 µg/day at the first follow-up and further to 25 µg/day at the second follow-up based on symptomatic improvement and thyroid function assessment. Progressive improvement was observed in both subjective and objective parameters. At the end of treatment, serum TSH decreased to 5.519 µIU/mL and Zulewski’s clinical score reduced to 2/12. Clinical symptoms improved markedly, and no adverse events were reported. This case highlights the potential utility of Jalakumbhi Kshar-based Ayurvedic management in hypothyroidism.
Copyright (c) 2026 Nancy, Rosy Gupta (Author) https://creativecommons.org/licenses/by/4.0
Clinical Evaluation of Chitramutti Thailam in the Management of Aga Soothaga Vali (Primary Dysmenorrhoea): A Case Report
Dysmenorrhoea is a frequent and misdiagnosed symptom affecting the quality of life in women. Every woman experiences at least a minimum level of pain during menstruation in their lifetime. But Dysmenorrhoea is defined as the severe and frequent menstrual cramps and pain during the menstrual period which can negatively affect a woman’s quality of life (QoL) and interfere with daily activities. Dysmenorrhoea is classified as primary and secondary dysmenorrhoea. The primary dysmenorrhoea is one where there is no identifiable pelvic pathology. Primary Dysmenorrhoea is widely prevalent; more than 70% of teenagers and 30% - 50% of menstruating women suffer from varying degrees of discomfort. The main ingredient of the trial drug Chitramutti has emollient action so it will be effective in the management of Chitramutti thailam. In this case report a 23 year old female with dysmenorrhoea, assessed through reduction in WaLIDD score. The patient was advised to take 5ml of Chitramutti thailam(BD)along with the external application of the same around the anal region during the menstruation period. The patient initially had severe Dysmenorrhoea with a WaLIDD Score of 8 with the symptoms of abdominal pain along with vomiting for 3-4 days of menstruation .After three consecutive cycles with intake of medication during the menstruation period, the symptoms are reduced with a WaLIDD Score of 2 at the end of third consecutive cycles. The notable reduction in WaLIDD Score demonstrates the effectiveness of Chitramutti Thailam in the management of Aga Soothaga Vali (Primary dysmenorrhoea). Further studies are needed to confirm its efficacy in larger populations
Copyright (c) 2026 Avinash A, Sujitha C, Amala Hazel A M, Meenakshi Sundaram M, Senthilvel G (Author) https://creativecommons.org/licenses/by/4.0
Impact of Arsenicum Album in the Management of Acute Dengue Fever with Bicytopenia: A Case Report
Dengue Fever presents critical therapeutic challenges due to rapid bone marrow suppression and associated visceral parenchymal damage. A 67-year-old female presented with high-grade fever, profound adynamia, persistent nausea, and a subjective bitter taste. Laboratory evaluations confirmed Dengue Fever (Figure 2) , revealing acute bicytopenia with a critical platelet crash (85,000/µL) (Figure 5) and biochemical hepatic involvement. Individualized Homeopathic treatment utilizing Arsenicum album 30 was initiated. Rapid clinical stabilization, subsidence of pyrexia, and a complete reversal of hematological parameters were documented. Within 72 hours, the patient became afebrile, gastric symptoms resolved, and bone marrow recovery was evident as platelets and WBC count improved to 64,000 and 2,450 (Figure 7) respectively. This case underscores the utility of individualized Homeopathic therapeutics in mitigating severe hematological crises and accelerating bone marrow recovery during the critical phase of Dengue Fever.
Copyright (c) 2026 Sonali Chhapia, Ajay Valke, Tapas Kundu, Sachin Bhalerao (Author) https://creativecommons.org/licenses/by/4.0
A Homoeopathic Case Report of Plantar Fasciitis with Calcaneal Spur
Plantar fasciitis is one of the most common causes of chronic heel pain and may be associated with calcaneal spur formation in long-standing cases. This case report describes a 27-year-old female who presented with bilateral heel pain since 2015, aggravated during the first few steps in the morning, walking and running, and relieved by continued walking and rest. The pain was described as a pricking sensation, as if a nail was being driven into the heels. This case revealed characteristic mental and physical generals along with marked local modalities. An Xray of both feet confirmed the presence of dorsal and plantar calcaneal spurs. Repertorial analysis was carried out using the Kent’s Repertory. Initially, Phosphoric Acid 200, single dose for 15 days was prescribed based on the constitutional background; however, re-evaluation of the active symptom picture indicated Rhus Toxicodendron 6X. Gradual improvement was observed during follow-up, with reduction in pain, disappearance of swelling and restoration of normal walking ability. This case highlights the importance of individualised homoeopathic prescribing and continuous assessment of symptom evolution in chronic musculoskeletal disorders
Copyright (c) 2026 Aanchal Kori, Mita Gharte (Author) https://creativecommons.org/licenses/by/4.0
Viddhakarma- A Novel Approach in the Management of Vishad (Depression): A Case Report
Depression is a common psychological disorder, mostly affecting females of middle age group due to various psychosocial factors. Though modern medication is available but with limitations such as dependency, adverse effects and variable patient compliance. In contrast Viddhakarma, an ancient Ayurvedic Parasurgical procedure which gives marked relief in psychosomatic disorders without any side effects and which is cost effective also. As depression is long lasting condition or chronic in nature and Viddhakarma may give rapid symptomatic relief, particularly in distressing cognitive symptoms. In this case report, a 55-year-female having complaints of overthinking, insomnia, negative thoughts, panic attacks, guilt, self-blame, crying, low self-confidence and loss of interest in daily activities was diagnosed with depressive disorder according to the ICD-10 criteria and sought Ayurvedic management at OPD level. The depression shows resemblance with Vishad. Viddhakarma therapy was initiated, and by the end of the treatment significant improvement was seen in subjective parameters like Hamilton Depression Scale. The patient reported improved sleep quality and a more positive outlook towards life. The Hamilton depression scale score was reduced to 3 from 25. This case report suggests that Viddhakarma may provide significant relief in psychological conditions such as depression and can be considered a potential therapeutic modality in its management.
Copyright (c) 2026 Snehal Payghan, Kalpana Raje, Dharmendra Mishra, Pankaj Tiwari (Author) https://creativecommons.org/licenses/by/4.0
Clinical Effectiveness of Attai Vidal (Leech Therapy) in De Quervain’s Disease: A Case Report
De Quervain’s tenosynovitis is an inflammatory condition affecting the tendons in the first dorsal compartment of the wrist, often resulting in significant pain, swelling, and functional impairment. It predominantly affects women aged 30 to 50 who engage in repetitive wrist or thumb movements. While conventional treatments, such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections, and surgical interventions, are widely used. There is growing interest in exploring traditional and alternative treatment with fewer adverse effects. Siddha medicine, a traditional system of medicine originating in South India, incorporates Attai Vidal (Leech therapy) as a therapeutic modality for inflammatory conditions. This case report presents a 43-year-old female tailor with complaints of pain and swelling in radial aspect of right wrist and painful right thumb movements. She was diagnosed with De Quervain’s Tenosynovitis and was treated with two sessions of Leech therapy during which two leeches were used. The treatment resulted in marked pain reduction (VAS score from 8/10 to 2/10), resolution of swelling, and improved wrist mobility without adverse events. The findings suggest that Attai Vidal (Leech therapy) may serve as an effective, non-invasive treatment for the management of De Quervain’s disease. Further clinical studies are warranted to validate these outcomes and develop standardized treatment protocols.
Copyright (c) 2026 Selva Priya Selvaraj, M.V. Mahadevan, D. Periyasami (Author) https://creativecommons.org/licenses/by/4.0
Efficacy of Dashamooladi Ghrita Matra Basti with Local Ghrita Abhyanga in Janu Sandhigatavata (Knee Osteoarthritis): A Preliminary Single-Arm Clinical Study
Janu SandhigataVata, comparable to knee osteoarthritis, is a degenerative joint disorder characterized by pain, stiffness, swelling, and functional impairment due to aggravated Vata Dosha and Dhatu Kshaya (tissue depletion). Ayurveda recommends Sneha-based therapies and Basti (therapeutic enema) as key interventions for Vata disorders (neuromusculoskeletal disorder caused by aggravated Vata). Dashamooladi Ghrita, a classical medicated ghee formulation, possesses Vatahara (alleviating aggravated Vata) and Brimhana (nourishing therapy) properties. The present study aimed to evaluate the preliminary clinical efficacy of Dashamooladi Ghrita administered as Matra Basti (oil enema therapy) along with local Abhyanga (therapeutic massage) in the management of Janu Sandigata Vata. A total of 30 patients aged 30–60 years were enrolled, of whom 26 completed the study. The intervention was administered for 14 days, followed by a 28-day follow-up period. Clinical outcomes were assessed using subjective parameters (pain, stiffness, tenderness, crepitation, and swelling) and objective measures including KOOS score. Statistical analysis was performed using the Wilcoxon signed-rank test. The results showed statistically highly significant improvement (P < 0.001) in all parameters. The findings suggest that Dashamooladi Ghrita Matra Basti with Abhyanga is effective in the management of Janu Sandhigata Vata. However, further controlled studies are required to validate these findings
Copyright (c) 2026 Wasanthi Jayarathna, Hetal Vyas, Mandip Goyal, N. D. N. Jayawardhane (Author) https://creativecommons.org/licenses/by/4.0
Therapeutic Potential of Unani Regimen in Ulcerative Colitis: A Case Report
Ulcerative colitis (UC) is a chronic inflammatory disorder of the colon and a major form of inflammatory bowel disease (IBD), characterized by continuous mucosal inflammation resulting in bloody diarrhea, abdominal pain, and urgency. Although its exact etiology remains unclear, it is believed to arise from a complex interaction of genetic susceptibility, immune dysregulation, environmental factors, and alterations in gut microbiota. Conventional therapies, including 5-aminosalicylates, corticosteroids, immunosuppressants, and biologics, are effective in inducing and maintaining remission; however, variable efficacy and concerns regarding long-term adverse effects have led to increasing interest in complementary therapeutic approaches. In Unani medicine, UC is not recognized as a distinct disease entity but is described under conditions such as Sahej (intestinal erosion), Zoosantariya (bloody diarrhea), and Ishaal (diarrhea), which closely resemble its clinical manifestations. Sahej, characterized by intestinal mucosal damage, closely resembles the pathology of UC. According to Unani principles, the condition results from an imbalance of humors, particularly Safra and Balgham-e-Shore, leading to inflammation and mucosal injury. This case report describes a 42-year-old male with hypothyroidism and chronic UC who presented with frequent bloody mucoid stools, abdominal burning, weakness, and weight loss, with inadequate response to conventional treatment. Based on an Unani assessment indicating Safravi Mizaj, the patient was treated with Ilaj bil Ghiza, Ilaj bil Dawa, and lifestyle modifications guided by Asbab-e-Sitta Zarooriya for three months. Significant clinical improvement was observed within 3–4 weeks, including reduced symptoms, improved functional status, and improved Mayo score and IBDQ outcomes, without adverse effects.
Copyright (c) 2026 Naeem, Mohd Faizan, Anisur Rehman (Author) https://creativecommons.org/licenses/by/4.0
Management of Chronic Venous Leg Ulcers Using Homeopathy: A Case Series
Venous leg ulcers (VLUs) are a severe complication of chronic venous disease, often associated with delayed healing, persistent pain, recurrent bleeding, and reduced quality of life. This case series describes the outcomes of individualized homeopathic treatment in two patients with chronic VLUs. The first case involved a 45-year-old woman with a 16-year history of varicose veins who presented with a bleeding venous ulcer on the left leg, severe pain aggravated by standing, and associated emotional distress. The second case involved a 65-year-old man with a 16-year history of varicose veins and a painful non-healing venous ulcer that had persisted despite conventional treatment. Following individualized homeopathic assessment and repertorization, Lac caninum and Arsenicum album were prescribed respectively. The first patient received Lac caninum 200C followed by LM potencies (LM6–LM8) for approximately eight months, without any local application. The second patient received Arsenicum album 200C followed by LM6 for approximately six months, along with local application of Echinacea Q and subsequently Calendula Q during the initial treatment period. Both patients showed progressive ulcer healing and significant pain reduction during follow-up. In the first case, ulcer bleeding ceased within two weeks and complete healing occurred within three months without recurrence. In the second case, visible healing began within days, with marked reduction in ulcer size within two weeks. Visual Analog Scale (VAS) scores improved from 5–7/10 and 4–7/10 at baseline to complete relief of pain during follow-up. No ulcer recurrence was observed during the follow-up period. These findings suggest that individualized homeopathic treatment may serve as a complementary approach in the management of chronic VLUs and warrant further investigation through controlled clinical studies.
Copyright (c) 2026 Kirti Mutreja, Shirley Nalla (Author) https://creativecommons.org/licenses/by/4.0
Effectiveness of Ashwathi chooranam and yoga therapy in the management of Obesity: A Case study
Obesity is a growing global health concern associated with various metabolic and lifestyle disorders. Traditional systems of medicine such as Siddha emphasize holistic approaches for the management of obesity through herbal formulations and lifestyle modifications. The present study was undertaken to evaluate the effectiveness of Ashwathi Chooranam combined with yoga therapy in the management of obesity through a single-patient case report. A 42-year-old female patient reported to the Outpatient Department (OPD) of Arignar Anna Government Hospital of Indian Medicine with complaints of progressive weight gain, fatigue, breathlessness on exertion, poor digestion and stress for several years. Clinical assessment revealed an elevated Body Mass Index (BMI) of 34.9 kg/m² and Waist–Hip Ratio (WHR) of 0.89, indicating obesity with central fat distribution. The patient was treated with Ashwathi Chooranam (Verukadi ~1 g) administered orally twice daily with honey as an adjuvant for a duration of 48 days, along with a structured yoga therapy protocol. The yoga regimen included 4 minutes of warm-up exercises followed by Bhujangasanam, Vrikshasanam, Trikonasanam, Pavanamuktasanam, and Savasanam (3 minutes each), and Bhramari Pranayamam and Nadi Suddhi Pranayamam ( 4 minutes each) practiced for a total duration of 30 minutes daily. Anthropometric parameters were recorded before and after treatment. At the end of therapy, body weight reduced from 93.7 kg to 88.2 kg, BMI from 34.9 kg/m² to 32.8 kg/m² and WHR from 0.89 to 0.87. The patient also reported improvement in fatigue, digestion and breathlessness. The above findings suggest that Siddha medicine combined with yoga therapy will be beneficial in the management of obesity.
Copyright (c) 2026 Lavanya P, S. M.Chitra (Author) https://creativecommons.org/licenses/by/4.0
Pain Management through Shiroabhyanga and Pratimarsha Nasya in Vataja Shirahshoola (Chronic Tension-Type Headache): A Case Report
Vataja Shirahshoola, a condition described in Ayurvedic texts, closely resembles tension-type headache in modern medicine. It is primarily caused by vitiation of Vata dosha due to factors such as stress, irregular lifestyle and excessive mental strain. A 24-year-old male patient presented with symptoms of bitemporal headache, occipital pain, ocular pain with a sensation of eyeball protrusion and neck stiffness, persisting for 8 months, alongside a stressful condition and was diagnosed with Vataja Shirahshoola based on classical symptoms and ICHD-3 criteria. The patient underwent Shiroabhyanga (head massage) once in morning and Pratimarsha Nasya (nasal administration) with Tila Taila (sesame oil) twice daily for 45 consecutive days, without any concurrent oral medication. The patient's progress was assessed every 15th day using a validated Vataja Shirahshoola assessment scale and Visual Analog Scale (VAS). Stress was evaluated using the Hamilton Anxiety Rating Scale and Galvanic Skin Resistance Test. Follow-up assessments were conducted after 15 days to comprehensively evaluate the patient's symptom response. After 45 days of treatment, the patient experienced substantial improvement in bitemporal headache, occipital pain and marked reduction in neck stiffness. Stress level was reduced from moderate to mild was observed. No recurrence of symptoms was reported during the follow-up period. This case study demonstrates the effect of Shiroabhyanga and Pratimarsha Nasya with Tila Taila in managing Vataja Shirahshoola.
Copyright (c) 2026 Palak Babaria, Shalinee Kumari Mishra, Megha Pandya (Author) https://creativecommons.org/licenses/by/4.0
Management of Vicharchika (Atopic eczema) through an Integrated Ayurvedic Approach: A Case Report
Vicharchika, described in Ayurveda as a type of Kshudra Kushtha (minor skin disease), presents with key features such as Kandu (Pruritus), Shyava(hyperpigmentation), Bahustrava (Exudate) and Raji (Lichinification). These clinical features are comparable to atopic eczema (atopic dermatitis), a chronic, relapsing inflammatory skin condition characterized by xerosis, pruritus, exudation, and lichenification. A 21-year-old female patient with a history of long-standing eczema on the lower limbs, refractory to conventional treatments, was assessed through Ayurvedic parameters along with modern scoring systems including the Eczema Area and Severity Index (EASI) and the Dermatology Life Quality Index (DLQI). The treatment regimen included Nidana Parivarjana (elimination of aggravating factors), Shamana Chikitsa, which included oral administration of Panchatikta Ghrita, Gandhaka Rasayana, Samshamani Vati, and Guduchyadi Kwatha. Topical care was provided by washing the affected area with Panchavalkala Kwatha mixed with Shuddha Tankana. After washing, the patient was advised to use Gandhaka Malahara for topical application. Within 3 months of treatment, the patient experienced complete relief from itching, papules, exudation, burning, and pain. Objective assessments confirmed significant improvement, with the EASI score reducing from 7.2 to 0 and the DLQI score from 10 to 0, reflecting both clinical remission and restoration of quality of life. This case demonstrates that an integrative Ayurvedic approach can be highly effective in the management of Vicharchika (atopic eczema). The results emphasize the shared pathophysiology between Ayurveda and modern dermatology while showcasing the therapeutic potential of polyherbal formulations and holistic interventions. Further large-scale and controlled clinical studies are recommended to validate these encouraging findings.
Copyright (c) 2026 Maitri Chauhan, Taviad Krushnkumar, Kalsariya Bharat (Author) https://creativecommons.org/licenses/by/4.0
A Clinical Study on the Management of Arsha (Haemorrhoids) with Ksharsutra Therapy in Shalya Tantra
Arsha (Hemorrhoids) is a common anorectal disorder described under Ashta Mahagada in Ayurveda, characterized by bleeding, prolapse, and pain, significantly affecting quality of life. Ksharsutra therapy, a parasurgical intervention in Shalya Tantra, offers a minimally invasive alternative to conventional surgical procedures. The aim of the study is to evaluate the clinical efficacy of Ksharsutra therapy in the management of Arsha.A prospective clinical study was conducted on 30 patients diagnosed with Grade III-IV haemorrhoids at Greenland Hospital and Research Centre Pvt. Ltd., Gorakhpur. Patients underwent Ksharsutra ligation under local anaesthesia and were followed for 4 weeks. Clinical outcomes were assessed using bleeding per rectum (graded scale), pain intensity (Visual Analog Scale), and prolapse grading. Data were analysed using descriptive statistics. Bleeding per rectum reduced from 90% of patients at baseline to 15% post-treatment, indicating an improvement of 83%. Mean pain score decreased significantly from 7.5 ± 0.8 to 1.8 ± 0.6, reflecting a 75% reduction. Prolapse regressed from Grade III–IV to Grade I-II or absent in most cases, with a 70% improvement. Sloughing of pile mass occurred within 5–10 days in 90% of patients. No major complications or recurrence were observed during the study period. Ksharsutra therapy demonstrates significant clinical efficacy in the management of Arsha, with marked reduction in bleeding, pain, and prolapse, along with predictable sloughing and minimal complications. It is a safe andcost-effective, treatment modality.
Copyright (c) 2026 D. K. Gupta, Sudhir Gupta, Mohd Musheer Khan (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Intervention of Shamana Chikitsa Coupled With Intermittent Shodhana Chikitsa Effectively Reduces the Need for DMARDs in Rheumatoid Arthritis (~Amavata): A Case Report
Rheumatoid arthritis (RA) is a chronic autoimmune disorder characterized by inflammation of synovial joints, leading to pain, swelling, stiffness, and progressive joint damage. Conventional treatment provides symptomatic relief but may cause adverse effects, highlighting the need for alternative approaches like Ayurveda. A 37-year-old female from Haryana presented with pain and swelling in small joints of bilateral hands and feet, wrists, and shoulders, along with morning stiffness. Examination showed tenderness and restricted, painful joint movements. Diagnosis was based on clinical features and ACR-EULAR 2010 criteria. Laboratory findings were Anti-CCP 169 U/ml, RA factor 135.16 IU/ml, ESR 39 mm/hr, and CRP 2.09 mg/dl. Treatment included Shodhana Chikitsa (Vaitarana Basti, Baluka Sweda, Shunthi Lepa) and Shamana Chikitsa (Singhnaad Guggulu 500 mg twice daily and Dashmool Kwath 40 ml once daily). Mild improvement was seen after first admission. After two months and repeat therapy, significant improvement in symptoms and mobility was observed. Follow-up reports showed Anti-CCP 134 U/ml, RA factor 46.4 IU/ml, ESR 22 mm/hr, and CRP 1.25 mg/dl. Combined Shodhana and Shamana Chikitsa demonstrated significant improvement in clinical symptoms and inflammatory markers, suggesting an effective Ayurvedic management approach for RA.
Copyright (c) 2026 Neetu, Dr. Yogesh Kumar Pandey (Author) https://creativecommons.org/licenses/by/4.0
Patient safety is the top priority for all healthcare institutions: World Patient Safety Day
Patient safety stands as the utmost priority for every healthcare institution irrespective of the any discipline or treatment system. World Patient Safety Day serves as a vital reminder of this responsibility, emphasizing the collective duty of all healthcare professionals to ensure a safe and harm-free environment for patients. It underscores the importance of protecting patients from risks such as disease-related complications, hospital-acquired infections, clinical negligence, iatrogenic (treatment-induced) harm, and workplace hazards. Ensuring patient safety also includes fostering a calm, respectful, and healing environment- key to both recovery and trust in the healthcare system. All patients expects safety at hospital and the safety should be followed at each centre irrespective of Ayurveda or allopathic at primary to tertiary care level. The safety measures includes adherence with proper hand hygiene, prevention of infection, management of biomedical wastes, avoidance of medication error, risk management, quality improvement etc. The global observation of world patient safety day is supposed to publicise the importance of patient safety and avoidance of threat at healthcare centre.
Copyright (c) 2026 Mahesh Kumar, Yogesh Kumar Pandey (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Management of Primary Hypothyroidism with Integrated Medicine and Pranayama Therapy: A Single Case Report
Primary hypothyroidism is a common endocrine disorder characterized by inadequate thyroid hormone production and raised thyroid stimulating hormone (TSH), resulting in metabolic slowing and systemic manifestations. In Ayurvedic clinical practice, such presentations are commonly interpreted through the lens of Agnimandya, Kapha-Vata predominance, Medodushti, and Srotorodha (Obstruction of the microchannels), and management is planned to restore metabolic balance and channel patency. A 35-year male patient, presented with diagnosed primary hypothyroidism and with elevated serum TSH. The baseline laboratory report dated 18 July 2025 documented TSH-Ultrasensitive 15.9 µIU/mL with laboratory reference interval 0.54-5.30 µIU/mL. The patient was managed with an integrated Ayurvedic regimen consisting of Sarvakalp Kwath 50 mL twice daily, Thyrogrit Vati 2 tablets twice daily with coriander chutney as anupana, Kanchanar Guggulu 500mg , Arogya Vardhini Vati 250 mg 2-2 tablets twice daily, and Ujjayi Pranayama 20 repetitions twice daily before meals. Follow-up thyroid profile dated 25 August 2025 showed T3 1.08 ng/mL, T4 11.78 µg/dL, and TSH 5.38 µIU/mL with laboratory reference interval 0.34-5.60 µIU/mL [image:2]. This corresponds to an approximate 66.2% reduction in TSH from baseline. Marked biochemical improvement was observed within one month, and the patient also reported symptomatic relief during follow-up. This single case report indicates that a structured Ayurvedic management protocol combined with pranayama may offer clinical benefit in primary hypothyroidism. Further systematic studies with larger samples and longer follow-up are required to evaluate safety, reproducibility, and long-term effectiveness.
Copyright (c) 2026 Kartikey Vashishtha, Sameeksha Dubey, Ramen Santra, Dheeraj Kumar Tyagi (Author) https://creativecommons.org/licenses/by/4.0
Lichen nitidus a rare condition treated by Homoeopathy: A Case Report
Lichen nitidus (LN) is a rare, chronic inflammatory dermatosis typically presenting as small, shiny papules. This case report describes a 17-year-old male diagnosed with LN who presented with linear, pruritic papules on the right forearm. Conventional therapies were not pursued; instead, individualized homoeopathic treatment was administered based on a holistic evaluation of mental, physical, and constitutional symptoms. Syphilinum 200C/3 dose, once daily for 3 days, was prescribed, allowed by placebo. Over three months, the patient showed complete resolution of symptoms with no recurrence. The Modified Naranjo Criteria for Homoeopathy (MONARCH) yielded a score of 9, indicating a probable causal relationship between the homoeopathic intervention and clinical improvement. This case highlights the potential role of individualized homeopathy in managing chronic dermatological conditions like LN, particularly when standard treatments are avoided or ineffective. Further research is warranted to evaluate its efficacy in broader clinical settings.
Copyright (c) 2026 Priyanka Mallick, Sushanta Sasmal, Kankona Das, Sreetama Choudhury (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Management of Parkinson’s Disease (Kampavata): A Case Report
Parkinson’s disease is a chronic, progressive neurodegenerative disorder affecting the central nervous system, primarily impairing motor functions. In Ayurveda, its closest clinical correlation is Kampavata, a condition described under Vata Vyadhi. Conventional management provides symptomatic relief but has limitations in halting disease progression, prompting exploration of traditional therapeutic approaches. A 53-year-old male patient, diagnosed with Parkinson’s disease four years prior, presented with classical symptoms including loss of facial expression (masked facies), slurred speech, robo-gait requiring walking stick assistance, and disturbed sleep. Additionally, psychosomatic manifestations such as mild memory impairment, depression, impaired concentration, and incoherent speech were observed. The patient was managed with Ayurvedic Shodhana Chikitsa (bio-purificatory therapy) over a period of five weeks. The treatment protocol included Nasya, Basti (specifically Erandmooladi Niruha Basti), and Patra Pinda Sweda. These interventions were selected based on the principles of Vata Vyadhi and Kapha Avarana management. Post-treatment, the patient demonstrated significant clinical improvement. He was able to walk independently without support and could perform continuous cycling for up to 20 minutes. Improvements were also observed in speech clarity, sleep quality, and cognitive functions. Disease progression and therapeutic response were assessed using the Unified Parkinson’s Disease Rating Scale (UPDRS), which showed marked improvement. This case highlights the potential of Ayurvedic interventions, particularly Erandmooladi Niruha Basti, in the management of Kampavata (Parkinson’s disease). The observed outcomes suggest that such therapies may offer a less invasive and effective alternative for improving quality of life in patients with Parkinson’s disease. Further large-scale studies are warranted to validate these findings.
Copyright (c) 2026 Ayushi Chandil, Ratnesh Kumar Shukla, Shraddha Sharma, Rajesh Meshram (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Management of Kaphaja Vidradhi (Chronic Abscess): A Case Study
Vidradhi is a deep-seated inflammatory condition described in the Sushruta Samhita, caused by vitiation of Doshas affecting Twak, Rakta, Mamsa, Meda and deeper tissues. It presents with features such as Mahamoola (deep-rooted swelling), Rujavantam (severe pain) and Vrutta/Ayata (shape variations). Kaphaja Vidradhi is characterized by Kapha predominance and may arise due to trauma (Abhighata). A case of Kaphaja Vidradhi was managed using Ayurvedic principles. Surgical intervention (Bhedana and Visravana) was performed for drainage. Internal medications included Triphala Guggulu 500 mg twice a day, Ras Manikya (75 mg), Gandhak Rasayana (125 mg ) and Amalaki Churna (3 gm) in divided doses for twice a day with luke warm water for a complete month. Local application of Jatyadi Taila was advised for wound healing till complete healing period. The patient showed significant reduction in pain, swelling, and discharge following treatment. Proper wound healing through the dressing with Jatyadi Tailam was observed without complications. The combined approach of surgical drainage and internal Ayurvedic medication is effective in the management of Kaphaja Vidradhi, promoting faster resolution and wound healing.
Copyright (c) 2026 Kripal Singh Rajpurohit, Mahesh Dixit, Yashoda Kanwar, P. Hemantha Kumar (Author) https://creativecommons.org/licenses/by/4.0
Integrative Ayurvedic Management of severe Globozoospermia with long-standing Male Infertility: A Case Report
Male factor infertility contributes significantly to delayed conception, with complex etiologies such as severe sperm morphological defects posing major therapeutic challenges. Globozoospermia, a rare form of Teratozoospermia characterized by round-headed sperm lacking acrosomes, is associated with poor fertilization outcomes. Conventional management options are limited, particularly in long- standing and treatment-refractory cases. Ayurveda describes male infertility under the spectrum of Ksheena sukra and emphasizes Shodhana, Shamana, and Rasayana therapies for restoration of reproductive health. A 48-year-old male with 18 years of primary infertility presented after unsuccessful conventional treatments, including varicocelectomy, 16 intrauterine inseminations, and one in vitro fertilization resulting in mid-trimester miscarriage. His history included childhood mumps. Semen analysis revealed hypospermia with astheno-teratozoospermia and severe globozoospermia, with less than 1% normal sperm morphology. He underwent a comprehensive Ayurvedic treatment protocol comprising internal medications and sequential Panchakarma procedures, including Takradhara, Udwarthana, Snehapana, Virechana, Jalookavacharana, Yoga Vasti, and RajayapanaBasti, along with Rasayana therapy, over a period of approximately two and half months. Post-treatment semen analysis showed remarkable improvement: sperm concentration increased from 25 million/ml to 224 million/ml, progressive motility improved from 25% to 35%, and normal morphology rose from less than 1% to over 70%. The patient also reported better sleep and overall well-being. This case highlights the potential of integrative Ayurvedic management in severe male infertility conditions like globozoospermia, warranting further systematic research to validate these findings.
Copyright (c) 2026 Vidya K P, Asha Sreedhar, Rajitha R Warriar, Navya Mohanlal (Author) https://creativecommons.org/licenses/by/4.0
Management of Secondary Amenorrhea (~Nasthartava) by Ayurveda: A Case Report and Conceptual Review
Secondary amenorrhea is a multifactorial condition commonly associated with disturbances in the hypothalamic–pituitary–ovarian (HPO) axis. While conventional management relies primarily on hormonal therapy, there is growing interest in complementary approaches that are safe and sustainable. This paper presents a case of secondary amenorrhea managed with an Ayurvedic treatment protocol, along with a brief conceptual review integrating traditional principles with contemporary understanding. The patient presented with absence of menstruation for a prolonged duration. A personalized treatment regimen, including oral medications and selected therapeutic procedures, was administered over a defined period. The patient demonstrated restoration of menstrual cycles along with improvement in associated clinical symptoms, with no adverse effects reported during treatment or follow-up. The conceptual component explores possible mechanisms underlying the observed outcomes, including modulation of neuroendocrine pathways and regulation of the HPO axis. This case suggests that Ayurvedic management may offer a potential non-hormonal therapeutic option in secondary amenorrhea.
Copyright (c) 2026 Sanika Aphale, Tejaswini Buchade, Meenakshi Pandey (Author) https://creativecommons.org/licenses/by/4.0
Ayurvedic Management of Annular Psoriasis: A Case Report
Annular psoriasis is a rare clinical variant of psoriasis characterized by ring-shaped erythematous plaques with scaling and a tendency for recurrence. This case report describes a 64-year-old male with a long-standing infraumbilical lesion presenting with pain, burning sensation, and progressive annular morphology, confirmed through histopathological evaluation. The presentation was interpreted in Ayurveda as Sidhmah Kushthah, and management was planned based on dosha–dushya involvement and samprapti vighatana principles. A combination of internal medications and external applications were administered over a period of two months. Marked clinical improvement was observed, with complete resolution of erythema, induration, and scaling. The Target Lesion Severity Score reduced from 10 to 0, indicating full remission. This case highlights the potential effectiveness of an individualized Ayurvedic approach in managing chronic and recurrent variants of psoriasis, while emphasizing the need for further systematic studies.
Copyright (c) 2026 K H Hari Krishnan, Babita Radhakrishnan, P.M.Madhu (Author) https://creativecommons.org/licenses/by/4.0
Clinical Reversal of Oligoasthenoteratozoospermia through Ayurvedic Management: A Case Report
Oligoasthenoteratozoospermia (OAT) is a major cause of male infertility characterised by reduced sperm concentration, motility, and abnormal morphology. In Ayurveda, it is correlated with Shukra Kshaya and Shukra Dushti, often resulting from impaired Dhatu Poshana and Agnimandya- a 30-year-old male presented with primary infertility of one year's duration. Baseline semen analysis revealed hypospermia with OAT. The female partner had no identifiable abnormalities. A structured 3-month Ayurvedic protocol incorporating Shodhana, Vrishya, Rasayana, and Shukra Prasadaka therapies, along with lifestyle and dietary modifications, was administered. Post-treatment semen analysis showed significant improvement in sperm concentration (16-34 million/mL), progressive motility (3–15% to 43%), and normal morphology (1% to 39%). Ayurvedic management targeting Shukra Dhatu restoration and Agni correction may significantly improve seminal parameters in OAT. Further controlled studies are required.
Copyright (c) 2026 Preeti Rathor, Yogesh Yadav (Author) https://creativecommons.org/licenses/by/4.0
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