Journal of Ayurveda and Integrated Medical Sciences (JAIMS)
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An Observational Study on Symptom Patterns and Role of Ayurvedic External Therapies in Breast Cancer Patients Under Palliative Care
Breast cancer is the most commonly diagnosed malignancy among women globally, with increasing incidence and significant symptom burden, particularly in advanced stages requiring palliative care. This observational study was conducted at Seokjeong Wellpark Hospital, South Korea, involving 15 breast cancer patients receiving palliative care. The study aimed to explore symptom patterns and evaluate the role of Ayurvedic external therapies in improving patient comfort and quality of life. Patients received personalized Ayurvedic external therapies, with all interventions administered using standardized protocols and counseling provided in Korean to ensure understanding and adherence. Common baseline symptoms included pain, weakness, fatigue, and sleep disturbances. Following therapy, a substantial proportion of patients reported improvement in key symptoms such as pain and sleep quality, highlighting the potential of these therapies in enhancing well-being and comfort. The study demonstrates that Ayurvedic external therapies can be effectively integrated into palliative care, even in multicultural settings, offering a patient-centered, holistic approach. These findings provide preliminary evidence supporting the adaptability and relevance of Ayurveda in global cancer supportive care, and underscore its potential to inform integrative protocols for symptom management and quality-of-life enhancement
A Study on Nidana Panchaka and Roga-Rogi Pareeksha: Holistic Diagnostic Approaches in Ayurveda
The ancient Indian system of medicine, Ayurveda, focuses on the concept of wholeness when it comes to matters involving health and the treatment of disease. Diagnosis (Vyadhi Nirnaya) has been described as the essence of successful therapy, and the classical texts specify such comprehensive methods as Nidana Panchaka and Roga-Rogi Pareeksha. The Nidana Panchaka- system Nidana, Purvarupa, Rupa, Upashaya, and Samprapti form a systematic approach to understanding disease development. In accompaniment, Roga Pareeksha (disease examination) and Rogi Pareeksha (patient examination) are multidimensional since they take a person\u27s physical, psychological, and constitutional features into account. This review compares evidence in classical Ayurvedic literature, commentary, and recent scholarly research on the purpose of these methods of investigation and their relevance and utility. The results indicate that such holistic evaluations not only help to identify the disease correctly but also make it possible to implement preventive and individually acclimatising approaches to the patient according to his/her constitution (prakriti), his/her way of life, and surroundings. The analogies to modern medical diagnostics testify to the possible complementarities, especially at the level of early stages of diseases and lifestyle diseases. Nevertheless, issues of standardisation, reproducibility, and clinical validation are still there. The paper points out the current importance of these diagnostic systems and the necessity of integrative studies to identify their position in modern medical practice
The Effective Ayurveda Management of Ureteric Calculi with Therapeutic Lipid Administration - Case Reports
Background: Mutrashmari (~renal stone) is a pathological condition described in Ayurveda, characterized by the formation of Ashma (~stone-like structures) in the Mutravaha Srotas (~urinary system).[1] Due to comparable clinical manifestations, Mutrashmari is correlated with Urolithiasis in conventional system of medicine. Urolithiasis involves the formation of calculi within the urinary tract and it is highly prevalent in India with an estimated prevalence rate of 12%.[2] Given its recurrent nature and associated healthcare burden, effective and sustainable treatment options are essential. Avapeedaka Snehapana, an Ayurvedic therapeutic approach involving the administration of medicated ghee before and after the digestion of meals[3], is traditionally indicated for Adhonabhigata Vikaras (~disorders below the umbilicus), especially those linked to Mutravaha Sroto Dushti.[4]
Clinical findings: Patients with complaints of Acute pain radiating from loin to groin region associated with burning micturition & dysuria with different durations of sufferrings, approached to OPD of Kayachikitsa, GAMC, Mysore. These four cases diagnosed to have ureteric calculi through USG Abdomen and Pelvis with stone size ranging from 5mm to 11mm at different sites of ureter with mild to moderate degree of HUN.
Intervention and Outcome: All the patients were administered with Avapeedaka Snehapana using Kulattadhya Grutha or Vasthyamayantaka Ghrita (a medicated ghee formulation). Following the completion of the therapeutic course, all patients reported complete resolution of symptoms & A follow-up ultrasonography confirmed the absence of calculi and resolution of hydroureteronephrosis.
Conclusion: This case reports demonstrates the potential efficacy of Avapeedaka Snehapana (a medicated ghee preparation) in the management of Ureteric calculi. The therapy not only alleviated clinical symptoms but also led to radiological clearance of the calculi. These findings suggest that Ayurvedic intervention, Avapeedaka Snehapana may offer a promising alternative or adjunct to conventional treatments in selected cases of ureteric calculi
Ayurvedic Dravyaguna Resources: A Critical Review of Key Compilations
The systematic documentation of medicinal plants has been instrumental in preserving India’s traditional knowledge systems, particularly Ayurveda, while aligning them with modern scientific inquiry. This review underscores five important reference works that mark milestones in Indian pharmacognosy: The Wealth of India (CSIR), Compendium of Indian Medicinal Plants (Rastogi & Mehrotra), Illustrated Manual of Herbal Drugs Used in Ayurveda (Sarin), Indian Materia Medica (Nadkarni), and the Database on Medicinal Plants Used in Ayurveda (CCRAS). Each text contributes a distinct dimension ranging from comprehensive taxonomy, phytochemistry, and pharmacology (Wealth of India), to evidence-based validation (Compendium), visual authentication (Illustrated Manual), integration of classical and folk knowledge (Indian Materia Medica), and synthesis of Ayurvedic principles with contemporary science (CCRAS Database). Collectively, these resources strengthen authenticity in drug identification, promote standardization, curb adulteration, and facilitate integrative research. By bridging traditional wisdom with modern pharmacognostic and pharmacological insights, they advance global acceptance of Ayurveda, support drug discovery, and encourage sustainable use of medicinal plants. These works remain indispensable for students, researchers, clinicians, and policymakers engaged in Ayurveda and allied disciplines
Management of Eka-Kustha (Psoriasis) through Ayurveda Approaches - A Clinical Case Study
Background: Eka-Kustha, a skin disorder mentioned in classical Ayurvedic texts, exhibits similarities to modern-day Psoriasis. It is a common autoimmune disease of the skin and joints that is chronic and recurrent, in its clinical presentation, including erythema, scaling and itching. By alleviating symptoms, modern medicine has significantly improved the treatment of psoriasis. Finding the best course of action for some patients can be challenging since they do not respond to treatment or the treatment losses its initial efficacy. Modern medications also come with long-term negative effects of their own. Ayurveda offers a multi-faceted approach to managing skin conditions, particularly through Virechan Karma (Therapeutic purgation) and Shaman Chikitsa (Khadirtriphaladi Kashayam and Aragvadhadi Kashaya).
Objective: The primary aim of this study is to assess the effectiveness of Virechan Karma and Shaman Chikitsa (Khadirtriphaladi Kashayam and Aragvadhadi Kashayam) in the treatment of Ek-Kustha (Psoriasis).
Methods: This clinical case study involved a 32-year-old male patient presented in OPD with the complaints of reddish white irregular scally patches over trunk, head, face and extremities, severe itching, sometime bleeds after itching since past 12 years. Patient underwent a prescribed regimen of Virechan Karma (with Nishoth, Aragvadh, Haritaki, Katuki and Draksha) followed by a personalized Shaman Chikitsa regimen (Khadirtriphaladi Kashayam and Aragvadhadi Kashayam).
Results: The result of the treatment is recorded with photographic document and assessment criteria. After six months of treatment, the patient\u27s symptoms were relieved, and the skin condition improved significantly.
Conclusion: The integration of Virechan Karma and Shaman Chikitsa appears to be an effective therapeutic strategy in the management of Eka-Kustha (Psoriasis)
Effect of Yoga Practices and Triphala Guggul on Lipid Profile in an Obese Patient: A Single Case Study
Background: Obesity is a global health challenge often associated with dyslipidemia, cardiovascular diseases, and metabolic syndrome. Integrative approaches such as Yoga and Ayurvedic formulations like Triphala Guggul may provide non-invasive, sustainable management.
Objective: To evaluate the effect of Yoga practices combined with Triphala Guggul on lipid profile, weight, and waist circumference in an obese patient.
Methods: A single case study was conducted on a 45-year-old obese patient (BMI: 32.6 kg/m²). For 12 weeks, the intervention included taking 500 mg of Triphala Guggul twice a day in addition to daily Yoga practice (Asanas, Pranayama, and meditation for 60 minutes). Weight, waist circumference, and lipid profile were measured both before and after the intervention.
Results and Conclusion: The result and conclusion will be presented in the full paper
Therapeutic Utility of Madhura Skandha Dravya Basti in Pandu (Nutritional Deficiency Anemia): A Review
Pandu Roga, described in Ayurveda as a disorder marked by pallor, weakness, fatigue, and Dhatu Kshaya, bears close resemblance to nutritional deficiency anemia in modern medicine. According to Acharya Charaka, its pathogenesis involves Mandagni, defective nourishment of Rasa and Rakta Dhatus, and Pitta–Vata imbalance leading to Rakta depletion. Classical references highlight the therapeutic utility of herbs categorized under Madhura Skandha, which when processed in milk and administered as Ksheerapaka Basti, directly replenish weakened tissues. Examples include Shatavari, Vidari, Kakoli, Ashwagandha, Yashtimadhu, Punarnava, Shaliparni, and Mashaparni, known for their Madhura Rasa, Sheeta Veerya, Brimhana, Rasayana, and Rakta-Vardhana properties. Modern studies reveal the presence of iron, calcium, flavonoids, alkaloids, and antioxidants in these herbs, contributing to hematinic, immunomodulatory, and adaptogenic actions. Basti therapy, considered “half of all treatments,” allows systemic absorption via the rectal route, bypassing weak digestion, while also maintaining Dosha balance. This review integrates classical rationale with contemporary pharmacological insights, presenting Madhura Skandha Basti as a unique therapeutic approach in the management of nutritional deficiency anemia
Review on Paradi Guna and its Relevance in Ayurvedic Treatment
Ayurveda, the ancient Indian system of life and health sciences, is built upon well-defined fundamental principles that govern diagnosis, treatment, and maintenance of health. In the present era, there is an increasing need to scientifically validate and practically establish these fundamental doctrines through research and evidence-based application. Among these principles, Gunas (qualities or attributes) play a vital role in determining the pharmacodynamic and therapeutic actions (Karma) of every substance (Dravya). While Dravya acts as the physical carrier, it is the Guna that performs the actual function or therapeutic effect. Classical Ayurvedic literature describes a total of forty-one Gunas, which include five Vaiśeṣika Gunas, twenty Gurvādī Gunas, six Ādhyātmika Gunas, and ten Paradi Gunas. According to Āchārya Charaka, the Paradi Gunas are essential for attaining Chikitsa Siddhi (therapeutic success). These ten Gunas are frequently applied in daily clinical practice and form the practical foundation for successful Ayurvedic treatment. A thorough understanding of Paradi Gunas is crucial not only for Ayurvedic physicians, but also for pharmacologists and researchers, as it provides deeper insights into the functional dynamics of Dravyas and enhances clinical efficacy. This literary review aims to explore the relevance and practical application of Paradi Gunas in the context of Ayurvedic Chikitsa (therapeutics)
Decoding pathophysiology of Metabolic syndrome through the lens of Ayurveda
Metabolic syndrome (MetS) has emerged as a major and rapidly escalating public health and clinical challenge worldwide, particularly in the context of increasing urbanization. Factors like excessive intake of calories, rising rates of obesity and increasingly sedentary lifestyle leads to cluster of condition including insulin resistance, atherogenic dyslipidemia, central obesity and hypertension categorized under broad term MetS. It affects approximately one quarter of the world’s adult population; recent studies show that the prevalence rate of MetS among Indian adults is between 20-30%. Having MetS significantly develop 5-fold increase in the risk of type 2 Diabetes Mellitus and 2fold the risk of developing cardiovascular diseases (CVD) over the next 5-10 years. From an Ayurvedic perspective, MetS is not described explicitly in ancient texts, but Acharya Charaka described the concept of Vyadhisankara, which refers to the coexistence or clustering of multiple diseases in a single individual. In the context of MetS, this concept is evident as the simultaneous presence of central obesity, elevated plasma glucose levels, hypertension, increased LDL and decreased HDL cholesterol. Hence from an Ayurvedic perspective, the pathology and clinical manifestation of MetS can be more comprehensively understood through the framework of Vyadhisankara
Ayurvedic Management of Low back pain in Geriatric Patient – A Case report
In current scenario, the changing lifestyle hastening the process of degeneration and leading to the emergence of degenerative disorders, the most prevalent of which include arthritis, spondylosis, PID, low back pain, etc. Low back pain (Katishoola) is a common complaint among the individuals’ visiting hospitals for medical care. Nearly 84% of individuals will have low back pain (LBP) at some point in their lives, and up to 50% of those people will experience it more than once. According to Ayurveda, in Katishoola there is vitiation of Vata that result in pain (Shoola). It is characterized by Katipradeshi Vedana (pain in lower back region), Kati Shunyata (numbness in lower back), Kriya hani (loss of functions), Hasta-Padasuptata (numbness in hands & legs). In the present article, a case of Katishoola was treated with some Ayurvedic treatment principles. A 65 years old female patient, having chief complaints of lower back pain, pain in both legs, difficulty during walking & unable to stand for longer duration since few months was treated with procedures like Snehana, Swedana, Katipichu, Matrabasti along with oral medications like Trayodashanga guggula, Ashwagandha churna, Dashamoola kwatha, Saraswatarishta, Eranda taila for one month. Effect of treatment was assessed before and after the treatment on presenting complaints. After one month treatment, significant relief in the pain & restricted movements is observed which was assessed by visual analogue scale & SLR test respectively