Journal of Ayurveda and Integrated Medical Sciences (JAIMS)
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A Review on the Clinical Significance of Ashraya Ashrayi Bhava of Vata Dosha and Asthi Dhatu
No full textAyurveda, explained that Ashraya Ashrayi Bhava explains the intimate and functional interdependence between Dosha (functional regulatory factors) and Dhatu (structural tissues). Among the Tridoṣas, Vata Dosha shares a unique reciprocal relationship with Asthi Dhatu, wherein Asthi acts as the Ashraya (seat) and Vata as the Ashrayi (residing Doṣha). Classical texts describe that Pitta Dosha resides predominantly in Rakta and Sveda, while Kapha Dosha is associated with the remaining Dhatus, highlighting the specificity of Dosha Dhatu associations. The Vata Asthi relationship is clinically significant due to its role in maintaining skeletal integrity, mobility, and neuromuscular functions. Any disturbance in Vata Dosha directly influences Asthi Dhatu, leading to Asthi Kṣhaya, whereas depletion or weakness of Asthi Dhatu further aggravates Vata, creating a cyclical pathological process. This interaction is evident in various Vataja Nanatmaja Vyadhis, such as Sandhishoola, Asthishoola, Sandhigata Vata, and degenerative musculoskeletal disorders. Symptoms like joint pain, cracking sounds, brittleness of bones, dental problems, and hair fall reflect the clinical manifestation of this imbalance. From a modern perspective, the features of Asthi Dhatu Kshaya show close similarity with conditions related to calcium deficiency and impaired bone metabolism, including osteoporosis and age-related bone degeneration. Vata aggravation can be correlated with increased catabolic activity, neuromuscular dysfunction, and reduced bone mineral density. Understanding this correlation provides a holistic insight into the pathogenesis of skeletal disorders. Thus, the concept of Ashraya Ashrayi Bhava of Vata Dosha and Asthi Dhatu serves as a vital foundation for diagnosis, prevention, and management of bone and joint disorders. Therapeutic approaches focusing on Vata Shamana and Asthi Poshana can effectively address both structural and functional aspects of these conditions, emphasizing the relevance of this classical Ayurvedic principle in contemporary clinical practice
A Randomized Controlled Clinical Study on Efficacy of Amra Pallava in Navajata Kamala w.s.r. to Physiological Jaundice
No full textIntroduction: Neonatal Jaundice is the yellowish discoloration of skin and mucus membranes due to accumulation of bilirubin in the blood. Ayurveda explains Neonatal Jaundice as Koshtasrita Kamala and the treatment of choice is Virechana. As Navajata is an age where Virechana is contraindicated, certain Dravyas which have Pitta Shamana property are used. There are many formulations mentioned for Kamala in Children in Arogya Raksha Kalpa Druma, an exclusive Ayurvedic text of Kaumarabhritya. One such drug is Amra Pallava with Narikela Jala
Materials and Methods: A total of 30 neonates were taken for the study and divided into two groups with 15 neonates each: Group A was treated with Amra Pallava 125mg TID along with quantity sufficient Narikela Jala for 5days and Group B was treated with Intermittent Phototherapy. To assess its effectiveness, assessment was done before treatment (0th day), after treatment (5th day) and after follow up (9th day) using Total Serum Bilirubin levels and Kramer’s index.
Results: Statistical analysis was done after intervention. The assessment as done based on Total Serum Bilirubin levels and Kramer’s index for Neonatal Jaundice. It showed that both the groups were equally effective in Reducing Total Serum Bilirubin.
Discussion: Amra Pallava has a Rasayana effect on Yakrit. Amra Pallava has Mangiferin, Citronellal which have Hepato-protective activity by their anti-oxidant properties
A Clinical Study on two different Kaala Basti Schedules with Panchaprasrutika Basti in management of Janu Sandhigata Vata w.s.r. to Osteoarthritis of Knee Joint
No full textIntroduction: Janu Sandhigata Vata is one of the Vataja disorder explained under Gatavata concept. It has symptoms like Sandhishool, Sandhishotha, Sandhi Atopa, Prasarana Akunchano Pravrattischa Savedana, Sparsha Asahishnuta etc. It can be co related to knee osteoarthritis in modern science in having similar symptoms. As it is Dhatukshayajanya Vyadhi, usually occurs in Vraddhavastha, needs long term treatment which has Shoola Hara, Vatahara and Brahmana property. Pancha Prasrutika Basti is a type of Basti which is indicated in Vata Vyadhi and provides Bala. Here an attempt was done to see the efficacy of Panchaprasrutika Basti in regular and modified Kaala Basti schedules in management of Janu Sandhigata Vata.
Materials and Methods: Sample size is 40, allotted into Group A and Group B by randomization. Group A (n=20) received Panchaprasrutika Basti in regular Kaala Basti schedule (16 days). Group B (n=20) received Panchaprasrutika Basti in modified Kaalabasti schedule (10 days).
Observation and Results: Parameters were assessed before treatment, after treatment and after follow-up. Statistical analysis was done.
Discussion: Both groups showed significant results individually. Percentage wise results showed that Group B (modified Kaala Basti schedule) has better result.
Conclusion: Modified Kaala Basti schedule has better results compared to regular Kaala Basti schedule
Agada Tantra in Contemporary Toxicology: Bridging Traditional Antidotes with Modern Poison Management
No full textAgada Tantra, the specialized branch of Ayurveda dealing with toxicology, represents one of the most sophisticated contributions of ancient Indian medicine to global healthcare. Rooted in the classical texts of Charaka, Sushruta, and Vagbhata, it encompasses the identification, classification, and management of poisons derived from animals, plants, minerals, and artificial sources. Traditional antidotes, herbal formulations, and detoxification procedures were designed not only to neutralize toxins but also to restore systemic balance and vitality. In the contemporary era, toxicological challenges have expanded to include industrial chemicals, pharmaceutical overdoses, pesticide exposure, and environmental pollutants. This editorial explores the relevance of Agada Tantra in modern toxicology, highlighting its potential to complement existing biomedical strategies. Ayurvedic antidotes such as Haridra (Curcuma longa), Aragvadha (Cassia fistula), and complex Vishaghna Yogas demonstrate promising pharmacological properties that warrant systematic investigation. Classical detoxification methods, including Shodhana and dietary correctives, resonate with modern approaches like chelation therapy and microbiome restoration. Snakebite management, a major public health concern in rural India, exemplifies the urgent need for integrative protocols that combine antivenom therapy with supportive Ayurvedic interventions. Bridging traditional knowledge with contemporary toxicology requires rigorous phytochemical profiling, clinical trials, and standardization of formulations to ensure safety, efficacy, and reproducibility. Agada Tantra’s holistic framework emphasizes prevention, community awareness, and restoration of health beyond mere toxin neutralization. By fostering interdisciplinary collaboration between Ayurvedic scholars, pharmacologists, and public health experts, this discipline can contribute meaningfully to integrative poison management. The editorial calls for renewed scholarly attention to Agada Tantra as a living science, capable of addressing modern toxicological challenges while preserving the cultural and intellectual heritage of Ayurveda
Raktarsha and its Management - A Critical Review: Raktarsha
No full textRaktarsha is considered as one of the Ashta Mahagada having prognosis of Kashtya Sadhya. In modern science, it is co-related with bleeding piles, where chronic venous engorgement of rectal veins lead to inflammation and bleeding. Non-vegetarian persons are more prone to this disease; person who consumes high fiber diet and green vegetables are usually not affected by this disease. It is common in both men and women. According to recent statistics 50% of the populations have suffered from this disease.The formation of Mamsankura occurs in Raktarsha looks like Gunjaphala and Vidhrumsadrishya. Raktasrava, Shoola, Vibanda, Kandu and Daha are the characteristic features. Acharya Sushruta has adopted fourfold treatment principles i.e., Bheshaja, Kshara, Agni and Shastrakarma. Acharya Charaka mentioned Shodhana Karma such as Vamana, Virechana and Basti Karma. Acharya Vagbhata advices local bloodletting in Arsha in which Dushita Rakta is present. Despite significant advancements in the field of modern surgery, treatment results are insufficient. In these circumstances, Ayurveda is preferred because it offers superior treatment for Raktarsha. Therefore, it appears necessary to review the specifics of the Ayurvedic perspective on Raktarsha
Case Report on Guggulu Based Ksharsutra in the Treatment of Guda Vidradhi (Perianal Abscess)
No full textAn anal abscess is a painful and common condition that can significantly disrupt daily activities. It is most often caused by an infection of the anal glands, with about 95% of cases linked to cryptoglandular disease. These abscesses are more frequently seen in individuals with diabetes or weakened immune systems. Common types include perianal (60%), ischiorectal (30%), and submucosal abscesses (5%). If left untreated, approximately 40% of cases may develop into fistulas. In Ayurveda, this condition is known as Guda Vidradhi (Perianal abscess). Acharya Sushruta explained that imbalanced Doshas affect tissues such as skin, blood, muscle, fat, and bone, leading to abscess formation. He recommended Bhedana (incision) and Vishravana (drainage) as key treatments. His contributions, including the Shashti Upakramas (60 treatment methods), offer detailed wound and abscess management strategies. This case report presents the successful Ayurvedic management of Guda Vidradhi (Perianal abscess) demonstrating an effective alternative to modern surgical approaches
A Patient-Centric Approach of Ayurveda in the Management of Vitiligo: A Case Report
No full textIntroduction: The traditional Indian medical system, offers a holistic approach that could complement standard treatments. Abnormal skin colour, pain, itching, excess sweating, swollen part comes under kushtha roga. This presents an overview of Ayurvedic management strategies for Shvitra having Sapta Dravya i.e., Vata, Pitta, Kapha, Rasa, Rakta, Mamsa and Meda. Conventional treatments often focus on managing symptoms and slowing disease Progression primitively based on Doshik predominance. Case: A 43-years-old Male, complaining of white discoloured patches over bilateral hands. Vitals and all systemic examinations were normal. Methodology: Vitiligo was assessed by vitiligo area severity index score (VASI). Arogyavardhani Vati, Haridra Khand, Amalaki, Bakuchi, Triphala, Vidanga Churna, Bactimo- PSOR tab for oral medication and Bakuchi Taila and Psorolin ointment for local application with dietary modifications along with (PUVA) therapy. Results: White coloured patches turned to Reddish, size of patches diminished, and number of patches decreases and before treatment VASI score was 2 but after taking 6 months medication it reduces to 0.5 Discussion: Shvitra is a Santarpana Janya Vyadhi and treatment provided Ushna, Tikshna, Tridosha Shamaka, and Phototherapy. All procedure maintained the Dosha Samyavastha status. Conclusion: In Shvitra, Kapha Dosha (Prithvi and Aapya Pradhan) diminishes by using Ushna Aushadhi and Pathya Aahara
Comparative efficacy of Apamarga Kshara in Haemorrhoids with respect to size of Pile Mass and Bleeding: A Systematic Review
No full textHaemorrhoids are among the most common anorectal condition frequently encountered in clinical practice, often presenting with symptoms such as prolapse, bleeding, etc. Despite the availability of numerous treatment options, including conservative, minimally invasive, and surgical interventions, no single modality offers a complete and sustained outcome. In Ayurveda, Apamarga Kshara is considered the standard and well-documented para-surgical treatment for internal haemorrhoids. Although various studies have evaluated its efficacy, a comprehensive comparative analysis with other haemorrhoid treatments remains limited. Therefore, present study aims to evaluate the best available treatment for haemorrhoids by comparing Apamarga Kshara with other existing treatment modalities. Eight clinical studies conducted between 2018 and 2025 involving 330 participants were included in the review. The findings suggest that Apamarga Kshara provides significant improvement in key clinical outcomes such as bleeding and reduction in pile mass size and may offer a superior efficacy compared with other Ksharas like Arka Kshara, Bilwa Kshara, Snuhi Kshara etc. as well as modern therapies like rubber band ligation and sclerotherapy. Most studies reported significant symptomatic improvement within 2 to 12 weeks of treatment. Further high-quality trials are needed to confirm these results and establish broader clinical application
Management of Benign Prostatic Hyperplasia (Vatashthila) with Ayurvedic Formulations: A Case Report
No full textBackground: Benign Prostatic Hyperplasia (BPH), which is correlated to Vatashthila in Ayurveda, is a prevalent condition among aging men that is evidenced by lower urinary tract symptoms (LUTS) such as frequency, urgency, weak stream, and incomplete voiding.
Case Presentation: A 53-year-old man came with recurrent urinary complaints for two years, diagnosed as BPH (Grade II prostatomegaly) with high post-void residual urine. Dissatisfied with temporary relief provided by allopathic therapy, he opted for Ayurvedic treatment.
Intervention: The patient was administered a mixture of Ayurvedic drugs: Himplasia, Chandraprabha, Kanchanara Guggulu and Varunadi Kwatha for 5 months.
Results: Follow-up ultrasonography revealed normalization of prostate size (from 44gm to 19gm) and decreased post-void residual urine (from 114ml to 35ml). Clinical symptoms of urgency, poor stream, nocturia, and burning micturition improved remarkably.
Conclusion: Ayurvedic treatment gave efficient, long-term relief of BPH symptoms and decrease in prostate size, corroborating the theoretic role of Ayurvedic formulations in holistic management of BPH
The Concept of Laghu (Lightness) In Ayurveda: A Philosophical and Scientific Exploration
No full textLaghu Guna (lightness) is a fundamental concept in Ayurveda, representing qualities such as ease of digestion, swiftness, and minimal burden. In Ayurvedic physiology, it is contrasted with Guru Guna (heaviness), playing a significant role in the treatment of conditions such as obesity, metabolic disorders, and excess Kapha Dosha. This paper explores the philosophical and clinical significance of Laghu Guna in Ayurvedic thought, its implications in modern pharmacology, and offers an integrative view that bridges ancient wisdom with contemporary scientific understanding. It provides a comparative analysis of Ayurvedic and modern perspectives on this quality, with the potential to contribute to the development of pharmacological and therapeutic applications