Journal of Ayurveda and Integrated Medical Sciences (JAIMS)
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A Case Study on Ayurvedic Management of Palmoplantar Psoriasis (Eka Kustha)
No full textIntroduction: Palmoplantar Psoriasis (PPP) is a chronic and distressing dermatological condition affecting the palms and soles, characterized by erythematous plaques, scaling, deep fissures, and intense itching. According to Ayurveda, such conditions fall under a single yet broad term Kustha, with Vipadika being its closest correlate, exhibiting similar signs and symptoms. Improper dietary habits like Viruddha Ahara, stress, and environmental triggers often aggravate the condition, both in modern and Ayurvedic perspectives.
Aims and Objectives: To evaluate the effectiveness of Ayurvedic Shamana Chikitsa in the management of Palmoplantar Psoriasis (Vipadika).
Materials and Methods: A 42-year-old female patient presented with intense itching, redness on the lateral aspect of the foot, deep cracks, fissures, and pain during walking. Ayurvedic diagnosis of Vipadika was made based on clinical presentation. The outcome was measured based on symptomatic relief in signs and symptoms and based on PASI [Psoriasis area severity Index Scoring]. Internal as well as external application medication was given. Dietary and lifestyle modifications, Duration of treatment: 2 months, followed by 15 days of post-treatment follow-up. Photographic documentation confirmed visible healing [with patient consent].
Results: Significant reduction in itching and erythema within the first month. Complete healing of fissures and cracks observed by the end of the second month. No relapse of symptoms during the follow-up period
Seasonal Variation in Immunity During Varsha Ritu: A Cross-Sectional Study
No full textIntroduction: Ritucharya (seasonal regimen) is an Ayurvedic preventive approach that aligns the body with climatic variations to maintain health. Varsha Ritu (rainy season), belonging to the Visarga Kala, is marked by diminished digestive strength (Mandagni), vitiation of Vata and Pitta Doshas, and reduced Bala (immunity), predisposing individuals to seasonal illnesses.
Materials and Methods: A cross-sectional observational study was conducted from July to September 2024 among 200 apparently healthy individuals aged 20–60 years residing in various regions of India. Participants completed the Immune Status Questionnaire (ISQ), a WHO-validated self-assessment tool for evaluating perceived immune function, along with a structured self-assessment form to determine their digestive strength (Agni). Descriptive statistical analysis was performed to evaluate the distribution of seasonal health symptoms and digestive patterns during the study period.
Results: Most participants reported episodic health disturbances, with common symptoms being fever (65%), diarrhoea (60%), common cold (65%), and joint or muscle pain (65%), predominantly occurring “sometimes.” Skin problems were more frequent (10% regular, 7% often). Assessment of Agni revealed that 61% of participants had Mandagni, 31% had Vishamagni, and only 8% exhibited Samagni.
Conclusion: The predominance of intermittent symptoms and Mandagni indicates transient Doshic imbalance and reduced Bala, consistent with Ayurvedic descriptions of Varsha Ritu. The integration of ISQ-based immune assessment with Ayurvedic parameters offers a practical model for evaluating seasonal fluctuations in health. Adherence to Ritucharya can help maintain Agni and enhance immunity, thereby reducing susceptibility to monsoon-related disorders
Attention-Deficit/Hyperactivity Disorder (ADHD): Recent Advances in Ayurvedic Management – A Review
No full textAttention-Deficit/Hyperactivity Disorder (ADHD) is a neurobehavioral developmental disorder that interferes with academic, emotional, and social functioning in childhood and may persist into adulthood. Although pharmacological agents such as stimulants remain the cornerstone of management, their limited tolerability and side effects necessitate alternative approaches. Ayurveda, through its holistic and psychoneuroimmunological understanding, provides preventive and therapeutic strategies for disorders resembling ADHD, primarily under the domain of Vataja Unmada. This review compiles and analyses seventeen clinical and case-based Ayurvedic studies (2010–2024) addressing ADHD management, emphasizing Medhya Rasayana, Panchakarma, and combined approaches. Findings highlight significant improvements in attention, cognition, and behavioural control with minimal adverse effects, suggesting Ayurveda as a promising complementary therapy
The Therapeutic Potential of Vrishadi Ghrita: A Comprehensive Review
No full textIntroduction: In Ayurveda, Gara Visha is a type of artificial poison (Kritrim Visha) created by combining various poisonous or non-poisonous substances. Etymologically, the word \u27Gara\u27 can mean liquid or poison. According to Acharya Charaka, Gara Visha is Kalantar Avipaki, meaning it is slow to digest and therefore does not cause acute toxicity or immediate death. Instead, it works over time, eventually causing chronic diseases by vitiating the body\u27s Doshas, Dhatus and Strotasa. Agada Tantra, the Ayurvedic branch of toxicology, provides detailed description of its definition, symptoms, administration, and treatment, alongside natural poisons. Many formulations have been mentioned in the management of Gara Visha, and ‘Vrishadi Ghrita’ is one such formulation mentioned in Chikitsa Sara Sangraha of Vangasena for the management of Gara Visha which is to be administered internally in the form of Paana.
Materials and Methods: The review of Vrishadi Ghrita has been conducted based on the Chikitsa Sara Sangraha by Vangasena, with the primary aim of analyzing its therapeutic effectiveness.
Observation and Results: Most of the ingredients of Vrishadi Ghrita are having Shothahara (reduces edema), Vishahara (acts against poison), Raktashodhaka (blood purification) and Rasayana (rejuvenating) effect and identified with Hepatoprotective, and Antioxidant properties.
Discussion and Conclusion: Therefore, Vrishadi Ghrita, as an Agada Yoga, may be beneficial in the treatment of Gara Visha. This article is an attempt to evaluate and analyze its efficacy
Role of Visceral Adiposity Index as an Indicator of Metabolic Risk in Hypothyroidism - Review article
No full textVisceral adiposity, or intra-abdominal fat accumulation, is now recognized as a metabolically active tissue that contributes significantly to insulin resistance, dyslipidemia, and cardiovascular morbidity. Hypothyroidism, both overt and subclinical, is frequently accompanied by central adiposity, altered lipid metabolism, and increased metabolic risk. The Visceral Adiposity Index (VAI), a gender-specific mathematical model based on anthropometric (BMI, waist circumference) and biochemical (triglycerides, HDL-cholesterol) parameters, has emerged as a reliable surrogate marker for visceral fat dysfunction. To evaluate the Visceral Adiposity Index (VAI) as an indicator of metabolic risk in patients with hypothyroidism and to explore its association with thyroid and metabolic parameters.Patients with hypothyroidism exhibited significantly higher VAI values, BMI, and triglyceride levels, along with lower HDL-C, Various studies shows linking hypothyroidism to visceral fat accumulation.Visceral Adiposity Index is a simple, non-invasive, and cost-effective tool that can serve as a surrogate marker of metabolic risk in hypothyroid individuals. Incorporation of VAI into routine clinical assessment may facilitate early detection of metabolic risk in Hypothyroidism patients
An Observational Study to Identify Mahautasha in Asthisara Purusha Using Harvard Step Test and Sushrutokta Anguli Pramana
No full textAyurveda focus on 3 entities (Dosha, Dhatu and Mala) are responsible for the maintenance of structural and functional integrity of the body.[1] Dhatu forms the basic architecture of the body they are meant to accomplish the support and nourishment role inside the body this is completed with the support of Updhatus. Among 8 Dhatus mentioned in classics Asthi Dhatu is 5th Dhatu having dominant Prithvi Mahabhuta.[2] and Vata is Ashrya Dosha in Asthi Dhatu. Dhatusarata is the one of important concept of Ayurved which explains anatomical, physiological as well as cerebral characteristics of eight type of Dhatusarta. Sara i.e., Vishudhataro Dhatu. Vishudhataro Dhatu means the purest, supreme and excellent quality of Dhatu.[3] Asthvidha Sara mentioned by Acharya Charak enumerated eight types of Sara which includes Sarata of all seven Dhatu in which Asthi Dhatu Sarta also mentioned with Murat and Amurat Lakshana.[4] The persons with essence of Asthi Dhatu have prominent Parshni (heels), Gulpha (ankles), Janu (knee Joint), Aratni (elbows), Jatru (collarbones), Chibuka (chin), Shira (head), Parshva (flanks), joints, bones and teeth. Mahotsaha (active and energetic), Kriyavanta (indulged in works), Kleshasaha (can bear pain), Sara-Sthira-Sharira (stable and firm body type), Aayushmanta (living for a long span).[5] Here Mahotasha means meaning a person with great zeal, enthusiasm, courage, and capacity for sustained effort. It denotes alertness, high morale, and strong willpower, which helps in both disease resistance and recovery. Acharya Charak forward the concept of Dashavidha Pariksha. Among Dashavidha Pariksha, the concept of Sara Pariksha and Pramana Pariksha, are vital tool for assessment of health of an individual. Acharya Sushrut has explained Pramana as a tool to assessment of Aayu acc. to him the appropriate Pramana of Anga Pratyanga is bestowed with good health and long life and prosperity, this study is aimed to find association of Mahautasha mentioned in Asthisara Purusha using Harvard step test and Sushrutokta Angulipramana
Uttara Basti: A Systemic Evaluation of Ayurvedic Intrauterine Therapeutic Modality in Female Reproductive Disorders
No full textFemale reproductive disorders represent a complex spectrum of conditions affecting millions of women globally, significantly impacting fertility, reproductive health, and quality of life. Uttara Basti an ancient Ayurvedic intrauterine therapeutic modality, has emerged as a promising intervention for various gynaecological conditions, offering a minimally invasive alternative to conventional treatments. A systematic review was conducted examining classical Ayurvedic texts, contemporary clinical studies and evidence-based research on Uttara Basti applications in female reproductive health. Multiple databases were searched to identify relevant studies investigating the therapeutic outcomes of medicated oil or Ghrita administration through intrauterine routes in various gynaecological conditions. Uttara Basti operates through multiple pathways including mechanical clearance of tubal obstructions, restoration of ciliary function, endometrial rejuvenation and hormonal axis regulation. The procedure shows excellent safety profile with minimal adverse effects when performed under proper aseptic conditions and expert supervision. Uttara Basti represents a validated, cost-effective, and safe therapeutic modality for comprehensive management of female reproductive disorders. This systematic evaluation aims to comprehensively assess the therapeutic efficacy, safety profile and mechanisms of action of Uttara Basti in managing female reproductive disorders, with particular emphasis on infertility, tubal blockages, anovulation and endometrial dysfunction
A Pilot Study to Compare the Therapeutic Effects of Karanj (Pongamia pinnata (Linn.) Merr.) Bark Lepa and Karanj (Pongamia pinnata (Linn) Merr.) Seed Oil in the Management of Vicharchika w.s.r. to Eczema
No full textBackground: Till today, an instant and effective remedy for eczema is still a major clinical need. Bark powder and seed oil of Karanj (Pongamia pinnata (Linn) Merr.) have been efficient results on skin diseases in Ayurveda. Ayurveda consider Vicharchika (eczema) condition under the Kshudra Kustha.
Aim: To evaluate efficacy of Karanj (Pongamia pinnata (Linn) Merr.) bark powder Lepa and Karanj (Pongamia pinnata (Linn) Merr.) seed oil in the management of Vicharchika.
Materials and Methods: A randomize parallel group trail (pilot study) was performed to assess the efficacy of both formulation in Vicharchika. The trail formulation was prepared in GMP Certified Pharmacy. Total 19 patients, diagnosed as Vicharchika was treated by applying dose of both formulations twice a day (externally) for continuous 28 days. Response to the treatment in all patients was recorded on 7th, 14th, 21th and 28th days.
Result: Karanj (Pongamia pinnata (Linn) Merr.) seed oil was effective (74.25%) as compared to Karanj (Pongamia pinnata (Linn) Merr.) bark Lepa (28.88%).
Conclusion: Karanj (Pongamia pinnata (Linn) Merr.) seed oil more effective as compared to Karanj (Pongamia pinnata (Linn) Merr.) bark Lepa. So Karanj (Pongamia pinnata (Linn) Merr.) seed oil can be alternative formulation against Karanj (Pongamia pinnata (Linn) Merr.) bark Lepa in the management of Vicharchika w.s.r. to Eczema
Managing Chronic Schizophrenia (Vataja Unmada) through structured Ayurvedic Treatment: A Case Report
No full textSchizophrenia is a chronic psychiatric disorder marked by hallucinations, delusions, disorganized behaviour, and social withdrawal, with many patients experiencing partial improvement or relapses despite antipsychotics. In Ayurveda, it correlates with Unmada, a severe disturbance of Manas, Buddhi, and Cheshta. This case discusses a 47-year-old woman with a 20-year history of Schizophrenia presenting with auditory hallucinations, paranoia, aggression, and poor self-care, who showed minimal improvement with Psychiatric medications. She was diagnosed as Vataja Unmada with Pitta Anubandha and treated through a structured Ayurvedic protocol including Snehana, Swedana, Shirodhara, Virechana, Yoga Basti, and Internal medications such as Kalyanaka Ghrita, Unmada Gajakesari Rasa, and Smriti Sagara Rasa for three months, along with Satvavajaya Chikitsa. Significant improvement was observed in sleep, cognition, and social interaction, with the PANSS score reduced from 90 to 34. Follow-up over one year showed maintained recovery and no relapses, highlighting Ayurveda’s role in chronic schizophrenia
A Controlled Clinical Trial on the Effectiveness of a Multi-Modal Ayurvedic Approach in the Treatment of Ischemic Heart Disease (Vata-Kaphaja Hridroga)
No full textBackground: Ischemic heart disease is condition in which there is an inadequate supply of blood and oxygen to portion of the myocardium; typically occurs when there is an imbalance between myocardial oxygen supply and demand. most common cause is atherosclerotic disease of epicardial coronary artery. Globally, more than 254 million individuals were living with IHD in 2021. In India, ranges from 7–12% in urban adults to over 40% among elderly rural populations. Vata Kaphaja Hridroga occurs due to Pranavaha, Rasavaha Srotodushti. Dhatvagni Mandyaja Ama impairs Dhatuparinama, leads to Rasa Dushti, that lead to Upalepatva and Sanga in Rasavaha Srotas hampers Vyana Vayu leads to Hridroga. Methodology: An Open labelled randomized, comparative, interventional study consisting 40 patients divided in two groups. Group A Patients were subjected to Nitya Anulomana with Haritakyadi Churna 3 gm HS, Bilwadi Taila Hridbasti 30 min for 7 days and again for 7 days after giving 7 days gap, Chatushparni Rasayana, Tapyadi Vataka with Bilwadi Kashaya Anupana for 48 days and Allopathy ongoing treatment protocol in another group. Results: In group A, Hridshoola, Arohanaayasa, Hridastambha and Hridadrava showed statistically highly-significant and Bhrama and Padashotha showed significant results. Total cholesterol, Triglycerides, BP, LDL, VLDL, EF showed highly significant results. HDL and ECG showed significant result. In group B Hrutshula, Arohana Ayasa, Bhrama showed statistically highly significant results and Hridsthambha, Hridadrava, Padashotha, showed significant results. Among objective systole BP, diastole BP, Ejection fraction, showed highly significant results and triglycerides, LDL, VLDL, ECG, showed significant results. And total cholesterol and HDL levels shoes statistically Nonsignificant results. On comparing both groups, Subjects of group A showed highly significant result in the subjective and objective parameters as compared to group B. Conclusion: present clinical study supported the alternate hypothesis after treatment i.e., trial drug Nitya Anulomana, Hridbasti, Chatushparni Rasayana, Tapyadi Vataka with Bilwadi Kashaya Anupana compared to modern treatment protocol