International Journal of AYUSH Case Reports

Successful Ayurveda Management of Vatala Yoni Vyapad w.s.r. Endometriosis: A Single Case Study

2025-09-16T18:36:53+00:00

Endometriosis, a painful benign gynecological condition characterized by the ectopic growth of endometrial tissue, is often associated with dysmenorrhea, chronic pelvic pain, dysperunia, fatigue, and infertility. The prevalence of Endometriosis in women of reproductive age is 6-10%.In Ayurveda, this condition closely aligns with Vatala Yoni Vyapad, where an aggravated Vata dosha disrupts the normal functioning of the reproductive system. This case report presents a 34-year-old married nalliparous woman diagnosed with Grade IV endometriosis, confirmed by laparotomy. She presented with severe pelvic pain, irregular menstruation, and chronic fatigue. The aim and objectives of this single case study was evaluate the effect and efficacy of Ama pachana,Agni Deepana Chikitsa,Shodhana Chikitsa , including Virechana and Basti (Matra and Yoga Basti) and Shamana chikitsa in the management of Endometriosis. An Ayurveda treatment protocol was initiated, focusing on pacifying Vata promoting Agni Deepana (digestive fire stimulation), and eliminating Ama (toxins). Additionally, Udara Pattu (abdominal poultice) was applied to relieve local discomfort. End of the treatment the patient showed marked improvement with reduced pain, normalized cycles, and enhanced overall well-being. This case highlights the potential of individualized Ayurveda management in alleviating endometriosis symptoms and improving reproductive health.

Management of Idiopathic Sensorimotor Axonal Peripheral Neuropathy through Panchakarma: A Case Report

2025-09-16T18:36:54+00:00

Peripheral neuropathy refers to conditions that involve damage to the peripheral nervous system which is a large communication network that sends signals between the central nervous system and all other parts of the body. The present study deals with a 55 years old female patient working as a housewife came with complaints of pain at both hands and feet, burning sensation, weakness and numbness at both feet associated with disturbed sleep and burning sensation in abdomen on consumption of pungent, sour, salt and hot food substances since last 1 year. Patient was previously diagnosed based on EMG study which showed electrophysiological evidence of sensory motor peripheral neuropathy of axonal type involving bilateral lower limbs. Ayurvedic diagnosis of Pittavritta Vata was made because of its resemblance to presenting symptoms. Patient was treated with Udwartana (~dry powder massage), Virechana Karma (~purgation therapy), Ksheera Basti (~milk decoction enema) and Shamana Snehapana (~medicated ghee intake). After treatment, marked improvement was seen in symptoms, reduction in VAS score and NPS score. Panchakarma therapies were found highly effective in reducing symptom score as well as in improving quality of life of patients.

Ayurvedic Management of Dagdha Vrana with respect to Second Degree Burn: A Case Report

2025-09-16T18:36:54+00:00

Burns involve coagulative tissue necrosis and epithelial loss due to drastic change in temperature. In diabetic individuals, such injuries are often complicated by persistent discharge, delayed tissue repair, hypertrophic scarring, and contractures. Despite advances in modern medicine, gaps such as prolonged antibiotic use, delayed epithelialization, recurrent contractures, and high treatment cost remain. Ayurveda offers promising alternatives that promote faster recovery and minimal scarring. A 63-year-old male with type 2 diabetes mellitus presented with a non-healing ulcer over the anteromedial aspect of the left knee joint, one month after an accidental hot water burn. The wound showed slough, pale granulation tissue, and purulent discharge. The condition was diagnosed as a second-degree burn and correlated with Durdagdha Vrana in Ayurvedic parlance. Treatment included Vrana Prakshalana (wound irrigation) with Nimba Kwatha and dressing with Apamarga Kshara Taila for 21 days, followed by application of Yashtimadhu Ghritha until healing. Oral medications—Kaishora Guggulu (one gram, thrice daily before food with warm water) and Eranda Bhrishta Haritaki (five gram at bedtime with warm water) were administered throughout the treatment period. The patient achieved complete wound healing by Day 72, with restoration of knee joint function and no complications such as infection, hypertrophic scarring, or contracture. Notably, the ulcer was located at the knee joint, a site described by Acharya Sushrutha as Kṛcchrasadhya (difficult to heal) due to constant movement, yet the outcome demonstrates successful management. This case demonstrates the novel application of Apamarga Kshara Taila in burn wound debridement, integrated with Ayurvedic wound-healing strategies, offering a safe and cost-effective approach in metabolically compromised patients.

Effect of Jatamansadi Panaka- A Sri Lankan Traditional Herbal Syrup in the Management of Anidra (Insomnia): A Case Study

2025-09-16T18:36:54+00:00

Anidra, commonly correlated with insomnia, is a prevalent sleep disorder affecting millions worldwide. This case study investigates the therapeutic potential of Jatamansadi Panaka, a traditional Sri Lankan herbal syrup, in the management of Anidra. The objective was to evaluate the efficacy of Jatamansadi Panaka in improving sleep quality and associated symptoms. The formulation contains Jatamansi (Nardostachys jatamansi), Ela (Elettaria cardamomum), Maricha (Piper nigrum), Patala Pushpa (Rosa indica), and Ikshu (Saccharum officinarum). A 71-year-old male patient diagnosed with Anidra at the Ayurveda National Hospital, Colombo, Sri Lanka, was enrolled after obtaining written informed consent. The patient received 18 ml of Jatamansadi Panaka once daily at bedtime for two weeks, followed by a two-week observation period without treatment. Treatment efficacy was assessed using the Pittsburgh Sleep Quality Index (PSQI). Results demonstrated a 100% improvement in overall sleep quality, along with significant reductions in physical symptoms of insomnia. Improvements in emotional disturbances, daytime functioning, and quality of life were noted at 50% by the end of the first week and sustained throughout the treatment and follow-up phases. The findings suggest that Jatamansadi Panaka is effective in enhancing sleep quality and overall well-being, with no reported adverse effects. This case highlights its potential as a complementary therapeutic option for Anidra. Further clinical studies with larger sample sizes are required to standardize the formulation and validate these preliminary observations.

Ayurvedic Management of Stanagranthi w.s.r. to Fibroadenoma of the Breast: A Single Case Report

2025-09-16T18:36:54+00:00

Fibroadenoma is one of the most common benign breast tumors, predominantly affecting women of reproductive age. In Ayurvedic medicine, such growths are analogous to Stanagranthi, a subtype of benign tumour localized in the breast. In this case, a hetero-echoic lesion measuring approximately 10 × 6 mm was observed at the 12 O'clock position of the right breast, along with another similar lesion measuring 9.4 × 5.4 mm. A BIRADS-III categorization was noted. Additionally, a cystic lesion measuring approximately 7 × 7 mm was found at the 2 o'clock position in the left breast. This case study describes the Ayurvedic management of a diagnosed fibroadenoma through an integrative treatment plan that incorporates Shodhana (bio-purification) and Shamana (palliative therapy). The patient was administered a personalized Ayurvedic regimen based on the individual's dosha imbalance and the pathological features of the Granthi. Over the course of one year, the patient experienced a marked reduction in symptoms, an improved quality of life, and a measurable decrease in lump size, which in some cases led to complete resolution, as confirmed through clinical palpation and imaging. As a result, surgical intervention was not required. This case demonstrates the potential efficacy of Ayurvedic treatment protocols in the non-surgical management of benign breast tumors such as fibroadenoma. The findings support the need for further clinical research to validate and standardize Ayurvedic approaches in similar cases.

Holistic Management of Compression Fracture of Vertebral Body: A Comprehensive Approach in Conjugation with mild diffused Osteoporosis: A Case Report

2025-09-16T18:36:55+00:00

Among osteoporotic fractures, vertebral fractures are most prevalent, especially in older individuals and more common in women due to lower bone mineral density. These fractures cause intense discomfort, impaired activity, loss of autonomy, and markedly worsened quality of life. In Ayurveda, the condition is identical to Katishoola, one of the eighty forms of Nanatmaja Vata Vyadhi mentioned by Acharya Charaka. In the present study, a 52-year-old patient had complaints of an unbearable shooting type of pain in the lower back region along with a tingling sensation and weakness in bilateral lower limbs. Pain gets aggravated on movements like bending or twisting. An X-ray of the lumbosacral spine revealed a compression fracture of the L2 vertebral body. The patient was managed with Kati Basti, Matra Basti, Shaman Aushadhi (oral Ayurvedic medications), and Shaman Snehapana. After treatment, there was a significant reduction in pain assessed by the Visual Analog Score (VAS), improvement in the Straight leg raising test, Oswestry low back pain index, and the low back outcome score (LBOS). This case report focuses on the effectiveness of Ayurvedic intervention in compression fracture of the vertebral body with mild osteoporosis, thereby preventing surgical intervention.

Clinical effect of Tamra Shalaka Agnikarma (Thermal Cauterization done with copper probe) in the Management of Cervical Ectropion: A Single Case Study

2025-09-17T02:47:29+00:00

Cervical ectropion is typically associated with endo-cervicitis, and if left untreated, may lead to recurrent infections, pelvic inflammatory disease, infertility, and a hampered quality of life. Hence, there is a need for effective and minimally invasive treatment approaches is such cases. A 28-year-old female diabetic patient presented with the complaint of abnormal vaginal discharge along with lower abdominal pain for the last three months. According to the clinical findings, vaginal examination and the Papanicolaou smear (Pap Smear) report findings, the condition was diagnosed as cervical ectropion. In this case, the ectropion condition was first treated with Rasayanadi Churna 5g, which was given twice daily with lukewarm water, as the oral medication and Yoni Prakshalana and Yoni Avachurnana as Sthanika Chikitsa (Local treatment). Once reduce the inflammatory signs, Tamra Shalaka Agnikarma (thermal cauterization using a copper instrument) was performed. Noticeable improvement of cervical ectropion was observed within a week, with complete recovery in one month. This suggests that Tamra Shalaka Agnikarma, along with adjuvant Ayurveda medicine, is an effective, affordable, and minimally invasive option for managing cervical ectropion.

Clinical Efficacy of Yawa Kshara and Pippali in the Management of Gallstone Disease: A Case Report

2025-09-16T18:36:55+00:00

The presence of stones in the gallbladder is known as gallstone disease or cholelithiasis. In the conventional medical system, there are currently no effective conservative treatments available, and surgery (open or laparoscopic cholecystectomy) is frequently recommended. However, there is an increasing demand for effective, non-invasive Ayurvedic interventions. This case report presents a 60-year-old female patient who experienced complaints of right upper quadrant abdominal pain, nausea, and belching for duration of two months. Upon diagnosis, the patient was diagnosed with single gallstones, measuring 23 millimetres. She was subsequently administered Yawakshara and Pippali Churna after food with lukewarm water for a period of 40 days. Following treatment, the patient reported complete symptom relief, and a substantial reduction in stone size was observed on ultrasound imaging. This report underscores the potential of Ayurvedic management in treating gallstone disease conservatively.

Complex Trans-sphincteric fistula successfully managed with partial fistulectomy using Ksharsutra: A Case Report

2025-09-16T18:36:55+00:00

Bhagandara (Fistula-in-Ano) is explained as one among Ashta Mahagada in Sushruta Samhita. This disease is recurrent in nature which makes it more difficult for treatment. Ksharsutra has been already proved in the management of fistula-in-Ano though Acharya Sushruta has been explained in context to Nadi-Vrana (sinus). In this case report, 70 year old male patient came to Shalya Tantra OPD with complaints of multiple boils at perianal region associated with pain and blood mixed pus discharge since1.5 months. On PRE two external openings were present anteriorly between 12 to 1 o’clock position along with surrounding induration, internal opening palpated at 12 o’clock at dentate line. Inter-sphincteric collection felt between 12 to 3 o’clock with fibrosis in lithotomy position. MR Fistulogram, suggestive of anterior trans-sphincteric fistula-in-Ano. So this complex fistula was treated with partial-fistulectomy with Ksharsutra application under sadal block. Ksharsutra was changed by weekly interval adopting railroad technique. Whitin time period of 8 weeks, wound healed completely and no any recurrence history found in follow up of 2 months.

Role of Uttar Basti in Management of Anartava w.s.r to Secondary Amenorrhea: A Case Report

2025-09-16T18:36:55+00:00

Secondary amenorrhea refers to the absence of menstruation for three or more months in women of reproductive age who had previously menstruated. In the classical texts of Ayurveda, various terms have been used to describe this condition such as Nashtartava by Sushruta, Anartava by Vagbhata, absence of Raja by Bhela, and Rajonasha by Bhavaprakash. Analyzing these references, it can be inferred that the main causes include Mithya Ahara and Mithya Vihara (improper diet and lifestyle of the mother during pregnancy and of the woman during her reproductive years), Beeja Dosha (genetic abnormalities), and Dushtartava (hormonal imbalances). Anartava is also mentioned as a symptoms of various Yonivyapadas such as Arajaska/Lohitkshaya, Shushka, Shandhi and Vandhya. While Acharyas described it more as a symptom due to the margavarodha of Apana vata by aggrevated Kapha which disrupts the production of Artava and also delays the outflow of Artava, it brings about a significant impact on female fertility. The absence of menstruation during the active reproductive age is a stressful feeling that needs careful understanding and management. Modern medicine offers mainly hormone replacement therapy (HRT), which has reported side effects, whereas Ayurveda provides a comprehensive approach, including internal medication, Panchakarma therapy, mainly Vamana, Yoga basti, Uttara basti, dietary corrections and lifestyle modifications. Presented here is a case study of a woman with secondary amenorrhea who was successfully treated with Uttar basti and Yoga basti, emphasizing the practical relevance and effectiveness of traditional approaches in Secondary infertility with menstrual abnormalities.

Clinical Approach to Subclinical Hypothyroidism through Ayurveda: A Single Case Study

2025-09-16T18:36:56+00:00

Subclinical hypothyroidism is a condition characterized by elevated Thyroid-Stimulating Hormone (TSH) levels while serum thyroxine (T4) remains within the normal range. Most of the time subclinical hypothyroidism is asymptomatic; however, some may exhibit mild symptoms typically of hypothyroidism. According to research, approximately 2–5% of individuals with subclinical hypothyroidism progress to overt hypothyroidism each year. From an Ayurvedic perspective, this condition can be correlated with Rasapradoshaja Vikara, where there is vitiation of Kapha dosha and impairment of Rasavaha srotas, often manifesting as Agnimandya(~Weak digestion), tandra(~Drowsiness), and gourava(~Heaviness). Based on this understanding, a treatment protocol addressing Rasapradoshaja Vikara—including Langhana (~Lightening theraphy), Deepana (~Appetizer)-Pachana (~Carminative), and selective Shodhana—was adopted. The results were found to be positive, with improvements in subjective symptoms as well as in the thyroid function test. A 44-year-old married male patient with complaint of incomplete evacuation of stool about 3-4 times per day with no satisfaction since 6 months. Also patient had complaint of reduced appetite (Ashradda) and sometime Ajeerna. Patient had Ajeerna Ahara Lakshanas like Gouravata also had investigated for thyroid profile T3 (3.06pg/ml). freeT4 (1.24ng/dl), TSH (7.46uIU/ml) and found to be hypothyroidism and pre diabetic with FBS (105mg/dl), PPBS (174mg/dl), HbA1c (5.9%) since last year. But not on any medications. Patient wanted Ayurveda treatment so visited Adicunchanagiri Ayurveda hospital OPD.

An Ayurvedic Intervention for the Management of Premature Ovarian Insufficiency: A Case Report

2025-09-16T18:36:56+00:00

Premature Ovarian Insufficiency (POI), also known as Premature Ovarian Failure, is a condition where ovarian function ceases before the age of 40. This condition is characterized by a depletion of ovarian reserves and residual follicles, leading to a hypo estrogenic state. Patients may present with amenorrhea, menstrual irregularities, and infertility, which can significantly impact their quality of life. The prevalence of POI is estimated to be 1% of the female population. It is diagnosed by amenorrhea or oligomenorrhoea lasting at least four months and two separate measurements of follicle-stimulating hormone (FSH) levels exceeding 25 IU/l, taken four weeks apart. The underlying cause may be impaired germ cell migration during the intrauterine period or accelerated germ cell apoptosis, resulting in few or no follicles in the ovaries. This single case study details a 34-year-old female with a four-month history of absent periods and other associated symptoms. The study evaluates her response to an Ayurvedic treatment plan, recording symptomatic reduction from secondary amenorrhea, like hot flashes, vaginal dryness, and mood swings. The results suggest that POI can be effectively managed with Ayurvedic medications and procedures, offering an alternative to hormone replacement therapy (HRT) and its potential side effects.

Integrated Management of Major Depressive Disorder: A Case Report

2025-09-16T18:36:56+00:00

Major Depressive Disorder (MDD) is the third leading cause of burden of disease worldwide in 2008 by WHO and projected that this disease rank first by 2030. It is a complex and debilitating mental health condition characterized by persistent feelings of sadness, hopelessness and loss of interest in activities. This badly affect physical, psychological, sexual as well as social life. MDD significantly impair an individual's daily functioning, increasing the risk of suicide, cardiovascular disease and other comorbidities which affects quality of life (QoL). The management include psychotherapy and pharmacotherapy. The case report discusses the integrated management of MDD. In Ayurveda unmada is characterised by disrupted mental functioning. Kaphaja unmada can be correlated to MDD. This is a case report of 27-year-old woman, attended OPD with complaints of uncontrolled worry, sadness, loss of interest in activities, crying spells, reduced socialization from one year. The integrated management protocol of MDD includes rookshana, snehapana, vamana, virechana, vasthi, nasya, counselling, yoga and pranayama. The assessments were done using HAM- D and BDI scale and QLES-Q-SF Questionnaire. The protocol was found to be effective in bio-psycho-social domains. Along with the symptomatic relief, the values of the scales before and after treatment showed promising results.

Non-Surgical Management of Knee Meniscus Tear Using SRDP (Scientific Reversal Detox Process) Ayurvedic Treatment: A Case Report

2025-09-16T18:36:56+00:00

The menisci are vital fibrocartilaginous structures within the knee joint that play a key role in shock absorption, load distribution, and joint stability. Meniscal tears are among the most common orthopaedic injuries, particularly affecting athletes and the elderly, often resulting in pain, swelling, and reduced mobility. While conventional treatment typically includes surgery or physiotherapy, surgical interventions do not always restore previous levels of activity. This case study explores the management of a knee meniscus injury through Ayurvedic treatment, specifically using the Scientific Reveral Detox Treatment (SRDP) protocol—a holistic, non-invasive approach grounded in dosha balance. The treatment included internal herbal medications and external therapies such as Lepa (herbal paste application), Jalaukavacharan (~leech therapy), Basti (~medicated enema), and physiotherapy, targeting Vata dosha imbalance often associated with joint disorders. A 52-year-old female patient presented with pain and swelling in the right knee, with a history of trauma dating back to 2013 and worsening symptoms over the past 7–8 months. MRI findings confirmed a Grade 3 flap tear in the posterior horn and a Grade 1 signal tear in the lateral meniscus of right knee. Following a structured SRDP treatment protocol, follow-up MRI indicated an improvement in the meniscal condition, with the Grade 3 tear reduced to Grade 2. This outcome suggests that Ayurvedic SRDP treatment may play a beneficial role in reducing symptoms and promoting structural recovery in meniscal injuries. Further clinical studies are warranted to evaluate its broader therapeutic potential.

Management of Intersphincteric Fistula with Ksharasutra using the Samsung Medical Center Knot along with Oral Medicines: A Case Report

2025-09-16T18:36:57+00:00

Fistula-in-Ano is a condition characterized by an abnormal connection between the anal canal and the external epithelium. Ksharasutra therapy has been a minimally invasive treatment in the management for fistula-in-Ano. Conventionally it is applied using a reef knot. And internalization of the external opening after few weeks of cutting through the tissues can create difficulty in proper application of the ksharasutra. Samsung medical center knot (SMC Knot) is used in laparoscopic and arthroscopic surgeries for extracorporeal knot tying. A 49-year-old male with an intersphincteric fistula underwent Ksharasutra therapy. The internalization of the external opening after two weeks complicated the thread replacement as well as providing optimum tension. The SMC knot was applied in this case. It allowed extracorporeal tying of the knot and could slide in to position to provide desired tension. The result demonstrates that the cutting efficiency was enhanced post- SMC knot application. This case highlights the integration of surgical methods into Ayurvedic practices which can enhance adaptability of ksharasutra therapy for personalized treatments and provide better outcomes.

Ayurvedic Management of Attention Deficit Hyperactive Disorder with Comorbid Conduct Disorder: A Case Report

2025-09-16T18:36:57+00:00

Conduct Disorder (CD) and Attention-Deficit/Hyperactivity Disorder (ADHD) are complex behavioural conditions often co-occurring in children, impacting their social and academic functioning. Conventional management of ADHD and CD often involves the use of stimulants, antidepressants and antipsychotics which in due course cause insomnia, reduced appetite, headache etc. The article explores Ayurvedic management approaches, focusing on internal administration of medicines, external procedures and lifestyle modifications that aim to address the root causes of these disorders and improve the overall well-being. This is the case of a 9-year-old girl diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) and Conduct Disorder (CD), who underwent a one-month inpatient treatment program. The treatment such as Shodhananga snehapana, virechana and matravasthi focused on behavioural interventions, structured routines, and therapeutic support to address her symptoms including impulsivity, aggression, and defiant behaviours. Throughout her stay, her progress was monitored through both behavioural observations and clinical assessments using Conner’s ADHD rating scale. Her anger outbursts, defiance and usage of abusive words got reduced after treatment. The article highlights the challenges and successes of Ayurvedic management of dual diagnoses in children, emphasizing principles from the Unmada and the value of an integrated approach for better behaviour and emotional regulation.

Management of Intramural Uterine Fibroid by Ayurveda: A Case Report

2025-09-17T02:48:47+00:00

Uterine fibroids (leiomyomas) are benign smooth muscle tumors of the uterus and are a common gynecological condition in women of reproductive age. Among various types, intramural fibroids are located within the muscular wall of the uterus and may cause symptoms such as menorrhagia, pelvic pain, and infertility. Conventional treatment includes hormonal therapy or surgical interventions, which may have side effects or affect fertility. Ayurveda offers a holistic approach for managing fibroids through Ayurvedic formulations, Panchakarma therapies, and dietary and lifestyle modifications. A 44-year-old married female presented to the Outpatient Department on January 7, 2025, with a 6-month history of lower abdominal pain, heavy menstrual bleeding, burning micturition, and vaginal white discharge, accompanied by anxiety and disturbed sleep. She had no significant past medical or family history. Investigations revealed a bulky uterus with two intramural fibroids, left renal concretions, and a right renal medullary cyst. She was diagnosed with intramural uterine fibroid (modern diagnosis) and Garbhashayagata Granthi (Ayurvedic diagnosis). A three-month Ayurvedic regimen was initiated, comprising classical formulations such as Kanchanar Guggulu-500mg 2 tab twice a day for 12 weeks and Kumaryasava 15 ml twice a day with equal water after a meal for 12 weeks, along with dietary and lifestyle modifications. Post-treatment evaluation demonstrated marked clinical improvement, with resolution of heavy bleeding and urinary symptoms, normalization of menstrual duration, disappearance of renal abnormalities, and reduction in fibroid size. This case highlights the potential effectiveness of Ayurvedic management in addressing uterine fibroids and associated symptoms.

Ayurvedic Management of Sarvangavata : A Case Report

2025-09-16T18:36:58+00:00

Sarvangavata, a vataja nanathmaja vikara, is a disorder where the vitiated vata takes abode in almost all parts of the body and produce various symptoms. Here, we present a case report of a 57-year-old female patient who, diagnosed with Pontine demyelination which is a neurological condition involving damage to the myelin sheath of nerve cells in the pons, presented with symptoms like muscle weakness, difficulty in speaking, balance problems etc which are similar to vatavyadhi lakshana and was managed effectively. …The patient was treated with a combination of external Ayurvedic therapies for amapachana and avaranahara, vatashamaka, including kadidhara, kadikkizhi, nasya, utsadanam, matravasthi, siropichu, elakkizhi, kashayavasthi, and internal medications like gandharvahasthadi kashayam, vaiswanara choornam, punarnavadi kashayam, maharasnadi kashayam, suvarnamukthadi gulika etc. After 30 days of treatment, the patient reported a significant reduction in her symptoms and an improvement in overall health. This case highlights the effectiveness of Ayurvedic treatment for managing complex conditions.

Ayurvedic Surgical Perspectives in the Management of Bladder Calculus: A Case Report

2025-09-16T18:36:58+00:00

Bladder calculus, known as Ashmari in Ayurveda, is a significant urological disorder that has been described extensively in ancient texts. Acharya Sushruta, the pioneer of Ayurvedic surgery, detailed the pathophysiology, classification, and treatment of Ashmari, emphasizing the use of Sastra Karma (surgical methods) for its management. The aim of the study is to discuss the Ayurvedic principles of bladder stone treatment and their integration with modern surgical procedures, specifically suprapubic cyst lithotomy. In this case report, a 60 years old male patient came to Shalya Tantra OPD with complaints of pain at lower abdomen associated with burning micturition, straining during urination, dribbling and urgency for last one year. On general examination tenderness in the suprapubic region. The abdomen distention (on/off) due to urinary retention. On local examination tenderness was present in the suprapubic region, which exacerbated by palpation or percussion. The patient had difficulty in initiating or maintaining urination. USG Abdomen, was suggestive of urinary bladder calculus with changes of chronic cystitis. So this urinary bladder calculus was treated with Suprapubic cystolithotomy under Spinal anesthesia. Post-operative care using herbal formulations such as Gokshuradi Guggulu (1 gm TDS) play a crucial role in ensuring proper recovery and minimizing recurrence. The study highlights the potential of integrating Ayurvedic principles with modern surgical advancements to enhance patient outcomes. Further research and clinical trials are recommended to validate the effectiveness of Ayurvedic interventions in post-surgical care and stone recurrence prevention.

Individualized Homoeopathy in the treatment of Gallbladder Polyp with Grade II Isolated Systolic Hypertension: A Single Case Report

2025-09-16T18:36:58+00:00

Gallbladder polyps are usually asymptomatic and detected incidentally during abdominal ultrasonography (USG). Irrespective of size, these polyps are considered an indication of surgical removal. A 28-year-old female presented with occasional cutting pain in right hypochondrial region for the last 4 months. Abdominal USG revealed the presence of multiple gallbladder polyps with largest one measuring 3.7 mm, with grade II isolated systolic hypertension. The patient was advised for cholecystectomy, but she opted for homoeopathic treatment to avoid surgery. At the first visit, homoeopathic medicine Nux vomica was prescribed and the patient was followed up periodically for 6 months. USG after 03 months of treatment revealed that the gallbladder polyps were not present and her liver, kidney functions and uterus were normal as per investigations. Her blood pressure also reduced to the normal range. Modified Naranjo Criteria for Homoeopathy score (+8 on the ‘−6–+13’ scale) assesses if the improvement of the patient can be attributed to the homoeopathic treatment provided. This case report is presented to document the scope of individualized homoeopathy in the treatment of gallbladder polyp, but further documentation of consistent results from a large number of similar cases is warranted.

Beyond Conventional Care: Individualized Homoeopathy in End Stage Renal Disease Management: A Case Study

2025-09-16T18:36:58+00:00

Chronic Kidney Disease (CKD) is extremely common and has emerged as one of the leading non communicable causes of death worldwide, defined as presence of kidney damage or estimated glomerular filtration rate(eGFR) less than 60ml/min/1.73 m², persisting for three months or more. Signs and symptoms of CKD develop over the time and progresses to kidney failure and later to death. CKD is more common in old age, but it can develop at any age especially to people who are at high risks such as congenital kidney diseases. The case presented here is a known case of CKD, 50-year-old female, with an initial serum creatinine and urea level of 5.1 mg/dl and 69mg/dl respectively. Conventional treatment led to worsening of her kidney functions, with her serum creatinine and urea values rising to 8.4 mg/dl and 147.9 mg/dl within seven months, when she was advised to undergo hemodialysis. At this critical stage, she opted for homoeopathic treatment. With standalone individualized homoeopathic medicine (Sepia officinalis in LM potency 0/1 to 0/10, 16 doses each over six months), her general health and renal function improved significantly, as evidenced by reduction in creatinine and urea level to 5.48 mg/dl and 105.6 mg/dl, which remained more or less stable over next six months and allowed postponement of hemodialysis.

An Evidence Based Approach to Atopic Dermatitis using Homoeopathic Medicine:-A Case Study

2025-09-16T18:36:59+00:00

Atopic dermatitis (AD), a distinct type of eczema, is the most prevalent chronic inflammatory skin condition. Its development involves a combination of genetic predispositions and environmental influences, resulting in dysfunctions of both the skin barrier and the immune system. This long-term condition, characterized by persistent itching, typically begins in infancy and is marked by dry skin, eczematous rashes, and thickened, leathery areas known as lichenification. Atopic dermatitis is thought to be linked with other Ig E-mediated conditions such as allergic rhinitis, asthma, and food allergies. It carries a considerable burden on health and quality of life, and its prevalence seems to have been rising in recent decades. Genetic factors involved include loss-of-function mutations in the filaggrin gene a key epidermal protein that degrades into components essential for the skin’s natural moisturizing processes.Atopic dermatitis is a chronic relapsing inflammatory skin condition characterized by intense pruritis,erythema,xerosis and lichenification.It commonly begins in childhood but can persist or recur in adulthood,significantly impairing quality of life.Atopic dermatitis is associated with other atopic conditions such as allergic rhinitis and asthma,and its prevalence is rising globally,making it a significant public health concern. This is the case report of an eleven year old girl who had presented with cracks and burning sensation in the sole of foot. Case was taken in detail and Malandrinum 200 was prescribed. There was no recurrence for the next 6 months.The action of malandrinum on reduction in IgE should be studied further.

A Constitutional Homeopathic Management of Chronic Stye: A Case Report

2025-09-16T18:36:59+00:00

A 25-year-old female working in medical coding presented with a complaint of swelling in the lower eyelid of the right eye for the past 1 year and 8 months. The complaint began as a small, painful, reddish eruption, which increased in size within 4–5 days, accompanied by burning, stinging pain and watering of the eyes. On local examination, a nodular swelling was observed. Routine blood tests were normal. No systemic illness was noted. Based on clinical features, a provisional diagnosis of external hordeolum (stye) was made. She was previously treated with topical antibiotic ointment, which temporarily reduced pain and redness but failed to eliminate the swelling completely. Surgical excision was advised, but the patient declined. A detailed homeopathic case-taking revealed key etiological factors and characteristic symptoms such as stress from overwork, competitive nature, communicative, irregular menses, and thermal intolerance to cold. The remedy Staphysagria 200C was prescribed based on the totality of symptoms. Over subsequent follow-ups, the swelling gradually reduced, and no recurrence was noted. This case highlights the scope of individualized homeopathic intervention in resolving chronic styes by addressing both local pathology and the underlying constitutional susceptibility.

Efficacy of Individual Constitutional Homoeopathic Remedy in the Treatment of Idiopathic Granulomatous Mastitis: A Single Case Study

2025-09-16T18:36:59+00:00

Idiopathic granulomatous mastitis is very rare disease in fertile women in India. There are no any definitive treatments available for idiopathic granulomatous mastitis in modern medicine. In modern medicine there has limitations and risk due to recurrence tendency even after surgical intervention. Herewe are presenting one case of female who has been suffering for long time since 2021. She was presented with recurrence abscess on her breast before menses with poured out pus which was not responding to antibiotics. She was despaired of recovery because even after taken so many antibiotics and even taken few homoeopathic medicines she not getsrecovered. After taken constitutional phosphorus 200CH as constitutional Homoeopathic remedy and Thuja 200CH as miasmatic Homoeopathic medicine she had significant improvement in patients complaints. This evidence based homoeopathic treatment provides us right homoeopathic medicine can cure these types of cases.

Non-Surgical Management of Chalazion through Individualized Homoeopathic Treatment: An Evidence Based Case Report

2025-09-16T18:36:59+00:00

Chalazion, a persistent, painless swelling of the eyelid caused by meibomian gland blockage. It is typically treated conservatively, with corticosteroid injections, or with surgical excision, which may be result into discomfort, recurrence, or cosmetic issues. In this case report, a 35-year-old woman has a reddish, painless swelling on her right lower eyelid that is 8 mm in size and has been there for two months which is accompanied by heaviness sensation of eyelid. Following a thorough case study that included physical, mental, and general symptoms, First, Pulsatilla 200C ,Two doses were given. Followed by Placebo was prescribed. A gradual decrease in swelling and redness was noted after three weeks, followed by full resolution by five weeks. A three-month follow-up revealed no recurrence, and With a Modified Naranjo Criteria score of +9, the case demonstrated a causal relationship between the intervention and the result.

Integrative Approach to Aphthous Stomatitis (Qulā‘): A Case Report in the Light of Unani Medicine

2025-09-16T18:36:59+00:00

Aphthous stomatitis (AS), known as Qulā‘ in Unani medicine, is a common ulcerative condition affecting the oral mucosa, causing pain, burning sensation, and difficulty in eating, which significantly affects the quality of life. Conventional management with topical steroids, antiseptics, and dietary supplements often provides temporary relief and is associated with recurrence and potential adverse effects. Unani medicine offers a holistic approach by addressing humoral imbalances through a combination of herbal formulations, dietary regulation, and lifestyle modifications. This report presents the case of a 35-year-old male with recurrent painful oral ulcers persisting for two weeks despite using antiseptic mouthwashes and analgesics. A Unani regimen was instituted, consisting of Jawarish Kamuni (5 gm orally twice daily for 15 days), Zurūr-i-Qulā‘ (topical application thrice daily for 15 days), dietary modifications (avoidance of spicy foods, consumption of cooling foods), and lifestyle advice (maintenance of oral hygiene and adequate hydration). Significant symptomatic relief was achieved within seven days of treatment, and complete ulcer healing occurred by the end of two weeks. No recurrence was observed during the three-month post-treatment follow-up, nor were any treatment-related adverse events reported. The therapeutic efficacy of prescribed Unani medications may be attributed to their analgesic, antioxidant, anti-inflammatory, cicatrizing, and digestive-enhancing properties. This case highlights the potential of Unani medicine as an effective alternative for aphthous stomatitis. However, Larger clinical studies are warranted to validate these observations and establish evidence-based guidelines.

Unani Approach in the Management of Lichen Simplex Chronicus (LSC): A Case Report

2025-09-16T18:37:00+00:00

Lichen Simplex Chronicus (LSC) is a chronic, localized type of neurodermatitis characterized by lichenified, hyper-pigmented plaques resulting from a self-perpetuating itch scratch cycle. Conventional treatments provide only short-term relief and are often associated with adverse effects. Prolonged use of corticosteroids can cause serious adverse effects, antihistamines offer only partial control of pruritus, and systemic drugs or phototherapy are costly and carry significant risks. Moreover, these therapies fail to address the psychological component of the itch scratch cycle, leading to frequent relapses. This case report highlights the successful use of Unani therapy in an adult female patient with LSC associated with depression, demonstrating significant clinical improvement. A 42-year-old female presented with a three-year history of itchy, hyper-pigmented, lichenified plaque over the right ankle and dorsum of the foot. She had previously undergone allopathic treatment with minimal relief. The patient was prescribed with Unani therapy comprising 10 gm of oral Majoon Najah for depression and topical Marham-e-Ra’al (twice daily) for one month. Assessment was done clinically and through validated tools, including the Physician global assessment scale (PGA) and the Hamilton Depression Rating Scale (HAM-D), at baseline and after one month of treatment. Marked resolution of lesions and pruritus was observed, with notable improvement in depressive symptoms. The therapy was well tolerated, and no adverse effects were reported. This case suggests that Unani therapy may serve as a safe, effective, and culturally acceptable alternative for managing neurodermatitis. However, further controlled studies are needed to confirm its broader efficacy.

Efficacy of Compound Unani Formulations in the Management of ‘Kathrat-i-Tamth’ (Menorrhagia): A Case Study

2025-09-16T18:37:00+00:00

This case report evaluates the efficacy of a compound Unani formulation in managing Kaṭhrat-i-Tamṭh (Menorrhagia) due to Endometrial hyperplasia in a 29-year-old obese, nulliparous woman. Presenting with a 5-year history of prolonged heavy bleeding (10-20 days/month), large clots, fatigue, and anaemia (Hb: 8g/dl), she had found no relief with previous Ayurvedic and allopathic treatments. Ultrasonography revealed increased endometrial thickness (20-21mm). The intervention comprised oral Unani medications; Qurs-e-Kehruba one tablet morning and evening, Qurse kustae faulad two tablets morning and evening, Safoof-e-Habis-ud-Dam 5gm morning and evening, powder of Haleela, Baleela and Amla 5gm morning and evening and Majoon-e- Dabeed-ul-Ward 5gm morning and evening and a daily Shibb-e-Yamani, Poste anar, Mazu sabz based sitz bath powder of Imly paste on lower abdomen for one month. Significant improvement was observed within 15 days, with complete cessation of heavy bleeding. Follow-up showed normalized cycle duration, absence of clots, and enhance haemoglobin levels. This case demonstrates that a tailored Unani formulation can effectively manage menorrhagia secondary to endometrial hyperplasia by leveraging the astringent, haemostatic, anti-inflammatory, and anti-proliferative properties of its ingredients, offering a viable non-surgical and non-hormonal treatment option. This case report is justified as it provides valuable clinical evidence for the application of traditional Unani medicine in treating a complex gynaecological condition (menorrhagia due to endometrial hyperplasia) that did not respond to conventional treatments. It documents a successful, non-hormonal, and non-surgical interventional strategy, highlighting the potential of integrative medicine. Reporting such cases is essential for generating hypotheses for future larger-scale clinical trials and offers an alternative treatment paradigm for patients seeking complementary therapies.

Therapeutic Effectiveness of Siddha Leech Therapy(Attai Vedal) in Managing Chronic Urticaria: A Clinical Case Report

2025-09-16T18:37:00+00:00

Chronic urticaria, known as Kaanakadi in Siddha medicine, is a persistent condition characterised by pruritic wheals, angioedema, or both lasting for more than one month. This case report presents a 37-year-old male with a 4-year history of recurrent cutaneous allergic reactions, manifesting as widespread urticarial wheals, mild angioedema, and rhinitis. The patient's symptoms were refractory to conventional treatments, including antihistamines and corticosteroids. Siddha medicine attributes the pathophysiology of chronic urticaria to gastrointestinal imbalance and psychological factors. The patient underwent Siddha management to alleviate symptoms associated with Pitham and Kabham. Siddha leech therapy is considered a promising treatment for dermatological conditions. Along with oral medication and three sessions of Siddha leech therapy with a gap of 6 days between sessions over 24 days, the patient experienced significant alleviation of pruritus, rash formation, and irritability. No adverse reactions were observed at the site of the leech therapy. Recent studies have demonstrated that leech saliva contains bioactive peptides and proteins with antithrombotic, antiplatelet, and antimicrobial properties. A systematic review indicated that bloodletting was more efficacious than pharmaceutical interventions in managing chronic urticaria, with comparable response rates and no significant adverse events. This case highlights the potential of Siddha leech therapy as an adjunctive treatment for chronic urticaria refractory to conventional management.

Effect of Mahasneha Matra Basti, Abhyang and Bilwadi Panchmool Ksheerpaka in the Management of Sandhigat Vata: A Pilot Clinical Study

2025-09-16T18:37:01+00:00

Sandhigatvata a vata dominant disorder comparable to Osteoarthritis, is characterised by joint pain, stiffness and reduced mobility.it is a degenerative disorder described in Ayurveda under the spectrum of Vata Vyadhi, due to its chronic nature and progressive disability, it is a major health burden. Management of the disease are Vatashamana, snigdha and brimhana therapies. This pilot study aimed to evaluate the efficacy of Mahasneha Matra Basti along with Mahasneha Abhyanga and oral administration of Bilwadi Panchmoola Kheerapaka in patients suffering from Sandhivata of the knee joint.Ten patients clinically diagnosed with sandhivata were selected based on classical Ayurveda texts. The treatment protocol included daily administration of Mahasneha Matra Basti 50 ml for 15 days, Mahasneha Abhyanga on both Knees followed by Swedana and oral intake of Bilvadi Panchmoola Kheerapaka 40ml twice daily for 15 days. Outcome was assessed by pain scale and Womac Index. Statistically significant improvement was observed after the treatment in pain reduction, knee mobility and daily routine activities. Patients reported subjective relief in joint stiffness and improved easy movement without any adverse effects. The combination of Mahasneha Matra Basti, with Abhyanga Swedana and oral administration of Bilwadi Panchmoola Kheerapaka showed promising results in the management of Sandhivata. Further clinical trials with large sample sizes are recommended to validate results.

A Comprehensive Review on Ayurveda and Animal Science: Short Communication

2025-09-16T18:37:01+00:00

Ayurvedic medicine provides valuable knowledge not only for Manav swasthya (human health) but also for the care and treatment of Pashu (animals). A core principle of Ayurveda’s approach to Pashu Vigyana (animal science) is the compassionate and ethical treatment of all living beings. Animals are not only sources of food and therapeutic products, but their body parts and by-products are also used in traditional Ayurvedic remedies. Preclinical research plays a crucial role in biomedical studies, where new drugs, treatments, and toxicity levels are first tested on animals before moving to human trials. While Ayurveda has addressed aspects of use of animals and animal products in therapy, animal care, there is still a lack of systematic work concerning veterinary practices and the use of animals in laboratory research. This manuscript seeks to explore the role and status of animal science within the framework of Ayurveda. Information was gathered from classical Ayurvedic texts and online resources, then organized and presented in a structured manner. Ayurveda emphasizes compassionate treatment for all living organisms. Historically, animal sciences were well-developed in forms such as Go Ayurveda (focused on cows), Ashwa Ayurveda (horses), and Hastya Ayurveda (elephants). Ancient Ayurvedic literature contains detailed insights into animal care, classifications, ethics, health management, therapeutic uses, and the application of animal-derived substances in medicine. To advance laboratory animal research in the Ayurvedic context, greater awareness and scientific rigor are needed. This initiative aims to encourage young researchers to engage with and further develop animal science in Ayurveda.

Conceptual Study of Annavaha Srotas and its Viddha lakshana with special reference to Andhya: Short Communication

2025-09-16T18:37:02+00:00

Annavaha Srotas (gastrointestinal channels) are essential for the food and sustenance of all bodily tissues, including ocular structures. Ayurveda emphasizes the link between digestion, systemic health, and ocular problems, including blindness. According to classical Ayurvedic writings, vitiation of annavaha srotas caused by poor food, lifestyle, and aggravated doshas can result in inadequacies impacting eye health. This paper examines the pathogenic involvement of annavaha srotas in ocular illnesses, particularly blindness, using Ayurvedic concepts and comparing them to modern medical discoveries. In modern medicine, blindness is frequently connected with nutritional deficits, metabolic problems, and degenerative illnesses of the optic nerve and retina. Vitamin A deficiency, diabetic retinopathy, and ischemic optic neuropathy have been related to malnutrition and metabolic dysfunctions, supporting Ayurveda's theory of diminished agni (digestive fire) leading to systemic illnesses. This review article tries to bring together Ayurvedic and modern perspectives, emphasizing the importance of gut health in ocular illnesses and arguing for an integrative approach to blindness prevention and therapy.