Read

A 56 year old female patient, presented with stiffness and pain in the joints of the elbow, wrist and bilateral knees since 1 and half months associated with continuous low grade fever. There was no prior consultation or treatment. She opted for Ayurvedic treatment and approached Dr Partap Chauhan. Based on the clinical evaluation and the blood reports, the condition was diagnosed as Hyperuricemia and the Ayurvedic diagnosis as Vatarakta. The line of treatment followed was Tridosa shamana, specifically vata shamana. Sroto and rakta shodhana, vedana shamana and dipana- pacana were also included in the cikitsa. After 5 months of treatment, the patient had significant relief in the stiffness and pain in multiple joints and recovered from the constant low-grade fever. Serum uric acid level documented as 9.65 at baseline reduced to 4.72 at endpoint. With Ayurvedic treatments over a year, the patient was completely relieved from all the symptoms. This case report demonstrates the successful standalone ayurvedic management of Hyperuricemia in a patient who opted for Ayurvedic management as the first line of consultation.

A 65-year-old male patient presented with multiple blackish raised bumps on left side of the face increasing in size and numbers since 10 years. There was no prior consultation or treatment for these complaints. He opted for Ayurvedic management and approached Dr Soumya. Based on clinical evaluation, the biomedical diagnosis was made as Seborrheic keratosis and the Ayurvedic diagnosis as Carmakila. Electric cauterisation was the primary treatment, followed by by Vrana ropana. Tridosahara and Jvarahara aushadha were also included in the treatment. In 10 days, the skin bumps fell off and the ulcer healed completely without any scar. This case demonstrates the efficacy of ayurveda in treating a chronic case of Seborrheic keratosis in its removal without causing any pain or discomfort to the patient.

A 57 year old female patient complained of repeated blinking of the right eye associated with dryness of the eye, difficulty in concentrating gaze and difficulty in reading since 7 years. At the onset of symptoms, she had consulted an allopathic doctor. As suggested by the allopathic doctor, an MRI Brain was done that did not reveal any anomaly and Acetylcholine Aeceptor Antibody test yielded non-significant results. The biomedical diagnosis was made as Blepharospasm based on the clinical evaluation. She underwent standard of care for 2 years, but the condition persisted. After another 5 years, she decided to try Ayurvedic treatment. She approached Dr Anupama Deopujari. Based on clinical evaluation, the biomedical diagnosis was confirmed as Blepharospasm, and the ayurvedic diagnosis as Nimesha vyadhi. The line of treatment followed was vatanashaka, mamsabalavardhaka and balya. Formulations to strengthen the mamsa dhatu were included in the treatment. With one month of treatment, the complaint of dryness reduced, and blinking slightly reduced. With one month of treatment, the complaints of dryness reduced, and blinking slightly reduced. After 1 year and 8 months of treatment, there was a significant reduction in blinking frequency and the deviation of gaze was reduced. The dryness of eyes was completely cured and there was significant improvement in reading capacity. This case report demonstrates the successful ayurvedic management of a chronic case of blepharospasm in a 57 year old female, who did not get relief inspite of taking standard of care for 2 years.

A 29 year old male patient presented with breathlessness and wet cough persisting since 4 years. It was only 1 year back that he consulted an allopathic doctor. Sputum culture and sensitivity test done isolated Pseudomonas aeruginosa. HRCT Lungs- Dense opacities with surroundings GGO with air bronchogram with in it noted apico basal segment of right lower lobe. Aspergillosis IgG was Positive with a reading of 45. Based on the clinical evaluation and the investigations, the biomedical diagnosis was made as Aspergillosis. He took conventional medicines for 6 months, but did not get relief. He now consulted Dr Rajnikanth for ayurvedic management. The ayurvedic diagnosis was Phuphusa gata krmi. The line of treatment followed was Krmi hara cikitsa. Strengthening the pranavaha srotas by including medicines indicated in shvasa roga was also a part of the treatment plan. With 1 month of Ayurvedic treatment, he got complete relief from all the symptoms. The Aspergillosis IgG became negative and the reading was 6.98U/ml. This case report demonstrates the standalone ayurvedic management of Aspergillosis in a patient who did not get relief despite taking conventional medicines.

A 66 year old male patient presented with bilateral knee joint  pain, right greater than left since 3 months associated with crepitation in right knee joint and difficulty in climbing stairs since 1 month . Patient also had low back stiffness since 30 years. He had tried ayurvedic medicines for 2 months. As there was no relief, the patient approached Dr Partap Chauhan for a second ayurvedic consultation. Based on the ACR criteria for early diagnosis of Osteoarthritis of the knee, the treating physician made the biomedical diagnosis as osteoarthritis of knee and Ayurveda diagnosis as Sandhivata. The line of treatment planned was to pacify the primary vitiated vata dosa and primary symptom- vedana. Apart from this, rakta shodhana, deepana, pacana, and recana dravya were included in the treatment. the After 4 months of Ayurvedic treatment, the patient attained complete relief from the knee joint pain and crepitus. He could climb the stairs without any pain. The persisting low back stiffness since 30 years had significantly reduced after the treatment. The WOMAC scale assessment score before treatment was 64, which was reduced to 1 after treatment. This case report demonstrates the successful standalone ayurvedic management of osteoarthritis of knees in an elderly male, who did not get relief with conventional medicines. 

A 25-year-old female patient presented with dry skin patches with itching and redness over the scalp, right knee, right hand and chest region associated with irregular menstruation and excessive weight gain since 3 years. There was a temporary relief in the itching, but the patches kept on increasing in size over time despite taking alternative treatments, and hence she opted for Ayurvedic management. She approached Dr Partap Chauhan for better management. Based on the clinical evaluation, the biomedical diagnosis was made as Plaque psoriasis and Ayurvedic diagnosis as Eka kushta. The line of treatment followed was tridosa shamana, rakta shodhana and prasadana, sroto shodhana and shothaghna cikitsa. After 6 months of ayurvedic treatment, there was a significant reduction in symptoms, and in 7 months, she was completely relieved from all the associated symptoms. PASI documented as 4.4 at midpoint reduced to 0.1 at endpoint. This case report demonstrates the successful ayurvedic management of a chronic case of plaque psoriasis in a patient who was not getting relief with conventional medicines.

A 50-year-old male patient, presented with dry skin patches with itching all over the body for 20 years associated with hyperacidity for 10 years. He took allopathic treatment from 2003 to 2013, Homeopathic treatment from 2013 to 2018, followed again by Allopathic treatment from 2018 to 2023. He got temporary relief, but on stopping the medications, there was a relapse and more severe. Hence, he opted for Ayurvedic treatments. He consulted Dr Partap Chauhan for better management. Based on the clinical evaluation, the biomedical diagnosis was made as Plaque psoriasis and the Ayurvedic diagnosis as Ekakushta. The line of treatment followed was vata shamaka, vatanulomaka, pittashamaka, srotoshodhaka, dipana - pacana, tvak prasadaka cikitsa are advocated. After 5 months of Ayurvedic treatment, the patient was completely relieved from the symptoms.  The PASI score assessed at the first follow up was 9.6 which was regularly scored in further follow ups. At endpoint, the PASI score was recorded as 1.8 indicating mild severity of psoriasis. This case report demonstrates the successful standalone ayurvedic management of plaque psoriasis in a patient suffering from this condition since 20 years and was not getting complete relief even with alternative medicines.

A 70 year old female patient presented with a non-healing wound in the left flank region with severe pain since 15 days associated with a foul smell. The patient consulted allopathic doctor and the diagnosis was made as Necrotising cellulitis on the left flank. She was advised for plastic surgery for wound management. She was reluctant to go for surgical management and opted for Ayurvedic treatment and approached Dr Rajnikanth. Based on the previous treatment records and clinical examination, the biomedical diagnosis was made as Necrotising wound and the Ayurveda diagnosis as Nadi/ dushta vrana. The line of treatment followed was Vrana hara cikitsa. The medicines used were indicated in vrana, and visha cikitsa. With 2 months of Ayurvedic treatment, the wound healed completely. Bates- Jensen wound assessment score was 52 before treatment became 16 after treatment. This case report demonstrates the successful standalone ayurvedic management of necrotising wound in an elderly woman who was suggested plastic surgery as the best treatment option.

A 73 year old moderately built female, a known case of Type II Diabetes Mellitus and hypertension for 8 years, found to be suffering from BE grade 2 NS with PSC Left greater than Right. She was advised cataract surgery. During the preoperative examination, it was found that the patient was suffering from severe dry eye and the scheduled surgery was cancelled. She was prescribed teardrops and was advised to revisit for an evaluation after a month. The patient’s condition did not improve and so she approached Dr Sushma for Ayurvedic management. Based on the previous treatment records and the clinical evaluation, the Biomedical diagnosis was made as Aqueous Deficient Dry Eye and the Ayurvedic diagnosis was Shushkakshi paka- Vata pittaja. The line of treatment followed is Amapacana and vata-pitta hara. The treatment also targeted the shodhana of the vitiated vata and pitta. After two months of Ayurvedic treatments, the patient got relief from her symptoms and underwent Cataract surgery. This case report demonstrates the successful standalone ayurvedic management of ADD in a patient who could not undergo cataract surgery due to the dry eyes.

A 38-year-old female patient presented with recurrent episodes of headaches since 3 months which were triggered by loud noise and the honking of vehicles. She also had persistent heaviness on the right side of her head. She consulted an Opthalmologic Surgeon and was diagnosed with Bilateral Papilledema along with idiopathic intracranial hypertension, right is more than left. Despite taking allopathic medication and doing a lumbar puncture, the condition persisted. So she was suggested to undergo brain shunt surgery. The patient refused surgery and opted for Ayurvedic management, and approached Dr Preethi Chhabra. The condition was diagnosed as shiroroga -shirashoola in Ayurveda. The line of treatment followed was Raktamokshana with jalauka as it is pitta and rakta vyadhi hara. Moderate relief in heaviness on the right side of the head was noticed from the first session of Jalaukavacarana. After 3 to 4 sessions of jalaukavacarana, patient had significant relief from all the symptoms. No further episodes of headaches were noticed after 10 sessions of jalaukavacarana. VAS score before treatment was 8 which became 1 after treatment. After treatment, the patient had vision improvement and papilledema resolved. This case report demonstrates the standalone ayurvedic management of papilledema with idiopathic intracranial hypertension, in a patient who did not get relief even after taking allopathic medications and undergoing a lumbar puncture. 

A 50-year-old female patient presented with headache and heaviness in the head, associated with heaviness in both eyes, irrelevant speech, short term memory loss, left eye ptosis and drowsiness for 10 days. She had a history of Road Traffic Accident before 20 days. She was diagnosed with left frontoparietal temporal subarachnoid bleed. The condition resolved with the standard of care, but the patient gradually developed several complications. The patient’s family opted for Ayurvedic treatment and approached Dr Rajnikanth for further management. Based on the Multiple CT Scan of the Brain and clinical examination, the biomedical diagnosis was Post traumatic subarachnoid haemorrhage complications. The Ayurvedic diagnosis was Masthishka janya vayu vruddhi (Abhighataja). The line of treatment followed was to pacify the vata and do the sandhana of asthi bhagna. The medicines chosen were also of balya, medhya and rasayana karma.

After 4 months of Ayurvedic treatment, patient completely recovered from all the symptoms and regain normalcy. This case report demonstrates the standalone successful ayurvedic management of complications caused by Subarachnoid haemorrhage due to a road traffic accident.

An 8-year-old male patient presented with white patches on the chest region, right side armpit and right side of the waist since 6 months. In spite of taking standard of care for 2 months, the condition persisted. His parents opted for Ayurvedic treatment for further management and approached Dr Partap Chauhan.  Based on the clinical examination, the biomedical diagnosis was vitiligo and Ayurvedic diagnosis was made as shvitra. The line of treatment adopted was Vata-pitta shamana and Vata- kapha shamana. Rakta shodhana, krimighna and kushtaghna were also the targets of the treatment planned. After 1 month of treatment, significant improvement was noted. No formation of new patches and the re-pigmentation of white patches started. With 2 and a half months of treatment, white patches in the chest, armpit and waist region were completely resolved. The colour of the skin became normal due to re-pigmentation. This case report demonstrates the successful standalone ayurvedic management of vitiligo in a boy, who was not getting any relief with conventional medicines.

A 35-year-old female patient presented with mild continuous headaches which became severe on and off with nausea, vomiting and irritation for 15 years. Sometimes associated with poor eyesight since 1 month. In spite of taking other standard of care, the condition persisted and hence she opted for Ayurvedic treatments and approached Dr Partap Chauhan. Based on the clinical evaluation, the physician diagnosed the condition as migraine and Ayurvedic diagnosis as Shirashoola. The line of treatment followed was Vata, pitta and vedana shamaka. Medhya and rasayana cikitsa was also incorporated. In 1 month, there was a significant relief from mild continuous headache, severe on and off headache. The nausea and vomiting during headache, also reduced. With 5 months of treatment, the patient got complete relief from all the symptoms. This case report demonstrates the successful standalone ayurvedic management of a chronic case of migrane, that was not responsive to standard of care in allopathy and homeopathy.

 A 39-year-old female patient presented with burning sensation, heaviness in the chest associated with occasional headache, constipation and hyper pigmentation of skin since 2 years. Even with antacids, for 2 years, she could not get relief from her symptoms. The associated symptoms were a sense of chocking while swallowing something, a constant dryness in the throat, a repeated urge to drink water to soothe the irritated food tract. Patient opted for Ayurvedic treatment and approached Dr Partap Chauhan. Based on the clinical evaluation, he made the biomedical diagnosis as Hyperacidity and the Ayurvedic diagnosis as Amlapitta- Vatapitta vriddhi. The line of treatment followed was Vatapitta shamana and Pitta shamana, sroto shodhana and rakta shodhana. Dravyas chosen were balya, rasayana, dipana and pacana in nature. In 1 year and 8 months, the patient got complete relief from all the symptoms. This case report demonstrates the successful standalone ayurvedic management of chronic hyperacidity in a patient who did not get relief with antacids.

A 30-year-old female patient presented with recurrent episodes of regurgitation and abdominal pain for 2 years. The pain is unbearable and associated with vomiting for 1 year for which she took analgesics and would get temporary relief. The USG done revealed a gall bladder calculi of size 24 mm. Based on the USG report, the biomedical diagnosis was made as Cholelithiasis. She opted for Ayurvedic management and approached Dr Jyoti Joshi. The ayurvedic diagnosis was made as Pittashmari. The line of treatment followed was Virecana to induce pitta shamana and to dissolve the ashmari. With 3 weeks of Ayurvedic treatments, the patient could get significant relief from the abdominal pain and regurgitation. With 4 months of treatment, the patient was relieved from all the symptoms and the repeat USG revealed normal gall bladder with no calculi. This case report demonstrates the successful standalone ayurvedic management of a chronic case of Cholelithiasis in a patient who was not getting relief from symptoms despite taking conventional medicines. 

A 44-year-old male patient presented with severe pain in lower back radiating to left leg till ankle joint since 1 month. He took some analgesics for pain management. As the condition persisted, he opted for Ayurvedic management and approached Dr Ravisankar Pervaje. Based on the investigation reports and clinical examination, the physician confirmed the biomedical diagnosis as Sciatica and Ayurvedic diagnosis as Vata kaphaja gridhrasi. The line of treatment followed was pitta shamana, vatanulomana, agni dipana and rakta vriddhi. After 3 days of treatment, the patient had a significant reduction in back pain and the posture improved. With 12 days of Ayurvedic treatment, the patient got complete relief from all the symptoms and the quality of life improved. VAS was recorded as 8 at baseline became 0 at endpoint. There was a significant improvement in SLR, and no pain while walking. This case report demonstrates the successful standalone ayurvedic management of a sciatica in a patient who did not get relief from pain in spite of taking pain killers.

A 28-year-old female patient, presented with a three-month history of papules, pustules, redness, black spots, and overall dull skin on her forehead. She had tried Ayurvedic medicines for 15 days followed by  Allopathic treatment for 10 days. But the symptoms persisted and so she opted for a second ayurvedic consultation. She consulted Dr Sushma, for better ayurvedic management. Based on clinical evaluation, the biomedical diagnosis was made as Acne vulgaris and the Ayurvedic diagnosis as Mukhadooshika. The line of treatment followed was to pacify the dushta rakta and pitta. Tvacya and dipana dravyas were included to address the condition. After 1 month- Papules healed, Redness absent, Dull skin on forehead- resolved. After 2 months- Black spots only a mild presentation persisted. After 3 months, there was complete relief from symptoms.

This case report demonstrates the successful standalone ayurvedic management of acne vulgaris, who did not get satisfactory response with conventional medicines.

A 45-year-old male patient pre-diagnosed with diabetes mellitus and on anti-diabetic medicines presented with frequent urination for 2 weeks associated with disturbed sleep, experiencing excessive thirst, fatigue, lethargy and loss of body weight. At the onset of symptoms, he had consulted an allopathic doctor who confirmed the Biomedical diagnosis as Diabetes mellitus. He started anti- diabetic medicines, but the symptoms persisted. Hence he decided to consult Dr Partap Chauhan for Ayurvedic management. The ayurvedic diagnosis was Madhumeha. The line of treatment followed was Vata- kapha shamana and Pitta- vata shamana. The treatment also targeted Sroto shodhana and rasayana karma. With 2 months of Ayurvedic treatment along with specific diet and lifestyle modifications, the frequency of urination during the night was reduced and the patient got significant relief from the associated symptoms. After 3 months of treatment, the patient had no specific symptoms. The HbA1c that was recorded as 13.6 at baseline became 6.1 at endpoint. The patient could stop all his anti-diabetic medications. This case report demonstrates the successful ayurvedic management of a case of Diabetes mellitus in a patient who was not getting satisfactory outcomes inspite of taking anti-diabetic medications.

A 40-year-old male patient presented with neck pain and radicular pain in left upper arm since 1 month associated with tingling and numbness of fingers and giddiness. The patient had a history of Road traffic accident 1 month back. He had consulted an Allopathic doctor. Neurological exam and X Ray of the spine was normal and only analgesics were prescribed. When the symptoms relapsed, MRI done revealed C5-C6, C6, C7 PIVD with root compression. The biomedical diagnosis was confirmed as Cervical canal stenosis, and surgery was recommended. The patient refused and consulted Dr Rajnikanth for Ayurvedic management. The ayurvedic diagnosis was Abhighataja griva gata vayu vruddhi. The line of treatment followed was to pacify the vata and initiate the sandhana karma. The treatment also targeted to address the avarana of vata and do rasayana for the asthi dhatu. After 1 month of treatment, there was significant reduction in neck pain and giddiness. Radicular pain was absent. The Neck Pain And Disability (NPAD) score that was recorded as 87 before treatment became 10 after treatment. This case report demonstrates the successful standalone ayurvedic management of cervical canal stenosis, in a patient who was suggested surgery as the best option.

A 9-year-old female patient presented with right upper abdominal pain which lasted for few hours since 3-4 months. She was given analgesics to relieve pain. The pain was persisting, and USG done confirmed the Biomedical diagnosis as cholelithiasis. When the pain reoccurred, the patient opted for Ayurveda and consulted Dr Rajnikanth. The ayurvedic diagnosis was Pittashaya ashmari. The line of treatment followed was pitta hara and shotha hara. The target of the medicines was lekhana karma, to help eliminate the ashmari in the pittashaya. Three days after starting the Ayurvedic treatment, the pain reduced, and the tenderness was absent in the epigastric region. After 1 month of treatment, the patient had complete relief from the symptoms. Repeat USG done after treatment shows no significant abnormality.

A 17-year-old male patient presented with a sudden onset of headache followed by blurring of vision of left eye since 14 days. He had consulted an allopathic doctor and based on the ONH and RNFL OU Analysis OD OS, the biomedical diagnosis was made as Neuro Myelitis Optica Syndrome disease. The serum sample tested very strongly positive MOG IgG antibodies and so he was prescribed steroids. The patient refused and opted for Ayurvedic management. He approached Dr Sreeja who made the Ayurvedic diagnosis as Timira- kapha pittotthara sannipataja. The line of treatment followed was Shopha hara and Kapha- pitta shamana. With one month of Ayurvedic treatment, the vision became normal and clear. Perimetry, ONH and RNFL OU Analysis OD OS done during and at endpoint indicated a significant improvement. This case report demonstrates the standalone successful ayurvedic management of papilledema, in a patient who was recommended steroids but was not willing to take them.

A 43-year-old male patient complained of a painless hard mass in the left axillary region that was slowly progressing since the past 2 months. He consulted Dr Aditya Mishra via telephone and took ayurvedic medicines for 20 days, but did not get relief. So he consulted an allopathic doctor and took conventional medicine for a few days, but the symptom did not resolve. He restarted ayurvedic treatments and was referred to a Modern Hospital for detailed investigations. FNAC, PET Scan and Biopsy done confirmed the biomedical diagnosis as Diffuse Large B cell Lymphoma- stage 3, and was scheduled for Chemotherapy. The Ayurvedic diagnosis was Mamsa arbuda. The line of treatment adopted was Tridosa shamana specifically kapha and pitta hara. Dipana- Pacana, medhya and rasayana dravyas were also given. Along with chemotherapy, ayurvedic treatments were integrated with specific dietary recommendations and psychotherapy. This integrative approach could minimise the side effects during CT, no delay in CT and no secondary infections reported. The Scored Patient- Generated Subjective Global Assessment, revealed that the quality of life of the patient could be enhanced. The Deauville Score that was documented as 3 at baseline, became 1 at endpoint. This case report portrays the successful integrative management of DLBCL with Chemotherapy, ayurveda, diet, psychotherapy, and specific use of functional food.

A 73-year-old female patient  presented with multiple joint pain on & off without any specific trigger factors for 4 years. Condition got aggravated in the last 1 year.  The associated symptoms are severe abdominal bloating, incomplete bowel evacuation even with laxatives and disturbed sleep. She is a known hypertensive, and is on regular allopathic medication. She took ayurvedic medicines for knee pain for 3 years and got significant relief. But for the presenting complaints, there has been no prior consultation or treatment. The patient approached Dr Partap Chauhan for better Ayurvedic management. On examination, there was pain and swelling in both knees. Based on the clinical examination and X-Ray of the knees findings, the biomedical diagnosis was made as Osteoarthritis and Ayurvedic diagnosis as sandhivata. The line of treatment followed was Vatanulomana, vatapitta shamana, sroto shodhana and ama pacana. Within 1 month of starting treatment, there was a significant reduction in pain and swelling. In 7 months, only mild constipation and bloating persisted. In 11 months, the dose of the anti-hypertensive drugs could be tapered. VAS recorded as 7 at baseline for multiple joint pain reduced to 2 at endpoint. In 1 year and 10 months, the patient got complete relief from all the symptoms. Repeated Xray taken revealed improvement. This case report demonstrates the integrative management of Osteoarthritis in a patient who had been suffering from this condition since 4 years and was worsening.

A 39-year-old female patient pre- diagnosed with ALS presented with severe pain associated with restricted movements of her right upper and lower limb which makes her day-to-day activities strenuous since 1 year. She feels like choking while swallowing food, has trouble eating, drooling of saliva and her food intake has reduced drastically.  Her quality of life is badly affected as she is always disturbed by poor sleep due to her symptoms. She had tried conventional medicine but did not get relief. She now approached Dr Zankhana for ayurvedic management. The ayurvedic diagnosis was Vatavyadhi- Mastishka majja kshaya. The line of treatment followed was Sroto shodhana, dosa recana, shirogata vata shamana, balya and brmhana. After 15 days of Ayurvedic treatment, there was a noticeable reduction in her symptoms. Following 25 days of treatment, the patient experienced significant improvement in her clinical condition and overall quality of life. This case report demonstrates the successful ayurvedic management of ALS in a patient helping to improve the quality of life.

A 54-year-old male patient complained of constant blinking of both eyes since 1 year. Based on the MRI report, the condition was pre-diagnosed as Blepharospasm. Despite receiving standard of care, the condition continued to worsen, significantly impacting his daily life. He was recommended Botox therapy, which the patient refused and opted for Ayurveda. Dr Rajnikanth diagnosed this condition as Pakshma gata vayu prakopa. The line of treatment followed was Vatapitta hara and shotha hara. The medicines were picked targeting the relief from the symptoms and boosting the immunity and promoting the digestion. After six months of Ayurvedic treatment, the patient experienced substantial relief from the symptoms. This case report demonstrates the successful standalone ayurvedic management of Blepharospasm in a patient who was not getting satisfactory relief inspite of standard of care and was recommended Botox therapy as the solution.

A 43-year-old female patient presented with lower abdomen pain and burning sensation in urine since 15 days. The associated symptoms were frequent mouth ulcer since 2 years and irregular periods since 1 year. There were no prior consultations or treatments. The patient approached Dr Tara for ayurvedic management. Based on the clinical findings and USG report, the biomedical diagnosis was Multiple left renal calculi with mild hydronephrosis and the Ayurvedic diagnosis was Udavarta janya ashmari. The line of treatment followed basically targeted at strengthening the uterus and the pakvashaya. Pacification of Apanavayu dushti and Mustrashmari nashaka were also the targets of the treatment. Within 1 week of Ayurvedic treatments, the patient could get significant relief from the symptoms. The repeat USG done after 1 month of treatment, revealed only the 7 mm-sized calculus in the middle calyx, while the 6mm calculus in the upper calyx and 5 mm calculus in the lower calyx were not detected. Hydronephrosis is absent. This case report demonstrates the successful standalone ayurvedic management of Renal calculi. 

A 79 year old male patient complaints of dissatisfaction in urination since 1 year associated with frequent urination during the night. The sleep in the night is disturbed due to frequency of urination. There is no prior consultation or treatment. The patient opted for Ayurvedic management and approached Dr Tara. Based on the clinical examination and reports of  USG abdomen, the biomedical diagnosis was made as Benign prostatic hyperplasia (BPH) and Ayurvedic diagnosis was Vatashtila. The line of treatment followed is Pitta hara and kapha hara, lekhana, rasayana, and mutrala. With 2 months of Ayurvedic treatment the patient noticed a significant reduction in symptoms. After 5 months, the patient attained complete relief from the symptoms and a repeat USG done revealed that the prostate was normal in size. This case report portrays the successful ayurvedic management of BPH, with simple oral medications. 

A 32-year-old female patient complaints of scanty and irregular periods associated with painful menstruation for 1 year. There were no prior consultations or treatments. She approached Dr Tara, for Ayurvedic management. Her USG reports revealed Bulky uterus with adenomyotic changes and Bilateral Polycystic ovaries. Based on the investigation report and clinical examination, the Biomedical diagnosis was made as Adenomyosis and the Ayurvedic diagnosis was Vataja Yonivyapat. The line of treatment followed was Vata- pitta shamana and initiate the vatanulomana. After 6 months of treatment, the patient got significant relief from all the symptoms with normal menstrual cycle.  In the repeat USG, done at the endpoint, the uterus appears normal with homogenous myometrial echoes. This case report demonstrates the successful standalone ayurvedic management of Adenomyosis.

A 57-year-old female patient, presented with difficulty in swallowing food, loss of appetite and significant weight loss for 4-5 months. She was able to take only a soft diet and liquids. She aslo had abdominal pain on & off. There was no prior consultation. The patient consulted Dr Zankhana, who recommended Invasive investigations like OGD/HPE/PET-CT Scan. Based on the reports, the biomedical diagnosis was confirmed as moderately differentiated squamous cell carcinoma of the esophagus, grade -2. She was directed to an Oncologist, who advised Chemotherapy and Radiation therapy followed by surgical resection. . An integrative approach was advocated for the management of this clinical condition. The Ayurvedic diagnosis was Arbuda.  The line of ayurvedic treatment followed was dipana, pacana, balya and ojo vardhana. The medicines also targeted at addressing the symptoms like lack of sleep, colic and stress. The Chemo and radiation therapy were also carried on as scheduled by her oncologist. Based on the Patient-reported outcome scale and the Physician outcome scale, it was evident that there was a significant change in the symptoms. After 1 month of treatment, she was able to take solid food. There were no episodes of vomiting or burning sensation in the abdomen. VAS recorded 10 at baseline reduced to 3. After 2 months of treatment, there was a significant improvement in the WBC and platelet count. After 3 months of treatment,  she underwent surgery for tumour removal. Last follow-up done was after 7 months, which revealed the patient was fully back to her normal routine. PET revealed a tumor-free status. This case report demonstrates the successful intergrative management of Esophageal cancer. 

A 50-year-old female patient presented with muscle wasting and weakness in both upper and lower limbs for the past 5 years, along with slurred speech, difficulty in swallowing liquids, and a weight loss of nearly 12 kgs over the last year. The symptoms started in 2019. She took allopathic medicines, but there was no relief in symptoms, and the condition was progressing. In 2021, based on the focused exome sequencing and deletion/duplication test report, the allopathic doctor confirmed the biomedical diagnosis was confirmed as Amyotrophic Lateral Sclerosis- Bulbar onset.  She wanted to try Ayurveda and so she consulted Dr Zankhana in February 2023. The ayurvedic diagnosis was Mastulunga Majja Kshaya: Kapha Avruta Udana. The line of treatment followed was tridosha shamana, agni vardhana, indriya bodhana, balya and brimhana. After 1 month of starting ayurvedic treatments, the appetite, sleep and writing ability improved. The Standard and patient outcome scales indicated that the disease has not progressed. The ayurvedic medicines were stopped after 2 months and the patient was advised to come for a follow-up after 6 months. This case report narrates the successful integrative management of ALS- bulbar onset in a female, who was on conventional medicine for a long time, but the disease was progressing and the symptoms were worsening. With supportive Āyurvedic treatments, the symptoms could be maintained without further deterioration.

A 41-year-old male patient, presented with pain over the low back region for 6 months associated with pain over the right shoulder region. He is a known case of Hypertension for 5 years and is on regular allopathic medication for the same. Prior to the ayurvedic consultation, he had joint pain in 2015 and 2019, wherein he took ayurvedic and allopathic treatment respectively and got relief. The patient now approached Dr Indu for better Ayurvedic management. Based on the lab investigations and the examination, the biomedical diagnosis was made as Hyperuricemia. Based on the clinical evaluation, the Ayurvedic diagnosis was made as Paittika vataraktam. The Vata shonita (vata rakta) cikitsa sutra was followed. With 2 weeks of Ayurvedic treatment, the pain reduced and the uric acid value also reduced. In one month the patient got relief from all the symptoms. The repeated blood investigation revealed uric acid level had reduced to 5.2, from 8.8 recorded at baseline. This case report demonstrates the successful integrative management of a chronic case of Hyperuricemia in a male patient, whose serum uric acid level did not reduce, in spite of taking conventional medicines.

A 36-year-old male patient presented with extreme pain, cold sensation, slight swelling, and blackish discolouration with crust over the tip of the right index finger for the past 3 months. The onset of the symptoms was in January 2021. He took allopathic medicines and got relief, but the condition relapsed after some time. The biomedical diagnosis was confirmed as Raynaud’s phenomenon based on the capillaroscopy of both hands. During this episode, in spite of taking allopathic medicines, he did not get relief and the symptoms worsened. He approached Dr Narayana Nambi in December 2022, for Ayurvedic management. The Ayurvedic diagnosis was Vatapitta pradhana raktanubandha uttana vataraktam.. The line of treatment followed was Shopha hara, vata-pitta hara, balya and varnya. In general the Vatarakta cikitsa sutra was followed. After 1 month of treatment, there was a reduction in symptoms like pain and discolouration. After 2 months, the patient got significant symptomatic relief. Raynaud condition score before treatment was 5 which became 1 after treatment. This case report explains the successful integrative approach in the management of Raynaud’s phenomenon, in a patient, who has been suffering from the condition past 3 months and was not responding to standard of care.

A 64-year-old female patient was a known diabetic for 14 years and hypertension for 5 years. She is on allopathic medication for diabetes and hypertension. She complains of frothiness of urine and bilateral ankle swelling since 6 months. She did not consult any allopath for this specific symptom. She consulted Dr Indu for Ayurvedic management. Based on the lab investigations, the biomedical diagnosis was made as Microalbuminuria in Diabetes Mellitus. Based on the clinical evaluation, the ayurvedic diagnosis was made as Prameha janya abhyantara vidradhi pidaka. The line of treatment followed was prameha hara. With one month of Ayurvedic treatment, the 24 hour Microalbumin level – 100 mg/day at baseline became 30 at endpoint level reached within normal limits and the patient got relief from all the symptoms. This case report highlights the clinical efficacy of ayurveda in treating Micro albuminuria using a simple single formulation.

A 23-year-old female patient presented with an abscess in the perianal region associated with pain for 1 week. At the onset of symptoms, she tried Ayurveda treatment at another facility for 1 week. But she did not get complete relief. The patient now consulted Dr Sreelekshmi for better ayurvedic management. Based on inspection, and probing, the biomedical diagnosis was made as Pilonidal sinus. Based on the clinical evaluation, the Ayurvedic diagnosis was made as Shalyaja Nadi vrana. The line of treatment followed was Vrana ropana and shodhana, and shopha hara. With 2 weeks of ayurvedic treatment, the tract was healed completely without any cosmetic deformations or clearly visible scars. After 1 month of treatment, there was normal skin and in and around that area. The case report demonstrates the remarkable clinical efficacy of Ayurveda in treating pilonidal sinus, resulting in complete healing within just one month. This success underscores the potential of Ayurvedic therapies as a viable and efficient option for managing this condition.

A 63-year-old female patient was a known case of Diabetes mellitus for 2 years and Hypertension for 17 years, and was on regular allopathic medicines. For the past 4-5 years, she has been suffering from low backache associated with stiffness. She tried painkillers but got no relief. She was advised to undergo surgery. The patient now consulted Dr Partap Chauhan for better ayurvedic management.

Based on the clinical evaluation and X Ray findings, the biomedical diagnosis was made as Lumbar spondylosis, and the Ayurvedic diagnosis was made as Kati shoola. The line of treatment planned was Vata kapha shamana, ama pacana, sroto shodhana and rasayana. Within 1 month of ayurvedic treatment, there was a significant reduction in pain and stiffness. In 2 months, there was only minimal pain on walking short distances. With 4 months of Ayurvedic treatment, the patient got complete relief from symptoms and the quality of life improved. At rest, VAS was recorded 8 before treatment and 2 after treatment. During activity, VAS recorded 10 before treatment became 2 after treatment. This case report demonstrates the successful ayurvedic management of chronic low backache, in a patient who was advised surgery as a remedy for her symptoms.

A 19-year-old male patient presented with itching and dandruff on the scalp for 4 years associated with scaling, dry skin lesions, and itching over the entire body for 2 years. There were no prior treatments. The patient consulted Dr Partap Chauhan for the management of this condition. Based on the clinical evaluation, the biomedical diagnosis was made as Xeroderma and the Ayurvedic diagnosis was Darunaka. The line of treatment was Vata-pitta, vata-kapha, tridosa shamana, sroto shodhana and rasayana cikitsa. With 7 months of Ayurvedic treatment, the patient got complete relief from symptoms. This case report is an example for the successful ayurvedic management of a case of Xeroderma in a patient with a chronic history. 

A 40-year-old female patient suffered from pain in the right knee joint which was progressive in nature and later she experienced pain in the left leg, heels and fingers of the hand, for 6 months.  She consulted an allopathic doctor and took painkillers. She underwent the standard of care, but got only temporary relief. She approached Dr Partap Chauhan for better management of her condition. Based on the clinical evaluation and ACR/EULAR criteria, the biomedical diagnosis was made as Rheumatoid Arthritis and the Ayurvedic diagnosis was made as Amavata. The line of treatment followed was tridosa shamana, sroto shodhana, ama pacana, balya and rasayana. After 1 month of treatment, the symptoms started reducing. In 4 months, she got complete relief from her symptoms. The RF and CRP were positive before treatment, came down to normal limits after treatment. This case report demonstrates the successful ayurvedic management of RA in a patient who did not get satisfactory relief from symptoms inspite of taking conventional medicines.

A 35-year-old male patient presented with silvery-scaly patches over the trunk, scalp and over legs with severe itching and dryness for 8 years. He had tried topical applications and internal medications. He would get relief. But when he stopped the medicines, the relapse would be worse than the previous episode. So he decided to stop the allopathic medicines and approached Dr Roopa for ayurvedic management. Based on the clinical evaluation and assessments, Dr Roopa made the biomedical diagnosis as Plaque psoriasis and the Ayurvedic diagnosis as Kitibha. The line of treatment followed was Kapha-vata and Kapha-pitta hara, and Sarva kushta hara. After 1 month of Ayurvedic treatment,  there was a reduction in the size of the lesions and also in the itching. After 3 months of Ayurvedic treatment, the patient got complete relief from all the symptoms and lesions.

This case report demonstrates the  clinical efficacy of Ayurveda in treating  a chronic case of psoriasis, in a patient who did not get relief from his symptoms, in spite of taking medicines, and always faced a worse relapse.

A 24-year-old female patient presented with increased hair fall. One month back, she tested COVID positive. After that she noticed hair fall. There were no prior consultations or treatments. The patient’s first consultation was with Dr Renjith for ayurvedic management. Based on the clinical evaluation, the biomedical diagnosis was made as Post Covid Hairfall, and the Ayurvedic diagnosis was Kesa sada. The line of treatment was to enhance hair growth. The patient noticed a reduction in hair fall after 3 days of Ayurvedic treatment. With 14 days of treatment, there was a significant reduction in hair fall and new hair strands were noticed. After 1 month of treatment, the condition completely resolved. This case report is an example of the successful ayurvedic management of Post Covid Hairfall, in a young female who had tried hair oils and home remedies, but did not get relief.

A 44-year-old female patient complained of reddish painful eruptions in her face and body for 6 days.  The associated symptoms were itching and yellowish discharge from the eruptions, fever and weakness for 1 day. At the onset of symptoms, she consulted an allopathic doctor and tried topical applications and internal medications. The painful eruptions mostly increased and spread all over her face, while it subsided in the body. She felt intense pain and was advised to come for Ayurvedic treatment. She consulted Dr Sreejith. Based on the pus swab culture and sensitivity, the Biomedical diagnosis was made as Klebsiella pneumoniae induced infection and based on the clinical evaluation, the ayurvedic diagnosis was made as Paittika visarpam. The line of treatment followed was tridosha shamana, krimighna, sroto shodhana and kandu hara.  With the initiation of ayurvedic care, after 2 days of treatment, the fever subsided. With the 2 weeks of Ayurvedic treatment, the patient noticed significant relief in symptoms. After 1 month of treatment, the lesions completely healed and the patient attained normal skin tone. This case report narrates the successful standalone āyurvedic management of Klebsiella pneumoniae infection female patient who was not responding to standard of care, and the symptoms were worsening.

A 30-year-old male patient presented with acid regurgitation, pain over the retrosternal area, and nauseating feeling after having meals for 10 years (since 2009). His daily activities were getting affected owing to the symptoms he used to get like severe episodes of headache which in turn affected his Quality of Life. His sleep cycle was affected as he used to get up in between sleep due to severe acid regurgitation. He took allopathic medicines and was on antacids. But the patient did not get relief. He then consulted Dr Partap Chauhan for better ayurvedic management. Based on clinical evaluation, the biomedical diagnosis was confirmed as Chronic Hyperacidity and the Ayurvedic diagnosis was Amlapittam (Jirna). The line of treatment followed was basically pacifying all the three dosas. With the initiation of Ayurvedic treatments, patient could taper the dose of regular antacids, and after 1 year he could completely stop the antacids. After 3 years of Ayurvedic treatments, he got complete relief. The last follow up was done after 8 months of stopping all his medicines, and there has been no recurrence. This case report demonstrates the successful ayurvedic management of a chronic case of Amlapitta in a 30 year old male patient who had been suffering from this condition for more than 10 years.

A 37-year-old male patient is a known case of Type 2 Diabetes mellitus since 3 years. He presented with excessive tiredness, weight loss, polyuria and polydipsia, and pain in the soles of the feet for 8 months.  He also experienced stress, anxiety, overthinking and memory loss. He had consulted an allopathic doctor at the onset of symptoms in 2019. The biomedical diagnosis was DM type 2 based on the HbA1c value. He tried Insulin for 3 months. Stopped Insulin and then started taking anti-diabetic medications. But in spite of taking medicines, the blood sugar control was very poor and the symptoms persisted. So he consulted Dr Partap Chauhan for better management of the condition. The ayurvedic diagnosis was Prameha. The line of treatment followed was vata-pitta and vata-kapha shamana, medhya, rasayana and sroto shodhana. With 5 months of ayurvedic treatment along with diet and lifestyle modification, he was able to reduce the dosage of his concomitant medicine. The HbA1c reduced to 7.4 from 10.9 recorded at baseline, indicating good blood sugar control. He got complete relief from all the associated symptoms. The Ayurvedic medicines are still continued. This case report demonstrates the successful integrative management of a chronic case of Diabetes mellitus, in a male patient, whose blood sugar control was very poor, in spite of taking conventional medicine.

A 64 year old male patient was diagnosed with Diabetic mellitus during his regular health check-up. He was asymptomatic and had not take any prior treatments. The patient consulted Dr Tara, for Ayurvedic management of the condition. Based on the clinical evaluation and blood reports, the biomedical diagnosis was made as Type 2 DM, and the Ayurvedic diagnosis was made as Prameha. The line of treatment followed was Prameha hara, tridosa shamana and rasayana cikitsa. After undergoing two months of Ayurvedic treatment, along with diet, lifestyle modifications and pranayama, there was a significant reduction in his blood sugar levels. The FBS and PPBS recorded as 243 and 171.1 at baseline, reduced to 117.6 and 169.3 after 2 months. The patient is still continuing the medicines. This case report highlights the potential benefits of integrating Ayurvedic treatment with diet, lifestyle modifications and yoga practice, for managing blood sugar levels effectively, even in asymptomatic individuals.

A 41 year old female patient presented with a moderate increase in thirst, hunger, and frequency of micturition. The associated symptoms were mild tiredness and dryness of the mouth. She was diagnosed with Type II Diabetes mellitus 1 year back during a routine blood check-up. The patient is not under any medication and she noticed increased blood sugar variations. She approached Dr Indu for Ayurvedic management. Based on the clinical evaluation and HbA1c value, the Ayurvedic diagnosis was made as Prameha. The line of treatment followed was Prameha hara and Kaphamedo hara.  With three months of Ayurvedic treatment, supported by dietary and lifestyle modifications, she experienced a significant reduction in symptoms. The HbA1c recorded 7.6 at baseline, became 4 at endpoint. She stopped all the ayurvedic medicine after 4 months.

A 43 year old female patient complaints of post debride, fresh, full thickness wound over the dorsum of left foot since 3 days. There is also tenderness over lower 1/4th of tibia and calf muscles since more than 7 years, aggravated since 2 weeks. Pain and tenderness is present over the central plantar surface of foot since 2 weeks. Patient is a known diabetic since 7 years, but not on regular medication. She was diagnosed with Diabetic foot ulcer based on the clinical examination and USG Colour Doppler of the left leg, by the allopathic doctor.  Wound debridement on spinal anaesthesia was done followed by oral medications and injections. She was advised for a below knee amputation to save the limb. As the patient was not willing she approached Dr Jishnu Narayanan for ayurvedic management. The Ayurvedic diagnosis was Dusta Vrana. The line of treatment followed was Vrana, Shopha and Vidradhi hara. With Ayurvedic treatment, the wound  healed completely and was covered with healthy skin in 5 months. This case report demonstrates the successful management of a non-healing diabetic foot ulcer, in a patient who was recommended amputation to save the limb.

A 57-year-old male patient presented with complaints of severe pain in anal region associated with pus discharge for 2 years. He consulted an allopathic doctor and based on the MRI fistulogram, the biomedical diagnosis was made as posterior complex anal fistula.  He underwent two surgical procedures the first procedure was Incision and drainage of ischiorectal abscess, and the second procedure was Seton replacement. The patient did not get satisfactory outcome. So he consulted Dr Ramesh Bhat for ayurvedic management. This was diagnosed as Bhagandara. The primary treatment followed was Ksharasutra supported by internal medications. After undergoing Ksharasutra treatment for 4 months- the thread changed once 1 week, the pus discharge completely stopped and a repeat sonofistulogram showed no evidence of fistula in ano. The patient got complete relief from his symptoms and the medicines were stopped. This case report narrates the successful standalone ayurvedic management of a case of complex anal fistula in a patient who had already tried 2 surgical procedures but did not get complete relief.

A 60-year-old female patient presented with dry hard skin in the dorsal aspect of both feet with occasional itching that resulted in bleeding followed by the shedding of scales for 2 years.

The patient had taken steroids and antihistamines, and oral medications past 2 years, but did not get relief. So she consulted Dr Soumya, for better Ayurvedic management of her symptoms. Based on the clinical evaluation, Dr Soumya made a biomedical diagnosis as Eczema and an ayurvedic diagnosis as Vicharcika. The line of treatment followed was Vishahara, kanduhara, vrana ropana and initiate rakta shuddhi. After one and half months of treatment, a significant reduction in the symptoms was observed. Itching followed by bleeding was observed rarely. After 5 months of Ayurvedic treatment, the patient is completely free from all the symptoms.This case report demonstrates the successful standalone ayurvedic management of a chronic case of eczema, in a patient who was not responding to the standard of care.  

A 30-year-old female patient presented with a painful abscess over the chest, which was accompanied by swelling to the right side of the neck associated with occasional discharge and itching for 6 months. She tried various home remedies and conventional medicines but did not get any relief and her condition continued to worsen. The allopathic doctor had suggested that the only option was to undergo minor surgery or repeated incision and drainage procedures. The patient was not willing and so she approached Dr Partap Chauhan. Based on the clinical evaluation, the biomedical diagnosis was Abscess and the Ayurvedic diagnosis was Vidradhi. The line of treatment followed was basically srotoshodhana, rakta  Shodhana, Vata-kapha shamana and Tridosha hara. With 8 months of Ayurvedic treatment, the patient got relief from itching and pus discharge. Swelling and pain reduced. After 1 and a half years of treatment, the patient got relief from all the symptoms, and the wound healed completely. This case report demonstrates the successful ayurvedic management of an abscess, in a patient who was recommended repeated incision and drainage or a minor surgery.

A 29-year-old female patient presented with deranged thyroid hormone levels and was diagnosed with hyperthyroidism in November 2018. She took antithyroid medicines for a month. After 1 month, a repeat Thyroid function test showed no improvement, hence she was suggested for Radio iodine therapy, where in the patient was not comfortable starting the therapy. And she consulted a Homeopathy doctor and took medication for 3 months. A thyroid scan done in 2019 revealed hyperplastic goitre of the thyroid gland confirming the biomedical diagnosis as Grave’s disease. She decided to try an alternative treatment and approached Dr G G Gangadharan. The ayurvedic diagnosis was Galaganda. The line of treatment followed was snehapana, abhyanga and virecana to correct the blood circulation and hormonal imbalance. With the initiation of the standalone ayurvedic treatment, the patient got a significant reduction in clinical condition and deranged thyroid levels were brought to normal limits within a time span of 1 year and 2 months. The patient is continuing the medicines and is in remission.

A 23-year-old businessman complained of dry and itchy skin with red rashes on the dorsal aspect of the palm in the right hand and the dorsal aspect of both the foot region. The onset of the symptoms was 3 years back, with redness, dryness and itching over the skin. He consulted a general practitioner and got symptomatic relief. Six months back, the symptoms relapsed, and he consulted a dermatologist. The biomedical diagnosis was chronic eczema based on the clinical examination and presentation. He tried topical ointments, steroids, immunosuppressants etc. The patient continued the medicine for 4 months and stopped completely as there was no improvement in the clinical condition. He now consulted Dr Gaurang Joshi. The ayurvedic diagnosis was Vicharcika. The line of treatment adopted are amahara, rakta sodhana, and punah punah sodhana cikitsa along with management of stress and boosting the immunity. He got complete relief from scaly lesions, redness and itching and is in remission when last followed up.

A 40-year-old male patient was diagnosed with Diabetes mellitus, 8 years back. The diagnosis was confirmed with HbA1C that was 8.6 in 2014. Over a period of 8 years, despite taking 3 different anti-diabetic drugs, the HbA1C in 2022 was 7.2 which indicated a poor diabetic control. He is also suffering with erectile dysfunction for 4 years. So, he decided to try Ayurveda and approached Dr Partap Chauhan, who diagnosed this condition as Vataja Prameha- Madhumeha. With 4 months of Ayurvedic treatment along with diet and lifestyle modification, his HbA1C was reduced to 5.6 which indicated good diabetic control. He was able to discontinue 2 anti-diabetic drugs out of 3 and reduce the dosage of the other concomitant medicine. There was also improvement in the erectile dysfunction..   

A 65-year-old male patient complained of fluctuation in blood sugar levels since March 2021. He is a known diabetic since past 7 years. Initially, he took allopathic medicines, but as there was no significant change in the sugar levels, he stopped allopathic medicine and started ayurvedic medicines. The blood sugar was well under control, until March 2021. The patient had a history of chronic calcific pancreatitis since 2011, for which he had taken allopathic treatment and got relief. Now he is not taking any medication for the same. He now consulted Dr G G Gangadharan and the Ayurvedic diagnosis was made as Prameha. The line of treatment was pramehara cikitsa, to increase the vyadhi kshamata and to normalise jataragni. USG Abdomen done on 25.8.2021 revealed dilated pancreatic duct measuring 11mm with calculus measuring 17 mm. With standalone ayurveda treatment, diet and lifestyle modification, the blood sugar values showed a significant reduction within 4 months’ time. The HbA1c which was recorded as 8.6 at baseline, reduced to 6.5 % which demonstrates the shift from poor control to good control. A repeat USG showed the size of the pancreatic duct dilation and calculus remarkably reduced to 8.4mm and 5.9 mm.

A 44-year-old male patient complained of abdominal distention, pitting oedema of both lower limbs and yellowish discolouration of eyes and urine for 2 weeks. At the onset of symptoms, he consulted a gastroenterologist who diagnosed him with Decompensated Chronic Liver disease on 29/5/21 (severe liver cirrhosis stage 3) based on the CECT abdomen. As his CHILD C CTP was 11/15 and MELD was 25, he was advised for a liver transplant. As the patient was not willing to have surgery, he consulted Dr G G Gangadharan. The ayurvedic diagnosis was made as yakrutodara. During Ayurvedic treatments, his regular conventional medicine was also continued. The ascetic fluid tapping was done under aseptic conditions 3 times within 2 weeks. Fluid analysis was done regularly. At the time of discharge, after 2 weeks, yellowish discolouration of eyes and urine resolved, abdominal distention and pitting oedema in lower limbs reduced. The elevated blood parameters were also reduced to near normal limits. Monthly follow-up was done and routine blood investigations like CBC, ESR, LFT, INR were done. After discharge, the patient continued the internal medicines, and the frequency of fluid tapping was reduced to once a week. There was a reduction in swelling of legs, yellowish discolouration of eyes completely resolved. The patient is continuing the medicines and is requested to come for regular follow ups. 

A 46-year-old female, diagnosed with Multiple sclerosis presented with difficulty in walking, writing, and fine movements asoociated with involuntary  nodding of the head since 2 years. The patient was normal until 14 years back. In 2008, she developed a sudden blurring of vision for which she took the standard of care. She was diagnosed with Retrobulbar neuritis. Etiological workup was done, and she was discharged. Based on MRI findings, she was provisionally diagnosed as Multiple Sclerosis. Her vision was recovered but had fatigue that she managed with home remedies. In 2009, the condition relapsed. The biomedical diagnosis was confirmed as Relapsing-remitting Multiple sclerosis with Brain MRI. By 2014, the patient developed difficulty in writing, she noticed that her handwriting started changing. By 2019, the symptoms worsened, and she developed nodding of head, an inability to walk and repeated episodes of tremors. In spite of taking conventional medicines, the outcome was not satisfactory. In 2021, she consulted Dr Shibu Varghese. The ayurvedic diagnosis was Vatavyadhi. The line of treatment followed was to correct dhatvagni, adopt dhatugata and sannipata jvara cikitsa, use of tikta rasa followed by madhura rasa and rasayana cikitsa. The outcomes were assessed based on EDS Scale, Ambulation Index, and Neurologic physical examination. After 2 weeks of treatment, patient could walk without support. The frequency of head nodding reduced, handwriting of the patient has improved. The EDS scale that was 7 before treatment became 2 after ayurvedic treatment. The ambulation index was recorded 2 pre-treatments became 0 after treatment. The patient is continuing the medicines and advised to come for regular follow ups.

A 35-year-old female patient presented with pain in the right knee joint since 5 days associated with restricted knee joint movements. The patient had a history of a Road traffic accident 5 days back and her right knee had been injured. She was taken to a nearby hospital for emergency care. Movement of the right knee joint was not affected at that time and the patient was prescribed painkillers and advised to rest. The next day she noticed severe pain in the knee joint while walking and could not bend the knee. MRI of the right knee revealed complete disruption of the anterior cruciate ligament near its femoral insertion. Surgery was advised, but she was unwilling to undergo surgery. So, she consulted Dr Govind Narayanan for ayurvedic management. This was diagnosed  as Abhighataja janu shoolam. The line of treatment followed was to address the abhighata. Within 2 days of starting treatment, the swelling reduced and there was no pain in the knee during rest. Follow-up after another 2 weeks revealed a significant reduction of pain and swelling in the right knee. A follow-up MRI of the right knee done after 1 month revealed only partial disruption of fibres at the femoral insertion, indicating a recovery.

A 75-year-old female patient approached Dr Sreekanth with defective vision in both eyes for 2 years and occasional redness of the eyes. She had been taking Category 1 Anti Tubercular Treatment with topical steroids and cycloplegic drugs - Ethambutol since November 2019. It was in February 2020 that the blurring of vision started. In August 2020, the symptoms worsened and there were floaters in the eye. The Biomedical diagnosis was Ethambutol-induced toxicity, and the ATTs were stopped immediately, and she was put on vitamin supplements. But even in further follow-ups, there were no improvements in the vision. So she opted for Ayurveda. Dr Sreekanth diagnosed this condition as Drishti gata rogam. The line of treatment followed was pacifying the tridoshas, and improving the agni, do ama pacana and sroto shodhana, by administering balya and brmhmana dravya. After 3 weeks of ayurveda treatment, visual acuity improved in both eyes and the floaters in the right eye reduced significantly. The patient is advised regular follow-ups.

A 30-year-old male was suffering from whitish patches unevenly distributed over the skin in the shoulder region and around the umbilical region. He consulted a general practitioner, and a clinical diagnosis was made as Idiopathic Guttate Hypomelanosis. He underwent Laser treatment and the local application of steroids. After more than 1 year of treatment, there was only temporary relief. The patient now consulted Dr Jyoti Joshi, presenting with hypopigmented patches, progressive in nature, over the skin in the shoulder and umbilical region since 2018. This clinical condition was diagnosed as Shvitra. Agnikarma was the main line of treatment and oral medications were also given. Agnikarma were done once a week, for 3 weeks, with 22 number silver needle. Bakuci Tailam, was applied after this procedure at the spot of Agnikarma. A follow up done after 21 days revealed a significant reduction in hypopigmentation. After 1 month of treatment, the progression of the disease could be stopped entirely, and the hypopigmentation was seen diminishing by its colour and size. The patient started following a healthy diet and lifestyle that supported rapid recovery. There has been no recurrence to date.

A 42-year-old female patient, an Ayurvedic Doctor by profession presented with visualizing straight lines/objects as curves (metamorphopsia). She consulted an ophthalmologist who diagnosed the clinical condition as ARMD (age-related macular degeneration) which is unique considering the patient’s age. The patient refused to take the injections and drops prescribed by the ophthalmologist. After 1 year, when the symptoms worsened, she consulted Dr Sreevidhya Unni who diagnosed it as Tritiya patala gata timiram (ie pittaja kacam), which is kricchrasadhya. The line of treatment followed was pittahara and adhishtanagata netra cikitsa to address the symptoms of Drishti vihvalata. After 15 days of Ayurvedic treatments, almost all the symptoms disappeared. But the treatments were continued. Inpatient treatments were done in March- April and November-December 2021. Last followed up, the patient is completely free from symptoms and even after 7 years, the latest OCT, perimetry and fundus fluorosin angiography showed a significant improvement and there is no deterioration. Even after stopping all Ayurvedic medicines in 2015, the latest OCT, fundus flourosin angiography and perimetry done in 2022 show no deterioration. The patient is in remission.

A 63-year-old male patient was suffering from severe breathlessness even when engaged in a simple activity like walking, standing up, or climbing stairs; severe weakness, cough (Dry and Wet) sometimes with fresh blood and weight loss in August 2021. He had a history of Covid 19 Pneumonitis on 10.6.21. Post covid he took 1 week of Inpatient treatment at Orange Hospital for generalized weakness and decreased oral intake (21.6.21- 28.6.21). HRCT Lungs revealed a left lower lobe lesion with consolidation and Bronchoscopy + BAL was planned. The sample was sent for further investigation in which Bacterial C/5 showed Pseudomonas aeruginosa isolated and started antibiotics. Biopsy revealed Fungal Hyphae and Inj Amphotericin B (5 doses given). Follow-up HRCT lungs revealed the same left lobe consolidation lesion and advised surgery and meanwhile continue Injection Amphotericin- B. The risk of surgery and its grave prognosis taking into consideration the age, history of CABG, LV Dysfunction and DM, and HTN were explained to the family. So, the family requested discharge and then approached Dr Rajnikanth. The ayurvedic diagnosis was Kaphaja krimi (Fuffusa gata) and treated along the principles of Krimiroga cikitsa. The treatment principles mentioned for kaphaja krimi, kushta, asthimajjagata kushtha, krimijanya shiroroga, dushivisa, shvasa and raktaja krimi were followed. Within 1 week of starting Ayurvedic medicines, there was an improvement in symptoms. The assessment pre and post-treatment were done based on a 128 Slice Dual Energy CT scan of the chest.  The scan done on 16.5.22, showed significant regression in the lung lesions. He is continuing the ayurvedic medicine and is in remission.

A 63-year-old male patient had a history of varicose vein since many years. Now he was suffering from a non-healing wound in the lateral aspect of heel with severe pain in the left leg past 3 years. This was diagnosed as Varicose ulcer. Wound dressing with medicated strips used to be done. This gave only temporary relief, and the complaints would again recur. After 3 years of onset of symptoms, the patient consulted Dr Soumya, who diagnosed this clinical condition as dushta vrana. The line of treatment followed was jalauka avacarana for rakta shodhana, and inner medications for pacifying the pitta and healing the vrana. A significant reduction in pain was observed after the first and second sitting of Jalaukavacarana. In the third follow-up after 4 months of Ayurvedic treatment, the wound healed completely and there was no pain and oedema. The patient is in remission.

A 21-year-old female patient had an onset of hallucination and disturbed sleep with bad dreams in 2018. She immediately consulted a psychiatrist, and the provisional biomedical diagnosis made was schizophrenia. She started psychiatric drugs as prescribed by the doctor. She developed associated symptoms like whole body shivering due to unknown fear, hair fall, puffiness of the face and weight gain. Despite taking psychiatric drugs, over a period of 3 years, the symptoms were on and off. So, she approached Dr Jyoti Joshi for ayurvedic management. The ayurvedic diagnosis was unmada. The line of treatment followed was unmada cikitsa sutra, amahara and kapha shamana. With the Ayurveda treatment, the dose of psychiatric medicines could be tapered down in 4 months and completely stopped in 6 months. She got complete relief from her symptoms and all the ayurvedic medicines were stopped after 6 months. She is advised to come for regular follow ups. 

A 55-year-old male patient presented with pain on the right side of the face with difficulty in talking. He also complained of intermittent fever and swelling on the lower jaw. The patient had an onset of right salivary duct calculus in 2006 associated with symptoms like feeling of hardness on the right side of the base of the tongue. At the onset of symptoms, he took antibiotics and analgesics for 10 days and got relief from his symptoms. But the patient had repeated episodes every 2-3 years, which happens mostly during March / October. USG neck done revealed 9 mm calculi in the right submandibular terminal duct with dilation of the main duct with infection. The patient was advised surgical management. He was not willing, so he approached Dr Anshu Mulay for ayurvedic management. The diagnosis was lalashmari. The line of treatment followed was lekhana, vasti to initiate mardatva, vatanulomana and pitta shamana. Agnikarma, viddha karma and raktamokshana were done to address the rakta dushti. Upanaha was done for vedana shamana and as shotha harana. The patient noticed a reduction in symptoms after 2 days of treatment. After 1 month of treatment, the stone came out of the salivary duct. Repeat USG Neck, done after 2 months revealed no calculi.

A 26-year-old female patient, presented with continuous pulsatile buzzing sound in left ear for 6 months associated with loss of balance occasionally. The onset of the symptoms were 3 years back, but it was occasional and not very troubling. So she neglected it and did not take any medical opinion. Later she noticed the condition was becoming worse. The pulsatile buzzing sound was continuously heard and was very disturbing. She now consulted an ENT surgeon, who suggested to undergo Tympanogram and audiometric tests which confirmed the biomedical diagnosis as Tinnitus aurium. She was given standard of care, but the symptoms persisted. So, she approached Dr Aswin Devdas. The ayurvedic diagnosis was Karnanada. The line of treatment followed was to address the vata vruddhi in the sira. So snehapana, deepana, mrdu langhana and brimhana cikitsa were planned. The Tinnitus Handicap inventory scale pre and post treatment was used as the assessment criteria. The Score was 4 before treatment. After 15 days of treatment, the score recorded was 3. After 30 days of treatment, the score reduced to 1 and remained stable in the follow ups. The severity of the symptoms reduced significantly and the quality of life improved. All the medicines were stopped after 30 days and the patient is in remission.

A 38-year-old male patient complained of pain and swelling in the bilateral ankle, wrist, and phalangeal joints associated with morning stiffness  for about an hour, which reduces on doing physical exercises to a certain extent. After a month of the onset of the symptoms in 2018, he consulted an orthopaedic surgeon and was suggested physiotherapy. He continued the treatment for three months and found no improvement in the condition. It progressed further. So, the patient opted for Ayurveda and consulted Dr G G Gangadharan. Based on clinical examination, elevated CRP and positive RA Factor, the biomedical diagnosis was made as Rheumatoid arthritis and the Ayurvedic diagnosis was made as Amavata. The line of treatment followed was langhana, svedana, tikta-katu rasa prayoga, dipana, virecana and vasti. After 3 months of ayurvedic treatments, the RA factor became negative, and the CRP and uric acid became normal. He got relief from the joint pain and swelling. The patient is continuing the medicines and is in remission.

A 35-year-old female complained of inability to conceive even after 14 years of regular unprotected sexual life. She was also having menstrual irregularities- 5 days menstruation with an interval of 2 to 3 months for the next cycle to begin. Since menarche at the age of 14, she always had irregular cycles. At the age of 16, her menstrual cycle became regular. She was married at the age of 21, and since then she underwent 13 years of hormonal treatment and 5 attempts of Intra Uterine Insemination. The results were disappointing. It was at the age of 28, that the diagnosis was confirmed with USG abdomen and pelvis as Polycystic ovarian syndrome. She decided to try Ayurveda and approached Dr Asmabi in 2020. The biomedical diagnosis was Primary infertility associated with PCOS. The Ayurvedic diagnosis was Vandhyatva associated with nashtartava caused by avarana of artavavavaha srotas, kapha medodushti and srotorodha. The treatment was planned at removing the srotorodha of Artavavaha srotas. Her Last Menstrual Period recorded was 11/08/2020. After 3 months of Ayurvedic treatment, the patient conceived with LMP of 26/11/2020. She delivered a full-term female baby on 2/09/2021 through LSCS.

A 47-year-old male patient complained of a reddish, painful rash with itching in and around the left ear associated with facial paralysis and impaired hearing on the same side for 1 week. He had a sudden onset of fever followed by the appearance of red rashes. So he consulted an allopathic doctor and took modern medications. He now developed severe pain and a burning sensation on the left side of his face, making it difficult to lie on the bed on his left side. The symptoms were progressive in nature. So he consulted Dr Pervaje who made the biomedical diagnosis based on clinical examination as Post herpes facial palsy. The Ayurvedic diagnosis was Pitta samavita vataja ardita. The line of treatment was pitta hara cikitsa, shodhana and kevala vata shamana cikitsa to address the condition. After 2 weeks of standalone ayurvedic treatment, rashes disappeared, pain reduced, and the angle of the mouth became normal. The patient got complete relief from his symptoms and could lead a normal life.

A 30-year-old male patient was suffering from itching and dry scaly rashes all over the body for 7 years. He had consulted allopathic doctors and tried immunosuppressants, steroids, and topical ointments. He did not get relief and the clinical condition was progressive in nature. So, he now decided to try ayurveda and approached Dr Gaurang Joshi. Based on the clinical presentation and examination, a provisional biomedical diagnosis was made as Plaque psoriasis. The ayurvedic diagnosis was Ekakushta. The line of treatment followed was punah punah shodhana and tvak prasadana. The pre and post-treatment assessment was based on subjective parameters. After 1 month of Ayurvedic treatment, the symptoms reduced and after 1 year of treatment, the patient got complete relief from all the symptoms. The patient is in remission.

A 30-year-old female patient presented with complaints of aural fullness with itching in left ear for 1 week. Her first choice of treatment was Ayurveda and she approached Dr Sivabalaji. Ear examination was done with otoscope and aural endoscope. The biomedical diagnosis of this clinical condition was Otomycosis and the ayurvedic diagnosis was putikarna. The line of treatment followed was Vatakapha hara as it is vitiated vata dosa in kapha sthana. The medicines chosen were also kandu hara. Nadivrana and vrana ropana cikitsa were also adopted. Pre and post treatment assessments were done based on aural endoscopy. After 1 week of treatment, the patient got complete relief from aural fullness and itching. With 2 weeks of treatment, the clinical condition was completely resolved.

A 46-year-old male patient suffered from bilateral knee joint pain and swelling for 3 years. He also complained of stiffness of the knee joint along with the crackling sound during movements. Six months back the patient took conventional treatments like NSAIDs and physiotherapy. But the symptoms persisted and for further management, he consulted Dr Dudhmal. Based on physical examination and radiological findings the biomedical diagnosis was made as Osteoarthritis of bilateral knee joint - KL grade- 2. The ayurvedic diagnosis was Janusandhigata vata. The line of treatment adopted was Agnikarma with electrocautery. This was done once a week for 1 month. Pre- and post-treatment assessment was done with VAS, stiffness, and the range of movements. After 4 sittings of Agni karma, the VAS recorded as 7 before treatment became 2 after treatment. There is no swelling and stiffness and the range of movement improved. The patient is in remission.

A 75-year-old male patient presented with repeated episodes of vomiting coffee-coloured vomitus and sometimes with fresh blood associated with general body weakness for 4 days. A couple of weeks before the patient had 2- 3 episodes of blackish and brown-coloured vomiting associated with decreased appetite, nausea, epigastric pain, and weakness. He consulted a gastroenterologist and was advised to undergo OGD scope. It showed a large hiatus hernia with a necrosed oesophagus. The patient was advised for Exploratory Laparotomy. He was given  standard of care but was reluctant to undergo surgery. So, he consulted Dr Rajnikanth for ayurvedic management. The clinical condition was diagnosed as Amashaya gata dusta vrana- vriddhi roga in the amashaya. The line of treatment followed was Vriddhi cikitsa sutra. Oral medications were given for 5 months. After starting ayurvedic medicines, there were no episodes of vomiting reported. An endoscopy done after 5 months revealed a normal oesophagus (19.5.2022). The patient is completely free from all his symptoms and is in remission.

A 63-year-old male patient presented with a burn wound at the anteromedial aspect of the right leg with a history of accidental spilling of boiling hot water before 2 days. The patient applied toothpaste at the site immediately after the burn and the entire skin got peeled off. The presenting complaints were completely peeled off skin with redness, pain and burning sensation at the burn site. There was no formation of blisters. The patient approached Dr Sateesh varier who made the biomedical diagnosis as superficial second-degree burn based on the clinical presentation and examination. The ayurvedic diagnosis was Shuddha vrana and the line of treatment adopted was Vrana ropana. The redness disappeared and healthy skin re-growth started within 1 week of treatment. After 2 weeks of treatment, the wound completely healed without any scar. In a further follow-up after 2 weeks, the skin regained its normal colour.

A 62-year-old patient was suffering from pain in the low back region for 10 years (2012). He tried home remedies for some time, but the pain persisted. 3 years later he developed numbness in the bilateral lower limbs. MRI of LS spine confirmed the biomedical diagnosis as Sciatica (2015) [1]. He consulted Allopathic doctors and underwent traction, took injections and oral medications. He would get temporary relief and the symptoms would relapse again. He even tried physiotherapy for 10 days. As he was not satisfied with the outcomes, he consulted Dr Ajayan. The Ayurvedic diagnosis was Gridhrasi. [2] The line of treatment followed was dipana, pacana, vatahara and to pacify pain. After 2 weeks of ayurvedic treatments, the patient got complete relief from low back pain. SLR in the right and left before treatment was 40 degrees with pain. After treatment, SLR was recorded at 70 degrees on the left without pain, and negative on the right.  There was no radiating pain and the numbness reduced significantly. All the medicines were stopped, and the patient is in remission.

An 8-year-old girl presented with severe low back ache, for 30 minutes. She was playing with her sibling sitting on the bed when she fell from the bed in a sitting position hitting her back. She was immediately brought to the Salya Department for management. Dr Sreelekshmi gave the biomedical diagnosis as a Sacral contusion [1] based on the X-Ray and the clinical presentation. The ayurvedic diagnosis was Bhagna [2] and immediately Murivenna picu was applied to the low back. The line of treatment was Bhagna hara and Keraliya kriyakarma were adopted. She was kept under observation for 45 minutes. She was feeling slightly relieved. The patient was prescribed medicines and sent home advising complete bed rest. But on the 4th day (12.9.21), as the pain was almost relieved, the kid became very active again and started playing extensively with her sibling. That night, the pain was excruciating, and she developed a high temperature. She was again brought to the Casualty and a Paediatrician was consulted. The Paediatrician prescribed Paracetamol for the fever and asked to continue the Ayurvedic medicines. After 3 days (15.9.21), there were no episodes of fever, and the Ayurvedic treatments were restarted. A follow-up X Ray done showed good healing of the S1 vertebrae. The child got complete relief from pain and was active once again. Three follow-ups were done and the patient had no recurrence of pain.

A 40-year-old female patient presented with pain in the right foot for 3 months associated with difficulty in walking. The pain aggravates during the initial footsteps after resting. She tried physiotherapy for 3 months, but the symptoms persisted. So, she approached Dr Dudhmal, who made the Biomedical diagnosis as Plantar fasciitis based on VAS and physical examination. The ayurvedic diagnosis was Vatakantaka. Siravedha and internal medications were the treatments planned. Siravedha is ardha cikitsa for pain management and Rasnasaptaka Kashayam balances vata and stimulates anulomana. The assessment criteria used pre and post-treatment were VAS, stiffness, tenderness, and swelling. VAS was 8 at baseline and was recorded as 5 after treatment. There was a significant reduction in stiffness, tenderness and swelling. The ayurvedic treatment was stopped after 1 month. At this point, there was only occasional pain.  Follow-up was done after 2 months- there was only mild pain while walking. There was no pain during initial footsteps after rest. The patient is in remission.

A 60-year-old female patient was suffering from right shoulder pain with restricted movements for 10 months. She is a known case of Hypertension and is under medication. She underwent conservative treatments like corticosteroids injection 3 sittings in an orthopaedic hospital. The symptoms persisted. So, she approached Dr Dudhmal, who made the biomedical diagnosis of a Frozen shoulder based on the clinical examination and presentation. The Ayurvedic diagnosis was Apabahuka. The line of treatment followed was Agnikarma, to address the snayugata and sandhi gata vata. VAS was used as the criteria for pre- and post-treatment assessment. After 3 sittings of Agni karma, she got relief from her symptoms. The VAS scale recorded 8 before treatment reduced to 1 indicating a significant reduction in pain. Range of movement also improved after treatment with reduced stiffness. The patient is in remission.

A 38-year-old male patient complained of bilateral pedal oedema, moderate breathlessness, and blurred vision along with severe generalized weakness and wet cough. The Biomedical diagnosis was made based on the USG as bilateral medical-renal disease[1] along with bilateral moderate to gross pleural effusion. His serum creatinine level was recorded as 21.5mg/dl. Patient was then referred to higher centre for haemodialysis by the Nephrologist The patient underwent haemodialysis on daily basis from 26th March 2021 to 1st April 2021 supported with medications for symptomatic management. The schedule of haemodialysis was now changed to thrice a week for one month. Further he was suggested for renal transplant. The patient now consulted Dr Pankaj Chayyani and the Ayurvedic diagnosis made was Vrikka dosa [2]. As the tridosa are involved in the pathogenesis, the treatment was planned to address this along with Rasayana cikitsa, and Vasti karma. Specific allopathic medications were continued during Ayurvedic treatment. Haemodialysis was done when the clinical features of uraemia appeared, or the serum creatinine level increased to 12. With Ayurvedic treatments, haemodialysis could be stopped completely, and serum creatinine was normal and stable. His symptoms of bilateral pedal oedema, breathlessness, blurred vision, generalised weakness, and wet cough were completely relieved.

A 21 year of female complained of severe itching all over the face, eyelids, ears and nose associated with severe burning sensation and hypopigmentation for 2 days. At the onset of the complaints, she consulted an allopathic doctor and took antihistamines. But in spite of taking antihistamines for 2 days, she did not get any relief. So, she approached Dr Jyoti Joshi and was diagnosed as Garavisha.[2] The line of treatment followed was rakta shodhanam and pittaharam. With Jalaukavacaranam and application of lepa, the patient got relief from the chief complaints within 24 hours. Her skin tone became completely normal after 2 months of ayurvedic treatment

A 28-year-old male engineering student presented with the complaint of patchy loss of hair on the scalp for 1 week. One day he noticed a loss of hair in a small area in the front portion of the scalp while combing his hair, which gradually increased in the area. On examination, there were two circumscribed oval-shaped patchy hair loss on the anteromedial part of the scalp with demarcated borders. There were no signs of scaling or redness. On the basis of examination, the condition was clinically diagnosed as Alopecia areata and was treated as Indralupta [2] in Ayurveda. Assessment of alopecia was done using photographs taken before and after the treatments. The treatment was carried out in three phases- shodhana cikitsa, raktamokshanam and rasayanam. In the follow up after 1-month healthy hair growth started on the affected areas of the scalp. A follow-up conducted after 1 year revealed healthy regrowth of hair in affected areas.

A 31-year-old male patient presented with acute onset of pain in the right iliac fossa associated with uneasiness in the stomach. The associated symptoms were aversion to food, indigestion, and mild constipation. He consulted an allopathic physician and was advised to take USG Abdomen. USG reveals an 8 mm inflamed appendix with inflammation of the meso appendix and caecum. The clinical condition was diagnosed as Acute appendicitis (Non obstructive) and prescribed analgesics. The patient was unwilling to take the prescribed medicines and approached Dr Akhilesh Varier. The ayurvedic diagnosis was Gulma- vata pittaja [1]. The line of treatment followed was vata pitta hara and gulma hara. Pain reduced after 3 days of treatment. The patient attained complete symptomatic relief within 7 days of treatment. The bowel movement was satisfactory, and the patient’s hunger was restored. He stopped all the ayurvedic medicines after 10 days of treatment. A repeat USG done confirmed no mass or lump in the right iliac fossa.

A 57-year-old female patient complained of reddish discolouration of bilateral lower limb along with severe pain associated with fever and chills on and off for 3 months. The complaints started with moderate pain and reddish discolouration associated with intermittent fever. At the onset of symptoms, she immediately consulted an Allopathic doctor and took medicines, but did not get relief. The symptoms worsened after treatment. She was stressed due to the pain and lack of sleep. Patient had a history of recurrent Urinary tract infection (UTI) and history travelling abroad (USA). The patient now approached Dr Rajeshwari for better care. Based on clinical examination and urine culture and sensitivity test, the Biomedical diagnosis was made as Klebsiella induced urinary tract infection [1] associated with cellulitis [2] and the Ayurvedic diagnosis was made as Pittaja mutrarkricchra [3] and ushnavata associated with Vrana shopha. The line of treatment followed was jvara and ama cikitsa. With ayurvedic treatments, patient got significant reduction in symptoms and routine laboratory investigation were within normal limits. Lower limb cellulitis was completely resolved with no bacteriuria on culture and sensitivity test. The follow up period was uneventful, and patient achieved complete relief without sequelae.

Standalone Ayurvedic Management of enterococcus faecalis induced cystitis  

A 36-year-old female, an IT professional, patient presented with low back ache confined to the right lumbar area and with mild dysuria for the past two weeks. She also had mild pain and a burning sensation in the suprapubic region. She opted for Ayurvedic treatment and approached Dr Rajeshwari.  The Urine analysis revealed numerous pus cells and many epithelial cells. Urine culture revealed the presence of Enterococcus faecalis. The diagnosis was confirmed as enterococcus faecalis-induced cystitis on the basis of clinical examination and urine analysis. The condition was treated as ushnavata. ​Samshodhana chikitsa, followed by Rasayana chikitsa, was administered. After three weeks of Ayurvedic medications along with necessary dietary regimens and lifestyle modifications, the patient got a significant reduction in symptoms. In the follow-up after 45 days, the patient was completely relieved from the urinary symptoms and the suprapubic pain. The repeated urine routine and culture reports were normal.   

This case report demonstrates the scope of Ayurvedic treatment in managing chronic infections of the urinary tract.

A 11-year-old boy was diagnosed with Fibrodysplasia Ossificans Progressiva. The biomedical diagnosis was confirmed with the gene test. The genomic DNA sample was analysed for mutations in the gene known to cause fibrodysplasia ossificans progressiva. At the age of 5, the kid had undergone open surgical correction by excision of ossifications mass on the left hip with tube cast application. Later, he developed bending of anterior spine with restriction of left hip and knee joint. Symptomatic management was done with standard of care. The parents wanted to try Ayurveda to improve the quality of life and so approached Dr KG Raveendran. The symptoms at the time of consultation were difficulty in lying down over the back, complete restricted movements of the neck, right shoulder and right hand.  The patient also complained partial restriction of various other body parts due to deformity. There was also swelling in the joints. The Ayurvedic diagnosis was Adhyasthyashrita Vata Vyadhi and treatment was administered on the lines of Dhatugata Jvara Cikitsa. The patient underwent one and a half months of In-Patient Ayurvedic treatment. After Ayurvedic treatments, there were improvements in the range of movements in the lumbar, shoulder, cervical joints and right leg. The prominent bony projections in the back appeared to have reduced in size. There was a significant improvement in the Quality of Life.  This case demonstrates the role of Ayurvedic intervention in improving quality of life in a progressive congenital disorder which has no effective treatment. 

A 31-year-old female, suffered from chronic Irritable Bowel Disease and was provisionally diagnosed with Ulcerative colitis. The presenting complaints were frequent blood-stained watery stools, more than 6 times a day, and did not get relief even on taking conventional medicines for a period of 5 years. She now consulted Dr KG Raveendran, who diagnosed this clinical condition as Pittaja Grahani. The treatment protocol was to address the atipravrtti of vayu, tikshnamsha of pitta and mandyatva of kapha. With Ayurvedic treatments as an out-patient, for one1 year and in-patient treatment for a period of one month, she got complete relief from her symptoms. Post Ayurvedic treatment, she passed stools only once or twice a day, and with no blood stains.  

Irritable Bowel Disease- Quality of Life Questionnaire and MAYO Score was used to assess the treatment outcomes. The questionnaire at baseline was 163 and at endpoint it reduced to 133, indicating a significant improvement in the Quality of Life. The MAYO Score was 8 at baseline indicating a severe disease activity. At endpoint, it was 3, indicating a mild disease activity.  

This case report demonstrates the successful Ayurvedic management of a chronic case of Ulcerative colitis, where the patient did not get relief inspite of taking conventional medicine for 5 years.  

A non-healing wound of the leg Post CABG, management with Ayurveda- A case report 

 A 63-year-old businessman was diagnosed with a non-healing wound in the leg after a coronary artery bypass graft, at the harvest site. The condition was pre-diagnosed based on the wound's non-healing and infective nature. He underwent antibiotic therapy and wound dressing for two months. Considering the poor prognosis even after the administration of antibiotic medicines, plastic surgery was suggested. He denied surgery and opted Ayurvedic line of management. The patient presented to Dr. Jyoti Joshi with a non-healing wound in the right leg after coronary artery bypass graft at the harvest site for 2 months. The wound was deep with pus discharge and emitted a foul smell on clinical examination. Her condition was diagnosed as dusta vrana. The line of management adopted was Vrana shodhana and Vrana ropana. After two weeks of treatment, pus discharge had almost stopped, and a healthy granulation tissue had formed. With two months of Ayurvedic medicine, infection resolved and the wound healed completely. 

This case demonstrates the scope of Ayurvedic treatment in non-healing wounds.   

A 33-year-old male patient, an Ayurveda graduate from Bengaluru, was suffering with frequent watery stools with mucus and blood. He was diagnosed with Crohn’s disease. The biomedical diagnosis was confirmed with Ileocolonoscopy and biopsy. He had tried conventional medicines prescribed by different doctors over a period of two years but did not get significant relief. So, he decided to try Ayurveda and consulted Dr S N Gupta. The presenting complaints were frequent bowels, defecation with mucus and blood, burning sensation in the chest, pain in the epigastric region, along with disturbed sleep and weight loss since the last three years. He had also developed side effects like back pain due to osteoporosis because of the steroid therapy that he had been taking. This condition was diagnosed as Pittatisara- advanced stage and the treatment targeted pacifying rakta and pitta, along with vrana ropana and dipana karma. At the time of hospitalization, the patient was taking medicines like Tab. Mesacol (1.2 gram) twice a day, Cap. Pentoprazole one tablet per day, Tab. Clonotril plus (Clonazepam + Escitalopram) once a day. All these medicines were stopped after one week of Ayurvedic treatment and the patient got complete relief from his symptoms after the treatment. The Harvey Bradshaw scoring done by the patient in January 2022, indicated that he is in remission. Patient is still continuing Ayurvedic medicines, strictly adhering to the diet and lifestyle as prescribed.  

This case report portrays the successful management of a chronic condition like ulcerative colitis with Ayurvedic treatments. 

Standalone Ayurvedic management of Acute calculus cholecystitis  

A 47-year-old female with severe abdominal pain was diagnosed with acute calculus cholecystitis. The diagnosis was confirmed by a USG abdomen, which detected multiple gallstones of varying size, and she did not respond to standard of care with the persisting symptoms. She opted for ayurvedic treatment. The patient presented with acute abdominal pain, specifically in the right upper and middle quadrants, associated with itching all over the body for three days. Murphy’s sign was positive on clinical examination. Dr Jyoti Joshi diagnosed this condition as Pittashmari, and the treatment focused on the correction of Jataragni. After 2 days of treatment, the abdominal pain and itching subsided. In the repeat USG done after 4 months of treatment, the gall bladder appeared normal without any calculi.  This case reports the outcomes and potential of Ayurveda treatment in acute calculus cholecystitis.  

Standalone Ayurvedic management of Dysfunctional Uterine Bleeding  

 A 41-year-old female patient, a teacher by profession, presented with prolonged vaginal bleeding with occasional clots for two months associated with low Hemoglobin count and having a feeling of generalized body swelling.  She had taken Ayurvedic medications for two months, the details of which she is unable to remember now. The patient did not respond well to the treatments, and the condition was found to be progressing. This time, she consulted Dr. Prajeesh Nath. Her blood loss was 60ml/day, which could be measured as she was using a menstrual cup, and in the blood routine examination, the Haemoglobin level was 8gm/dl. Dr Prajeesh Nath provisionally diagnosed the condition as Dysfunctional Uterine Bleeding and treated the condition as Asrigdara. Rakta shodhana and rakta prasadana were the line of treatments administered. After four days of Ayurvedic treatment, the blood loss reduced to 15ml/day, and after six days, the bleeding completely stopped. In the monthly follow-ups done for the next three months, the patient had a healthy menstrual cycle with menstrual flow lasting for four days with no blood clots. Hemoglobin checked after four months of treatment was 11.6gm/dl.  

This case report highlights the need to explore the scope of Ayurveda as an alternative treatment approach to the management of dysfunctional uterine bleeding. 

Ayurvedic management of cervical myelopathy- A case report  

A 36-year-old diabetic male patient was diagnosed with cervical myelopathy. The diagnosis was confirmed by an MRI dorsal spine which revealed symmetric T2 hyperintensity in the long segment of the spinal cord. He was confined to bed during the course of treatment. The patient was administered steroids and other undisclosed supportive medications for 2 months. Urine and bowel incontinence was present during the initial period which resolved with the standard care treatments.  The symptoms such as the weakness and loss of sensation in both lower limbs associated with weakness and occasional numbness of upper limbs persisted. The patient opted Ayurvedic treatment for further management and approached Dr Mukesh. The Japanese Orthopedic Association scoring was Grade 2, revealing reduced sensory and motor functions. The physician diagnosed this clinical condition as Sarvanga vata. Rukshana therapy was administered followed by Vata Samana and Rasayana therapy. At the time of discharge, after 38 days of treatment, numbness of the upper limb reduced with improved muscle power and other sensory parameters of both upper and lower limbs. In the follow-up, after 2 months the Japanese Orthopedic Association scoring indicated a normal functioning grade. The patient is now able to walk without any support.    This case report demonstrates the scope of Ayurvedic treatment in disabling cervical myelopathy.   

A 40-year-old male patient was diagnosed with alcohol-induced chronic liver disease. The biomedical diagnosis was based on the clinical presentation, Endoscopy, and blood investigations like Liver Function Tests and Kidney Function Tests. He was on conventional medicines since for one and a half months.  The Liver Function tests revealed very high values of Bilirubin (Total, Direct and Indirect) and SGOT). The creatinine value was also elevated. The patient did not respond to the standard of care for protecting the Liver and was worsening clinically. Due to elevated blood parameters and aggravating symptoms, he was advised Liver transplantation, but the patient refused the treatment.  He opted for Ayurveda and approached Dr S N Gupta. The presenting complaints were abdominal pain, loss of appetite, generalized weakness, itching, and swelling over the legs. On clinical examination, he had icterus, yellow discoloration of skin, mild distension of the abdomen and pedal edema. This condition was diagnosed as Yakrtodara with jalodara as a complication. The ayurvedic treatment target was Tridosha shamana, mutra virecana, yakrit samrakshana, dipana, pacana and rasayana. The patient was hospitalised and underwent treatment for two months. Most of his symptoms were relieved except for mild itching and mild yellow discolouration of sclera. The accumulation of abdominal fluid also reduced, resulting in the reduction of abdominal girth.  In the first follow-up, the itching was relieved. In the second follow-up, the yellow discolouration of the sclera was relieved. Follow-up was done every month, and the patient is completely free of symptoms.  The liver function tests, and the Creatinine became normal. The patient is now in remission and has been advised to strictly abstain strictly from alcohol, and tobacco. Diet and lifestyle modifications were also strongly recommended. 

This case demonstrates that Ayurvedic treatments can successfully  manage certain cases of Alcohol induced chronic liver disease with significant improvement in the subjective and objective parameters.  

A 21-year-old male patient was diagnosed with Juvenile Idiopathic Arthritis at the age of 12. He suffered from joint pain- both major and minor on and off. He would take conventional medicines and get relief. But since the past 4 months, in spite of taking conventional medicine, he was not getting relief from the joint pain. His CRP value was constantly elevated. His Rheumatologist suggested taking Disease Modifying Anti Rheumatic Drugs like Adalimumab / Etanercept, to control the symptoms, but patient was not willing. So, he approached Dr Syamakrishnan, presenting with major and minor joint pain and difficulty in movement. The pain was severe in the knees and neck. This was diagnosed as Pitta Kapha Pradhana Vatashonita in the amavastha. After 5 months of Ayurvedic medicines, he got complete relief from his symptoms and his elevated CRP value became normal. For the past 1 year, the patient has had no complaints and is in remission. 

A 41-year-old male, was diagnosed with Fistula in Ano. The biomedical diagnosis was confirmed with rectal examination and MRI Fistulogram which. MRI Fistulogram  revealed- well defined low anal linear simple fistulous tract 2mm in width and 2.5cms in length. Internal opening is at 6 o clock. The patient had been suffering from difficulty in passing stools and occasional blood-stained stools.  He tried Anal dilatation and internal medicines, as prescribed by the General Physician, but there was no significant relief. On medication, the amount of blood discharge reduced but there was purulent pus discharge. After having tried conventional treatments for a period of over 2 years, he decided to try Ayurveda. He approached Dr Sreelekshmi who diagnosed this condition as Bhagandara. Anal fissure and skin tag were also diagnosed on rectal examination. Ksharasutra was the primary treatment scheduled to heal the fistulous tract. With 1 primary threading and 4 Kshara Sutra threading, the fistulous tract healed completely within 4 months. The last follow up was recorded after 8 months. There was no recurrence reported and on examination, the skin was perfectly healthy. The bowels are normal and satisfactory.  

A 48-year-old male, approached Dr Sreekumar, presenting with severe pain, redness and light intolerance in the left eye for 1 week. Along with this he also had a blurring of vision in the Left Eye. As this was his first consultation, after a preliminary torch light examination at the OPD an opacity was noted in the inferior cornea of the left eye and the patient was sent for a detailed slit lamp evaluation and visual acuity assessment. The clinical diagnosis was Corneal Dendritic Ulcer. On history taking, the patient had a history of Chickenpox several years back and similar eye complaints a few years back, for which he took conventional medicines. But was not satisfied with the treatment. He also developed side effects in response to these medicines. So, in this episode, he opted for Ayurveda. The Ayurvedic Diagnosis was Savrana Shukla, In this patient, snehana, vranahara, vranaropana, shophahara treatments were given to pacify the aggravated rakta and pitta and do rakta prasadana. After 1 and half months of OP Ayurvedic medicines, he was completely asymptomatic and Slit lamp evaluation stained negative for ulcer without any opacities in the cornea.

Dr Nutan Pakhare treats a chronic case of amenorrhoea in a 26 year old female, caused possibly due to her underlying condition PCOD and a traumatic trigger. This patient had irregular periods since her menarche. Though initially her periods normalised on their own, but at the age of 15, the tragic death of both her parents in a car accident, became the trigger for the amenorrhoea to set in again. Since then she was constantly on allopathic medications and is dependent on allopathic medicines for her periods. She was developing associated complaints of weight gain, skin discolouration on the face and hair fall. USG confirmed PCOD. The patient is now married for 2 years and is planning to have a family. She stopped all allopathic medicines and switched over to Ayurveda. She was diagnosed as Artavakshaya due to kaphavrta vata, and the treatment targeted pacifying vata. She is under Dr Nutan’s treatment since 7.8.20 and within 9 months of OP medicines, periods became regular- once in 2 months with a normal flow. She could stop her hormone tablets. After 9 months of Ayurvedic treatment, Follow up scan did not detect PCOD. Hb that was constantly 11 through many years became 12.8 for the first time. The patient is feeling energetic and happy. Skin discolouration on the face has become light. Hair fall has reduced.

A one and half year-old girl child was diagnosed with Preseptal cellulitis. The biomedical diagnosis was confirmed by clinical examination and culture tests done at the Paediatric Hospital. The first episode of swelling and redness in the eyelids was when the child was 1 year old. She had undergone standard of care, at a multi-specialty hospital. During the In-patient treatment, she gradually improved symptomatically and was discharged with medicines. But after 2-3 months the condition recurred and this time it was more severe than earlier episode. So, the parents decided that this time, they would try Ayurvedic treatments instead. The parents brought the child to consult Dr Ashwini seeking Ayurvedic treatment. The presenting complaints were upper eyelid oedema of both the eyes for 3 months.  This was diagnosed as Shopha in the amavastha and the appropriate treatment was given. After 15 days of ayurvedic medicines, oedema and redness reduced significantly. After 30 days of treatment, only mild oedema and redness persisted. After 60 days, oedema and redness were completely relieved. The child has no recurrence to date.  

This case report demonstrates the successful Ayurvedic management of preseptal cellulitis in a child that was not satisfactorily responding to the standard of care.

Menorrhagia can be defined as abnormally heavy or prolonged bleeding at menstruation.  Menorrhagia is one of the most common gynaecologic complaints in women. 

A Forty one year-old woman has been suffering from menorrhagia for 5-6 years. Since menarche at the age of 13, she always had a very painful menstruation. Now, there is heavy vaginal bleeding associated with severe abdominal and pelvic pain.  Periods was always irregular, prolonged (sometimes lasted 15 days), frequent: sometimes 3-4 times in a month. Despite taking 5-6 pain killers/day and hormonal injections prescribed by her general physician, only her per vaginal bleeding could be kept under control, but the pelvic pain persisted. In 2018, as the vaginal bleeding increased, she was taken up for hysterectomy. During Exploratory laparotomy, adhesion of internal organs were diagnosed. So, hysterectomy could not be done. All the specialist she consulted in Mumbai and Hyderabad suggested that until menopause the condition must be managed with pain killers and hormonal injections. So, she decided to stop the allopathic medications and consulted Dr Jyoti Joshi who diagnosed this condition as Asrgdara. The treatment principle followed was that of Gulma Cikitsa.  Vasti was administered to correct the Vayu Apamarga. The patient is on regular ayurvedic treatments since 2 years (22nd Aug 2019 onwards) and is still continuing them. Her period is regular and normal, with no abdominal or pelvic pain. This has boosted her up psychologically also. Her blood parameters are satisfactory.  

A  21-year-old female student has been suffering from chronic Sciatica pain in the right leg since 5 years. The biomedical diagnosis was confirmed with MRI that revealed moderate changes at L5-S1; Posterior disc bulge with focal central protrusion indenting the anterior thecal sac; No nerve root impingement and no neural foraminal narrowing. She was prescribed pain killers but did not get relief. She took allopathic medications for 2 years (2019-21) on & off but got no significant relief. The patient also started developing an altered gait. Now she consulted Dr Sreelekshmi and was diagnosed with Grdhrasi and Vatavyadhi Cikitsa was followed. The patient underwent a course of treatment as suggested by the Doctor for 20 days and got complete relief from sciatica pain. The SLR Test, Bragards Test, Fabers Test and Schobers Test were the assessment parameters. SLR on the Right side was 40 before treatment, became 90 after treatment. Bragards Test, Fabers Test and Schobers Test became negative after the treatments. She is completely free from the pain and not on any medicines at present. She is advised not to indulge in heavy physical and exhaustive activities like lifting heavy weights, climbing stairs, indulge in dancing and intense sports.

This case report demonstrates that with Ayurvedic treatments, even chronic cases like sciatica that was not satisfactorily responding to the standard of care, can be managed successfully. 

A 39-year-old female diagnosed as Cervical dystonia/Torticollis presented with involuntary jerky movement of head towards the left side without any tremor. Neck stiffness present occasionally. Clinical diagnosis was made based on the presentation. She was prescribed Clonazepam by Neurologist, the patient being reluctant to take this medicine approached Dr KG Raveendran. This condition was diagnosed as Manyasthambham. The line of treatment given was Vatahara, Avaranahara, Brhmana and Snehana. She underwent follow up courses of In-Patient Ayurvedic treatments in 2020 and 2021, as instructed by the Physician. After the Ayurvedic treatments, she was able to place her head in a straight position without any jerky movements.

The TWSTRS (Toronto Western Spasmodic Torticollis Rating Scale) pre and post treatment was used for assessing the outcomes.  The Score for the 3 courses of treatments were recorded as follows:

In 2016 - Admission - 62, Discharge – 48.5 (28.3.16-28.7.16)

In 2020 - Admission -15, Discharge time – 12 (24.7.20-12.8.20)

In 2021 - Admission – 03, Discharge -02- (6.5.21-19.5.21)

Psoriasis is a chronic skin condition that can affect various parts of the body. If it affects the soles of feet, then it is called plantar psoriasis. Causes: Though the exact cause of the disease is not known, a major role is attributed to the Immune system. The risk factors that can trigger the infection are family history, the presence of human leukocyte antigen-Cw6 (HLA-Cw6), also a variation of a gene, smoking, skin friction, skin trauma such as infections and cuts on your palms or soles and suffering from other skin conditions like dermatitis etc. Common symptoms are silvery scales, dry and cracked skin, bleeding, an itchy, burning sensation, soreness, thickened, ridged nails, depressions, or pits in the nails.  

Prognosis: The prognosis for patients with palmoplantar psoriasis is guarded. The treatments often take a long time to work, have adverse effects and are costly. The quality of life of most patients is poor. Most patients need combination therapy for many months before they see a response. In addition, patients also have other comorbidities that affect prognosis.   

A 43-year-old female, was suffering from with frequent episodes of seizures without loss of consciousness. She was clinically diagnosed with Simple Partial Seizure, and started conventional medicines. In spite of this, the clinical condition progressed to Complex partial seizures over a period of 7 months. She developed associated symptoms like heavy mood swings, sleep disturbances, and headache, and so, she was prescribed psychiatric medicines. The patient was reluctant to take these medicines and opted for Ayurvedic management. The patient approached Dr Govind Narayanan, with the presenting complaints of seizures with blackouts. The episodes are prone to get triggered when there are emotional disturbances and close to her menstruation cycle. This was diagnosed as Bhayajanya Apasmara.  The MRI Brain and EEG were normal, indicating that there was no major pathology, and it was more affliction at a mental level. With Ayurvedic management as an Out-Patient and two weeks of In-Patient treatment, there was a significant improvement in the quality of life. Her frequency of seizures, her fear and anxiety reduced to an extent that that she started travelling alone in a car and bus, which she could not do earlier. Her regular Anti-epileptic drugs could be reduced in dose gradually and stopped altogether after ten months of Ayurvedic treatments.  

The take-away lesson from this case report is that an integrative approach with Ayurveda can help manage a clinical condition like Complex partial seizures, that which is progressive in nature and non responsive to the standard of care.  

A 30-year-old female COVID positive patient was hospitalised on 7th May 2021 presenting with fever, body ache, and breathing difficulty since 1 week. On 10th May, her saturation was dropping to less than 90 even with 15 litres of NRBM. She was shifted to ICU.  On 19th May, saturation dropped to 40 and she started gasping for breath. The patient also developed high grade fever and diarrhea. In spite of treatment with strong antibiotics and steroids, her condition rapidly deteriorated, and she presented with acute respiratory distress syndrome. The  SpO2 dropped to 40, that demanded immediate intubation. Her blood parameters like TC, LFT, CRP, IL-6 were elevated, inspite of treatments. An emergency was declared, and the grave prognosis was explained to the family. The family did not want to intubate and requested to try Ayurvedic management. Dr Aswath Rao, who is a Junior resident, General Surgery- Bengaluru Medical college, under the guidance of his parents, Dr Ramesh and Dr Shobha Rao who are Ayurvedic Doctors, as per request of the family and with permission from the Hospital authorities, gave the Ayurvedic medicines.  SpO2 normalized within 2 hours of starting the Ayurvedic treatment, and then remained stable throughout. The Liver Function Test, Total Count, CRP and IL-6 that were elevated normalized within 5 days. All Ayurvedic medicines were stopped after 20 days. The patient became stable and after the Respiratory distress was managed, she completed her course of modern medicine in the hospital and was discharged.  

Take Away Message- This case report is an exapmle for the successful management of an emergency clinical condition like acute respiratory distress syndrome with Ayurvedic medicines. Here, an integrative approach helped the patient to come back to normal.