Ayurveda Treatment Research Articles

A Neurological Disease, Vathatvartma (Ptosis), Managed with Integrated Management of Modern Science and Ayurveda – A Case Report

ABSTRACT Introduction: Ptosis is when the upper eyelid droops downward. However, a droopy eyelid can cover the pupil and reduce vision in some cases. Causative factors may be congenital, injury or stretching of eyelid muscles or ligaments damage to the nerve controlling the eyelid muscles, aging, a complication of eye surgery, a complication of Botox injections. Aim and objectives: To study case of ptosis with integrated treatment of neurologist along with Ayurveda treatment. Methodology: Case Description - This is a 34year old female patient complaining that she is unable to open her right eye since11 days. She visited to local ophthalmologist, then they have consulted neurologist, MRI done, treatment started, at the same time patient wants to take Ayurveda treatment also. After 7th day visit to neurologist, she has stopped his medicine and told to continue alternative treatment So she consulted at MGACH&RC Salod on 4/3/2022. Her V/A right eye after uplifting upper lid by doctors hand is 6/6 and lt eye v/A is 6/6. Fundus of both was within normal limit. No diplopia, Acute onset with fronto orbital pain, pupil NSRL, conjugate left downgaze movement restricted. Result and Discussion: treatment prescribedshirodhara with brahmi and til tail, netratarpan with triphalaghruta, Tab Palsineuron 2 bd, Tab Ekangvirras 2 bd. - vatashamak Chikitasa is done as ptosis is neurological disease.after 7th day visit to neurologist, he has stopped his medicine and told to continue alternative treatment. Conclusion: The results were enthusiastic photographic depiction were taken. This case may be fruitful for further research on Nimesh/ Ptosis.

Study to Evaluate the Comparative Efficacy of Medhya Rasayana (Pharmacological) Versus Nonpharmacological Interventions in Management of Gadget Addiction in Children: Protocol for Parallel, Triple-Arm, Randomized Clinical Trial.

Gadget addiction is a common behavioral problem among children. It is known to hamper social and academic life as well as adversely affect the lives of children. Ayurveda offers many therapeutic modalities and Ayurvedic medicines that can be used in the management of gadget addiction in children. The purpose of this study is to evaluate and compare the effectiveness of nonpharmacological therapies and the pharmaceutical intervention Medhya Rasayana in treating childhood gadget addiction. This study aims to provide a detailed description of the study methodology that will be used to compare the efficacy of nonpharmacological versus pharmaceutical interventions in the treatment of children's gadget addiction. A randomized, parallel, triple-arm interventional study will be conducted on diagnosed participants of gadget addiction with an age group of 6- to 16-year-old children, which will be selected and equally distributed in 2 groups. Group P will be given Medhya Rasayana (pharmacological intervention), group N will be nonpharmacological Ayurveda intervention, and group C (cognitive behavioral therapy) will be an external group. The Study duration is 180 days with assessment at baseline, midpoint, and endpoint Appropriate statistical techniques, such as ANOVA and regression analysis, will be used to examine the data and evaluate the efficacy of the 3 groups' interventions. We will perform subgroup analysis according to initial addiction severity, gender, and age. Primary outcome measures include a reduction in gadget addiction and changes in the psychosocial well-being of participants. Standardized questionnaires and instruments will be used to collect data. In December 2023, the randomized controlled study got underway. Since participants may begin at any time, our goal is for everyone to be finished by December 2024. This research will provide crucial new information about the relative effectiveness of Ayurveda nonpharmacological therapies and Medhya Rasayana in treating children's gadget addiction. The results will guide evidence-based treatments aimed at reducing the negative impact of excessive gadget use on this susceptible population's psychosocial development. In the end, the findings are meant to help policy makers and medical professionals create sensible plans to deal with the rising issue of childhood gadget addiction. PRR1-10.2196/51833.

Successful Outcome of Secondary Infertility with Multidrug Therapy in a Long-Standing Case of multisystem involvement

A case of secondary infertility with multisystem involvement is being presented herewith. Secondary infertility indicates previous pregnancy but failure to conceive subsequently. Numbers of secondary infertility are growing day by day. Many factors like age, unwholesome lifestyle, disturbed schedule, diet, stress is accountable for it. Due to involvement of these all factors sometimes a female may expose to multiple metabolic disorders resulting into infertility. Aim: To study the outcome of Ayurvedic treatment in management of secondary infertility. Objective: To access the role of Ayurvedic management in secondary infertility. Methodology: It is a single case study of secondary infertility due to multiple metabolic disorders. Case description: A female aged 31years, had pain during menstruation and regular cycles with history of left tube removal due to ectopic pregnancy visited for wants to conceive. She had history of treatment at various private centers and had multisystem metabolic disorders. She was advised Ayurvedic oral medications along with yogabasti. Outcome: After Ayurveda interventions she conceived. Conclusion: Ayurvedic management by improving the health and reproductive ability of a woman may help to conceive. The probable mechanism for the efficacy of multidrug therapy in multisystem disorders gives ray of hope to numerous. Keywords: Infertility, Conception, Menstrual Cycle, Hydrosalpinx

Management of COVID-19 patients of CT Severity 15/25 and above with Ayurveda drugs as add-on therapy – A Case Series

Ayurveda, which is the oldest life science in the world, has yet to be fully accepted as the only or even an additional therapy for severe diseases. It is a common perception that Ayurveda has a significant role in the preventive aspect of diseases, and the drugs of Ayurveda are more effective in chronic ailments. Most publications are also limited to these areas only, as use of Ayurveda in acute or severe cases is not yet justified scientifically because of the lack of significant scientific clinical data as very few case reports are published about the use of Ayurveda in acute cases. Here we present a case series of treatment of five COVID-19 patients with CT Severity 15/25 and above with Ayurveda drugs as add-on therapy admitted to tertiary care, a Level-3 COVID-19 treatment hospital. These five patients sought Ayurveda opinion and consented to Ayurveda treatment along with the ongoing treatment regime. All the patients showed improvement with Ayurveda treatment as an add-on therapy, and none of the patients needed ICU, and all patients were discharged when they started maintaining oxygen saturation at room air. This report addresses the clinical effectiveness of Ayurveda drugs as add-on therapy in severe cases of COVID -19. It also attempts to invite the attention of researchers towards the use of Ayurveda concepts and drugs in severe or acute cases of diseases.

Management of Shukrakshaya (Oligospermia) by implementing traditional Ayurveda treatment: A case report

Oligozoospermia (Low sperm count) is one of the most common causes of male infertility today, which is easily diagnosed via semen analysis, keeping in mind the semen qualitative parameters preset by WHO. There is however no clear reason as to why the condition occurs except for the congenital reasons. Heat, smoking, alcohol are certain factors that might affect the sperm count, are being studied. Ayurvedic scriptures explain Shukra Dhatu vitiation by Vata-Pitta-Kapha which leads to Shukra Dosha like Ksheen or Alpa Shukra or Shukrakshaya. The article here presents a case of a 35-year-old healthy male patient with a known case of Oligozoospermia (8 million/mL), infertile for 5 years, who was successfully managed by Ayurvedic intervention within a period of about 5 months. Accordingly, his condition was diagnosed as Shukrakshaya in the OPD, and his Ayurvedic intervention was thoroughly planned. The case was managed by initiating Agnidipaka and Aampachaka Chikitsa, followed by using Virechana for Shodhana. Later the patient was taken on Shaman-Vajikarana & Balya Chikitsa for 3 months, where a significant rise in the sperm count variables depicting normal values was observed, discussed further in this article.

Secondary Preventive Management of Kitibha Kushta (Plaque Psoriasis) - A case study

Levels of prevention has been a wide idea concept which includes all the aspects related to health and disease like preventive, curative, promotive and rehabilitative measures. Applicability of this concept in Ayurveda has elaborative understanding in a more simplified manner. Despite leading to both physical and psychological issues, the importance given to skin diseases is always the least. Changing food habits and lifestyle is being the major reason in the current era for increased prevalence of skin diseases especially in young adults. In a way to cope up with fast living culture, people are compromising with their health and well being which needs immediate attention and action. Early diagnosis and complete treatment is the basis of Kushta Chikitsa (treatment of skin diseases) and the same has been highlighted as a secondary preventive measure. One such case is being discussed here which is diagnosed initially and treated as per Ayurveda chikitasa siddhtanta (Ayurvedic treatment principle), considering Dosha (bio-forces of body), Agni(metabolism), Bala (Strength), Ritu (season) etc giving complete relief and self confidence of the patient. This not only prevents the further occurrence of complications due to chronicity but also brings back the faith in Ayurveda treatment modalities. It is high time to make the young minds realize the importance of healthy living, which otherwise can impair the health status of the nation, dragging back its growth and development.

Ayurveda interventions against Non-specific chronic low back pain- A structured study protocol for systematic review and network meta-analysis

Ayurveda interventions against Non-specific chronic low back pain- A structured study protocol for systematic review and network meta-analysis

EFFECT OF AYURVEDA TREATMENT MODALITY IN IMPROVING CHRONIC KIDNEY DISEASE: A CASE REPORT

Chronic kidney disease (CKD) is a progressive condition augmenting over years, entailing loss of kidney functions, affecting more than 10% of the general population worldwide. The solution of choice is either kidney transplantation or blood purification treatments such as hemodialysis (HD). Such medical procedures are expensive & arduous for the patients, adversely impacting their quality of life. Hence alternative treatment modalities are copiously perceived seeking restoration. In the present study, 50 year-old female patient approached the hospital OPD for consultation with complaints of weakness, constipation, reduced appetite, weight loss, breathlessness etc. Patient was advised Ayurveda treatment along with dietary restriction. After 2 months of treatment significant improvement was seen, there was a gradual decrease in Serum Creatinine levels from 6.05 mg/dl to 2.20 mg/dl, Blood Urea levels from 80mg/dl to 64mg/dl and Uric acid levels from 4.4mg/dl to 3.0 mg/dl .The case clearly reveals the noteworthiness of Ayurveda treatment modality in the management of CKD.

AYURVEDIC PROPRIETARY INTERVENTION IN LEUCODERMA (SHVITRA): A CASE STUDY

Ayurveda mentions all types of skin disorders under one common term i.e., Kushtha Roga. Shvitra is explained in the classics as a type of Kushtha. The disease is said to be result of impairment of Tridosha and Dhatu such as Rakta, Mamsa and Meda. Signs and symptoms of Shvitra and vitiligo resemble closely, hence the two diseases are co-related as well. The cause of vitiligo is yet unclear and is believed to be an auto-immune disease. Modern science has limited treatment options to address this concern. Whereas, in Ayurveda, although the disease is termed as Kricchasadhya (difficult to treat) or Asaadhya, yet many treatment options are advised. This case report elucidates the therapeutic effect of Ayurveda treatment modality in a patient having progressive leucoderma. A 21-year-old female patient with complaints of whitish-lesions over forehead, neck and back having moderate itching and pre-diagnosed with leucoderma visited our OPD. After the treatment for 11 months, significant changes were observed in the shape and size of lesions.

Pharmacovigilance Consideration for Ayurvedic Medicines in Pediatric Practice: Developing Protocols for Documenting Clinical Safety

Background The rising global trend of traditional medicine and complementary and alternative medicine use necessitates a structured approach to ensure patient safety and efficacy. Due to its unique theoretical framework, directly applying modern pharmacovigilance principles to Ayurveda may be insufficient. Purpose This study aims to highlight the need for a collaborative approach that integrates traditional Ayurvedic knowledge with modern safety and efficacy evaluation methods. It critiques the limitations of current pharmacovigilance practices, especially in the context of Ayurveda, and proposes improvements to better capture the complexities of traditional medicine. Methods An analysis of the “AyushSuraksha” program, a key initiative for the pharmacovigilance of Ayurveda, Siddha, Unani, and homoeopathy (ASU&H) medicines in India, was conducted. The program’s focus areas, including monitoring medications, specific materials, and procedure-based therapies, were reviewed in light of their efficacy and safety reporting mechanisms. Additionally, the applicability of current pharmacovigilance methodologies, particularly in the context of personalized Ayurveda treatments, was evaluated through case studies and literature reviews. Results The “AyushSuraksha” program, while focused on medication and therapy monitoring, overlooks the safety of food items used in Ayurveda. Current pharmacovigilance systems, designed for standardized medications, may be inadequate for Ayurveda, as demonstrated by positive outcomes in autism treatment despite the presence of microbiologically harmful products. Furthermore, existing pharmacovigilance proformas lack a distinction between physicians’ and end-users perspectives, limiting the reporting scope. Conclusion A transition to a holistic, evidence-based pharmacovigilance approach that incorporates Ayurvedic assessments and nonlinear herbal interactions is crucial. Separate proformas for physicians and end-users, along with disease-specific questions, are recommended to improve reporting accuracy. Expanding the scope of pharmacovigilance beyond standardized medication monitoring is essential for the evolution and refinement of Ayurvedic science.

A review on Priya Nighantu

The word Nighantu means a traditional collection of words, grouped into thematic categories, often with brief annotations. In the field of Dravyaguna Nighantu is one of the important classical texts. In ancient period of Samhita there was less morphological description of plants but after introduction of Nighantu it was like a big change in the field of Dravyaguna Vigyana. Ayurveda Nighantu is actually traditional collection of words with actions and properties (Rasadi Guna) of drugs. Ayurveda treatment possesses herbal, mineral, animal origin products which mainly take part in the treatment of various health ailments. Priya Nighantu is one of them and is a 21st-century lexicon in Ayurvedic Materia medica. The author of this lexicon is Acharya Shri Priyavat Sharmaji. In comparison to other Nighantu Priya Nighantu is Very easy and simple to understand and clarify many doubts come across the classical Nighantu. The Nighantu is divided into 13 sections named as Vargas, viz; Haritakyadi Varga, Pippalyadi Varga, Shatapushpadi Varga, Sharadi Varga, Kasturyadi Varga, Suvarnadi Varga, Shaka Varga, Phala Varga, Mamsa Varga, Dhanya Varga, Kritanna Varga, Drava Varga, Dravyadi Varga. Here an attempt is made to elaborate on each drug and its therapeutic application in various health ailments.

Classical ayurveda management of TCH (taxane, carboplatin, and herceptin) based chemotherapy induced peripheral neuropathy- A case report

Although empirical data on the influence of Ayurveda on Chemo/Radiotherapy-induced side effects are limited, its methodological framework, grounded in a 'systems thinking' perspective, enables the precise delineation of the pathogenic stage of these side effects. This, in turn, facilitates the development of a strategy to address the decline in the quality of life parameters commonly associated with cancer treatment. Ayurveda personalized approach to disease management typically involves providing customized diets, lifestyle adjustments, medications, and detoxification therapies that target the entire body.We present a case involving a patient with numbness and pain in the right hand after undergoing chemotherapy who was referred to us by an oncologist for symptom management. This case report demonstrates the Ayurveda approach for establishing the etiology, pathogenesis, pathophysiology, and treatment of Chemotherapy-Induced Peripheral Neuropathy (CIPN) resulting from taxane-based chemotherapy. Following Ayurveda intervention, the patient exhibited significant improvements in symptoms and quality of life parameters.This case report systematically illustrates the application of Ayurveda approach in CIPN management.

A protocol for an open-label randomized parallel group clinical study on non-alcoholic fatty liver disease (NAFLD)

The primary objective of this study is to evaluate the efficacy of the combined effect of Agnideepan and Vyadhipratyaneek Chikitsa on the Fatty Liver Index (FLI) score in patients with Non-Alcoholic Fatty Liver Disease (NAFLD). Secondary objectives include assessing the impact of combined chikitsa on Agni, lipid profile, body weight, waist circumference, and BMI. The study also aims to evaluate the effects of Vyadhi Pratyaneekachikitsa on changes in the FLI, lipid profile, body weight, waist circumference, BMI, and Agni, as well as the impact of Agni Deepanchikitsa on these parameters. Additionally, the quality of life of NAFLD patients will be evaluated using the SF36 questionnaire. Patients diagnosed with NAFLD will be selected from the outpatient department of CARICD, now renamed the Central Ayurveda Research Institute in New Delhi. Patient information sheets and consent forms will be provided to all willing participants. Screening will be conducted, and suitable patients will be randomized using a computer-generated chart. Trial formulations will be prescribed according to a set schedule, and patients will be called for follow-up visits accordingly. It is expected that the combined treatment of Agnideepan and Vyadhipratyaneek Chikitsa will be more effective than Vyadhipratyaneek Chikitsa alone in managing NAFLD. This study aims to explore the effectiveness of Ayurveda interventions in managing NAFLD through a disease-specific approach to precisely correct RaktavahaSrotodushti with Yakrt involvement and a general approach aimed at correcting metabolism. This dual approach highlights the role of multiple therapeutic targets in disease management tailored to patient-specific factor.

A Clinical Efficacy of Marma Chikitsa and Ayurvedic Intervention in Management of Ardhavbhedak (Migraine)

Migraine is a prevalent and disabling neurological disorder characterized by severe, unilateral headaches often accompanied by nausea, light sensitivity, and sound sensitivity. Migraine is estimated to be the second most prevalent brain disorder after anxiety, affecting nearly 41 million adults. In Ayurveda it is correlated with Ardhavabhedaka, one of the Shiroroga out of 11 mentioned by Acharya Sushruta. Ardhavabhedaka is a Tridoshaja Vyadhi. The present case study is subjected to assess the efficacy of Marma Chikitsa and Ayurveda treatment in management of Ardhavbhedak. A 27 years old female patient came to our institute with complaint of experiencing on-and-off frontal headaches, predominantly left-sided, accompanied by nausea and sensitivity to light and sound. Marma Chikitsa, Pathyadi kwath 20ml BD with equal amount of water, and Shadbindu Tail Nasya was given for 21 days. Marma Chikitsa is used for pain management, while Pathyadi Kwath is specifically indicated for Shiroroga in Shrangdhara Samhita and Nasya Karma is considered as the best therapeutic intervention in Shiro Roga by Acharya Charaka. After 21 days of Marma Chikitsa significant improvements were noticed in pain management, while Shadbindu Tail Nasya and Pathyadi kwath also relieve other symptoms, resulting in overall improvement in the patient’s condition.

Comprehensive Allopathic Treatment and Retrospective Ayurvedic Regime Post-snake Bite from Southern Russell’s Viper (Daboia russelii) for Wound Healing and Joint Stiffness - A Case Report

Background: In India and other tropical nations, snake bites are a serious public health issue that anti-snake venom may effectively treat. Case Presentation: The case report described here details the antivenom received to neutralize the toxins present in Russell’s viper venom, followed by Ayurveda treatment to remove the surgical wound and reduce joint stiffness by applying Ayurvedic paste prepared by Laportea aestuans (L.). The leaves, garlic, pepper, and lemon juice mixture was applied to the affected area twice daily for 10 days. Another thin paste consisting of Laportea aestuans (L.) leaves, Centella asiatica (L.), garlic, pepper, and lemon juice was applied every 30 minutes for 10 days. A dried medicated paste was prepared by heating coconut oil and dried neem tree peel and applied to the wound. The patient was also given a decoction of Randia dumetorum (Retz.) Poir nut extracted with milk to flush out the venom. Conclusion: The present results suggest combining conventional allopathic treatment to heal the surgical wound and Ayurvedic treatments to manage the symptoms of a juvenile Russell's viper bite as effective.

LOW EJECTION FRACTION PATIENTS' RESPONSE TO HEART FAILURE REVERSAL THERAPY – A SINGLE CASE STUDY

In India, chronic heart failure (CHF) has increased significantly despite improved medicine therapy. The overall prognosis of CHF patients was found to be unsatisfactory due to a decreased ejection fraction or a low aerobic capacity in CHF patients, resulting in rising mortality and morbidity rates. Perhaps complementary and alternative medications can aid in the treatment of congestive heart failure as an adjuvant. Ayurveda is one approach which can be applied to the treatment. Several studies have demonstrated the efficacy of panchakarma therapy in treating a variety of illnesses, and it can be treated as Heart failure reversal therapy. Heart failure reversal therapy (HFRT) is a unique treatment intended to improve cardiorespiratory endurance in patients with CHF. This study quantifies the maximal aerobic capacity (MAC) of patients with CHF whose mortality and morbidity rates are rising. The objective of the present investigation was to assess the efficacy of HFRT as an adjuvant therapy for patients with CHF and a low ejection fraction. In the present case report, HF was treated for six months with conventional medicine. Then, only Ayurveda treatment was offered, along with lifestyle adjustment, after examining the cause and risk factors for heart disease. This case report thereby describes the beneficial role of Ayurveda in heart failure with poor ejection fraction (35%) in a 65-year-old male with comorbidities who has been treated in our institute for six months.

Sthavar Visha- Need of Balance in Tradition and Safety

The ancient Indian system of medicine has a long history of using poisonous herbs and minerals, known as Sthavar Visha, which are an integral part of Ayurveda medicines used for therapeutic purposes. It involves a delicate balance between harnessing the medicinal properties of these substances and mitigating their potential risks. These toxic substances can be transformed into beneficial medicines through meticulous processing, while the improper use of Sthavar Visha can lead to significant toxicity and may cause harm instead of causing benefits. This manuscript explores the diversity of Sthavar Visha, the challenges of complex formulations, variability in quality, and the lack of standardized dosages. Case studies on Aconitum ferox (Vatsanabha) and mercury-based preparations highlight the measures of potential dangers along with their solutions. Addressing these risks requires stringent quality assurance, substantial research and clinical trials, effective regulatory oversight, and increased education and awareness. Pharmacovigilance in Ayurveda, although currently underutilized, plays a crucial role in monitoring adverse effects and ensuring the safety of Ayurveda practices. Effective regulatory oversight is crucial for monitoring the use of potentially toxic substances and ensuring compliance with safety standards. Implementing post-marketing surveillance programs and encouraging adverse event reporting can help identify potential safety concerns and take timely corrective actions. Combining traditional knowledge with safety methods is essential for promoting health and ensuring quality treatment in Ayurveda's growing global popularity. A harmonious integration of tradition and safety measures will pave the way for a robust and sustainable future for Ayurveda medicine.

Management of Amavata w.s.r. to Rheumatoid Arthritis

Vitiated Vata Dosha, weakened Agni, and accumulation of Ama at Shleshmic Sthana mainly at Sandhi (joints) are responsible for the development of Aamvata. Amavata can be correlated with Rheumatoid Arthritis due to similarities in clinical symtoms. Rheumatoid arthritis is one among the autoimmune diseases causing chronic symmetrical polyarthritis. The treatment in Modern science includes the use of NSAID’s (Non steroidal anti-inflammatory drugs), DMARD’s (Disease-Modifying Antirheumatic Drugs), glucocorticoids, and immune-suppressants, long-term use of which causes several side effects. Ayurveda treatment procedures and medication used for the treatment of Amavata have Agni Deepana, Ama Pachana, Vata Shamaka, Sroto shodhana actions which are helpful to retard disease process and reduce signs and symptoms of the disease. In the present case, 65-year female patient presented with, complaints of multiple joint pain with swelling and morning stiffness, restricted joint movements, loss of appetite, fatigue, weakness, fever (on and off), migratory pain, and symmetrical joint involvement. Patient was administered with Phalatrikadiguggulu, Shwadanshtradi guggulu. Mahayograjguggulu, Rasapachak vati, Sameerpannag rasa and Gandharvaharitaki churna added as Nitya Virechana. Ruksha Swedan with Valukapottali had also been given. The therapeutic interventions adopted in the study have shown beneficial effects in the patients of Aamvata.

The Physical, Mental, Spiritual, and Environmental (PMSE) Framework for Enhancing Wellness Tourism Experiences and Its Validation in the Context of Kerala, India

Wellness tourism has emerged as a thriving sector in Kerala, India, renowned for its Ayurveda treatments, yoga, and holistic well-being offerings. However, a comprehensive framework capturing the key dimensions of wellness tourism experiences remains underexplored. This study aims to validate the physical, mental, spiritual, and environmental (PMSE) framework within the context of Kerala’s wellness tourism industry. A quantitative research design was employed, utilizing data collected from wellness tourists who participated in various wellness services in Kerala. Confirmatory factor analysis (CFA) was conducted to assess the fitness of the PMSE framework. The findings reveal that mental experience and physical experience, with their respective sub-attributes, contribute significantly to the overall wellness tourism experience. The validated PMSE framework provides valuable insights for stakeholders, enabling them to enhance the quality and competitiveness of wellness tourism services in Kerala. By prioritizing the mental and physical dimensions of wellness experiences, Kerala can strengthen its position as a leading wellness tourism destination. This study advances the theoretical understanding of wellness tourism experiences and offers practical implications for destination management and service providers in Kerala’s wellness tourism industry.

Ayurveda interventions in the management of avascular necrosis of femoral head: A case report

Abstract Avascular necrosis (AVN) of the femoral head is a progressive degenerative disease caused by an interruption of blood supply to the femoral head. Due to the similarity in its signs and symptoms, it can be correlated with Asthimajjagata Vata. According to Ayurveda, Vata, Pitta, and Raktadosha play an important role in the etiopathogenesis of AVN along with Asthi (~bones) and Majja Kshaya (decline in bone marrow). This case report highlights the outcomes of a customized Ayurveda treatment protocol for the management of Asthimajjagata Vata. A 42-year-old male patient, occasionally alcoholic, approached the outpatient department of the Ayurveda tertiary care hospital with pain and stiffness in both hip joints and difficulty in walking, sitting, and performing routine activities for about 6 months. Magnetic resonance imaging findings were suggestive of bilateral AVN (left > right, Ficat–Arlet stage 2). The patient was admitted to the inpatient department for 27 days and underwent Panchakarma procedures, including Rukshana (dehydrating therapy), Snehana (oleation), Virechana (therapeutic purgation), Patra Pinda Sweda (fomentation with bolus), and Basti Karma (therapeutic enema), along with Shamana Aushadha (internal medications). As a result of the treatment protocol, there was a marked improvement in the Harris Hip Score from 76 to 85, the Oxford Hip Score from 30 to 37, and the range of motion of the hip. Along with reduced pain (Visual Analog Scale score) from 8 to 3, the quality of life of the patient also improved, as assessed by the Short Form Health Survey-12 (physical component summary from 28.93 to 56.28 and mental component summary from 40.32 to 56.92). Based on these encouraging results, it can be presumed that a customized Ayurveda treatment protocol adopted in the management of AVN is promising.