Author: Dr. Krishna Kumar, Dr. Deepika
Institution: Keva Ayurveda Healthcare Pvt. Ltd., Bangalore, India
Keywords: Hypothyroidism, Panchakarma, Vamana, Virechana, Hamsapathyadi Kashaya, Kanchanara Guggulu, Triphala Guggulu, Weight Gain, Irregular Periods, Ayurveda

Abstract

Hypothyroidism is a chronic endocrine disorder that affects millions globally, especially women. It manifests with fatigue, weight gain, constipation, irregular menstruation, and elevated TSH levels. This clinical case highlights the successful Ayurvedic management of a 32-year-old female with high TSH (18.7 mU/L), vitamin deficiencies, and metabolic imbalances using a combination of Panchakarma (Vamana and Virechana) and classical Ayurvedic medicines. After six months of treatment at Keva Ayurveda, the patient achieved normalized TSH levels, weight loss, regular periods, and improved energy levels — all without allopathic hormonal interventions.

Introduction

Hypothyroidism, a condition of underactive thyroid function, leads to systemic metabolic slowdown. Although synthetic hormone replacement therapy is commonly used, it may not address the root cause or provide long-term balance. Ayurveda, with its holistic approach, treats such conditions by correcting the Agni (digestive fire), removing toxins (Aama), and balancing Doshas (Vata, Pitta, Kapha) through Panchakarma and Rasayana therapies. This case presents a successful outcome using Ayurvedic methods in a patient with longstanding hypothyroidism.

Case Presentation

A 32-year-old woman visited Keva Ayurveda with the following symptoms:

• TSH: 18.7 mU/L (elevated)

• Fatigue and low energy levels

• Irregular periods

• Constipation

• Unexplained weight gain

• Vitamin D and B12 deficiencies

She had previously tried conventional treatment approaches but failed to see sustainable improvement.

Diagnosis (Nidana)

According to Ayurvedic principles, the patient was diagnosed with:

• Agnimandya (sluggish metabolism)

• Kapha-Meda Dushti (vitiation of Kapha and adipose tissue)

• Strotorodha (blocked bodily channels)

• Associated with Udara Roga and Rasa-Rakta Dhatu Dushti

Treatment Protocol

1. Panchakarma Therapies:

• Vamana (Therapeutic Emesis)
  To eliminate excess Kapha and correct metabolic dysfunction.

• Virechana (Therapeutic Purgation)
  Administered post-Vamana to eliminate Pitta, clear the liver and gut channels.

2. Ayurvedic Medications:

• Hamsapathyadi Kashaya: Balances thyroid function, improves metabolism.

• Kanchanara Guggulu: Reduces glandular swellings, supports thyroid health.

• Triphala Guggulu: Improves digestion, detoxification, and resolves constipation.

3. Dietary and Lifestyle Advice:

• A Kapha-pacifying diet, avoiding cold, oily, and heavy foods.

• Gentle daily exercise and yoga post-detox phase.

• Regular intake of warm water and light meals.

Outcome

After 6 months of treatment:

• TSH levels normalized

• Weight reduced by 3–4 kg

• Regular and pain-free menstrual cycles

• Energy levels improved significantly

• Improved Vitamin D and B12 levels

• Relief from constipation

• No side effects or dependency on synthetic hormones

Discussion

The patient responded exceptionally well to Ayurvedic detox and internal Rasayana therapies. Panchakarma effectively eliminated accumulated Kapha and toxins, while the medicines supported endocrine and digestive functions. This case demonstrates Ayurveda’s potential to manage chronic hormonal disorders like hypothyroidism from a root-cause level rather than symptom suppression.

Conclusion

This case underscores the efficacy of integrative Ayurvedic protocols in managing hypothyroidism naturally. Panchakarma, when combined with targeted herbal formulations and personalized lifestyle changes, offers sustainable health benefits and hormonal balance. Further clinical research is encouraged to validate and expand standardized treatment protocols for endocrine disorders through Ayurveda.

Author: Dr. Krishna Kumar, Dr Deepika 
Institution: Keva Ayurveda Healthcare Pvt. Ltd., Bangalore, India
Keywords: Low AMH, Infertility, Uttara Basti, Panchakarma, Ayurveda, Conception, Rasayana, Irregular Periods

Abstract

Infertility due to diminished ovarian reserve is a rising concern, often associated with low Anti-Müllerian Hormone (AMH) levels. This case report presents the successful Ayurvedic management of a 35-year-old female with low AMH (0.4 ng/mL), irregular menstrual cycles, and weight gain. A structured treatment protocol involving Shodhana (detox therapies), Uttara Basti, and specific Ayurvedic medications led to conception within eight months of therapy.

Introduction

Low AMH levels indicate reduced ovarian reserve and are a key factor in infertility, especially in women over 30. While assisted reproductive techniques (ART) offer solutions, Ayurveda presents a natural, holistic approach addressing the root cause through detoxification, uterine rejuvenation, and hormonal balance restoration. This report highlights the clinical efficacy of Uttara Basti as part of a comprehensive Ayurvedic protocol.

Case Profile

• Age: 35 years

• Symptoms: Irregular periods, weight gain, infertility (unconception for 2+ years)

• Investigations:

  • AMH: 0.4 ng/mL

  • Thyroid Profile, FSH, LH, Prolactin: Within normal limits

  • Ultrasound Pelvis: Mild PCOS changes

• Ayurvedic Diagnosis: Kapha-Vata predominance leading to Artavakshaya and Artava Dushti

Treatment Protocol

1. Shodhana Chikitsa (Panchakarma Detox)

a. Deepana-Pachana (Digestive Fire Activation) – 3 Days

• Medications:

  • Chitrakadi Vati – 2 tabs twice daily

  • Trikatu Churna with warm water

b. Vamana (Therapeutic Emesis) – 9 Days

• Snehapana with Tiktaka Ghrita followed by Abhyanga and Swedana

• Madanfala, Yashtimadhu Kashaya, and Ikshvaku Yoga used for emesis

• Resulted in proper expulsion of Kapha and improved Agni

c. Virechana (Therapeutic Purgation) – 12 Days

• Avipattikara Churna and Trivrit Lehyam for bowel clearance

• Balanced Pitta Dosha and cleared toxins from liver and uterus

2. Uttara Basti – 8 Days

Administered intrauterine medicated oil therapy using:

• Oil Used: Phala Ghrita and Shatavari Taila (alternate days)

• Procedure:

  • Conducted under aseptic conditions

  • Preceded by vaginal Abhyanga and Swedana

  • 5 ml oil instilled via sterile catheter post-menstrual phase

Purpose: Rejuvenation of uterine endometrium, hormonal regulation, and ovum quality enhancement

3. Oral Ayurvedic Medications (3–6 Months)

Monitoring & Follow-Up

• Monthly review of menstrual cycle, mood, weight, and ovulation signs

• Hormonal levels rechecked every 2–3 months

• Dietary and lifestyle guidelines provided, including yoga and pranayama for reproductive health

Outcome

After eight months of continuous treatment and monitoring, the patient reported missed periods and a positive pregnancy test. Ultrasound confirmed a 4-week intrauterine pregnancy, marking a successful and natural conception.

Discussion

This case highlights the importance of classical Panchakarma and Uttara Basti therapies in managing complex infertility issues, including low AMH. The synergistic effect of detoxification, Rasayana Chikitsa, and reproductive tonics helped improve ovarian function, regulate menstruation, and enhance fertility without invasive procedures.

Conclusion

Ayurveda, when applied with precision and personalization, can offer promising outcomes in infertility cases. Uttara Basti combined with appropriate Panchakarma therapies and herbal support plays a transformative role in restoring reproductive health in women with low AMH levels.

Declaration of Patient Consent:
The patient provided informed consent for sharing clinical details and outcomes for academic and publication purposes. Identity has been anonymized.

Dr. Krishna Kumar, Dr. Deepika, Dr. Geetika
Institution: Keva Ayurveda Healthcare Pvt. Ltd., Bangalore, India

Abstract
Urticaria is a common allergic disorder characterized by transient, pruritic wheals. Chronic
urticaria poses a significant challenge due to its recurrent nature and dependency on
antihistamines. This case study presents the successful Ayurvedic management of chronic
urticaria through Panchakarma therapies and internal medications, highlighting long-term
relief without ongoing pharmacological support.

Keywords
Chronic Urticaria, Sheetapitta, Ayurveda, Panchakarma, Vamana, Virechana, Haridrakhand,
Arogyavardhini, Gandhaka Rasayana

Introduction
Urticaria, referred to as Sheetapitta in Ayurveda, is caused by the vitiation of Vata, Pitta, and
Kapha doshas, often due to exposure to cold, incompatible food combinations, and weak
digestion (Agnimandya). Modern medicine typically relies on antihistamines for symptom
suppression, but recurrence remains high. Ayurveda provides a root-cause approach
involving Shodhana (detoxification) and Shamana (pacification) therapies.

Case Presentation
A 35-year-old female presented to Keva Ayurveda with a 5-year history of chronic urticaria,
with symptoms worsening during the winter season. The patient was dependent on daily
antihistamines and reported significant distress due to persistent itching, redness, and
swelling.

Ayurvedic Assessment
Diagnosis: Sheetapitta with predominance of Kapha-Vata dosha, associated Ama, and
seasonal aggravation.

Prakriti: Vata-Kapha
Agni: Manda (low digestive fire)
Dusyas: Rasa, Rakta, Twak

Treatment Protocol
1. Panchakarma Therapies
• Vamana (Therapeutic Emesis): Conducted in the spring season (Vasanta Ritu) after proper
Purvakarma with Snehapana (internal oleation using Mahatiktaka Ghrita) and Swedana
(fomentation).
• Virechana (Therapeutic Purgation): Administered 4 weeks after Vamana using Trivrit
Lehyam, targeting Pitta dosha and Rakta vitiation.
2. Internal Medications (Shamana Chikitsa)
Prescribed post-Panchakarma for 4 months:
• Haridrakhandam – 5 g twice daily with warm water
• Arogyavardhini Vati – 250 mg twice daily
• Gandhaka Rasayanam – 250 mg twice daily
• Avipattikara Churna – 5 g at bedtime with warm water
• Mahatiktaka Ghrita – 1 tsp early morning on empty stomach
3. Pathya-Apathya (Diet and Lifestyle)
• Avoidance of dairy and non-vegetarian food, especially curd, milk, seafood.
• Use of warm, light, digestible food (khichdi, boiled vegetables).
• Avoidance of exposure to cold and dusty environments.
• Daily intake of warm water infused with turmeric and neem leaves.
• Strict control of stress and irregular sleep patterns.

Duration of Treatment
• Panchakarma: 1 month (Vamana and Virechana)
• Internal Medication: 4 months
• Follow-up Duration: 6 months after stopping all medicines

Outcome
• Complete resolution of urticaria symptoms by the end of 4 months.
• Patient discontinued antihistamines within 2 months of starting treatment.
• No episodes of urticaria during the 6-month post-treatment follow-up period.
• Improved digestion, immunity, and overall sense of well-being.

Discussion

This case highlights the efficacy of Ayurvedic detoxification (Shodhana) and pacification
(Shamana) therapies in breaking the chronic urticaria cycle. Classical formulations like
Haridrakhandam and Gandhaka Rasayana were effective in modulating immunity and
reducing hypersensitivity. Panchakarma therapies eliminated Ama and corrected dosha
imbalance, leading to long-term remission.

Conclusion
Ayurvedic management of chronic urticaria through a combination of Panchakarma and
internal medications proved highly effective in this case. Long-term relief without
recurrence or need for antihistamines validates the potential of Ayurveda as a sustainable
therapeutic approach. Further controlled clinical studies are recommended.

Patient Consent
Informed consent was obtained for publication of this case report.

Conflicts of Interest
None declared

Funding
None

Institutional Affiliation
Keva Ayurveda Healthcare Pvt. Ltd., Bangalore, India

Ayurvedic Management of Polycystic Ovarian Disease (PCOD) with Panchakarma 
 Authors: Dr. Krishna Kumar, Dr. Deepika, Dr Geetika , Dr Pavana, Dr Rekha
Institution: Keva Ayurveda Healthcare Pvt. Ltd., Bangalore, India

Abstract

Polycystic Ovarian Disease (PCOD) is a prevalent endocrine disorder in women of reproductive age, characterized by menstrual irregularity, hormonal imbalance, and metabolic disturbances. This case report presents the management of a 33-year-old female with bilateral PCOD and hyperprolactinemia using an integrated Ayurvedic approach. The treatment protocol included Virechana Karma, Lekhana Basti, and selected internal formulations aimed at Kapha–Vata balance, Agni enhancement, and hormonal modulation. Within six months, the patient achieved complete symptom relief, normalized hormonal parameters, and radiological resolution of ovarian cysts. This case highlights the efficacy of Ayurveda in addressing the root cause of PCOD.

Keywords

PCOD, Ayurveda, Panchakarma, Virechana, Lekhana Basti, Hyperprolactinemia, Hormonal Imbalance

Introduction

Polycystic Ovarian Disease (PCOD), comparable to Artava Dushti and Granthi in Ayurveda, arises from Kapha–Vata vitiation along with Agnimandya, resulting in Srotorodha (channel obstruction) in Artavavaha Srotas. Modern medicine largely offers hormonal therapy and symptomatic relief; however, Ayurveda provides a holistic approach focusing on dosha balance, dhatu harmony, and shodhana therapies to reverse pathology.

Case Presentation

Table 1: Patient Profile

Diagnosis

• Ayurvedic Diagnosis: Kapha–Vata dominant Artava Dushti with Avarana pathology

• Modern Diagnosis: Polycystic Ovarian Disease (PCOD) with hyperprolactinemia

Treatment Protocol

Table 2: Panchakarma Procedures & Medications

Outcome

Table 3: Progress Timeline

Discussion

The vitiation of Kapha and Vata along with Agnimandya leads to Artava Dushti and cyst formation. Virechana Karma effectively eliminated aggravated doshas and improved hormonal milieu. Lekhana Basti helped reduce Meda and clear Srotas obstruction, aiding follicular development. The internal medicines acted synergistically — Kanchanar Guggulu resolved cystic growths, Shatavari and Ashokarishta restored uterine function, and Praval Pishti aided in hormonal stabilization. This integrative protocol produced sustained benefits without hormonal therapy side effects.

Conclusion

This case demonstrates the potential of Ayurveda in managing PCOD holistically. Combining Panchakarma with tailored herbal formulations can restore reproductive health, normalize hormones, and reverse cyst formation. Larger clinical trials are warranted to validate these results.

References

1. Charaka Samhita, Chikitsa Sthana, Yonivyapad Chikitsa

2. Sushruta Samhita, Nidana Sthana, Artava Dushti Adhyaya

3. Bhavaprakasha Nighantu, Guggulu Varga, Kanchanar Guggulu

Abstract

Low back pain (Katigraha) is one of the most common musculoskeletal complaints in modern society, often correlated with lumbar disc prolapse in contemporary medicine. The chronic and recurrent nature of this condition necessitates an integrated approach that addresses both pain and functional disability. This case study presents the Ayurvedic management of a 41-year-old male patient suffering from L4–L5 disc prolapse with radiating pain and numbness, treated successfully with Panchakarma procedures and Ayurvedic internal medicines.

Keywords

Katigraha, Gridhrasi, L4–L5 disc prolapse, Panchakarma, Ayurvedic management, Bastikarma, Ayurvedic pain management

Introduction

Low back pain due to intervertebral disc prolapse is a growing concern, often resulting from sedentary lifestyle, poor posture, and degenerative spinal changes. In Ayurveda, the condition can be correlated with Katigraha (stiffness and pain in the lumbar region) and Gridhrasi (radiating pain along the sciatic nerve). Both are Vata Vyadhi (neuromusculoskeletal disorders caused by aggravated Vata Dosha).
Panchakarma procedures like Abhyanga, Swedana, Patra Pinda Sweda, Kati Basti, and Matra Basti are highly effective in pacifying Vata, reducing inflammation, and improving neuromuscular function.

Case Presentation

Patient Details:

• Age/Sex: 41 years / Male

• Occupation: IT professional (sedentary work)

• Chief Complaints:

  • Low back pain for 1 year

  • Pain radiating to left lower limb

  • Numbness and tingling in both legs

  • Difficulty sitting and bending forward

• Associated Illnesses: Known case of Diabetes Mellitus (DM) and Hypertension (HTN) for 3 years (on regular allopathic medication)

Clinical Findings

• Observation: Antalgic posture, restricted spinal flexion, and tenderness at L4–L5 region

• Neurological Examination:

  • Straight leg raising test positive at 45° on left side

  • Sensory deficit noted over left leg and foot region

  • Reflexes mildly diminished

• MRI Report:

  • Posterior disc bulge at L4–L5 with mild compression of left nerve root

  • Early degenerative changes in lumbar spine

Ayurvedic Diagnosis

• Dosha: Vata predominance (Vata Kopa)

• Dushya: Asthi, Mamsa, Majja

• Srotas involved: Asthivaha, Majjavaha, Mamsavaha

• Roga: Katigraha with features of Gridhrasi

• Samprapti: Dhatu Kshaya and Vata Prakopa leading to Sira Avarana and pain

Treatment Plan

Goal: To pacify aggravated Vata, relieve pain, nourish affected tissues, and improve mobility.

1. Purvakarma (Pre-operative Procedures)

• Abhyanga: Ksheerabala Taila / Sahacharadi Taila – 45 min daily for 7 days

• Swedana: Patra Pinda Sweda using Eranda Patra, Nirgundi, and Arka leaves with Dashamoola decoction for 15 min daily

2. Pradhana Karma (Main Panchakarma Procedures)

• Kati Basti: Sahacharadi Taila for 30 min daily × 10 days

• Matra Basti: Ksheerabala Taila 60 ml per rectum × 7 days

• Lekhana Basti (after initial Matra Basti): Dashamoola + Rasna + Eranda Taila combination for 8 days

3. Internal Medicines

Pathya-Apathya (Diet & Lifestyle)

Pathya (Recommended):

• Warm, unctuous diet with ghee and cooked vegetables

• Gentle stretching and back strengthening exercises after therapy

• Avoid sitting long hours; take breaks every 30–45 minutes

• Warm water for bathing

Apathya (To Avoid):

• Dry, cold, and spicy food

• Excess exertion, jerky movements, and cold exposure

• Daytime sleeping

Results & Follow-up

• After 10 days: Marked reduction in pain intensity and stiffness

• After 21 days: Radiating pain subsided, numbness decreased

• After 30 days: Improved mobility, able to sit and walk without discomfort

• At 3-month follow-up: Stable results with no recurrence of severe symptoms

Objective improvement:

• SLR test improved from 45° to 80°

• Pain VAS score reduced from 8/10 to 2/10

• Muscle tone and spinal flexibility improved

Discussion

This case demonstrates the effectiveness of Vata-shamaka, Snigdha, and Brimhana line of treatment in managing disc prolapse-related back pain.
Panchakarma procedures like Abhyanga, Swedana, and Basti restore the functional balance of Vata Dosha, improve blood circulation, and reduce nerve root inflammation.
Internal medications such as Guggulu formulations and Dashamoola preparations offer anti-inflammatory and analgesic benefits while supporting tissue regeneration.
Overall, the integrative Ayurvedic protocol provided significant symptomatic relief and functional improvement, avoiding surgical intervention.

Conclusion

Ayurvedic management using Panchakarma and internal medicines offers a safe and effective approach to treating lumbar disc prolapse. The combined use of Kati Basti, Matra Basti, and Vata-pacifying herbs not only alleviates pain but also prevents recurrence by addressing the root cause — Vata imbalance.

This case underscores the importance of adopting Ayurveda as a holistic modality in chronic musculoskeletal disorders.

References

1. Charaka Samhita, Chikitsa Sthana, Vatavyadhi Chikitsa Adhyaya.

2. Sushruta Samhita, Nidana Sthana, Vatavyadhi Nidana.

3. Vagbhata, Ashtanga Hridaya, Chikitsa Sthana, Katigraha Chikitsa.

4. Sharma P.V. Dravyaguna Vigyana, Chaukhamba Bharati Academy, Varanasi.

5. Singh R.H. Panchakarma Therapy in Ayurveda, Chaukhamba Sanskrit Series Office, Varanasi.

Author:

Dr Krishna Kumar, Dr Deepika and Dr Geetika

Institution:

Keva Ayurveda, NABH Accredited Clinics – Bangalore, India

Abstract

A 40-year-old male, known as Type 2 Diabetes Mellitus (DM) for the past 10 years and on modern anti-diabetic medications for 9 years, presented to Keva Ayurveda with uncontrolled blood sugar levels (HbA1c: 9.8%). The patient underwent a comprehensive Ayurvedic management program including Panchakarma therapies, internal medications, and a customized dietary plan. After 3 months, HbA1c dropped to 6.8%, and within 6 months, further improved to 5.5%, demonstrating the potential of Ayurveda in effective glycemic control and metabolic balance.

Case Details

Patient: Male, 40 years
Known Case: Type 2 Diabetes Mellitus (K/C/O DM) since 10 years
On Allopathic Medication: Since 9 years
Initial HbA1c: 9.8%
Associated Complaints: Fatigue, mild neuropathy in feet, increased thirst, and disturbed sleep.
Lifestyle: Sedentary, irregular food timings, high carbohydrate intake.

Ayurvedic Assessment

Treatment Plan

Phase 1: Detoxification (Panchakarma Phase – 21 Days)

Objective: To eliminate accumulated Ama (toxins) and balance Doshas through Shodhana Chikitsa.

1. Snehana (Internal & External Oleation):

• Snehapana with Triphala Guggulu Ghrita for 5 days (gradual dose escalation).

• Abhyanga with Ksheerabala Taila followed by Swedana (steam therapy).

2. Virechana (Therapeutic Purgation):

• Administered with Trivrit Lehyam or Avipattikara Churna – single sitting.

• Outcome: Improved bowel clearance, lightness in body, better appetite.

3. Basti Therapy (Medicated Enema – 8 Days):

• Niruha Basti – Dashamoola Kwatha + Honey + Saindhava + Taila

• Anuvasana Basti – Eranda Taila (alternate days)

• Objective: Improve Vata balance and glucose metabolism.

Phase 2: Rejuvenation & Metabolic Correction (3–6 Months)

Internal Medications:

Dietary Plan (Pathya–Apathya)

Pathya (Recommended Diet):

• Early morning: Warm water with turmeric + amla juice.

• Breakfast: Multigrain dosa / green moong chilla / vegetable upma.

• Lunch: Red rice or millet with dal, leafy vegetables, and bitter gourd.

• Evening snack: Roasted chana, green tea with cinnamon.

• Dinner: Light soups (lauki, methi, or moong dal).

• Additional:

  • 1 glass of Methi water (soaked overnight) every morning.

  • Avoid daytime sleep.

  • Practice Pranayama (Kapalbhati, Bhastrika) and light walking.

Apathya (To Avoid):

• White rice, refined flour, sugar, sweets, dairy desserts.

• Deep-fried, processed, and packed foods.

• Late-night dinners and stress eating.

Lifestyle Modifications

• Regular yoga (Surya Namaskar, Vajrasana after meals).

• Minimum 7 hours of sleep.

• Avoid long sitting hours; small walks every 1 hour.

• Periodic follow-ups and fasting blood sugar monitoring every 15 days.

Results

The patient successfully tapered down allopathic medication under medical supervision.

Discussion

According to Ayurveda, Madhumeha arises due to vitiation of Kapha and Vata doshas, leading to deranged Medo Dhatu metabolism. Panchakarma helps detoxify and rejuvenate the Agni (digestive fire), enhancing insulin sensitivity and cellular metabolism. The integrated approach combining Shodhana and Shamana therapies, along with strict diet and exercise, resulted in significant glycemic improvement within six months.

Conclusion

This case demonstrates that well-planned Ayurvedic Panchakarma therapy, internal medicines, and lifestyle correction can significantly reduce HbA1c levels and improve overall metabolic health in Type 2 Diabetes Mellitus. Such results support Ayurveda as a potent complementary system for diabetes management.

Keywords:

Ayurveda, Panchakarma, Madhumeha, Diabetes Mellitus, HbA1c, Keva Ayurveda, Ayurvedic Medicine