Background: Lipoma is the most common type of soft tissue tumors. Patients having more of the cosmetic value than the morbidity and mortality. It appears as a solitary, soft, movable, and painless mass that may remain stationary or grow slowly. The masses are often benign, and while the age of onset can vary, they most often develop between the age of 40 and 60 years. Everyone seeks medical care due to cosmetic reasons. There is no permanent cure found yet. In Ayurveda, lipoma can be correlated with Medoj Granthi based on similar signs and symptoms. The present clinical study is a case report on the lipoma (Medoj Granthi) along with an altered lipid profile managed successfully through Triphala Kala Basti. Aims and Objectives: The aim of this study was to assess the efficacy of Triphala Kala Basti in the management of lipoma, lipid profile, and reduction in weight. Case Details: In this study, a patient with lipoma visited the outpatient department of Panchakarma, AIIA Hospital. He was managed here according to Ayurveda principles and Panchakarma therapies. The lipid profile and size of lipoma were assessed before the treatment, after the treatment, and during follow-up. Result and Observation: There is a significant reduction in the size of lipoma, weight, body mass index, and lipid measurement. Discussion and Conclusion: Medoj Granthi is Meda pradhan Vata Kaphaja vyadhi. Drug required is the one which is having property against the vitiated body humors and thus Triphala is selected for the trial.

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In today’s scenario, cases of infertility are increased day by day and it is disturbing social as well as the mental health of people all over the world. Male infertility is a contributing factor in one-third of the couples with no children. There are so many modern therapeutics are there but result surety is not. It is need of time to explore fertility agents from herbal, herbomineral formulations with lifestyle and diet control. Azoospermia is the disorder in which there is a lack of measurable level of sperm in his semen in male. In Ayurveda classics, there is a description of Shukra Dushti, Ksheena Shukra, Ksheena Retasa, Alpa Retasa, and Shukra Dosha like conditions that result from the Shukra Dhatu vitiation by Doshas. Ayurveda can be the choice of this disease to manage. A case of 34-year-old, healthy male patient visited the OPD of Kayachikitsa with complaints of unable to conceive her partner even after having 7 years of married life. Semen analysis of this patient revealed a low sperm count (0 million/mL) with no other abnormalities. This case was managed with Virechana procedure followed by Tritiya Baladi Yapana Basti for 21 days and then the patient was administered Shaman Chikitsa for 4 months. After this treatment, sperm count increased to 68 million/mL. The detail of this case highlights the role of Shodhan and Shaman Chikitsa in the management of Azoospermia.

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Background: Gridhrasi is one of the most common disorders of Vata, which closely resembles with sciatica, which is characterized by pain or discomfort associated with sciatic nerve. The prevalence of sciatica varies considerably ranging from 3.8% in the working population to 7.9% in the nonworking population. Contemporary medicine has limitations giving short-term relief in pain or surgical intervention with side effect. Aim and Objectives: The aim of this study was to access the efficacy of Ayurvedic management including Shodhana and Shamana Chikitsa in Gridhrasi.Materials and Methods: It is a single case study. A 43-year-old man who was already diagnosed with intervertebral disc prolapsed in L4-L5, correlated with Gridhrasi of left leg since 7 months approached to Ayurvedic hospital and was treated with Panchakarma treatment including Dashmooladi niruha vasti, Kati vasti, and Patra panda pottali sweda along with Shamana Chikitsa. The treatment was continued for consecutive one month. Results: Symptomatic assessment of patient was carried out after one month and satisfactory outcome was there and overall quality of life of patient was significantly improved. Conclusion: The aforementioned therapy gives symptomatic relief for the management of Gridhrasi.

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Apasmara (epilepsy) is defined by Acharya Charaka as Apagama (deterioration) of Smriti (retention) associated with Bibhatsa Chesta (seizers) due to derangement of Dhi and Sattva. The vitiate Dosha related to the condition are Vata and Rajo Dosha. The main features of Apasmara are impairment in memory or awareness. Even though most of the times, it is considered as Manasrogas (psychic disorders), it is not a Manasroga. Apasmara is one of the diseases, which affects both Sharira (physical) and Manas (mental). A 52-year-old man approached the OPD of Panchakarma department with the impairment of memory in the last 2 years. Earlier he had taken allopathic medicine but he discontinued the medicine due to no significant relief from the adverse effects of the medicines. He was advised with Yoga Basti (enema), Shirodhara (Pouring of medicated oil over head from a distant height), and Nasya (errhine therapy) along with palliative treatment. After 1-month treatment and follow-up, it was observed that the patient was satisfied with treatment and changes in the complaints with improved quality of life. Palliative treatment was advised to the patient for additional.

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Background: Voice is a means of communicating verbal messages, which serves as a powerful carrier of personality and emotional, educational, and social status. Dysphonia (impaired voice production) is a very common ailment, affecting nearly one-third of the population at some point in their life. Hoarseness of voice can be correlated to Swarabheda in Ayurveda. The management provided by contemporary medicine for this condition is either conservative or surgical in nature, which is cost worthy. Aims and Objectives: The aim of this study was to assess the efficacy of Ayurvedic management of Swarabheda.Materials and Methods: A 35-year-old woman approached to Ayurvedic hospital with complaints of hoarseness of voice and difficulty and pain while deglutition and talking since 1 year. She was diagnosed with Vataj swarabheda and was treated with Panchakarma treatment including Marsha Nasya with Anutaila and Gandusha along with Shamana Chikitsa. The treatment was continued for consecutive 1 month. Results: Hoarseness of voice was assessed after 15 days with the help of Buffalo III Voice Profile and satisfactory outcome was found especially in the quality and loudness of voice, mental strength, and confidence of patient. Conclusion: The collaborative approach of the aforementioned therapy gives symptomatic relief in Swarabheda.

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Nail is an important part of body, which plays crucial role in the beauty of female. A pink and lustrous nail is always equated with good health. Paronychia is one of the clinical conditions. It is a type of nail bed infection. It induces severe ugliness to hands due to chronic recurrent infection, which is generally bacterial or fungal in nature. A single case study showing Kunakha condition, which had resistant to therapy in contemporary science, induces encouraging results after the administration of external and palliative treatment (Shaman Chiktsa). Administration of Ayurveda treatment (external and internal) consecutively for 20 days had yielded good results in clinical symptoms as well as significant improvement in cosmetic view. The Shothahara, Rakta Prasadaka, and Strotoshodhaka properties of this remedy successfully subside the pathological features and improve the normal appearance of nail. Combined therapy, which is planned on the basis of basic principles of Ayurveda, conquers over the condition, which becomes resistance to contemporary established treatment.

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Background: The application of Khanduchakka (Ehertia Laevis) Kalka (paste) in the case of Delayed-union of metatarsal fracture is an innovative idea. It is a case report having the fracture of 3^rd and 4^th metatarsal of right foot. Ehertia Laevis is folklore plant locally known as Khanduchakka used in fracture and wound healing in various forms by the tribal people. In the present case it is used as Lepan (local application). Observation after treatment shows that the Ehertia Laevis is an effective alternative treatment for fracture and delayed union of bones without any complications. Aim: To evaluate healing effect of Khanduchakka Lepan in the management of Delayed union of Metatarsal fracture. Material and Method: In this present case report, the patient with Delayed union of Metatarsal fracture was treated with Khanduchakka Kalka used as local application after all the mandatory investigations and its efficacy was evaluated on the basis of clinical parameters like pain, swelling and fracture healing. Statistical analysis used: 1. Universal Pain Assessment Tool i.e. Visual Analog Scale (VAS) scoring for pain. 2. Swelling was assessed by measuring affected foot circumference in centimeters. 3. American Orthopedic Foot and Ankle Scale (AOFAS) result was calculated. Results: Patient showed significance results in clinical parameters evaluated. He got partial relief within 2 weeks. Conclusion: X-Ray revealed that there was callus formation and the mal-union was slightly aligned just by simply applying Khanduchakka Kalka over a fracture. Visual analog scale used for pain showed before treatment score - 8/10 and after treatment score - 2/10. Circumference of swelling reduced from 33cm to 29cm. AOFAS score was improved from 38/100 to 79/100 points. Therefore it can be concluded that this intervention not only acts as fracture healing but also relieved symptoms of pain and swelling.

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Background: Mutrashmari (urinary stones) is one among the Ashtamahagada (eight fatal conditions) and is Kaphapradhan Tridoshaja Vyadhi, which is correlated with urolithiasis. It is the major cause of morbidity. The lifetime prevalence of symptomatic urolithiasis is approximately 10% in men and 5% in women. Many treatment modalities have been adopted in medical sciences, but it is quite expensive and also the pathogenesis behind recurrence of formation of stone cannot be avoided. Hence, it is necessary to find out an economical effective, easily available medicine to treat Mutrashmari. Objectives: The aim of this study was to evaluate the efficacy of Shaman Chikitsa in Mutrashmari w.r.t. to urolithiasis. Materials and Methods: It is a single case study. A 50-year-old man who was already diagnosed before 20 years approached to outpatient department of Panchakarma with complaints of pain in abdomen and back, which was radiating from loin to groin region; burning micturition; and dysuria. The patient was administered with Shaman Aushadhi. Results: The patient got 80% results in chief and associated complaints, and during and after the completion of therapy there was an improvement in the quality of life of the patient. Conclusion: Satisfactory relief in symptoms was seen in patient after 1 month of Shaman Chikitsa.

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Background: In Ayurveda, all the skin diseases are explained under Kushtharoga and are classified as Maha Kushtha (major skin disorders) and Kshudra Kushtha (minor skin disorders). In Samhita (classical literatures), it is described that all Kushta to have involvement of Tri Dosha (three bodily humors) but the type of Kushtha depends on the predominance of particular Dosha. The signs and symptoms of Eka-Kushtha (chronic plaque psoriasis) are similar to that of psoriasis explained in modern science. Aim: The aim was to evaluate the role of Ayurveda treatment modalities in Kushtha. Materials and Methods: A male patient aged 51 years presented with the signs and symptoms of well-defined, slightly raised silvery scales over the lower back region, over the both knee joints and hands, and over the trunk region along with severe dryness in whole body, powdery discharge with severe itching, diagnosed it as Eka-Kushta (chronic plaque psoriasis) and was treated with both external and internal therapy, which included Shodhana (purificatory) and Shamana (palliative). Shodhana was given by Sadhya Snehan (proper oleation) followed by Vamana Karma (therapeutic emesis), in which vitiated Doshas (three fundamental bodily bio-elements) are expelled through Urdhvamarga (upward direction through mouth), and Shamana was given by Aushadhi (internal medicine). The total content of Vamana Aushadhi taken by patient was 2800mL and had (Vamana Vega) vomited 10 times (2150mL was output). Results: At the end of Vamana, Pittantik Vamana was achieved. Patient felt notable reduction from Kandu (itching), scaling, and gradual reduction of erythema during treatment. Conclusion: This case study revealed the efficacy of Ayurveda therapy, including both external and internal medications, for 1 month in the management of Kushtha.

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Background: Being one of the major texts in Ayurveda herbal pharmaceutics, Sharangadhar Samhita contributes a very significant part in the world of Ayurveda. It is a major book for reference to academicians as well as physicians. It is an ancient text written by Acharya Sharangadhar in fourteenth century. It is divided into three parts, which are called Khanda. The Khanda includes Prathama Khanda (first part)—7 chapters, Madhyama Khanda (second part)—12 chapters, and Uttara Khanda (last part)—13 chapters, that is, total chapters in Sharangadhar Samhita are 32 and comprises 2600 verses. Materials and Methods: In this work, the review of relevant literature of Lepa Kalpana was carried out from Hindi and English commentary on Sharangadhar Samhita by Pandit Durgadutta Shastri and P. Himasagar Murthy, respectively. In Uttara Khanda, 11^th chapter is described as Lepadi Vidhi Adhyaya (chapter on topical dosage formulations) and the same chapter was considered for review. Observation and Results: Total 94 types of Lepa formulations are narrated, of which 80 Lepa formulations contain herbal ingredients, whereas remaining 14 formulations contain herbo-mineral ingredients. Most of these formulations are indicated in skin disorder, hair disorder, migraine, abscess management, anti-inflammatory, and so on. Conclusion: Under the heading of Lepa, Acharya Sharangadhar has provided medicament for local application in common skin diseases. There is a huge scope for research as well as drug discovery and development in the context of Lepa formulations such as Stana and Lingavriddhikar Lepa (breast and penis enlargement), Kurandaghna Lepa (hydrocele), and Suryavarta Ardhavabhedakahara Lepa, mentioned by Acharya Sharangadhar.

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Background: Psoriasis is an inflammatory skin disease, which is characterized by well-circumscribed erythematous dry plaques of various sizes, covered with mica-like scales; according to its clinical features, it can be correlated with Ekakushta. The lifetime prevalence of psoriasis is 2%–3%. In India, the prevalence of psoriasis varies from 0.44% to 2.88% worldwide. Many treatment modalities have been adopted in medical sciences, but it has quite expensive and various side effects. Hence, it is necessary to find out an economical, effective, and an easily available medicine to treat psoriasis. Objectives: The objective of this study was to study the efficacy of Nitya Virechana and Shaman Chikitsa in the management of Ekakushta with respect to plaque psoriasis. Materials and Methods: A single case study: a 74-year-old man was already diagnosed with plaque psoriasis before 15 years. Symptoms such as redness of skin, silvery scaly skin, itching along with burning sensation was gradually emerging so for that he was advised for Nitya Virechana and Shamana Chikitsa.Result: Symptomatic assessment of patient was carried out after three months and satisfactory outcome was there and overall quality of life of patient was significantly improved. Conclusion: Nitya Virechana and Shaman Chikitsa, brought about satisfactory relief in symptoms in patients with Ekakushta.

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Introduction: Ascites is an abnormal accumulation of fluid in peritoneal cavity. It has numerous etiological factors, but the most common cause is cirrhosis of liver. It can be correlated with Jalodar, which is one of the types of Udarroga (disease of abdomen). It is described in Charaka, Sushruta, and Ashtanghridaya. Case Report: This is a case of ascites having fullness of abdomen, bilateral pedal edema, loss of appetite, and generalized weakness. The patient was chronic alcoholic and had no history of hypertension or diabetes. He was treated on the basis of treatment principles of Jalodar described in Charaksamhita, such as Nityavirechan daily purgation by using Ayurveda medicines, Strotoshodhan (cleaning of microchannels), and some hepatoprotective medicines. Observation and Result: Patient had complete relief from all complaints such as pedal edema, abdominal distension, and lack of appetite. Conclusion: The positive results of this study motivate to conduct further studies to establish treatment protocol of ascites.

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Vajikarana (aphrodisiac therapy) mainly deals with the promotion of sexual health, healthy progeny, and treatment of male sexual disorders such as premature ejaculation, erectile dysfunction, and infertility. The formulations described in Ayurveda generally contain ingredients of herbal, herbo-mineral, metal, or animal in origin. Musali or Shweta (White) Musali is a potent herbal drug primarily utilized for Vajikaran therapy and indicated in the management of male infertility. Until date, no published information is presented in compiled form on the classical formulations of Musali with their dose and indications. Therefore, in this study, an attempt has been made to compile different formulations of Musali indicated for Vajikarana therapy. This study aims to gather information on various formulations of Musali primarily utilized for Vajikarana therapy. Critical review of various formulations of Shweta Musali is compiled from seven Ayurvedic texts, and the therapeutic efficacy of Musali is discussed on the basis of available data. Vajikarana formulations of Musali were discovered after Samhita period. In the present review, 51 formulations of Shweta Musali are found, which are mainly indicated for Vajikarana. In the formulations of Musali, ingredients such as Godugdha (cow’s milk), Goghrita (cows clarified butter), Khanda sharkara (sugar), Madhu (honey), Ashwagandha (Withania somnifera L.), Shatavari (Asperagus racemosus Wild.), Vidarikanda (Pueraria tuberosa), Abhrak, Bhasma (calcined mica), and Rasasindoor (red oxide of mercury) augment the Vajikarana potential of Musali and also help to prevent other complications. On the basis of the reviewed research, it is concluded that Musali-containing formulations claimed significant aphrodisiac and spermatogenic properties, and present review will be helpful for research and pharmaceutical standardization purpose of Vajikarana formulations of Shweta Musali.

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Reproduction is one of the basic requirements of any species to continue its existence on the universe. Human reproduction includes stage-wise procedures leading to formation of a new individual. Any simple deviation in this finely calculated series of events can lead to the drastic pathological conditions. Ayurveda, the extract of the entire Vedas, dreams about add (good progeny). Human birth process with pre- and post-event knowledge is explained by (Branch which deals with Obstetrics), which is an integrated part of (Branch which deals with Pediatrics). The preconceptional care in Ayurveda was described centuries back to get a disease-free and good progeny by following the regimen and rituals. Recent research shows that each seminal ejaculation in intercourse depletes the body energy of male counterpart, hence to maintain the quality and energy of sperm, (following of celibacy) for one month before (Conception) was planned. The aim of Aharaniyama before conception was to elevate the qualities of sperm and ovum. Garbhadhana and Puthreshti speak about the preparation of mind-set of would-be parents and to evoke a zeal to have a good progeny. Preconception care is an extension of prenatal care to provide optimal health to mother and baby. Thus, this study helps to explore Ayurveda measures to get a Shreyasipraja.

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Pain is the cardinal feature of most of the musculoskeletal disorders. Pain is the factor for which patient generally approaches a doctor. Pain is defined as “an unpleasant sensory and emotional experience, which is generally associated with actual or potential tissue damage.” It can affect the quality of life; hence, its preventive measures are of prime importance in health care. In Ayurveda, the word “pain” can be correlated with Ruja, which is caused due to vitiation of Vata. Use of heat therapy for various ailments was found in Ancient Ayurveda treatises. There are different treatment modalities in Ayurveda, which are described by acharyas, Agnikarma (heat therapy) is one among them. Acharya Sushruta has mentioned use of Agnikarma in various disorders such as Granthi (tumor), Arsha (hemorrhoids), Bhagandar (fistula), Arbuda (tumor), Shlipad (filariasis), Antra Vrana (internal injury), and Nadi Vrana (sinuses) in detail. There are different materials that are used, such as Pippali (Piper longum), Aja Shakrut (goat excreta), Godanta (gypsum), Shara (arrow), Shalakha (metal rod), Kshaudra (honey), Guda (jaggery), and Sneha (oil/fat), for giving Agnikarma to various parts of the body such as skin, muscles, blood vessels, and ligaments. As Agnikarma is a parasurgical procedure, Acharya Charak has not described it in separate chapter but has described it as one of the treatment measures in different Vatavyadhis (neuromusculoskeletal disorders) such as Gridhrasi (sciatica). If the drugs such as nonsteroidal anti-inflammatory drugs, which are generally used for relieving pain factor in musculoskeletal disorders, are used for longer duration they can cause potential side effects on the body; hence, there is an emerging need to search for a safe option for the same. In this article, an attempt has been made to search the researches conducted on Agnikarma related to musculoskeletal disorders to establish its role in musculoskeletal pain.

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Background: Kushmanda Avaleha (KA, confection) has been described in Sharangdhar Samhita as a drug of choice in Raktapitta Chikitsa (hemorrhage). Ayurveda mentioned Five Basic Kalpanas, which are called Panchvidha Kashya Kalpana. Panchvidha Kashya Kalpana has several drawbacks, such as less palatability, shorter shelf life, etc. Hence, to overcome these drawbacks, secondary formulations were developed. Avaleha Kalpana was a secondary formulation developed by using primary formulations, such as Swaras (juice), Kwatha (decoctions), etc. Avaleha formulation was prepared by using herbal medicinal drugs and food articles such as sugar, ghee (clarified butter), honey etc. Administering proper dose of Avaleha is difficult in new era than Avaleha convert into granules form because, considering the changing scenario of the society, converting traditional dosage forms into more palatable, easily absorbable forms without changing desired therapeutic effects becomes need of the hour. In the current study, an attempt has been made to convert KA into granules form, which is the first step toward research on the formulation; hence, the current work was planned. Aim: Analytical study of KA and its modified dosage form as Kushmanda granules (KG)Materials and Methods: Three batches of KA were prepared as per the reference of Sharangdhar Samhita (8/22–28), and the same is converted into granules by adopting standard operative procedures. Result and Conclusion: Loss on drying at 105°C, total ash, acid-insoluble ash, alcohol-soluble extractives, water-soluble extractives, pH, total sugar, reducing sugar, nonreducing sugar, and total fat and moisture content in the range of Avaleha is 2.3%, 0.7%, 0.103%, 71.22%, 77.12%, 4.2%, 78.15%, 68.21%, 5.6%, and 2.92%. The range of granules is 3.1%, 1.2%, 0.36%, 38.09%, 41.2%, 3.53, 80.17, 78.12, 4.5, 0.92, and 3.12, respectively.

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Viral infections play a significant role in human illnesses. In late December 2019, a previously unidentified coronavirus, named as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 by ICTV on February 11, 2020), also named as 2019 novel coronavirus, originated from Wuhan, China, and caused outbreak in many countries. Presently, despite the advancement made in immunization and drug development, this virus lacks preventive vaccines and effective antiviral remedies. Thus, identification of specific antiviral medicine is of critical importance. However, classical Ayurveda preparations may play an excellent role in the management of this outbreak. Ayurveda has a unique method of approaching the newly detected disease. Rather than focusing on the microbial etiology, Ayurveda embraces a holistic technique for elaborating the details of the disease at hand. In this paper, we summarize the interpretation, diagnosis, treatment principles, and medicines described in different texts of Ayurveda to treat viral infections.

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Introduction: It is not just the quantity or quality of food that determines the maintenance of health but also the way of consuming food. The digestion, absorption, and assimilation of food are complex procedures where physical, physiological, social, and emotional factors play a critical role. For achieving complete benefits of food, one should also follow certain rules as told in Ayurveda regarding what, when, where, and how the food should be consumed. Objectives: To evaluate and prepare data regarding various dietary and dining rules (Ahara Vidhi Vidhana) recorded in Ayurveda texts, along with their design and utility under the purview of Charaka Samhita. Materials and Methods: For this Ayurveda books such as Charaka Samhita, Susrutha Samhita, Ashtanga Sangraha, Ashtanga Hridaya, Sharangadhara Samhita, Bhavaprakasha, and Yogaratnakara were reviewed for gaining information regarding dietetic rules said in Ayurveda and the concept has been presented while keeping the view of Charaka Samhita at the center. Observations: The rules are divided into dietary rules and dining rules. The first one explains what food should be consumed depending on the quality of the food and the condition of the person. The latter one deals with the way the food should be consumed, which has direct effects on hygiene of the food and the condition of the mind. Conclusion: The findings from the review suggests that by not following these rules, it is understood that tan individual may land up in a sea of many diseases and following them will benefit the overall health.

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Background: Pregnancy and childbirth are challenging events in women’s life cycle. Throughout this journey very often a mother faces several health issues, discomforts, and complications increasing the risk for her life. To deal with this situation, modern medicine usually needs help of different medical and surgical interventions but not all medicines and surgeries are effective. Ayurveda has advocated ample of therapeutic procedures that can take care of the safety of woman during the course of pregnancy and childbirth. Such procedures are being discussed in this article. Materials and Methods: Selected Ayurveda classics, electronic databases, namely PubMed, Digital helpline for Ayurveda Research Articles, National Centre for Biotechnology information, and so on are searched to compile the evidence of such therapeutic interventions advocated during obstetrical management. Results: Shodhana therapy (bio-purification procedures) is strictly contraindicated during pregnancy. However, Panchakarma (five cleansing methods) such as Basti (therapeutic enema), Nasya (instillation of herbal oils, juices, or powders through the nasal route), and other Upakarmas (allied therapies) such as Parisheka (pouring medicated liquids), Avagahana (Tub bath with herbal liquids) are prescribed in the classics of Ayurveda in the context of Garbhini Chikitsa (pregnancy management), Prasava Paricharya (intrapartum management), and Sutika Paricharya (puerperal management). These ancient methods of treatment procedures are advised to be used moderately with pleasant manner. Conclusion: Specific Panchakarma therapies are useful in achieving and maintaining normal pregnancy and enable normal labor. Various Upakarmas facilitate healthy growth and development of fetus, prevent minor ailments and complications in intrapartum as well as in postpartum phase. Hence, Ayurveda procedures appear to be the most effective remedial measure in preventing obstetrical complications, promoting maternal and child health, and lowering maternal mortality rate.

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Marma Sharira is the distinctive concept of Ayurveda. References of Marma (vital points in body) are found in Veda also. Marma are not merely anatomical landmarks but they are also the locations where Tridosha (basic elements of body) along with their subtle forms Prana, Ojasa or Soma, and Tejasa or Agni (vital elements of the body) are present. An injury to these Marma results in various conditions. The subsequent signs and symptoms of these conditions are well-defined in Samhitas. Yet a detailed study is required to establish the facts in context of contemporary science. This literary study was initiated to fulfill the gap. The Samhitas were studied for the Marma-related content. The secondary data are collected from the Samhitas as well as from online research database. Books and online research database have been used to study the modern aspect of the wrist joint. Manibandha Marma (a Marma that is located in the wrist) was selected for the study. Painful wrist is a challenge for health-care providers. Manibandha Marma is a Rujakar Marma and a Sandhi Marma. This study can help the Ayurvediya health professionals to understand the painful wrist with reference to Marma Sharira.

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Background: Hair is one of the defining characteristics of mammals. Hair loss may not harm physically that much but it might lead to psychological impact and may cause depression. Alopecia areata (AA) is a condition resulting in localized, nonscarring hair loss. Patches are more common on the scalp without any scaling and inflammation. In Ayurveda texts, a similar condition is mentioned in Kshudrarogas known as Indralupta. The aim of this study was to assess the efficacy of Jalaukavacharana in Alopecia areata. Materials and Methods: It is a single case study of a 22-year-old female patient with a complaint of asymptomatic loss of hair at a single site over the scalp for 5 months. This case of Alopecia areata (Indralupta) was successfully treated with 12 sittings of Jalaukavacharana (leech therapy) for four and a half months and 3 months Ayurveda medication. Result: The patch was immensely filled with lustrous black hairs at the end of the follow-up period. Conclusion: Hence, it can be concluded that Ayurveda provides a promising result in the patient of Indralupta through Jaloukavacharana and Shamana Aushadh. It can be a choice of treatment, keeping in mind its cost-effectiveness and successful management as compared to conservative treatment.

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Background: Agni (digestive capacity) is an important factor for digestion and metabolism in our body. Ingested food is to be digested, absorbed, and assimilated, which is unavoidable for the maintenance of life, and is performed by the Agni. Agni resides and functions in the body in the form of Pitta (a physiological humor). Wellness and illness of an individual depends on the proper and improper functions of the Agni. Hence, Agni is said to be the Mool (base) of life. Materials and Methods: In this study, 60 healthy volunteers were randomly selected, and their Agni, Koshtha (nature of bowel), Prakruti (physical and mental temperament), and Mala Parikshan (stool examination) were examined through prevalidated Case Record Proforma (CRP), and the results were recorded, and correlation of status of Agni with Koshtha, Prakruti, and Sama-Nirama Mala Parikshan was conducted. Results and Conclusion: The result shows correlation of Agni with Koshtha, Prakruti, and Mala type (Sama and Nirama), which is in tune with the principles described in Samhitas (basic text of Ayurveda), and it is evident that Agni is the most important factor for health as described in the definition of health in Sushruta Samhita.

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More than 40,000 species of spiders have been identified in the world. Spider bites is a common problem among people, however few of them are harmful but delay in treatment can cause death. Since the spider bites are risk full to human, they should be taken seriously, especially in endemic areas. The objective in this review was to study about poisonous spiders and find out treatments of them. Therefore, we collected related articles from PubMed database and Google Scholar. This research article highlights on Luta Visha (spider poison) and its sign & symptoms and Chikitsa as per Ayurvedic classics. Acharya Suhsruta described Luta Visha under Jangama Visha (animate poison) and explained 16 types of luta. In this article an attempt is made to conceptualize spider envenomation according to Ayurveda which will help not only for differential diagnosis of spider bites but also the easy availability of herbal medicine treatment.

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Food regimen during pregnancy is a unique contribution of Ayurveda, aiming at wholesome prenatal care of the pregnant lady and the growing fetus. This aids in proper fetal nutrition and prevents the ill effects of maternal diseases. Thus, it aims at the production of a healthy progeny, which is superior in all the aspects than its predecessors. Basic information was collected from Ayurveda texts and interpretations based on the cross-references and research updates available in print as well as online versions. The diet and regimen of Garbhini (pregnant lady) needs to be Madhura Rasa Praya (predominantly sweet), Sheethaveerya (cold potency), Brihmana (nourishing), Ojovardhana (improves vitality), and Anulomana (gut clearing). The regimen of first trimester focuses mainly on the maintenance of balanced diet in the mother, second trimester focuses to promote physical growth and nutrition of the baby, whereas in the third trimester, main focus is on the enhancement of fetal nutrition and facilitation of easy and natural process of delivery.

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Kashtartava (painful menstruation or dysmenorrhea) is one of the common gynecological disorders observed among women. It has been described as a symptom of various diseases such as Kukshishoola, Vatala yoni, Udavartini yonivyapada, etc. in Ayurvedic classics. It is characterized by a condition in which Artava (menstrual fluid) is shedded with great difficulty and pain. Acharya Charaka has specifically mentioned that none of the gynecological disorders can arise without the involvement of vitiated Vata dosha (a type of body humor). The pain produced in dysmenorrhea is due to vitiation of Vata dosha only or in combination with other Doshas, which is the result of Vatavriddhi (elevation in the Vata level) due to Apanavayu (type of Vata), margavarodha (obstruction of channel), etc. It has been reported that around 90% of adolescent females and above 50% of menstruating women worldwide reported suffering from it, with 10–20% of them describing their suffering as severe and distressing. Owing to these facts, various classical texts of Ayurveda have been reviewed and literature search was performed using the keywords “Kashtartava, Dysmenorrhea, Menstrual pain, Menstruation, Yoni vyapada (vaginal disorder)” in various online databases in order to collect the data regarding the same. It has been revealed that Dhatukshaya (depletion of body tissues), Kopa (aggravation of Doshas), and Margavarodha (obstruction of channel) are the three prime conditions which lead to the vitiation of Vata dosha resulting in dysmenorrhea. It can be managed with various Ayurvedic preparations such as Phala ghrita, Jeerakadi modak, Maharasnadi kwath, etc. Panchkarma (five therapeutic biodetoxification procedures) such as Shatavaryadi anuvasana basti and Baladi anuvasana basti is also proved to be beneficial along with Pathya ahara and Vihara (wholesome regulated diet and lifestyle).

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