The healer Journal

Food Consumption Habits of Ayurveda Students with Re- spect to Incompatible Diets: A Cross-Sectional Study

Mithilesh Kumar Sah — 2024-08-08

Background: In Ayurveda, Ahara (diet) is a fundamental pillar of health, and Viruddha Ahara (incompatible food
combinations) can lead to Doshik imbalances and health issues. Despite theoretical knowledge, Ayurveda students
often deviate from these principles due to modern lifestyle factors. Objective: To assess food consumption hab-
its, frequency of fast-food intake, common incompatible combinations, and symptoms of Doshik imbalance among
Ayurveda students. Methods: A cross-sectional quantitative study was conducted among 90 undergraduate students
at Ayurveda Campus, Tribhuvan University, using convenience sampling. Data was collected via structured ques-
tionnaires on socio-demographics, fast food consumption, incompatible diets, Dosha symptoms and Viruddha Ahara
Consumption Questionnaire (VACQ). Analysis used SPSS with descriptive statistics, chi-square tests, and Pearson
correlations. Results: Most students (66.7%) were non-vegetarian, with 50% consuming three meals daily and 53.3%
snacking occasionally. Fast food was consumed weekly by 50%, primarily for taste (43.3%) and convenience (30%).
Common incompatible combinations included hot beverages with chips/biscuits (36.7% often). Moderate Doshik
imbalances were prevalent (e.g., 56.7% moderate Pitta Vriddhi). No significant association was found between fast
food frequency and Dosha imbalance (p=0.352), but incompatible diet consumption correlated significantly with Pitta
Vriddhi (r=0.476, p=0.008). Conclusion: There is a gap between Ayurveda knowledge and practice among students,
highlighting the need for practical interventions to promote compatible diets.

Practice of Dinacharya Among Ayurveda Students of Tribhuvan University

Nirmal Bhusal — 2024-08-08

Ayurveda, the science of life emphasizes disease prevention and the promotion of well-being. Dinacharya is the daily routine designed to align the body with natural rhythms which is fundamental for healthy life. Although the principles of healthy lifestyle are introduced early in Ayurveda education, the extent to which students themselves practice Dinacharya remains uncertain in light of current lifestyle patterns. This study aimed to assess the practice and frequency of Dinacharya among Ayurveda undergraduate students at Ayurveda Campus, Kirtipur and to examine the influence of socio-demographic variables on adherence. A cross-sectional study was conducted among 20 undergraduate students selected through purposive sampling, using a structured, self-administered questionnaire based on classical Ayurveda texts. Results indicated low adherence to several key Dinacharya components. Only 30% of students wake up during Brahma Muhurta, just 10% practicing Anjana (eye care), 85% reported proper morning Sauch vidhi (elimination of natural urges; faeces and urine), and 90% performed regular Dantadhavana. Nasya and Abhyanga were practiced by only 25% and 15% of students, respectively. Lack of time, hostel living conditions, and modern lifestyle constraints were mentioned as major barriers. The findings reveal a notable gap between theoretical knowledge and actual lifestyle practices among Ayurveda students, underscoring the need for enhanced practical Dinacharya training and integration of self-care modules within the curriculum to nurture disciplined practitioners aligned with Ayurveda principles.

Internal Applications of Rasna in Classical Ayurvedic Formulations – A Systemic and Srotas-wise Review

Dr. Ranjith Bharadwaj — 2024-08-08

Rasna, a prominent medicinal herb in Ayurveda, holds significant therapeutic importance, particularly in the management of Vata-related disorders. It is extensively mentioned in classical texts such as the Charaka Saṃhita, Sushruta Saṃhita, and Bhavaprakasha. Rasna is classified under categories like Vayasthapana (rejuvenative) and Anuvasanopaga (adjuvant in oil-based enemas) Mahakashayas. Its diverse pharmacological properties—including Vata-Kapha Shamana (pacifying Vata and Kapha), Ushna Virya (hot potency), and Tikta Rasa (bitter taste)—make it a key ingredient in various Ayurvedic formulations aimed at treating neuromuscular, respiratory, metabolic, gastrointestinal, and psychological disorders. However, there is a noticeable lack of detailed reviews focusing on its internal administration. This article aims to provide an in-depth analysis of the internal use of Rasna as described in various classical Ayurvedic texts.

Internal Applications of Patha (Cissampelos pareira Linn.) in Classical Ayurvedic Formulations – A Systemic and Strotas-wise Review

Dr. Ritik Lalawat — 2024-08-08

Introduction: Patha (Cissampelos pareira Linn.), a key herb in Ayurveda, has been used since the Vedic kala and is cited in numerous classical compendia for its efficacy in a wide array of internal therapeutic applications. Patha having tikta, katu rasa, and tridosha-balancing actions, it acts as a principal or supportive ingredient in a variety of disease-specific formulations addressing Atisara, Jvara, Kushta, Grahani, Prameha. A single hand information of strotas based indication of Patha is still lacking, so the purpose of this study to present a detailed, Strotasbased analysis of classical Ayurvedic formulations containing Patha. Methods: A systematic review of classical Ayurvedic literature including Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya, and major compendia was performed. Synonyms of Patha were used to identify relevant compound formulations. Formulations were categorized according to Strotas (physiological channels) and clinical indications.

Results: The review identified 369 unique internal formulations containing Patha, spanning 22 dosage forms—with Churna (powder), Kwatha (decoction), and Ghrita (medicated ghee) being most common. These formulations are prescribed for over 85 disease conditions primarily affecting Annavaha (digestive), Pranavaha (respiratory), Medovaha (metabolic), Mutravaha (urinary), and other Strotas. Atisara, Jvara, Kushta, Grahani, Prameha and Kasa represent leading indications. The root is the mainly used part.

Conclusion:

Patha holds a pivotal role in classical Ayurvedic therapeutics, being deployed in many formulations for a diverse range of disease conditions and via multiple dosage forms. This underscores not only its traditional versatility but also the potential for modern scientific validation and integration into contemporary practice.

Review on Twak Shareera

Dr. Jeevan Kumar Giri — 2024-08-08

Twak is a form the external covering of the entire body and it is Upadhatu of Mamas Dhatu It is an important organ of the integumentary system envelops underlying tissues and organs. It is responsible for perception of exteroceptive information in form of touch, pain, temperature, pressure, vibration etc. so, Ayurveda mention Twak as Sparshanaindrya Adhistana. There are 6 or 7 layers in Twak as per Acharya Charka & Sushruta respectively. Contemporary science explains the difference in the layers in thick and thin skin. Vreehi grain is used to quantify the thickness of the different layers of Twak, and each layer has different proportion of thickness w.r.t Vreehi. Twak layers are derived in the similar way of casein formation over milk during boiling. It is needed to understand Twak w.r.t. skin in formation and structure. This study is performed for comparative analyses between Twak Utpatti and Rachana w.r.t skin. Various authorized literatures & publications related to Twak and skin were observed and then the comparative analysis was performed to evaluate the Utpatti and morphology of Twak & skin. The structural layer and Utpatti of the layer of Twak and skin correspond with that of skin layer formation. The skin layers are formed layer wise during intrauterine life which is similar as that of Twak Utpatti explained by Acharya in classical texts.

Pathya Implication in Aamavata (Rheumatoid Arthritis): A Review

Renu Khayamali — 2024-08-08

Introduction: Aamavata is a pathological condition resulting due to accumulation of aama which is the byproduct resulting due to weak metabolism. The clinical presentation resembles closely to rheumatoid arthritis(RA) in accordance with their similar clinical features like pain, swelling, stiffness, fever, redness, general debility , fatigue, etc. The global burden of the disease is about 0.24% and is increasing each year. The apathya are the risk factors for the disease and diet and nutrition have been shown to play a significant role as environmental triggers for RA. The pathya diet and regimen can be used to alter the pathological condition and manage with better efficacy. This article will focus on the pathya diet and regimen described in ayurveda about aamavata and their implications in the present scenario.

Materials and methods: The secondary source of data were used for the review. Various relevant text and research articles were reviewed and analysed for the study.

Result and conclusion: The pathya described in ayurveda have analgesic, immunomodulatory, antioxidant and anti-inflammatory actions. These properties can be used to alter the pathological condition in RA. In ayurveda it is described that the action of any drug is different pertaining to their rasa-guna-karma and prabhava. So, the use of any dravya as pathya should be studied on these basis rather than only on the nutritional value. In addition these dravya can be used for external application for which further study need to be conducted. The use of pathya in aamavata can be cost effective and efficacious alternative in the management of the condition and play pivotal role in reducing the global public health burden of RA.

Ayurvedic Insights and Contemporary Evidence on Breastfeeding: Towards Optimal Newborn Nutrition,

Dr. Sushant Bhandari — 2024-08-08

Optimal newborn feeding is critical for infant survival, growth, and long-term health. This review explores the remarkable congruence between classical Ayurvedic wisdom and modern pediatric evidence in establishing best practices for newborn nutrition. Ayurveda venerates breast milk as Jeevaniya (life-sustaining), Amrit (nectar), and the most Pathya (wholesome) food for the newborn. Modern science confirms these properties through extensive research demonstrating breast milk’s dynamic, bioactive composition—rich in essential nutrients, immunoglobulins, growth factors, and stem cells that collectively protect against infections, support neurodevelopment, and foster a healthy microbiome.

This paper synthesizes insights from classical Ayurvedic texts such as the Charaka Samhita, Sushruta Samhita, and Kashyapa Samhita, alongside guidelines from WHO, Cochrane reviews, and current biomedical studies. Key focus areas include maternal preparation for lactation, composition and stages of breast milk, initiation techniques such as Jaatkarma Samskara and the “Golden Hour,” management of Stanya Dushti (vitiated breast milk), and alternatives when breastfeeding is not possible. Evidence supports exclusive breastfeeding for the first six months, aligning with both Ayurvedic principles and global health recommendations. Moreover, unique Ayurvedic concepts like milk vitiation diagnosis and correction provide valuable perspectives for managing feeding difficulties.

Integrating these time-tested principles with modern evidence-based guidelines can enhance newborn health outcomes, promote maternal well-being, and address persistently low global breastfeeding rates. This synthesis offers clinicians, researchers, and policymakers a holistic framework to advance infant nutrition practices grounded in both tradition and scientific rigor.

Rajaswalacharya: A basic tool in Ayurveda eugenics & its clinical importance

Dr Subhadra Karki — 2024-08-08

Ayurveda has always placed strong emphasis on preventive care, and the classical

Regimens, Dincharya, Ritucharya, Garbhiniparicharya and Rajaswalaparicharya, reflect this

outlook. Among these, Rajaswalacharya, the menstrual regimen described by the Acharyas,

is often mentioned but not deeply explored, even though it forms the first step in Ayurveda’s

broader approach to eugenics (Garbhasamskara). It offers a structured set of dietary and

lifestyle measures for women during menstruation, with the intention of safeguarding

reproductive health and supporting the possibility of healthy conception.

To review the concept of Rajaswalacharya from Ayurvedic classics, interpret its principles in

the light of contemporary physiology, and outline its relevance in modern clinical practice

related to women’s health and eugenics.

Classical texts including the Charaka Samhita, Sushruta Samhita, Ashtanga Sangraha,

Kashyapa Samhita, Bhela Samhita and Bhavaprakasha were examined in detail. Their

recommendations regarding diet, behaviour and reproductive measures were compared with

available scientific insights from reproductive endocrinology, lifestyle science, epigenetics

and menstrual physiology.

The Acharyas consistently advise the use of simple, nourishing and easy-to-digest foods—

such as Shali rice, barley, ghee and milk—during menstruation. These choices appear to

support reduced digestive strength, tissue depletion and endometrial repair that naturally

occur during this phase. Lifestyle guidelines such as abstaining from sexual activity, avoiding

strenuous work, emotional strain, day sleep, cosmetic applications and genital washing reflect

a deep understanding of menstrual vulnerability. Modern physiology supports these points,

linking them to pelvic congestion, altered vaginal pH, risk of infection, hormonal fluctuations

and mental stress. By reducing such stressors, the regimen may help maintain the HPO axis

and protect the epigenetic integrity of gametes. In this sense, Rajaswalacharya naturally

extends into the goals of Garbhasamskara, aiming to nurture healthy ovum development and

mental stability.

A Integrative Ayurveda Management of Krimi Bhagandara – A Case Report

Prabha Weeranayake — 2024-08-08

Background: Anal fistula remains a surgical challenge due to high recurrence rates, delayed healing, and postoperative complications. Ayurveda correlates this condition with Bhagandara, wherein Krimi Bhagandara is described as a subtype caused or aggravated by parasitic infestation. While modern literature sparsely documents parasitic involvement in anorectal diseases, ancient Ayurvedic texts emphasize Krimighna Chikitsa (antiparasitic therapy) as an essential component of management.

Case Presentation: A 60-year-old male presented with pain and purulent discharge from the perianal region for 12 days. TRUS revealed a low Intersphincteric fistula. Opting for a surgical approach, Partial fistulectomy with Apamarga Ksharasutra threading as well as the treatment plan included a series of Ayurvedic polyherbal formulations and topical applications for wound care. Parasites infestation was observed in the anal canal during surgery. Results: The wound showed healthy granulation and complete elimination of Krimi by the seventh postoperative day. Sequential Ksharasutra changes demonstrated steady tract reduction, and complete wound healing occurred by the 40th postoperative day, with no recurrence after two months.

Conclusion: This case highlights the efficacy of an integrative approach combining surgical intervention with Ayurvedic Krimighna Chikitsa and wound management principles. Addressing parasitic pathology alongside surgery ensured rapid healing, infection control, and recurrence prevention demonstrating a promising holistic model for managing parasitic fistula-in-ano.

Integrative Ayurvedic Intervention in Acne Nodularis: A Clinical Case Study

Dr. Dipali N. Parekh — 2024-08-08

Background: Nodulocystic acne is a severe, chronic form of acne vulgaris characterized by painful, inflamed nodules that are often resistant to conventional therapy. Ayurvedic medicine offers an integrative approach targeting systemic imbalance through personalized herbal formulations.

Objective: To evaluate the effectiveness of Ayurvedic treatment in managing a case of pimple nodularis in a young adult male.

Case Presentation: A 20-year-old male presented with painful nodular acne on the face, unresponsive to prior allopathic treatment. Based on Ayurvedic assessment, a phased regimen of internal and external therapies was administered over three months. Key interventions included Phalatrikadi Kwatha, Manjisthadi Kwatha, Triphala Guggulu, and herbal pastes.

Results: Marked clinical improvement was observed with reduction in nodules, inflammation, and post-inflammatory hyper pigmentation. Hematological parameters, including leukocyte count and ESR, normalized, indicating reduced systemic inflammation.

Conclusion: Ayurvedic therapy may offer a safe, effective alternative for managing severe acne with systemic involvement.

An Ayurvedic Approach in The Management of Endometriotic Cyst; A Case Study

Dr. Laxmita Gaiju — 2024-08-08

Endometriosis is a very serious gynaecological condition with increasing incidence globally. Many cases remain undiagnosed due to negligence of symptoms or due asymptomatic course of the condition. Most common presenting symptoms includes dysmenorrhea, infertility and abnormal uterine bleeding. Endometriotic cyst is one of the conditions of endometriosis when the endometrial segment implants into either or both of the ovaries and undergoes cyclical changes of endogenous hormonal influence. In Ayurveda, Udavartani Yonivyapada has similar symptomatology and aetiology as in Endometriosis. Udavartan of Vega is considered as the aetiology of the condition. Udavartan of Vega can be closely correlated with retrograde menstruation. Retrograde menstruation as in Sampson’s theory is one the most justifiable hypothesis in pathogenesis of endometriosis and endometriotic cyst. As mentioned in classics, none of Yonivyapada can occur without involvement of Vata Dosha in its pathogenesis. Udavartani Yonivyapad being a Vataja Yonivyapada, alleviation and normalization of natural pace of Vata should be the key to its management. A married patient, aged 29 years presented with complaints of painful menstruation and unable to conceive. Based on the complaints and symptoms, diagnosis for Udavartani Yonivyapad was made and treatment protocol was planned including of Yoga Basti for three consecutive cycles. Basti is considered as supreme treatment amongst Samsodhan Chikitsa and in the management of Vataj Vyadhis. There was marked symptomatic relief and follow up scan showed no evidence of endometriotic cyst after completion of the treatment in the case.