Abstract

A HOLISTIC AYURVEDA INTERVENTION IN ALCOHOL USE DISORDER: A CLINICAL CASE STUDY

*Dr. Roshni Tiwari, Dr. Anshu Malviya, Dr. Urmila Shukla

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Abstract

Introduction: Alcohol Use Disorder (AUD) poses a significant global health burden, often requiring comprehensive and individualized treatment approaches. This case study explores the efficacy of an integrative Ayurvedic protocol in the inpatient management of a patient with chronic AUD, aiming to address both the physical and psychological dimensions of the condition. Ayurveda offers a profound and holistic understanding of substance abuse, including alcoholism, addiction, and withdrawal, conceptualizing them primarily under the headings of Madatyaya, Panapkrama, and the principle of Oka Satmya. Methods. A 45-year-old male diagnosed with AUD was admitted to an Pt. Khushilal Sharma govt. Ayurveda college, Vish Chikitsa IPD for 14 days. The multi-faceted treatment regimen included internal Ayurvedic medicines for hepatoprotection and symptom alleviation, alongside targeted Panchakarma therapies (e.g., Abhayanga, Swedan, Shirodhara, Nasya) for detoxification. The intervention also incorporated structured diet management, daily yoga and pranayama sessions, and adherence to a disciplined daily schedule. Crucially, the management focused on improving sleep hygiene, engaging in recreational therapy, practicing meditation, and providing psychological counseling to address Madatyaya related symptoms like anxiety, tremors, and cravings, agitation. Results: Following the 14-day inpatient treatment, the patient reported substantial improvements. Subjectively, there was a notable reduction in alcohol cravings, significant enhancement in sleep quality, and a decrease in anxiety levels. Objectively, a visible reduction in tremors was observed, and follow-up assessments indicated positive trends in liver function. The patient exhibited strong adherence to the prescribed regimen, indicating good acceptance of the holistic approach. Conclusion: This case study suggests that an integrated Ayurvedic approach, combining classical therapies with lifestyle and psychological support, offers a promising comprehensive strategy for the inpatient management of Alcohol Use Disorder. Further research is warranted to validate these findings on a larger scale.

Keywords: Alcohol Use Disorder, Madatyaya, Panapkrama, Alcohol addiction, Alcohol withdrawal.