Ayurvedic management of the cardiovascular diseases, supported with classical and modern references.
Ayurvedic management of the cardiovascular diseases, supported with classical and modern references.
🔶 1. Acute Coronary Syndromes (ACS)
Includes: ST-Elevation MI (STEMI), Non-STEMI, Unstable Angina
🔹 Ayurvedic Correlation:
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Closest conditions:
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Hṛdroga (हृद्रोगः) – Sushruta Samhita Uttara Tantra 43/4
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Urdhvaśvāsa (उर्ध्वश्वासः), Pariśuṣka Hṛdaya, Mṛdu Gātra, etc.
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🔹 Samprapti (Pathogenesis):
Vitiation of Vāta-Pitta, Rakta dushti, and Srotorodha (blockage of channels, especially Rasavaha & Raktavaha srotas), leading to ischemia of heart.
🔹 Chikitsa Sūtra:
"हृद्रोगं वातपित्तकफैः सपित्तकं विशेषतः।
शमनैः स्रवणैश्चैव सन्धानैः संशमं नयेत्॥"
— Suśruta Samhitā, Uttara Tantra 43/4
🔹 Treatment:
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Langhana, Snehapāna if Ama is present
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Rasāyana Chikitsā – especially Hr̥dya Rasāyana (cardiac tonics)
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Raktashodhana (blood purification)
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Srotoshodhana – Clearing blocked srotases (channels)
🔹 Useful Formulations:
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Arjuna kṣīrapāka
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Hridayarnava rasa
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Abhraka Bhasma (Amrit-satva yukta)
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Trikatu + Pushkarmoola churna
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Punarnava Mandura
🔹 Research Reference:
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Dwivedi S. et al. (2007). Terminalia arjuna in cardiovascular diseases – evidence-based review. JAPI.
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CCRAS Formulary Vol 3 – Hridaya Chikitsa section.
🔶 2. Congestive Heart Failure (CHF)
🔹 Ayurvedic Correlation:
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Hṛtshūla, Śotha, Vātaja Hṛdroga
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Involvement of Udakavaha srotas (fluid imbalance, edema)
🔹 Samprapti:
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Kapha-Vāta dushti, fluid retention, weakened Ojas, Dhatwagni mandya
🔹 Chikitsa Sūtra:
“वातश्लेष्मसमुत्थं तु हृद्रोगं तं विशेषतः॥”
— Suśruta Uttara 43/4
🔹 Treatment Protocol:
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Agnidīpana – Enhance metabolic fire
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Srotoshodhana – Improve circulation
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Mutravirechana – Diuresis to reduce fluid overload
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Bṛṃhaṇa Rasāyana – Rejuvenation
🔹 Drugs:
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Punarnavādi kaṣāya – Anti-edema
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Dashamoola harītakī – Deepana, Vatahara
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Arjuna kṣīrapāka – Cardiac strengthening
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Mandura Bhasma, Lauh Bhasma – Improve dhatu
🔶 3. Valvular Heart Disease
🔹 Ayurvedic Correlation:
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Marmagata Vāta, Dhamanigata Vāta, Hṛdroga due to Rakta-Pitta-Vāta vitiation
🔹 Samprapti:
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Structural damage from Rakta dushti, Ama, Dhatukshaya, Srotorodha
🔹 Chikitsa:
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Rasāyana – For dhatu regeneration
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Sneha-Sweda followed by Basti
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Nitya Virechana – If Pitta involved
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Arjuna, Ashwagandha, Yashtimadhu – Tissue repair and rejuvenation
🔹 Formulations:
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Saraswata churna + Brahmi ghṛta
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Ashwagandhādi churna, Abhraka bhasma (sahasraputi)
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Arjunarishta
🔶 4. Atrial Fibrillation & Anticoagulation
🔹 Ayurvedic Correlation:
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Vātaja Hṛdroga with involvement of Manovaha srotas
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Often associated with Cittodvega, Anidra, and stress-related vata vitiation.
🔹 Samprapti:
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Vāta kopa in Hṛdaya marma, Majja & Manovaha srotas
🔹 Chikitsa:
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Medhya Rasāyana – For nervous-cardiac modulation
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Vāta-anulomana
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Hṛdya dravyas to regulate heart rhythm
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Brahmi, Jatamamsi, Shankhapushpi – CNS & heart calming
🔹 Natural Anticoagulants:
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Lashuna (Garlic)
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Kumuda, Haridra, Pippali – Known to reduce blood viscosity
🔹 Suggested Drugs:
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Arjuna, Guggulu, Shilajatu, Ashwagandha
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Brahmi ghṛta, Mahāshankha Vati if ama involved
⚠️ Note: Use anticoagulant herbs cautiously, especially with concurrent modern medications.
🔶 5. Hypertension (High Blood Pressure)
🔹 Ayurvedic Correlation:
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Not a direct mention; closest terms:
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Raktagata Vāta, Sirāgranthi, Raktadushti
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Secondary to Mānasika bhāvas like Krodha, Chinta, etc.
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🔹 Samprapti:
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Vāta-Pitta prakopa, Raktavaha srotodushti, Srotorodha
🔹 Chikitsa:
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Shamana + Shodhana
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Nidana Parivarjana – Lifestyle and diet control
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Manonāsha herbs for stress
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Virechana, Basti, Nasya (in stress-induced HTN)
🔹 Drugs:
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Sarpagandhā ghanavati – Hypotensive
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Jatamamsi, Tagara, Brahmi – Anti-anxiety
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Arjunarishta, Punarnavādi kwātha
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Dashamoola – Vāta-pacifying
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Mukta pishṭi, Pravāla pishṭi – for Pittānubandha
✅ Classical Text References:
Disease | Ayurvedic Equivalent | Classical Source |
---|---|---|
ACS / MI | Hṛdroga, Urdhvaśvāsa | Suśruta Uttara 43, C.S. Cikitsa 26 |
CHF | Śotha + Hṛdroga | Suśruta Uttara 43/6, A.H. Cikitsā 11 |
Valvular Disease | Dhamanigata Vāta | Bhela Saṃhitā |
Atrial Fibrillation | Vātaja Hṛdroga + Manovaha involvement | C.S. Sūtra 1 |
Hypertension | Raktagata Vāta, Sirāgranthi | A.H. Cikitsā 11/38, Bha.P. |
📘 Modern References (select):
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Dwivedi S. (2007). Terminalia Arjuna in cardiovascular diseases. JAPI.
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Sharma PV. Chikitsa Sthana, Chaukhambha – Hṛdroga Chikitsa
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CCRAS Ayurvedic Formulary, Vol 1–3
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Sharma, R.K., Dash B. Charaka Samhita translation
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Murthy K.R.S. Ashtanga Hridaya commentary
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Singh RH. Integrative Cardiology and Ayurveda. AYU Journal.
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