Ayurveda co-interventions aid severe COVID-19 recovery: Case report

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Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Ayurveda co-interventions have supported complete recovery in severe COVID-19 infection with a chest severity score 18/25: A case report
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Author:

Sanjeev Rastogi


Journal of Ayurveda and Integrative Medicine:

(A monthly peer-reviewed publication)

Full text available for: Ayurveda co-interventions have supported complete recovery in severe COVID-19 infection with a chest severity score 18/25: A case report

Year: 2022 | Doi: 10.1016/j.jaim.2021.02.008

Copyright (license): CC BY-NC-ND 4.0


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Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurveda co-interventions aid severe COVID-19 recovery: Case report”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Ayurveda (Ayus-veda):
Ayurveda is a traditional system of medicine originating in India, emphasizing a holistic approach to health and wellness. It incorporates natural remedies, dietary guidelines, and lifestyle practices. In the context of severe COVID-19 cases, Ayurveda aims to support recovery and improve health outcomes through its integrative practices, addressing not just physical symptoms but overall well-being.

2) Table:
In medical research, tables serve as crucial tools for organizing and presenting data systematically. They enable efficient comparison of various parameters, such as clinical findings and laboratory results. In this case report, tables summarize important findings, including blood investigations and chest severity scores, facilitating a clearer understanding of treatment effects and patient outcomes.

3) Disease:
Disease refers to a pathological condition affecting an individual’s health, often characterized by specific signs and symptoms. In this context, COVID-19 represents a significant global challenge. Understanding disease pathology is vital for tailoring effective treatment strategies, both through modern medicine and complementary systems like Ayurveda, aimed at improving recovery prospects and reducing complications.

4) Medicine:
Medicine encompasses various practices aimed at promoting health and treating illnesses. It can include allopathic, herbal, and alternative therapies. This case illustrates the integration of Ayurveda within conventional care settings for COVID-19 patients. Highlighting the role of Ayurvedic medicine provides insights into potential complementary strategies for managing critical health conditions.

5) India:
India is the origin of Ayurveda and has a rich heritage of traditional medicine practices. The country's diverse population and varying healthcare challenges necessitate exploring integrative treatment options like Ayurveda, especially during public health crises such as the COVID-19 pandemic. The case highlights India’s approach in combining traditional practices with modern medical care.

6) Observation:
Observation in clinical settings refers to the detailed monitoring of patient health status and treatment responses. In case studies, careful observations can lead to valuable insights regarding the effectiveness of interventions. This case emphasizes the need for documenting such observations to build a body of evidence supporting integrative treatment approaches like Ayurveda.

7) Ayus (Ayush):
AYUSH, an acronym representing Ayurveda, Yoga, Unani, Siddha, and Homeopathy, signifies India's commitment to promoting traditional medicine. It emphasizes holistic health practices and has gained relevance during the COVID-19 pandemic, encouraging the exploration of complementary therapies. The integration of AYUSH into modern healthcare frameworks aims to deliver comprehensive patient care.

8) Death:
Death is the cessation of life and is a critical consideration in healthcare, especially during severe illnesses like COVID-19. The case emphasizes the high mortality rates associated with severe COVID-19 and highlights the potential role of integrative approaches like Ayurveda in improving outcomes, reducing death rates, and enhancing patient survival rates.

9) Puthiyedath:
Puthiyedath refers to R. Puthiyedath, one of the authors in the case report. His involvement suggests a scholarly effort to document and analyze the impact of Ayurvedic interventions in treating COVID-19 patients. Author contributions are crucial for providing insights into treatment methodologies and clinical outcomes in integrative medicine research.

10) Indian:
Indian refers to the nationality and cultural context relevant to Ayurveda. The rich tradition of Indian medicine encompasses diverse practices, beliefs, and holistic approaches to health. The integration of Indian medicinal systems like Ayurveda within modern healthcare illustrates the country’s dedication to exploring various therapeutic options to enhance patient care during health crises.

11) Kapha:
Kapha is one of the three doshas in Ayurveda, representing the qualities of stability, grounding, and moisture. It is associated with bodily functions such as structure and fluid balance. In treating COVID-19, understanding the imbalance of Kapha helps guide Ayurvedic therapies aimed at respiratory health and overall vitality.

12) Delhi:
Delhi is the capital city of India and a crucial location for healthcare research and practice. The case details a patient treated in Delhi, emphasizing the integration of Ayurvedic practices within modern medical settings in urban hospitals during the COVID-19 pandemic, reflecting the city’s commitment to holistic patient care.

13) Blood:
Blood investigations are critical for assessing health status and guiding treatment decisions. In the context of COVID-19, analyzing biomarkers in the blood helps predict disease severity and prognosis. This case report showcases how changes in blood parameters can relate to the effectiveness of integrative therapies combining Ayurveda and allopathy.

14) Bala:
Bala traditionally signifies strength or vitality in Ayurveda and is essential for assessing a patient's overall well-being. Considering factors like 'rogi bala' (patient strength) can guide treatment decisions in Ayurveda, ensuring that therapies are tailored to the individual's capacity for recovery, particularly important in severe illness scenarios such as COVID-19.

15) Coma:
Coma represents a state of profound unconsciousness and is a severe medical condition often resulting from critical illnesses. It signifies the urgency of effective medical interventions. In the context of this report, showcasing Ayurveda's applicability to critical cases may inspire further investigation into its role in recovery from severe conditions such as coma.

16) Drug:
A drug refers to a substance used for medical treatment. In this case, Ayurvedic remedies like Chausath Prahari Pippali, Amrit Bhallataka, and Shringarbha Rasa are highlighted. Their inclusion emphasizes the potential of traditional medicines to complement conventional treatments, encouraging integrative approaches to managing diseases like COVID-19 and enhancing patient outcomes.

17) Pur:
Poor refers to the suboptimal health status of patients, particularly those identified as having a poor prognosis in severe COVID-19 cases. Understanding factors that lead to poor outcomes underlines the urgency for effective therapeutic strategies, including integrative methods combining conventional and Ayurvedic treatments to improve recovery rates and reduce mortality.

18) Male:
Male denotes the gender of the patient discussed in the case. Gender can influence disease presentation, progression, and response to treatment. Recognizing gender-specific factors is essential in clinical research, guiding personalized healthcare approaches and ensuring that treatment strategies address the unique needs of different patient demographics.

19) Knowledge:
Knowledge encompasses understanding about health conditions, treatment options, and patient care strategies. In this context, the dissemination of Ayurvedic knowledge during the COVID-19 pandemic highlights the importance of integrating traditional medicine with modern practices. Increasing knowledge among healthcare providers can foster improved patient outcomes through comprehensive therapeutic approaches.

20) Account:
Account refers to the management and organization of personal financial records. In the patient’s message, the need to provide access to financial matters signifies the emotional and practical challenges faced in serious medical situations. Conversations around financial stability often emerge during critical health events, reflecting on the holistic aspects of patient care.

21) Rogin (Rogi):
Rogi in Ayurveda translates to 'patient' or 'disease carrier'. It emphasizes understanding the individual, their constitutional makeup, and the specific health challenges they face. This focus on the patient in treatment plans is vital, particularly in integrative approaches where individual responses to Ayurveda and allopathic practices dictate overall treatment success.

22) Vata:
Vata is one of the three doshas in Ayurvedic medicine, characterized by qualities of mobility and dryness. It is believed to govern bodily functions related to movement and communication. Its imbalance can lead to various health issues, thus understanding its impact is crucial in formulating Ayurvedic treatments, especially for respiratory conditions like COVID-19.

23) New Delhi:
New Delhi is a significant metropolitan area in India that hosts numerous healthcare facilities and research institutions. The presence of patients in critical care during the COVID-19 pandemic in New Delhi underscores the city’s role in integrating traditional Ayurvedic practices within modern healthcare settings, emphasizing comprehensive treatment strategies.

24) Bhallataka:
Bhallataka, or Semicarpus anacardium, is an Ayurvedic herb recognized for its therapeutic properties, especially in treating respiratory conditions. Its inclusion in management protocols reflects Ayurveda's broader goal of addressing imbalances in patients suffering from severe diseases like COVID-19, potentially enhancing treatment outcomes when integrated with standard care.

25) Rashtriya (Rastriya):
Rashtriya translates to 'national' and signifies initiatives or bodies related to the nation. In the context of Ayurveda, it underscores the governmental support for traditional medicine within India, including policies and research efforts aimed at integrating Ayurveda into mainstream healthcare services during public health emergencies like the COVID-19 pandemic.

26) Varanasi (Varanashi):
Varanasi is a culturally and historically significant city in India, known for its rich heritage in both Ayurveda and holistic health practices. It represents a focal point for Ayurvedic education and the dissemination of traditional medical knowledge, thereby contributing to the broader integration of Ayurveda within contemporary healthcare frameworks.

27) Samhita:
Samhita refers to a collection of texts in Ayurveda containing foundational knowledge, principles, and treatments. The mention of Samhita indicates the importance of classical texts in guiding Ayurvedic practices, which can enhance the understanding and application of treatments for modern conditions like COVID-19, ensuring evidence-based approaches.

28) Pippali (Pippalin):
Pippali, or Piper longum, is an Ayurvedic herb renowned for its health benefits, particularly for respiratory conditions. Its significance in this context lies in its traditional use as a rasayana, or rejuvenative, herb, highlighting its potential role in improving respiratory health and supporting recovery from serious illnesses like COVID-19.

29) Girija (Giri-ja):
Girija refers to P.L.T. Girija, an author contributing to the discourse on Ayurvedic treatments for COVID-19. The involvement of diverse authors is essential in enhancing research by providing varied insights and expertise, contributing to a comprehensive understanding of the benefits and applications of Ayurveda in modern healthcare settings.

30) Shukla (Sukla):
Shukla refers to U. Shukla, another author associated with the research discussed in the case report. The presence of multiple authors signifies collaborative efforts in documenting the efficacy of Ayurvedic treatments, which is crucial for building a robust evidence base in integrative medicine, enhancing understanding and credibility within healthcare communities.

31) Nature:
Nature in the context of health refers to the natural environment and its profound impact on well-being. In Ayurveda, harnessing nature’s resources—through plants and herbs—is fundamental to treatment philosophies. Recognizing the importance of natural remedies in healing processes becomes particularly relevant amidst a global health crisis like the COVID-19 pandemic.

32) Reason:
Reason signifies the rationale behind treatment choices and the decision-making process in medical practices. In the Ayurvedic context, understanding patients' unique responses, preferences, and underlying health conditions informs therapeutic decisions. This case illustrates the importance of personalized care in achieving favorable outcomes, particularly when conventional treatments show limitations.

33) Nagapura (Naga-pura):
Nagpur is a city in India known for its educational and healthcare institutions, contributing to the landscape of Ayurveda. The city’s involvement highlights the regional efforts in promoting traditional medicine, facilitating research, and creating awareness about Ayurvedic practices, particularly during public health emergencies like COVID-19, where integrated approaches are paramount.

34) Mukta:
Mukta signifies U. Mukta, potentially an author or researcher relevant to the case report. Recognition of various contributors sheds light on teamwork within interdisciplinary approaches, essential for advancing understanding and application of Ayurvedic practices. Such collaborations are vital for integrating traditional medicine with contemporary healthcare strategies.

35) Joshi (Josi):
Joshi refers to J.A. Joshi, likely a co-author contributing to the academic discourse on Ayurvedic practices. This indicates the collaborative nature of research efforts in the field, essential for validating treatment methods and establishing Ayurvedic interventions as significant components within integrative healthcare systems in response to modern health challenges.

36) Glass:
The term glass is metaphorically associated with 'glass-like' changes observed in CT scans of lungs, indicative of specific pathological alterations resulting from COVID-19 infection. Recognizing these changes is critical for assessing disease severity and guiding treatment strategies, reflecting the interplay between imaging and clinical management in severe respiratory illnesses.

37) Hindi (Himdi):
Hindi, as a major language in India, serves as a medium for disseminating medical knowledge and Ayurvedic literature. Accessibility to Ayurvedic practices through Hindi resources enhances understanding and encourages broader adoption of traditional therapies among the population. Language plays a significant role in bridging cultural and health knowledge divides.

38) Rules:
Rules encompass guidelines and protocols governing patient management, treatment practices, and research methodologies. In the context of Ayurveda and critical care, adhering to established rules ensures that interventions are conducted safely and effectively, providing a structured approach to integrating traditional and modern medicine during public health crises.

39) Study (Studying):
Study refers to the systematic examination of a subject to gain knowledge. In this context, studies of Ayurvedic interventions for COVID-19 patients provide important insights into treatment efficacy and inform future clinical guidelines. Rigorous studies are crucial for validating traditional practices within contemporary healthcare, aiming to establish a solid evidence base for integrative approaches.

40) Civan:
Sivan refers to N. Sivan, another contributor to the case report, emphasizing collaboration in Ayurvedic research. The inclusion of multiple authors showcases the collective effort in documenting the positive outcomes of Ayurvedic treatments. Such collaborations are essential for disseminating knowledge and recognizing the value of traditional practices in managing health crises.

41) Roga:
Roga translates to 'disease' in Ayurveda and encapsulates the understanding of a patient's illness. A thorough comprehension of roga helps health practitioners formulate effective treatment plans. The emphasis on roga in the case underlines the significance of individualized treatment protocols in addressing complex diseases such as COVID-19.

42) Pada:
Pada refers to 'foot', but in the context of Ayurveda, it can also denote specific sections in texts defining medical principles or treatment methodologies. Recognizing the importance of detailed discussions in Ayurvedic literature enriches the understanding of therapeutic practices and provides a framework for evidence-based applications in modern healthcare settings.

43) Shri (Sri, Sr):
Shri is a respectful title used for individuals, denoting honor and reverence. In academic publications, addressing authors with Shri acknowledges their contributions and expertise in traditional medicine. This respect fosters a collaborative atmosphere in research, enhancing the credibility and acceptance of integrative approaches within healthcare communities.

44) Line:
Line signifies a connection or distinction, which can refer to treatment protocol lines or methodological approaches in clinical research. For Ayurvedic integration into modern medicine, establishing clear lines of evidence and practice is essential for understanding treatment efficacy and guiding healthcare professionals in implementing effective therapeutic strategies.

45) Gaura:
Gaur refers to B.L. Gaur, an author mentioned within the case study. Authorial recognition highlights the collaborative nature of research, where contributions from multiple experts lend credibility and enrich the insight provided. This exemplifies the multidisciplinary efforts essential for advancing the implementation of Ayurvedic knowledge in contemporary healthcare settings.

46) Western India:
Western India represents a geographical region that may have distinct cultural, healthcare, and Ayurvedic practices. Understanding regional adaptations of Ayurvedic interventions is crucial for tailoring treatment strategies to local populations. The integration of traditional practices into modern healthcare systems can be influenced by regional characteristics, improving access and efficacy.

47) Piper longum:
Piper longum, commonly known as Pippali, is a significant herb in Ayurveda known for its therapeutic properties, particularly in respiratory health. Its role in COVID-19 management exemplifies Ayurveda’s holistic approach, utilizing well-researched natural substances to provide supportive therapy alongside conventional treatments, demonstrating the potential for integrative medicine.

48) Peer review:
Peer review is a critical evaluation process that ensures the quality and reliability of academic work before publication. In the context of this case report, undergoing peer review underscores the importance of validating findings through scrutiny by other experts, enhancing the credibility of the reported benefits of Ayurvedic interventions in severe COVID-19 cases.

49) Shringarabhra (Srngarabhra, Shringara-abhra):
Shringarabhra refers to a specific Ayurvedic formulation included in the treatment plan for the patient. Its use highlights the role of traditional compounds that are believed to offer therapeutic benefits in managing complex conditions. Understanding such formulations is essential for appreciating how Ayurvedic practices align with contemporary patient care efforts.

50) Discussion:
Discussion in medical research involves analyzing findings, contextualizing results, and exploring implications for practice. In this case report, the discussion reflects on the efficacy of Ayurvedic interventions alongside standard care for COVID-19. Engaging in such discussions fosters greater understanding and guides future research pathways in integrative medicine.

51) Science (Scientific):
Scientific refers to the methodologies and approaches grounded in evidence and research. The integration of Ayurveda within scientific frameworks is crucial for establishing credibility and efficacy. This case report exemplifies an effort to systematically document Ayurvedic interventions, striving to bridge traditional wisdom with modern scientific understanding in addressing health crises.

52) Antibiotic (Antibacterial):
Antibiotics are medications used to treat bacterial infections. In the context of COVID-19, they may be used to prevent secondary infections in patients. The case illustrates the combination of antibiotics with Ayurvedic practices, highlighting an integrative approach that combines conventional and traditional treatments to enhance patient outcomes in critical care.

53) Inference:
Inference refers to the conclusions drawn from observations and data analysis. In clinical practice, making informed inferences about treatment effectiveness is crucial for guiding patient management. This case emphasizes the need for documented observations and outcomes to foster robust conclusions regarding the potential roles of Ayurvedic therapies in modern healthcare.

54) Realising (Realizing):
Realising signifies the process of understanding or becoming aware of something. In the context of the patient’s experiences during treatment, realising the benefits of Ayurvedic interventions plays a significant role in building confidence in therapy. Awareness of treatment efficacy can profoundly influence a patient's recovery journey and engagement in health management.

55) Rasayana (Rasa-ayana):
Rasayana in Ayurveda means rejuvenation or revitalization. It signifies therapies aimed at enhancing vitality and longevity. In the case context, the use of Rasayana herbs, such as Pippali, highlights the focus on rejuvenating health, particularly valuable for patients recovering from severe illness like COVID-19, emphasizing holistic recovery strategies.

56) Avastha:
Avastha indicates the condition or state of being in Ayurveda. Understanding a patient's avastha is crucial for determining suitable treatment approaches. In the context of severe COVID-19 cases, assessing the avastha assists clinicians in tailoring interventions that address not only physical but also emotional and mental health aspects of recovery.

57) Lucknow:
Lucknow is a key city in India with notable contributions to various fields, including Ayurveda. The mention of Lucknow may highlight its role in facilitating Ayurvedic research and practice, signifying regional health initiatives aimed at integrating traditional medicine into contemporary healthcare, especially during global health challenges like the COVID-19 pandemic.

58) Pravara:
Pravara translates to 'excellent' or 'superior' and refers to the assessment of a patient's overall health status or vitality. In Ayurveda, evaluating both rogi (patient) and roga (disease) with respect to pravara bala helps guide treatment decisions, ensuring that therapies are appropriately matched to the individual’s capacity for recovery.

59) Writing:
Writing signifies the documentation of clinical observations and research findings. It underscores the importance of meticulous record-keeping in Ayurveda, facilitating knowledge sharing within the medical community. This case report showcases the need for comprehensive writing to establish credible evidence and inform future practices in integrating traditional and modern medicine.

60) Vyadhin (Vyadhi):
Vyadhi translates to 'disease' in Ayurveda, and understanding the vyadhi helps determine the underlying causes of illness. It emphasizes the need to assess each patient's condition holistically. In managing severe diseases like COVID-19, the vyadhi perspective guides personalized treatment plans tailored to individual health imbalances.

61) Wisdom:
Wisdom encompasses the knowledge and understanding derived from experience and study, especially in the context of Ayurveda. It highlights the role of traditional knowledge in addressing contemporary health issues. The case illustrates the importance of blending Ayurvedic wisdom with modern medical practice to offer comprehensive treatment strategies in critical care.

62) Sharman (Sarma, Sharma, Sarman):
Sharma is likely a co-author or researcher involved in the case study. Recognizing diverse contributors is important for collaborative research efforts, enhancing the credibility and reliability of the findings. The inclusion of multiple perspectives in Ayurveda research facilitates a broader understanding of traditional treatments in contemporary medical scenarios.

63) Prayer:
Prayer signifies the spiritual aspect of healing and recovery. Many patients express a reliance on spiritual practices during health crises. In this case, the patient’s prayer during critical illness emphasizes the psychological and emotional dimensions of recovery, highlighting that healing is not solely physiological but also deeply connected to mental and spiritual well-being.

64) Dosha (Dosa):
Dosha refers to the three energies (Vata, Pitta, and Kapha) that define an individual's constitution in Ayurveda. Understanding doshic imbalances is vital for diagnosing health conditions and guiding treatment. This case highlights the application of dosha principles in recognizing and addressing imbalances in severe COVID-19 cases for personalized therapeutic approaches.

65) Water:
Water represents a foundational element for life and health, playing a crucial role in Ayurveda for maintaining hydration and overall bodily function. In managing diseases, ensuring adequate water intake is essential, especially for patients with respiratory issues like COVID-19, where hydration can support recovery and bodily processes.

66) Fever:
Fever is a common symptom associated with infections, including COVID-19, indicating the body’s response to illness. Monitoring fever patterns is critical in clinical assessments. The presence of fever influences treatment approaches, guiding healthcare providers to implement appropriate interventions, highlighting the interplay between symptom management and disease recovery.

67) Money:
Money signifies the financial aspects relevant to healthcare, especially during critical illness where costs can be substantial. The patient’s reference to financial management underscores the emotional burden of medical care, emphasizing the intertwining of health, economics, and the necessity of addressing both aspects for comprehensive patient support.

68) Rasa (Rasha):
Rasa refers to essence or taste in Ayurveda, often relating to the therapeutic properties of herbs and treatments. Each herbal preparation is evaluated based on its rasa, guiding its application in healing processes. This context highlights the relevance of rasa in crafting personalized Ayurvedic interventions to address various health conditions.

69) Sign:
Sign refers to an indication of a condition or response observable in patients. In the clinical context, recognizing signs such as symptom patterns and lab results is crucial for diagnosing and determining treatment plans. The identification of signs helps healthcare practitioners navigate the complexities of managing illnesses like COVID-19.

70) Seat (Seated):
Seat in Ayurveda often refers to the location in the body where doshas or diseases are believed to manifest. Recognizing the 'seat' of the disease can guide targeted interventions that address not only the symptoms but also the underlying imbalances contributing to health issues, particularly in holistic treatment approaches.

71) Post:
Post refers to the publication of research findings or case studies crucial for sharing knowledge within the medical community. In this case, the dissemination of findings through publication illustrates the importance of sharing successful treatment outcomes, thereby encouraging integrative approaches in addressing severe conditions like COVID-19.

72) Pir:
Peer refers to individuals within the same field who evaluate and critique each other's work. The peer evaluation process ensures that findings are validated and credible. In this study, emphasizing peer involvement is crucial for establishing the reliability of Ayurvedic methodologies within modern medical discourse, fostering broader acceptance and understanding.

73) Life:
Life signifies the vitality and health of individuals affected by illness. The case exemplifies the critical importance of enhancing and preserving life through effective medical interventions. Understanding the interconnectedness of life, health, and healing methodologies encourages the exploration and application of integrative treatment strategies to improve patient survival and quality of life.

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