Integrated Ayurvedic approach in the management of Madatyaya (Alcoholism): A case report
Management of Madatyaya (Alcoholism) through Ayurveda: A Case Report
DOI:
https://doi.org/10.70066/jahm.v13i6.2028Keywords:
Madatyaya, Ayurveda, Alcoholism, Alcohol Dependence, Liver FunctionAbstract
Background: Madatyaya, or alcoholism, is thoroughly defined in Ayurvedic literature as an adverse condition resulting from excessive alcohol consumption. This perspective aligns with modern understandings of alcohol dependence and its systemic impacts, particularly concerning liver damage.
Methods: A 40-year-old male patient with a history of chronic alcohol use presented with symptoms including nausea, vomiting, abdominal discomfort, jaundice, loss of appetite, and disrupted sleep. Laboratory tests revealed elevated liver enzymes (ALT 143.4 U/L, AST 143.3 U/L, ALP 332.0 U/L) along with a total bilirubin level of 2.0 mg/dl. Initial evaluations showed an Alcohol Dependence Scale (ADS) score of 7, an AUDIT score of 18 (severe zone), and an Insomnia Severity Index score of 10 (indicating subthreshold insomnia). The patient received Ayurvedic shamana chikitsa, which included treatments such as Madiphala Rasayana, Draksharishta, Aarogyavardhini Vati, Sutashekhara Rasa, and Amalaki Churna, along with dietary modifications (pathya). The primary goal of the treatment was to detoxify, relieve symptoms, and protect the liver. Fortunately, no adverse reactions occurred during treatment.
Results: Notable clinical improvements were observed. Post-treatment liver function tests indicated nearly normal results (ALT 38 U/L, AST 39 U/L, ALP 219 U/L, bilirubin 1.3 mg/dl). The Insomnia Severity Index dropped to 7, signifying improved sleep quality. Additionally, the patient reported enhanced appetite, increased energy levels, and overall better wellness.
Conclusion: This case underscores the efficacy of Ayurvedic therapies in treating Madatyaya and its associated liver dysfunction. A thorough personalized treatment approach may serve as a viable and safe alternative within integrative strategies for alcohol-related disorders.
References
Rehm J, Baliunas D, Borges GL, Graham K, Irving H, Kehoe T, et al. The relation between different dimensions of alcohol consumption and burden of disease: an overview. Addiction. 2010 May;105(5):817–43. https://doi.org/10.1111/j.1360-0443.2010.02899.x
World Health Organization. International Classification of Diseases and Related Health Problems. 10th Revision. Geneva: WHO; 2007. Available from: https://www.who.int/standards/classifications/classification-of-diseases
World Health Organization. Alcohol. WHO Fact Sheet [Internet]. 2024 Jun 28 [cited 2025 May 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/alcohol
Varghese J, Dakhode S. Effects of alcohol consumption on various systems of the human body: a systematic review. Cureus. 2022 Oct 8;14(10):e30057. https://doi.org/10.7759/cureus.30057
Yadavaji Trikamaji (editor). Commentary: Ayurveda Deepika of Chakrapani on Charaka Samhita of Charaka, Chapter 24, Verse 68, 5th ed. Varanasi: Chaukhamba Surabharati Prakashan; 1992;586.
A base line treatment of Madatyaya: a case study. Int J Health Sci Res. 2019 Sep;9(9):265. Available from: www.ijhsr.org/IJHSR_Vol.9_Issue.9_Sep2019/40.pdf
Yadavaji Trikamaji (editor). Commentary: Ayurveda Deepika of Chakrapani on Charaka Samhita of Charaka, Chikitsa Sthana, Chapter 24, Verse 68. 5th ed. Varanasi: Chaukhamba Surabharati Prakashan; 1992; 586.
Hebbar JV, Ramdas S. Madiphala Rasayanam: Uses, Dose, Ingredients, Side effects. Ayurmed Info [Internet]. 17 Jun 2016 [cited 2025 Jul 11]. Available from: https://www.ayurmedinfo.com/2016/06/17/madiphala-rasayanam-uses-dose-ingredients-side-effects/
Watkar D, Dive M, Belge R. Comparative pharmaceutico‑analytical study of Drakshasava and Draksharishta. World J Pharm Res. 2022;11(3):1744–1762. https://doi.org/10.20959/wjpr20223-23373
Lin WS, Leland JV, Ho CT, Pan MH. Occurrence, bioavailability, anti‑inflammatory, and anticancer effects of pterostilbene. J Agric Food Chem. 2020 Nov 18;68(46):12788–12799. https://doi.org/10.1021/acs.jafc.9b07860
Kumar A, Singhal T. Scientific explanation of mode of action of Sutshekhar Ras in Amlapitta with special reference to acid peptic disorders: a review. Int J Res Ayurveda Pharm. 2018;9(5):47–49. https://doi.org/10.7897/2277-4343.095154
Krishnaveni M, Mirunalini S. Therapeutic potential of Phyllanthus emblica (amla): the ayurvedic wonder. J Basic Clin Physiol Pharmacol. 2010;21(1):93–105. https://doi.org/10.1515/jbcpp.2010.21.1.93
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 DR.RajimunnisaBegam shaik
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors retain the copyright of their work and grant the Journal of Ayurveda and Holistic Medicine (JAHM) the right of first publication. All published articles are licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) license, which permits non-commercial sharing, use, distribution, and adaptation with proper attribution and the same license terms.
JAHM ensures free, irrevocable, worldwide access to its content. Users may copy, distribute, display, and share published works for non-commercial purposes with appropriate credit to the author(s) and the journal. Limited printed copies for personal, non-commercial use are allowed under the same license.
If a submission is not accepted for publication, the author(s) will be notified.
By submitting, authors confirm that the work is original, that all listed authors have contributed and approved it, and that it does not infringe any third-party rights or duplicate work submitted elsewhere.
