Ayurvedic Management of Eosinophilic Esophagitis (Amashayagatavata) -A case report

Abstract

Background: Eosinophilic Esophagitis (EoE) is a chronic immune-mediated esophageal disorder, often resistant to available standard therapies such as corticosteroids. A condition where a type of white blood cell (eosinophil) builds up in the esophagus, causing inflammation, tissue damage, and dysfunction. It causes chronic swallowing difficulties, food impaction, and pain, often requiring dietary changes, medication, or endoscopic dilation to manage. Clinical Findings: A 23year old male patient visited to hospital presented with complaints of dysphagia, epigastric burning vomiting sensation and burping continued since last four years. Intervention: Under Ayurvedic assessment, this case was taken under spectrum of Amashayagatavata, and a combined protocol of Panchakarma therapy and internal medication was administered. The patient underwent an 8-day yogabasti regimen comprising Niruhabasti with Yashtimadhu Ksheerpaka and a polyherbal kalka including Guduchi, Manjishtha, and Shatapushpa, and Matra basti with Dadimadi Ghrita. Oral medicines included Dhanwantaram Vati, Kamdudha with Mukta, Anuloma DS, and Vomitab syrup. Outcome: USG after two months was normal; endoscopy revealed resolution of eosinophilic inflammation and sliding hiatus hernia. Eosinophil count dropped from 986 cells/cmm to 330 cells/cmm. Symptom resolution was documented via Patient Relief Scale, endoscopic reassessment, and a Quality of Life (QOL) scale. Conclusion: The case illustrates a promising comprehensive approach with yoga niruha basti pattern along shaman yogas for chronic Eosinophilic esophagitis with a seven days IPD and four months follow ups period without any adverse effect reported during treatment with Ayurveda showed patient improvement warranting larger controlled studies.