ABSTRACT
Background and Aim: Hridrava, understood in Ayurvedic literature as a functional cardiac symptom-complex characterised by distressing palpitations and Vata aggravation in the Hridaya, is a clinically significant presentation in the context of rising functional cardiovascular complaints linked to anxiety, autonomic dysregulation, and stress. Classical Ayurvedic texts describe Hridaya as a vital seat of Prana and circulatory function, while Jyotisha literature identifies Surya (Sun) as a principal significator of vitality and cardiac integrity. This article develops an integrative Ayurveda-Jyotisha conceptual framework and proposes a clinical validation protocol.Methods: A systematic analysis of primary classical Sanskrit texts was undertaken, including Charaka Samhita (Chikitsa Sthana 28/96), Sushruta Samhita (Sharira Sthana 4/31-35), Ashtanga Hridaya (Nidana Sthana 6), Brihat Jataka (Varahamihira, Adhyaya 2/12), Brihat Parashara Hora Shastra (Adhyaya 12, 14), and Aditya Hridaya Stotra (Valmiki Ramayana, Yuddha Kanda 107). Pharmacological and clinical literature relevant to Shaliparni (Desmodium gangeticum) and Manikya Pishti (ruby calx) was also reviewed.Results: Textual evidence supports a solar-centric therapeutic rationale for Hridrava management, integrating Shaliparni Siddha Dugdha (herbal milk preparation), Manikya Pishti (ruby mineral formulation), and Aditya Hridaya recitation as conceptually aligned therapeutic elements. A Planetary Affliction Scoring System (0-12 scale) is proposed to quantify Jyotisha-based cardiac vulnerability. A prospective, four-arm, randomised controlled trial design is outlined for future clinical validation.Conclusion: An Ayurveda-Jyotisha integrated model for Hridrava is conceptually grounded and methodologically testable. Rigorous clinical evaluation through blinded, controlled trial design, pharmaceutical standardisation, and ethics-compliant protocol will be necessary to translate this framework into evidence-based clinical practice.
Keywords: Hridrava; Hridaya; Ayurveda; Jyotisha; Shaliparni; Manikya Pishti; cardiac palpitations