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ISSN No. : 2584-2757  
Volume : 03  
ROGANIDAN VIKRUTIVIGYAN PG ASSOCIATION  
FOR PATHOLOGY AND RADIODIGNOSIS  
Reg. No. : MAHA-703/16(NAG)  
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: 03  
Year of Establishment – 2016  
: https://doi.org/10.5281/zenodo.19597411  
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Impact Factor : 1.013  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH  
Management Of Generalized Anxiety Disorder Through Ayurveda: A Case  
Report  
Dr.Purohit Pallavi1, Dr.Dash Babita2  
1 P.G. scholar, department of Panchkarma, Pandit Khushilal Sharma Ayurvedic College and hospital, Bhopal.  
2 Reader, department of Panchkarma, Pandit Khushilal Sharma ayurvedic college and hospital, Bhopal  
Corresponding Author: Dr.Purohit Pallavi  
E-Mail :pallavipurohit190398@gmail.com  
Article Info: Article Received on : 07/02/2026  
Article Reviewed on: 28/03/2026  
Article Published on : 15/04/2026  
Cite this article as: - Purohit, P., & Dash, B. (2026). Management Of Generalized Anxiety Disorder Through Ayurveda: A Case  
Report. International Journal of Diagnostics And Research, 3(3), 62–65. https://doi.org/10.5281/zenodo.19597411  
Abstract  
Generalized anxiety disorder is characterized by excessive anxiety and worry (apprehensive expectation) occurring  
more days than not for at least 6 months, about a number of events or activities (such as work or school  
performance).1 The clinical features of Generalized Anxiety Disorder align closely with Chittodvega, a Manovikara  
mentioned by Acharya Charaka2. Long term use of conventional anxiolytics have adverse side effects including  
psychological dependence impacting the quality of life. This is a case of 17 years old patient complaining of excessive  
worry, restlessness, difficulty falling asleep. Based on clinical featured he was diagnosed as a case of generalized  
anxiety disorder according to DSM-5 criteria. Ayurvedic intervention framework consisted of Nasya with  
Madhuyashti Ghrita, Shiroabhyanga with Chandanbalalakshadi Tailam, Ashwagandha Churna and Drakshadi  
Kashyam as oral medicines.  
Assessment of the condition of the patient before and after the treatment was done using  
Hamilton’s anxiety rating scale to evaluate the effectiveness of the treatment. Following the completion of the 21-day  
treatment at IPD level, a marked reduction in the score from 21 to 12 on Hamilton’s Anxiety Rating scale and  
significant symptomatic relief was observed.  
Keywords – Generalized anxiety disorder, Madhuyashti ghrita, Shiroabhyanga, Chittodvega  
Copyright @ : - Dr.Purohit Pallavi Inter. J.Digno. and Research IJDRMSID0110 |ISSN :2584-2757  
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INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH  
His personal history reveals markedly reduced  
appetite. However, his micturition and bowel  
movements are normal. Lack of sleep is also  
present.  
Introduction :  
Ayurveda, the ancient system of Indian medicine,  
provides a holistic approach to health that  
encompasses the body, mind and spirit. In recent  
decades, mental health diseases has emerged as a  
major global health concern, affecting individuals  
across all age groups and societies. Among them  
one is Generalized Anxiety Disorder.[1] GAD  
Diagnosis :  
Based on the signs & symptoms and examination,  
he was diagnosed with Generalized Anxiety  
Disorder. As per DSM-5 criteria[3] and intervention  
was given. Assessment of the patient before and  
after the intervention was done using Hamilton’s  
Anxiety Rating scale.  
[2]  
symptoms show resemblance with Chittodvega.  
Conventional medical approaches are effective in  
acute symptom management, which often fall short  
in treating the root cause and long-term prevention  
of psychological distress.  
The major symptoms of Generalized Anxiety  
Disorder, includes excessive thinking, irritability,  
palpitations, anxiety, loss of sleep etc. which are  
occurs due to Vata Prakop whereas symptoms like  
altered habits, fear, anger, etc. are results of Pitta  
Prakop. These vitiated Vatadi Doshas impairs Agni  
which in turn vitiates Rasadi Dhatus.  
Case Report :  
A Hindu, 17 years old male patient visited the OPD  
of Pandit Khushilal Sharma Ayurvedic College and  
Hospital on date 13/02/25 with complaints of  
persistent worry, lack of sleep, decreased appetite,  
occasional involuntary muscle twitches since, 2  
months.  
According to classical texts, the mind resides in  
Hridaya (heart)[4]. Acharya Charak also stated that  
the Twak (skin) and mind are inseparably  
connected through Samvayi Sambandh. Therefore,  
wherever skin exists, mind is also present. The Vata  
Prakop caused by Rasa Kshaya along with  
aggravated Pitta affects the Shiras and Hridaya,  
Clinical Findings :  
Patient complained of continuous overthinking,  
restlessness and sudden outburst of anger due to  
sociorelational factors particularly associated with  
female friends. When overthinking sometimes he  
feels palpitations and muscle twitching. He  
exhibited significantly impaired sleep quality,  
including persistent insomnia, and suffers from  
nightmares when manages to sleep. He also gets  
irritated easily and goes through sudden changes in  
mood.  
where  
Khavaigunya  
exists,  
the  
resulting  
body.  
in  
manifestations  
throughout  
This  
Khavaigunya arises from prolonged overthinking  
and worry ultimately leading to the condition called  
Chittodvega.  
He has no history of any alcohol or drug abuse and  
there is no family history of depression or anxiety  
disorder. Also, he has not shown any suicidal  
thoughts or tendencies.  
Copyright @ : - Dr.Purohit Pallavi Inter. J.Digno. and Research IJDRMSID0110 |ISSN :2584-2757  
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No adverse and unanticipated results were  
observed.  
Therapeutic Intervention :  
Panchkarma Procedure :  
Panch  
Days  
Duration  
Drug  
Dose  
karma  
Discussion:  
10  
(In  
Alternate  
Day)  
20  
Minute  
s
Madhuy  
asti  
Ghrita  
Generalized Anxiety Disorder is a condition where  
a person constantly worries and feels anxious,  
which can lead to various physical symptoms and  
mental distress. In Ayurveda, this condition is  
referred to as Chittodvega, a type of Manovikara  
(mental disorder), caused by an excited state of the  
mind. This state is linked to an increase in Rajas  
and imbalances in the Vata and Pitta Doshas. Since  
both Vata and Pitta are disturbed and the main  
symptoms are excessive thinking and fear, the  
treatment focusses on calming these Doshas. In  
GAD, functions of mind are disturbed. Acharya  
Bhela has stated that the brain is the seat of mind.  
Nasa is mentioned as gateway of Shira. Hence  
Nasya therapy is used. Sneha used for Nasya like  
Ghrita is said to be effective in alleviating the Vata  
and Pitta Dosha and have Snehan properties. It  
3ml Each  
1.Nasya  
Nostril  
40 Ml  
Chanda  
nbalalak  
shadi  
2.  
20  
Minute  
s
Shiroab  
hyanga  
21  
Tailam  
Oral Medication:  
Medicines  
Dose  
Days  
Ashwagandha  
Churna  
5gm Twice  
A Day  
21  
20 Ml  
Twice  
A Day  
Drakshadi  
Kashayam  
21  
Results :  
Following 10 days of treatment, patient got mild  
relief in sleeping difficulty, sudden anger. After  
completion of treatment of 21 days there is  
significant reduction in overthinking and sudden  
anger outburst. There is noticeable improvement in  
sleep quality and its duration. There is decreased  
frequency of muscle twitches.  
The assessment is given below in the table:  
directly  
acts  
on  
Shrungatak  
Marma  
when  
S. No.  
1
Parameter  
Anxious Mood  
Bt  
3
3
0
3
2
2
2
1
2
0
2
0
2
0
At  
2
2
0
1
2
1
1
1
0
0
1
0
1
0
administered through nasal route. By irrigating the  
Marma, it influences higher mental functions.  
Madhuyasti Ghrita was selected for Nasya which is  
Medhya, Rasayan and Vata Pitta Shamak.  
Abhyanga is said to be Vata hara and since Shira is  
the seat of mind hence, Shiroabhyanga helps in  
Tension  
2
Fear  
3
Insomnia  
4
Intellectual  
5
Depressed Mood  
Somatic (Muscular)  
Somatic (Sensory)  
Cardiovascular Symptoms  
Respiratory Symptoms  
Gastrointestinal Symptoms  
Genitourinary Symptoms  
Autonomic Symptoms  
Behaviour At Interview  
6
7
reducing  
anxiety  
and  
insomnia.  
8
9
Chandanbalalakshadi Tailam is selected for  
Abhyanga as it is Sheeta Veerya and Vata Pitta  
Shamak properties. Along with this patient was  
administered with Drakshadi Kashayam and  
10  
11  
12  
13  
14  
15  
Ashwagandha  
Churna.  
Drakshadi  
Kashayam  
improves the digestive fire and Ashwagandha  
Total Score  
21  
12  
Churna helps stabilize body’s response to stress.  
Copyright @ : - Dr.Purohit Pallavi Inter. J.Digno. and Research IJDRMSID0110 |ISSN :2584-2757  
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Volume : 03 Issue : 03  
INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]  
ISSN: 2584-2757  
Acknowledgement :  
DOI : https://doi.org/10.5281/zenodo.19597411  
Dr.Purohit Pallavi Inter. J.Digno. and Research  
This work is licensed under Creative  
The author is thankful to the Department of  
Panchakarma, Pandit Khushilal Sharma Ayurvedic  
College and Hospital for providing all technical  
support and valuable advices.  
Commons Attribution 4.0 License  
Submission Link : http://www.ijdrindia.com  
References :  
1. https://www.ncbi.nlm.nih.gov/books/NBK5  
19704/table/ch3.t15/  
Benefits of Publishing with us  
Fast peer review process  
2. Charak Samhita of agnivesha revised by  
charak and dridhabala with the ayurvedic  
Dipika commentary of chakrapanidutta,  
edited by Vaidya yadavji trikramji acharya.  
Choukhambha Sanskrit sansthan. Varanasi  
reprint edition 2004 vimana sthan chapter 6  
sloka 5 pg no. 252.  
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Author retains copyright  
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https://ijdrindia.com  
3. https://dcf.psychiatry.ufl.edu/files/2011/05/  
HAMILTON-ANXIETY.pdf  
4. Charak Samhita of agnivesha revised by  
charak and dridhabala with the ayurvedic  
Dipika commentary of chakrapanidutta,  
edited by Vaidya yadavji trikramji acharya.  
Choukhambha Sanskrit sansthan. Varanasi  
reprint edition 2004 sutra sthan chapter 30  
sloka 4 pg no. 183.  
Declaration :  
Conflict of Interest : None  
Copyright @ : - Dr.Purohit Pallavi Inter. J.Digno. and Research IJDRMSID0110 |ISSN :2584-2757  
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