Copyright © 2025 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

@article{182970,
        author = {Dr. Om Prakash Lekhrao and Dr. Sumit Nathani},
        title = {Ayurveda management of heart failure with low ejection fraction with shamana chikitsa  : A case report},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {12},
        number = {2},
        pages = {4239-4244},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=182970},
        abstract = {Background:The heart, regarded in Ayurveda as a vital organ responsible for the circulation of Rasa (nutrient essence), requires careful preservation to prevent dysfunction. Ayurveda emphasizes stress reduction and a heart-supportive diet as central to maintaining cardiovascular health. This paper explores the Ayurvedic perspective on heart failure with reduced ejection fraction (HFrEF). Low ejection fraction (EF), defined as EF below 55%, signifies impaired cardiac efficiency. Heart failure is a leading contributor to premature mortality due to cardiac dysfunction. According to Ayurveda principles, heart dysfunction primarily stems from impaired Rasadhatvagni (digestive/metabolic function of the Rasa Dhatu), leading to the formation of poor-quality Rasa Dhatu, which, when accumulated, adversely affects cardiac function.
Case Presentation:This case report presents a 47-year-old male diagnosed with heart failure with reduced ejection fraction (LVEF 23%), attributed to defective Rasa Dhatu formation. The patient was treated with a shaman chikitsa aimed at improving both systolic and diastolic cardiac function. These formulations were selected based on their Hridya (cardiotonic), Rasayana (rejuvenative), and Agni-deepana (digestive fire-enhancing) properties.
Results:The patient showed marked clinical and echocardiographic improvement. The LVEF improved from 23% to 35%, along with normalization of pulmonary artery pressure, improved right ventricular function, and reduction in pericardial effusion. The findings suggest that correction of Rasa Dhatu quality through Ayurvedic interventions contributed to the improvement in cardiac function.
Conclusion:This case highlights the potential of Ayurvedic interventions specifically targeted shaman chikitsa in improving cardiac function in patients with low ejection fraction. Ayurveda offers a scientifically grounded and holistic approach that can be used either as a standalone therapy or as an adjunct to conventional cardiology practices.},
        keywords = {Heart failure,low ejaction fraction,shamana chikitsa,Ayurveda},
        month = {July},
        }