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Integrated Ayurvedic Approach to Managing Generalized Anxiety Disorder through Yukti Vyapashraya and Sattvavajaya Chikitsa: A Case Report

Rajimunnisa Begam Shaik, Sunil Kumar, Devaraju Padmaja Sree Pranavi, Jainam Gosalia, Nivedita Arora, Magar Jayesh Vasudev, Nidhi Pandit, Bhushan Mahaiskar

Journal of Ayurveda and Holistic Medicine, 2026

Abstract

Background: Generalized Anxiety Disorder is a common mental health condition characterized by persistent and excessive worry, restlessness, irritability, fatigue, difficulty concentrating, muscle tension, disturbed sleep, and impaired daily functioning. In Ayurveda, these symptoms resemble Chittodvega, caused by imbalances of the Vata and Pitta Doshas and an excess of Rajo Guna, which disrupts the Manovaha Srotas. Psychosocial stressors such as emotional neglect and interpersonal conflicts act as important nidanas in the development of the condition. Clinical findings: A 57-year-old married homemaker presented with a two-year history of persistent and excessive worry, apprehension, grief, irritability with occasional anger outbursts, emotional suppression, lethargy, disturbed sleep, and symptoms as mentioned above. Her psychosocial history included emotional dependence on her children, marital conflicts, perceived criticism, and long-term emotional suppression, which had a more impact. The Mental Status Examination revealed an anxious mood, restricted affect, psychomotor agitation, and ruminative thoughts, with preserved insight. According to the DSM-5, she was diagnosed with GAD. Intervention: The patient received a combined Ayurvedic treatment integrating Yukti Vyapashraya Chikitsa and Sattvavajaya Chikitsa. Shamana therapies included Manasamitra Vati, Vishamushti Vati, and Maha Rasnadi Kashaya, along with Panchakarma procedures such as Sarvanga Abhyanga, Swedana,…

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