Ayurvedic Management of Alcohol Use Disorder

Abstract

Alcohol Use Disorder (AUD) is a chronic condition characterized by inability to control alcohol consumption despite adverse consequences. It can affect one’s physical health, mental health, relationships and finances. It is characterized by problematic and unhealthy patterns of alcohol consumption. AUD is one among the leading epidemiological health issues in India. Nationally about 13% of the population use alcohol. Twenty-one community-based studies conducted across various states in India, estimated the overall prevalence of Alcohol Use Disorders (AUDs) to be 12.5%. Ayurveda conceptualizes problematic use of alcohol as Madatyaya. This condition causes disturbances in the Doshas and impairs the Dhatus, resulting in imbalances of the mind, digestion, and overall system. Effective Ayurvedic treatment focuses on rebalancing the Doshas while facilitating detoxification and enhancing tissue regeneration for complete restoration. A 38-year-old male presented with complaints of increased use of alcohol for 6 years and anxious thoughts, tremors, insomnia, and alcohol cravings from 4 days. This affected the occupational life and cause interpersonal relationship issues in family. He was treated at the Government Ayurveda Research Institute for Mental Health and Hygiene using an Ayurvedic regimen based on Tridoshaja Madatyaya principles, with predominant Pitta-Vata aggravation. The protocol included Sirolepa, Snehapana, Virechana, Vasthi and Nasya to enhance physical and mental well-being. The effectiveness of the treatment was assessed using CIWA-AR, CAGE, and AUDIT scales before and after the intervention. The CIWA-Ar score significantly reduced from 27 to 3 after 30 days, demonstrating a substantial improvement in withdrawal symptoms. The patient showed enhanced emotional stability, reduced anxiety, improved sleep, and a better overall quality of life. The case study illustrates the Ayurvedic approach towards Alcohol use disorder, emphasizing the comprehensive approach to addressing this condition.