The current worldwide coronavirus disease 2019 (COVID-19) pandemic has caused a huge threat to public health. It includes a spectrum of clinical severity extended from asymptomatic to critical pneumonia, acute respiratory distress syndrome, and even death. Recent evidences have suggested that inflammatory responses play a critical role in the progression of COVID-19. Inflammatory markers such as C-reactive protein, lactate dehydrogenase, D-DIMER have been reported to be significantly associated with the high risks of the development of severe COVID-19. In this context, two cases diagnosed with COVID-19 were managed through Ayurvedic intervention is presented here. The patients of moderate COVID-19 were recovered from the symptoms with the personalized holistic treatment approaches.

The development of non-healing ulcers following viper snakebite is very common in victims who survive the bite, and severity of symptoms depends on the venom's potency. Swelling of the bitten part and spreading cellulitis are the common manifestations. In the event of recovery, surviving victims may develop necrosis of the skin, muscles, tendons, and even bones. Various secondary infections leading to suppuration and gangrene may necessitate amputation to avoid further complications. It becomes obligatory to take proper care of local suppurative lesions infected secondarily by a variety of bacteria. A 38-year-old male farmer reported to the outpatient department with complaints of nonhealing ulcer on dorsum of the right foot since three months associated with swelling around the ulcer up to knee, pain, with burning sensation, and discoloration around the ulcer. Initially, ulcer was treated with conventional protocol by local hospital; however, the ulcer was not healed even after three months. Thus, victim visited Ayurveda hospital for further management. Ulcer was managed using Ayurvedic principles including local treatments namely paste made up of Dhattura (Datura metel Linn.) and Nimba (Azadirachta indica Linn), Parantyadi taila pichu and oral administration of Bilavdi agada, Maha manjishtadi kashaya, and Gandhaka rasayana. This treatment protocol has shown significant results with complete healing of ulcer in three months.

Psoriasis is a chronic autoimmune condition caused due to rapid over-production of new skin cells resulting in scaling. Inflammation and redness around the scales are common. Among all types of psoriasis, plaque psoriasis makes up 90% of cases. Its contemporary treatment has some limitations thus affecting quality of life of patients. In this report, the management of a diagnosed case of plaque psoriasis is presented. The patient was treated through Ayurvedic multimodal approach using Shamana chikitsa (~pacifying therapy) including oral administration of decoctions, medicated ghee and external application of medicated coconut oil processed in presence of leaves of Shweta kutaja (Wrightia tinctoria Roxb.), Eranda taila (~castor oil) and Dadhi (~curd). Although Shodhana is treatment of choice in Kushta (~skin diseases) considering age factor of the patient, Shamana chikitsa was planned. Significant relief was noticed with no relapses until after six months of follow-up inferred efficacy of Ayurvedic protocol in the management of such autoimmune disorders.

Hepatitis B is a viral infection affecting millions of people across the globe. It is one of the common causes of liver cirrhosis and hepatocellular carcinoma and there is no specific treatment available. In Ayurveda, such conditions can be managed in line of Kamala (~jaundice). A 44 year old male patient with jaundice and abnormal liver functions (high transaminases and hyper bilirubinemia) positive hepatitis B marker and fatty liver. The patient was elsewhere diagnosed to be suffering from viral hepatitis and visited to the outpatient department with reports suggesting of acute viral hepatitis B and Alcoholic Liver Disease (ALD). He was administered Ayurvedic medications along with dietary advices for 72 days. There was a significant improvement in clinical findings, reduction in liver transaminases, and fatty infiltration during the treatment. The patient became hepatitis B surface antigen negative, though no studies on reduction in viral load of Hepatitis B Virus (HBV) and anti-HBc (Hepatitis B core antibody) was done, but the clinical improvements and reduction in transaminase and fatty liver indicate a possible role of Ayurvedic therapy in hepatic injury due to HBV and ALD. This case report also warrants further study of Ayurvedic therapy in other liver conditions.

Vata kantaka (~plantar fasciitis) is mentioned as one of Nanatmaja vatavyadhi (~disease caused by Vata dosha). It is manifested due to constant exposure on uneven surface or walking over an irregular surface for long period. Patients suffering from Vata kantaka usually complain of pain at the heel that gradually increases when a patient starts walking in the morning. One in ten people suffers from plantar fasciitis in their lifetime and conventional treatment has limitations in providing satisfactory relief. A 35-year-old male patient visited Asthi-sandhi-marma roga Outpatient Department with plantar fasciitis in left foot. Seven sittings of iontophoresis with Murivenna kwatha (~decoction of Murivenna formulation) were done on alternate day and rolling plantar exercise daily for 10 min. Satisfactory relief in pain score was found after the seventh sitting. Visual Analog Scale was reduced from 8 to 1 and Maryland foot score was increased from 45 to 96 by the end of the seventh sitting. No recurrence was reported during the follow-up of four months. Murivenna kwatha possesses Vatadosha (~functional units of body) pacifying properties, Shulahara (~analgesic), and Shophahara (~anti-inflammatory). Iontophoresis possibly enhances transdermal absorption of Murivenna kwatha. This iontophoresis in combination with Murivenna kwatha rendered significant relief from pain in the management of plantar fasciitis.

Beauty and attraction of an individual depend on skin condition. However, there are certain pathologies which wipe out this beauty and attraction by altering skin health. Vitiligo is a condition, which means “to have white skin.” In Ayurveda, it is referred as Switra or Kilasa and cited under the category of Kushta rogas (~skin diseases). It is caused by the imbalance of all the three Doshas (~three regulatory functional factors of the body) vitiating Rakta (~blood tissue), Mamsa (~muscle tissue), and Medas (~fat tissue). A 32-year-old male came to the outpatient department with complaints of chalky white patches with hypo-pigmented border without itching over the chest and face for two years, gradually spreading over the chest. The patient was treated with Ayurvedic oral medications and Virechana karma (~therapeutic purgation) along with the instructions of Pathya (~wholesome diet and lifestyle) and Apathya (~unwholesome diet and lifestyle). After treatment, there was repigmentation of skin without any side effects. The treatment modalities showed color changes of patches from chalky white to pinkish inferring that Ayurveda has treatment approaches to manage condition like Switra (~vitiligo).