The document discusses heart diseases (hridroga) in Ayurveda. It states that cardiac disorders are classified into five types based on dosha predominance (vata, pitta, kapha, or all three) or worm infestation. Symptoms are provided for each type. Ayurvedic management is based on diagnosis, evaluation of symptoms, and recommendations for diet, lifestyle, panchakarma techniques like medicated enemas and oils, and oral herbal medicines and formulations.

1. Cardiac disorders or heart diseases are
referred to as hridroga in Ayurveda.
As per Ayurveda treatise, cardiac disorders are
classified into five types. First four types are
based on the predominance of specific dosha in
its genesis as well as signs and symptoms
hence named Vataj (Vata dominant), Pittaj
(Pitta dominant), Kaphaj (Kapha dominant)
and Tridoshaj (where all the three doshas are
vitiated), while the fifth type is referred to as
Krimij, which is attributed to infestation by
worms in an individual.
Some particular symptoms as experienced in
the above five types of heart diseases are
summarised as follows:
• Vata Dominant Heart Disease: Sensations of
vacuum around heart region, palpitation,
constriction, squeezing or shrinking, piercing
pain along with fainting
• Pitta Dominant Heart Disease: Blackouts,
burning sensation, fear, feeling excess heat,
fever, yellowish tint on skin
• Kapha Dominant Heart Disease: Feeling of
heaviness, stiffness around heart region,
feeling of slowing down of heartbeats, excess
watering or salivation from mouth, fever,

2. cough, drowsiness
• All Three Dosha Dominant Heart Disease:
Combined features of the above three kinds of
heart problems
• Worm Infestation Related Heart Disease:
Sharp pain, feeling of itchiness around heart
Additionally, symptoms like nausea, belching,
regurgitation, repetitive feeling to spit, needle-
like piercing pain, distaste, darkening around
eyes and swelling in body have also been
described in Ayurveda under the various
manifestations of heart diseases.
Ayurvedic management of heart diseases,
therefore, is based on thorough diagnosis of
the type of problem, evaluation of all the
symptoms and signs followed by detailed
recommendations on diet, lifestyle and
medication.
• Panchkarma a highly specialized Ayurveda
technique for bio-purification and treatment
has proved to be extremely beneficial in
management of cardiac disorders. The
following Panchakarma procedures as planned
and supervised by a qualified Ayurveda doctor
are preferred and are known to be quite
effective:

3. o Basti (medicated enemata)
o Vaman (therapeutically induced vomiting or
emesis)
o Virechana (therapeutically induced
purgation)
o Hridbasti and Shirobasti (retaining medicated
herbal oils etc over cardiac area and
head/scalp respectively)
o Hriddhara and Shirodhara (pouring controlled
stream of medicated liquid preparations e.g.
herbal oils on forehead and cardiac region
respectively)
• Oral medicines comprising of a number of
single herbs and classical compound
formulations are prescribed by Ayurveda
experts on a regular basis. Some important
medicines are as follows:
Herbs:
o Arjuna bark
o Rose petals
o Inula racemosa
o Costus root
o Boswellia
o Indian bedellium
o Desmodium gangeticum

4. o Bacopa
o Himalayan spike nard
o Bind weed
o Sea buckthorn
o Sweet flag
o Indian snake root
Classical Ayurveda Medicines:
o Kakubhadi churna
o Haritakyadi churna
o Arjunarishta
o Dasmoolarishta
o Akika bhsma/pishti
o Hridyavaran rasa
o Prabhakar vati
o Yogendra rasa
o Nagarunabhra rasa
o Mahayogaraj guggul
o Jaharmohra
o Yakuti rasayana
o Shringa bhasma