Ayurvedic Management of Age-Related Cognitive Decline – A Systematic Review

Geriatrics is rapidly emerging as a prominent field of research in the modern era. As the population ages, age-related cognitive decline has become an increasingly prevalent issue, prompting a search for effective management strategies beyond conventional medical treatments. Ayurveda the Indian science of health management considered ageing as a condition of degeneration, mentioned as Svabhavabalapravritta Vyadhi which occur naturally. In old age, Vata Dosha becomes dominant. Being dry, rough, cold and mobile in nature, Vata has a catabolic effect on the body, leading to prominent signs of aging such as tissue degeneration, decline in physical and mental strength, and the onset of physical and cognitive impairments. Geriatrics or Jara Chikitsa in Ayurveda is a unique therapeutic methodology to delay ageing and to minimize the intensity of problems occurring in this degenerative phase of one's life. We searched online databases for research works and observational studies having Ayurvedic interventions in the field of geriatrics, including herbal formulations and Panchakarma detoxification. Our analysis of various studies revealed significant improvements in cognitive function, particularly attention, memory, and executive function. This review article reveals the benefits and therapeutic effects of Medhya Rasayana and Panchkarma in elderly which help in delaying the early ageing and tackles the health concerns of the aged. Integrating these Rasayana practices along with Panchkarma procedures like Basti and Nasya Karma, may offer a promising approach to supporting successful cognitive aging. These findings warrant further investigation to inform integrative healthcare strategies for healthy cognitive aging.