AYURVEDIC CLINICAL INTERVENTION IN DUSHIVISHAJANYA VICHARCHIKA: A SINGLE CASE STUDY

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder marked by persistent hyperglycemia, often accompanied by comorbidities such as dyslipidemia and exocrine pancreatic insufficiency, contributing to metabolic imbalance and complications. This case study presents a 45-year-old female with T2DM, who visited Jeena Sikho Lifecare Limited Hospital, Ambala, India, on April 11, 2025. She had a history of multiple abdominal surgeries, including hysterectomy, cholecystectomy, splenectomy, and distal pancreatectomy. Her symptoms included general weakness, reduced appetite, and elevated blood sugar levels. A comprehensive Ayurvedic evaluation revealed features of Agnimandya (weakened digestion), Srotorodha (channel obstruction), and Meda Dhatu Dushti (fat tissue imbalance), correlating with the clinical findings of hyperlipidemia and pancreatic enzyme insufficiency. Ayurvedic management involved Deepan-Pachan (digestive stimulation), Srotoshodhana (channel cleansing) and Pathya-Apathya (dietary and lifestyle regulation). Following treatment, the patient showed marked clinical improvement: blood glucose reduced from 159 mg/dl to 129 mg/dl, HbA1c from 7.3% to 6.4%, fecal elastase improved from 102 µg/g to 694 µg/g, and lipid profile, including cholesterol and triglycerides, significantly normalized. Hematological values also stabilized, indicating improved systemic health. This case highlights the effectiveness of individualized Ayurvedic therapy in managing complex metabolic disorders such as T2DM with associated pancreatic and lipid dysfunction, addressing the root causes and promoting sustained metabolic balance.