INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNO V A T ION (IJRSI)

ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |V o lume XII Issue XI November 2025

Bridging Traditional Wisdom:AReview onAyurveda–Yoga Integration

for Hridroga and Prameha

Dr. Sonam V. Surkar¹*, Dr. Manjiri D. Jangale (Ghorpade)²

¹Associate Professor, Kayachikitsa Department, SKS Ayurvedic Medical College and Hospital, Chhata,

Chaumuhan, Mathura, India

²Professor, Swasthavritta Department, SKS Ayurvedic Medical College and Hospital, Chhata,

Chaumuhan, Mathura, India

*Corresponding Author

DOI: https://dx.doi.org/10.51244/IJRSI.2025.12110139

Received: 04 December 2025; Accepted: 09 December 2025; Published: 19 December 2025

ABSTRACT

Lifestyle disorders such as Hridroga (cardiac diseases) and Prameha (metabolic disorders including diabetes

mellitus) are increasing worldwide due to sedentary lifestyle, unhealthy diet, and mental stress. Ayurveda, the

ancient Indian system of medicine, offers a holistic treatment approach targeting the root cause of these diseases

through Ahara (diet), Vihara (lifestyle), Aushadha (medications), and Manasika Bhava (mental balance). Yoga

complements Ayurvedic therapies by enhancing cardiovascular health, metabolic balance, and psychological

well-being. This review highlights the integrative role of Ayurveda and Yoga in preventing and managing

Hridroga and Prameha, emphasizing classical concepts, therapeutic modalities, and scientific evidence

supporting their synergistic efficacy.

Keywords: Ayurveda, Yoga, Hridroga, Prameha, Panchakarma, Lifestyle disorders, Rasayana

INTRODUCTION

Rapid modernization has led to a surge in lifestyle-related disorders, particularly cardiovascular diseases

(Hridroga) and diabetes mellitus (Prameha). WHO reports identify these as among the leading global causes of

morbidity and mortality. Ayurveda classifies both conditions under Santarpanajanya Vyadhi, resulting from

overnutrition and unhealthy habits. The principles of Swasthasya Swasthya Rakshanam (preserving health) and

Aturasya Vikara Prashamanam (treating disease) form the basis of Ayurvedic management. The integration of

Yoga with Ayurveda offers a natural, holistic, and sustainable strategy to manage these chronic diseases.

Ayurvedic Understanding of Hridroga

Definition

Hridroga refers to diseases of the Hridaya (heart), the seat of Ojas, Chetana, and Prana Vata (Charaka Samhita,

Su. 17/76).

Etiopathogenesis (Nidana and Samprapti)

Aharaja Nidana

Excessive intake of oily, heavy, salty food items.

Viharaja Nidana

1. Sedentary lifestyle

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INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNO V A T ION (IJRSI)

ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |V o lume XII Issue XI November 2025

2. Suppression of natural urges

3. Overexertion or lack of exercise

Manasika Nidana



Stress, anger, grief, anxiety

Samprapti

Kapha and Vata vitiation leads to Srotorodha, affecting Rasa-Rakta Vaha Srotas, resulting in Hridaya Dushti

and compromised cardiac functioning.

Types of Hridroga (Charaka Classification)

1. Vataja

2. Pittaja

3. Kaphaja

4. Sannipataja

5. Krimija

Ayurvedic Understanding of Prameha

Definition

Prameha is a metabolic disorder characterized by excessive and turbid urination. Madhumeha, a subtype, closely

correlates with Type 2 Diabetes Mellitus.

Nidana (Causative Factors)

1. High intake of sweet, unctuous, heavy foods

2. Lack of exercise

3. Daytime sleep

4. Genetic predisposition

5. Stress

Samprapti (Pathogenesis)

Kapha and Meda vitiation causes Agni Mandya and Ama formation, obstructing Meda and Mootravaha Srotas.

Vata imbalance contributes to glycosuria and polyuria-like symptoms.

Ayurvedic Treatment Principles

Shodhana Chikitsa (Detoxification)

For Hridroga

 Virechana

 Hridaya Basti

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INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNO V A T ION (IJRSI)

ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |V o lume XII Issue XI November 2025

For Prameha

 Vamana, Virechana, and Basti

 Use of Tikta-Katu Dravyas for Kapha-Meda Shamana

Shamana Chikitsa (Palliative Therapy)

Hridroga



Drugs: Arjuna, Guggulu, Pushkarmoola, Lasuna, Triphala

Formulations: Arjunarishta, Dashamoola Kwatha, Hridayarnava Rasa

Prameha



Drugs: Gudmar, Meshashringi, Haridra, Nisha-Amalaki, Triphala

Formulations: Nisha-Amalaki Churna, Chandraprabha Vati, Trivanga Bhasma

Rasayana Chikitsa

Amalaki, Ashwagandha, Shilajit, Brahmi, and Gokshura improve cardiac strength, metabolism, and immunity.

Pathya-Apathya (Diet & Lifestyle)

For Hridroga



Avoid oily, salty foods

Include light, digestible diet

Consume fresh fruits and vegetables

For Prameha



Avoid sweets, dairy, sedentary habits

Use barley, green gram, bitter vegetables

Follow proper exercise and daily routine (Dinacharya)

Role of Yoga in Hridroga and Prameha

Yoga serves as both preventive and therapeutic. It improves autonomic balance, circulation, insulin sensitivity,

and mental harmony.

Recommended Asanas

For Hridroga

Tadasana

For Prameha

Surya Namaskar

Dhanurasana

Trikonasana

Ardha Matsyendrasana Pavanamuktasana

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INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNO V A T ION (IJRSI)

ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |V o lume XII Issue XI November 2025

Shavasana

Paschimottanasana

Vajrasana

Bhujangasana

Pranayama



Anulom-Vilom: Dosha balance

Bhastrika & Kapalabhati: Boost metabolism

Bhramari & Ujjayi: Reduce stress, stabilize heart

Meditation (Dhyana)



Reduces stress and sympathetic overactivity

Enhances parasympathetic tone

Improves glycemic and cardiovascular parameters

Scientific Evidence



Arjuna bark and Yoga together lower LDL and improve cardiac function.

Yoga significantly reduces fasting sugars and HbA1c levels in diabetics.

Meditation reduces blood pressure, improves HRV, and enhances cardiac efficiency.

Integrative Approach: Ayurveda & Yoga

Aspect

Ayurvedic Approach

Yogic Approach

Detoxification

Metabolic Regulation

Panchakarma

Asanas, pranayama

Agni Deepana, Ama Pachana Surya Namaskar, Kapalabhati

Cardiac Strengthening Arjuna, Guggulu

Tadasana, Bhujangasana

Meditation, Pranayama

Yogic routine

Stress Management

Lifestyle

Satvavajaya

Dinacharya, Ritucharya

DISCUSSION

Both Ayurveda and Yoga target the root causes of Hridroga and Prameha such as Kapha-Meda Dushti, Agni

Mandya, and Srotorodha. Ayurveda focuses on detoxification, rejuvenation, and metabolic correction, while

Yoga stabilizes autonomic functions and improves psychological health. Their integration offers a holistic,

sustainable, and patient-centered approach, surpassing symptom-based management of modern medicine.

CONCLUSION

Ayurveda–Yoga integration provides an effective and evidence-based strategy for managing Hridroga and

Prameha. Through purification, diet regulation, herbal therapy, yogic practices, and mental relaxation

techniques, patients can achieve significant improvement in cardiovascular and metabolic health. This holistic

model promotes long-term wellness and aligns well with modern lifestyle disease management.

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INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNO V A T ION (IJRSI)

ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |V o lume XII Issue XI November 2025

REFERENCES

1. Agnivesha, Charaka Samhita, Vidyotini Hindi Commentary by Shastri Kasinath & Gauraknath

Chaturvedi. Chaukhamba Surbharati Prakashan, Varanasi; 2013.

2. Agnivesha, Charaka Samhita, Vidyotini Hindi Commentary. Chaukhamba Surbharati Prakashan;

2013.

3. Sen Govinddas, Bhaishajya Ratnavali. Chaukha Prakashan, Varanasi; 2013.

4. Agnivesha, Charaka Samhita, Ayurveda Dipika Commentary. Chaukhamba Surbharati Prakashana;

2017.

5. Charaka Samhita, Ayurveda Dipika Commentary. Chaukhamba Surbharati Prakashana; 2017.

6. Tripathi B, Ashtanga Hridayam. Chaukhamba Sanskrit Pratishthan; 2017.

7. Ashtanga Hridaya with Commentaries, Chowkhamba Prakashan; 1997.

8. Srikantha Murthy K.R., Ashtanga Hridayam. Krishnadas Academy, Varanasi; 2000.

9. Sarangadhara Samhita. Chaukamba Oriental Publisher; 1984.

10. Yogaratnakaram, Prameha Prakaranam. Krishnadas Ayurveda Series; 1998.

11. Ashtanga Hridayam–Chikitsa Sthana. Chaukamba Oriental Publisher.

12. Sharma P.V., Dravyaguna Vijnana Part II. Chaukamba Vidyabhavan; 1956.

13. Suresh Babu S., Kaya Chikitsa. Chaukamba Oriental Publisher; 2007.

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