Ayurvedic View and Treatment Protocols of Madatyaya: A Classical Literature Review

Madatyaya is a pathological condition described in Ayurveda, primarily caused by the excessive consumption of alcohol. It presents with a constellation of clinical symptoms including aphasia, excessive thirst, mental confusion, headache, numbness, and impaired motor coordination. Known in modern terms as alcohol abuse or chronic alcoholism, Madatyaya adversely affects not only the individual's physical and mental health but also disrupts the social and economic stability of the family unit. Madatyaya, recognized as both a lifestyle-related and addictive disorder, is witnessing a rising global incidence, primarily attributed to shifting modern lifestyle habits. The condition significantly impacts various physiological and psychological components such as Hridaya (heart), Rasavaha srotas (circulatory system), Manovaha srotas (channels of the mind), and Ojas (vital essence). Behavioral factors like Mithya yoga (improper use), Atiyoga (overuse), and Heenayoga (underuse) are often implicated in its development. Ayurvedic management of Madatyaya involves a holistic and integrative therapeutic approach. The treatment approach incorporates Satvavajaya Chikitsa (Ayurvedic psychotherapy), supportive Yoga practices, and Shamana Chikitsa (palliative management) through Rasayana therapies aimed at rejuvenation. Additionally, Panchakarma procedures such as Snehan (oleation), Swedana (sudation), Nabhi Puran (navel therapy), Nasya (nasal therapy), Shirodhara (oil streaming on the forehead), and Basti (medicated enema) are employed. These interventions aim not only to alleviate physical symptoms but also to address psychological and emotional imbalances. Key words: Madatyaya, alcoholism, Alcohol abuse, Lifestyle disorder, Addictive disorder