An Ayurvedic Approach for Prevention of Relapse in Madatyaya (Alcohol use disorder): A Review Article

Background The risk of relapse makes Madatyaya, a disorder brought on by excessive alcohol use, a serious problem. Despite the ongoing development and refinement of pharmacological and psychosocial treatments, a person with AUD (alcohol use disorder) will relapse to hazardous drinking within 6 months following treatment. Furthermore, relapse within 6 months of treatment is associated with extended periods of hazardous drinking and adverse psychosocial consequences, marking a critical need to understand factors related to relapse. Method: The primary objective of this research is to describe the causes and holistic management of relapse of alcohol use disorder. This review synthesises information from classical Ayurvedic texts (Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya, Madhavnidana, and Bhavprakash), peer-reviewed journals, and recent clinical studies to describe aetiology, pathophysiology, and preventive strategies for relapse in AUD. Result: This review concludes that Sattvavjaya chikitsa, Sadvritta, and Daiv-vyapashrya chikitsa are key factors in the prevention of relapse of AUD. Factors associated with relapse include sociodemographic characteristics, comorbid psychiatric disorders, craving, stress, poor self-efficacy, and impaired lifestyle balance. Ayurveda attributes relapse to derangement of Sattva, Buddhi, and Ojas, emphasising interventions such as Sattvavjaya Chikitsa, Rasayana therapy, and ethical conduct (Sadvritta). Discussion: The Ayurvedic viewpoint on prevention of relapse of Madatyaya (AUD) was examined in this review, which also emphasises preventative strategies such as lifestyle changes, rejuvenation, psychological assistance, and Sattvavjaya chikitsa. By addressing the root causes of addiction and strengthening the individual’s physical and mental resilience, Ayurveda provides a roadmap for long-term recovery.