Ayurvedic Management of a Complex Case of Cardiovascular Disease, Type 2 Diabetes Mellitus, Osteoarthritis, Dyslipidemia, and Bilateral Pedal Edema: A Case Report

Abstract Background: This case report details the management of a patient with multiple comorbidities including hypertensive heart disease, non-obstructive hypertrophic cardiomyopathy, type 2 diabetes mellitus, dyslipidemia, and bilateral pedal edema. After three years of conventional allopathic treatment with suboptimal symptom control, an Ayurvedic intervention was initiated. Case Presentation: A 63-year-old Indian male presented with a complex medical history significantly worsening post-COVID-19 vaccination. The patient first noted the onset of significant symptoms, including persistent weakness and shortness of breath, in the period following his COVID-19 vaccinations in 2020-2021. The temporal association is noted, though a causal relationship cannot be established from this single case. Despite continuous allopathic care from December 2020 to September 2023, his condition showed progressive deterioration, with worsening hypertension, glycemic control, and recurrent edema. Intervention: A holistic Ayurvedic protocol was initiated, focusing on root-cause management of underlying doshic imbalances (Vata-Kapha vitiation with Ama formation). The intervention comprised two proprietary Polyherbal formulations, Ayush Sanjivani Urja (a Rasayana/rejuvenative) and Ayush Sanjivani Madhunashini (targeting glucose metabolism), alongside dietary and lifestyle modifications. A combination of two Ayurvedic formulations—Ayush Sanjivani Urja (Immunity Booster) capsules and Ayush Sanjivani Madhunashini capsules—were administered over a 28-day intensive phase, followed by a maintenance regimen. Adjunctive lifestyle modifications were advised. Outcomes: Over a six-month follow-up period, significant improvements were observed. Blood pressure normalized (from 170/100 mmHg to 124/88 mmHg), fasting and postprandial blood glucose levels returned to normal ranges (from 157/175 mg/dL to 88.40/103.10 mg/dL), and symptoms like shortness of breath, palpitations, fatigue, and pedal edema resolved. The patient reported a dramatic improvement in quality of life. Conclusion: This case suggests that the described Ayurvedic protocol may be an effective complementary approach for managing complex, multi-system diseases. The significant improvement in objective clinical parameters and subjective well-being warrants further investigation through controlled trials. Keywords: Ayurveda, Case Study, Hypertensive Heart Disease, Type 2 Diabetes Mellitus, Hypertrophic Cardiomyopathy, Pedal Edema, Polyherbal Formulation.