Ayurvedic Management of Vata-Kaphaja Unmada (Autism Spectrum Disorder): A Pediatric Case Study

Background and Aim: Autism Spectrum Disorder(ASD) is a complex neurodevelopmental disorder marked by deficits in social interaction, restricted interests, and repetitive behaviors. Conventional therapies often provide limited long-term benefit in moderate to severe cases. This case study aimed to evaluate the role of Ayurvedic intervention in managing symptoms of moderate ASD in a pediatric patient. Methods: A 12-year-old female presented with delayed speech, echolalia, poor eye contact, repetitive behaviors, irritability, and academic difficulties. Clinical assessment suggested features resembling Unmada with Vata-Kapha dominance and Manovaha Srotas involvement. An individualized treatment protocol was administered over a period of 4 months (February – June 2025), including Medhya Rasayana for cognitive enhancement and Panchakarma therapies such as Abhyanga, Nadi Sweda, Shirodhara, Shirotalam for three sittings and Basti (administered in two sittings). The therapeutic goal was to pacify Vata-Kapha Dosha, nourish Majja Dhatu, and support Buddhi, Smriti, and Samjna Jnana. Observations and Results: Over the treatment course, gradual improvements were noted in social interaction, communication, attention span, and emotional regulation. Parents reported reduced irritability, better adaptability to routine, and improved peer engagement. Clinical observations confirmed stabilization of behavioral symptoms without any serious adverse effects. Conclusion: This case highlights the potential of Ayurveda in the holistic management of ASD through individualized protocols targeting doshic imbalance and neurocognitive function. While outcomes were encouraging, larger controlled studies and long-term follow-up are required to validate the effectiveness and establish standardized guidelines for Ayurvedic management of neurodevelopmental disorders.