Ayurvedic Understanding and Therapeutic Strategies in the Management of Pneumonia: A Conceptual Review

Pneumonia continues to be a major cause of morbidity and mortality, particularly among children, elderly individuals, and immunocompromised patients. Despite advances in antimicrobial therapy, issues such as recurrent infections, antibiotic resistance, and prolonged post-infectious debility remain significant clinical challenges. Ayurveda provides a distinct framework to understand respiratory disorders through the concepts of Dosha, Agni, Srotas, Ama, and Ojas, which may offer supportive insights in the management of pneumonia. Aim: To conceptualize pneumonia from an Ayurvedic perspective and to elucidate its Pathogenesis and management principles with special reference to Sannipataja Jvara, Shwasa, and Kasa. Materials and Methods: Classical Ayurvedic texts including Caraka Saṃhita, Sushruta Saṃhita, and Ashtanga Hridaya were reviewed along with contemporary biomedical literature. Conceptual correlations were drawn between modern pathophysiology of Pneumonia and Ayurvedic principles. Results: Based on clinical features and disease progression, pneumonia can be conceptually correlated with Sannipataja Jvara with predominant Kapha and Vata involvement, associated with Pranavaha Srotoduṣṭi and Ama accumulation. The Ayurvedic approach emphasizes Amapacana, Kapha-hara, Vatanulomana, and subsequent Rasayana therapy during recovery. Commonly described formulations such as Dashamula, Sitopaladi Churna, and Agastya Rasayana are traditionally indicated for symptom relief and post-infectious strengthening. Conclusion: An Ayurvedic interpretation of pneumonia provides a structured understanding of disease progression and recovery. A Dosha-based and stage-oriented approach may serve as a supportive framework alongside contemporary medical care, particularly in addressing post-infectious weakness and recurrence.