Madatyaya: Case-Based Diagnosis and Intervention

Alcohol use disorder (AUD) is a chronic condition with impaired control over alcohol intake and high relapse rates. In India, it is underrecognized and underreported due to social stigma with socioeconomic factors influencing its prevalence. In Ayurveda, Madatyaya refers to excessive alcohol consumption where there is dosha prakopa (Vata, Pitta and Kapha) and impairment of Agni, Sattva, Rasa Dhatu, and Ojas, resulting in physical and mental disturbances. Here is a case of 47-year-old male, began alcohol use 16 years ago, gradually increasing to 2–3 quarters daily. Previous attempts to quit alcohol failed due to withdrawal symptoms. In the past two weeks, stress and low motivation led to intake of excess alcohol, with restlessness, anxiety, and loss of interest in routine activities. Here the patient sought voluntary medical intervention. The Lakshana, Samprapti, and Chikitsa of Madatyaya were analysed and correlated with Panatyaya. AUD was diagnosed according to DSM-5 criteria. The patient underwent structured Shodhana, added with Shamana Aushada which are Yakrut Uttejaka, Medhya Rasayana, Vatanulomaka and supportive Sattvavajaya Chikitsa. Insight and motivation were considered favourable prognostic factors. Ayurvedic management of Madatyaya encompasses both physiological and psychological domains. Shodhana therapies, particularly Basti, are employed to detoxify the body and restore prakruta dosha avasta, while Shamana medications alongside Sattvavajaya interventions address craving control, enhance psychological health, and promote sustainable behavioural modification.