Ayurvedic management of Achalasia cardia: Case report

Achalasia cardia is an esophageal motility disorder characterised by hypertonic lower esophageal sphincter which fails to response to the swallowing wave. Current invasive diagnostic methods and therapeutic approaches have advantages and disadvantages of their own. As per Ayurvedic perspective, Srotovaigunya or Khavaigunya can be used to describe structural alterations in the esophagus. The apana vata dosha vaigunya followed by vitiation of other dosha can be considered as the main pathology involved in this case. Following this agnimandya and aamasanchaya may occur. So for the reversal of samprapti, proper vata anulomana ,pachana and deepana are needed. Followed by the brihmana and rasayana cikitsa helps for maintaining the integrity of esophagus and prevent the recurrence of the symptoms. The changes in the clinical features of the patient can be assessed through standard Eckardt symptom Score.