Abstract Dyslipidemia is a major modifiable risk factor for cardiovascular disease and is characterized by deranged lipid metabolism and systemic inflammation. In Ayurveda , it corresponds to Medoroga , arising from Agnimandya and Ama sanchaya , leading to Medo dhatu dushti. Shankhaprakshalana enhances digestive and metabolic efficiency through detoxification, improved bile secretion, and gut motility. This case report evaluates its therapeutic efficacy in a 36-year-old male with dyslipidemia presenting with lethargy and elevated lipid levels. The patient underwent supervised Shankhaprakshalana using warm saline water with fennel fruits, integrated with specific asanas, followed by dietary regulation. Postintervention lipid analysis revealed reductions in total cholesterol (209.55→152 mg/dL), low-density lipoprotein (166→79.8 mg/dL), and triglycerides (403.40→184 mg/dL), with minimal high-density lipoprotein change. Subjectively, digestion and vitality improved. Findings suggest that Shankhaprakshalana supports gastrointestinal detoxification, hepatic lipid regulation, and metabolic activation, warranting further controlled clinical investigations to elucidate its biochemical mechanisms.
Saini et al. (Tue,) studied this question.