Roshni Anirudhan, Amit Nampalliwar, Amar S. Kamble, Dhanya R., Dipali Parekh, K. Parameswaran Namboothiri
Ayurveda represents a long-standing medical tradition grounded in interconnected physiological, psychological, and environmental principles. Increasing interest in holistic and multi-targeted interventions has led to growing exploration of their therapeutic relevance in metabolic imbalance, chronic inflammation, neurocognitive decline, musculoskeletal dysfunction, and stress-associated disorders. Variations in study design, formulation quality, and mechanistic clarity continue to present challenges, and current evidence remains heterogeneous and often derived from small-scale or preliminary investigations, yet emerging scientific evaluations indicate preliminary clinical potential across several domains. This narrative review aimed to integrate selected Ayurvedic concepts with contemporary biomedical perspectives, based on a structured but non-systematic literature exploration rather than a formal systematic review methodology. The methodology involved a targeted, non-systematic search of publications from 2000 to 2025 across selected databases (e.g., PubMed, Scopus, and Google Scholar) to identify clinically relevant studies, mechanistic reports, and available safety-related observations focused on defined Ayurvedic interventions; however, no formal study selection criteria, quantitative synthesis, or bias assessment framework was applied. Findings from included reports suggest that botanical agents, Rasayana (rejuvenative therapy) formulations, Panchakarma (detoxification techniques) procedures, dietary measures, and mind-body practices have been associated with changes in metabolic indicators, inflammatory mediators, oxidative stress markers, autonomic responses, cognitive performance, and gastrointestinal function in specific study settings, although effect sizes, study designs, and reproducibility vary considerably. Across multiple clinical contexts, these interventions may support physiological resilience and functional outcomes as adjunctive approaches, but evidence remains context-dependent and not uniformly generalisable. Broader integration into modern healthcare settings will require improved standardisation, rigorous safety and toxicological evaluation, and methodologically robust clinical trials. Collectively, the available literature positions Ayurveda as a potential complementary approach warranting further critical investigation rather than definitive clinical adoption.