Ankylosing Spondylitis treatment in ayurveda by prescribing illness specific medicinal herbs and dietary recommendations

Ankylosing Spondylitis (AS), a chronic inflammatory condition primarily affecting the spine, finds its understanding and management rooted in Ayurveda, the ancient Indian system of medicine. Ayurveda perceives health as a delicate balance between the three doshas—Vata, Pitta, and Kapha—and views diseases as manifestations of imbalances in these fundamental energies.

In the context of AS, Ayurveda places a significant emphasis on the role of Vata dosha. Vata, representing the air and ether elements, governs mobility and is closely associated with the nervous system. The pathology of AS, characterized by inflammation, stiffness, and fusion of the spinal vertebrae, aligns with the attributes of aggravated Vata. In Ayurvedic terms, the vitiation of Vata leads to an imbalance that manifests as pain, dryness, and irregularities in the musculoskeletal system, giving rise to conditions such as AS.

The process of ama formation, the accumulation of undigested toxins, is considered pivotal in Ayurvedic interpretations of AS. Impaired digestive fire (agni) is thought to contribute to the generation of ama, which, when circulating in the body, aggravates Vata and exacerbates joint inflammation. The accumulated ama is believed to play a crucial role in the progression of the disease, affecting joint health and mobility.

Ayurvedic management of AS involves a multifaceted approach to address the underlying imbalances and alleviate symptoms. Herbal remedies play a central role, with specific emphasis on herbs possessing anti-inflammatory and immune-modulating properties. Ashwagandha (Withania somnifera) is often prescribed for its adaptogenic qualities, helping to mitigate stress and inflammation. Guggul (Commiphora wightii) is favored for its anti-inflammatory effects and its potential to pacify aggravated Vata.

Triphala, a combination of Amalaki (Emblica officinalis), Bibhitaki (Terminalia bellirica), and Haritaki (Terminalia chebula), is employed for its detoxifying properties. This Ayurvedic formulation aids in digestion, purifies the blood, and helps eliminate ama from the body. The integration of Triphala into the treatment plan aims to restore balance to the digestive system, a key factor in managing AS.

Ayurvedic therapies, including Panchakarma, are employed for their detoxifying and rejuvenating effects. Virechana (purgation) and Basti (medicated enema) are specific Panchakarma procedures that target the elimination of toxins and aim to restore balance to the doshas. These therapies are tailored to the individual’s constitution and the specific imbalances present in AS.

Dietary modifications play a crucial role in Ayurvedic management. A diet that pacifies Vata dosha is recommended, comprising warm, nourishing foods and avoiding cold, dry, and hard-to-digest items. The inclusion of spices such as ginger and turmeric is encouraged for their anti-inflammatory properties. Adequate hydration is also emphasized to counteract the dryness associated with Vata imbalance.

Lifestyle modifications are integral to the Ayurvedic approach for AS. Regular, gentle exercise, particularly yoga, is recommended to enhance flexibility and strengthen the spine. Yoga postures and breathing exercises tailored to the individual’s condition can alleviate stiffness and improve overall joint mobility. Maintaining a consistent daily routine, including sufficient rest, is crucial to prevent further Vata aggravation.

Here’s a detailed exploration of the extent of pain in Ankylosing Spondylitis in Ayurvedic terms:

1. Vata Dosha Imbalance:

   • Ayurveda attributes the pain in AS to an aggravated Vata dosha. Vata, which governs movement and is associated with the nervous system, when imbalanced, can lead to symptoms such as pain, stiffness, and discomfort in the joints and spine. The pain is often described as shifting, variable, and may be exacerbated by factors that increase Vata, such as cold weather.

2. Ama (Toxin) Accumulation:

   • The accumulation of Ama, resulting from impaired digestion, is considered a contributing factor to the pain in AS. Ama circulating in the body is believed to deposit in the joints, causing inflammation and pain. Ayurvedic treatments often focus on eliminating Ama through detoxification therapies like Panchakarma.

3. Specific Quality of Pain (Vataja Shoola):

   • The pain in AS is classified as “Vataja Shoola,” indicating pain associated with Vata dosha. This type of pain is often described as a piercing or throbbing sensation and may be variable in intensity. The pain tends to worsen with activities that aggravate Vata, such as prolonged sitting or standing.

4. Mansa Dhatu Involvement:

   • Ayurveda recognizes the connection between the mind and body. Chronic pain in AS may also affect the mental well-being of an individual, leading to stress and anxiety. This psychosomatic aspect is considered in Ayurvedic assessments and may be addressed through psychological support and stress-reducing therapies.

5. Dhatu Involvement (Sapta Dhatu):

   • Ayurveda views the body in terms of seven tissues (Sapta Dhatu). In AS, the involvement of Asthi Dhatu (bone tissue) and Majja Dhatu (marrow tissue) is significant. The pain is, therefore, associated with structural changes in the spine, including inflammation, fusion of vertebrae, and changes in bone density.

6. Doshic Influence on Pain Perception:

   • Individual dosha constitutions (Prakriti) can influence how an individual experiences pain. Those with a predominance of Vata dosha in their constitution may be more susceptible to the Vata-related symptoms of AS. Ayurvedic treatments aim to balance individual constitutions to alleviate pain.

7. Aggravating and Alleviating Factors:

   • Ayurveda considers various factors that can either aggravate or alleviate pain in AS. Aggravating factors may include exposure to cold and damp conditions, irregular dietary habits, and excessive physical or mental stress. Alleviating factors often involve practices that pacify Vata dosha, such as warm oil massages, warm compresses, and adherence to a Vata-pacifying diet.

8. Holistic Approach to Pain Management:

   • Ayurvedic treatments for AS adopt a holistic approach to pain management. This involves addressing not only the physical symptoms but also the emotional and mental well-being of the individual. Practices like meditation, relaxation techniques, and counseling may be integrated into the treatment plan.

It’s crucial to emphasize that Ayurvedic assessments of pain in AS are individualized, taking into account the unique constitution and circumstances of each person.

While Ayurveda offers a comprehensive understanding and management strategy for AS, it’s essential to approach it as a complementary therapy alongside conventional medical interventions. Individuals with AS should work collaboratively with Ayurvedic practitioners and rheumatologists to create a holistic and personalized treatment plan. The Ayurvedic perspective on ankylosing spondylitis underscores the interconnectedness of the mind, body, and spirit, aiming to restore harmony and promote overall well-being.

It is essential to note that these home remedies should complement conventional medical treatment and be adopted under the guidance of an experienced Ayurvedic practitioner.

Here are some Ayurvedic home remedies for Ankylosing Spondylitis:

1. Ginger (Zingiber officinale):

   • Ginger is renowned for its anti-inflammatory properties.
   • Include fresh ginger in your diet or prepare a ginger tea by boiling grated ginger in water. This can help alleviate pain and reduce inflammation associated with AS.

2. Turmeric (Curcuma longa):

   • Curcumin, the active compound in turmeric, possesses potent anti-inflammatory and antioxidant properties.
   • Incorporate turmeric into your daily cooking or consume turmeric milk (golden milk) to help manage inflammation.

3. Boswellia (Boswellia serrata):

   • Boswellia, also known as Indian frankincense, has anti-inflammatory properties that may benefit AS patients.
   • Boswellia supplements, available in capsule form, can be considered under the guidance of an Ayurvedic practitioner.

4. Ashwagandha (Withania somnifera):

   • Ashwagandha is an adaptogenic herb that may help manage stress and inflammation associated with AS.
   • Consume ashwagandha powder with warm milk or as recommended by an Ayurvedic practitioner.

5. Triphala:

   • Triphala, a combination of three fruits (Amalaki, Bibhitaki, Haritaki), aids in digestion and detoxification.
   • Consuming Triphala powder with warm water can help eliminate toxins from the body, potentially benefiting individuals with AS.

6. Castor Oil (Ricinus communis):

   • Castor oil has anti-inflammatory properties and can be used for external applications.
   • Warm castor oil and massage it gently over the affected joints to reduce pain and stiffness.

7. Epsom Salt Bath:

   • Epsom salt baths can provide relief by reducing inflammation and soothing sore muscles.
   • Add Epsom salt to warm bathwater and soak in it for 15-20 minutes to promote relaxation.

8. Dietary Modifications:

   • Adopt an anti-inflammatory diet by including foods rich in omega-3 fatty acids (fatty fish, flaxseeds, chia seeds).
   • Limit the intake of processed foods, red meat, and dairy, which may contribute to inflammation.

9. Warm Compress:

   • Applying a warm compress to the affected joints can help improve blood circulation and reduce stiffness.
   • Use a clean cloth soaked in warm water and place it over the affected area for 15-20 minutes.

10. Yoga and Gentle Exercise:

    • Regular practice of yoga, especially poses that promote flexibility and strength, can be beneficial.
    • Engage in low-impact exercises such as swimming or walking to maintain joint mobility.

It’s crucial to consult with an Ayurvedic practitioner to create a personalized treatment plan that considers individual constitution (dosha) and the specific imbalances present. Additionally, individuals with AS should collaborate with their healthcare providers to ensure that Ayurvedic home remedies complement conventional medical care. These home remedies aim to enhance the overall well-being of individuals with AS by addressing inflammation, promoting joint health, and supporting the body’s natural healing processes.

Causes of Ankylosing Spondylitis in ayurveda are listed as follows:

As per principles of ayurveda, its the imbalance in the digestion which is always the first causative factor for any such auto-immune ailment. Concepts of autoimmune disease are always correlated with Ama dominant disease in Ayurveda. Ama is the undigested food residue due to improper digestion, and these ama (free flowing toxins) are then provided an ideal medium via blood, lymph to travel to any tissue, get deposited there, encourage further cellular vitiation after involving different Doshas resulting various abnormalities in our body tissues.

Originating from Mandagni (lower digestive fire or metabolism), Ayurveda quoted as “Rogah sarvepi mandagnou” – which translates into “all disease are starting with involvement of imbalance in the digestive fire”. Its always through irregular diet habits with irregular lifestyle which leads to the development of condition known as Mandagni. It results in formation of proper digestive material and goes circulating in the body. These substances are called as Ama (“toxins”) in Ayurveda. During circulation when got suitable place to lodge it affect that part and resulting into disease. Such diseases called as “Samarogas”.

Pathogenesis of this disease can be correlated as :

• Dosha: Vatakapha
• Dushya: Rasa, Asthi, Sandhi, Mamsa
• Agni: Vishama and Mandagni
• Srotas: Asthivaha, Rasavaha
• Srotodushti: Sanga
• Vyadhimarga: Bahya and Madhyama
• Utpati sthana: Pakwashaya
• Sanchara sthana: Pristha, Kati
• Upashaya: Ushna, sweda
• Vyadhiswabhava: Chirakari

In Ayurveda, Ankylosing Spondylitis (AS) is understood through the lens of dosha imbalance, particularly involving the Vata dosha. The development of AS is attributed to a combination of internal and external factors, leading to disturbances in the body’s constitution. Here is an exploration of the causes of Ankylosing Spondylitis according to Ayurveda:

1. Vata Imbalance (Vata Dosha Prakopa):

   • Ayurveda attributes AS to an aggravated Vata dosha, which governs movement and is associated with the nervous system. When Vata is imbalanced, it can lead to dryness, stiffness, and pain in the joints, particularly in the spine.

2. Improper Digestion (Mandagni):

   • According to Ayurveda, impaired digestion, or Mandagni, contributes to the accumulation of Ama (toxins) in the body. Ama is believed to circulate in the bloodstream and deposit in the joints, leading to inflammation and pain characteristic of AS.

3. Dietary Factors (Viruddha Ahara):

   • Consuming incompatible foods, known as Viruddha Ahara, is considered a contributing factor to various diseases in Ayurveda. In the context of AS, consuming foods that aggravate Vata dosha, such as cold, dry, and raw foods, may contribute to the development of the condition.

4. Genetic Predisposition (Kulaja Vata Dosha Prakriti):

   • Ayurveda acknowledges the role of genetics in health and disease. An individual’s constitution (Prakriti) is influenced by their parents, and if there is a familial predisposition to Vata dosha imbalance, it may increase the likelihood of developing AS.

5. Excessive Physical and Mental Stress (Shoka and Shrama):

   • Physical and mental stress can aggravate Vata dosha, leading to its derangement. In Ayurveda, both excessive physical exertion (Shrama) and emotional stress (Shoka) are considered factors that can contribute to the development of Vata-related disorders like AS.

6. Seasonal Influences (Ritu):

   • Ayurveda recognizes the impact of seasons on the doshas. Exposure to cold and damp conditions, especially during the winter season, is believed to exacerbate Vata dosha, potentially triggering or worsening symptoms of AS.

7. Accumulation of Environmental Toxins (Aushadhi Viruddha):

   • Exposure to environmental toxins, including pollutants and chemical substances, is considered a factor that can disturb the dosha balance. This may contribute to the development or aggravation of AS in susceptible individuals.

Ayurvedic Strategies for Preventing Ankylosing Spondylitis:

1. Balancing Vata Dosha:

   • Maintaining a lifestyle and dietary habits that balance Vata dosha is crucial. This includes adopting a routine, eating warm and nourishing foods, and avoiding Vata-aggravating factors.

2. Promoting Digestive Health:

   • Emphasizing proper digestion through Ayurvedic dietary guidelines, such as favoring easily digestible foods and avoiding incompatible food combinations, can help prevent the accumulation of Ama.

3. Stress Management (Manasa Roga Nivritti):

   • Managing stress through practices like meditation, yoga, and relaxation techniques is emphasized to prevent the aggravation of Vata dosha.

4. Regular Detoxification (Panchakarma):

   • Periodic detoxification therapies, such as Panchakarma, may be recommended to eliminate accumulated toxins and maintain dosha balance.

5. Individualized Care (Swasthavrutta):

   • Understanding one’s individual constitution (Prakriti) and making lifestyle choices accordingly can play a preventive role. Ayurvedic consultations can provide personalized recommendations for diet, lifestyle, and herbal support.

It’s important to note that Ayurveda focuses on a holistic approach to health, and preventive measures are individualized based on an individual’s unique constitution and circumstances. Consulting with a qualified Ayurvedic practitioner is recommended for personalized guidance and preventive strategies.

Illness specific herbs used in preparing ayurveda medications for Ankylosing Spondylitis

Ayurveda employs a holistic approach to managing health conditions like Ankylosing Spondylitis (AS), utilizing a variety of medicinal plants known for their anti-inflammatory, analgesic, and immunomodulatory properties. Here are some Ayurvedic medicinal plants that are traditionally used in the management of AS:

1. Ashwagandha (Withania somnifera):

   • Also known as Indian ginseng, Ashwagandha is an adaptogenic herb with anti-inflammatory properties. It is believed to help reduce pain and inflammation associated with AS, and it supports overall strength and vitality.

2. Guggul (Commiphora wightii):

   • Guggul is a resin obtained from the Commiphora wightii tree. It has anti-inflammatory and analgesic properties, making it beneficial in managing joint pain and inflammation associated with AS. Guggul is commonly used in Ayurvedic formulations for musculoskeletal disorders.

3. Turmeric (Curcuma longa):

   • Turmeric contains curcumin, a potent anti-inflammatory compound. It is widely used in Ayurveda for its ability to reduce inflammation and alleviate joint pain. Curcumin’s antioxidant properties may help modulate the immune response implicated in AS.

4. Shallaki (Boswellia serrata):

   • Also known as Indian frankincense, Shallaki is renowned for its anti-inflammatory effects. It is considered beneficial in reducing pain and stiffness associated with AS by inhibiting inflammatory pathways.

5. Nirgundi (Vitex negundo):

   • Nirgundi is known for its analgesic and anti-inflammatory properties. It is traditionally used in Ayurveda to alleviate pain and improve joint mobility. Nirgundi oil is often applied topically for localized relief.

6. Eranda (Ricinus communis):

   • The leaves and seeds of the castor plant, Eranda, are used in Ayurveda for their anti-inflammatory properties. Castor oil, extracted from the seeds, is applied topically to reduce inflammation and provide relief from joint pain.

7. Punarnava (Boerhavia diffusa):

   • Punarnava is known for its anti-inflammatory and diuretic properties. It may help in reducing swelling and inflammation in joints associated with AS. It is also used to support kidney function.

8. Aloe Vera (Aloe barbadensis miller):

   • Aloe Vera possesses anti-inflammatory and analgesic properties. Its use is considered beneficial in managing inflammatory conditions, and it may contribute to overall joint health.

9. Amalaki (Emblica officinalis):

   • Amalaki, or Indian gooseberry, is rich in vitamin C and antioxidants. It supports the immune system and may help modulate the inflammatory response. It is often included in Ayurvedic formulations for joint health.

10. Shatavari (Asparagus racemosus):

    • Shatavari is an adaptogenic herb known for its immune-modulating and anti-inflammatory effects. It may contribute to overall well-being in individuals with AS.

Important Note: It’s crucial to approach the use of medicinal plants for AS under the guidance of a qualified Ayurvedic practitioner. The effectiveness of herbal remedies can vary based on individual constitution, and proper dosage and formulations need to be tailored to each person. Additionally, it is advisable to consult with a healthcare professional before incorporating new herbs into your regimen, especially if you are already on medication or have pre-existing health conditions.

Few of the over the counter ayurveda medications which can help address the cause of Ankylosing Spondylitis (AS) are:

• Ajmodadi kashaym,
• Ajamodadi churna,
• Yograj guggulu,
• Rasnadi Kashaym,
• Rasnadi Ghritam,
• Amrutottaram kashaym,
• Amavatari ras,
• Rasnaerandadi kashyam etc.

In Ayurveda, the management of Ankylosing Spondylitis (AS) involves a holistic approach that includes lifestyle modifications, dietary recommendations, and the use of herbal formulations. Ayurvedic medications are often tailored to address the underlying dosha imbalances and provide relief from symptoms. It’s important to note that Ayurvedic treatments are individualized, and formulations may vary based on an individual’s constitution (Prakriti) and the specific imbalance of doshas. Here are some commonly used Ayurvedic medications for managing Ankylosing Spondylitis:

1. Maharasnadi Kwath:

   • Maharasnadi Kwath is a traditional Ayurvedic decoction that includes a combination of herbs like Rasna (Alpinia galanga), Guduchi (Tinospora cordifolia), and Devadaru (Cedrus deodara). It is known for its anti-inflammatory and analgesic properties and is used to alleviate joint pain and stiffness.

2. Yogaraja Guggulu:

   • Yogaraja Guggulu is a classical Ayurvedic formulation that contains a blend of herbs like Guggul (Commiphora wightii), Triphala, and Trikatu. It is commonly used to reduce inflammation, improve joint flexibility, and relieve pain associated with musculoskeletal disorders, including AS.

3. Kaishore Guggulu:

   • Kaishore Guggulu is another Ayurvedic formulation that contains Guggul along with herbs like Triphala, Guduchi, and Vidanga. It is known for its detoxifying and anti-inflammatory effects, making it beneficial in managing inflammatory joint conditions.

4. Sahacharadi Taila:

   • Sahacharadi Taila is an Ayurvedic oil prepared with herbs like Sahachara (Strobilanthes ciliatus), Ashwagandha, and Bala (Sida cordifolia). External application of this oil is believed to reduce pain, stiffness, and inflammation in the affected joints.

5. Dashamoola Rasayana:

   • Dashamoola Rasayana is a rejuvenating Ayurvedic formulation that contains the ten roots (dashamoola) of various medicinal plants. It is used to strengthen the musculoskeletal system and support overall vitality.

6. Punarnavadi Kwath:

   • Punarnavadi Kwath is a decoction prepared with herbs like Punarnava (Boerhavia diffusa) and Gokshura (Tribulus terrestris). It is used to reduce swelling, inflammation, and pain in joints.

7. Trayodashanga Guggulu:

   • Trayodashanga Guggulu is a formulation containing Guggul along with thirteen herbs. It is traditionally used to alleviate Vata dosha imbalances, making it beneficial in managing conditions like AS that involve Vata aggravation.

8. Amrita Satva:

   • Amrita Satva is derived from the stems of Tinospora cordifolia (Guduchi). It is known for its immunomodulatory properties and may be used to support the immune system in autoimmune conditions like AS.

9. Brihat Vata Chintamani Ras:

   • Brihat Vata Chintamani Ras is a classical Ayurvedic preparation that contains Swarna Bhasma (gold), Abhraka Bhasma (mica), and various herbs. It is believed to strengthen the nervous system and reduce Vata-related symptoms.

10. Lakshadi Guggulu:

    • Lakshadi Guggulu is a formulation containing Guggul, Laksha (Laccifer lacca), and Ashwagandha. It is used to promote bone health and may be beneficial in managing conditions affecting the spine, such as AS.

It’s important to consult with a qualified Ayurvedic practitioner for personalized recommendations and proper dosage of these medications. Self-prescription and improper use of Ayurvedic formulations can lead to complications, and individual variations in response to these medications should be considered. Additionally, it is advisable to inform your healthcare provider about any Ayurvedic treatments you are undergoing, especially if you are on conventional medications for Ankylosing Spondylitis. Integrative care with the guidance of both Ayurvedic and conventional medical professionals is often recommended for comprehensive management of AS.

Ayurveda treatment and consultation of Ankylosing Spondylitis at Nakra Ayurveda Hospitals and Herbals Pvt Ltd:

In Ayurveda, the treatment of Ankylosing Spondylitis (AS) involves a comprehensive approach that addresses the root cause of the condition and aims to alleviate symptoms, improve joint function, and prevent further progression. The treatment plan is individualized based on an individual’s constitution (Prakriti), the specific imbalance of doshas, and the stage of the disease. Here are various types of treatments used in Ayurveda for managing Ankylosing Spondylitis:

1. Shodhana Chikitsa (Detoxification Therapy):

   • Panchakarma: Panchakarma is a set of therapeutic procedures designed to purify and detoxify the body. It includes treatments like Vamana (therapeutic vomiting), Virechana (purgation), Basti (medicated enema), Nasya (nasal administration of medicated substances), and Raktamokshana (bloodletting). Panchakarma aims to eliminate Ama (toxins) and balance the doshas.

2. Shamana Chikitsa (Palliative Therapy):

   • Herbal Medications: Ayurvedic formulations containing anti-inflammatory, analgesic, and immunomodulatory herbs are prescribed to manage symptoms. Common herbs include Ashwagandha, Guggul, Shallaki, Turmeric, and Nirgundi. These herbs aim to reduce pain, inflammation, and stiffness in the joints.

3. Swasthavrutta (Lifestyle Management):

   • Dinacharya (Daily Routine): Establishing a daily routine that aligns with the natural circadian rhythms is essential. This includes waking up and sleeping at regular times, practicing oral hygiene, and incorporating self-care practices to promote overall well-being.

   • Ritucharya (Seasonal Routine): Adjustments in lifestyle and diet based on seasonal variations are recommended to prevent dosha imbalances. For example, adapting to warmer foods and practices during the winter season.

4. Ahara Chikitsa (Dietary Therapy):

   • Balanced Diet: Following a well-balanced diet that is easily digestible and tailored to an individual’s dosha constitution is crucial. Avoiding foods that aggravate Vata dosha and incorporating anti-inflammatory foods like fresh fruits, vegetables, and whole grains is recommended.

   • Fasting (Langhana): Periodic fasting or avoiding heavy meals can help stimulate digestion and prevent the accumulation of Ama.

5. Yoga and Exercise:

   • Asanas (Yoga Postures): Specific yoga postures are recommended to improve flexibility, strengthen muscles, and enhance joint mobility. Asanas like Surya Namaskar (Sun Salutation), Bhujangasana (Cobra Pose), and Paschimottanasana (Seated Forward Bend) can be beneficial.

   • Pranayama (Breath Control): Breathing exercises, such as Anulom Vilom and Kapalbhati, may help reduce stress, enhance lung capacity, and improve overall well-being.

   • Regular Exercise: Low-impact exercises, such as swimming and walking, are encouraged to maintain joint function and prevent stiffness.

6. Manasika Chikitsa (Psychological Therapies):

   • Meditation and Relaxation Techniques: Stress management is crucial in managing AS. Practices like meditation, mindfulness, and relaxation techniques can help alleviate stress and contribute to overall mental well-being.

   • Counseling: Supportive counseling may be beneficial in addressing the emotional aspects of living with a chronic condition and managing stress.

7. Rasayana Chikitsa (Rejuvenation Therapy):

   • Rasayana Formulations: Rasayanas are rejuvenating formulations that aim to enhance vitality and promote overall health. These may include herbal preparations like Chyawanprash and formulations containing immune-boosting herbs.

8. Vata-Pacifying Therapies:

   • Abhyanga (Oil Massage): Regular oil massages with medicated oils like Mahanarayana oil or Sahacharadi oil help pacify Vata dosha, reduce stiffness, and nourish the joints.

   • Swedana (Sudation): Heat therapies, such as steam baths or warm compresses, are used to alleviate pain and relax the muscles.

It’s important to note that Ayurvedic treatments for Ankylosing Spondylitis are individualized, and a qualified Ayurvedic practitioner should be consulted to tailor the treatment plan to the specific needs of the individual. Integrative care, combining Ayurveda with conventional medical approaches, may be recommended for comprehensive management of AS. Regular follow-ups and adjustments to the treatment plan based on the individual’s response are essential for long-term success.