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CASE REPORT article

Front. Med.

Sec. Family Medicine and Primary Care

This article is part of the Research TopicThe Increasing Relevance of Traditional Medicine Systems for the Primary Health Care Sector and General Practice: Global Research Perspectives – Volume IIIView all articles

Prakriti Phenotyping in Central Serous Retinopathy (CSR): Case Series on Ayurvedic Therapeutic Outcomes in Vata Individuals

Provisionally accepted
Dr. Shanti  KDr. Shanti K1*Gopinathan  GGopinathan G2
  • 1Amrita Vishwa Vidyapeetham Amrita School of Ayurveda, Kollam, India
  • 2Govt Ayurveda Hospital, Payyanur,Kannur, Kannur, India

The final, formatted version of the article will be published soon.

Abstract: Background: Central Serous Retinopathy (CSR) is a retinal disorder characterized by serous detachment of the neurosensory retina, commonly associated with psychological stress and Type A personality traits. From an Ayurvedic perspective, these features correspond to Vata predominance, marked by hyperactivity, anxiety, and autonomic instability. Such individuals may be constitutionally predisposed to disorders of Vata imbalance, including retinal pathologies resembling Vataja Shopha. This case series explores therapeutic outcomes of Ayurvedic management in CSR among individuals with Vata Prakriti. Case Presentation: Three patients-two males (aged 65 and 46 years) and one female (aged 40 years), diagnosed with CSR and confirmed as Vata Prakriti through a standardized questionnaire, were treated with an identical Ayurvedic regimen comprising Ashwagandha tablets, Punarnavadi Kashaya, Tiktaka Ghrita, Kalyanaka Ghrita, and Triphala Churna. Local ocular therapies included Shiro Pichu with Brahmi Ghrita, Pratimarsha Nasya with Anu Taila, and Anjana Karma with Elaneer Kozhumbu. Lifestyle advice emphasized regular sleep, timely meals, guided meditation, and reduced screen exposure. All three patients demonstrated marked improvement in visual acuity and complete anatomical resolution of macular fluid on Optical Coherence Tomography within 4-17 months. No recurrence was observed over one year of follow-up. Conclusion: This case series highlights a possible association between CSR and Vata Prakriti. Vata pacifying and Rasayana based Ayurvedic interventions showed favorable visual and structural outcomes. Incorporating Prakriti phenotyping in ocular disease management may enhance personalized, integrative approaches to retinal disorders.

Keywords: Ayurveda, Personalised medicine, CSCR, shopha, Macular Edema

Received: 10 Oct 2025; Accepted: 02 Dec 2025.

Copyright: © 2025 K and G. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Shanti K

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