POST COVID MANAGEMENT AN AYURVEDIC APPROACH A COMPREHENSIVE INITIATIVE TO UNDERSYTAND THE PATHOLOGY OF COVID AND TRY TO BREAK ITS PATJHOLOGY THROUGH AYURVED AAND GOIVE SYMPTOMATIC RELIEF AS WELL AS HELP PPL IN REGAINING THE IMMUNITY AND STOPPING THE RECURRENCE OF COVID . AIMS AND OBJECTIVES: To Understand The Post COVID Symptoms And Their Management Through Ayurvedic Treatment Modalities. INTRODUCTION: COVID- 19, the recent virus outbreak declared as Pandemic by WHO threatened the world by its fast spreading nature and is yet creating an alarmed situation throughout the world by Post Covid Symptoms A recent study on Post-COVID manifestation of symptoms showed that about 72 percent of participants had major complaints, only 10.8 percent of survivors assessed in the study had no symptoms or manifestations post COVID. Depending on the Immunity of a person, COVID-19 can differ in its impact on different people. Similarly, Post-COVID conditions, which has become a grave issue in recent times, have also taken a major toll on people's lives. Post covid manifestations can be understood as Agnimandya avasta and Dhatukshaya avastha in individual . Hence modalities like Agnivardhaka and Rasayana property medication can be choosen . Rasayana therapy is the one which brings the normalcy in Immune system by improving fundamentals like dhatu, agni, srotas. And ultimately fights against Post Covid Symptoms. DEFINATION OF POST COVID A/C to NICE : "Signs and symptoms that develop during or after an infection consistent with COVID‑19, continue for more than 12 weeks and are not explained by an alternative diagnosis. It usually presents with clusters of symptoms, often overlapping, which can fluctuate and change over time. CONCLUSION: Much about the aftermath of the illness remains unclear or unknown, and there is even uncertainty about the term "recover" in the coronavirus context According to Ayurveda concepts, there will be Dhatu-Kshaya & AgnimandyaAvastha Post COVID infection. Hence, Dhatuposhana and Rasayana sevana drugs for at-least 45 days and to combat the residual effects of the virus on the body and to combat toxicity produced from antiviral drug therapy. Deepana Pachana drugs may be used in case of abdominal discomfort . Depending upon individuals Agni status and availability of medicine following drugs may be prescribed. Ayurveda has enormous potential and treatment options which are available for enhancing the immunity and systemic illness and positively influence mental health , thus helpful in combating Post covid symptoms . Hence Ayurveda should be used as main treatment modality for Heath restoration and Prevention of recurrence, rather than a adjuvant therapy in treating post COVID symptoms .

3. Post COVID Management –An Ayurvedic
Approach
Presenter : Dr Soumya P
Final year PG Scholar
Department of Kayachikitsa
Guide: Dr Sunil Kumar M Chabanur M.D.(Ayu)

4. CONTENTS
 Aims and Objectives
 Introduction
 Statistics
 Definition
 Synonyms
 Survey
 People at risk
 Post Covid symptoms
 General treatment
 Symptomatic treatment
 Preventive measures
 Summary
 Conclusion
 Take home message

5. AIMS AND OBJECTIVES
To Understand The Post COVID Symptoms
And Their Management Through Ayurvedic
Treatment Modalities.

6. INTRODUCTION
 COVID- 19, the recent virus outbreak declared as Pandemic by WHO
threatened the world by its fast spreading nature and is yet creating an
alarmed situation throughout the world by Post Covid Symptoms
 A recent study on Post-COVID manifestation of symptoms showed that
about 72 percent of participants had major complaints, only 10.8 percent
of survivors assessed in the study had no symptoms or manifestations post
COVID.
 Depending on the Immunity of a person, COVID-19 can differ in its
impact on different people.
 Similarly, Post-COVID conditions, which has become a grave issue in
recent times, have also taken a major toll on people's lives.

7.  Post covid manifestations can be understood as Agnimandya avasta and
Dhatukshaya avastha in individual .
 Hence modalities like Agnivardhaka and Rasayana property medication
can be choosen .
 Rasayana therapy is the one which brings the normalcy in Immune system
by improving fundamentals like dhatu, agni, srotas. And ultimately fights
against Post Covid Symptoms.

8. STATISTICS
 India :
A/C to WHO: Till Date
Total cases- 11.9 M
Recovered – 10.9 M
Deaths : 158K
 New cases last(24hrs) : 22854
 Among them Post Covid
symptoms : 1.5 M

9. DEFINITION
A/C to NICE :
 "Signs and symptoms that develop during or after an infection
consistent with COVID-19, continue for more than 12 weeks
and are not explained by an alternative diagnosis. It usually
presents with clusters of symptoms, often overlapping, which
can fluctuate and change over time.

10. SYNONYMS
 Post Covid
 Long-haul Covid
 Long Covid

11. AS PER STUDY –INDIA
 Post-covid-19 symptoms was reported among 1,451 of the 4,871 people covered under the
project.
 Over 40 diverse symptoms were reported during the period.
Source: https://www.cdc.gov/mmwr/volumes/69/wr/mm6930e1.htm#F1_down

12. PEOPLE AT RISK
A/C to Studies : Pre-existing
medical conditions
https://www.cdc.gov/mmwr/volumes/69/wr/mm6930e1.htm

13. WHY ARE SOME PEOPLE AFFECTED ?
 Persistent viraemia due to weak or absent antibody response.
 Inflammatory and other immune reactions
 Mental factors /post-traumatic stress

15. POST COVID MANAGEMENT PROTOCOL
A/C to WHO :
 The Post-COVID-19 Syndrome must be tackled through
i. Clinical assessment
ii. Psychological evaluation
iii. Comprehensive rehabilitative care.

16. ACC TO AYURVEDA
Nidana parivarjana
yuktivyapashraya
Satavajaya
Rasayana
Yoga and
pranayama
Pathya
apathya
Chikitsa of post covid can be considered under this :
GUIDELINES for AYURVEDA
PRACTITIONERS for COVID 19

17. Post
covid
Nidana
parivarjana
Yuktivyapashraya Satvaavjaya
Yoga
/pranayama
Pathyaapathya
Rasayana
Rasayana
Avoid
crowds
Mask/distance
Samshamani vati
Laxmivilas rasa
Ashvasaan
Rehabilitation
Dharmartha
vakya
Agastya
hareetaki
Chyavanprash
Suryanamaskara
Brhamari
pranayama
Ushna jala
yavagu
Covid appropriate
behavior

18. Fatigue
Home
quarantine
Latent
infection
Radical theory
Antibiotics
FATIGUE

19. MANAGEMENT
Modalities :
 Pachan
 Atapa
 Vyayama
 Abhyanga
 Rasayana
Abhyanga
 Shatdhoutagrita
 Chandanadyataila
Kashaya Varga
Jivaniya mahakashaya
Shramahara mahakashaya
Rasyana
Kushmandavaleha
Choorna
Pravala Pishti
Baladi ksheera
Guduchi stava
Arishta
Ashvagandharishta
Balarishta

20. Modalities Mode of action
Pachana Strengthens Jataragni, does pachana of ama , ie free radicals
.ex: musta, mishi
Atapa Exposure to sunlight /triggers vit d production,increaseas
metabolic activity /Enhance mood , release endorphins ,
increases immune system
Vyayama Regular physical exercise enhances the antioxidant defence
system and protects against free radical damage .
Shramhara mahakashaya Due to guna samanya Posses rasayana property madhura rasa
, guru snigdha guna, sheeta virya madhura vipaka .
Guduchi satva Tridoshahara,rasayana,sangrahi,good immune modulator,
contains zinc , calcium iron etc..
Ashvagandharishta Karma-Anulomana,Kaphavatashamaka
Pharmacological action-Active principles like withasomniferin-
A possess immunomodulatory action by increasing neutrophil
adhesion and increasing RBC,reducing leukopenia.

21. HEADACHE
Manasika bhava
Covid
appropriate
behaviour
Lifestyle
modification
Nasal
irritation

22. TREATMENT CHOICES
Modalities :
 Svedana: Nadi,upanah,veshavar
 Nasya : Navana
 Shoolahara Aushadhi
 Rasayana
Nasya
 Brihat Panchamoola Ksheera
Nasya
 Jeevaniya Gruta Nasya
Rasyana
 Dashamoola Haritaki
Rasoushadi
 Shirashooladivajra Rasa
 Laxmivilasarasa
 Godanti Bhasma
Guggulu
 Mahayogaraj Guggulu
Kashaya
 Dashamulakvatha
 Shoolahara Mahakashaya Gana
 Pathyadi Shadanga Kvatha

23. Modalities Mode of action
Nasya Jeevaniya Gruta Nasya.
Medicated Sneha has lipid soluble substance,
easily absorbed by nasal mucosa enters the
circulation.
Shirashooladivajrarasa It has properties like Deepana (appetizer), Pachana
(digestive), Shoolaghna (analgesic) and Jwaraghna
Laxmivilas rasa Posses antioxidant ,anti-inflammatory action
(abraka Basma and Vidarikanda )
It strengthens airway and lungs .
Helps in sinusitis and headache .
Mahayogaraj guggulu Due to anti-inflammatory and analgesic action it is
helpful in all types of aches , it consists of bhasma
which are oxide in nature does scavenge the free
radicals and does decrease the pro inflammatory
cytokines.
Dashamulakvatha Dashamoola is having a Properties of Vata
Shamana and it also reduces the stress and
provides the good sleep to the patient.

24. SHORTNESS OF BREATH/DYSPNEA
Chronic Inflammation
Alveolar epithelial
damage
Continue use of
mask

25. MANAGEMENT
Grita
 Tejovatyadi Ghrita
 Dhanvantara Grita
Rasoushadi
 ShwasKuthar Rasa
Rasayana
 Chyavanaprash
 Haridra Khanda
 Agastya Hareetaki
 Bhargiguda
 Gudavalehya
Modalities :
 Svedana
 Dhoomapana
 Nasya
 Shamana
Svedana
 Aktam lavana tailam , nadi
prastara sankaraihi
Nasya
 Grutamanda And Saindhava
Inhalation
 with Karpoora and Nilgiritaila

26. Modalities Mode of action
Svedana Does vasodilatation and improves exchange of gases
,Releases the obstruction and helps good airflow.
Inhalation Clears the nasal pathway and aids good airflow.
Shvasakutara rasa Shuddha parade, gandhaka , vatsanabha , tankana
bhasma, manashila, trikatu /
Vatakaphara,Ushna virya
Agastya hareetaki Due to anti-inflammatory action helps reduces
inflammation of lining of bronchial tubes and exerting
soothing effects , also has mucolytic action , dilates the
airway , and allow proper airway .

27. DRY COUGH
Vata prakopa
Inflammation
Gut lung axis

28. MANAGEMENT
Modalities :
 Kavala
 Dhoomapana
 Rasayana
 Shamana
Gargle
 Yashtimadhu phanta
 Warm salt water
Dhoomapana
 Haridhra varti
 Manashiladi dhooma
 Ingutvagadi dhooma
Grita
 Kantakari Grita
 Duralabhadi grita
Choorna
 Sitopaladi Choorna
 Talisadi choorna
Vati
 Lavangadi Vati
 Samshamani vati
Rasayana
 Vyaghri hareetaki avalehya
 Kantakari avalehya
Rasoushadi
 Shvasakutara rasa
 Naradiya laxmivilas rasa

29. Modalities Mode of action
Steam Inhalation Dhoomapana dilates blood vessels & help in oxidation of blood. It
leads to adequate tissue perfusion & oxygenation to the brain cells.
They also possess antimicrobial & antifungal , antiviral properties.
Sitopaladi Choorna Restore lung capacity, improve pulmonary performance and boost
immunity and acts as immunomodulator and it posses anti-
inflammatory and antioxidant property
Dashamulakatutrayadi
Kashaya
Because of Ushna Virya it acts as Anti-inflammatory and
Bronchodilator and promote proper airflow to lungs, Kaphavatahara
Lavangadi Vati Its acts as demulcent, anti-inflammatory, expectorant
It alleviates attack of cough by reducing throat irritation, and
smoothness the airway
Vyaghrihareetaki Lehya Acts as Immunostimulant, Anti-inflammatory, Anti-bacterial
It acts as Shoothhara, Srotoshodaka and Vatanulomana
Naradiya Laxmivilas Rasa Main ingredient- Abhraka Bhasma
Therapeutic effect appears on lung, pleura and airway
Anti-oxidant scavenges the superoxide radicles
Tridoshahara

30. ABDOMINAL DISCOMFORT
Gut immunity Viral
replication
Oral
antibiotics Improper intake
of food

31. MANAGEMENT
Modalities :
 Nidana parivarjana : spicy,
oily, processed food
 Avoid stress: yoga , meditation,
vyayama
 Deepana pachana
 Chitrakadi vati
 Yavanishadava choorna
 Ashta choorna
Shamana Yoga
 Sutashekhar rasa
 Yashtimadhuphanta
Grita
 Dadimaka gruta
Rasayana
 Amalaki rasayana
 Madiphala rasayana

32. Modalities Mode of action
Deepana , Pachan Ashta choorna , due to ushna and teekhsna guna , increases the gastric
secretion and induces digestion and reduces ama and helps abdominal
discomfort
Chitrakadi Vati It act as deepana, Pachana, Vatanuloma, Grahi and Kaphavatahara
Dadimaka Grutha Because of Ushna Virya acts as Amapachaka, Deepaka and Kaphavatahara
Because of Madhura Rasa and Vipaka and Grutha acts as Vrunaroopaka and
Tridhoshahara
Yastimadhu Phanta It acts as antibacterial, antioxidant,
and acts as rasayana due to madhura rasa , sheeta veerya and madhura
vipaka does vrana ropana action .
Sutashekhar Rasa It reduces the vidahi and shukta guna of aama rasa , due to Sheeta veerya
and teekshna guna helps to restore the acidic balance and soothes the GI
mucosa thus reduce irritation and helps.
Madiphala Rasayana /
Amalaki
Its main ingredient –Matulunga, Trikatu and Saindhava Lavana
Matulunga contains vit C which is immune booster
Saindhva Lavana because of alkaline property maintains gastric pH and
balances it.

33. WEIGHT LOSS
Decrease
physical
activity
Decrease food
intake
Decrease gut
microbiota
Inflammation

34. MANAGEMENT
Modalities :
 Deepana, pachana
 Vyayama
 Yoga
 Nutritious diet
 Rasayana
Choorna
 Avipattikar choorna
 Ashvagandha choorna
 Shatavari choorna
 Vidarikanda churna
Rasyana
 Ajamamsa rasayana
 Kushmanda rasayana

35. Modalities Mode of action
Agni deepana Due to ushna and teeksha guna helps increases digestion and
increase appetite , does remove amata and reduces the toxins
in git .
Yoga , vyayama Due to yoga and vyayama , there is increase in metabolic
activity of body and increases energy consumption and
increases food intake
Pathya Taking Madhura rasa , Sheeta veerya and laghu snigdha
bhojana , yavagu increases appetite and helps the good
nutrition state
Rasayana Due to similar qualities of ojas increases the Immunity and
also acts as balya and bruhmana .

36. ANXIETY /PTSD
Fear of illness/
discrimination
Social isolation
Death of
family/
friend

37. MANAGEMENT
Modalities :
 Psychotherapy
 Yoga/pranayama
 Shirodhara
 Abhyanga
 Shamanoushadi
Shamanoushadi
 Manasamitravati
 Kalyanaka grita
 Brahmi taila
 Narayana taila

38. Modalities Mode of action
Kalyanaaka grita It has antioxidant property which acts upon the degenerative brain cells
cells It also acts in normalizing the chemical changes in brain by
balancing the neurotransmitters.
Shirodhara Shirodhara has shown its anti-anxiety, antihypertensive& sleep
inducing effect in few studies. It reduces the sympathetic tone thereby
increasing alpha & theta wave activity in brain.
Manasamitravati It posses anti-stress anxiolytic , antidepressant and neuroprotective
action ,/its antioxidant activity aids in reducing oxidative stress and
calm mind ,and induces sleep .
Psychotherapy Ashwasana (Reassurance) Reassurance relieves fears, boosts self
confidence and promotes hope in a patient under the Ashwasana
Chikitsa.
Pranayama Bramari pranayama- Relives Stress, Cerebral Tension Alleviating Anger ,
Anxiety, Insomnia
Yoga Shavasana stimulates Parasympathetic nervous system , Autonomic
nervous System which helps in psychosomatic relaxation

39. INSOMNIA
Fear/ panic
Re infection
Day time sleep
Isolation

40. MANAGEMENT
Modalities:
 Rasayana
 Yoga/ pranayama
 Abhyanga
 Shirodhara
Rasayana
 Ashvagandha rasayana
 Brahmi rasayana
 Ajamamsa rasayana
 Shankhapushpi rasayana
Shamanoushadi
 Manasamitravati
Grita
 Mahakalyanaka grita
Taila
 Narayana taila
 Ksheerablataila

41. Modalities Mode of action
Abhyanga It acts as shrama and vatahara , also acts as Pushti to body and mind
, lipid aids good absorption in skin and stimulates receptors leads to
vasodilation and increases serotonin level in brain and induces
relaxation and sleep .
Yoga Shavasana stimulates Parasympathetic nervous system , Autonomic
nervous System which helps in psychosomatic relaxation
Bruhmana chikitsa Ksheerabalataila having snigdha guna helps to reduce vata and
induces sleep
Brahmi rasayana It has neuronal dendritic growth stimulating by modulating
dopamine, immuno modulatory activity revealed by increase in level
of superoxide dismutase (SOD), glutathione peroxidase &
gluthathione.

42. SYSTEM WISE RASAYANA
Srotas Lakshana Rasayana
Pranavaha Srotas Shvasa Kruchrata Agastya Haritaki Rasayan
Chyavanprash
Vardhaman Pippali Rasayana
Rasavaha Srotas Shrama Ajamamsarasayana , Amrutabhallataka
Rasayana.
Annavaha Srotas Abdominal discomfort Madhiphala rasayana , Gritakalpana
Manovaha Srotas Anxiety, Depression Brahmi rasayana, Medhya rasayana.

43. ACHARA RASAYANA
 सत्यवादिनमक्रोधं दनवृत्तं मद्यमैथुनात्|
अद ंसकमनायासं प्रशान्तं दप्रयवादिनम्||३०||
जपशौचपरं धीरं िानदनत्यं तपस्विनम्|
िेवगोब्राह्मणाचाययगुरुवृद्धाचयने रतम्||३१||
आनृशंस्यपरं दनत्यं दनत्यं करुणवेदिनम् [१] |
समजागरणिप्नं दनत्यं क्षीरघृतादशनम्||३२||
िेशकालप्रमाणज्ञं युस्विज्ञमन ङ् क
ृ तम्|
शस्ताचारमसङ्कीणयमध्यात्मप्रवणेस्वियम्||३३||
उपादसतारं वृद्धानामास्वस्तकानां दजतात्मनाम्|
धमयशास्त्रपरं दवद्यान्नरं दनत्यरसायनम्||३४||
गुणैरेतैैः समुदितैैः प्रयुङ् िे यो रसायनम्|
रसायनगुणान् सवायन् यथोिान् स समश्नुते||३५||
(इत्याचाररसायनम्)|
 To acquire rasayana effect through social and personal conducts .

44. MODE OF ACTION
STRESS
Release of catecholamines
Adrenaline
Increase catabolic activity
Dhatukshaya
Ojakshaya
Lowered Vyadikshamatva
Samadhathu vruddhi
Immunodeficiency disorders
ACHARA RASAYANA
Keeps suitable normal psychological activity
Normal hormonal balance
Restoration of normal anabolic activity
Ojovruddhi
Enhances immunity
Psychoneuroimmunity

45. RASAYANA DRUGS ON IMMUNE SYSTEM
Ashwagandha
(Withania sominifera Dunal)
बल्य रसायदन दतिा कषायोष्ण अदतशुक्रला ॥
Karma-Anulomana,Kaphavatashamaka
Pharmacological action-Active principles like
withasomniferin-A possess immunomodulatory
action by increasing neutrophil adhesion and
increasing RBC,reducing leucopenia.
Form- Churna with milk Dose -3to6gms
Aamalaki
(Embilica officinalis Gaertn.)
रक्तपित्तप्रमेहघ्नं िरं वॄष्यं रसायनम्।
Karma -Anulomana,Dipana,Stambhan
Pharmacological action -Tannins and phenolic
compounds shown antipyretic and moderate
cytoprotective and immune stimulating action by
increasing immunoglobulin level
Form- churna with Madhu Dose -3to6gm

46. Yashtimadhu
(Glycyrrhiza glabra Linn)
यष्टी पहमा गुरुः स्वापि चक्षुष्या बलवर्णक्र
ु त्।
Karma-Kantya,Vatanulomana,jvarghna
Pharmacological action-glycyrrhiza
polysaccharide has shown increased
phagocytic capacity and increased WBC
count boosts interferons.
Form-Churna with milk Dose - 3to5gms
. Guduchi
(Tinospora cordifolia Wild)
गुड
ू ची कटुका पतक्ता स्वादुिाका रसयपन ॥
Karma- Anulomana,krimighna,deepana,pachana
Pharmacological action-cordifolioside
A,Tinocordiside acts as immunomodulatory by
directly acting on J774A cells for activation of
macrophages and also increases IgG antibodies
Form-Swarasa orally Dose -10to20ml

47. Pippali
(Piper longum Linn)
पिप्पली दीिनी वॄष्या स्वादिाका रसायनी।
Karma -Agnideepak,Rechaka,Jvargna
Pharmacological action- Alcoholic extract
Piperine shown increased WBC count, bone
marrow cellularity and alpha esterase positive
cells thus enhance immune system
Form -Churna as Vardaman pippali
Kushmanda
(Benincasa hispida Cogn.)
क
ु ष्माण्डं बॄहर्ं वॄष्यं गुर पित्तास्र्वातनुत्।
Karma-Kshyagna,Jvaragna,Shophahara
Pharmacological action- Phenolic
compounds shown anti oxidant activity by
increasing vit c and scavenging the free
radicals.
Form -Phala rasa Dose -10to20ml

48. Shatavari
(Asparagus racemosus Willd)
महा शतावरी मेध्या ह्रुद्या वॄष्या रसायनी।
Karma-
Agnivardhaka,Sothagna,raktapittashamaka,Pustidaya
ka
Pharmacological action- Study shown root extract
had increased antibodies to strain of whooping
cough in immune response.
Form -Kwatha and kalka are cooked with ghrita
added with sugar Dose - 10to20ml
Vidarikandha
(Pueraria tuberosa D.C)
शीता स्वयाण मुत्रला च जीवनी बलवर्णदा।गुरुः
पित्तास्र्िवनदाहान् हन्ति रसायपन॥
Karma-Svarya,Varnya,Shukrala
Pharmacological action-study, ethanolic extract
saponins of drug shown that inhibition of delayed
type of hypersensitivity and increasing
phagocytosis.
Form – Churna with milk Dose -2to6gms.

49. DURATION OF INTAKE OF MEDICATIONS
 The above said medications alike Dhatu Poshana and Rasayana be
provided for a time period of 45 days as per the discretion of
physician Other groups of drugs which are protective in nature can
be provided for 45-60 days as per discretion of the practitioner.

50. PATHYAAPATHYA
 Lavanardraka bakshana
 Laja , yavagu , saktu
sevana
 Spices like jeera, black
pepper, garlic, coriander,
ginger, Ajwain should be
used in cooking
 Kiratatikta , katuki, musta ,
parpataka , Amruta
kashaya .
 Tikta grita , patoladi grita

51. YOGA PRACTICES
 The following Yoga-Asanas can be practised for 15 to 20 minutes to improves flexibility of
the body and relieve mental stress
 Sukshmavyayama (warm up) loosening exercises for all joints
 Sitting postures like padmasana, sukhasana, vajrasana, paschimottanasana
 Yogasana in supine position: pawanmuktasana, halasana, matsyasana
 Yogasana in Prone position: bhujangasana, shalabhasana
 Relaxing postures: Shavasana, Makarasana
 Pranayama: Deep Breathing, Nadishodhana pranayama, Bhramari Pranayama 10
repetitions each
 Meditation – 10 minutes

52. APUNARBHAVA CHIKITSA
Achara
rasayana
Yoga/pranayam
a
Satvavajaya
Rasayana
Ahara
Government of India Ministry of Health & Family Welfare Directorate General of Health
Services
Covid
appropriate
behavior
Aushadha

53. IMMUNITY PROMOTING AYUSH MEDICINE
 Ayush kvath -150 ml / day
 Samshamani vati twice a day 500 mg
 Guduchi choorna 1-3 gms with luke warm water for 15 days
 Ashvagandha choorna 1-3 gms twice daily for 15 days
 Amla one / day
 Gargling with turmeric and salt
 Chyavanprash 1 teaspoonful / day
 It is also suggested by the Ministry of AYUSH that the use of
 Chyavanprash in the morning (1 teaspoonful) with luke warm
water/milk is highly recommended (under the direction of
Registered Ayurveda physician) as in the clinical practice
Chyavanprash is believed to be effective in post-recovery period.
Government of India Ministry of Health & Family Welfare Directorate General of Health Services
(EMR Division) Post COVID management protocol

54. FUTURE SCOPE
 Ayurvedic protocol for Post COVID for enhancing immunity by
Rasayana Aushadi.
 Role of Ayurvedic Immunomodulatory herb in combating the
cytokine storm.

55. ONGOING RESEARCH WORKS
 National Institutes of Health, National Institute of Allergy and Infectious Diseases. A
longitudinal study of COVID-19 sequelae and
immunity. https://clinicaltrials.gov/ct2/show/NCT04411147external icon
 University of California, San Francisco. Long-term impact of infection with novel
coronavirus (COVID-19) (LIINC). https://clinicaltrials.gov/ct2/show/record/NCT0436215
https://youtu.be/ulJSEo2fWvA

56. SUMMARY
Satvavajaya
chikitsa
Rasayana
Pathya
Yoga and
pranayama
Achara
rasayana
Ritucharya
Dinacharya
Covid
appropriate
behaviour

57. CONCLUSION
 Much about the aftermath of the illness remains unclear or unknown, and there is even uncertainty
about the term "recover" in the coronavirus context
 According to Ayurveda concepts, there will be Dhatu-Kshaya & AgnimandyaAvastha Post COVID
infection.
 Hence, Dhatuposhana and Rasayana sevana drugs for at-least 45 days and to combat the residual
effects of the virus on the body and to combat toxicity produced from antiviral drug therapy.
 Deepana Pachana drugs may be used in case of abdominal discomfort .
 Depending upon individuals Agni status and availability of medicine following drugs may be
prescribed.
 Ayurveda has enormous potential and treatment options which are available for enhancing the
immunity and systemic illness and positively influence mental health , thus helpful in combating
Post covid symptoms .
 Hence Ayurveda should be used as main treatment modality for Heath restoration and Prevention of
recurrence, rather than a adjuvant therapy in treating post COVID symptoms .

58. REFERENCES
 https://integrativemedicine.arizona.edu/COVID19/sheltering_in_place.html
 https://www.instagram.com/reel/CLv4H0Wgf23/?igshid=1vdxrgtq6p9eu
 https://www.thehindu.com/sci-tech/health/the-hindu-explains-are-there-re-infection-fears-around-covid-
19/article32590566.ece
 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193654/
 https://www.google.com/amp/s/www.easyayurveda.com/2012/08/28/guduchi-giloy-ayurvedic-details-
benefits-usage-dose-formulations/
 https://www.planetayurveda.com/library/sahachara-baladi-kashayam/
 https://www.nejm.org/doi/full/10.1056/NEJMc2025179 published 21 July 2020
 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2768834 published 21 July 2020
 https://www.medrxiv.org/content/10.1101/2020.07.09.20148429v1.full.pdf published 11 July 2020
 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study (Huang, January
2021).

59. “Boost your
immunity
and fight
post covid
symptoms”.