Dr. Prerak Shah

Abstract

Background: The gut–brain axis is increasingly recognised as a bidirectional communication network connecting gastrointestinal, neural, endocrine, immune, and psychological processes. Ayurveda provides a holistic framework for understanding the connections among physiology, mental function, diet, behaviour, and daily routines. Identifying conceptual parallels between these traditions may support new interdisciplinary research, while acknowledging that classical Ayurvedic concepts do not match modern neurobiological mechanisms.
Aim: To examine Ayurvedic principles related to the gut–brain axis and assess their potential contribution to modern integrative lifestyle medicine, with a focus on psychosomatic interactions and traditional treatment methods.
Conceptual Approach: In this keynote, we will look again at the Ayurvedic ideas of Agni (which refers to digestive and metabolic function), Manas (the mind), and Vata, as well as the way in which physical and psychological well-being are interrelated. The Classical accounts in the Charaka Samhita, especially in the chapters on Unmada Nidana and Unmada Chikitsa, recognise the importance of dietary factors, emotional experiences and behavioural influences in cases involving mental disorders. The text also presents a multi-dimensional method of treatment which includes rational treatment (Yukti Vyapashraya), mental and behavioural interventions (Satvavajaya), and other individualised approaches. Basti Karma, discussed in the classical treatment of Vata-related disorders and listed as a therapeutic measure in Unmada Chikitsa, will be examined as a traditional intervention that merits further study in well-defined clinical situations.
Discussion: Potential areas of dialogue between Ayurveda and contemporary gut–brain research include the influence of stress on gastrointestinal function, the relationship between dietary patterns and psychological well-being, the importance of circadian and daily routines, and the possible role of individualised traditional interventions in integrative care. Particular emphasis will be placed on distinguishing conceptual similarities from established biological mechanisms and clinically demonstrated effects.
Conclusion: Ayurvedic wisdom offers a broad, person-centred perspective for exploring the relationship between gastrointestinal and psychological health. Integrating classical textual analysis with contemporary neurogastroenterology, psychophysiology and rigorous clinical research may generate testable hypotheses for future studies. The proposed framework encourages scientific evaluation of Ayurvedic dietary, lifestyle and therapeutic approaches while maintaining appropriate clinical standards and avoiding unsupported claims of equivalence or efficacy.

Biography

Dr. Prerak Shah is an internationally recognized Ayurvedic physician, Panchakarma specialist, researcher, innovator, author, and global Ayurveda ambassador with 38 years of clinical experience. He pioneered Gujarat's first dedicated private Panchakarma centre and has developed innovative healthcare solutions including Arthrothermia® and AyuBreth®, supported by scientific research and peer-reviewed publications. He has authored 10 books, published 11 research papers, and has been invited to deliver lectures, seminars, and training programs across 35 countries on six continents. A regular newspaper columnist, startup mentor, and philanthropist, he actively promotes evidence-based Ayurveda through education, research, digital initiatives, and institutional development. He has also contributed significantly to society through charitable healthcare initiatives and the promotion of Ayurveda worldwide, bridging classical Ayurvedic wisdom with modern scientific innovation and global healthcare needs.