Introduction: We report the successful management of a patient with persistent severe SARS-CoV-2 (covid-19) with poor prognosis, by using ayurvedic dietary guidelines and supporting herbal and herbomineral formulations. Case presentation: After two ICU admissions and at the end of conventional care options for Covid-19 infection, this 71-year-old patient presented online with persistent severe shortness of breath (spO2 85% on room air and spO2 75% with minimal exertion), methylprednisolone dependence of 32 mg/day, and CT Severity Score of 23/25. Upon initiating specific ayurvedic dietary guidelines (āhāra) and supportive formulations to increase digestive metabolism and induce respiratory repair, the patient improved clinically (PCFS grade 4 to 2) within 3 weeks, and radiologically (CT severity 23/25 to 12/25) within 6 weeks. Conclusion: Ayurveda provides valuable clinical algorithmic insights into the mechanism of hyperinflammatory surges and dysregulated host response that characterize not only Covid-19 but also most infectious diseases. Ayurveda posits that diet incompatible with the individual's current metabolic state is the key element in inflammatory host response, providing detailed dietary guidelines, and tools that syncretize using a whole systems approach.
Introduction: We report the successful management of a patient with persistent severe SARS-CoV-2 (covid-19) with poor prognosis, by using ayurvedic dietary guidelines and supporting herbal and herbomineral formulations. Case presentation: After two ICU admissions and at the end of conventional care options for Covid-19 infection, this 71-year-old patient presented online with persistent severe shortness of breath (spO2 85% on room air and spO2 75% with minimal exertion), methylprednisolone dependence of 32 mg/day, and CT Severity Score of 23/25. Upon initiating specific ayurvedic dietary guidelines (āhāra) and supportive formulations to increase digestive metabolism and induce respiratory repair, the patient improved clinically (PCFS grade 4 to 2) within 3 weeks, and radiologically (CT severity 23/25 to 12/25) within 6 weeks. Conclusion: Ayurveda provides valuable clinical algorithmic insights into the mechanism of hyperinflammatory surges and dysregulated host response that characterize not only Covid-19 but also most infectious diseases. Ayurveda posits that diet incompatible with the individual's current metabolic state is the key element in inflammatory host response, providing detailed dietary guidelines, and tools that syncretize using a whole systems approach.