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Alcohol Use Disorder (AUD) is a medical condition characterized by an impaired ability to stop or control alcohol use, despite adverse consequences, and is sometimes referred to as alcoholism or alcohol dependence. Alcohol Use Disorder (AUD) is a chronic and relapsing brain disease that involves a pattern of alcohol use that causes problems, including excessive drinking and interference with relationships, work, or other areas of life. Madatyaya, as described in classical Ayurvedic texts, results from overconsumption of alcohol, leading to systemic imbalances affecting the nervous system, liver, and mental health. Despite conventional medical interventions, alcohol addiction remains a major global health concern, contributing to chronic diseases, socioeconomic burdens, and increased mortality rates. Ayurveda provides a holistic approach to managing Madatyaya through detoxification (Shodhana), herbal treatments (Shamana), dietary modifications, and psychological interventions (Satvavajaya Chikitsa). Ayurvedic classics such as Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya extensively elaborate on the classification, etiology, pathophysiology, and treatment strategies for alcohol intoxication. The classification of Madatyaya based on Dosha involvement—Vataja, Pittaja, Kaphaja, and Sannipataja—highlights individualized treatment approaches tailored to restore homeostasis. Additionally, specific therapies for alcohol withdrawal symptoms (Panavibrama) and alcohol poisoning (Paramada) have been documented in Ayurvedic texts. This review explores the Ayurvedic perspective on Madatyaya, its clinical manifestations, and the efficacy of traditional interventions. By analyzing classical references and contemporary research, the study emphasizes Ayurveda’s potential as a complementary approach to modern de-addiction therapies. Integrating Ayurvedic principles with current medical strategies may offer a sustainable solution for managing alcohol addiction and improving long-term recovery outcomes.

KEYWORDS Madatyaya, Alcohol Use Disorder (AUD), Ayurveda, Shodhana, Shamana, Satvavajaya Chikitsa, Dosha, Alcohol Withdrawal, De-addiction Therapy