STEMMA International Research Journal

Integrating classical Ayurvedic samprapti frameworks with contemporary otology, the study explores inner ear pathogenesis emphasizing Vata Dosha. Inner ear disorders vertigo, tinnitus, and sensorineural hearing loss—are characterized as outcomes of Vataja prakopa affecting Karnashrotavaha srotas, leading to strotorodha, disrupted Udana-Vayu, and impaired auditory and vestibular function. Textual analysis of srotas, dosha dynamics, and Udana functions is synthesized with biomedical mechanisms including cochlear hair-cell injury, endolymphatic hydrops, and vestibular dysfunction to identify mechanistic correspondences. Diagnostic integration highlights prakriti– vikriti assessment, nadi pariksha, and symptom clustering for differentiating Vatapredominant and mixed doshic presentations. Therapeutic strategies such as shodhana, shamana, basti, nasya, and bahya procedures are discussed in relation to biomedical aims including fluid homeostasis, neuroprotection, and vestibular rehabilitation. Current evidence gaps are outlined, and methodological recommendations are proposed for correlating dosha-based diagnosis with audiovestibular testing and biomarkers. The paper advocates interdisciplinary clinical trials assessing integrative protocols that combine Ayurvedic regimens with modern interventions, and calls for standardized diagnostic tools, objective outcome measures, and rigorous trial design. These efforts are essential to validate traditional concepts and inform evidence-based integrative otology. Ultimately, bridging traditional doctrines with contemporary research will improve patient-centered care and expand therapeutic options for individuals affected by complex inner ear disorders globally.