Role of Panchakarma in Managing Metabolic Syndrome: Integrating Ayurveda with Lifestyle Medicine: A Review

Metabolic Syndrome (MetS) is a multifactorial disorder characterized by central obesity, dyslipidemia, insulin resistance, hypertension, and chronic low-grade inflammation. Modern lifestyle transitions—sedentary behaviour, altered dietary patterns, and chronic stress—contribute significantly to its rising prevalence. Ayurveda correlates MetS with conditions such as Santarpana Janya Vikara, Medoroga, and Kapha-Meda Vriddhi, emphasizing impaired Agni, Ama accumulation, and vitiation of Kapha and Vata Doshas. Panchakarma, the principal biopurificatory therapy of Ayurveda, offers a systematic and evidence-supported approach for reducing metabolic load, improving insulin sensitivity, and restoring homeostasis. This article reviews the Ayurvedic fundamentals of MetS, the role of Panchakarma procedures, integration with lifestyle medicine, and scientific evidence supporting clinical outcomes.