Multiple sclerosis doesn’t present the same way in any two people. That’s one of the most difficult things about the condition, and also the most important consideration when designing a treatment approach. At Ayush Prana, our work is grounded in the idea that each person’s experience of MS — the onset, the symptoms, the pattern of flare-ups, the speed of progression — is shaped by many factors: their constitution, their lifestyle, their mental and emotional landscape, and the way their immune and nervous systems interact over time.

We don’t offer a standard protocol. We don’t treat based on a diagnosis alone. What we do is take time to study the person in front of us — not just what the MRI shows, but what the pulse says. Not just the EDSS (Expanded Disability Status Scale) score, but also the level of resilience, clarity, fatigue, or inflammation they’re living with on a daily basis.

Over years of working with MS, we’ve developed the PAMS model — Personalized Ayurvedic Management of Sclerosis. It isn’t a formula, it’s a way of thinking that helps us structure treatment with care and clinical grounding. We look at lesion size, location (particularly in the brainstem or cervical spine), brain volume changes, prakriti, speed of progression, and the mental-emotional state of the person. These layers help us decide what to prioritize — whether it’s remyelination, neuroprotection, immune modulation, or simply improving quality of life and reducing flares.

There are stages, and we treat them accordingly.

In early-stage MS (EDSS ≤ 3.0),

If we catch it in time, we can do a lot. Lesions may be small, inflammation is active but not chronic, and with the right therapies, the possibility of reversal exists. We aim to reduce Vata-Pitta aggravation, cool the system, rebuild nerve integrity, and reduce fatigue — often through targeted internal medicines, Shirovasti, and sometimes Nasya.

In moderate stages (EDSS 3.5–5.5),

symptoms are usually established — vision disturbance, gait imbalance, cognitive slowing, sometimes heat intolerance or bladder involvement. With regular therapy cycles, we’ve seen strong improvements, especially in energy, clarity, and movement. Some patients experience partial reversal. For others, we aim to slow progression and help them function better.

In later stages (EDSS ≥ 6),

When mobility is more affected or lesions are widespread, the treatment goal becomes different. We look at preserving what’s working, calming down spasticity, reducing fatigue, and keeping the nervous system stable. Therapy is still effective — but it must be ongoing and seasonal. Often, we recommend yearly cycles of 60-day treatments, with internal medicines continuing in between.

We typically recommend 3 therapy cycles of 60 days each — done at set intervals. Why 60 days? Because Ayurvedic neurology requires time to restore tissue, build ojas, and regulate immune function. These cycles are planned around how the patient is responding, and modified as we go.

Our core therapies are traditional, but refined over years.

Shirovasti is central. It’s a potent therapy when done correctly. The oil we use is not off-the-shelf; it’s prepared over weeks from more than 50 herbs. From 1,500 kg of plant material, we yield about 45 litres. It’s used carefully, retained on the head in a medicated cap, without shaving. Shirovasti works especially well in optic neuritis, visual fog, and motor dysfunction. When done consistently, we’ve seen it support remyelination and improve balance.

Nasya is another important therapy — used to clear the head pathways and access the brain through the nasal route. It helps with tremors, fatigue, sleep disturbances, and sometimes with sensory symptoms. It also improves circulation in the upper spine and brain.

Rasa Shirodhara is an evolved version of Shirodhara, using herbal juice instead of oil. It works better in patients with cognitive decline or emotional strain. The effect is lighter but more direct on the hypothalamus–pituitary axis, which matters when treating Uthoff’s phenomenon or heat sensitivity.

Internal medicines are always custom-made. We use a combination of kashayams, gulikas, churnas, and tailams. All of these are made in-house at our GMP-certified pharmacy. Focus is on rebuilding nerve tissue, reducing systemic inflammation, modulating immune activity, and improving gut-brain connection — which we’ve found to be crucial in stabilizing flares.

Some patients also benefit from Kizhi therapies, particularly when there’s muscular pain or stiffness. Navara Kizhi is nourishing; Ela Kizhi is better for inflammation; and Naranga Kizhi helps with detox and circulation. We don’t use them in all MS cases — only when muscle involvement is prominent.

This is not a cure in the sense that everything disappears. What we aim for is meaningful change — stability, improvement in strength or focus, fewer relapses, better quality of life. For some, there’s visible neurological recovery. For others, it’s about reducing dependence on external support.

Every person who comes to Ayush Prana with MS gets time, attention, and an approach that reflects their own health story — not a generic script. That’s what personalized care means to us. Not alternative, not experimental — just thoughtful, rooted, and rigorous Ayurvedic medicine.

learn more about our personalized MS treatment programs, visit ayushprana.in or follow us on Instagram at @ayush_prana.