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Autism spectrum disorder (ASD) is characterized by challenges in social communication, repetitive behaviours, and narrow interests. Ayurvedic texts refer to a condition resembling ASD called Unmada. Standard treatment protocols for ASD are lacking, leading to difficulties in effective care. This case study describes a 5-year-old boy exhibiting symptoms of ASD, such as poor eye contact, communication deficits, social impairment, repetitive behaviors, hyperactivity, constipation, and sleep disturbances. Diagnosis was confirmed using the Indian Scale for Assessment of Autism (ISAA) from AIIMS Patna.

The treatment approach included Abhyanga with Mahanarayan Taila, Shirodhara with Ksheerbala Taila and Brahmi Taila, Matra Basti with Ksheerbala Taila, and Madhutailik Basti, supplemented with internal medications like Brahmi Vati, Smrtisagar Rasa, Vacha Churna, and Madhuyastiyadi Churna. Local application of drugs like vacha churn and bilwa patra in oral cavity mixed with madhu in morning time. Significant improvements were observed in ISAA scores, as well as clinical manifestations such as enhanced eye contact, reduced hyperactivity, and improved peer interactions.