Ayurvedic Management of Tree-Nut and Peanut Allergy with Atopic Manifestations

Abstract

Tree-nut and peanut allergy in children commonly manifests as IgE-mediated hypersensitivity disorders with multisystem involvement, including skin, nasal mucosa, and gastrointestinal tract. These conditions frequently form part of the allergic march leading to persistent atopic disorders. Allopathic treatment focuses on allergen avoidance and symptomatic relief without correcting the underlying gut-immune dysfunction. Objective: To evaluate the clinical effectiveness of a gut-focused Ayurvedic protocol in a pediatric patient suffering from tree-nut and peanut allergy associated with atopic dermatitis and nasal allergy. Materials and Methods: A 2-year-old male child presented with multiple food protein intolerances, recurrent angioedema, urticarial rashes after nut exposure, nasal allergy, bloating, and early-onset atopic dermatitis since infancy. He was managed at IAFA using a phase-wise Ayurvedic protocol including Aahar Amrutham Ras, Aahar Amrutham Bindu, Anthram Mitram Gulika, Shishu Laxoherb, Pratimarsha Nasya with Nasa Yoga Ghrutam, external skin oil application, and strict dietary regulation. The child was followed longitudinally over a period of 2.5 years. Results: A significant reduction in nasal and skin allergic symptoms was observed within 3 months. On follow-up in May 2022, nasal and skin allergies had completely subsided. By August 2024, chest allergies were resolved, although hypersensitivity persisted on contact with coconut oil, sesame, and tree-nuts; the severity of reactions reduced with marked improvement in digestion, appetite, bowel urgency, and skin itching. Conclusion: This case report demonstrates that Ayurvedic management based on Aahar Asatmya Chikitsa, Agnideepana, Ama-Pachana, Strotoshodhana, and Rasayana principles can significantly control multisystem food allergy manifestations and halt the allergic march in children.