By Dr. Pratibha Tripathi · Senior Ayurveda Consultant, PhD Scholar & Assistant Professor Evidence-based clinical strategies combining classical Deepana-Pachana, Triphala Guggulu, Shilajit, and circadian Dinacharya routines to reverse metabolic sluggishness. Metabolic syndrome (Sthaulya and Prameha Purvarupa in classical Ayurvedic oncology and internal medicine) has emerged as a primary lifestyle disorder in urban populations. Clinical Pathophysiology & Agni Mandya The root etiology begins with impairment of Jatharagni (primary digestive fire) leading to accumulation of circulating Ama (toxic metabolic sub-products) and subsequent Medo Dhatvagni Mandya (deranged lipid and glucose metabolism). Evidence-Led Herbal Protocols Deepana & Pachana: Trikatu and Musta to clear endothelial Ama and stimulate metabol...