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Introduction: Apasmara, described in classical Ayurvedic texts, encompasses a spectrum of neurological disorders, including epilepsy. The ancient texts provide a comprehensive understanding of its pathophysiology, classification, and therapeutic approaches. However, with the advent of modern medicine, the interpretation and management of Apasmara have evolved, leading to a need for integrative approaches. Methods: A systematic review was conducted by analyzing classical Ayurvedic texts such as Charaka Samhita, Sushruta Samhita, and Ashtanga Hridayam, alongside contemporary research articles from PubMed, Scopus, and Web of Science. Inclusion criteria encompassed studies focusing on the pathophysiology, classification, and treatment modalities of Apasmara. Exclusion criteria involved studies unrelated to neurological disorders or those lacking peer-reviewed validation. Results: Classical Ayurvedic texts classify Apasmara into four types based on dosha predominance: Vataja, Pittaja, Kaphaja, and Sannipataja. Treatment modalities include Shodhana (purification therapies) and Shamana (pacification therapies), utilizing herbal formulations, Panchakarma procedures, and lifestyle modifications. Modern research corroborates the efficacy of certain Ayurvedic herbs, such as Bacopa monnieri and Withania somnifera, in exhibiting anticonvulsant properties. Integrative approaches combining Ayurvedic therapies with conventional treatments have shown promising results in managing epilepsy. Discussion: The integration of Ayurvedic principles with modern medical practices offers a holistic approach to managing Apasmara. While classical Ayurveda provides a detailed framework for understanding and treating epilepsy, modern research validates and enhances these approaches. Future research should focus on clinical trials to establish the efficacy and safety of Ayurvedic treatments in the management of Apasmara.

KEYWORDS: Apasmara, Ayurveda, Epilepsy, Kayachikitsa, Neurology