The article explores the role of Ayurveda in the comprehensive management of epilepsy, providing a nuanced understanding of its ancient wisdom and integration with modern medical practices. Beginning with an introduction to epilepsy and its current treatment challenges, the review delves into the Ayurvedic conceptualization of the disorder, emphasizing the doshic imbalances, particularly involving the Vata dosha. The historical roots of Ayurveda engagement with neurological disorders, including epilepsy, are examined, highlighting the evolution and adaptability of this ancient healing system. The article elucidates Ayurvedic diagnostic methods, incorporating pulse diagnosis, tongue examination,and individualized assessments based on prakriti and vikriti analyses. Subsequently, Ayurvedic treatment modalities are expounded, encompassing herb al formulations, dietary recommendations, lifestyle modifications, and traditional detoxification therapies. The integration of Ayurveda with modern medicine emerges as a focal point, emphasizing collaborative care, diagnostic synergy, and personalized treatment plans. Safety considerations in Ayurvedic epilepsy management are addressed, acknowledging the importance of quality control, individualized assessment, and collaborative monitoring.