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The fundamental principles of Ayurveda advocate prevention first and cures next. This slogan is true and essential in case of heart diseases. This text lucidly explains the indigenous methods for the prevention of heart diseases. Modern medical science could understand the body more, mind less and soul nil. Where as Ayurveda emphasizes the need of spirituality in the management of health. Role of Atma and Manas are explained in a more scientific way in this work with special reference to heart diseases. Ischemic Heart Disease (IHD) is often caused by severe stress in an individual due to some impact on the mind. How ever, the easiest way is to rectify the somatic problem by performing bye-pass surgery than dealing with the stress/mind or soul. Therefore there is every possibility that the person may undergo a second bye-pass surgery subsequently. This work deals with the importance of alternative practices in heart diseases and their management. There is a need to identify simpler and effective herbal drugs in cardiology. It may not be an over claim that this work unravels the indigenous herbal drugs and their effect in various heart diseases as well as cardiovascular disorders. Research work carried out in the field of cardiology on herbal drugs in made available to the students/scholars as well as the practitioners. The anatomy and physiology of heart according to Ayurveda is described with relevant comparison with modern medicine as and when necessary. Similarly, the pharmacological as well as the therapeutic aspects described in the Ayurvedic texts are also presented in a highly scientific fashion.