Yes — in my experience, it often does, but not in a vague or mystical way. I approach Vastu as a precise relationship between the occupant, the horoscope, and the space they are living in. The same imbalance that appears in a birth chart often shows up again in the house layout, especially in the directional zones connected to that specific life area.
In consultations, I have repeatedly seen that when a particular house in the horoscope is afflicted, the corresponding direction in the property is often also under stress. This is why generic advice rarely works at a deeper level. A person may be facing business stagnation, marital strain, recurring health issues, or career blocks, but the real issue is often that they are unknowingly spending time in the wrong zone, or living in a space that is amplifying the very problem already shown in the chart.
My method is to identify the exact problem first, then trace it through the birth chart, the running dasha, the afflicted or supportive planets, and the corresponding directional zone in the property. From there, the correction is personalised. The goal is to create a space that supports health, relationships, career movement, business stability, and mental balance in a measurable, individualised way.