To evaluate the efficacy of haritaki churna in doshaja chardi in children

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Journal name: Ayushdhara
Original article title: To evaluate the efficacy of haritaki churna in doshaja chardi in children
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Author(s):

*Harshad Mali
Asst. Prof., Dept. of Balrog, Dr. N. A. Magadum Medical College, Ankali, Karnataka
Mosim Momin
Asst. Prof., Dept. of Balrog, Dr.D.Y. Patil Ayurved College, Pune, M.S.
D.G. Dipankar
Asso. Prof., Dept. of Stree rog Prasutitantra, Dr.D.Y. Patil Ayurved College, Pune, M.S.
Hridaynath Lad
Prof., Dept. of Kayachikitsa, Dr.D.Y. Patil Ayurved College, Pune, M.S.
Shende Krushnadev
Asst. Prof., Dept. of Kayachikitsa Dr.D.Y. Patil Ayurved College, Pune, M.S.


Ayushdhara:

(A peer-reviewed, bi-monthly open-access journal)

Full text available for: To evaluate the efficacy of haritaki churna in doshaja chardi in children

Year: 2016

Copyright (license): CC BY-NC-SA 4.0


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Summary of article contents:

Introduction

Ayurveda, meaning 'science of life', is an ancient medical system that emphasizes holistic health and wellness through the balance of the body, mind, and spirit. The pediatric branch of Ayurveda, known as Kaumarbhritya, focuses on the health and diseases of children, particularly throughout their formative years. This study evaluates the efficacy of Haritaki Churna in managing Doshaja Chardi (vomiting) in children aged 2-8 years. The research highlights the significance of understanding this common gastrointestinal issue in the pediatric population and explores the role of Ayurveda in addressing it through herbal remedies.

Concept of Doshaja Chardi

Doshaja Chardi, or vomiting, is regarded as an essential concern in childhood, often leading to dehydration and presenting significant distress for both children and their parents. The study identifies and classifies types of Chardi based on the dominating doshas: Vataja, Pittaja, and Kaphaja. Each type correlates with specific symptoms and treatment approaches. The study emphasizes that the majority of cases were linked to environmental and dietary factors, revealing that improper food habits, such as consuming heavy, greasy, or spicy foods at irregular intervals, play a significant role in the prevalence of Chardi in children.

Role of Haritaki Churna as a Solution

Haritaki Churna, a herbal formulation derived from the Terminalia chebula fruit, is highlighted for its therapeutic virtues in the treatment of Doshaja Chardi. The study demonstrates the drug's efficacy in alleviating vomiting symptoms due to its Vatanulomana (anti-vata) and Rasayana (rejuvenating) properties, which help in normalizing bowel motility and reducing gastrointestinal disturbances. The clinical trial observed marked improvements, with substantial reductions in the number of vomiting episodes, abdominal pain (Udarashoola), and constipation (Vibandha) among children treated with Haritaki Churna, showcasing the potential of Ayurvedic remedies in acute conditions.

Conclusion

The findings from this study underscore the relevance of Ayurvedic treatments, particularly Haritaki Churna, in effectively managing Doshaja Chardi among children. The results support the notion that global healthcare practices can benefit from integrating traditional medicine approaches, emphasizing the need for further, larger-scale research to ascertain the long-term effects and overall safety of Ayurvedic interventions in pediatric care. The study illustrates that health conditions traditionally viewed as minor can have significant implications for children's health, and early intervention through established Ayurvedic remedies could lead to better clinical outcomes.

FAQ section (important questions/answers):

What is the purpose of the study on Haritaki Churna?

The study aims to evaluate the efficacy of Haritaki Churna in managing Doshaja Chardi (vomiting) in children aged 2-8 years. It seeks to understand the impact of this traditional Ayurvedic remedy on the frequency and severity of vomiting episodes.

What were the criteria for including patients in the study?

Patients aged 2-8 years with Chardi lasting less than two days and no signs of dehydration were included. They had to present with two or more symptoms related to Chardi, irrespective of sex or socio-economic status.

What were the main symptoms observed in children with Chardi?

The predominant symptoms in children included Aruchi (anorexia), Nidra (sleepiness), and Jrumbha (yawning). The study indicated a high prevalence of Aruchi, affecting 61.66% of the participants, highlighting its significance in the context of Chardi.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “To evaluate the efficacy of haritaki churna in doshaja chardi in children”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Chardi:
Chardi refers to vomiting in Ayurveda, characterized by forceful ejection of stomach contents. It is a condition addressed both in ancient texts and modern medical literature, often linked to gastrointestinal disturbances.

2) Vomiting:
Vomiting is the act of expelling stomach contents through the mouth. Ayurveda's term for vomiting is Chardi, which can be due to functional disturbances or systemic issues.

3) Haritaki:
Haritaki is a medicinal plant used in Ayurveda, known for its efficacy in treating Chardi. Haritaki Churna has properties such as Vatanulomana, useful in reducing vomiting episodes and alleviating gastrointestinal symptoms.

4) Disease:
A disease in Ayurveda can arise from doshas or inappropriate lifestyle practices. Chardi, a specific disease, involves vomiting and requires careful diagnosis and treatment based on dosha imbalance.

5) Drug:
In Ayurveda, drugs are natural substances, like Haritaki Churna, used to treat diseases like Chardi. These drugs are chosen based on their properties and their effect on doshas.

6) Food:
Food plays a pivotal role in Ayurveda, affecting dosha balance and health. Improper food intake can lead to conditions like Chardi due to the vitiation of Agni (digestive fire).

7) Discussion:
Discussion in research involves analyzing the data collected and relating it to previous knowledge. This study discusses the efficacy of Haritaki Churna in treating Chardi by examining clinical outcomes.

8) Aruci:
Aruchi refers to anorexia or disinterest in food, often a precursor symptom in Chardi. Treatment with Haritaki Churna has shown improvement in Aruchi in clinical trials.

9) Diet:
Diet in Ayurveda impacts health significantly. Improper diet, such as the intake of Vidahi Ahara, can lead to conditions like Chardi. Proper dietary practices are a part of treatment protocols.

10) Samhita:
Samhitas are ancient Ayurvedic texts offering detailed instructions on diagnoses and treatments. Various Samhitas, including Charaka and Sushruta, discuss treatments for Chardi and the use of Haritaki.

11) Hygiene (Hygienic):
Hygiene is crucial in preventing diseases like Chardi. Poor residential hygiene has been identified as a contributing factor in the development of Chardi in children.

12) Nidana:
Nidana refers to the causes or etiological factors of a disease. Identifying Nidana, such as improper food habits, is crucial for diagnosing and treating Chardi in Ayurveda.

13) Dosha (Dosa):
Doshas are fundamental bioelements in Ayurveda, including Vata, Pitta, and Kapha. Imbalance in these doshas can lead to diseases like Chardi, which may manifest as Vataja, Pittaja, or Kaphaja Chardi.

14) Madhu:
Madhu, or honey, is often used in Ayurvedic treatments. In the study, Madhu was combined with Haritaki Churna to treat Doshaja Chardi, showing effectiveness in alleviating symptoms.

15) Vibandha:
Vibandha refers to constipation, a symptom often associated with gastrointestinal disturbances like Chardi. Treatment with Haritaki Churna showed improvement in Vibandha, aiding in bowel movement.

16) Ayurveda (Ayus-veda):
Ayurveda, meaning 'Science of Life,' is an ancient Indian system of medicine focusing on holistic health. It uses herbs like Haritaki Churna to treat conditions such as Chardi by balancing doshas.

17) Madhyama:
'Madhyama' refers to a moderate or balanced state. In this study, many children were found to have Madhyama Agni and Madhyama Satmya, which affected their response to the treatment for Chardi.

18) Doshaja (Dosha-ja, Dosaja):
Doshaja indicates disorders or symptoms caused by the imbalance of doshas. Doshaja Chardi refers to vomiting caused by such imbalances, addressed by specific herbal treatments in Ayurveda.

19) Agni:
Agni, or digestive fire, is critical in Ayurveda for metabolism and digestion. Imbalance in Agni can lead to diseases like Chardi, making its regulation crucial in treatment.

20) Rasa (Rasha):
Rasa refers to taste in Ayurveda, influencing dosha balance. The properties of Haritaki, including its varied Rasa (tastes), make it effective in treating Chardi.

21) Prakriti (Prakrti):
Prakriti is the constitution of an individual, shaped by dominant doshas. Understanding a child's Prakriti helps in tailoring treatments for conditions like Chardi, ensuring better efficacy.

22) Madhura:
Madhura is the sweet taste in Ayurveda, contributing to dosha balance. Haritaki's Madhura Rasa aids in treating Vataja Chardi and other gastrointestinal complaints.

23) Aahar:
Aahar, or diet, is a key factor in maintaining health in Ayurveda. Improper Aahar, such as Vidahi or inappropriate food, can lead to Chardi, necessitating careful dietary practices.

24) Pulse:
Pulse examination is part of Ayurvedic diagnosis, revealing dosha imbalances. Changes in pulse characteristics can indicate the presence and severity of conditions like Chardi.

25) Kapha:
Kapha is one of the three doshas, responsible for structure and lubrication in the body. Imbalances can lead to conditions like Kaphaja Chardi, which is treatable with herbs like Haritaki.

26) Katu:
Katu is the pungent taste in Ayurveda. Excess consumption of Katu Rasa can aggravate Pitta, potentially leading to Pittaja Chardi, highlighting the need for balanced dietary practices.

27) Amla:
Amla is the sour taste in Ayurveda. High intake of Amla Rasa can disturb Pitta, causing conditions like Pittaja Chardi. Careful regulation of tastes in diet is essential for health.

28) Vata:
Vata is a primary dosha associated with movement. Imbalance can lead to Vataja Chardi, manifesting as frequent vomiting, for which treatments like Haritaki Churna are prescribed.

29) Kaphaja:
Kaphaja Chardi is vomiting due to an imbalance in Kapha dosha. Signs include symptoms like over-salivation and lethargy; treatments involve balancing Kapha using herbs like Haritaki.

30) Srotas (Shrotas):
Srotas are channels of circulation in Ayurveda, critical for health. Issues in Annavaha Srotas (digestive channels) can result in vomiting or Chardi, which is managed through dietary and herbal interventions.

31) Pitta:
Pitta is a dosha governing metabolism. Imbalance can cause Pittaja Chardi characterized by symptoms like bile-rich vomiting. Treatments aim to balance Pitta through herbs and dietary changes.

32) Satva (Shatva):
Satva refers to mental strength and clarity. In the study, children with Madhyama Satva showed various responses to treatment for Chardi, affecting overall efficacy.

33) Avara:
Avara denotes a lower degree of quality or ability. Children with Avara Satva, Samhanana, and Satmya showed specific patterns of symptoms and treatment responses in the study.

34) Ushna (Usna):
Ushna, meaning hot, describes a quality influencing dosha balance. Haritaki's Ushna Veerya (potency) is part of its effectiveness in treating Kapha and Vata disorders like Chardi.

35) Pain:
Pain (like Udarashoola) is often due to Vata imbalance and is a common symptom in cases of Chardi. Haritaki Churna has analgesic properties that can alleviate such pain.

36) Pariksha (Pariksa):
Pariksha means examination in Ayurveda, involving various diagnostic methods. Comprehensive Pariksha covers physical, mental, and dosha aspects to understand conditions like Chardi.

37) Mandagni (Manda-agni, Mamdagni):
Mandagni means weak digestive fire, a significant factor in Ayurvedic pathology. It leads to Ama formation and conditions like Chardi, necessitating treatments that strengthen Agni.

38) Sevana:
Sevana refers to consumption or intake. Improper Aahar Sevana, such as consuming Vidahi foods, is linked to the occurrence of Chardi, emphasizing dietary regulation in treatment.

39) Nature:
Nature in the context of health refers to inherent qualities affecting dosha balance. Understanding the natural constitution or Prakriti of a person helps tailor treatments for conditions like Chardi.

40) Pratiloma (Prati-loma):
Pratiloma refers to upward movement, opposite to the natural direction. Haritaki's Vatanulomana property counters Pratiloma Gati, helping reduce vomiting episodes (Chardi).

41) Knowledge:
Knowledge in Ayurveda encompasses understanding disease causation, symptomatology, and treatment modalities. This study combines traditional knowledge with clinical findings to treat Chardi.

42) Lakshana (Laksana):
Lakshana indicates symptoms or signs of a disease. Specific Lakshanas for Chardi include Udarashoola, Aruchi, and Vibandha, which help diagnose and gauge treatment efficacy.

43) Ashtanga (Astanga, Ashtan-anga):
Ashtanga or Astanga refers to the eight branches of Ayurveda, covering various aspects of health. Kaumarbhritya, one such branch, focuses on pediatric care, including the treatment of Chardi.

44) Pittaja (Pitta-ja):
Pittaja denotes conditions involving Pitta imbalance, such as Pittaja Chardi characterized by bile-rich vomiting. Treatment focuses on cooling and balancing Pitta through herbs like Haritaki.

45) Vidahi:
Vidahi refers to foods that cause burning sensation and indigestion. Consumption of Vidahi Ahara can aggravate Pitta leading to conditions like Chardi, necessitating dietary modifications.

46) Ruksha (Ruksa):
Ruksha means dry or rough, qualities attributed to certain foods and herbs. Ruksha Guna helps to balance Kapha and prevent conditions like Kaphaja Chardi in Ayurveda.

47) Shakti (Sakti):
Shakti in Ayurveda refers to strength or power, such as Agni Bala or digestive strength. Monitoring Shakti helps determine the capability of children to tolerate treatments for Chardi.

48) Satmya:
Satmya refers to suitability or compatibility, especially regarding food and lifestyle. Understanding Satmya helps customize dietary and treatment plans for children with Chardi.

49) Ajirna:
Ajirna means indigestion, a common etiological factor for Chardi in children. Managing Ajirna through dietary changes and herbs like Haritaki Churna is pivotal in treatment.

50) Udara:
Udara relates to the abdomen and issues like Udara Shoola (abdominal pain). Effective treatment of Chardi involves addressing Udara discomfort through appropriate herbal remedies.

51) Ahara:
Ahara translates to food or diet. Proper Ahara is crucial in Ayurvedic treatment to prevent and manage diseases like Chardi by maintaining dosha balance and Agni.

52) India:
India is the origin of Ayurvedic medicine, where traditional treatments for conditions such as Chardi involve herbs like Haritaki, reflecting ancient medical wisdom and modern clinical practices.

53) Gati:
Gati means movement, such as the Pratiloma Gati in vomiting (Chardi). Vatanulomana drugs like Haritaki Churna are used to correct this abnormal movement, aiding treatment.

54) Anna:
Anna, or food, is foundational in Ayurveda for health and disease. Improper Anna intake such as Vidahi Anna can lead to dosha imbalances and conditions like Chardi.

55) Bala:
Bala denotes strength, crucial for diagnosing and treating diseases in children. It includes Agni Bala, essential in managing conditions like Chardi by ensuring proper digestion and absorption.

56) Sara (Shara):
Sara refers to the essence or best parts of tissues. Understanding Sara helps in evaluating the overall health and resilience of a child, critical in managing conditions like Chardi.

57) Guna:
Guna refers to qualities inherent in substances and doshas. The attributes of Haritaki, such as Ruksha (dry) and Laghu (light), aid in treating conditions like Chardi.

58) Kala:
Kala means time, an essential factor in Ayurveda. The timing of food intake (Ahara Kala) and medication is crucial in managing Chardi effectively by aligning with bodily rhythms.

59) Human life:
Human life in Ayurveda is seen as an interplay of body, mind, and spirit. Maintaining balance among these aspects through proper diet and lifestyle is essential for preventing diseases like Chardi.

60) Jatharagni (Jathara-agni):
Jatharagni is the digestive fire responsible for digestion and metabolism. Poor Jatharagni can lead to Ama formation and diseases like Chardi, emphasizing the need for Agni strengthening treatments.

61) Science (Scientific):
Scientific methods in Ayurveda combine traditional knowledge and modern research. Studies on Haritaki Churna for Chardi integrate these approaches to validate its efficacy.

62) Pravahika:
Pravahika refers to dysentery, another gastrointestinal disorder addressed in Ayurvedic texts. While Chardi covers vomiting, Pravahika provides insights into broader GI tract issues.

63) Samhanana:
Samhanana refers to bodily constitution and robustness. Most children in the Chardi study had Madhyama Samhanana, indicating moderate physical resilience impacting treatment response.

64) Vatadosha (Vatadosa, Vata-dosha):
Vatadosha is one of the three primary doshas, governing movement. Imbalances can cause conditions like Vataja Chardi, necessitating treatments that focus on grounding and stabilizing Vata.

65) Vitiation (Vitiated):
Vitiation means imbalance or disturbance in doshas. Vitiation of doshas like Vata, Pitta, and Kapha causes symptoms seen in Chardi, guiding the choice of appropriate treatments.

66) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
Kashyapa is an ancient sage and author of Kashyapa Samhita, a key text in Ayurvedic pediatrics. It provides foundational knowledge on treating childhood diseases like Chardi.

67) Rasayana (Rasa-ayana):
Rasayana refers to rejuvenative therapies in Ayurveda. Haritaki is known for its Rasayana properties, promoting overall health and aiding in the treatment of conditions like Chardi.

68) Vatahara (Vata-ahara):
Vatahara means 'Vata-reducing.' Treatments like Haritaki Churna with Vatanulomana and Vatahara properties are used to balance Vata dosha, effective in conditions like Vataja Chardi.

69) Vishesha (Visesa):
Vishesha means specificity or distinctiveness. In diagnosis and treatment, recognizing Vishesha symptoms helps tailor treatments for conditions like Chardi to the individual's needs.

70) Medicine:
Medicine in Ayurveda involves natural substances like Haritaki Churna used for treating diseases. Such medicines are chosen based on their properties to balance doshas and alleviate conditions like Chardi.

71) Samgraha (Sangraha):
Samgraha denotes a compilation, such as Ashtanga Samgraha, a classical Ayurvedic text detailing various medical practices including pediatric treatments for conditions like Chardi.

72) Bhojana:
Bhojana means food or meal. Proper Bhojana practices, including the timing and quality of food, are essential in managing and preventing conditions like Chardi in children.

73) Atisara:
Atisara refers to diarrhea, another GI tract disorder. While Chardi focuses on vomiting, understanding Atisara aids in comprehensive management of gastrointestinal health in Ayurveda.

[Note: The above list is limited to 75. Total glossary definitions available: 185]

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Prakriti, Chardi, Vaidya, Haritakichurna, Therapeutic effect, Informed consent, Statistical analysis, Sample size, Clinical trial, Ethical Clearance, Nidana Panchaka, Single blind clinical study, Urine output, Mild improvement, Udarashoola, Vatanulomana property, Kaumarbhritya, Annavaha Srota, Aims and objective.

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