Review on malnutrition in ayurveda

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Journal name: World Journal of Pharmaceutical Research
Original article title: Review on malnutrition in ayurveda
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Pratibha S. Watti, Anil B. Kale, T. Y. Swami, Ashish Rana, Pratiksha R. Bharkad, Ashish D. Singh


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Review on malnutrition in ayurveda

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20207-17907

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

1) Introduction

Childhood malnutrition remains a significant public health issue, particularly in developing countries, where it contributes to high mortality rates among children. The malnutrition during this critical growth phase has profound implications for children's growth and cognitive development. A range of nutritional disorders can be traced to inadequate dietary intake, underscoring the importance of nutrition in achieving optimal growth and health. The Ayurvedic concept of "Balshosha," akin to Protein Energy Malnutrition (PEM), is explored as a framework for understanding and managing childhood malnutrition.

2) Understanding "Balshosha"

"Balshosha" is a condition recognized in Ayurveda resembling PEM, characterized by inadequate nutrient intake, leading to emaciation and poor growth in children. The Ayurvedic texts attribute the occurrence of "Balshosha" to various etiological factors, such as poor nutrition, social circumstances, and malabsorption issues. The condition fundamentally relates to an imbalance in the body’s digestive and metabolic processes, primarily attributed to "Agnimandya" or weakened digestive fire. This impacts the body’s ability to absorb nutrients, resulting in impaired growth and resilience against infections.

3) The Role of Agni and Its Impact

A crucial aspect of managing "Balshosha" revolves around restoring "Agni," the digestive fire, which is fundamental for nutrient absorption and overall health. The Ayurvedic approach recommends a two-pronged treatment strategy: "Agnideepana," aimed at enhancing the digestive capacity, followed by "Bruhan," which focuses on nourishing the child. Addressing both these elements is critical for effective treatment outcomes. If only nutritional supplementation is given without first correcting the "Agni," the success of treatments is significantly diminished, indicating the intricate relationship between digestion and nourishment.

4) Dietary Considerations in Managing Malnutrition

The management of "Balshosha" also emphasizes the importance of diet as a therapeutic measure. Proper dietary practices, described through the concepts of "Aahara-vidhi-visheshtayana," play a vital role in both the prevention and management of malnutrition. Ayurveda highlights that the quality and quantity of food should be aligned with the individual’s digestion and nutritional needs. Failing to adhere to these practices can lead to imbalances such as "Agnimandya," further perpetuating the cycle of malnutrition. Educating caregivers on these dietary guidelines is essential for improving the nutritional status of children.

5) Conclusion

Overall, "Balshosha" represents a significant nutritional disorder among children, emphasizing the need for adequate dietary intake and balanced nutrition for healthy development. The Ayurvedic perspective underscores the interdependence of digestion and nutrition, advocating for a holistic approach to address childhood malnutrition. By focusing on enhancing digestive health and educating caregivers about proper dietary practices, the prevalence of malnutrition could potentially be reduced, leading to better health outcomes for children in vulnerable populations.

FAQ section (important questions/answers):

What is the primary health issue addressed in this review article?

The review article primarily addresses childhood malnutrition, particularly focusing on a condition known as Balshosha, which is similar to Protein Energy Malnutrition (PEM) and affects children's growth and cognitive development.

What are the key nutritional disorders mentioned in Ayurveda?

Key nutritional disorders in Ayurveda include Balshosha, Karshya, and Phakka, which correlate with protein-energy malnutrition, indicating inadequacies in dietary intake and unhealthy growth in children.

What are the main causes of Balshosha in children?

Balshosha can be caused by various factors, including poor nutrition, social issues, malabsorption, excessive intake of water or cold fluids, and improper feeding methods, leading to decreased immunity and emaciation.

How is Balshosha managed according to Ayurveda?

Management of Balshosha involves correcting the digestive fire (Agni) through Agnideepana treatment and providing nourishing foods (Bruhan) along with essential dietary guidelines to promote better health.

What are the clinical features of Balshosha?

Clinical features of Balshosha include loss of appetite, recurrent infections due to low immunity, emaciation from fat loss, and possible edema around the face due to protein deficiency.

What role does diet play in preventing malnutrition?

Proper diet is crucial in preventing malnutrition. It should follow Ayurvedic principles of food intake to ensure the child's Agni is balanced, thus enhancing nutritional supply and overall health.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Review on malnutrition in ayurveda”. 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) Malnutrition:
Malnutrition refers to inadequate or imbalanced nutrient intake, which significantly affects children's growth, development, and overall health. It includes undernutrition and conditions like Protein Energy Malnutrition (PEM), which can lead to serious medical issues and is a major public health concern, particularly in developing countries.

2) Food:
Food is essential for human health and wellness, providing the necessary nutrients for growth, energy, and bodily functions. In Ayurveda, food is considered a fundamental medicine. The quality and appropriateness of food intake directly influence the physiological well-being and balance of the body's doshas.

3) Phakka:
Phakka is an Ayurvedic term related to malnutrition, specifically linked to conditions resulting from inadequate nourishment influencing children's health. Understanding phakka helps in recognizing nuanced nutritional issues and offers insights into its etiological factors within the framework of Ayurvedic texts.

4) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya denotes a state of diminished digestive capacity in Ayurveda, impacting the nutrient absorption and metabolism in the body. This condition is central to various health problems, including malnutrition, as it leads to improper assimilation of food, resulting in nutritional deficiencies.

5) Agni:
Agni represents the digestive fire in Ayurveda, critical for transforming food into energy. A healthy Agni ensures optimal assimilation of nutrients. If Agni is compromised, it can lead to malnutrition and disorders like Balshosha, making it a focal point for treatment strategies in Ayurveda.

6) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is a western Indian state that has diverse health issues, including malnutrition among children. Understanding the region’s socio-economic conditions helps contextualize health challenges like malnutrition and facilitates effective public health interventions based on Ayurvedic and other medical insights.

7) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India focusing on holistic health through diet, lifestyle, and herbal remedies. It addresses health issues like malnutrition through concepts of balance, emphasizing the importance of nutrition and preventive care in maintaining health.

8) Disease:
Diseases refer to conditions that cause dysfunction in the body. Ayurveda classifies them based on dosha imbalances, root causes, and presents a multi-faceted approach to treatment emphasizing prevention, especially in vulnerable populations like children.

9) Edema (Oedema):
Oedema is the accumulation of excess fluid in the body's tissues, often observed in malnutrition cases like Kwashiorkor. In Ayurveda, it is seen as a manifestation of disturbed dosha balances, requiring treatment to restore equilibrium and address the underlying causative factors.

10) Vidhi:
Vidhi refers to the prescribed methods or rules for dietary intake and lifestyle in Ayurveda. Correct adherence to vidhi to ensure appropriate food consumption and lifestyle choices is essential to prevent disorders like Agnimandya and malnutrition.

11) Diet:
Diet encompasses the totality of food consumed, which is vital for growth, development, and health maintenance. In pediatric care, a well-planned diet tailored to individual needs plays a crucial role in preventing nutritional deficiencies and supporting overall well-being.

12) Milk:
Milk is a primary source of nutrition, particularly for infants and children, providing essential nutrients for growth. In Ayurveda, the quality of breast milk is emphasized, as vitiated milk can lead to malnutrition-related disorders in infants.

13) Pur:
Poor conditions, including inadequate nutrition and socio-economic factors, directly contribute to malnutrition and health issues in children. The term highlights the necessity of addressing underlying poverty and accessibility to nutrition as integral to public health strategies.

14) Kapha:
Kapha is one of the three doshas in Ayurveda, associated with earth and water elements, governing structure and fluid balance in the body. Imbalance in Kapha can lead to various health issues, including malnutrition-related conditions like Balshosha.

15) Balya:
Balya refers to medicinal formulations or treatments aimed at strength-giving and nourishing individuals, particularly children. In Ayurvedic practice, Balya is crucial in the management of malnutrition and overall health recovery.

16) Life:
Life represents the existence and experience of living beings, and in the context of Ayurveda, it encompasses the holistic health paradigm where physical, mental, and spiritual well-being are interlinked, affecting growth and vitality.

17) Ghrita (Ghrta):
Ghrita or medicated ghee features prominently in Ayurvedic treatments. It is considered nourishing and is used in recipes to enhance the nutritional content of diets, playing a crucial role in the recovery of malnourished children.

18) Rashi (Rasi):
Rashi refers to the quantity or portion of food in Ayurveda. It emphasizes the importance of consuming food according to individual digestive capacity and needs to ensure optimal health and prevent conditions like malnutrition.

19) Water:
Water is essential for life, influencing bodily functions such as digestion and nutrient transport. Ayurveda stresses appropriate water intake, as both excessive and insufficient fluid consumption can lead to health issues, including malnutrition-related problems.

20) Drug:
In a medical context, drug typically denotes any substance used for treatment or prevention of diseases. In Ayurveda, herbal remedies play an essential role, particularly in addressing malnutrition by enhancing Agni and supporting nutrient absorption.

21) Sign:
Sign refers to observable symptoms of a condition. In clinical settings, recognizing signs of malnutrition is crucial for diagnosis and subsequent treatment, guiding healthcare professionals in their approach to restoring patient health.

22) Developing:
Developing countries often face high rates of malnutrition due to limited resources, poor healthcare, and inadequate dietary practices. Recognizing the unique challenges in these regions is essential for crafting effective public health initiatives to combat malnutrition.

23) Kashyapa (Kasyapa, Kashya-pa, Kashyapanamdana):
Kashyapa is an ancient Ayurvedic scholar whose teachings emphasize the importance of diet ('Aahara') as a fundamental aspect of health. His insights inform approaches to treatment and prevention of malnutrition, stressing proper nutritional practices.

24) Pregnant:
Pregnant women require special attention regarding nutrition, as inadequate nourishment can affect both maternal health and fetal development. In Ayurveda, proper dietary habits during pregnancy are vital to ensure healthy outcomes for mothers and children.

25) Vitiation (Vitiated):
Vitiated refers to the disruption or disturbance of natural body functions. In Ayurveda, specific conditions are linked to vitiated doshas, often leading to diseases such as malnutrition, emphasizing the need for restoring balance.

26) Shushka (Suska):
Shushka is related to emaciation or severe dehydration conditions described in Ayurveda. The term highlights the importance of addressing underlying imbalances to restore health and prevent further complications such as malnutrition.

27) Shosha (Sosa):
Shosha represents the depletion or wasting away of bodily tissues, widely discussed in Ayurveda as a consequence of malnutrition. Addressing shosha requires identifying causative factors and implementing corrective dietary practices.

28) Ushna (Usna):
Ushna denotes the quality of heat and warmth in Ayurveda and is vital in treatments intended to enhance digestion and metabolism. Using Ushna properties in medicines is essential for restoring Agni, especially in malnourished individuals.

29) India:
India is a country with notable challenges regarding child malnutrition, highlighting the need for culturally relevant health strategies. Ayurvedic principles offer traditional insights into nutrition and health maintenance, guiding approaches to combat malnutrition.

30) Rules:
Rules in Ayurveda, including dietary guidelines, require adherence to promote health. They govern the way food is consumed and contribute to maintaining dosha balance, thus preventing conditions like malnutrition and supporting overall wellness.

31) Death:
Death due to malnutrition in children is a grave concern, particularly in developing nations. It underscores the urgent need for effective nutrition interventions and public health policies to mitigate its impact on vulnerable populations.

32) Study (Studying):
Study involves the systematic investigation and understanding of health conditions like malnutrition. Research in Ayurveda can shed light on nutritional practices, guiding health professionals in effective treatment and prevention strategies.

33) Vimanasthana (Vimana-sthana):
Vimana-sthana is a section of ancient Ayurvedic texts focusing on dietary principles and the physiological effects of food. It provides invaluable insights into the role of nutrition in health, crucial for preventing malnutrition.

34) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha is one of the three doshas in Ayurveda that when imbalanced, can lead to various health issues, including malnutrition-related conditions. Understanding Kapha's role is pivotal in diagnosing and treating such ailments.

35) Discussion:
Discussion refers to the analytical examination of topics, such as malnutrition in Ayurveda. Engaging in discourse on treatment methodologies and preventive measures is essential for improving understanding and health outcomes.

36) Suffering:
Suffering, particularly in the context of malnutrition, represents the physical and emotional distress experienced by affected individuals. Acknowledging suffering drives the urgency for effective interventions and the importance of holistic health approaches.

37) Medicine:
Medicine in Ayurveda encapsulates a holistic approach to health, integrating dietary principles, herbal treatments, and lifestyle adjustments. It seeks to restore balance and prevent conditions like malnutrition through natural interventions.

38) Samhita:
Samhita refers to the collections of teachings and principles in Ayurveda that encompass various health topics, including those related to nutrition. They serve as a comprehensive guide for understanding and managing health conditions.

39) Channel:
Channel in Ayurveda denotes pathways for physiological processes, including nutrient absorption. Maintaining the health of these channels is essential for preventing malnutrition and ensuring effective digestion and metabolism.

40) Mineral:
Mineral describes essential elements required for maintaining bodily functions and health. In the context of nutrition, ensuring adequate mineral intake is vital for children's growth and development, particularly to prevent malnutrition-related disorders.

41) Karshya (Karsya, Kashrya):
Karshya refers to emaciation or wastage of the body, typically associated with malnutrition. It's crucial to identify and address the underlying causes of Karshya to develop effective treatment regimens in Ayurvedic practice.

42) Tikshna (Tiksna):
Tikshna denotes sharpness or intensity in Ayurveda, particularly concerning treatment approaches that stimulate digestion and metabolic processes. Using Tikshna medications can significantly aid in addressing conditions intrinsic to malnutrition.

43) Hanging:
Hanging in the context of malnutrition may signify wasting or emaciation. The term evokes the physical and visible impact of severe malnutrition on children’s bodies, emphasizing the urgent need for intervention.

44) Sevana:
Sevana refers to the consumption or intake of substances, particularly food. In Ayurveda, proper sevana practices concerning diet are essential to avoid imbalances and maintain overall health, particularly in vulnerable populations.

45) Stanya:
Stanya refers to breast milk in Ayurveda, which is crucial for neonatal and infant health. The quality of Stanya affects the child's nutrition levels, and vitiated Stanya can lead to malnutrition-related disorders.

46) Satmya:
Satmya refers to individual constitution and adaptability to foods. Understanding a child's Satmya is essential for personalized dietary recommendations, crucial in managing malnutrition and optimizing nutritional intake.

47) Sthana:
Sthana means a location or position. In the context of Ayurveda, it pertains to physiological locations where health imbalances may manifest. Recognizing Sthana can guide practitioners in addressing malnutrition effectively.

48) Vimana:
Vimana refers to the section of Ayurvedic texts detailing dietary guidelines and principles. It plays a crucial role in understanding the relationship between diet and health, particularly in preventing and managing malnutrition.

49) Shukla (Sukla):
Shukla in Ayurveda refers to purity and clarity, often linked to good health. The concept emphasizes the necessity for clean, wholesome foods in preventing malnutrition and supporting children's development.

50) Family:
Family denotes the social unit that plays a crucial role in providing care, nutrition, and support. Dysfunctional family dynamics can contribute to malnutrition in children, emphasizing the need for community and family health education.

51) Thirst:
Thirst represents the body's signal for hydration. In Ayurveda, proper hydration is vital for digestion and metabolic processes. Neglecting fluid intake can exacerbate malnutrition-related issues by impairing physiological functions.

52) Desire:
Desire in this context refers to the appetite or inclination toward food, which can be affected by malnutrition. Addressing aversions or loss of appetite is crucial for effective dietary interventions in malnourished children.

53) Kumara:
Kumara refers to the child or juvenile stage of life. In Ayurveda, this stage is critical for growth and development, making it essential to monitor nutritional intake to prevent issues such as malnutrition.

54) Dosha (Dosa):
Dosha represents the three fundamental energies in Ayurveda (Vata, Pitta, Kapha) that govern physiological processes. Imbalances in doshas can lead to health conditions, including malnutrition, emphasizing the need for balance in treatment.

55) Mukha:
Mukha pertains to the face or mouth, often associated with the physical manifestations of health or disease. Observable signs in Mukha can be indicative of conditions like malnutrition, influencing diagnostic approaches.

56) Graha:
Graha refers to the conditions afflicting children, particularly in Ayurveda. Understanding the concept helps address health issues resulting from malnutrition and emphasizes the role of external and environmental factors on well-being.

57) Dhatu:
Dhatu indicates the body's fundamental tissues in Ayurveda. Adequate nutrition is necessary for maintaining healthy Dhatu levels, and malnutrition can lead to deficiencies that affect overall physical health.

58) Ashta (Asta, Astan, Ashtan):
Ashta refers to the eight properties or categories in Ayurveda that guide dietary and treatment practices. Understanding these properties is essential for making informed decisions about nutrition and health.

59) Sugar:
Sugar represents a source of energy within the food system. In moderation, it is vital for energy, but excessive consumption can lead to imbalances and health issues, including malnutrition-related disorders.

60) Fever:
Fever is a systemic response often signaling infection or illness. In Ayurveda, fever can impact digestion and nutritional status, leading to complications such as malnutrition if not addressed appropriately.

61) Birth:
Birth is a critical life stage that necessitates attention to maternal and infant nutrition to ensure healthy development. In Ayurveda, proper care during and after birth is essential for preventing malnutrition in newborns.

62) Svamin (Swami, Svami, Swamin):
Swami, often denoting 'master' or 'teacher', highlights the role of knowledgeable practitioners in Ayurveda. Their guidance is crucial in addressing complex health issues like malnutrition through Traditional Ayurvedic practices and teachings.

63) Yoga:
Yoga refers to the holistic practice integrating physical, mental, and spiritual health. In Ayurveda, yoga is often recommended to complement dietary practices in promoting overall health and preventing conditions like malnutrition.

64) Kasa (Kasha):
Kasa refers to cough or respiratory ailments. Conditions such as Kasa can lead to increased energy demands and nutrient losses in children, exacerbating malnutrition. Addressing such conditions is crucial for restoring health.

65) Guna:
Guna refers to the inherent qualities of substances in Ayurveda. Understanding Guna guides dietary choices and treatments, playing a significant role in preventing imbalances and promoting optimal health.

66) Rana:
Rana relates to conflict or struggle, often used to describe the struggles faced by individuals, especially children, in overcoming health challenges like malnutrition. It emphasizes the importance of intervention and compassion.

67) Alpa:
Alpa refers to insufficiency or deficiency in terms of quantity or quality. In the context of malnutrition, Alpa highlights the critical need to ensure adequate, nutrient-rich food intake for children's growth and health.

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Discover the significance of concepts within the article: ‘Review on malnutrition in ayurveda’. Further sources in the context of Science might help you critically compare this page with similair documents:

Agnimandya, Childhood period, Dietary rules, Clinical Practice, Nutritional disorder, Protein energy malnutrition, Balshosha disease, Vyadhija Phakka, Childhood malnutrition, Adequate nutrition.

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