Diarrhoea in children and its ayurvedic prospects

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Journal name: World Journal of Pharmaceutical Research
Original article title: Diarrhoea in children and its ayurvedic prospects
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:

Dr. Aprajita Katiyar and Dr. Ramesh Kumar Gautam


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Diarrhoea in children and its ayurvedic prospects

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

Doi: 10.20959/wjpr20238-28272

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Diarrhea is a prevalent health issue, particularly in developing countries, and serves as the second leading cause of death among children. According to the World Health Organization (WHO), diarrhea contributes to an estimated 1.5 million deaths in children under five each year. Although advancements like fluid replacement therapy have reduced mortality rates, the incidence remains stable at approximately 3.2 bouts per child annually. The Ayurvedic concept of "Balatisara", which can be understood as diarrhea in children, arises from an imbalance in the digestive system (Agnimandya) and involves disruptions in gastrointestinal functioning, leading to watery stools. This article explores Ayurvedic treatments for Balatisara, assessing the efficacy of the Samangadi kwatha formulation compared to Balachaturbhadra churna.

The Ayurvedic Concept of Atisara

Atisara refers to excessive flow of watery stools and is classified as a significant health concern within Ayurveda. It comprises specific terms: ‘Ati’ signifies excess, and ‘Sara’ refers to the passing of liquid matter. The condition arises primarily from vitiated Vata dosha and diminished digestive fire (Agni), leading to imbalanced metabolic processes. Ayurvedic texts, including those by Charaka and Sushruta, elaborate that disturbances in body fluids and digestive processes contribute to this condition, allowing for a variety of types based on dosha predominance. The recognition of Atisara is crucial for tailored treatment protocols that address the specific underlying causes, ultimately guiding proper interventions.

Types and Causes of Atisara

Atisara is categorized into six types based on dosha involvement: Vataja, Pittaja, Kaphaja, Sannipataja, Shokaja, and Bhayaja. Each type exhibits distinctive characteristics. For instance, Vataja Atisara results in rough, undigested stools and colicky pain, while Pittaja Atisara shows symptoms with color shifts (yellow, green, or black). The etiological factors, or Nidana, that contribute to Atisara are classified into general (Samanyaja) and specific (Vishesha). General factors include dietary habits and lifestyle choices, whereas specific factors can be psychological, such as fear and grief, highlighting the multifaceted nature of diarrhea in Ayurvedic understanding.

Management Strategies for Balatisara

Ayurvedic treatment approaches for Balatisara involve a combination of detoxification (Shodhana) and balancing therapies (Shaman). Within the Shodhana framework, therapies like Vamana (emesis), Virechana (purgation), and Basti (enema) are explored to restore balance. Likewise, Shaman therapies are designed to alleviate symptoms and address dosha imbalances according to specific types of Atisara. A dietary protocol emphasizing the avoidance of aggravating substances and promoting beneficial foods is also essential. This nuanced approach denotes Ayurveda’s focus on individualization and its comprehensive methodology in managing diarrhea.

Conclusion

The article underscores the importance of a holistic Ayurvedic perspective on diarrhea, particularly among pediatric populations facing high mortality due to this condition. By examining Atisara and its various facets, including classification, causation, and targeted management practices, the authors highlight the role of Ayurvedic formulations like Samangadi kwatha in effective treatment. This research not only reaffirms traditional wisdom in addressing contemporary health challenges but also advocates for the integration of Ayurvedic methods into modern medical practices to enhance child health outcomes.

FAQ section (important questions/answers):

What is diarrhea's significance in developing countries?

Diarrhea is a common disease in developing countries, causing 1.5 million deaths annually in children under five, highlighting its severe impact on child mortality.

How is diarrhea defined in medical terms?

Diarrhea is defined as having liquid or watery stools occurring more than three times a day, indicating a change in stool consistency and frequency.

What are the main causes of diarrhea according to Ayurveda?

Ayurveda attributes diarrhea to factors like vitiated Vayu, diminished Agni, improper food habits, lifestyle changes, and psychological stress, leading to Atisara.

What are the types of Atisara described in Ayurveda?

Ayurveda classifies Atisara into six types: Vataja, Pittaja, Kaphaja, Sannipataja, Shokaja, and Bhayaja, each with distinct characteristics and causes.

What management strategies are suggested for treating Balatisara?

Balatisara can be managed with Shodhana (elimination therapies) like Vamana and Virechana, and Shamana (alleviating therapies) to restore balance according to dosha predominance.

What dietary recommendations are made for managing diarrhea?

Recommended foods during diarrhea include old Shali rice, pulse soup, and liquid rice. Avoid unsuitable foods like mudga pulses and sour liquids that can aggravate the condition.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Diarrhoea in children and its ayurvedic prospects”. 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) Atisara:
Atisara refers to excessive discharge of watery stools, indicating diarrhea. It is an important term in Ayurveda and can be categorized based on dosha predominance, such as Vataja, Pittaja, and Kaphaja. Understanding Atisara aids in diagnosing and managing diarrhea effectively in children and other populations.

2) Nidana:
Nidana is the term for causative factors or aetiology of a disease in Ayurveda. Identifying Nidana is crucial for effective treatment strategies. It encompasses dietary habits, lifestyle choices, psychological aspects, and external factors. Accurate diagnosis through Nidana leads to appropriate therapeutic interventions for conditions like Atisara.

3) Basti:
Basti refers to an Ayurvedic therapeutic procedure that involves administering medicated oils or herbal decoctions via the rectum. It's primarily used to treat Vata disorders and can help restore balance in cases of diarrhea. Basti is a key component in managing conditions like Balatisara in children.

4) Disease:
Disease, or 'roga' in Ayurveda, represents an imbalance in the body that disrupts health. Ayurveda classifies diseases based on dosha imbalances and other factors. Proper understanding and identification of the disease's nature guide practitioners in selecting effective treatments, particularly in cases of Diarrhea.

5) Vataja (Vata-ja):
Vataja refers to one type of Atisara associated with an imbalance of Vata dosha. Symptoms may include floating stools, colicky pain, and discomfort. Recognizing Vataja is essential for Ayurvedic practitioners to tailor treatments that address the specific characteristics and symptoms of this diarrhea type.

6) Dosha (Dosa):
Dosha is a fundamental concept in Ayurveda that categorizes individuals according to three biological energies: Vata, Pitta, and Kapha. Each dosha governs various physiological and psychological functions. Balancing these doshas through diet and lifestyle is vital to maintaining health and treating diseases like Atisara.

7) Vata:
Vata is one of the three doshas in Ayurveda, associated with air and space elements. It governs movement and is responsible for various bodily functions. An increase in Vata can lead to conditions like Atisara. Understanding Vata's role is crucial in diagnosing and treating related illnesses.

8) Milk:
Milk is a significant nutrient in Ayurvedic nutrition, often considered wholesome and nourishing. However, its effects can vary depending on individual constitution and conditions. It serves as a potential food item in managing diseases, but its usage may be restricted in certain diarrhea cases due to aggravating properties.

9) Langhana (Lamghana):
Langhana refers to a therapeutic approach in Ayurveda focused on reducing body weight or alleviating disease by minimizing consumption or employing therapies that enhance digestion. In the context of Atisara, it may involve fasting or incorporating light foods to restore balance and aid recovery.

10) Pittaja (Pitta-ja):
Pittaja is another type of Atisara resulting from an imbalance of Pitta dosha. Symptoms may include yellowish diarrhea, burning sensations, and associated acidity. Recognizing Pittaja aspects is vital for practitioners to provide targeted treatments that restore balance in patients experiencing this type of diarrhea.

11) Vamana:
Vamana is a therapeutic procedure in Ayurveda involving induced vomiting to expel excess Kapha and toxins from the body. While effective in treating certain conditions, it may not be suitable for all diarrhea cases. Vamana helps in managing specific imbalances related to the doshas.

12) Water:
Water plays a crucial role in Ayurveda for hydration, digestion, and maintaining systemic balance. During diarrheal episodes, adequate hydration is vital to prevent dehydration. Ayurvedic treatments may involve specific drinks or herbal concoctions to promote recovery while considering the individual's dosha.

13) Agni:
Agni represents the digestive fire in Ayurveda, critical for metabolism and overall health. A strong Agni ensures proper digestion and nutrient absorption. Conditions like Atisara or diarrhea often reflect compromised Agni, necessitating therapeutic interventions to rekindle digestive capabilities and restore health.

14) Food:
Food, or 'ahara', is central to Ayurveda, significantly influencing health. It must align with an individual's dosha to maintain balance. In cases of Atisara, dietary modifications may be prescribed to address the underlying imbalances, emphasizing digestion-friendly and nourishing options.

15) Curd:
Curd is considered a healthful food in Ayurveda, rich in probiotics and beneficial for gut health. However, it may not be advisable during episodes of diarrhea due to its heavy and cooling nature that might exacerbate certain dosha imbalances, particularly Kapha.

16) Sign:
Sign refers to the observable indicators or symptoms manifesting in a patient, reflecting the nature of a disease. In Ayurveda, recognizing signs like frequency and consistency of stool is essential for accurately diagnosing conditions such as Atisara and guiding appropriate treatment.

17) Kaumarabhritya (Kaumara-bhritya, Kaumarabhrtya):
Kaumarabhritya is a branch of Ayurveda focusing on pediatrics. It emphasizes the understanding and management of children's health issues, including common ailments like diarrhea. Specialist knowledge in Kaumarabhritya aids practitioners in effectively diagnosing and treating pediatric health conditions.

18) Purvarupa (Purva-rupa):
Purvarupa indicates the prodromal stage of a disease characterized by vague symptoms before the full manifestation of the condition. In Ayurveda, identifying these early signs is crucial for timely intervention, especially for ailments like Atisara, allowing preventative measures to be implemented.

19) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine originating from India, emphasizing balance in bodily systems through diet, lifestyle, and natural therapies. It utilizes concepts like doshas and Agni to understand health and disease. Ayurveda provides a holistic approach to managing conditions such as diarrhea effectively.

20) Vitiation (Vitiated):
Vitiated refers to the imbalance or disturbance of natural bodily functions. In Ayurveda, when doshas become vitiated, they can lead to diseases, including Atisara. Understanding the factors that cause vitiation guides practitioners in restoring balance through various therapeutic measures.

21) Lucknow:
Lucknow is a city in India known for its rich cultural heritage and expertise in traditional medicine. In the context of this study, research conducted here highlights Ayurvedic practices for managing diseases like Atisara, showcasing the application and relevance of traditional healing in contemporary healthcare.

22) Death:
Death is a severe outcome that can arise from untreated conditions like diarrheal diseases, particularly in vulnerable populations such as children. Understanding the seriousness of diarrhea emphasizes the importance of effective management and timely treatment to prevent fatalities.

23) Blood:
Blood plays a crucial role in Ayurveda as it reflects the body's overall health and vitality. Disruptions in blood quality or quantity can indicate various health issues. Symptoms like blood in stool may manifest in Pittaja Atisara, requiring immediate attention.

24) Vayu:
Vayu, the air element in Ayurveda, governs movement and biological processes in the body. It plays a significant role in many conditions, including gastrointestinal disorders. Vitiation of Vayu can lead to symptoms of Atisara, necessitating treatments that address this imbalance.

25) Rice (Rce):
Rice is a staple food in many cultures and is considered beneficial in Ayurveda, particularly as a easily digestible option during digestive disturbances. Cooked rice, along with fluids, can be recommended for managing diarrhea while restoring energy and hydration.

26) Pain:
Pain, particularly abdominal pain, is often associated with Atisara and indicates an underlying imbalance. Understanding pain characteristics aids in diagnosing the type of diarrhea and tailoring specific Ayurvedic treatments designed to alleviate discomfort and restore normal function.

27) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya refers to decreased digestive fire in Ayurveda, which can lead to various health issues, including diarrhea. When Agni is impaired, digestion suffers, resulting in symptoms like Atisara. Treatments aim to enhance Agni through dietary adjustments and herbal remedies.

28) Developing:
Developing countries face a higher burden of diseases like diarrhea, significantly impacting child mortality rates. Limited access to healthcare and sanitation worsens these issues. Ayurveda presents alternative management approaches that consider local resources and traditional knowledge to improve health outcomes.

29) Samprapti:
Samprapti refers to the pathogenesis or process of a disease in Ayurveda. Understanding Samprapti enables practitioners to identify the root cause and develop targeted treatment plans based on the underlying dosha imbalance and contributing factors, particularly in conditions like Atisara.

30) Viparyaya:
Viparyaya relates to the deviation from the natural state, often caused by lifestyle changes or environmental factors. In the context of Atisara, recognizing how Viparyaya manifests can guide practitioners in reversing the condition through appropriate Ayurvedic interventions.

31) Agantuja (Agantu-ja):
Agantuja signifies exogenous factors or external causes leading to disease in Ayurveda. Understanding Agantuja aids in addressing conditions such as Atisara, where environmental factors, infections, or poor hygiene can contribute significantly to the incidence of diarrhea.

32) Pippali (Pippalin):
Pippali is a potent herb in Ayurveda renowned for its digestive properties. It is often used in formulations to enhance Agni. Incorporating Pippali in treatment for Atisara aids in improving digestion and promoting overall gastrointestinal health in affected individuals.

33) Kaphaja:
Kaphaja is a type of diarrhea caused by an imbalance of the Kapha dosha, characterized by thick, slimy stools. Identifying Kaphaja symptoms aids practitioners in tailoring treatments to restore balance, emphasizing lighter, digestion-enhancing dietary choices.

34) Snigdha:
Snigdha refers to unctuous or oily qualities in Ayurveda, often associated with nourishing and moisturizing properties. Though beneficial in moderation, excessive Snigdha can contribute to disorders like Kaphaja Atisara, necessitating careful management and dietary considerations.

35) Dravya:
Dravyas denote substances or medicines used in Ayurveda for therapeutic purposes. Knowledge of Dravyas and their properties helps practitioners effectively manage various conditions, including Atisara, by choosing suitable herbal combinations.

36) Ghrita (Ghrta):
Ghrita, or clarified butter, is considered highly nutritious in Ayurveda and is often used in medicinal formulations. While it can promote health, excessive intake during conditions like diarrhea may lead to aggravation, calling for careful consideration and moderation in treatment plans.

37) Harita:
Harita refers to green color in Ayurveda, often associated with food quality and freshness. It signifies vitality and is examined in the context of dietary recommendations for managing conditions like Pittaja Atisara, where color and nature of food play a role in health.

38) Ashaya (Asaya):
Ashaya denotes the seat or location of doshas within the body. Understanding Ashaya is crucial for diagnosing where imbalances reside, facilitating targeted therapeutic interventions to assist conditions like Atisara by restoring harmony within the affected bodily systems.

39) Niruha:
Niruha refers to a type of therapeutic enema used to eliminate toxins and restore balance. In the context of Atisara, Niruha Basti helps in cleansing the gastrointestinal tract, particularly when addressing Vata imbalances, enhancing recovery from diarrheal conditions.

40) Mutra:
Mutra refers to urine in Ayurveda. Its characteristics are examined to assess overall health and identify imbalances. In diarrheal conditions, urine output might change, providing insights into hydration status and the need for treatment interventions.

41) Krimi (Krmi):
Krimi denotes worms or parasites in Ayurveda, often regarded as a cause of disease, including diarrhea. Identifying Krimi infestation may require targeted treatments, as addressing these underlying causes is essential to resolving conditions like Atisara.

42) Varna:
Varna signifies color or quality of stools, which helps in diagnosing types of Atisara. In Ayurveda, stool color indicates dosha imbalances and underlying pathological conditions, guiding practitioners in implementing effective treatment plans tailored to the patient's needs.

43) Pulse:
Pulses are integral in Ayurvedic nutrition, known for their nourishing properties and ease of digestion. Including various Pulses in recovery diets post-Atisara supports healing, providing essential nutrients and aiding gastrointestinal balance.

44) Grief:
Grief or emotional distress can significantly impact physical health, including causing conditions like Atisara. Recognizing the connection between emotional states and digestive health helps practitioners to incorporate holistic approaches to treatment, addressing both psychological and physiological aspects.

45) Study (Studying):
Study in Ayurveda refers to the systematic examination and understanding of health concepts, treatments, and their effectiveness. Research analyzing conditions like Atisara provides evidence for traditional practices, enhancing the credibility and application of Ayurvedic medicine in clinical settings.

46) Sweating (Sweat):
Sweat is a bodily fluid linked with the body's cooling mechanisms and often reflects metabolic processes. Its examination in patients with Atisara aids in understanding their hydration status and helps tailor treatment interventions to restore balance.

47) Worm:
Worm refers to parasitic organisms that can inhabit the gastrointestinal tract, leading to health disorders. In Ayurveda, identifying worms might necessitate specific antiparasitic measures, especially in cases of diarrhea, highlighting the importance of evaluating dietary and sanitary practices.

48) Drug:
Drug, in the context of Ayurveda, encompasses any medicine or substance derived from plants or minerals altered to signify therapeutic qualities. Choosing appropriate drugs is key in managing diseases like Atisara, customized to dosha-specific needs.

49) Guru:
Guru translates to heavy or substantial in Ayurveda, which can be used to describe certain foods or substances. In the context of managing diarrhea, foods with Guru qualities may exacerbate conditions like Kaphaja Atisara, necessitating careful dietary management.

50) Jala:
Jala means water in Ayurveda and is vital for hydration and digestion. Promoting adequate water intake is essential during diarrhea to prevent dehydration. Ayurvedic treatments often integrate herbal infusions with Jala to enhance recovery and restore balance.

51) Fear:
Fear can contribute to physiological disturbances in Ayurveda, leading to conditions such as Atisara. Understanding the psychological impact on digestion aids practitioners in addressing emotional factors alongside traditional therapeutic methods to ensure comprehensive healing.

52) Blood letting:
Blood letting is a traditional medical practice used to treat various ailments, believed to remove excess blood and restore balance. Though not commonly practiced in modern Ayurveda, its historical significance in treating conditions like Atisara from a dosha imbalance warrants exploration.

53) Earth:
Earth signifies the grounding aspect in Ayurveda, often associated with stability and nourishment. Understanding the Earth element's influence on health informs treatment strategies for conditions like Atisara, emphasizing balanced interventions.

54) Sushruta-samhita (Susruta-samhita):
Sushruta-samhita is a foundational text in Ayurveda attributed to Sage Sushruta, detailing surgical techniques and various health conditions, including diarrhea. Its historical occurrences enrich understanding and guide practitioners in applying traditional knowledge to contemporary health issues.

55) Anuvasanabasti (Anuvasana-basti):
Anuvasana-basti is a type of enema treatment in Ayurveda, utilizing medicated oils to nourish and address dosha imbalances. It's particularly effective in managing Vata-related disorders like Atisara, aiding recovery by restoring balance within the affected systems.

56) Madhavanidana (Madhava-nidana):
Madhava-nidana is a comprehensive Ayurvedic text outlining the principles of diagnosis and treatment for various diseases, including their aetiology and therapy. Its methodologies provide foundational knowledge that informs clinical practice in handling conditions like Atisara effectively.

57) Blood-letting:
Blood-letting refers to the practice of withdrawing blood for therapeutic purposes. Though less common today, it has historical roots in Ayurveda for treating various conditions based on the belief that it can rebalance doshas. Its application and effectiveness remain subjects of discussion in modern practice.

58) Madhuramla (Madhura-amla):
Madhura-amla describes the sweet and sour taste profiles in Ayurveda that impact the body's systems. Dietary choices incorporating Madhura and Amla can be leveraged in treatment strategies for conditions like Atisara, focusing on taste balance to aid healing.

59) Atipravritti (Atipravrtti, Ati-pravritti):
Atipravritti refers to excessive movement, which may manifest in conditions like Atisara. Understanding the characteristics and tendencies of Atipravritti in patients allows practitioners to develop tailored treatments that work to harmonize and stabilize bodily functions.

60) Niruhabasti (Niruha-basti):
Niruha-basti is a specific type of therapeutic enema utilized in Ayurveda to cleanse the colon and address imbalances. This treatment is particularly suitable for managing diarrhea by eliminating excess vitiated doshas from the gastrointestinal tract and restoring balance.

61) Lohitavarna (Lohita-varna):
Lohita-varna refers to the reddish color associated with Pittaja Atisara. Observing stool color helps practitioners assess the nature of diarrhea in patients, guiding them in selecting appropriate interventions aimed at restoring digestive equilibrium.

62) Accumulation (Accumulating, Accumulate):
Accumulation pertains to the gathering of doshas or toxins within the body, which can lead to disease manifestations. In Ayurveda, identifying areas of accumulation is pivotal for formulating effective detoxification strategies and ensuring overall health restoration.

63) Samshodhana (Samsodhana):
Samshodhana refers to a purification process in Ayurveda aimed at detoxifying the body and restoring balance. In managing conditions like Atisara, Samshodhana methods help eliminate accumulated toxins and reset bodily functions for improved health.

64) Amladravya (Amla-dravya):
Amla-dravya refers to sour substances in Ayurveda, known for their digestive boosting capabilities. Incorporating Amla-dravya in treatment strategies for conditions like diarrhea can enhance appetite and digestion while facilitating the balancing of doshas.

65) Pomegranate:
Pomegranate is recognized in Ayurveda for its health benefits, particularly in digestive health. Its antioxidant properties and rich nutrients support recovery in conditions like Atisara by strengthening the digestive system and restoring balance.

66) Alleviation:
Alleviation refers to the relief of symptoms or discomfort in Ayurveda. In the context of treatments for Atisara, alleviation focuses on restoring balance and reducing the severity of diarrhea through targeted interventions tailored to individual dosha imbalances.

67) Mutraghata (Mutra-aghata):
Mutraghata signifies a condition where urinary flow is obstructed. Understanding the interplay of Mutraghata with gastrointestinal issues like Atisara aids practitioners in developing comprehensive treatment strategies addressing both urinary and digestive health.

68) Jalakrida (Jala-krida):
Jala-krida refers to engaging in water-related activities. In Ayurveda, excessive water play, particularly in children, can lead to conditions such as diarrhea. Understanding this connection helps in educating communities to maintain balanced activities and health.

69) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha indicates the imbalance or elevation of Vata in the body, leading to ailments like Atisara. Examining Vata-dosha characteristics allows for specific interventions designed to harmonize and stabilize digestive functions and overall well-being.

70) Butter milk (Buttermilk):
Buttermilk, a product of churned curd, is highly regarded in Ayurveda for its beneficial effects on digestion. In managing diarrhea, it can serve as a gentle, nourishing option, promoting recovery while considering potential doshic influences.

71) Saindhava (Saimdhava):
Saindhava refers to rock salt utilized in Ayurveda for its therapeutic properties. It can enhance digestion and provide essential minerals. In treating conditions like Atisara, Saindhava may be incorporated into dietary recommendations for its balancing attributes.

72) Anuvasana:
Anuvasana refers to the therapeutic rectal enema treatment in Ayurveda focusing on using lubricating medicated oils to nourish and restore bodily functions. It's essential for managing conditions influenced by Vata, particularly during episodes of diarrhea.

73) Pravahana:
Pravahana denotes a condition where there's an unusual discharge of bodily fluids, which could manifest during Atisara. Understanding Pravahana allows practitioners to tailor treatments that focus on restoring balance and addressing the underlying causes of diarrhea.

74) Pravahika:
Pravahika refers to a type of Atisara with abundant watery stools, linked to dosha imbalances. Distinct treatment strategies are required for managing Pravahika, emphasizing individualized care to effectively address symptoms and restore digestive health.

75) Vibandha:
Vibandha is a condition characterized by constipation in Ayurveda. Understanding its relationship with diarrhea states like Atisara is important, as exacerbations or complications may necessitate holistic approaches to restore digestive balance.

[Note: The above list is limited to 75. Total glossary definitions available: 154]

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Discover the significance of concepts within the article: ‘Diarrhoea in children and its ayurvedic prospects’. Further sources in the context of Science might help you critically compare this page with similair documents:

Rupa, Samana, Nidana, Shodhana, Atisara, Langhana, Agnimandya, Pachana, Madhavanidana, Psychological factor, Nidana Parivarjana, Viharaja Nidana, Manasika Nidana, Langhana therapy, Nidana classification, Panchkarma, Vitiated Vayu, Samprapti Ghatak, Specific management, Agantuja Nidana, Purvaroop, Panchakarma Techniques, Ayurvedic prospect.

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