A ayurvedic review on karshya and its management

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Journal name: World Journal of Pharmaceutical Research
Original article title: A ayurvedic review on karshya and its management
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. Pranali Suryawanshi, Dr. Jyotsna Ahir and Dr. Masaudaalam Mujwar


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: A ayurvedic review on karshya and its management

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

Doi: 10.20959/wjpr20243-31263

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Karshya, a condition of childhood malnutrition, is explored in this Ayurvedic review. Undernutrition is described as a state of inadequate nutrient consumption, absorption issues, or excessive nutrient loss, and is often interconnected with protein-energy malnutrition (PEM), represented by disorders such as marasmus and kwashiorkor. The review highlights the critical role of food not only as nutritional support but also as a therapeutic agent essential for recovery post-illness. The manuscript discusses various Ayurvedic perspectives on malnutrition, specifically conditions like Karshya, Balashosha, Shushka, and Parigarbhika, shedding light on their clinical manifestations and linking these concepts to the significant global issue of childhood malnutrition.

Nutritional Foundation in Ayurveda

In Ayurveda, the concept of Aahara (food) is pivotal, forming one of the three sub-pillars of life. Acharya Charaka emphasizes the importance of 'Agni', or digestive fire, which translates food into nourishment. When nutritional intake is insufficient or improperly absorbed, it can lead to growth failure or undersized stature in children, termed Karshya. Malnutrition can be categorized into under-nutrition, which encompasses various deficiencies, stunting, and wasting, and diseases related to overweight and obesity. The health and nutritional status of children serve as indicators of community health, underscoring the significance of early nutritional support during crucial growth periods.

Etiological Factors of Karshya

The review identifies multiple etiological factors contributing to Karshya, including lifestyle and dietary practices such as consuming rough foods, fasting, insufficient dietary intake, and psychological stressors like grief and worry. These factors, combined with excessive physical or mental strain and suppression of natural urges, can exacerbate underweight conditions. The pathogenesis reflects a deficiency in nourishing tissues due to reduced nutrient intake, leading to extreme leanness. Understanding these underlying causes is essential for effective management and prevention of childhood malnutrition.

Ayuvedic Perspectives on Malnutrition

Several Ayurvedic classifications are provided for conditions associated with malnutrition, including Karshya, Balshosha, and Parigarbhika. Each condition manifests unique symptoms and causal factors. For instance, Balshosha is linked to poor digestion and illness, leading to emaciation, while Parigarbhika is associated with compromised breast milk quality affecting a child’s nutrition. The descriptions in Ayurvedic texts regarding these disorders reflect the complexity of childhood malnutrition and highlight the need for a comprehensive approach in treatment, which encompasses dietary adjustments and holistic care.

Conclusion

In conclusion, the review articulates that malnutrition, described in modern medical terms, parallels the Ayurvedic understanding of disorders like Karshya, Balshosha, and Phakka. The insights gained from the Ayurvedic perspective on malnutrition emphasize the importance of adequate nutrition during pregnancy, infancy, and childhood. This comprehensive understanding of the pathogenesis and management of these conditions is crucial for addressing the global crisis of childhood malnutrition, offering valuable strategies for prevention and intervention that can aid in improving overall child health.

FAQ section (important questions/answers):

What is undernutrition and its significance in childhood health?

Undernutrition is inadequate nutrient consumption or absorption. It severely impacts childhood health, contributing to 35% of deaths in children under five and leading to substantial disability-adjusted life years lost globally.

How does Ayurveda define Karshya and related conditions?

Karshya, considered a childhood malnutrition disorder, corresponds with other Ayurvedic conditions like Balashosha and Shuska Revati, which share similar clinical symptoms indicative of undernutrition and malnutrition.

What are common causes of childhood malnutrition according to Ayurveda?

Causes include improper diet, excessive fasting, grief, physical exertion, and hereditary factors. Malnutrition arises from inadequate nutrient intake or absorption, affecting children's growth and development.

What strategies can help prevent childhood malnutrition?

To prevent malnutrition, initiate breastfeeding within an hour of birth, emphasize exclusive breastfeeding for six months, and provide nutritional education to ensure a balanced diet.

What is the role of Agni in Ayurvedic nutrition?

Agni, or digestive fire, is essential in converting food intake into nutrition. It influences health by regulating digestion, absorption, and overall nutrient balance the Ayurvedic way.

What are the key recommendations for maternal nutrition?

Mothers should focus on balanced nutrition during pregnancy and breastfeeding stages. This includes ensuring adequate nutrient intake to support fetal growth and infant health, vital for preventing malnutrition.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “A ayurvedic review on karshya and its management”. 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 is a significant public health concern, particularly in childhood. It refers to inadequate intake, absorption, or utilization of nutrients, leading to a host of health issues. In Ayurveda, malnutrition correlates with concepts like Karshya, which underscores the importance of balanced nutrition for growth and well-being, linking it to various physiological disorders.

2) Karshya (Karsya, Kashrya):
Karshya, defined as emaciation or undernutrition in Ayurveda, refers to a condition where individuals, especially children, fail to thrive due to insufficient nutrition. The Ayurvedic texts link it to poor dietary practices and stress, making it crucial for understanding childhood health issues and implementing effective management strategies in nutritional therapy.

3) Disease:
Diseases stemming from nutritional deficiencies, such as Karshya and Phakka, highlight the vital role of adequate nutrition in health. Ayurvedic principles provide insight into the connection between dietary habits and the onset of diseases, informing approaches for prevention and management, particularly in vulnerable populations like children.

4) Phakka:
Phakka refers to a state of malnutrition depicted in Ayurvedic literature, characterized by emaciation due to various causes. It emphasizes the detrimental effects of nutritional deficiencies on children's health, aligning with modern understandings of protein-energy malnutrition. Understanding Phakka aids in developing targeted interventions for malnourished populations.

5) Food:
Food serves as the cornerstone of nutrition and health, encompassing various components essential for growth and development. In Ayurveda, the quality and type of food, referred to as Ahara, directly influence health. Emphasizing wholesome, balanced dietary practices is vital in preventing malnutrition and promoting overall well-being.

6) Life:
Life in Ayurveda is viewed through the lens of holistic well-being, emphasizing the balance of body, mind, and spirit. Proper nutrition, as captured in nutritional guidelines, is vital for sustaining life, particularly in childhood. The implication of life encompasses not just survival, but thriving in health and vitality.

7) India:
India faces significant challenges regarding malnutrition, especially among children, as highlighted by recent health surveys. The context of India's diverse socio-economic landscape impacts nutritional status, necessitating targeted public health interventions and educational programs to address undernutrition and promote healthier practices at the community level.

8) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra, a state in India, reflects the complexities of malnutrition within its population, correlating with national data on childhood health. Understanding regional nutritional issues in Maharashtra can help shape localized strategies to combat malnutrition, considering cultural practices and dietary habits to improve health outcomes.

9) Ayurveda (Ayus-veda):
Ayurveda, the ancient Indian system of medicine, provides a holistic understanding of health, including the significance of nutrition. Ayurvedic perspectives on malnutrition, like Karshya, underscore the influence of diet, lifestyle, and mental well-being on physical health, illustrating the integrated approach to maintaining optimal health and preventing diseases.

10) Activity:
Physical activity is essential for health, but excessive or insufficient activity can affect nutritional status, particularly in lean individuals. In Ayurveda, the balance between activity and rest is crucial. Understanding how different levels of physical activity affect malnutrition can aid in developing comprehensive health strategies.

11) Shosha (Sosa):
Shosha represents a condition of wasting or emaciation in Ayurveda, closely related to Karshya. Both terms highlight the consequences of inadequate nutrition. Identifying and addressing Shosha is necessary for effective health interventions, particularly for children suffering from malnutrition and resultant health complications.

12) Family:
The family unit impacts dietary habits and nutrition, being central to child-rearing practices. Engaging families in nutrition education encourages healthier eating practices, vital for preventing malnutrition among children, and contributes to building healthier communities and future generations.

13) Thirst:
Thirst, an indicator of hydration needs, can also reflect malnutrition when it leads to excessive fluid loss or inadequate intake. In Ayurveda, the balance of bodily fluids is essential for health, making awareness of thirst and its relationship to nutritional status vital for preventing dehydration and associated diseases.

14) Ahara:
Ahara signifies food and diet in Ayurveda, recognized as one of the foundational elements of health. The principles of Ahara emphasize the importance of suitable dietary practices, and deviations from these can precipitate conditions like Karshya, making it a focal point in both prevention and treatment of malnutrition.

15) Fever:
Fever is often a symptom of underlying health issues and can exacerbate malnutrition by increasing metabolic demands and reducing appetite. In Ayurvedic medicine, understanding the interplay between fever and nutritional status is critical, as they can mutually influence health outcomes in affected individuals.

16) Rasa (Rasha):
In Ayurveda, Rasa refers to plasma or the essential fluid that nourishes body tissues. It is fundamental to maintaining health, and its deficiency can lead to conditions such as Karshya. Recognizing the importance of Rasa can help in formulating dietary strategies aimed at improving nutritional status.

17) Diet:
Diet encompasses the overall nutritional intake and its balance, essential for maintaining health. In Ayurveda, a well-balanced diet is vital for preventing malnutrition and promoting well-being, making dietary guidelines a key aspect in managing conditions like Karshya and improving health in children.

18) Rasadhatu (Rasa-dhatu):
Rasa-dhatu represents the bodily fluid that nourishes tissues in Ayurveda. Its impairment is linked to malnutrition and conditions like Karshya. Understanding its role can facilitate targeted strategies for nutritional interventions aimed at restoring health and balance in affected individuals.

19) Education:
Education plays a pivotal role in raising awareness about nutrition and health, especially in preventing malnutrition. Effective educational programs that focus on maternal and child health can empower families with knowledge, fostering better dietary practices and healthier lifestyles among communities.

20) Medicine:
Medicine encompasses various practices aimed at restoring and maintaining health. In Ayurveda, the holistic approach includes nutrition as a critical factor in disease management. Understanding the interconnections between diet and health becomes essential in providing effective treatment for conditions like malnutrition.

21) Samhita:
Samhita refers to classical texts in Ayurveda that provide foundational knowledge about health and healing. These texts, including principles on nutrition and diseases like Karshya, serve as essential resources for practitioners to understand and address health challenges through traditional wisdom and practices.

22) Shushka (Suska):
Shushka describes a state of dryness or emaciation in Ayurveda, closely related to malnutrition. Recognizing its signs, such as wasting, is crucial for prompt intervention, aligning traditional Ayurvedic concepts with contemporary understandings of nutritional deficiencies and their impacts on health.

23) Pranali:
Pranali is a name associated with contemporary research in Ayurveda, representing scholars who contribute to understanding ancient texts and principles. In the context of nutrition, researchers like Dr. Pranali Suryawanshi work towards integrating Ayurvedic wisdom with modern nutritional science to address malnutrition effectively.

24) Science (Scientific):
Sciences provide a framework for understanding health, nutrition, and diseases. Interdisciplinary research that combines Ayurvedic principles with modern scientific methodologies enriches the understanding of malnutrition and enhances the development of effective interventions for improved health.

25) Kshaya (Ksaya):
Kshaya is a term in Ayurveda referring to a depletion or loss of bodily substance, often associated with malnutrition. Understanding Kshaya as it relates to nutritional deficiencies is critical for diagnosing and managing emaciation and other related health problems, emphasizing the need for adequate nutritional support.

26) Shrama (Srama):
Shrama denotes exertion or fatigue that can impact nutritional status. Excessive physical labor without adequate nutrition can lead to conditions like Karshya, highlighting the importance of balancing activity and rest to maintain health and prevent malnutrition in both individuals and communities.

27) Chinta:
Chinta refers to worry or anxiety, which can negatively impact nutritional intake and health. In Ayurveda, understanding the relationship between mental health and nutrition is vital, as stress can exacerbate conditions like malnutrition by affecting appetite and dietary choices.

28) Indian:
Indian traditional medicine, like Ayurveda, offers insights into managing health through diet and lifestyle practices. The cultural context shapes dietary habits, making it essential to integrate local knowledge in addressing malnutrition and promoting health within diverse communities in India.

29) Bhaya:
Bhaya signifies fear, an emotional state that can significantly affect health and nutrition. Anxiety or fear can disrupt appetite and promote unhealthy dietary patterns, leading to malnutrition; thus, addressing emotional well-being is key to holistic health in Ayurveda.

30) Nidra:
Nidra means sleep in Ayurveda, representing a crucial aspect of health and well-being. Insufficient sleep can affect metabolic processes and nutritional intake. Understanding the importance of quality sleep in conjunction with nutrition is essential for preventing malnutrition and promoting growth in children.

31) Shoka (Soka):
Shoka, or grief, can lead to emotional distress that adversely affects nutritional habits. In the realm of Ayurvedic medicine, recognizing and addressing the emotional factors related to nutrition helps in providing a comprehensive approach towards preventing and managing conditions like Karshya.

32) Dhatu:
Dhatu refers to the seven bodily tissues in Ayurveda that are vital for maintaining health. Their nourishment relies on proper nutrition, making the understanding of dhatus essential in managing malnutrition and associated diseases, leading to a holistic approach in treatment and prevention strategies.

33) Grief:
Grief is an emotional state that can disrupt normal dietary habits, contributing to malnutrition. In Ayurvedic context, acknowledging the influence of emotional health on nutrition is crucial for comprehensive patient care, especially in vulnerable populations such as children facing adverse life circumstances.

34) Study (Studying):
Study plays an essential role in understanding health conditions, particularly in Ayurvedic contexts. Research on malnutrition and its implications leads to significant insights that can inform effective interventions, helping bridge traditional practices with modern scientific evidence for improved health outcomes.

35) Roga:
Roga means disease in Ayurveda and encompasses various disorders caused by imbalances, including malnutrition and its resulting conditions like Karshya. Understanding Rogas provides insights into holistic treatment approaches that address root causes rather than just symptoms.

36) Agni:
Agni, or digestive fire, is a fundamental concept in Ayurveda that denotes the body's ability to transform food into energy and nutrients. Imbalances in Agni can lead to malnutrition, making it crucial to maintain digestive health as part of comprehensive dietary practices.

37) Vata:
Vata represents one of the three doshas in Ayurveda, characterized by movement and air elements. Imbalance in Vata can lead to various health issues, including malnutrition, thus understanding its role helps in developing dietary and lifestyle recommendations that support balance and well-being.

38) Fear:
Fear can profoundly impact health, particularly by influencing stress and emotional well-being, which in turn affect nutritional intake. In Ayurveda, managing emotions is essential for promoting healthy dietary practices and effectively preventing conditions related to malnutrition.

39) Hair:
Hair health, often considered a reflection of overall well-being, can be negatively impacted by malnutrition. In Ayurveda, hair provides insights into nutritional status, underscoring the importance of balanced diets rich in vital nutrients for maintaining both hair and general health.

40) Fire:
Fire signifies transformation and energy. In Ayurveda, it represents Agni, the digestive fire crucial for converting food into nourishing energy. Maintaining proper Agni is fundamental for preventing malnutrition and ensuring optimal health through effective digestion and nutrient assimilation.

41) Milk:
Milk is regarded as a nourishing food source in Ayurveda, offering vital nutrients for growth and development, especially in children. Its significance emphasizes the role of proper nutrition in preventing conditions like Karshya, highlighting the need for quality dietary practices in early childhood.

42) Pur:
Poor nutritional status is linked to a variety of health concerns, including malnutrition and associated diseases. Understanding the factors contributing to poor nutrition is essential for developing effective public health initiatives aimed at improving dietary practices and overall community health.

43) Post:
Post refers to the dissemination of research and insights related to nutrition and health. Sharing findings on malnutrition, especially in contexts like Karshya, is crucial for enhancing awareness and guiding effective interventions within communities.

44) Tuberculosis:
Tuberculosis is a serious infectious disease that can compromise nutritional status and overall health. Understanding its link to malnutrition emphasizes the need for comprehensive healthcare strategies, integrating nutritional support into treatment plans to address the dual burden of infection and undernutrition.

45) Transformation (Transform, Transforming):
Transforming refers to changing the state of food into energy and nutrients, a vital process in health. In Ayurveda, managing Agni—the digestive fire—is essential to ensure effective transforming of food, directly impacting nutritional status and wellbeing.

46) Pratishyaya (Pratisyaya):
Pratishyaya refers to conditions like respiratory issues that can lead to malnutrition, especially in children. Understanding the interplay between respiratory health and nutrition is vital for creating comprehensive health strategies that address both dietary and medical needs.

47) Performance:
Performance relates to the effectiveness of individuals in daily activities, which can be significantly impacted by nutritional status. In Ayurveda, addressing malnutrition is crucial for optimizing performance in children and adults, enabling them to achieve their full potential.

48) Tridoshaja (Tridosaja):
Tridoshaja refers to conditions in Ayurveda arising from imbalances among the three doshas: Vata, Pitta, and Kapha. Understanding Tridoshaja is crucial in addressing complex health issues, including malnutrition, as they require a holistic approach to restore balance and health.

49) Discussion:
Discussion facilitates the exchange of ideas and research on health topics, allowing for collaborative solutions. In the context of malnutrition, discussions among health professionals can lead to enhanced understanding and the development of effective strategies to combat nutritional deficiencies.

50) Developing:
Developing nations often face higher rates of malnutrition due to economic and social challenges. Understanding the unique context of developing countries is essential for implementing tailored interventions aimed at reducing malnutrition and improving the health of vulnerable populations.

51) Depression:
Depression can negatively impact appetite and nutritional intake, leading to malnutrition. Recognizing the relationship between mental health and nutrition is crucial for providing comprehensive care, integrating psychological support into nutritional interventions to improve overall well-being.

52) Samprapti:
Samprapti refers to the pathogenesis or progression of disease in Ayurveda. Understanding the Samprapti of conditions like Karshya aids practitioners in identifying root causes and implementing effective management strategies, aligning with holistic views of health and healing.

53) Vivarnata (Vivarna-ta):
Vivarnata indicates discoloration or loss of luster of the body. Its presence in malnutrition signifies the outward effects of nutritional deficiencies. Recognizing these signs enables early identification and intervention, crucial for improving health outcomes in malnourished children.

54) Vitiation (Vitiated):
Vitiation refers to the alteration or disturbance of the body's natural balance. In Ayurveda, recognizing vitiation's role in health is key for understanding how imbalances contribute to malnutrition and associated health conditions, paving the way for targeted interventions.

55) Lakshana (Laksana):
Lakshana refers to the signs and symptoms of diseases in Ayurveda. Understanding the Lakshana of malnutrition-related conditions, like Karshya and Shosha, is essential for diagnosis and effective treatment strategies that address both immediate and long-term nutritional needs.

56) Annapana (Anna-pana):
Annapana pertains to the intake of food and drink, emphasizing its role in health. In Ayurveda, focusing on proper Annapana practices is vital for preventing malnutrition and promoting healthy growth and development among children and vulnerable populations.

57) Sthaulya:
Sthaulya refers to the state of being overweight or obese in Ayurveda, contrasting with conditions of malnutrition like Karshya. Understanding Sthaulya is crucial in exploring the spectrum of nutritional health and developing comprehensive public health strategies to address both ends of the malnutrition spectrum.

58) Maithuna:
Maithuna represents sexual activity in Ayurveda, which can influence nutritional status through physical exertion and emotional health. Addressing the balance of Maithuna in conjunction with diet is essential for maintaining optimal health and preventing conditions like malnutrition.

59) Vomiting:
Vomiting is a symptom that can lead to nutritional deficiencies if it occurs frequently, as it impairs the body's ability to absorb nutrients. In Ayurveda, understanding the causes and effects of vomiting is crucial for developing appropriate dietary interventions to manage malnutrition.

60) Pregnant:
Pregnant women require adequate nutrition for the health of both themselves and their babies. In Ayurveda, maternal nutrition is paramount to prevent conditions like intrauterine growth retardation. Addressing the nutritional needs of pregnant women is essential for improving outcomes for mothers and infants.

61) Entering:
Entering refers to the process of beginning or initiating, important in the context of diet and nutrition. Early dietary practices, especially in childhood, significantly impact long-term health. Promoting healthy eating habits from the onset can prevent conditions like malnutrition later in life.

62) Langhana (Lamghana):
Langhana signifies fasting or reducing intake in Ayurveda, which can lead to nutritional deficiencies. Understanding Langhana emphasizes the need for balanced dietary practices and encourages awareness of the potential adverse effects of dietary restrictions on health and nutrition.

63) Mineral:
Minerals, as essential components of nutrition, play vital roles in maintaining health. In Ayurvedic dietary practices, understanding the significance of mineral intake is crucial for preventing deficiencies and promoting balanced nutrition, especially among populations at risk of malnutrition.

64) Purusha (Purusa):
Purusha refers to an individual or person in Ayurveda. Understanding Purusha emphasizes the need for personalized approaches to health and nutrition, acknowledging that individual differences play a significant role in dietary needs and the management of conditions like malnutrition.

65) Granthi (Gramthi):
Granthi refers to nodules or lumps that can signify underlying health issues, including malnutrition. Recognizing Granthi in clinical assessments can lead to early intervention and effective treatment strategies when addressing nutritional deficiencies and related health concerns.

66) Kshudha (Ksudha):
Kshudha indicates hunger and the body's need for nourishment. In Ayurveda, addressing hunger through proper nutritional intake is crucial for preventing malnutrition and promoting health, especially among vulnerable populations such as children and pregnant women.

67) Abhyasa (Abhyasha):
Abhyasa means practice or habitual action. In the context of nutrition, promoting Abhyasa of healthy eating habits and lifestyle choices is essential for preventing malnutrition and fostering long-term health benefits, especially in developmental stages like childhood.

68) Arishta (Arista):
Arishta refers to the unfavorable prognosis or dire consequences of diseases. In the context of malnutrition, understanding Arishta emphasizes the potential risks of inadequate nutrition, highlighting the importance of early intervention and comprehensive health strategies to mitigate negative health outcomes.

69) Vikriti (Vikrti):
Vikriti refers to the state of imbalance or disorder within the body. In Ayurveda, evaluating Vikriti allows practitioners to understand the root causes of health issues, including malnutrition, guiding effective treatment that restores equilibrium and promotes overall health.

70) Nigraha:
Nigraha indicates restraint or suppression of natural urges, which can lead to health issues, including malnutrition. In Ayurveda, encouraging healthy behaviors that align with natural urges, such as hunger and thirst, is crucial for maintaining optimal nutrition and preventing related diseases.

71) Anxiety:
Anxiety signifies psychological distress that can adversely affect nutritional habits. Recognizing the interplay between mental health and nutrition is crucial for comprehensive care in Ayurveda, as managing anxiety can improve dietary intake and support recovery from malnutrition.

72) Insect:
An insect, often considered a pest, can symbolize broader health issues in Ayurveda related to hygiene and nutrition. Addressing the impact of insects on food quality and health is crucial for preventing malnutrition and ensuring safe dietary practices.

73) Vikara:
Vikara refers to changes or disturbances in health, often caused by imbalances in nutrition or lifestyle. Recognizing Vikara is essential in Ayurveda for diagnosing conditions like malnutrition and developing targeted interventions that restore balance.

74) Sevana:
Sevana denotes indulgence or attention to particular practices. In Ayurveda, focusing on appropriate Sevana regarding diet and lifestyle plays a key role in health, particularly in preventing malnutrition and promoting balanced nutritional intake for better health outcomes.

75) Ruksha (Ruksa):
Ruksha indicates dryness or roughness in context to food and health. In Ayurveda, Ruksha foods may lead to imbalance, contributing to conditions like Karshya, highlighting the need for balanced diets that include appropriate food textures to maintain health.

[Note: The above list is limited to 75. Total glossary definitions available: 94]

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Discover the significance of concepts within the article: ‘A ayurvedic review on karshya and its management’. Further sources in the context of Science might help you critically compare this page with similair documents:

Shushkarevati, Phakka, Karshya, Parigarbhika, Digestive fire, Primary cause, Fetal nutrition, Under nutrition, Ayurvedic Perspective, Maternal Nutrition, Ayurvedic scriptures, Aahara, Pathogenesis of Disease, Environmental sanitation, Protein energy malnutrition, Balashosha, Nidana of Karshya, Malnutrition Causes, Childhood malnutrition, Health programs.

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