Effect of Takradhara in Children with Attention Deficient Hyperactivity Disorder (ADHD)

Pravat Kumar Dash,Ragamala K C

doi:10.47552/ijam.v8i4.1032

Abstract

ADHD is a complex neurobehavioral psychosomatic disorder, which affects millions of children and often persists into adulthood. According to the 4th edition, American Psychiatric Association's Diagnostic and Statistical Manual (DSM-IV criteria), the core symptoms of ADHD are 1) inattention 2) hyperactivity and 3) impulsivity. In Ayurveda it occurs due to vibramsha of Dhee (rational thinking), Dhriti (intellect / retaining power of the mind), Smriti (memory) which results into improper contact of the senses with their objectives and give rise to inattention, hyperactivity and impulsivity. In modern sciences, treatment predominantly relies on prescribing stimuÂlant medications and psychosocial therapy. Stimulant drugs used to treat ADHD are associated with side effects like cardiovascular events etc. Therefore Ayurvedic literature explains many treatment modalities which are safe and effective in various disorders, among which Shirodhara (Takra processed with Brahmi, Jatamamsi, Vacha and Aswagandha) is a procedure which is widely used in psychosomatic disorders and there is a need to standardize this procedure as a safest treatment in children. Hence an effort is made to study the effect of Takradhara in Attention- Deficit Hyperactivity Disorder.So to evaluate the effect of Takradhara in ADHD, 40 children aged 7 â€“ 12years who were fulfilling the inclusion criteria and diagnostic criteria were selected from Kaumarabhritya OPD and IPD of S.V.Ayurvedic College & Hospital, Tirupati. Takradhara was done for 14 days and then again repeated after every two months for 3 consecutive sittings. The cases were recorded as per the case sheet and observations were recorded. Symptoms were scored and statistically analyzed for any change before and after treatment. In the group statistically highly significant change (p = <0.001) was observed in the symptoms of ADHD.Â

Highlights

With the advancement in day today’s human life the diseases are advancing
A yurvedic literature explains many treatment modalities which are safe and effective in various disorders, among which Shirodhara (Takra processed with Brahmi, Jatamamsi, V acha and Aswagandha) is a procedure which is widely used in psychosomatic disorders and there is a need to standardize this procedure as a safest treatment in children
Observations and Results Analysis was done before and after treatment procedure based on clinical features of the Attention- Deficit Hyperactivity Disorder (ADHD) patients and scoring was given as per the scales used for the study

Summary

Introduction

With the advancement in day today’s human life the diseases are advancing. Due to more stressful and speedy life, the Psychiatric illness are broadening in adults as well as in children, among which ADHD is most common wide spread psychiatric disease affecting children in all over the world. As per the DSM-IV criteria (1), these children will have difficulty in following the instructions and sustaining attention, often seem not to listen to what is being said, lose items frequently, are distracted, are fidgety, have a difficult time remaining and often engage in physically dangerous activities, does not remain in their seats in school, have difficulty awaiting their turn, impulsively blurt out Affected children commonly experience academic underachievement, problems with interpersonal relationships with family members and peers, and low self-esteem. They have a hard time in controlling their impulses and regulating their activity, attention. In brief this picture of the disease can be correlated with the few lakshanas of Manasa V ikaras described by A charya Charaka which occur due to defects in the volitional power of the Manas i.e. the Buddhi or its constituents, the Dhee, Dhriti and Smriti

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Discussion

Conclusion