2. 01
Bala Panchakarma
Introduction
01 Introduction
• Kaumarabhritya is a specialized branch of
A d i i f K
Ayurveda – given importance after Kaya
Chikitsa
• Baala is a child and Kumara is adolescent
• Both conditions are with developing state of
p g
Tissues in which the Psyche and Body maturity
is not witnessed
• The Dosha elimination through Panchakarma
require special attention
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
require special attention
3. 01
Bala Panchakarma
Childhood
01 Childhood
• Biologically, a child is a person between birth and
puberty
puberty
• The United Nations Convention on the Rights of
the Child defines child as –
the Child defines child as
– “A human being below the age of 18 years unless under
the law applicable to the child, majority is attained
l “
earlier“
• Neonatal ends around age of 1 year
• Toddlerhood ends around age 3 years
g y
• Early childhood ends around age 7 years
• Middle childhood ends with puberty at the age of 12 years
• Adolescence ends with legal adulthood at the age of 18 years
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
• Adolescence ends with legal adulthood at the age of 18 years
4. 01
Bala Panchakarma
Ayurveda Childhood
01 Ayurveda Childhood
• Kashyapa Baalya – Up to 16 years
– (1) Garbha – right from the fertilization to birth
– (2) Bala / Kheerapa– Birth to till the one year.
– (3) Kumara – From one year to 16 years
• CharakaBaalya – Up to 16 years
• Sushruta Baalya – Till 16 years hat decide Agni
– (1) Ksheerapa ‐ Till one year or only on milk
(1) Ksheerapa Till one year or only on milk
– (2) Ksheerannada – 1 year to 2 years
– (3) Annada – Two years to 16 years onwards
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
– (3) Annada – Two years to 16 years onwards.
5. 01
Bala Panchakarma
Sneha in Children
01 Sneha in Children
• Vagbhata recommends Brumhana Sneha for
children especially in hot climates AH Sutra
children especially in hot climates – AH Sutra
16/20
• Charaka told Hrasva Matra (which will digest
• Charaka told Hrasva Matra (which will digest
in 2 yama = 6 hours) for children which
doesn’t give any complications and facilitates
doesn t give any complications and facilitates
unction, strength, tissue development and
spreads in the body – Ch. Sutra 13/40
p y /
• Vagbhata affirms to undertake Sadyasneha for
children ‐ AH Sutra 16/39
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
6. 01
Bala Panchakarma
Sweda in Children
01 Sweda in Children
• Kashyapa prefer Avastika Sweda for children
according to the temperature condition
according to the temperature condition,
strength and disease state – KS 23/8
• Kashyapa 8 Verities of sweda KS23/25 26
• Kashyapa 8 Verities of sweda – KS23/25‐26 –
– 1) Hasta Sweda, 2) Pradeha, 3) Nadi Sweda
4) Prastara Sweda 5) Sankara swweda
– 4) Prastara Sweda, 5) Sankara swweda
– 6) Upanaha 7) Avagaha 8) Parisheka
• Hasta Sweda is indicated till 4th month
• Hasta Sweda is indicated till 4th month
• Pata Sweda after 6 years
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
7. 01
Bala Panchakarma
Common practice of Sneha Sweda
01 Common practice of Sneha Sweda
• In south India a common practice for children to
give –
give
– Abhyanga with Tila tailam for 45 minutes
– Exposure to Sun light for 30 minutes
– Hot water bath for 30 minuets
– Dhoopana with Agaru dhooma
– Lactation
Lactation
– Baby sleeps for 4 to 5 hours
• This procedure facilitates the peripheral
circulation and development of neural network
along with developing proper milestones for Baby
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
8. 01
Bala Panchakarma
Deference of Panchakarma
01 Deference of Panchakarma
• Children are not co‐operative
Child d li & ll d l d
• Children are delicate & not well developed
• Children’s skin has under developed sweet
l d d d li f ki
gland and delicate soft skin
• Children have immature organs – especially
kid d li
kidney and liver
– Alter or reschedule the Procedure, Drugs, Mode of
Administration Duration and Frequency
Administration, Duration and Frequency
– As per Condition(dushya), Dosha state, Age and
maturity, Severity, Desa, Kala and Prakriti
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
maturity, Severity, Desa, Kala and Prakriti
9. 01
Bala Panchakarma
Factors of Limitation
01 Factors of Limitation
• Aparipakva dhatu – under developed tissues
• Ajatavyanjana – undeveloped puberty or
maturity
• Sukumara ‐delicate
• Akleshasaha – unable to bear the agony / pain
Akleshasaha unable to bear the agony / pain
• Vak‐chestayoh asamarthya – inability of
talking or activity
talking or activity
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
10. 01
Bala Panchakarma
Vasti karma in Children
01 Vasti karma in Children
• Vastii in children is like Nectar (Amruta)
V i i d i i d f bi h (G )
• Vasti is administered from birth (Gargya) or
selectively after 1 month (Mathara) or
Af 4th h (A ) A d
• After 4th month (Atreya) Anuvasana and
Niruha after 1 year
P h d h V i f 3rd
• Parashara suggested to have Vasti after 3rd
year and Bhela after 6 years
K h l d d h h b h
• Kashyapa concluded that the boy who can
walk and eat normal food is fit to have Vasti
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
11. 01
Bala Panchakarma
Procedure of Vasti in Children
01 Procedure of Vasti in Children
• Sneha mardana ‐ Ushna jala parisheka ‐ Ushna
bh j d il
bhojana daily
– Anuvasana Vasti
Aft 48 h Ni h V ti (f ll t l
– After 48 hours Niruha Vasti (from smaller to regular
quantity on empty stomach or after complete
digestion of previously taken food)
g p y )
– After 48 hours Anuvasana Vasti
– Than Virechana
• Anuvasana Vasti can make tissue deprival in Vishama avasta
instead of making the exact of Brumhana
E A f i idit i bilit i t
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
• Excess Anuvasana can cause frigidity or immobility in srotas
12. 01
Bala Panchakarma
Vamana in Children
01 Vamana in Children
• Vamana Dravya indicted are – leaves of
K h l Ni h l Si i h V
Katphala, Nichula, Sirisha, etc as Vamanopaga
and the combination of Madana, Vacha,
Pi li S i dh V k
Pippali, Saindhva, etc as Vamaka yoga
• Arishata is advised after 5‐6 Kaala
• Vriddha Kashyapa advised to add Sharkara in
Vamaka dravya
y
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
13. 01
Bala Panchakarma
Virechana in Children
01 Virechana in Children
• After 15 days of Vamana Karma Virechana is
d i d
advised
• Virechana Yoga is given along with Butter or
Cream in the morning after comfortable
awakening
• While doing Vamana getting Virechana or vice
versa is Atiyoga
y g
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
14. 01
Bala Panchakarma
Nasya in Children
01 Nasya in Children
• Nasya in Children is of 2 way –
– 1) Shodhana – it is clearing the nasal passages as
lekhana karma – commonly used dravya are –
Apamarga Ikshwaku Pippali Lashuna Shirisha
Apamarga, Ikshwaku, Pippali, Lashuna, Shirisha,
etc
2) Poorana to remove kapka
– 2) Poorana – to remove kapka
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
15. 01
Bala Panchakarma
Moordhni Taila Chikitsa
01 Moordhni Taila Chikitsa
• All types of Moordhni Taila chikitsa – Shiro
i Pi h Abh Dh d
vasti, Pichu, Abhyanga, Dhara, etc are done
according to the need and looking at the
i h d bili f hild
withstand ability of child
• Even the Bahya upachara of panchakarma are
performed in the same way
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
16. 01
Bala Panchakarma
Simple common conditions
01 Simple common conditions
• Emaciated or undernourished child
– Require Sneha with adoptable Sneha Vicharana
Require Sneha with adoptable Sneha Vicharana
– Require Annalepa or Shastikashali Pinda sweda
• Pratishyaya or Nasal discharges
– Require cleaning with lukewarm salted water pumping
to clean the discharges
• Udara Krimi
• Udara Krimi
– Require Virechana along with Krimihara medication
• Constipation or Low motility of Intestines
p y
– Best is to give Lukewarm water enema or Triphala +
Gandhrva Haritaki Kwatha
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
17. 01
Bala Panchakarma
Diseased Panchakarma
01 Diseased Panchakarma
• Common diseases we get in our hospitals are
Polio child Musculoskeletal treated with Abhyanga
– Polio child – Musculoskeletal treated with Abhyanga,
sweda, Shastikashali Pindasweda, Vasti Karma
– Special child ‐ Mental Retardation, Autism, delayed
p , , y
mile stones, etc – Abhyanga, Shiro pichu, Shirolepa,
etc
Naso Respiratory conditions Asthma cold Vamana
– Naso‐Respiratory conditions – Asthma, cold – Vamana
& Virechana
– Skin conditions – infection, ulcers, etc – Vamana &
Virechana
– Worm infestation – Round warm ‐ – Vamana &
Virechana Krimihara Chikitsa
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
Virechana, Krimihara Chikitsa
18. 01
Bala Panchakarma
Conclusion
01 Conclusion
• There is no change of Indications and
i di i f B l P h k i h
contraindications of Baala‐Panchakarma with
Adult
• The question of care taken is at –
– Dose according to age
– Duration according to age
– Selection of palatable medicine
– Procedural precautions
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
19. 01 Thank You
OPD services in Panchakarma
01 Thank You
Ayurmitra & Nadi Guru
Prof KSR Prasad
(Technoayurveda)
9290566566/9503227966 /
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
9290566566/9503227966 /
technoayurveda@yahoo.com
