Role of Ayurveda in the management of Mrittika Bhakshan Janya Pandu w.s.r. Pica and Iron Deficiency Anemia: A Case Study
Abstract
Pica is a condition where individual, particularly children, consume inedible non-nutritive substances like soil, chalk, rubber, pencil, charcoal etc. It is associated with risks of lead poisoning, iron deficiency anemia, and parasite infestation. This is a case of severe iron deficiency anemia (IDA) and chronic severe Geophagy (pica of soil). Clinical manifestations of iron deficiency anaemia encompass symptoms such as pallor, anorexia, irritability, and pica. These features are closely parallel with Pandu Roga as described in Ayurveda classics. Helminthiasis stands out as a major cause of Pica, with these symptoms specifically mentioned in Mrittika Bhakshan Janya Pandu. The present case involves a 1-year-5-month-old girl with symptoms of recurrent fever, irritability, nausea, anorexia, and pica persisting for 6 months. Investigations revealed iron deficiency anemia and roundworm infestation. The treatment done includes Apakarshana (Ayurveda measures for expelling worms or parasites), Prakritivighata (disrupting the natural dwelling environment), Nidan Parivarjana (prevention from the cause), and Shatprasritik Basti, along with oral drugs to address symptoms and restore the hemoglobin level.
Keywords: Pica, IDA, Roundworm infestation, Shatprasritik Basti.
References
2. World Health Organization. Determinants of health [Internet]. Geneva: WHO; 2023 [cited 2024 Jan 28]. Available from: https://www.who.int
3. Paul VK, Bagga A. Ghai Essential Paediatrics. New Delhi: CBS Publishers & Distributors Pvt Ltd; 2013. p. 58.
4. Chaturvedi GN, Shastri KN. Charak Samhita Vidyotani Hindi commentary. Chikitsa Sthan 16/14-16. 1st ed. Varanasi: Chaukhamba Bharti Academy; 2018. p. 488.
5. Chaturvedi GN, Shastri KN. Charak Samhita Vidyotani Hindi commentary. Chikitsa Sthan 16/28-29. 1st ed. Varanasi: Chaukhamba Bharti Academy; 2018. p. 490.
6. Shastri AD. Susrut Samhita Dalhana Commentary. Uttar Tantra 54/9-10, 28/1. 1st ed. Varanasi: Chaukhamba Sanskrit Sansthan; 2016. p. 501.
7. Chaturvedi GN, Shastri KN. Charak Samhita Vidyotani Hindi commentary. Chikitsa Sthan 16/3-4. 1st ed. Varanasi: Chaukhamba Bharti Academy; 2018. p. 486-487.
8. Chaturvedi GN, Shastri KN. Charak Samhita Vidyotani Hindi commentary. Viman Sthan 7/13. 1st ed. Varanasi: Chaukhamba Bharti Academy; 2011. p. 727.
9. Chaturvedi GN, Shastri KN. Charak Samhita Vidyotani Hindi commentary. Viman Sthan 7/14. 1st ed. Varanasi: Chaukhamba Bharti Academy; 2011. p. 727.
10. Chaturvedi GN, Shastri KN. Charak Samhita Vidyotani Hindi commentary. Sidhi Sthan 8/9. 1st ed. Varanasi: Chaukhamba Bharti Academy; 2018. p. 1044.
11. Chaturvedi GN, Shastri KN. Charak Samhita Vidyotani Hindi commentary. Sutra Sthan 26/49. 1st ed. Varanasi: Chaukhamba Bharti Academy; 2011. p. 506.
12. Chaturvedi GN, Shastri KN. Charak Samhita Vidyotani Hindi commentary. Sutra Sthan 27/300. 1st ed. Varanasi: Chaukhamba Bharti Academy; 2011. p. 561.
13. Uses for rock salt [Internet]. Women’s Magazine. [cited 2024 Jan 28]. Available from: file:///C:/Users/User/Downloads/Uses%20for%20rock%20salt_Women%E2%80%99s%20Magazine.mht
14. Srivastava S. Sharangdhar Samhita Jiwanprad Hindi commentary. Madhya Khand 9/92. 1st ed. Varanasi: Chaukhamba Orientalia; 2017. p. 227.
15. Bhoyar MS, Panchabhai S, Ahirrao R. Standard operating procedure of Panchatikta Ghrita and study of its antimicrobial activity. Int J Ayurveda Pharm Res. 2017 Feb 7;5(1):1–6.
16. Srivastava S. Sharangdhar Samhita Jiwanprad Hindi commentary. Madhyam Khand 6/60-61. 1st ed. Varanasi: Chaukhamba Orientalia; 2017. p. 181.
17. Soliman NA, Mansour SW, Ammar MA, Hassan NA, Hamed R, Ahmed M. The hematopoietic effect of red and white peels pomegranate extract on phenylhydrazine-induced anemia in rats and LC-MS/MS investigations of new substances. Res Square [Preprint]. 2022 Dec 6 [cited 2024 Jan 28]. Available from: https://www.researchsquare.com/article/rs-2345678/v1
18. Ghoshal S, Prasad BN, Lakshmi V. Antiamoebic activity of Piper longum fruits against Entamoeba histolytica in vitro and in vivo. J Ethnopharmacol. 1996 Jun;50(3):167–70.
19. Nayak JK, Sahu SK, Swain S, Bhattacharyay D, Pandey M. Pavonia odorata derived phytochemicals against Entamoeba histolytica causing dysentery. J Pharm Res Int [Internet]. 2020 Jun 3 [cited 2024 Jan 28];32(8):125–8. Available from: https://journaljpri.com/index.php/JPRI/article/view/1390

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