Efficacy of Bilvadi Kwath {DIVITYA}In The Governance of Atisara{MILD}- A Case Study

Atisāra is one of the most commonly observed disorders in children, characterized by frequent passage of watery stool. In Ayurveda, it is described as the result of vitiation of Doṣha’s, particularly Vāta, Pitta, and Kapha, leading to abnormal movement of Apāna Vāyu. It is a critical condition in children (Bāla) due to their delicate Dhātus and low immunity (Ojas). Management Principles of this diseases includes:1.General Chikitsā Sūtra: Langhana (fasting/light diet) ,Pachana (digestives),Deepana (appetizers).2.Use of specific herbs like Bilva, Mustā, Nāgakesara, Kutaja, etc.3. Important Classical Formulations: Bilvādi Chūrṇa ,Kutajarishta ,Mustādi Sanjñāpanīya Gana (used for rehydration),Balachaturbhadra Chūrṇa for infants. 4. Basti (Enema):In chronic or complicated cases with Vāta predominance, Yapan Basti may be used in older children. 5.Pediatric Considerations (Kumāra Bhṛtya):According to Kāshyapa Samhitā, special attention should be paid to bāla-roga (pediatric diseases), as the child’s body is still developing. Kṣīra-dosha (vitiated milk) and teething are common causative factors in infants. Recent research and modern orrelation: Atisāra in children correlates with acute gastroenteritis.WHO recommends ORS (Oral Rehydration Solution) and zinc therapy; similarly, Ayurveda prescribes Sanjñāpanīya Gana and Ama Pachana herbs.Studies have shown that Bilvādi Kwātha and Kutaja preparations effectively reduce stool frequency and improve gut health. This case study highlights the efficacy of Bilvadi Kwath {Dvitiya} as mentioned in Charaka Samhita Chikitsa Sthana 19/78,and in Chakradatta to governance Atisara with Ayurvedic principles.

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