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Panchakarma in
Bala Panchakarma
Panchakarma in 
Kaumarabhritya
Kaumarabhritya
Ayurmitra & Nadi Guru
Prof KSR Prasad 
(Technoayurveda)
(Technoayurveda)
9290566566/9503227966 / 
technoayurveda@yahoo.com
Panchakarma CME from  15‐20 March 2021 @ 
Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
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 
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
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. 
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/
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/
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/
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
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/
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/
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
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/
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/
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/
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/
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/
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 
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/
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

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21 03-17 pk in kb

  • 1. Panchakarma in Bala Panchakarma Panchakarma in  Kaumarabhritya Kaumarabhritya Ayurmitra & Nadi Guru Prof KSR Prasad  (Technoayurveda) (Technoayurveda) 9290566566/9503227966 /  technoayurveda@yahoo.com Panchakarma CME from  15‐20 March 2021 @  Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  • 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