Abstract

AYURVEDIC UNDERSTANDING AND MANAGEMENT OF RECURRENT RESPIRATORY INFECTIONS IN CHILDREN: A REVIEW

*Dr. Sachin Gole, Dr. Roshan Sarap, Dr. Sachin Gwalani

Abstract

Recurrent respiratory infections (RRIs) in children are a pressing global health challenge, accounting for significant morbidity, mortality, and socioeconomic burden. These infections, which include recurrent episodes of rhinitis, cough, bronchitis, and pneumonia, are among the most frequent reasons for pediatric consultations and hospital admissions. Biomedical science has made great strides through vaccination, antibiotics, antivirals, and improved hygiene, yet limitations such as antimicrobial resistance, adverse drug effects, and high recurrence rates continue to persist. In this context, Ayurveda, the classical system of medicine from India, offers a unique holistic framework for understanding and managing RRIs. Ayurveda views childhood (Bala Avastha) as a Kaphadominant stage characterized by immature immunity (Ojas), predisposing children to frequent respiratory disturbances. It emphasizes preventive pediatrics through Swarna Prashana (gold-based immunoprophylaxis), Rasayana therapy (immunomodulatory rejuvenatives), and Nidanaparivarjana (avoidance of causative factors). Therapeutically, formulations such as Sitopaladi Churna, Abhraka Bhasma, and supportive regimens including Nasya and Dhoopana are employed to address both symptoms and underlying vulnerabilities. Recent experimental and clinical studies support the immunomodulatory and anti-inflammatory potential of Ayurvedic interventions, while complementary and alternative medicine (CAM) practices globally echo similar principles of diet, lifestyle modification, and herbal remedies. This review integrates Ayurvedic concepts with modern evidence, highlighting Ayurveda’s strengths in prevention and host resilience, and proposes integrative strategies for sustainable management of RRIs in children.

Keywords: Recurrent respiratory infections; Ayurveda; Bala Avastha; Swarna Prashana; Rasayana; Pediatric immunity; Kaumarbhritya; Nidanaparivarjana.