This is a case representing autism

1. VIJNANA SARANI - 2023
International Conference On
CLINICAL PAEDIATRICS IN
AYURVEDA
Organised by :
Ahalia Ayurveda Medical College, Ahalia
Campus, Palakkad, Pincode - 678 557, Kerala,
India
Presented by,
Devi Krishna
Final year BAMS Student(UG)
Nangelil Ayurveda Medical College
MANAGEMENT OF NEUROBEHAVIORAL DISORDERS IN CHILDREN

2. NEUOBEHAVIORAL DISORDERS
• Neurobehavioral disorders are a group of conditions associated with brain impairments, injuries
or diseases such as dementia or multiple sclerosis.
• ADHD, autism, obsessive-compulsive disorder, Tourette Syndrome are considered
neurobehavioral disorders.
• In some instances, these disorders ,may overlap. For example this means that the child with one
disorder, lets say autism, could also be diagnosed with another neurobehavioral condition such
as Tourette syndrome.
SYMPTOMS
• Aggression
• Lack of motivation
• Change in behaviour
• Difficulty in speaking
• Limited motor skills
• Poor memory retention
• Difficulty in learning new skills

4. Neurobehavioral
Symptom
Clustering
COGNITIVE BEHAVIORAL
PHYSICAL PSYCHATRIC
*Decreased memory
*Reduced processing
speed
*Poor self regulation
*Learning issues
*Loss of attention
*Cannot concentrate
*Impaired executive
functioning
*Aggressive
*Apathetic
*Lack of motivation
*Irritability
*Personality changes
*Hostility
*Disinhibition
*Lack of empathy
*Impulsivity
*Sensitivity
*Decreased sensory
functioning
*Clumsiness
*Headaches
*Insomnia
*Temperature
*Chronic pain
*Appetite change
*Major depression
*OCD
*PTSD
*Emotional distress
*Anxiety and panic
*Addiction

5. Ayurvedic approach
 Ayurveda, an ancient Indian system of medicine, has high potential in managing neurobehavioral disorders
in pediatric population.
 These disorders significantly impact a child’s development and overall well being.
 Ayurveda offers a holistic approach by integration principles, therapies, and herbal remedies to address the
complex nature of these disorders and promote optimal neurological and behavioural development.
 Various ayurvedic interventions are discussed through a detailed case study of an autistic patient, such as
dietary modifications, lifestyle adjustments, herbal remedies, and ayurvedic therapies like abhyanga,
shirodhara, panchakarma.
 These interventions aim to restore neurological balance, enhance cognitive functions, and manage
symptoms associated with neurobehavioral disorders.
Management

6. Modern approach
1.Non pharmacological / General measures
Multidisciplinary or team approach,comprising a pediatrician,
psychologist/psychiatrist/social worker, education specialist, and parents should
revolve around the following strategies:
 Management of abnormal behavior
Help for the family
2.Pharmacotherapy
Neuroleptics : Can be selectively employed to relieve such comorbidities as
disruptive behavior in the form of self injury, tantrum, and aggression.
Central Nervous System stimulant
Vaccination

7. Chief complaints
*Temper tantrum since 3 months
*Attacking others since 3 months
*Repeated hand movements since 3 months
*Poor social interaction since 3 months
History of presenting complaints
*First born child through normal vaginal delivery.
*Crying reflex and sucking reflex were normal, developed neonatal jaundice, admitted in NICU for 3days.
*Attained all developmental milestones except speech and communication. Started speech therapy at 4 years and
became normal.
*Later at 9 years the child showed hyperactivity and consulted a psychiatrist.IQ normal (85).Took medication for 1.5
months.
*Later 1 year ago he started stereotyped hand movements and twisting of hair, consulted a psychiatrist, but
stereotypic movements persisted.
*3 months ago, he developed temper tantrum, poor social interaction and started attacking others. So he came for
treatment.
Case-I
Name of the Patient : X ; Age-15 ; Gender: Male

8. History of previous illness : Nothing specific
Personal history : Bowel-once in two days
Appetite-good
Sleep-sound
Family history : Father had psychological issues
Physical examination
A. General and Systematic Examination
Autism rating scale ; score=39
B. Ashtasthana pareeksha
Nadi Sabda- Aspashtam
Mootram – Eeshath peetham Sparsa – Na ushnasheetham
Malam - Vibandham Drik - Prakrutham
Jihwa – Na upaliptham Akriti
C.Mental Status : IQ-Normal(85)
Laboratory Investigations : EEG Done (Normal in wakefulness)
Provisional diagnosis : Unmada
Diagnosis : Vatapaittika unmada
Autism

9. • Tiktakam kashayam + drakshadi kashayam 40ml-0-
40ml b/f
• Krimighna vati 1-0-1 a/f
• Gopichandanadi gulika 1-0-1 a/f
• Vilwadi gulika 1-0-1 a/f
• Avipathi choornam 1tsp bds b/f
• Manasamithra vatakam 1hs
• Dhanwantaram gulika 1bds b/f
• Yashti choorna ½ tsp with honey
• Panchagavya ghritham 1/2tsp
Internal Administration

10. Treatments
• Panchatiktaka kashayadhara 5days
• Panchatiktaka ksheeradhara + Sirolepam X 5days
• Snehapana with panchagavya ghritam
• Abhyanga with ksheerabala + ooshmaswedam X 3days
• Virechanam with avipathi choornam 15g+honey
• Siropichu with ksheerabala 45mins+ Shirolepam

11. Condition at the time of discharge
Stereotypical movements reduced.
Autism Rating Scale : 32
Episodes of violent attack is absent.
Redness of the face due to constant rubbing reduced.
Habit of constant washing of face and hands absent.
Hyper activity reduced but still persists.
Eye contact improved.
Advice on discharge
Continue with :
*Tiktakadrakshadi Kashaya
*Panchagavya ghritam
*Manasamitra vatakam

12. THANK YOU