Therapeutic Insights: Pharmacological Management of Childhood Respiratory Disorders

Abstract

Respiratory disorders constitute a major cause of morbidity and mortality worldwide and pose a significant health burden in the paediatric population due to immature immune mechanisms and heightened susceptibility to infections and allergic conditions. Effective pharmacological management is essential for reducing disease burden, preventing complications, and improving quality of life. In Ayurveda, respiratory disorders are described under diseases of Pranavaha Srotas and are primarily attributed to the vitiation of Vata and Kapha Dosha, along with derangement of Agni and obstruction of respiratory channels, as elaborated in our classical texts. Ayurvedic pharmacological interventions focus on Dosha Shamana, Agni Deepana, Srotoshodhana, and strengthening of respiratory function through the judicious use of classical herbal drugs. This article highlights the role of Ayurvedic drugs indicated in paediatric respiratory conditions such as Kasa, Shwasa, Tamaka Shwasa, and Pratishyaya, as described in Charaka Chikitsa Sthana and Sushruta Uttara Tantra. The therapeutic actions of these drugs are attributed to their pharmacodynamic properties including Deepana, Pachana, Kapha-Vata Shamana, Ushna Virya, Shothahara, Kasahara, and Shwasahara. These properties contribute to expectoration, bronchodilation, anti-inflammatory effects, and immunomodulation. The article emphasizes the rational, safe, and age-appropriate application of Ayurvedic pharmacotherapy in paediatric respiratory disorders, highlighting its relevance in holistic and integrative healthcare.