Published Paper Details:

Pravahika is a common gastrointestinal disorder described in Ayurvedic classics, characterized by frequent defecation associated with pain, tenesmus, mucus, and sometimes blood. In Balaroga (paediatric age group), Pravahika remains a significant health concern due to immature digestive fire (Mandagni), poor immunity, improper feeding practices, and recurrent infections. The disease closely resembles dysentery and inflammatory bowel conditions described in modern medicine. According to Ayurveda, Pravahika mainly occurs due to vitiation of Vata and Kapha Dosha, with involvement of Purishavaha Srotas and Pakwashaya, leading to repeated straining and passage of small quantities of stool. Children are more vulnerable due to their anatomical and physiological delicacy (Sukumarata), dependency on caregivers, and inability to maintain dietary discipline. Classical texts such as Caraka Sa?hita, Sushruta Sa?hita, and Kashyapa Sa?hita emphasize early diagnosis and gentle management using Deepana-Pachana drugs, Grahi dravyas, appropriate diet, and supportive therapies suitable for children. This review highlights the Ayurvedic concept of Pravahika in Balaroga, including its Nidana, Samprapti, Lakshana, differential diagnosis, and principles of management, along with correlation to modern paediatric dysentery. Understanding Ayurvedic fundamentals in childhood Pravahika can help in effective prevention, early intervention, and reduction of complications, thereby improving child health outcomes.