Clinical evidence on Ayurvedic Management of Attention-Deficit/Hyperactivity Disorder in children and adolescents: A systematic review
Abstract
Background: Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. Ayurveda proposes several therapeutic approaches, including Medhya Rasayana formulations and Panchakarma procedures, for managing ADHD symptoms. This systematic review evaluated the evidence on Ayurvedic management for ADHD in children and adolescents.
Method: A systematic review was conducted following PRISMA guidelines. Electronic databases were searched for studies published between January 2014 and June 2024. Clinical trials, observational studies, case series and open label studies involving Ayurvedic management in children and adolescents with ADHD were included, and methodological quality was assessed using the Jadad scale.
Results: Of 231 identified records, eight studies met the inclusion criteria. Interventions included Bacopa monnieri, Withania somnifera, Saraswatarista, Brahmi Churna, Mandukaparni Churna, and Mentosoothe formulations, Mahapaishacika Ghrta, and Shirodhara-based therapies. Bacopa monnieri improved attention, impulse control, and cognitive performance, with reductions in attention-deficit symptoms reported in up to 85% of children. Saraswatarista significantly improved scholastic performance and interpersonal relationships. Brahmi Churna and Mandukaparni Churna showed benefits in hyperactive-impulsive and inattentive symptoms, respectively, while Withania somnifera reduced anxiety and…
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Evidence Hub reads this as a systematic review, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid.
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